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The appearance of this rash is characteristic of infections with which of the following?
• dengue virus
• Epstein-Barr virus
• Francisella tularensis
• Yersinia pestis
• Borrelia burgdorferi
• Borrelia burgdorferi
Which of the following is a symptom of brucellosis?
relapsing fever
undulant fever
jaundice
pneumonia
gastroenteritis
undulant fever
Which of the following pairs is mismatched?
rheumatic fever– Streptococcus pyogenes
puerperal sepsis – Staphylococcus aureus
Burkitt's lymphoma – Epstein-Barr virus
acute bacterial endocarditis – Staphylococcus aureus
subacute bacterial endocarditis – alpha-hemolytic streptococci
puerperal sepsis – Staphylococcus aureus
Which of the following pairs is mismatched?
Rocky Mountain spotted fever – Dermacentor (tick)
dengue – Aedes (mosquito)
encephalitis – Ixodes (tick)
epidemic typhus – Pediculus (louse)
malaria – Anopheles (mosquito)
encephalitis – Ixodes (tick)
Which one of the following is responsible for epidemics of respiratory disease in infants?
rhinovirus
Mycoplasma
respiratory syncytial virus
influenza
adenovirus
respiratory syncytial virus
Exposure to large accumulations of bird dropping may result in which of the following mycoses?
Pneumocystis pneumonia
valley fever
histoplasmosis
blastomycosis
coccidioidomycosis
histoplasmosis
The DTaP vaccine protects against which of the following respiratory diseases?
pneumonia
tuberculosis
the common cold
pertussis
anthrax
pertussis
a young child received a red-eared slider turtle as a birthday gift. within a week the child was suffering from a sever gastroenteritis that required a visit to urgent care. what is the child likely suffering from?
a) cholera
b) salmonellosis
c) shigellosis
d) campylobacter infection
e) hepatitis A infection
which of the following statements concerning toxoplasma infection is CORRECT?
a) in most individuals, the infection results in lasting damage to the heart
b) it is transmitted by biting insects
c) it is typically contracted by eating undercooked meat
d) freshwater snails are intermediate hosts
e) it is a rare infection
c) it is typically contracted by eating undercooked meat
Infection by which one of the following results in the formation of Ghon complexes?
Bordetella pertussis
Mycobacterium tuberculosis
Blastomyces dermatidis
Corynebacterium diphtheriae
Streptococcus pyogenes
Mycobacterium tuberculosis
Which of the following organisms is likely to be transmitted via undercooked pork and horse?
Salmonella enterica
Entamoeba histolytica
Staphylococcus aureus
Shigella spp.
Trichinella spiralis
Trichinella spiralis
Poultry products are a likely source of infection by
Helicobacter pylori.
Salmonella enterica.
Shigella spp.
Clostridium perfringens.
Vibrio cholerae.
Salmonella enterica.
All of the following can lead to a positive tuberculin skin test EXCEPT
current tuberculosis infection.
being near someone with tuberculosis.
vaccination.
previous tuberculosis infection.
immunity to tuberculosis.
being near someone with tuberculosis.
Microscopic examination of a lung biopsy shows spherules. What is the etiology of the symptoms?
Mycobacterium
Blastomyces
Pneumocystis
Coccidioides
Histoplasma
Coccidioides
The virulence factor of Vibrio cholera, which is primarily responsible for the signs and symptoms of cholera, is
its activation of certain genes within the human body.
the presence of polar flagella.
its ability to survive in freshwater.
its ability to form biofilms in saltwater.
its ability to produce a potent exotoxin.
its ability to produce a potent exotoxin.
Which one of the following diseases of the gastrointestinal system is transmitted by the respiratory route?
