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MICROBIOLOGY CHAPTER 24

front 1

The lower respiratory tract is protected by all of the following EXCEPT
A) competition with the normal flora of the lungs.
B) IgA antibodies.
C) mucous secretions.
D) the ciliary escalator.
E) alveolar macrophages.

back 1

A

front 2

Which of the following is mismatched?
A) pharyngitis — sore throat
B) laryngitis — voice loss
C) epiglottitis — sore throat
D) sinusitis — headache and nasal mucous
E) otitis media — earache

back 2

C

front 3

Members of the group A streptococci (GAS) cause all of the following EXCEPT
A) strep throat.
B) scarlet fever.
C) rheumatic fever.
D) pharyngitis.
E) epiglottitis.

back 3

E

front 4

Which of the following statements about mycoplasmal pneumonia is TRUE?
A) The causative agent is a virus.
B) The symptoms resemble pneumococcal pneumonia.
C) The causative agent cannot be cultured.
D) Treatment is tetracyclines.
E) Annual vaccination can prevent infection

back 4

D

front 5

Which of the following is NOT a typical symptom of influenza?
A) fever
B) chills
C) headache
D) diarrhea
E) muscle aches

back 5

D

front 6

Which of the following is mismatched?
A) Corynebacterium — gram-positive rod
B) Mycobacterium — acid-fast rod
C) Mycoplasma — gram-positive pleomorphic rod
D) Bordetella — gram-negative pleomorphic rod
E) Haemophilus — gram-negative rod

back 6

C

front 7

Which of the following microorganisms causes symptoms most like tuberculosis?
A) Histoplasma
B) Coccidioides
C) Legionella
D) Mycoplasma
E) Influenza virus

back 7

A

front 8

All of the following can lead to a positive tuberculin skin test EXCEPT
A) vaccination.
B) current tuberculosis infection.
C) previous tuberculosis infection.
D) immunity to tuberculosis.
E) being near someone with tuberculosis.

back 8

E

front 9

Which of the following diseases is NOT correctly matched to its vaccine?
A) tuberculosis — toxoid
B) whooping cough — heat-killed bacteria
C) diphtheria — toxoid
D) influenza — viruses grown in embryonated eggs
E) pneumococcal pneumonia — capsular polysaccharides

back 9

A

front 10

Which of the following diseases has a cutaneous form, especially in individuals over 30 years of
age?
A) coccidioidomycosis
B) diphtheria
C) legionellosis
D) scarlet fever
E) psittacosis

back 10

B

front 11

Which of the following requires treatment with both antibiotics and antitoxins?
A) diphtheria
B) tuberculosis
C) whooping cough
D) scarlet fever
E) psittacosis

back 11

A

front 12

Which of the following is mismatched?
A) epiglottitis — Haemophilus
B) Q fever — Rickettsia
C) psittacosis — Chlamydia
D) whooping cough — Bordetella
E) melioidosis — Burkholderia

back 12

B

front 13

Which of the following does NOT cause otitis media?
A) Streptococcus pneumoniae
B) Haemophilus influenzae
C) Streptococcus pyogenes
D) Moraxella catarrhalis
E) Coxiella burnetii

back 13

E

front 14

Which of the following causes opportunistic infections in AIDS patients?
A) Pneumocystis
B) Aspergillus
C) Rhizopus
D) Mucor
E) All of the answers are correct.

back 14

E

front 15

Which of the following diseases is NOT correctly matched to its reservoir?
A) tuberculosis — cattle
B) histoplasmosis — soil
C) psittacosis — parakeets
D) coccidioidomycosis — air
E) pneumocystis — humans

back 15

D

front 16

All of the following are true of the common cold EXCEPT
A) it is caused by rhinoviruses and coronaviruses.
B) it is transmitted via aerosols and contact.
C) early treatment will drastically reduce the disease symptoms.
D) complications include laryngitis and otitis media.
E) the duration of symptoms is approximately one week

back 16

C

front 17

Which one of the following causes a disease characterized by the catarrhal, paroxysmal, and convalescent stages?
A) Bordetella pertussis
B) Corynebacterium diphtheriae
C) Mycobacterium tuberculosis
D) Streptococcus pyogenes
E) respiratory syncytial virus

back 17

A

front 18

Which one of the following is an irregular, gram-positive rod?
A) Bordetella pertussis
B) Corynebacterium diphtheriae
C) Burkholderia pseudomallei
D) Streptococcus pyogenes
E) Pneumocystis jirovecii

back 18

B

front 19

Infection by which of the following results in the formation of Ghon complexes?
A) Bordetella pertussis
B) Corynebacterium diphtheriae
C) Mycobacterium tuberculosis
D) Streptococcus pyogenes
E) Blastomyces dermatidis

back 19

C

front 20

Which one of the following produces the most potent exotoxin?
A) Bordetella pertussis
B) Corynebacterium diphtheriae
C) Mycobacterium tuberculosis
D) Streptococcus pyogenes
E) Streptococcus pneumoniae

back 20

B

front 21

The most effective means of preventing influenza is
A) annual vaccination.
B) isolation of carriers.
C) vector control.
D) pasteurization of milk.
E) administration of amantadine.

