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The cardiovascular and lymphatic systems have no normal biota.

A) True
B) False

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All of the following pertain to erhlichiosis except that


A) it is transmitted by Ixodes ticks.
B) it is diagnosed by PCR or indirect fluorescent assay.
C) treatment requires an extensive course of antibiotics.
D) symptoms include fever,headache,and muscle pains.
E) it often coinfects with Borrelia burgdorferi.

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

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Epstein-Barr virus has all of the following characteristics except it


A) is only found to infect 5% of the world's population.
B) is transmitted by direct,oral contact and saliva.
C) produces sudden leukocytosis.
D) has a 30-50 day incubation
E) can be transmitted by contaminated blood transfusions and organ transplants.

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

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Anthrax is


A) a zoonosis.
B) transmitted by contact,inhalation,and ingestion.
C) a disease that,in humans,can cause a rapidly fatal toxemia and septicemia.
D) only seen sporadically in the United States.
E) All of the choices are correct.

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

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All of the following are associated with bubonic plague except


A) transmitted by human feces.
B) caused by Yersinia pestis.
C) patient often has enlarged inguinal lymph nodes.
D) patient has fever,headache,nausea,and weakness.
E) can progress to a septicemia.

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

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The gram-negative bacillus associated with abscesses from cat bites or scratches is


A) Salmonella typhimurium.
B) Yersinia enterocolitica.
C) Bartonella henselae.
D) Brucella suis.
E) Francisella tularensis.

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

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C

Control of rodent populations is important for preventing


A) brucellosis.
B) plague.
C) malaria.
D) Q fever.

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

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Which of the following is mismatched?


A) Yersinia pestis - plague
B) Coxiella burnetii - Q fever
C) Bartonella quintana - trench fever
D) Bartonella henselae - cat-scratch disease
E) Rickettsia typhi - Rocky Mountain spotted fever

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

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A common cardiovascular / lymphatic system disease in AIDS patients is


A) acute endocarditis.
B) Burkitt's lymphoma.
C) cytomegalovirus.
D) ehrlichioses.
E) brucellosis.

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

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Your patient has just returned to the east coast of the U.S.from a hiking/camping vacation,experiencing symptoms of an infection--high fever,swollen lymph nodes,black-and-blue marks or hemorrhages under the skin.Your doctor asks you if you have been in the four corners area of the U.S.--where the states of Arizona,Colorado,New Mexico,and Utah all meet.Why does the dcotor ask you this?


A) Since there are many mosquitoes in that area,the doctor thinks that you might have picked up the Plasmodium pathogen.
B) Those 4 states have a very high rate of yellow fever,which is what the doctor suspects that you have.
C) The doctor thinks that you might have picked up the plague bacterium from fleas that normally feed on rodents in that area.
D) Hemmorhagic fever is often associated with bats in that region of the U.S.

E) C) and D)
F) None of the above

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C

Brucellosis is


A) a zoonosis.
B) seen in the patient as a fluctuating fever,with headache,muscle pain and weakness.
C) associated with the pathogen in the blood.
D) an occupational illness of people who work with animals.
E) All of the choices are correct.

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

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Rifampin is the drug of choice for malaria.

A) True
B) False

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Your patient was admitted for a gunshot wound about a week ago.As a precautionary activity,the doctor placed her on antibiotics for a few days while recuperating.Blood specimens are drawn on the patient a couple of times a day,every day,and sent down to the microbiology lab for analysis of bacteria.Nothing has grown in culture.After her 4th day in the hospital--no fever,no infection identified--one set of blood specimens has been reported positive for a bacterium.The culture was identified by the lab as Staphylococcus epidermidis,a common organism on the skin.Predict the likely situation leading to this.


A) The patient is immunodepressed and very susceptible to bacterial infection.
B) The seemingly nonpathogen Staphylococcus epidermidis has converted from a nonpathogen to a pathogen because of the antibiotics that the patient has taken.
C) The Staphylococcus epidermidis is most likely just a skin contaminant that ended up in the blood specimen taken from the patient,as a result of bad aseptic technique during the venipuncture.
D) Staphylococcus epidermidis is a very slow growing bacterium and was probably in the blood right after the gunshot wound,but failed to grow until now.

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

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Retroviruses have all of the following characteristics except


A) glycoprotein spikes.
B) a DNA genome.
C) they are enveloped.
D) they make reverse transcriptase.
E) the viral genes integrate into the host genome.

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

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Aedes mosquitoes are the vectors involved in yellow fever and dengue fever.

A) True
B) False

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Cat scratch disease can be prevented by


A) avoiding ticks.
B) pasteurizing milk.
C) vaccine.
D) animal control.
E) cleaning the scratch wound.

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

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Which is incorrect regarding Q fever?


A) transmitted by lice
B) pathogen produces resistant endospore-like structures
C) humans infected from unpasteurized milk and airborne spread
D) causes fever,muscle aches,rash,and sometimes pneumonia
E) is a zoonosis

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

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Which of the following is not associated with septicemia?


A) fever and shaking chills
B) respiratory acidosis
C) endotoxic shock
D) parenteral or endogenous transfer
E) drop in blood pressure

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

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In severe cases of Rocky Mountain spotted fever,the enlarged lesions of the rash can become necrotic and predispose the patient to gangrene of toes and fingertips.

A) True
B) False

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True

The reservoir for Lassa fever is the


A) monkey.
B) rat.
C) gorilla.
D) cat.
E) cow.

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

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