Questão 1
Questão
The secondary stage of syphilis
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is when the patient is no longer infectious to others.
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occurs within 10 days of the primary stage.
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is a time when the pathogen enters and multiplies in the blood.
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has no symptoms.
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is when gummas develop in tissues.
Questão 2
Questão
During which stage of syphilis does fever, lymphadenopathy, and a red to brown rash occur?
Questão 3
Questão
Permanent cardiovascular and neurological damage is seen in which stage of syphilis?
Questão 4
Questão
Treponema, Borrelia, and Leptospira are all
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obligate parasites requiring host cells.
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curved rods.
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transmitted by arthropod vectors.
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spirochetes.
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bacteria without cell walls.
Questão 5
Questão
Yaws, Pinta, and Bejel are all diseases that
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are slow, progressive skin diseases that can spread to deep tissues.
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are sexually transmitted.
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are caused by arthropod vectors.
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are caused by Vibrio species
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are respiratory tract infections.
Questão 6
Questão
Infected animals shed Leptospira interrogans in their
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feces
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blood
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urine
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respiratory secretions
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saliva
Questão 7
Questão
Leptospirosis has all the following characteristics except
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most common in cattle, horses, pigs, and dogs
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pathogen is a spirochete
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infects kidneys, liver, brain, eyes
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humans acquire it by contact with abraided skin or mucous membranes
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can be transmitted by animal bites
Questão 8
Questão
Relapsing fever involves
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soft-bodied ticks transmitting Borrelia hermsii.
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initial symptoms of fever, headache, fatigue.
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late symptoms of vomiting, muscle aches, damage to liver, spleen, heart and kidneys.
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human body louse transmitting Borrelia recurrentis.
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All of the choices are correct.
Questão 9
Questão
The causative agent of Lyme disease is
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Ixodes scapularis
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Borrelia hermsii
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Borrelia burgdorferi
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Ixodes pacificus
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Leptospira interrogans
Questão 10
Questão
Erythema migrans, a bull's-eye rash, at the portal of entry is associated with
Questão 11
Questão
The Argyll Robertson pupil that is fixed and small, and does not react to light but does accommodate for focusing is associated with
Questão 12
Questão
The white-footed mouse, deer, and deer ticks are important to maintaining the enzootic transmission cycle associated with
Questão 13
Questão
Control of rodent populations is important for preventing
Questão 14
Questão
Lyme disease involves
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early symptoms of fever, headache, stiff neck.
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crippling polyarthritis and cardiovascular and neurological problems.
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people having contact with wooded or forested areas.
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treatment with antimicrobics.
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All of the choices are correct.
Questão 15
Questão
The RPR, VDRL, MHA-TP, FTA-ABS, and TPI tests are used to diagnose
Questão 16
Questão
The virulence of Vibrio cholerae is due to its
Questão 17
Questão
Cholera symptoms are
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copious watery diarrhea
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loss of blood volume
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acidosis, sunken eyes, thirst
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hypotension, tachycardia, shock
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All of the choices are correct
Questão 18
Questão
The most immediate and important treatment needed to prevent death in Cholera victims is
Questão 19
Questão
An organism found in coastal waters that causes a food infection and gastroenteritis due to a variety of contaminated raw and undercooked seafood is
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Chlamydia trachomatis
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Vibrio parahaemolyticus
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Vibrio cholerae
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Campylobacter jejuni
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Helicobacter pylori
Questão 20
Questão
In patients with diabetes or liver disease, ingestion of raw oysters contaminated with this organism can lead to death
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Vibrio vulnificus
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Vibrio parahaemolyticus
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Vibrio cholerae
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Campylobacter jejuni
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Helicobacter pylori
Questão 21
Questão
"Rice water stools" are associated with disease caused by this organism:
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Vibrio vulnificus
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Vibrio parahaemolyticus
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Vibrio cholerae
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Campylobacter jejuni
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Helicobacter pylori
Questão 22
Questão
Helicobacter pylori causes
Questão 23
Questão
Which is NOT a characteristic of Helicobacter pylori?
Questão 24
Questão
All of the following are characteristics of Campylobacter jejuni except
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it is transmitted through ingestion of contaminated chicken, meat, milk, and water.
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it causes fever and a watery to bloody diarrhea.
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it infects the stomach.
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it produces an enterotoxin that stimulates diarrhea.
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it has gram negative curved rods with darting motility.