back 21

A

front 22

Which of the following is an opportunistic pathogen?
A) Pneumocystis
B) Legionella
C) Histoplasma
D) Mycoplasma
E) rhinovirus

back 22

A

front 23

Which of the following etiologic agents results in the formation of abscesses?
A) Staphylococcus
B) Mycoplasma
C) Streptococcus
D) Blastomyces
E) Coccidioides

back 23

D

front 24

The primary victims of the influenza pandemic of 1918-1919 were
A) members of the military.
B) infants and the elderly.
C) residents of Spain; therefore, it was known as the “Spanish Flu.”
D) young adults.
E) residents of the U.S.

back 24

D

front 25

All of the following are used as first-line drugs for treating tuberculosis EXCEPT
A) ethambutol.
B) isoniazid.
C) fluoroquinolones.
D) rifampin.
E) pyrazinamide.

back 25

C

front 26

Infection by which of the following is often confused with viral pneumonia?
A) Blastomyces
B) Coccidioides
C) Mycoplasma
D) Streptococcus
E) Mycobacterium

back 26

C

front 27

Which one of the following causes a disease characterized by a red rash?
A) Blastomyces
B) Coccidioides
C) Mycoplasma
D) Streptococcus
E) RSV

back 27

D

front 28

Inhalation of arthroconidia is responsible for infection by which of the following organisms?
A) Blastomyces
B) Coccidioides
C) Mycoplasma
D) Streptococcus
E) Chlamydophila

back 28

B

front 29

Soil is a reservoir for all of the following EXCEPT
A) Q fever.
B) melioidosis.
C) blastomycosis.
D) histoplasmosis.
E) coccidioidomycosis.

back 29

A

front 30

A patient has pneumonia. Gram-negative rods are cultured on nutrient agar from a sputum
sample. The etiology is
A) Burkholderia pseudomallei.
B) Chlamydophila psittaci.
C) Haemophilus influenzae.
D) Legionella pneumophila.
E) Staphylococcus aureus.

back 30

A

front 31

The patient is suffocating because of an inflamed epiglottis. What is the etiology of the symptoms?
A) Corynebacterium
B) Haemophilus
C) Bordetella
D) Mycobacterium
E) RSV

back 31

B

front 32

The patient has a sore throat. What is the etiology of the symptoms?
A) Corynebacterium
B) Rhinovirus
C) Bordetella
D) Streptococcus
E) The answer cannot be determined based on the information provided.

back 32

E

front 33

The patient is suffocating because of the accumulation of dead tissue and fibrin in her throat.
What is the etiology of the symptoms?
A) Corynebacterium
B) Haemophilus
C) Bordetella
D) Mycobacterium
E) The answer cannot be determined based on the information provided.

back 33

A

front 34

Which of the following is mismatched?
A) Burkholderia — melioidosis
B) Coxiella — Q fever
C) Mycoplasma — walking pneumonia
D) Chlamydophila — psittacosis
E) Mycobacterium — whooping cough

back 34

E

front 35

All of the following are classified as fungi EXCEPT
A) Blastomyces.
B) Coccidioides.
C) Histoplasma.
D) Mycobacterium.
E) Pneumocystis

back 35

D

front 36

Microscopic examination of a lung biopsy shows thick-walled cysts. What is the etiology of the symptoms?
A) Blastomyces
B) Coccidioides
C) Histoplasma
D) Mycobacterium
E) Pneumocystis

back 36

E

front 37

Microscopic examination of a lung biopsy shows spherules. What is the etiology of the symptoms?
A) Blastomyces
B) Coccidioides
C) Histoplasma
D) Mycobacterium
E) Pneum

back 37

B

front 38

Which of the following statements regarding tuberculosis is FALSE?
A) Nearly 1/3 of the world’s population is infected with tuberculosis.
B) Nearly 1/3 of the world’s population shows symptoms of tuberculosis.
C) It is responsible for nearly 2 million deaths per year.
D) At least 1/3 of those who are TB-positive are also HIV-positive.
E) Treatment requires at least six months of antibiotic therapy.
Answer: B

back 38

B

front 39

A patient has a paroxysmal cough and mucus accumulation. What is the etiology of the symptoms?
A) Bordetella
B) Corynebacterium
C) Burkholderia
D) Mycobacterium
E) Mycoplasma

back 39

A

front 40

A patient who presents with red throat and tonsils can be diagnosed as having
A) streptococcal pharyngitis.
B) scarlet fever.
C) diphtheria.
D) the common cold.
E) The answer cannot be determined based on the information provided.

back 40

E

front 41

A patient has fever, difficulty breathing, chest pains, fluid in the alveoli, and a positive tuberculin skin test. Gram-positive cocci are isolated from the sputum. The patient most likely has
A) tuberculosis.
B) influenza.
C) pneumococcal pneumonia.
D) mycoplasmal pneumonia.
E) the common cold.

back 41

C

front 42

Which of the following is NOT an intracellular parasite?
A) Chlamydophila
B) Coccidioides
C) Coxiella
D) Influenza virus
E) RSV

back 42

B

front 43

Which of the following is responsible for epidemics of respiratory disease in infants?
A) rhinovirus
B) adenovirus
C) respiratory syncytial virus
D) influenza
E) Mycoplasma

back 43

C

front 44

Which one of the following produces small “fried-egg” colonies on medium containing horse serum and yeast extract?
A) Chlamydophila
B) Legionella
C) Mycobacterium
D) Mycoplasma
E) Streptococcus

back 44

D

front 45

Legionella is transmitted by
A) airborne transmission.
B) foodborne transmission.
C) person-to-person contact.
D) fomites.
E) vectors.

back 45

A