1)Which of the following is true about Hepatitis C viral infection?

a. Vaccinations are available for this infection.

b. It may cause jaundice and cirrhosis

c. Interferons and antiviral medication may be used to treat this infection.

d. It is transmitted through ingestion of contaminated sources.

2) An eight-year-old girl has scabs and pus-filled vesicles on her face and throat.
Three weeks earlier she had visited her grandmother, who had shingles. What
infection does the eight-year-old have?

a. chickenpox

b. measles

c. fever blisters

d. scabies

e. rubella

3) Which Herpesvirus is the caused her infection (refer to question 2 for context)?

a. 3

b. 2

c. 4

d. 1

4) Thrush and vaginitis are caused by:

a. Herpesvirus.
 b. Chlamydia trachomatis.

c. Candida albicans.

d. Staphylococcus aureus.

e. Streptococcus pyogenes.

5) The symptoms of tetanus are due to:

a. endospore formation.

b. systemic infection.

c. sustained relaxation of muscles.

d. tetanospasmin.

e. constant relaxation of the muscle.

6) Rheumatic fever is an autoimmune complication from an infection of

a. Staphylococcus aureus

b. Francisella tularensis

c. Brucella melitensis

d. Streptococcus pyogenes

7)Which of the following pairs is mismatched?

a. Tetanus — releases potent neurotoxin

b. Botulism — stimulates transmission of nerve impulse

c. Poliomyelitis — Kills CNS cells

 d. Rabies virus — destroys cells of the CNS

8) Mycoplasma pneumoniae causes atypical pneumonia known as "walking

pneumonia."

a. True.

b. False.

9) On October 5, a pet store sold a kitten that subsequently died. On October 22,
rabies was diagnosed in the kitten. Between September 19 and October 23, the
pet store had sold 34 kittens. Approximately 1000 people responded to health
care providers following local media alerts. These people were given treatment.
Which treatment would work

a. antibiotics.

b. human diploid cell vaccine containing the inactivated.

c. immune globulin injections of Rabies Immune Globulin

d. antiviral medications.

e. none of the above.

10) Which of the following Gram-negative spirals is likely to be transmitted via

contaminated freshwater shrimp causing rice water stool?

a. Helicobacter pylori

b. Vibrio cholerae
 c. Staphylococcus aureus

d. Escherichia coli

e. Giardia lamblia

11) Lymphocytes are key the ______ line of defense.

a. 3rd

b. 2nd

c. 1st

d. None of the above

12) On June 1, a 32-year-old hiker was bitten by a tick. After one week, he noticed
an erythematous (red colored) ring at the location of the bite. Four weeks later, a
physician found a large, macular, centrifugally spreading ring. During the next
month, it expanded to 35 cm and faded. Over the next 2.5 years, the man
experienced recurrent inflammation of a knee.

a. Bartonella heneslae

b. Borrelia burgdoferi

c. Rickettsia rickettsi

d. Yersenia pestis

e. Brucella abortus

13) Which type of bacterial pneumonia is most often seen in children and young
adults,

a. Legionellosis pneumophila
 b. Haemophilus influenzae

c. Mycoplasma pneumoniae

d. Streptococcus pneumoniae

e. Bordetella pertussi

14) The abbreviation "GAS" refers to pathogenic strains of Staphylococcus.

a) True

b)False

15)A patient has a paroxysmal cough and mucus accumulation. The bacterial that
caused his infection is a capsulated Gram-negative coccobacillus. What is the
etiology of the symptoms?

a. Bordetella pertussis

b. Corynebacterium diptheriae

c. Mycobacterium tuberculosis

d. Burkholderia cepacia

e. Mycoplasma pneumoniae

16)The most common cause of traveler's diarrhea is probably

A. Shigella spp
 B. Salmonella typhi

C. Escherichia coli

D. Clostridium botulinum

E. Bacillus cereus

17) The important consideration in treating patients who have bacterial dysentery
is

A. a blood transfusion to relieve the anemia.

B. replacement of lost fluids.

C. prevention of spread of the disease through respiratory secretions.

D. removal of coronary thromboses.

E. removal of the affected limb by amputation.

18) The staphylococcal enterotoxin

A. is composed solely of carbohydrates.

B. is among the most heat-resistant exotoxins.

C. can be destroyed by placing food in the refrigerator.

D. is produced in the human intestine.

E. is more potent than the botulism toxin.

19)After recovery from typhoid fever, the carriers may harbor the organism in
their

