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Which of the following is not a helminth that causes intestinal symptoms accompanied by migratory symptoms?


A) Necator americanus
B) Toxocara
C) Ascaris lumbricoides
D) Trichuris trichiura

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

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From the surface to the interior of a tooth,the tissues in order are


A) enamel, pulp, and dentin.
B) pulp, dentin, and enamel.
C) dentin, pulp, and enamel.
D) enamel, dentin, and pulp.
E) dentin, enamel, and pulp.

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

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Which of the following statements is not true of enteroinvasive E.coli (EIEC) ?


A) Blood and pus are found in the stool.
B) High fever is present.
C) It makes no heat-labile or heat-stable exotoxins.
D) Prompt treatment with a broad-spectrum antibiotic is essential to recover from an infection.
E) It invades the gut mucosa.

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

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Defenses of the GI tract against pathogens include ______.


A) mucus, acid, and saliva
B) secretory IgA and lysozyme
C) peristalsis
D) GALT (gut-associated lymphoid tissue)
E) All of the choices are correct.

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

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Mumps causes permanent sterility in young male adults.

A) True
B) False

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Oral bacteria on the tooth surface


A) develop a biofilm.
B) use fimbriae and slime layers to adhere.
C) metabolize sucrose, produce sticky glucans, and form plaque.
D) All of the above are correct.

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

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"Rice-water stools" are associated with disease caused by which organism?


A) Vibrio vulnificus
B) Helicobacter pylori
C) Vibrio cholerae
D) Campylobacter jejuni
E) Vibrio parahaemolyticus

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

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Infection with which apicomplexan has been associated with fecal-contaminated drinking water?


A) Entamoeba histolytica
B) Ascaris lumbricoides
C) Cryptosporidium
D) Rotavirus

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

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Escherichia coli infections


A) are often transmitted by fecal contaminated water and food.
B) include EIEC that destroys gut mucosa.
C) involve enterotoxin in traveler's diarrhea.
D) are self-limiting with the only treatment being rehydration.
E) All of the choices are correct.

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

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E

Symptoms of cryptosporidiosis include


A) bloody, mucus-filled stools and fever.
B) headache, sweats, vomiting, severe abdominal cramps, and diarrhea.
C) chills, fever, and sweats.
D) a red skin papule that spreads to a large ulcer.

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

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The gastrointestinal tract has both a long tube that nutrients traverse from mouth to anus and accessory organs that aid in food digestion.From the following list of organs in the digestive system,identify the mismatch.


A) Rectum; part of the digestive tube
B) Liver; part of the digestive tube
C) Pharynx; part of the digestive tube
D) Appendix; accessory organ
E) Salivary glands; accessory organ

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

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Which of the following statements regarding Clostridium difficile infection is incorrect?


A) It is a colitis that is a superinfection.
B) It is associated with disruption of normal biota due to broad-spectrum antimicrobials.
C) It is due to ingestion of contaminated, improperly stored, cooked meats and gravies.
D) It is the major cause of diarrhea in hospitals.

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

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C

Which of the following statements regarding shiga toxin-producing E.coli is correct?


A) It synthesizes shiga exotoxin from a bacteriophage.
B) It synthesizes shiga exotoxin from the E.coli chromosome.
C) It synthesizes shiga endotoxin from a bacteriophage.
D) It synthesizes shiga endotoxin from the E.coli chromosome.

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

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Shiga toxin-producing E.coli characteristics include all of the following except that it


A) has a reservoir inside of cattle intestines.
B) causes a bloody diarrhea.
C) in some cases,leads to the development of hemolytic uremic syndrome (HUS) with possible kidney failure
D) is transmitted by ingestion of contaminated,undercooked food,especially hamburger.
E) only causes occupational illness in people who work with animals.

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

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E

Which of the following groups of microorganisms is not found among the normal gut microbiota?


A) Firmicutes (Streptococcus, Staphylococcus, Clostridium, Bacillus)
B) Protozoa (Entamoeba, Trichomonas)
C) Enterics (Escherichia, Enterobacter)
D) Spirilla (Leptospira, Borrelia)
E) Fungi (Candida)

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

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Which of the following antigen types found in gram-negative enterics is mismatched?


A) H antigen - flagellar
B) K antigen - capsule
C) O antigen - cell wall
D) All of the choices are correct matches.

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

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Antibiotics are used to treat diarrhea caused by shiga toxin-producingE.coli.

A) True
B) False

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The primary viral cause of chronic diarrhea globally is ______.


A) rotavirus
B) Cryptosporidium
C) arbovirus
D) adenovirus
E) norovirus

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

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Which of the following is not true of enterotoxigenic


A) It causes traveler's diarrhea.
B) It can be life-threatening in infants.
C) It causes a high fever.
D) Fluid replacement is vital to surviving an infection.
E) coli (ETEC) ?

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

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Which of the following statements comparing Enterobius vermicularis and Diphyllobothrium latum is incorrect?


A) D.latum has fish as an intermediate host,whereas E.vermicularis has no intermediate host.
B) Both helminths affect primarily children.
C) Symptoms of both infections are mild.
D) E.vermicularis is best treated with mebendazole,whereas D.latum is susceptible to praziquantel.

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

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