The component(s) of a virus that is/are extended from the envelope for attachment is/are the:
capsomeres
spikes
nucleic acid
viral whiskers
spikes
Which of the following does a virus lack? Select all that apply.
ribosomes
metabolic processes
nucleic acid
glycoprotein
ribosomes
metabolic processes
The envelope of a virus is derived from the host’s
nucleic acids
membrane structures
cytoplasm
genome
membrane structures
In naming viruses, the family name ends with ________ and genus name ends with _________.
−virus; −viridae
-virion; -virus
−virion; virus
−virus; virion
-virion; -virus
What is another name for a nonenveloped virus?
enveloped virus
provirus
naked virus
latent virus
naked virus
Which of the following leads to the destruction of the host cells?
lysogenic cycle
lytic cycle
prophage
temperate phage
lytic cycle
A virus obtains its envelope during which of the following phases?
a. attachment
b. penetration
c. assembly
d. release
d. release
Which of the following components is brought into a cell by HIV?
a. a DNA-dependent DNA polymerase
b. RNA polymerase
c. ribosome
d. reverse transcriptase
d. reverse transcriptase
A positive-strand RNA virus:
a. must first be converted to a mRNA before it can be translated.
b. can be used directly to translate viral proteins.
c. will be degraded by host enzymes.
d. is not recognized by host ribosomes.
b. can be used directly to translate viral proteins.
What is the name for the transfer of genetic information from one bacterium to another bacterium by a phage?
a. transduction
b. penetration
c. excision
d. translation
a. transduction
Which of the followings cannot be used to culture viruses?
tissue culture
liquid medium only
embryo
animal host
liquid medium only
Which of the following tests can be used to detect the presence of a specific virus?
EIA
RT-PCR
PCR
all of the above
all of the above
Which of the following is NOT a cytopathic effect?
transformation
cell fusion
mononucleated cell
inclusion bodies
mononucleated cell
Which of these infectious agents do not have nucleic acid?
a. viroids
b. viruses
c. bacteria
d. prions
d. prions
Which of the following is true of prions?
They can be inactivated by boiling at 100 °C.
They contain a capsid.
They are a rogue form of protein, PrP.
They can be reliably inactivated by an autoclave.
They are a rogue form of protein, PrP.
A virus that infects a bacterium is called a/an ___________________.
Bacteriophage
A/an __________ virus possesses characteristics of both a polyhedral and helical virus.
complex
A virus containing only nucleic acid and a capsid is called a/an ___________________ virus or __________________ virus.
naked or nonenveloped
The ____________ _____________ on the bacteriophage allow for binding to the bacterial cell
tail fibers
An enzyme from HIV that can make a copy of DNA from RNA is called _______________________.
reverse transcriptase
For lytic viruses, _________________ is a phase during a viral growth curve when the virus is not detected
eclipse
Viruses can be diagnosed and observed using a(n) _____________ microscope
electron
Cell abnormalities resulting from a viral infection are called ____________ _____________.
cytopathic effects
Both viroids and virusoids have a(n) _________ genome, but virusoids require a(n) _________ to reproduce.
RNA, helper virus
Which of the following types of medical items requires sterilization?
needles
bed linens
respiratory masks
blood pressure cuffs
needles
Which of the following is suitable for use on tissues for microbial control to prevent infection?
a. disinfectant
b. antiseptic
c. sterilant
d. water
b. antiseptic
Which biosafety level is appropriate for research with microbes or infectious agents that pose moderate risk to laboratory workers and the community, and are typically indigenous?
a. BSL-1
b. BSL-2
c. BSL-3
d. BSL-4
b. BSL-2
Which of the following best describes a microbial control protocol that inhibits the growth of molds and yeast?
a. bacteriostatic
b. fungicidal
c. bactericidal
d. fungistatic
d. fungistatic
The decimal reduction time refers to the amount of time it takes to which of the following?
reduce a microbial population by 10%
reduce a microbial population by 0.1%
reduce a microbial population by 90%
completely eliminate a microbial population
reduce a microbial population by 90%
Which of the following methods brings about cell lysis due to cavitation induced by rapid localized pressure changes?
microwaving
gamma irradiation
ultraviolet radiation
sonication
sonication
Which of the following terms is used to describe the time required to kill all of the microbes within a sample at a given temperature?
