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What is the function of normal biota of the respiratory tract?


A) competes with pathogens for resources and space
B) microbial antagonism
C) provides antibodies
D) Both [competes with pathogens for resources and space] and [microbial antagonism] are correct.
E) [Competes with pathogens for resources and space],[microbial antagonism],and [provides antibodies] are correct.

F) C) and D)
G) All of the above

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Of the six Category A diseases listed by the U.S.Public Health Service,which effect/s the respiratory tract?


A) botulism
B) pneumonic plague
C) tularemia
D) small pox
E) Both pneumonic plague and tularemia are correct.

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

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The most common mode of transmission for sinusitis is


A) exotoxin.
B) direct contact.
C) indirect contact.
D) endogenous infection.
E) droplet contact.

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

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A diagnosis of tuberculosis involves


A) chest X ray.
B) acid-fast stain of sputum.
C) sputum culture.
D) tuberculin skin test.
E) All of the choices are correct.

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

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Which antibody is concentrated in the respiratory tract?


A) IgA
B) IgE
C) IgG
D) IgM
E) IgD

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

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Streptococcus pneumoniae is


A) alpha-hemolytic on blood agar.
B) found in up to 50% of people as normal flora.
C) a gram-positive diplococcus with a capsule.
D) a pathogen with endotoxin.
E) All of the choices are correct.

F) None of the above
G) A) and E)

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Tuberculin skin testing


A) injects PPD intradermally.
B) uses a purified protein filtrate of Mycobacterium tuberculosis.
C) will be positive if person has had previous exposure.
D) will be positive in active TB.
E) All of the choices are correct.

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

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The highest incidence of histoplasmosis in the United States occurs in the


A) southeast.
B) southwest.
C) east and Midwest.
D) northeast.
E) Rocky Mountains.

F) B) and E)
G) All of the above

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Differentiate between disease caused by Haemophilus influenzae and the disease caused by influenza virus.


A) One causes an upper respiratory disease and the other causes a lower respiratory disease.
B) One causes a mild flu and the other causes a severe flu.
C) One organism is a virus while the other is a fungus.
D) One organism causes symptomatic disease,while the other organism always causes asymptomatic disease.

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

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Antibiotic treatment immediately upon the diagnosis of otitis media is standard procedure today.

A) True
B) False

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Characteristics of Histoplasma capsulatum include


A) grows in moist soil,rich in nitrogen from bird and bat droppings.
B) is a protozoan.
C) is a dermatophyte.
D) grows in dry,arid soil.

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

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Legionellosis is a zoonosis.

A) True
B) False

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Which of the following causes a noncommunicable pulmonary infection that resembles tuberculosis?


A) Mycobacterium avium complex (MAC)
B) Mycobacterium kansasii
C) Mycobacterium scrofulaceum
D) Mycobacterium fortuitum complex
E) Mycobacterium marinum

F) A) and B)
G) A) and C)

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Influenza virus can exhibit constant mutation of viral glycoproteins,called antigenic ________,or alternatively antigenic __________ ,which is a more serious phenomenon caused by the exchange of a viral gene with that of another influenza virus strain.


A) drift;exchange
B) exchange;drift
C) drift;shift
D) shift;drift

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

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Which of the following is not true of whooping cough?


A) Secondary infections can occur during the convalescent phase.
B) It is caused by a small,aerobic,gram-negative rod.
C) Incubation period is 3 - 21 days.
D) Cold-like symptoms are common for the paroxysmal stage.
E) An uncontrollable cough occurs during the paroxysmal stage.

F) All of the above
G) None of the above

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Pertussis outbreaks still occur in the United States.

A) True
B) False

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Drug-resistant strains of Streptococcus pneumoniae are now treated with


A) penicillin V.
B) eryrthromycin.
C) tetracyline.
D) vancomycin.
E) Ketek.

F) B) and C)
G) C) and D)

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Superantigens


A) include streptolysin O.
B) include erythrogenic toxin.
C) induce production of tumor necrosis factor.
D) are potent stimulators of T cells.
E) All of the choices are correct.

F) B) and D)
G) B) and E)

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Influenza is predominantly transmitted by the fecal-oral route.

A) True
B) False

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The most common type of virus leading to rhinitis is


A) coronavirus.
B) adenovirus.
C) rhinovirus.
D) herpes simplex virus.
E) retrovirus.

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

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