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Pertussis has the following characteristics, except:


A) pathogen has virulence factors to destroy the action of respiratory cilia.
B) catarrhal stage has persistent, hacking coughs with "whoops".
C) early stage resembles a cold with nasal discharge and sneezing.
D) DTaP immunization will prevent it.
E) transmission is by respiratory droplets.

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

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Which of the following species was once considered so benign that microbiologists used it to trace movements of air currents in hospitals and over cities?


A) Morganella
B) Providencia
C) Citrobacter
D) Serratia
E) Legionella

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

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

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Distinguish the four different pathogenic strains of E.coli with regard to: a) names of the strains, b) virulence factors, and c) symptoms.

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a) The four different pathogenic strains of E. coli are: 1) Enterotoxigenic E. coli (ETEC) 2) Enteropathogenic E. coli (EPEC) 3) Enterohemorrhagic E. coli (EHEC) 4) Enteroaggregative E. coli (EAEC) b) Virulence factors: 1) ETEC produces heat-labile and heat-stable enterotoxins, which cause diarrhea. 2) EPEC uses a type III secretion system to inject effector proteins into host cells, leading to the formation of attaching and effacing lesions on the intestinal epithelium. 3) EHEC produces Shiga toxins, which can cause bloody diarrhea and hemolytic uremic syndrome. 4) EAEC produces aggregative adherence fimbriae, which allow the bacteria to adhere to the intestinal mucosa and form biofilms. c) Symptoms: 1) ETEC causes watery diarrhea, abdominal cramps, and nausea. 2) EPEC can cause watery diarrhea in infants and young children. 3) EHEC can cause bloody diarrhea, abdominal cramps, and in severe cases, hemolytic uremic syndrome. 4) EAEC can cause persistent diarrhea, especially in young children and immunocompromised individuals.

Although this bacteria is typically found in soil and water, burn wound patients are susceptible to ___infection.


A) Yersinia pestis
B) Bordetella pertussis
C) Pseudomonas
D) E. coli 0157:H7
E) Shigella

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

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Pseudomonas aeruginosa is


A) found in soil and water.
B) an opportunist that produces many diverse enzymes.
C) highly chemical resistant.
D) motile.
E) All of the choices are correct.

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

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Fever, vomiting, stiff neck, and neurological impairment are symptoms associated with _____.

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Which is not associated with tularemia?


A) listed as a pathogen of concern on the lists of bioterrorism agents
B) transmitted by arthropod vectors
C) reservoir can be rabbits and squirrels
D) symptoms include fever, swollen lymph nodes, ulcerative lesions, conjunctivitis, and pneumonia
E) in animals, infects the placenta and fetus

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

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Up to 70% of travel-associated gastrointestinal diseases are caused by


A) enterotoxigenic strains of E. coli.
B) Salmonella.
C) Shigella dysenteriae.
D) E. coli 0157:H7.
E) enteroinvasive E. coli.

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

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The IMViC series of biochemical tests are used to identify the Enterobacteriaceae.

A) True
B) False

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Compare and contrast shigellosis and salmonellosis.

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Shigellosis and salmonellosis are both b...

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All of the following are correct about salmonelloses except


A) non-typhoidal strains of salmonella are zoonotic in origin.
B) foods contaminated by rodent feces may cause outbreaks.
C) outbreaks have been caused by eggs.
D) drug resistance of salmonella is on the rise.
E) strains are normal flora in dogs and cats.

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

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E

Describe the characteristics of the Enterobacteriaceae and discuss the difference between the coliforms and noncoliforms in the family.

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The Enterobacteriaceae family is a large...

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Which is incorrect about Yersinia pestis?


A) exhibit bipolar staining
B) gram-negative rod
C) produces coagulase
D) has a capsule
E) produces enterotoxin

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

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Klebsiella has a large _____ that contributes to its ability to cause chronic lung infections.

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Plague includes:


A) septicemic form - called Black Death.
B) bubonic form - buboes develop.
C) pneumonic form - sputum highly contagious.
D) disease control - control of rodent population.
E) All of the choices are correct.

F) A) 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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Which of the following is normal oral and nasopharyngeal flora but is involved in infective endocarditis in adults who have underlying congenital or rheumatic heart disease?


A) Haemophilus influenzae
B) Haemophilus aphrophilus
C) Haemophilus aegyptius
D) Haemophilus ducreyi
E) All of the choices are correct.

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

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Brucellosis is


A) a zoonosis.
B) seen in the patient as a fluctuating fever, with headache, muscle pain, and weakness.
C) associated with pathogen in the blood.
D) an occupational illness of people that work with animals.
E) All of the choices are correct.

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

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Plague is a quarantinable disease.

A) True
B) False

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True

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