D-value
thermal death point
thermal death time
decimal reduction time
thermal death time
Which of the following microbial control methods does not actually kill microbes or inhibit their growth but instead removes them physically from samples?
filtration
desiccation
lyophilization
nonionizing radiation
filtration
Which of the following refers to a disinfecting chemical dissolved in alcohol?
a. iodophor
b. tincture
c. phenolic
d. peroxygen
b. tincture
Which of the following peroxygens is widely used as a household disinfectant, is inexpensive, and breaks down into water and oxygen gas?
hydrogen peroxide
peracetic acid
benzoyl peroxide
ozone
hydrogen peroxide
Which of the following chemical food preservatives is used in the wine industry but may cause asthmatic reactions in some individuals?
nitrites
sulfites
propionic acid
benzoic acid
sulfites
Bleach is an example of which group of chemicals used for disinfection?
heavy metals
halogens
quats
bisbiguanides
halogens
Which chemical disinfectant works by methylating enzymes and nucleic acids and is known for being toxic and carcinogenic?
sorbic acid
triclosan
formaldehyde
hexaclorophene
formaldehyde
Which type of test is used to determine whether disinfectant solutions actively used in a clinical setting are being used correctly?
disk-diffusion assay
phenol coefficient test
in-use test
use-dilution test
in-use test
The effectiveness of chemical disinfectants has historically been compared to that of which of the following?
phenol
ethyl alcohol
bleach
formaldehyde
phenol
Which of the following refers to a germicide that can kill vegetative cells and certain enveloped viruses but not endospores?
high-level germicide
intermediate-level germicide
low-level germicide
sterilant
low-level germicide
Sanitization leaves an object free of microbes.
TRUE
FALSE
FALSE
Ionizing radiation can penetrate surfaces, but nonionizing radiation cannot.
TRUE
FALSE
TRUE
Moist-heat sterilization protocols require the use of higher temperatures for longer periods of time than do dry-heat sterilization protocols do.
TRUE
FALSE
FALSE
Soaps are classified as disinfectants.
TRUE
FALSE
FALSE
Mercury-based compounds have fallen out of favor for use as preservatives and antiseptics.
TRUE
FALSE
TRUE
A medical item that comes into contact with intact skin and does not penetrate sterile tissues or come into contact with mucous membranes is called a(n) ________ item.
noncritical
The goal of ________ ________ protocols is to rid canned produce of Clostridium botulinum endospores.
commercial sterilization
In an autoclave, the application of pressure to ________ is increased to allow the steam to achieve temperatures above the boiling point of water
steam
Doorknobs and other surfaces in clinical settings are often coated with ________, ________, or ________ to prevent the transmission of microbes.
copper, nickel, zinc
If a chemical disinfectant is more effective than phenol, then its phenol coefficient would be ________ than 1.0
greater
If used for extended periods of time, ________ germicides may lead to sterility.
high-level
In the disk-diffusion assay, a large zone of inhibition around a disk to which a chemical disinfectant has been applied indicates ________ of the test microbe to the chemical disinfectant.
susceptibility or sensitivity
A scientist discovers that a soil bacterium he has been studying produces an antimicrobial that kills gram- negative bacteria. She isolates and purifies the antimicrobial compound, then chemically converts a chemical side chain to a hydroxyl group. When she tests the antimicrobial properties of this new version, she finds that this antimicrobial drug can now also kill gram-positive bacteria. The new antimicrobial drug with broad-spectrum activity is considered to be which of the following?
a. resistant
b. semisynthetic
c. synthetic
d. natural
semisynthetic
Which of the following antimicrobial drugs is synthetic?
a. sulfanilamide
b. penicillin
c. actinomycin
d. neomycin
a. sulfanilamide
Which of the following combinations would most likely contribute to the development of a superinfection?
