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A clinic nurse at the county health department provides health counseling for a 26-year-old male who will be traveling internationally. The nurse consults the Centers for Disease Control and Prevention vaccination recommendations for the specific areas to which he is traveling. The man has many questions about the vaccines as well as infectious disease prevention. -What type of bacteria is water tested for when determining its safety? 


A) Presence bacteria
B) Indicator bacteria
C) Confirming bacteria
D) Yielding bacteria

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

Correct Answer

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Which diseases are predicted to increase as a result of global climate change?


A) Malaria and cholera
B) Malaria and bacterial meningitis
C) Bacterial meningitis and cholera
D) MRSA infections and bacterial meningitis
E) Campylobacter infections and E.coli infections

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

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Which of the following statements is incorrect regarding zoonotic infections?


A) Infections agents pass from animals to humans,not from humans to animals.
B) The majority of emerging human diseases in the past 30 years have been zoonotic.
C) Fewer than 1% of vertebrate viruses have been described.
D) Some zoonotic diseases can originate from animal-to-human transmission,then human-to-human transmission can further the spread.

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

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There are very few viruses in aquatic environments.

A) True
B) False

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A 47-year-old male and father of five works as a high school English teacher. He recently read in the community newspaper that local sewage is treated and repurposed to the community as drinking water. His senior English class is concerned about the quality of drinking water in the city and they want to petition the state senate to pass a bill barring the practice. He comes to the local health department asking for information. -What is the role of nonpathogenic microbes in the wastewater treatment process?


A) Degradation of organic compounds
B) Outcompeting pathogens
C) Anaerobic decomposition of solid waste
D) All of these are true.

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

Correct Answer

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All of the following are factors that contribute to the increase in Lyme disease cases in the United States except ________.


A) increased pollution of lakes and rivers
B) decrease in areas of farmland
C) increase in areas of woodland
D) warming trends
E) suburban development expanding into natural areas

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

Correct Answer

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Indicator bacteria are ________.


A) coliforms
B) enterococci
C) evidence of fecal contamination
D) used in water quality tests
E) All of the choices are correct.

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

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The secondary phase of wastewater treatment is largely ________.


A) physical
B) biological
C) chemical
D) irradiation

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

Correct Answer

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A 47-year-old male and father of five works as a high school English teacher. He recently read in the community newspaper that local sewage is treated and repurposed to the community as drinking water. His senior English class is concerned about the quality of drinking water in the city and they want to petition the state senate to pass a bill barring the practice. He comes to the local health department asking for information. -What is the initial step in wastewater treatment?


A) Skimming
B) Aeration
C) Chlorination
D) Digestion

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

Correct Answer

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Most of the oil released into the Gulf of Mexico during the Deepwater Horizon explosion was biodegraded by microorganisms.

A) True
B) False

Correct Answer

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Which term would be used to describe a compound totally resistant to microbial attack?


A) Inert
B) Recalcitrant
C) Antibacterial
D) Bioaccumulative

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

Correct Answer

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Which of the following factors contributed to the emergence and spread of Lyme disease?


A) Increase in deer and mouse populations
B) Increase in deer tick populations
C) Increase in new home developments in wooded areas
D) Climate change
E) All of these factors are correct.

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

Correct Answer

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Which of the following is not true of coliforms?


A) They are gram-negative,lactose-fermenting,and gas-producing bacteria
B) They include E.coli,Enterobacter,and Citrobacter
C) Coliform levels are not always directly correlated to E.coli levels
D) Fecal coliform assays are very specific
E) Coliform bacteriophages are currently used as good fecal indicators

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

Correct Answer

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Which of the following bacteria would be most indicative of fecal contamination?


A) Staphylococcus aureus
B) Streptococcus pyogenes
C) E.coli
D) Enterobacter aerogenes

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

Correct Answer

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In the secondary phase of water treatment,organic matter undergoes biodegradation by a diverse mix of bacteria,algae,and protozoa.

A) True
B) False

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The concept of One Health demonstrates the interrelationship between ________.


A) human health,animal health,and environmental health
B) global economics,animal health,and climate change
C) human health,global warming,and economics
D) global travel,communication,and economics
E) environmental health,microbial growth and economics

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

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Disruption of the One Health balance can be caused by ________.


A) burning of fossil fuels leading to climate change
B) transporting organisms outside of their usual habitat
C) excessive use of antibiotics
D) increase in population density
E) All of the choices are correct.

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

Correct Answer

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Which of the following atmospheric gases have been increasing in concentration and are believed to be contributors to climate change?


A) Oxygen and carbon dioxide
B) Hydrogen and carbon dioxide
C) Nitrogen and oxygen
D) Carbon dioxide and methane
E) Methane and oxygen

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

Correct Answer

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A clinic nurse at the county health department provides health counseling for a 26-year-old male who will be traveling internationally. The nurse consults the Centers for Disease Control and Prevention vaccination recommendations for the specific areas to which he is traveling. The man has many questions about the vaccines as well as infectious disease prevention. -The presence of trace amounts of fecal coliforms in a water sample means that the entire body of water is considered unsafe to drink.

A) True
B) False

Correct Answer

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The increase in cases of Lyme disease in the northeast as well as other parts of the United States is due to several overlapping influences; general warming trends,an increase in natural areas as farmlands disappear,and increasing human populations encroach on natural areas as suburban development spreads.

A) True
B) False

Correct Answer

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