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Virulence factors include all of the following except ______.


A) capsules
B) ribosome
C) exoenzymes
D) endotoxin
E) exotoxin

F) C) and D)
G) A) and D)

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The dried residues of fine droplets from mucus or saliva that harbor and transmit pathogen are ______.


A) fomites
B) aerosols
C) mechanical vectors
D) droplet nuclei
E) biological vectors

F) A) and B)
G) A) and E)

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Koch's postulates are easily satisfied for viral diseases.

A) True
B) False

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You are studying a newly identified infectious disease within a population.Think of the typical graph of the course of infection--incubation period through to convalescent period.The new disease reveals a course of infection characterized by fluctuating symptoms,with intermittent periods of invasion (acute period) between prodromal periods.The whole course of infection occurs over a period of months or even years.Based upon the information presented,select the statement that most accurately reflects this new infectious disease.


A) This infectious disease exhibits latency.
B) This is not an infectious disease at all.
C) The host has immune problems and this is the typical course of a disease for that population.
D) Viral infections always present with this type of disease course.

E) B) and C)
F) A) and B)

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Your patient has a rash,a fever,and a very high white blood cell count.Blood specimens are taken,put into culture bottles,and sent down to the microbiology lab for incubation and analysis.Select the statement that best reflects why microbial analysis of blood is an important step in patient diagnosis.


A) Microbial growth in blood samples may indicate sepsis.
B) A few bacterial cells in a blood sample are no big deal and should be ignored.
C) Blood specimens are often obtained through poor aseptic technique by the healthcare worker: this is documentation of their failure to employ proper universal precautions.
D) A lack of microbes in the blood means that the patient's health is critical.

E) A) and D)
F) B) and C)

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The term infection refers to


A) microorganisms colonizing the body.
B) contact with microorganisms.
C) contact with pathogens.
D) pathogens penetrating host defenses.

E) A) and C)
F) All of the above

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The minimum number of microbes required for infection to proceed is termed a/an ______.


A) virulence factor
B) indigenous biota
C) infectious dose
D) endotoxin
E) minimal dose

F) A) and E)
G) A) and B)

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All communicable diseases ______.


A) are contagious
B) only occur in animals
C) are caused by microorganisms or their products
D) are caused by vectors
E) involve viruses as the pathogen

F) A) and C)
G) A) and E)

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The terms pathogenicity and virulence can be used synonymously because they both refer to an organism's ability to cause disease.

A) True
B) False

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The initial,brief period of early,general symptoms such as fatigue and muscle aches is the ______.


A) prodromal stage
B) convalescent stage
C) incubation period
D) period of invasion

E) B) and C)
F) A) and B)

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Local edema,swollen lymph nodes,fever,soreness,and abscesses are indications of ______.


A) toxemia
B) inflammation
C) sequelae
D) a syndrome
E) latency

F) A) and E)
G) D) and E)

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Reservoirs include ______.


A) humans
B) animals
C) soil
D) water
E) All of the choices are correct.

F) A) and E)
G) A) and B)

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A disease that has a steady frequency over time in a particular geographic location is referred to as ______.


A) epidemic
B) endemic
C) pandemic
D) sporadic
E) chronic

F) C) and D)
G) A) and E)

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Which of the following is the endotoxin?


A) Hemolysin
B) Hyaluronidase
C) Streptokinase
D) Collagenase
E) Lipopolysaccharide

F) None of the above
G) B) and C)

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Which of the following is a direct contact method of microbe transmission?


A) Fomites
B) Water
C) Droplet nuclei
D) Aerosols
E) Droplets

F) A) and B)
G) A) and D)

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Treponema pallidum is the bacterium that causes syphilis.The gram-negative spirochete has never been cultured on bacteriological media.Select the statement that most accurately describes this disease-causing microbe.


A) There is no way to perform an epidemiological study on this disease.
B) Koch's postulates cannot be fulfilled for this disease.
C) Because the bacterium cannot be grown, there is no way to characterize the organism as to staining features, biochemical test reactions, molecular testing, etc.
D) There is no satisfactory way to identify the disease without being able to grow it.

E) A) and D)
F) All of the above

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Under certain circumstances,a person's resident biota can act as opportunistic pathogens.

A) True
B) False

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Hyaluronidase is a virulence factor in ______.


A) amoebic dysentery
B) ringworm
C) clostridia
D) cold virus
E) diphtheria

F) A) and E)
G) A) and C)

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The skin's resident biota are localized to only the outermost superficial layer of the epidermis.

A) True
B) False

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The stage of an infectious disease when specific signs and symptoms are seen and the pathogen is at peak activity is the ______.


A) prodromal stage
B) convalescent stage
C) incubation period
D) period of invasion

E) B) and C)
F) A) and C)

Correct Answer

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