A. intestine.

B. stomach.

C. pancreas.

D. gall bladder.

20) H. pylori can be detected by which of the following methods:

A. stool samples

B. breath test

C. blood culture

D. increased urea concentrations

21)One of the most important factors in controlling foodborne and waterborne

disease is to

A. isolate infected persons because person-to-person infection is so great.

B. educate people to methods of sanitation and personal hygiene.

C. control animal pests that may transfer the organisms into the water supply.

D. inoculate as many people as possible against the diseases in order to control epidemics.
22) A patient comes into the hospital dealing with a severe infection. IIf this is the
first time the patient has encountered this pathogen, I expect to see a lot
of______ present.

A) IgA

B) IgG

C) IgM

D) IgD

E) IgE

23) Which pathogen causes Shigella-like dysentery?

a. Enterotoxic (ETEC) Escherichia coli.

b. Enteroinvasive (EIEC) Escherichia coli.

c. Enteropathogenic (EPEC) Escherichia coli.

d. Clostridium Tetani

24)Cat-scratch disease is caused by

a. Bartonella henselae

b. Yersinia pestis

c. Borrelia burgdorferi

d. Rickettsia prowazekii
25) In which disease does there frequently occur a fast-growing tumor of the jaw?

a. Ebola

b. Infectious mononucleosis

c. Chikungunya fever

d. Burkitt's lymphoma

26)Dengue is transmitted by

a. Ticks

b. Mosquitoes

c. Body lice

d. Flies

27) Chagas' disease is caused by

a. Toxoplasma gondii

b. Trypanosoma cruzi ( kissing bug)

c. Plasmodium vivax

d. Leishmania donovani

28 )Which of the following statements about tularemia is false?

 A) It is caused by Francisella tularensis.

B) The reservoir is rabbits.

C) It may be transmitted by arthropods.

D) The bacteria that causes tularemia reproduces in phagocytes

E) It occurs only in California

29)Which of the following is NOT treated with antibiotics?

A) Plague

B) Tularemia

C) Lyme disease

D) Norovirus

E) Anthrax

30)Koplik spots are a diagnostic indicator of

A) chickenpox.

B) smallpox.

C) fifth disease.

D) rubella.

E) measles.
31) A patient comes into the hospital with a severe tissue infection affecting their
foot. You ask them a few questions and you find out they had cut a cut on their
foot and so were wearing open sandals when the stepped into a puddle of
unknown origin. As you infect the infection you note that the tissue appears to be
decaying and eaten away moving outward from that initial cut. What might you
suspect the diagnosis to be?

A) Buruli Ulcer

B) MRSA

C) Necrotizing fasciitis

D) Cannot determine based on description

32)Staphylococcus aureus is responsible for all of the following EXCEPT

A) pimples.

B) sties.

C) boils.

D) carbuncles.

E) acne.

33)Which of the following is used to treat sporotrichosis?

A) penicillin

B) sulfonamide

C) trifluridine

D) oral potassium iodide

 E) acyclovir

34)Scabies is a skin disease caused by a

A) slow virus.

B) protozoan.

C) mite.

D) bacterium.

E) prion

35)Which of the following is incorrectly matched?

A) Haemophilus influenzae — pinkeye

B) Chlamydia trachomatis — trachoma

C) Neisseria gonorrhea — opthalmia neonatorum

D) Pseudomonas — inclusion conjunctivitis

36) All of the following can cause congenital infection or infections of the
newborn EXCEPT

A) syphilis.

B) gonorrhea.

C) nongonococcal urethritis.
D) genital herpes.

37) What type of immunity results from recovery from mumps?

A) Innate immunity

B) Naturally acquired active immunity

C) Naturally acquired passive immunity

D) Artificially acquired active immunity

E) Artificially acquired passive immunity

38) All of the following are true regarding NK cells except:

A) They are a type of lymphocyte

B) They are found in tissues of the lymphatic system

C) They are capable of destroying infected body cells and some tumor cells

D) They destroy infected body cells by phagocytosis

39) . Recurring vesicles on the surface of human skin might be the symptoms of
________.

A) Gardnerella vaginosis

B) genital herpes

C) candidiasis

D) trichomoniasis
40) Which of the following statements about puerperal sepsis is false?

A) It is transmitted from mother to fetus.

B) It is caused by health care personnel.

C) It should be monitored for 42 days after birth

D) It is a complication of childbirth.