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The highest numbers of cases of Rocky Mountain spotted fever occur along the eastern seaboard.

A) True
B) False

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Transmission of which disease requires direct contact with infected body fluids?


A) yellow fever
B) dengue fever
C) Q fever
D) Lassa fever
E) trench fever

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

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Rabbits and rodents are the reservoirs of the causative agent of


A) tularemia.
B) anthrax.
C) malaria.
D) brucellosis.
E) mononucleosis.

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

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Which of the following is not true of Ebola and Marburg?


A) caused by filoviruses
B) causes disruption of clotting factors
C) transmitted by direct contact with body fluids
D) transmitted by mosquitoes
E) There is no treatment.

F) All of the above
G) None of the above

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Which of the following is a hemorrhagic fever?


A) yellow fever
B) trench fever
C) Q fever
D) Rocky mountain spotted fever
E) cat-scratch fever

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

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Under normal healthy circumstances,the lymphatic system filters any microorganisms present.

A) True
B) False

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All of the following pertain to HIV except


A) the virus attaches primarily to host cells with CD4 receptors.
B) viral DNA integrates into the host DNA.
C) the virus becomes latent in host cells.
D) ELISA and Western blot tests detect HIV antigens.
E) the virus can enter into nervous tissues and cause abnormalities.

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

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Rocky Mountain spotted fever


A) is seen in highest numbers along the west coast.
B) is transmitted by Ixodes ticks.
C) symptoms include fever,headache,and rash.
D) never has severe complications.

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

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Bubonic plague is transmitted by


A) mosquitoes.
B) flies.
C) animal bites.
D) sexual contact.
E) fleas.

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

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The patients at greatest risk for severe cytomegalovirus infection include all of the following except


A) diabetics.
B) organ transplant patients.
C) infants infected in utero.
D) AIDS patients.
E) babies.

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

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A blood specimen from the patient has been taken by the doctor,with which he made a blood smear on a microscope slide.The doctor takes the blood smear down the hall to one of the labs where he uses a regular light microscope to survey the blood,after staining.Which of these diseases would likely be identified in this way?


A) Chaga's disease
B) Ebola hemorrhagic fever
C) Dengue fever
D) HIV

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

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Which type of hemorrhagic fever can be treated with ribavirin?


A) Lassa fever
B) Ebola
C) Marburg
D) dengue fever
E) yellow fever

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

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The preferred treatment for anthrax is


A) penicillin.
B) ciprofloxacin.
C) quinine.
D) doxycycline.
E) treatment is decided after consultation with the CDC.

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

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Yersinia pestis


A) was virulent in the Middle Ages but is no longer virulent.
B) has humans as an endemic reservoir.
C) does not respond to antimicrobial drugs.
D) is usually transmitted by a flea vector.

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

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Which type of hemorrhagic fever is also known as "breakbone fever" because of the severe pain in bones?


A) Lassa fever
B) Ebola
C) Marburg
D) dengue fever
E) yellow fever

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

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Which is incorrect about malaria?


A) Merozoites enter and multiply in liver cells.
B) Trophozoites develop in RBCs.
C) The mosquito inoculates human blood with sporozoites.
D) Gametocytes enter the mosquito as she draws a blood meal from a human.

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

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Symptoms of infectious mononucleosis include


A) vesicular lesions in oral mucosa.
B) fever and pocks on skin.
C) sore throat,fever,cervical lymphadenopathy,and splenomegaly.
D) fever,severe diarrhea,pneumonitis,hepatitis,and retinitis.

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

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The most common causative agent of acute endocarditis is


A) Staphylococcus aureus.
B) Streptococcus pneumoniae.
C) Streptococcus pyogenes.
D) Neisseria gonorrhoeae.

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

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Lyme disease is only seen in people living in Lyme,Connecticut.

A) True
B) False

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Characteristics of Bacillus anthracis include all of the following except


A) capsule and exotoxins are virulence factors.
B) anaerobic.
C) reservoir includes infected grazing animals and contaminated soil.
D) gram-positive bacillus.
E) endospore-former.

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

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