Questão 25
Questão
Characteristics of rickettsias include
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obligate parasites requiring host cells for growth.
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arthropods serve as life cycle hosts and vectors.
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gram negative coccobacilli.
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host cells are required for ATP metabolism.
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All of the choices are correct.
Questão 26
Questão
The pathogenesis of rickettsial infections often involves infection of
Questão 27
Questão
Which is mismatched?
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epidemic typhus – body louse feces
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murine typhus – flea feces
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rickettsial pox – mite bite
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Rocky Mountain spotted fever – tick bite
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human ehrlichiosis – flea bite
Questão 28
Questão
Rocky Mountain spotted fever
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is seen in highest numbers along the west coast.
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is transmitted by Ixodes ticks
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has symptoms that include fever, headache and rash.
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never has severe complications.
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All of the choices are correct.
Questão 29
Questão
All of the following pertain to erhlichiosis except
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it is transmitted by Amblyomma and Ixodes ticks.
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it causes infection of monocytes.
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it causes infection of granulocytes.
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has symptoms that include fever, headache, and muscle pains.
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the disease is showing a decreased incidence.
Questão 30
Questão
Which is incorrect regarding Q fever?
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transmitted by lice
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pathogen produces resistant spores
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humans infected from unpasteurized milk and airborne spread
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causes fever, muscle aches, rash, and sometimes pneumonia
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is a zoonosis
Questão 31
Questão
Which is mismatched?
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Rickettsia rickettsii – epidemic typhus
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Coxiella burnetii – Q fever
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Bartonella quintana – trench fever
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Bartonella henselae – cat scratch disease
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Rickettsia typhi – endemic (murine) typhus
Questão 32
Questão
The following are characteristics of Chlamydias except
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gram negative
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obligate parasites that need host cells for growth
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elementary bodies are the infectious form
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elementary bodies lack enzyme systems for making ATP
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reticulate bodies differentiate into elementary bodies
Questão 33
Questão
Chlamydia trachomatis causes
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nongonococcal urethritis (NGU) in males.
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cervicitis in females.
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congenital and adult inclusion conjunctivitis.
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ocular trachoma.
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All of the choices are correct.
Questão 34
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caused by Chlamydia pneumoniae.
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a zoonosis of certain types of birds
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a mild, upper respiratory tract illness.
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has humans as a reservoir for the pathogen.
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All of the choices are correct.
Questão 35
Questão
Lymphogranuloma venereum is caused by
Questão 36
Questão
Which is incorrect about Mycoplasma pneumoniae?
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has birds as a reservoir
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common cause of primary atypical pneumonia
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initially causes fever, malaise, sore throat, headache
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after 2 to 3 weeks develops into an unproductive cough and earache
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is a bacterial cell without a cell wall
Questão 37
Questão
Oral flora bacteria on the tooth surface
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develop a biofilm.
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use fimbriae and slime layers to adhere.
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include streptococci that metabolize sucrose, produce sticky glucans, and form plaque.
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lactobacilli and streptococci ferment carbohydrates and produce acids that cause caries.
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All of the choices are correct.
Questão 38
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primarily caused by anaerobic oral flora.
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erosion of tooth enamel causing a lesion.
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caused by Streptococcus mutans
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also called NUG.
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None of the choices are correct.
Questão 39
Questão
Ureaplasma urealyticum is implicated in which of the following?
Questão 40
Questão
All of the following can positively influence the structure of tooth enamel except
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fluoride
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lysozyme in saliva
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antibodies in saliva
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refined sugar
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genetics.
Questão 41
Questão
Treponema vincentii, Bacteroides forsythus, and fusobacteria synergistically are involved in which infection?
Questão 42
Questão
Which of the following distinguishes syphilis from yaws?
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Syphilis is caused by a spirochete
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Syphilis has a primary, secondary, and tertiary stages.
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Syphilis is sexually transmitted.
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Syphilis is treated with antibiotics.
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Syphilis is a slow and progressive disease.
Questão 43
Questão
Which of the following are other names for yaws?
Questão 44
Questão
Hutchinson's teeth are
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a symptom of untreated Lyme disease.
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a symptom of untreated periodontal disease.
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a symptom of ANUG.
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a symptom of congenital syphilis.
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a symptom of congenital Chlamydia trachomatis.
Questão 45
Questão
The tertiary stage of syphilis
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is when gummas develop in tissues.
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is when the patient is highly infectious to others.
