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septic shock can result from using antibiotics to treat:
gram negative bacterial infections
Arthropods provide a portal of exit for microbes via the
blood
Which one of the following is not a first line of defense
fever
Which one of the following is classified as an agranulocyte?
monocyte
which one of the following is not true about normal microbiota
they are present only for a relatively short time
Escherichia coli synthesizing vitamins K and B in the large intestine would be an example of which type of symbiosis?
mutualism
Diseases not transmitted from one host to another are called
noncommunicable
A patient experiences pain and discomfort. These changes in the patient's body function are referred to as
symptoms
What term is used to describe a disease that develops slowly and is likely to continue to recur for long periods
chronic
A disease acquired by many people in a given area in a relatively short period of time is called a(n)
epidemic
Which one of the following is not a predisposing factor affecting the occurrence of disease
nationality
A period of illness is immediately followed by a(n)
period of decline
Which one of the following diseases is NOT spread by droplet transmission?
Malaria
The spread of pathogens via contaminated water is an example of ________ transmission.
vehicle
Which one of the following is not a factor that contributes to healthcare associated infections
normal microbiota on the patient
Traditionally, health care associated infections were called _____ infections
nonsocomial
Which one of the following control measures is not used to prevent healthcare associated infections
increased use of antibiotics
Which one of the following would NOT be a way in which influenza is transmitted?
droplets
The easiest and most frequently traveled portal of entry for infectious microorganisms is the
respiratory tract
The degree of pathogenicity of an organism is known as the
virulence
What is the preferred portal of entry for chlamydia?
genitourinary tract
Communities of microbes that cling to surfaces and share available nutrients are called
biofilms
The outer portion of gram negative cell walls contain
endotoxins
Proteins secreted by pathogens that bind iron are known as
siderophores
Substances produced by virus-infected cells that protect neighboring uninfected cells from infection are called
interferons
Which one of the following refers to the visible effects of a viral infection?
cytopathic effects
What are the granules found in the cytoplasm or nucleus of some virus-infected cells?
inclusion bodies
Which one of the following is NOT a way fungi cause disease?
by using antigenic variation
What is the action of bacterial kinases
to break down fibrin
Which one of the following organisms produces saxitoxin?
alga
What is the causative agent of elephantiasis?
Wuchereria bancrofti
Septic shock can result from using antibiotics to treat
gram negative bacterial infections
toxins produced by some gram negative bacteria that damage DNA are called
genotoxins
chemicals released by defensive cells that regulate intensity and duration of immune response are called
cytokines
Generally, antibodies recognize and interact with specific regions on antigens called
epitopes
Plasma cells are formed after the proliferation of which type of cell?
B cell
T dependent atigen are usually
proteins
T independent antigen are usually
polysaccharides
Vaccination is frequently the only feasible method of controlling disease caused by
viruses
Which one of the following vaccine types more closely mimics an actual infection
live attenuated vaccines
The Salk polio vaccine is an example of a(n) ________ vaccine.
inactivated killed
The ciliary escelator functions by moving microbes
toward the throat
The low pH of the skin is due to the production of
sebum
The substance in perspiration that breaks down cell walls of Gram-positive bacteria is
lysozome
Which one of the following leukocyte types functions to produce toxins against helminth parasites?
eosinophils
Which one of the following is classified as an agranulocyte?
monocyte
Which of the following is/are NOT a second line of defense?
peristalsis
The attraction of phagocytes to microorganisms is called
chemotaxis
Which white blood cell dominates during the initial phase of a bacterial infection?
neutrophil
Fixed macrophages that are found in the liver are called
kupffer cells
Phagocytes contain ________ that allow attachment of pathogens.
toll-like receptors
During ingestion, pseudopods of a phagocyte fuse, surrounding the microorganism in a(n)
phagosome
Complement proteins are numbered
C1 to C9
Interferons are produced by certain animal cells after being infected by
viruses
Some bacteria evade the complement system by means of their
capsules
how many classes of antibodies are there
5
A typical antibody monomer has
two identical light chains and two identical heavy chains
Generally, antibodies recognize and interact with specific regions on antigens called
epitopes
The class of antibody that exists as a pentamer is
IgM
T-dependent antigens are usually
proteins
An antigenic foreign substance that has a low molecular weight is called a(n)
hapten
While large polysaccharides can be found in some antigens, most antigens are composed of
proteins
The process by which antigens are coated with antibodies or complement proteins that enhance their phagocytosis is called
opsonization
The strength of the bond between an antigen and antibody is called
affinity
The first antibody B cells make during primary response to an antigen is
IgM
Maturation of the T cells takes place in the
thymus
Which cells combat autoimmunity as their primary function?
T regulatory cells
Gateway cells in the gastrointestinal tract where antigens are taken up and transferred to APCs are called
M cells
When most of the population is immune, the population is said to possess _______ immunity
herd
Which blood type(s) can be recieved by someone who is type A
A and O
Hemolytic disease of the newborn results in the destruction of which cells in a fetus
red blood cells
HIV is able to evade immune defenses by
undergoing rapid antigenic changes
The birth of modern chemotherapy is credited to the efforts of
Paul Ehrlich
Which one of the following antimicrobials has the broadest spectrum of activity
tetracyline
If one measures a large zone of inhibition in a disk-diffusion test, one can assume that the bacteria are
sensitive to the antibiotic
vaccination is frequently the only feasible method of controlling diseases caused by
viruses
For which one of the following dieases does a vaccine currently not exist
hepatitis C
Which one of the following vaccine types more closely mimics an actual infection?
Live attenuated vaccines
Which one of the following vaccines uses only the antigenic fragments of a microorganism that best stimulate an immune response?
subunit vaccines
Which one of the following has/have been added to vaccines to increase the effectiveness of antigens?
adjuvants
Antibody molecules that are produced by a single hydridoma clone are called
monoclonal antibodies
Which one of the following involves the reaction of soluble antigens with IgG or IgM antibodies to form lattices?
precipitation reaction
Immunoelectrophoresis is an essential part of
the western blot test
The indirect ELISA test differs from the direct ELISA test in that indirect ELISA detects
antibodies
What are adsorbed to the well on the microtiter plate in the first step of a direct ELISA
antibodies
A patient's blood did NOT have any antibody titer before an illness but has a significant titer while the disease is progressing. This phenomenon, which occurs in HIV infections, is called
seroconversion
Type I reactions often occur how long after reexposure to an antigen
2 to 30 minutes
Which blood type can someone who is type A blood receive?
A and O
Localized anaphylaxis is usually associated with antigens that enter via
inhalation
Insulin-dependent diabetes mellitus is an example of which type of autoimmune disease?
cell mediated autoimmune reaction
The condition in which blood platelets are destroyed by drug-induced cytotoxic reactions is known as
Thrombocytopenic purpura
Cancer cells in the body being eliminated by the immune system is an example of
immunologic surveillance
Stem cells that can generate all other types of cells are termed
pluripotent
What type of response do the immunocompetent cells in transplanted bone marrow mount against the tissue into which they have been transplanted?
cell mediated immune response
HIV destroys
CD4+ T cells
Seroconversion for HIV can take as long as
3 months
Which one of the following is not an obstacle in developing an HIV vaccine
lack of a source of virus to produce vaccine
What was the first antibiotic (not antimicrobial) discovered
Penicillin
More than half of our antibiotics are produced by species of
Streptomyces
Which one of the following groups of pathogens are the easiest to treat antimicrobial agents
bacteria