long-term use of narrow-spectrum antimicrobials
long-term use of broad-spectrum antimicrobials
short-term use of narrow-spectrum
antimicrobials
short-term use of broad-spectrum antimicrobials
long-term use of broad-spectrum antimicrobials
Which of the following routes of administration would be appropriate and convenient for home administration of an antimicrobial to treat a systemic infection?
a. oral
b. intravenous
c. topical
d. parenteral
oral
Which clinical situation would be appropriate for treatment with a narrow-spectrum antimicrobial drug?
treatment of a polymicrobic mixed infection in the intestine
prophylaxis against infection after a surgical procedure
treatment of strep throat caused by culture identified Streptococcus pyogenes
empiric therapy of pneumonia while waiting for culture results
treatment of strep throat caused by culture identified Streptococcus pyogenes
Which of the following terms refers to the ability of an antimicrobial drug to harm the target microbe without harming the host?
mode of action
therapeutic level
spectrum of activity
selective toxicity
selective toxicity
Which of the following is not a type of β-lactam antimicrobial?
a. penicillins
b. glycopeptides
c. cephalosporins
d. monobactams
b. glycopeptides
Which of the following does not bind to the 50S ribosomal subunit?
a. tetracyclines
b. lincosamides
c. macrolides
d. chloramphenicol
a. tetracyclines
Which of the following antimicrobials inhibits the activity of DNA gyrase?
polymyxin B
clindamycin
nalidixic acid
rifampin
nalidixic acid
Which of the following is not an appropriate target for antifungal drugs?
ergosterol
chitin
cholesterol
β(1→3) glucan
cholesterol
Which of the following drug classes specifically inhibits neuronal transmission in helminths?
quinolines
avermectins
amantadines
imidazoles
avermectins
Which of the following is a nucleoside analog commonly used as a reverse transcriptase inhibitor in the treatment of HIV?
acyclovir
ribavirin
adenine-arabinoside
azidothymidine
azidothymidine
Which of the following is an antimalarial drug that is thought to increase ROS levels in target cells?
artemisinin
amphotericin b
praziquantel
pleconaril
artemisinin
Which of the following resistance mechanisms describes the function of β-lactamase?
efflux pump
target mimicry
drug inactivation
target overproduction
drug inactivation
Which of the following resistance mechanisms is commonly effective against a wide range of antimicrobials in multiple classes?
efflux pump
target mimicry
target modification
target overproduction
efflux pump
Which of the following resistance mechanisms is the most nonspecific to a particular class of antimicrobials?
drug modification
target mimicry
target modification
efflux pump
efflux pump
Which of the following types of drug-resistant bacteria do not typically persist in individuals as a member of their intestinal microbiota?
MRSA
VRE
CRE
ESBL-producing bacteria
MRSA
In the Kirby-Bauer disk diffusion test, the _______ of the zone of inhibition is measured and used for interpretation.
diameter
microbial population
circumference
depth
diameter
Which of the following techniques cannot be used to determine the minimum inhibitory concentration of an antimicrobial drug against a particular microbe?
a. Etest
b. microbroth dilution test
c. Kirby-Bauer disk diffusion test
d. macrobroth dilution test
Kirby-Bauer disk diffusion test
The utility of an antibiogram is that it shows antimicrobial susceptibility trends
a. over a large geographic area.
b. for an individual patient.
c. in research laboratory strains.
d. in a localized population.
in a localized population.
Which of the following has yielded compounds with the most antimicrobial activity?
a. water
b. air
c. volcanoes
d. soil
soil
Narrow-spectrum antimicrobials are commonly used for prophylaxis following surgery.
TRUE
FALSE
FALSE
β-lactamases can degrade vancomycin.
TRUE
FALSE
FALSE
Echinocandins, known as “penicillin for fungi,” target β(1→3) glucan in fungal cell walls.
TRUE
FALSE
TRUE
If drug A produces a larger zone of inhibition than drug B on the Kirby-Bauer disk diffusion test, drug A should always be prescribed
TRUE
FALSE
FALSE
The rate of discovery of antimicrobial drugs has decreased significantly in recent decades.