Vibrio gastroenteritis
traveler's diarrhea
mumps
staphylococcal enterotoxicosis
bacillary dysentery
mumps
Which of the following is the major sign or symptom of mumps?
deafness
diarrhea
difficulty in breathing
parotitis
nausea and vomiting
parotitis
The digestive tract is essentially one long tube. The order of the structures, beginning with the mouth, is
esophagus, pharynx, stomach, small intestine, large intestine.
esophagus, stomach, pharynx, small intestine, large intestine.
pharynx, stomach, esophagus, small intestine, large intestine.
pharynx, esophagus, stomach, small intestine, large intestine.
pharynx, esophagus, stomach, large intestine, small intestine.
pharynx, esophagus, stomach, small intestine, large intestine.
What member of the human intestinal microbiota occasionally causes life-threatening disease?
Giardia intestinalis
Salmonella enterica
Clostridium difficile
Escherichia coli O157:H7
Lactobacillus
Clostridium difficile
In the United States, approximately how many people over the age of 30 are infected with HSV-2?
5-10%
90%
approximately 75%
approximately 25%
1-3%
approximately 25%
Which of the following is caused by an opportunistic pathogen?
trichomoniasis
genital herpes
chancroid
gonorrhea
candidiasis
candidiasis
A 25-year-old man presented with fever, malaise, and a rash on his chest, arms, and feet. Which one of the following causative agents is most likely to cause these symptoms?
Candida
Nesseria
HSV-2
HPV
Treponema
Treponema
Infection of the lymphatic vessels is known as
petechiae.
lymphangitis.
bacteremia.
disseminated intravascular coagulation
.recurrent fever.
lymphangitis.
One form of NGU is lymphogranuloma venereum caused by
Chlamydia trachomatis.
Candida albicans.
Neisseria gonorrhoeae.
Leptospira interrogans.
Treponema pallidum.
Chlamydia trachomatis.
Which one of the following genera of microorganisms causes gonorrhea?
Mycoplasma
Neisseria
Ureaplasma
Chlamydia
None of the answers is correct; all of these cause gonorrhea.
Neisseria
Toxic shock syndrome (TSS) is associated with
• Neisseria meningitidis.
• Pseudomonas aeruginosa.
• Staphylococcus aureus.
• Streptococcus pyogenes.
• both Staphylococcus aureus and Streptococcus pyogenes.
• both Staphylococcus aureus and Streptococcus pyogenes.
Which of the following is NOT caused by a bacterium?
• epidemic typhus
• plague
• malaria
• tickborne typhus
• relapsing fever
• malaria
Which of the following is evidence that the arthritis afflicting children in Lyme, Connecticut, was due to bacterial infection?
• not contagious
• accompanied by a rash
• affected mostly children
• transmitted by ticks
• treatable with penicillin
• treatable with penicillin
Members of the group A streptococci (GAS) cause all of the following EXCEPT
• scarlet fever.
• rheumatic fever.
• epiglottitis.
• pharyngitis.
• strep throat.
• epiglottitis.
Microscopic examination of a lung biopsy shows spherules. What is the etiology of the symptoms?
• Mycobacterium
• Blastomyces
• Pneumocystis
• Coccidioides
• Histoplasma
Coccidioides
Which one of the following produces small "fried-egg colonies on medium containing horse serum and yeast extract?
• Legionella
• Mycobacterium
• Mycoplasma
• Chlamydophila
• Streptococcus
• Mycoplasma
The patient is suffocating because of the accumulation of dead tissue and fibrin in her throat. What is the etiology of the symptoms?
• Corynebacterium
• Mycobacterium
• Haemophilus
• Bordetella
• The answer cannot be determined based on the information provided.
• Corynebacterium
The digestive tract is essentially one long tube. The order of the structures, beginning with the mouth, is
• esophagus, pharynx, stomach, small intestine, large intestine.
• esophagus, stomach, pharynx, small intestine, large intestine.
• pharynx, stomach, esophagus, small intestine, large intestine.
• pharynx, esophagus, stomach, small intestine, large intestine.
• pharynx, esophagus, stomach, large intestine, small intestine.
• pharynx, esophagus, stomach, small intestine, large intestine.
Which is true of the Mumps virus?
• Male sterility occurs in 40% of infections.
• It is transmitted by the fecal-oral route.
• A component vaccine is part of the MMR.
