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If a person who has never been infected with human herpesvirus 3 comes in contact with the fluid of shingles lesions, they will come down with ______.


A) chickenpox
B) herpes labialis
C) shingles
D) infectious mononucleosis
E) herpes keratitis

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

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The main causative agent of gas gangrene is ______.


A) Streptococcus pyogenes
B) Mycobacterium leprae
C) Staphylococcus epidermidis
D) Clostridium perfringens
E) Staphylococcus aureus

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

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Debridement of diseased tissue is important in the care of patients with gas gangrene.

A) True
B) False

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Your child has developed an eye infection with a yellowish discharge. You predict that this is a case of _______.


A) rubella
B) trachoma
C) bacterial conjunctivitis
D) herpes keratitis
E) helminth infection

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

Correct Answer

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Current recommendations in the United States for treatment of MRSA are to use _______.


A) more than one antibiotic
B) erythromycin and a second antibiotic
C) any antibiotic other than methicillin
D) no antibiotics to curb the development of resistance
E) no antibiotics to allow the immune system to function

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

Correct Answer

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Which of the following provides the eye with its best defense against microorganisms?


A) Eyelashes
B) Tears
C) Eyelids
D) Lymphocytes
E) Conjunctiva

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

Correct Answer

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Which of the following statements concerning rubella immunization is correct?


A) Administration of the rubella vaccine at 12 to 15 months of age is good protection against congenital rubella.
B) A pregnant woman who contracts rubella should be immunized to protect her unborn child.
C) A child born with congenital rubella may be immunized to prevent recurrence of the disease.
D) The rubella vaccine given in childhood can protect both the child and any children that she may bear in the future.

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

Correct Answer

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Which of the following statements is incorrect about the MMR vaccine?


A) It is given in early childhood.
B) It protects against three different viral diseases.
C) It contains attenuated viruses.
D) It contains toxoids.

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

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Chickenpox is caused by an orthopoxvirus.

A) True
B) False

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Which microorganism species is most well-adapted to life on the skin?


A) Malassezia
B) Streptococcus pyogenes
C) Corynebacterium diphtheriae
D) Candida albicans
E) Staphylococcus epidermidis

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

Correct Answer

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Molluscum contagiosum is transmitted by direct contact with skin lesions, fomites, and sexual activity.

A) True
B) False

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Which of the following is the most common form of transmission for impetigo?


A) Mechanical vectors
B) Direct contact
C) Body fluids
D) Blood
E) Fomites

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

Correct Answer

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Which of the following statements about blisters is correct?


A) Blisters originate in the dermis.
B) Blisters result from a separation of epidermis from dermis.
C) Blisters originate in the subcutaneous layer.
D) Blisters are confined to the epidermis.

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

Correct Answer

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Chickenpox _______.


A) is transmitted by inhalation of respiratory secretions
B) is transmitted by skin lesion contact or airborne spread of lesion material
C) has an incubation period of 10 to 20 days
D) has fever and vesicular rash that occurs in successive crops
E) All of the choices are correct.

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

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Which of the following skin defenses and its mechanism is mismatched?


A) Lysozyme; hydrolyzes peptidoglycan in bacterial cell walls
B) Sebum; lipid hydrolysis leads to toxic by-products that inhibit microbial growth
C) Keratinized surface; protein that provides waterproofing
D) Antimicrobial peptides; disrupt positively charged bacterial membranes

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

Correct Answer

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Neonatal conjunctivitis differs from non-neonatal conjunctivitis in that ________.


A) neonates have immune privilege, and are therefore more susceptible to all types of infection
B) it is transmitted during birth and occurs only in neonates less than four weeks old
C) it cannot be prevented as the causative organisms are normal microbiota for the mother
D) neonatal conjunctivitis can be caused by Chlamydia trachomatis, Neisseria gonnorhoeae, or any number of viruses

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

Correct Answer

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The most serious teratogenic effects of intrauterine rubella infection occur if it is acquired during the third trimester.

A) True
B) False

Correct Answer

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Microbes are not likely to be found in which of the following locations on human skin?


A) The stratum corneum
B) Sensory nerve fiber in the dermis
C) Sebaceous gland
D) Hair follicle

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

Correct Answer

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To perform the coagulase test on a strain of bacteria that is believed to be S. aureus, the first step is to inoculate a tube of ______ with the strain of interest.


A) blood plasma
B) mannitol salt medium
C) blood
D) nutrient broth

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

Correct Answer

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Streptococcus pyogenes causes all of the following infections except ______.


A) impetigo
B) necrotizing fasciitis
C) scalded skin syndrome
D) erysipelas
E) scarlet fever

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

Correct Answer

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