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Which of the following hepatitis viruses is mismatched with its description?


A) Hepatitis A virus - nonenveloped, single-stranded RNA enterovirus
B) Hepatitis B virus - enveloped DNA virus
C) Hepatitis C virus - RNA virus
D) Hepatitis D virus - defective RNA virus that coinfects with hepatitis A virus

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

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Ascaris lumbricoides


A) is an intestinal roundworm.
B) spreads to humans by ingestion of Ascaris eggs in food.
C) larvae penetrate into lymphatics and capillaries around intestines.
D) larvae migrate to the pharynx, get swallowed, and return to intestines to mature.
E) All of the choices are correct.

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

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The transmission cycle of Fasciola hepatica differs from the cycles of Opisthorchis sinensis and Clonorchis sinensis in that


A) freshwater snails release cercariae.
B) eggs are released from an infected human via the urine.
C) encystment occurs on a freshwater plant.
D) helminth development occurs in the liver.

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

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Because of the complexity of the Schistosoma life cycle,there are several parts of the cycle that could be disrupted to halt the spread of the disease.Which of the following proposals is not likely to succeed in decreasing the prevalence of schistosomiasis?


A) Apply chemical molluscicides (chemicals targeted to molluscs like snails) to bodies of fresh water.
B) Monitor water bodies to detect the presence of infectious miracidia and enforce no bathing rules when they are present.
C) Identify a surface protein on Schistosoma miracidia that the immune system can recognize and create a vaccine using that antigen.
D) Install sanitary sewage treatment facilities to prevent the dispersal of eggs present in urine and feces.

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

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Despite acidic conditions,some microorganisms have been found residing within the human stomach.

A) True
B) False

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Which of the following pathogens has an infectious dose so low that a single infectious particle (cell,cyst,endospore,virus) can cause disease?


A) Clostridium difficile
B) Hepatitis A virus
C) Shigella
D) Giardia
E) Norovirus

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

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Cells of the immune system are not found in which of the following tissues in the gastrointestinal tract?


A) Tonsils and adenoids
B) Appendix
C) Peyer's patches
D) Tooth enamel

E) None of the above
F) All of the above

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Pathogenicity islands are


A) gene clusters that confer the ability to become pathogenic.
B) closely related groups of pathogenic enteric organisms.
C) enzymes like proteases and hemolysins that promote pathogenesis.
D) a lymphoid tissue present in the small intestine.

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

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In the absence of dietary carbohydrates,bacteria do not cause tooth decay.

A) True
B) False

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Enterobius vermicularis is


A) a whipworm.
B) common only to the tropics and subtropics.
C) an intestinal helminth that easily contaminates fingers and fomites.
D) often fatal in heavy infestations.
E) All of the choices are correct.

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

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All of the following diseases can be transmitted by drinking contaminated water except ______.


A) trichinosis
B) campylobacter
C) cyclosporiasis
D) giardiasis
E) cryptosporidiosis

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

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Hepatitis B infection


A) has an incubation of 2 to 3 weeks.
B) increases risk for hepatocellular cancer.
C) can be transmitted by the fecal-oral route.
D) is responsible for most cases of post-transfusion hepatitis.

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

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Which of the following statements concerning archaea in the microbiome is correct?


A) Archaea evolved under extreme conditions and are not commensal with humans.
B) The human body is a hostile environment for archaea.
C) Methanogens are associated with anaerobic regions of the gut and the gingival pockets.
D) Archaeal infections are treated with translation inhibitors, as their ribosomes are the same as bacterial ribosomes.

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

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Which of the following symptoms of trichinosis is most indicative of this disease?


A) Puffiness around the eyes
B) Shortness of breath
C) Abdominal pain
D) Eosinophilia

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

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Orchitis and epididymitis are seen in young,adult males as a complication of ______.


A) hepatitis
B) tapeworm infestation
C) mumps
D) gingivitis

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

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Cholera symptoms are


A) copious watery diarrhea.
B) loss of blood volume.
C) acidosis, sunken eyes, and thirst.
D) hypotension, tachycardia, and shock.
E) All of the choices are correct.

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

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Enterotoxin production is a characteristic of ______.


A) Clostridium perfringens
B) Clostridium difficile
C) Clostridium tetani
D) Clostridium botulinum

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

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Gingivitis


A) involves the formation of calculus and plaque.
B) is primarily caused by normal anaerobic biota.
C) involves a crevice in the gum along the tooth.
D) may involve archaeal species.
E) All of the choices are correct.

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

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Which of the following fluids within the gastrointestinal tract is correctly paired with its antimicrobial effect?


A) Stomach fluid; high pH
B) Bile; lactoferrin
C) Pancreatic fluid; IgE
D) Saliva; lysozyme

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

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Hepatitis B virus


A) is principally transmitted by blood.
B) transmission risks include shared needles, anal intercourse, and heterosexual intercourse.
C) is transmitted to newborns from chronic carrier mothers.
D) has many chronic carriers.
E) All of the choices are correct.

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

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