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occurs within 10 days of the primary stage.
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has no symptoms.
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is when a chancre develops.
Questão 46
Questão
Which is incorrect about Lyme disease?
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It is a new disease that started in Lyme, Connecticut.
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Its reservoirs are mice and deer
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It is transmitted by ticks.
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It is nonfatal.
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It can slowly progress and mimic rheumatoid conditions.
Questão 47
Questão
Which of the following diseases could be prevented with proper sewage disposal and water purification?
Questão 48
Questão
Which is incorrect about Leptospirosis?
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It can be avoided by not swimming in livestock watering ponds.
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A vaccine is not available.
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Its principle targets are the kidneys, liver, brain, and eyes.
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It is a zoonosis.
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Weil's syndrome occurs during the second phase of the disease.
Questão 49
Questão
Which bacteria could be responsible for hemolytic uremic syndrome (HUS)?
Questão 50
Questão
Which of the following is not correct concerning Legionnaires disease?
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L. pneumophila lives in close associations with free-living amebas.
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The disease is communicable from person to person.
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Symptoms include cough, diarrhea, and abdominal pain.
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. It is more common in males over 50 years of age.
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Cases have been traced to the fallout from the Mount Saint Helen's volcano.
Questão 51
Questão
Which of the following is not correct concerning the plague?
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Mice, voles and other rodents are primary long-term reservoirs.
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Strains of the plague bacillus are less virulent today as in the Middle Ages
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It is transmitted by flea vectors.
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Less than 10 cases per year occur in the US.
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The etiological agent is Yersinia pestis.
Questão 52
Questão
What is the usual cause of pseudomembranous colitis?
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improperly home-preserved foods containing botulin toxin
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eating unpasteurized dairy containing Listeria monocytogenes
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handling infected animals contaminated with E. rhusiopathiae
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therapy with broad-spectrum antibiotics leading to superinfection by C. difficile
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living in close contact with someone infected with C. perfringens
Questão 53
Questão
Which of the following may be recommended for treating gangrene?
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debridement of the wound
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hyperbaric chamber
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amputation of affected limb
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rigorous cleansing of deep wounds
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All of the choices are correct.
Questão 54
Questão
Mild, uncomplicated cases of pseudomembranous colitis may be treated by
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debridement
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wound cleansing
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vancomycin for several weeks
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withdrawal of antibiotics and replacement of lost fluids and electrolytes
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All of the choices are correct
Questão 55
Questão
Viruses have all the following except
Questão 56
Questão
Host cells of viruses include
Questão 57
Questão
The core of every virus particle always contains
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DNA
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capsomers
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enzymes
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DNA and RNA
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either DNA or RNA
Questão 58
Questão
Classification of viruses into families involves determining all the following characteristics except
Questão 59
Questão
Which of the following represents a virus family name?
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Herpes simplex virus
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Herpesviridae
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Picornavirus
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Enterovirus
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Hepatitis B virus
Questão 60
Questão
Virus capsids are made from subunits called
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envelopes
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spikes
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capsomeres
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prophages
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peplomers
Questão 61
Questão
Helical and icosahedral are terms used to describe the shapes of a virus
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spike
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capsomere
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envelope
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capsid
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core
Questão 62
Questão
Which of the following is correct about viruses?
Questão 63
Questão
All of the following pertain to virus envelopes except they
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gained as a virus leaves the host cell membrane.
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gained as a virus leaves the nuclear membrane.
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contain special virus proteins.
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help the virus particle attach to host cells.
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located between the capsid and nucleic acid.
Questão 64
Questão
Which of the following is not associated with every virus?
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envelope
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capsomers
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capsid
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nucleic acid
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genome
Questão 65
Questão
These structures are used by bacteriophages to attach to host cell receptors
Questão 66
Questão
Which is incorrect about prophages?
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present when the virus is in lysogeny
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formed when viral DNA enters the bacterial chromosome
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replicated with host DNA and passed on to progeny
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cause lysis of host cells
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occur when temperate phages enter host cells
Questão 67
Responda
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include the poxviruses
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infect Escherichia coli cells
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enter host cells by engulfment
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have helical capsids
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All of the choices are correct.
Questão 68
Questão
The correct sequence of events in viral multiplication is
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penetration, replication, maturation, adsorption, assembly, release.
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replication, penetration, maturation, assembly, absorption, release.