• It typically begins with symptoms of gastroenteritis.
• The portal of entry is the respiratory route.
• The portal of entry is the respiratory route.
Which one of the following diseases of the gastrointestinal system is transmitted by the respiratory route?
• Vibrio gastroenteritis
• traveler's diarrhea
• mumps
• staphylococcal enterotoxicosis
• bacillary dysentery
• mumps
Which of the following is the major sign or symptom of mumps?
• deafness
• diarrhea
• difficulty in breathing
• parotitis
• nausea and vomiting
• parotitis
Intermediate hosts become infested with tapeworms through ingestion of
• tapeworm eggs.
• mature tapeworms.
• gravid proglottids.
• tapeworm larvae.
• cysticerci.
• tapeworm eggs.
Most nosocomial infections of the urinary tract are caused by
• Pseudomonas.
• Enterococcus.
• Escherichia coli.
• Proteus.
• Klebsiella.
• Escherichia coli.
Which one of the following pairs is mismatched?
• gonorrhea - gram-negative cocci
• chancroid - gram-negative rod
• trichomoniasis - fungus
• syphilis - gram-negative spirochete
• Gardnerella - clue cells
• trichomoniasis - fungus
In the United States, approximately how many people over the age of 30 are infected with HSV-2?
• 5-10%
• 90%
• approximately 75%
• approximately 25%
• 1-3%
• approximately 25%
A 25-year-old man presented with fever, malaise, and a rash on his chest, arms, and feet. Diagnosis was based on serological testing.
The patient then reported that he had an ulcer on his penis two months earlier. What stage of disease is the patient in?
• secondary
• tertiary
• primary
• NGU
• secondary
Normal microbiota of the adult vagina consists primarily of
• Streptococcus.
• Candida.
• Neisseria.
• Lactobacillus.
• Mycobacterium.
• Lactobacillus.
Unsanitary and crowded conditions increase the incidence of all of the following diseases EXCEPT:
-endemic murine typhus
- plague, epidemic typhus
- Rocky Mountain spotted fever
- relapsing fever
Rocky Mountain spotted fever
Which of the following is a symptom of brucellosis?
- relapsing fever
- undulant fever
- jaundice
- pneumonia
- gastroenteritis
undulant fever
Which of the following statements about toxoplasmosis is FALSE?
- It can be congenital
- It is caused by a protozoan
- It is transmitted by the gastrointestinal route
- The reservoir is cats
- It typically is a severe illness in adults
It typically is a severe illness in adults
Which of the following is NOT a bacterial pathogen transmitted by the bite of an animal?
- Pasteurella multocida
- Bartonella henselae
- Plasmodium vivax
- Streptobacillus
- None of the answers is correct
Plasmodium vivax
Which disease is currently vaccine-preventable in humans? - Lyme disease
- yellow fever
- malaria
- schistosomiasis
- plague
yellow fever
Which of the following is an opportunistic pathogen commonly present in the nasal cavity as a member of the microbiota?
- Legionella pneumophilia
- Veillonella species
- Bordetella pertussis
- Staphylococcus aureus
- Pneumocystis jiroveci
Staphylococcus aureus
Which one of the following produces small “fried-egg” colonies on medium containing horse serum and yeast extract?
- Legionella
- Mycobacterium
- Mycoplasma
- Chlamydophila
- Streptococcus
Mycoplasma
Which of the following is NOT transmitted in raw milk?listeriosis
anthrax
brucellosis
toxoplasmosis
All of these can be transmitted in raw milk.
toxoplasmosis
Microscopic examination of a lung biopsy shows spherules. What is the etiology of the symptoms?
- Mycobacterium
- Blastomyces
- Pneumocystis
- Coccidioides
- Histoplasma
Coccidioides
Which of the following Streptococcus pyogenes virulence factors kills leukocytes and erythrocytes?
