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Inhalation of respiratory secretions is involved in the transmission of the following except


A) influenza.
B) rhinitis.
C) legionella.
D) diphtheria.
E) All involve respiratory secretions.

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

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Which of the following is not true of influenza?


A) It has glycoprotein spikes of hemagglutinin (H) and neuraminidase (N) .
B) Antigenic drift which changes the antigens to reduce immune recognition.
C) Antigenic shift causes changes in the RNA strands.
D) Symptoms are very similar to the common cold.
E) The virus can infect both humans and swine.

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

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A paroxysmal cough is associated with Legionnaires' disease.

A) True
B) False

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Medical professionals actually observe MDRTB patients take their medicine through a program called DOT.

A) True
B) False

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Influenza is predominantly transmitted by the fecal-oral route.

A) True
B) False

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Drug-resistant strains of Streptococcus pneumoniae are now treated with


A) penicillin v.
B) eryrthromycin.
C) tetracyline.
D) vancomycin.
E) cefotaxime.

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

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Streptococcus pneumoniae is


A) alpha-hemolytic on blood agar.
B) often referred to as pneumococcus.
C) a gram-positive diplococcus with a capsule.
D) most likely to cause infection in older adults.
E) All of the choices are correct.

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

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When the centers of tubercles break down into _____ lesions,they gradually heal by calcification that replaces normal lung tissue.


A) primary
B) secondary
C) necrotic caseous
D) granuloma
E) tertiary

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

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Virulence factors of Streptococcus pyogenes include


A) polysaccharides on the cell wall.
B) lipoteichoic acid.
C) spiky M proteins.
D) hyaluronic acid capsule.
E) All of the choices are correct.

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

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E

This opportunist is the most frequent cause of life-threatening pneumonia in AIDS patients.


A) Cryptococcus neoformans
B) Candida albicans
C) Malassezia furfur
D) Pneumocystis (carinii) jiroveci
E) None of the choices is correct.

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

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Rheumatic fever is caused by


A) a primary streptococcal infection with Streptococcus pyogenes.
B) a combination of infection with Streptococcus pyogenes and the rheumatic fever virus.
C) a secondary streptococcal infection with a different type of streptococcus.
D) an immunological cross-reaction in which anti-streptococcal antibodies target the heart.
E) both a primary viral infection and a secondary streptococcal infection.

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

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Which of the following is not part of the upper respiratory tract?


A) mouth
B) nasal cavity
C) trachea
D) pharynx
E) larynx

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

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The major virulence factor of Corynebacterium diphtheriae that causes serious systemic effects is


A) its capsules.
B) metachromatic granules.
C) an exotoxin.
D) endospores.
E) an endotoxin.

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

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Extrapulmonary TB can involve the


A) kidneys.
B) long bones.
C) spine.
D) brain.
E) All of the choices are correct.

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

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Tuberculin skin testing


A) injects PPD intradermally.
B) uses a purified protein filtrate of Mycobacterium tuberculosis.
C) will be positive if the person has had previous exposure to TB.
D) will be positive if the person has active TB.
E) All of the choices are correct.

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

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E

What features of the respiratory system protect us from infection?


A) nasal hairs
B) cilia
C) mucus
D) macrophages
E) All of the choices are correct.

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

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Normal biota of the upper respiratory tract include


A) Corynebacterium.
B) Candida albicans.
C) Haemophilus influenzae.
D) Staphlococcus aureus.
E) All of the choices are correct.

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

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Which disease involves transmission by aerosolized water from whirlpool spas,air conditioners,cooling towers,and supermarket vegetable misters?


A) legionellosis
B) pertussis
C) brucellosis
D) plague
E) traveler's diarrhea

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

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Which of the following is not true of whooping cough?


A) secondary infections can occur during the convalescent phase
B) caused by a small gram-positive rod
C) incubation period is 3-21 days
D) coldlike symptoms are common for the paroxysmal stage
E) an uncontrollable cough occurs during the paroxysmal stage

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

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Pertussis outbreaks still occur in the United States.

A) True
B) False

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True

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