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adsorption, penetration, replication, maturation, assembly, release
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assembly, maturation, replication, release, penetration, adsorption.
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adsorption, release, maturation, replication, assembly, penetration.
Questão 69
Questão
The event that occurs in bacteriophage multiplication that does not occur in animal virus replication is
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adsorption to the host cells
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injection of the viral nucleic acid into the host cell
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host cell synthesis of viral enzymes and capsid proteins
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assembly of nucleocapsids
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replication of viral nucleic acid
Questão 70
Questão
Viruses acquire envelopes around their nucleocapsids during
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replication
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assembly
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adsorption
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release
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penetration
Questão 71
Questão
Which of the following will not support viral cultivation?
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live lab animals
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embryonated bird eggs
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primary cell cultures
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continuous cell cultures
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blood agar
Questão 72
Questão
In general, most DNA viruses multiply in the host cell's _____, while most RNA viruses multiply in the host cell's _____.
Questão 73
Questão
Host range is limited by
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type of nucleic acid in the virus
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age of the host cell
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type of host cell receptors on cell membrane
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size of the host cell
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All of the choices are correct.
Questão 74
Questão
The virus-induced, specific damage to the host cell that can be seen in a light microscope is called
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lysogeny
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budding
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plaques
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cytopathic effects
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pocks
Questão 75
Questão
Visible, clear, well-defined patches in a monolayer of virus-infected cells in a culture are called
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lysogeny
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budding
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plaques
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cytopathic effects
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pocks
Questão 76
Questão
Viral growth in bird embryos can cause discrete, opaque spots in the embryonic membranes called
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lysogeny
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budding
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plaques
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cytopathic effects
-
pocks
Questão 77
Questão
Viruses that cause infection resulting in alternating periods of activity with symptoms and inactivity without symptoms are called
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latent
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oncogenic
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prions
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viroids
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delta agents
Questão 78
Questão
Which of the following is a type of cytopathic effect?
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inclusions in the nucleus
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multinucleated giant cells.
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inclusions in the cytoplasm
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cells round up
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All of the choices are correct.
Questão 79
Questão
Uncoating of viral nucleic acid
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does not occur in bacteriophage multiplication
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involves enzymatic destruction of the capsid
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occurs during penetration in the multiplication cycle
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occurs before replication
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All of the choices are correct
Questão 80
Questão
Infectious protein particles are called
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viroids
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phages
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prions
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oncogenic viruses
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spikes
Questão 81
Questão
Infectious naked strands of RNA are called
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viroids
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phages
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prions
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oncogenic viruses
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spikes
Questão 82
Questão
Creutzfeld-Jacob disease is
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caused by a chronic latent virus
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initiated by an oncogenic virus
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caused by a viroid
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a spongiform encephalopathy of humans
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also called "mad cow disease".
Questão 83
Questão
Satellite viruses are
Responda
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also called viroids
-
dependent on other viruses for replication
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the cause of spongiform encephalopathies
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significant pathogens of plants
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All of the choices are correct.
Questão 84
Questão
All of the following is correct about treating viral diseases except
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viruses are killed by the same antibiotics that kill bacteria
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many antiviral drugs block viral replication
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many antiviral drugs cause severe side effects
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interferons show potential for treating and preventing viral infections
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All of the choices are correct.
Questão 85
Questão
The capsomers are made of
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DNA
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RNA
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Lipids
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Protein
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Carbohydrate
Questão 86
Questão
Viruses that consist of only a nucleocapsid are considered
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simple viruses
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complex viruses
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naked viruses
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viroids
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incomplete viruses
Questão 87
Questão
The nucleocapsid consists of
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the capsomers assembled into the capsid
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the nucleic acid of the virus only
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the nucleic acid along with the capsid
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the envelope and capsid
-
the envelope, nucleic acid and caspid
Questão 88
Questão
Which of the following parts of a virus is not always present?
Questão 89
Questão
When a virus enters a lysogenic phase, it means
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the virus is integrated into the DNA of the host cell and is latent.
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the virus is bursting through the host cell membrane.
-
the virus is starting biosynthesis of its nucleic acid.
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the virus will remain in circulation and not continue infecting its host.
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the number of viruses in the host is decreasing as the immune system becomes effective.
Questão 90
Questão
All of the following are characteristics of viruses except
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they can be crystallized.
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they often have a geometric capsid
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they have a viscous fluid inside their capsids
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they can cause fatal diseases.
-
they can cause mild diseases.