- streptokinases
- hyaluronic acid capsule
- C5a peptidase
- pyrogenic toxins
- streptolysins
streptolysins
The digestive tract is essentially one long tube. The order of the structures, beginning with the mouth, is
- esophagus, pharynx, stomach, small intestine, large intestine
- esophagus, stomach, pharynx, small intestine, large intestine
- pharynx, stomach, esophagus, small intestine, large intestine
- pharynx, esophagus, stomach, small intestine, large intestine
- pharynx, esophagus, stomach, large intestine, small intestine
pharynx, esophagus, stomach, small intestine, large intestine
What member of the human intestinal microbiota occasionally causes life-threatening disease?
- Giardia intestinalis
- Salmonella enterica
- Clostridium difficile
- Escherichia coli O157:H7
- Lactobacillus
Clostridium difficile
Which of the following statements is TRUE with regard to oral herpes?
- Lesions become more severe with each recurrence
- Ninety percent caused by HHV-2
- There is an effective cure
- Lesions can be triggered by stress or physiologic changes
- Primary infections are usually severe
Lesions can be triggered by stress or physiologic changes
Which of the following is directly involved in the initiation of dental caries?
- lactic acid
- sucrose
- dentin
- lysozyme
- crevicular fluid
lactic acid
The most common cause of traveler’s diarrhea is
- Giardia lamblia
- Campylobacter jejuni
- Salmonella enterica
- Escherichia coli
- Shigella spp
Escherichia coli
A 25-year-old man presented with fever, malaise, and a rash on his chest, arms, and feet. He had a penile ulcer 2 months earlier. What stage is he in?
- secondary
- tertiary
- primary
- NGU
secondary
The causative agent of chancroid is
- HPV
- Treponema pallidum
- Neisseria gonorrhoeae
- HSV-2
- Haemophilus ducreyi
Haemophilus ducreyi
Which STI may be confused with syphilis due to genital ulcer formation?
- candidiasis
- chancroid (soft chancre)
- nongonococcal urethritis
- leptospirosis
- gonorrhea
chancroid (soft chancre)
In the United States, approximately how many people over age 30 are infected with HSV-2?
- 5–10%
- 90%
- approximately 75%
- approximately 25%
- 1–3%
approximately 25%
Which of the following pairs is mismatched?
puerperal sepsis - Staphylococcus aureus
Which of the following is characteristic of Yersinia pestis infections?
buboes
Toxic shock syndrome (TSS) is associated with
both Staphylococcus aureus and Streptococcus pyogenes
A characteristic symptom of plague is
swollen lymph nodes
Human-to-human transmission of plague is usually by
the respiratory route
Which of the following is part of the upper respiratory system?
pharynx
The DTaP vaccine protects against which of the following respiratory diseases?
pertussis
Members of the group A streptococci (GAS) cause all of the following EXCEPT
epiglottitis
Which one of the following produces small "fried-egg" colonies on medium containing horse serum and yeast extract?
Mycoplasma
Bacterial intoxications differ from bacterial infections of the digestive system in that intoxications
have shorter incubation times
Clostridium difficile-associated diarrhea is usually preceded by
extended use of antibiotics
What is a Dane particle?
the infectious virion that causes HBV
Gums bleeding while brushing one's teeth is most commonly associated with
gingivitis
Which of the following pertains to typhoid fever?
Causative microorganism multiplies in patient phagocytes
The causative agent of chancroid is
Haemophilus ducreyi
Which one of the following genera of microorganisms causes gonorrhea?
Neisseria
Which one of the following is caused by Chlamydia?
lymphogranuloma venereum
Normal microbiota of the adult vagina consists primarily of
Lactobacillus
Epstein-Barr virus infections are typically asymptomatic in ____ because of incomplete development of adaptive immunity.
- Adults
- the elderly
- young children
- AIDS patients
- adolescents
young children
Which of the following is NOT controlled by a mosquito eradication program?
- chikungunya fever
- malaria
- yellow fever
- schistosomiasis
- dengue fever
schistosomiasis
Which of the following is NOT a zoonosis?
- puerperal sepsis
- tularemia
- anthrax
- Hantavirus infection
- brucellosis
puerperal sepsis
You advise your pregnant friend to not adopt a new kitten from her neighbor because she could contract
- infectious mononucleosis.
