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Symptoms of influenza include


A) nasal discharge,mild fever,and absence of cough.
B) fever,diarrhea,and vomiting.
C) fever,myalgia,sore throat,cough,and nasal discharge.
D) fever,sore throat,rash,and cough.
E) fever and pneumonia.

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

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Cold viruses are transmitted by


A) droplet contact.
B) indirect contact.
C) direct contact.
D) All of the choices are correct.

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

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Your dog has flu caused by an H3N8 strain.Assume that you breathe in this strain,after you have already come in contact with an H1N1 strain.Both viruses go into the cells of your upper respiratory tract.During the viral replication cycle inside of your epithelial cells,genetic information for hemagglutinin antigen and for neuraminidase antigen are recombined.Your cells end up producing a new variant---H3N1.Predict what might happen as a result of this set of events.


A) Only people who have never had flu before will get sick from the new H3N1 variant.
B) This is not a problem because the human immune system can respond quickly to any new antigens never seen before.
C) This novel virus will spread through the human population without much resistance.
D) Since this new virus has antigens from a dog strain,the new strain will not be able to infection human cells.

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

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In addition to antimicrobials,patients with diphtheria are treated with


A) antitoxin.
B) tracheostomy.
C) heart medication.
D) bronchoscopy.
E) All of the choices are correct.

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

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E

Diphtheria is considered to be an upper respiratory tract infection.However,it can have a very high mortality rate if not caught early and treated.Predict why this is so.


A) It makes a toxin that can be carried in blood and produce organ damage,particularly the heart.
B) It successfully hides from the immune system of the patient.
C) The patient cannot eat or drink and so basically starves to death.
D) The bacterium moves from the throat to the brain,causing strokes to occur.

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

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A

Which of the following is not true of S.pyogenes?


A) group A streptococcus
B) gram-positive
C) forms endospores
D) sensitive to bacitracin
E) beta-hemolytic

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

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What features of the respiratory system protect it from infection?


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

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

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The major reservoir for the hantavirus is the deer mouse.

A) True
B) False

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True

Infection travels to the middle ear by way of the


A) auditory canal.
B) sinuses.
C) nasal cavity.
D) eustachian (auditory) tubes.
E) subarachnoid space.

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

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

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Disease/s caused by Streptococcus pneumoniae include


A) otitis media.
B) meningitis.
C) lobar pneumonia.
D) bronchial pneumonia.
E) All of the choices are correct.

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

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A paroxysmal cough is associated with Legionnaires' disease.

A) True
B) False

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The pathogen that causes Legionnaires' pneumonia also causes a milder infection called Pontiac fever.

A) True
B) False

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Treatment for diphtheria requires only penicillin or erythromycin.

A) True
B) False

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Virulence factors of S.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) A) and C)

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Mycobacterium tuberculosis


A) produces several virulence factor enzymes and an exotoxin.
B) integrates its genome into host cell DNA.
C) can survive for 8 months in fine aerosol particles.
D) has a capsule.
E) lives in the soil.

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

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The most common causative agent of otitis media is


A) Aspergillus fumigatus.
B) Haemophilus influenzae.
C) Candida albicans.
D) Corynebacterium diphtheriae.
E) Streptococcus pneumoniae.

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

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Which of the following is not a virulence factor of Bordetella pertussis?


A) endotoxin
B) tracheal cytotoxin
C) M protein
D) pertussis toxin
E) filamentous hemagglutinin

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

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

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People who have received the BCG immunization will generally have a negative tuberculin skin test.

A) True
B) False

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