TRUE
FALSE
TRUE
The group of soil bacteria known for their ability to produce a wide variety of antimicrobials is called the ________.
actinomycetes
The bacterium known for causing pseudomembranous colitis, a potentially deadly superinfection, is ________.
Clostridium difficile
Selective toxicity antimicrobials are easier to develop against bacteria because they are ________ cells, whereas human cells are eukaryotic.
prokaryotic
Antiviral drugs, like Tamiflu and Relenza, that are effective against the influenza virus by preventing viral escape from host cells are called ________.
neuraminidase inhibitors
Staphylococcus aureus, including MRSA strains, may commonly be carried as a normal member of the ________ microbiota in some people.
nasal
The method that can determine the MICs of multiple antimicrobial drugs against a microbial strain using a single agar plate is called the ________.
Etest
Which of the following would be a sign of an infection?
muscle aches
headache
fever
nausea
fever
Which of the following is an example of a noncommunicable infectious disease?
infection with a respiratory virus
food poisoning due to a preformed bacterial
toxin in food
skin infection acquired from a dog bite
infection acquired from the stick of a
contaminated needle
food poisoning due to a preformed bacterial toxin in food
During an oral surgery, the surgeon nicked the patient’s gum with a sharp instrument. This allowed Streptococcus, a bacterium normally present in the mouth, to gain access to the blood. As a result, the patient developed bacterial endocarditis (an infection of the heart). Which type of disease is this?
a. iatrogenic
b. nosocomial
c. vectors
d. zoonotic
a. iatrogenic
Which period is the stage of disease during which the patient begins to present general signs and symptoms?
a. convalescence
b. incubation
c. illness
d. prodromal
d. prodromal
A communicable disease that can be easily transmitted from person to person is which type of disease?
contagious
iatrogenic
acute
nosocomial
contagious
Which of the following is a pathogen that could not be identified by the original Koch’s postulates?
Staphylococcus aureus
Pseudomonas aeruginosa
Human immunodeficiency virus
Salmonella enterica serovar Typhimurium
Human immunodeficiency virus
Pathogen A has an ID50 of 50 particles, pathogen B has an ID50 of 1,000 particles, and pathogen C has an ID50 of 1 × 106 particles. Which pathogen is most virulent?
pathogen A
pathogen B
pathogen C
pathogen A
Which of the following choices lists the steps of pathogenesis in the correct order?
invasion, infection, adhesion, exposure
adhesion, exposure, infection, invasion
exposure, adhesion, invasion, infection
disease, infection, exposure, invasion
exposure, adhesion, invasion, infection
Which of the following would be a virulence factor of a pathogen?
a surface protein allowing the pathogen to bind to host cells
a secondary host the pathogen can infect
a surface protein the host immune system
recognizes
the ability to form a provirus
a surface protein allowing the pathogen to bind to host cells
You have recently identified a new toxin. It is produced by a gram-negative bacterium. It is composed mostly of protein, has high toxicity, and is not heat stable. You also discover that it targets liver cells. Based on these characteristics, how would you classify this toxin?
a. superantigen
b. endotoxin
c. exotoxin
d. leukocidin
exotoxin
Which of the following applies to hyaluronidase?
It acts as a spreading factor.
It promotes blood clotting.
It is an example of an adhesin.
It is produced by immune cells to target pathogens.
It acts as a spreading factor.
Phospholipases are enzymes that do which of the following?
a. degrade antibodies
b. promote pathogen spread through connective tissue.
c. degrade nucleic acid to promote spread of pathogen
d. degrade cell membranes to allow pathogens to escape phagosomes
d. degrade cell membranes to allow pathogens to escape phagosomes
Which of the following is a major virulence factor for the fungal pathogen Cryptococcus?
hemolysin
capsule
collagenase
fimbriae
capsule
Which of the following pathogens undergoes antigenic variation to avoid immune defenses?
a. Candidab.
b. Cryptococcus
c. Plasmodium
d. Giardia
Plasmodium
A difference between an acute disease and chronic __________.
illness
A person steps on a rusty nail and develops tetanus. In this case, the person has acquired a(n) __________ disease.
noncommunicable