- plague.
- toxoplasmosis.
- Burkitt's Lymphoma.
- listeriosis.
toxoplasmosis
A large number of people in an African village become ill a couple of weeks after sharing a feast of stew made from the meat of jungle animals. They initially have fever, headache and fatigue, and develop petechiae. Most then experience bloody diarrhea and vomiting, and a few days later begin bleeding from the mouth and eyes. What is the most likely preliminary diagnosis?
- ebola hemorrhagic fever
- yellow fever
- dengue hemorrhagic fever
- malaria
- African trypanosomiasis
ebola hemorrhagic fever
Blastomycosis results from
inhalation of respiratory droplets.
inhalation of fungal spores.
contact with fomites.
contact with infected sputum.
inhalation of spherules.
inhalation of fungal spores.
Group A streptococci produce _____ which breaks down blood clots, allowing the bacteria to spread.
- streptokinase
- pyrogenic toxins
- M proteins
- C5a peptidase
- a hyaluronic acid capsule
streptokinase
A patient has a paroxysmal cough and mucus accumulation. What is the etiology of the symptoms?
- Corynebacterium
- Mycobacterium
- Bordetella
- Mycoplasma
- Burkholderia
Bordetella
Which one of the following is responsible for epidemics of respiratory disease in infants?
- rhinovirus
- Mycoplasma
- respiratory syncytial virus
- influenza
- adenovirus
respiratory syncytial virus
Most of the normal microbiota of the digestive system are found in the
- stomach.
- mouth.
- accessory structures.
- small intestine and large intestine.
- stomach and small intestine.
small intestine and large intestine
Chronic infection with ___ may progress to hepatic cancer.
- HCV
- HEV
- HBV
- HAV
- both HBV and HCV
both HBV and HCV
The most common cause of traveler's diarrhea is
- Giardia lamblia.
- Campylobacter jejuni.
- Salmonella enterica.
- Escherichia coli.
- Shigella spp.
Escherichia coli
Which one of the following diseases of the gastrointestinal system is transmitted by the respiratory route?
- Vibrio gastroenteritis
- traveler's diarrhea
- mumps
- staphylococcal enterotoxicosis
- bacillary dysentery
mumps
What is a Dane particle?
- the filamentous particles that cause HAV
- the chlorine-resistant virus that causes HAV
- the infectious virion that causes HBV
- the spherical particles found in serum of patients with HBV
- another name for an HBV surface antigen
the infectious virion that causes HBV
Normal microbiota of the adult vagina consists primarily of
- Streptococcus.
- Candida.
- Neisseria.
- Lactobacillus.
- Mycobacterium.
Lactobacillus
Cystitis is most often caused by
- Pseudomonas aeruginosa.
- Escherichia coli.
- Leptospira interrogans.
- Neisseria gonorrhoeae.
- Candida albicans.
Escherichia coli
Which of the following is caused by an opportunistic pathogen?
- trichomoniasis
- genital herpes
- chancroid
- gonorrhea
- candidiasis
candidiasis
Which one of the following is a STI that may be confused with syphilis due to its ulcer formation on the genitalia?
- candidiasis
- chancroid (soft chancre)
- nongonococcal urethritis
- leptospirosis
- gonorrhea
chancroid (soft chancre)
In the United States, approximately how many people over the age of 30 are infected with HSV-2?
- 5-10%
- 90%
- approximately 75%
- approximately 25%
- 1-3%
approximately 25%
In the brain, cerebrospinal fluid flows through the:
a) Dura mater
b) Subarachnoid space
c) Arachnoid mater
d) Pia mater
b) Subarachnoid space
3 multiple choice options
Which one of the following statements about Mycobacterium leprae is FALSE?
a) It has an optimum growth temperature of 37C
b) It has a generation time of 12 days.
c) It has never been grown on artificial media.
d) It grows in the peripheral nervous system.
a) It has an optimum growth temperature of 37C
3 multiple choice options