question
A patient presents himself with lesions of the mucous membranes of nose and throat. While taking his history, you learn he recently helped out his grandfather plant crops on his farm in Southern Mexico. Not long after this trip, he developed a pulmonary infection. From these lesions, you find a fungus growing in a steering wheel formation. What organism is most likely causing his problem?
A. Dermatophyte
B. Candida
C. Paracoccidioides
D. Coccidioides
E. Histoplasmosis
A. Dermatophyte
B. Candida
C. Paracoccidioides
D. Coccidioides
E. Histoplasmosis
answer
Paracoccidiodes
question
The primary treatment for systemic fungal infections is
A. Amphotericin B
B. Topical anti-fungal agents
C. Acyclovir
D. Tamiflu
E. Penicillin
A. Amphotericin B
B. Topical anti-fungal agents
C. Acyclovir
D. Tamiflu
E. Penicillin
answer
Amphotericin B
question
Dermatophytes
A. grow deep into the living tissue of skin
B. generate lesion called tinea lesions
C. are systemic fungal infections
D. A and B
E. B and C
A. grow deep into the living tissue of skin
B. generate lesion called tinea lesions
C. are systemic fungal infections
D. A and B
E. B and C
answer
Generate lesion called tinea lesions
question
Which if the following fungal infections is transmitted from person to person?
A. Blastomycosis
B. Aspergillosis
C. Cryptococcosis
D. Dermatophytoses
E. Histoplasmosis
A. Blastomycosis
B. Aspergillosis
C. Cryptococcosis
D. Dermatophytoses
E. Histoplasmosis
answer
Dermatophytoses
question
You suspect a fungus is the cause for a lesion on a patient's arm. What media would you choose to culture the suspected fungus?
A. Sabouraud dextose agar
B. Mannitol salt agar
C. Blood agar
D. MacConkey agar
E. None of the above
A. Sabouraud dextose agar
B. Mannitol salt agar
C. Blood agar
D. MacConkey agar
E. None of the above
answer
Sabouraud dextose agar
question
The long branched tubular filaments of a mold are called
A. Hyphae
B. Sporangium
C. Conidia
D. Mycoses
E. Yeast
A. Hyphae
B. Sporangium
C. Conidia
D. Mycoses
E. Yeast
answer
Hyphae
question
You are driving through the desert southwest in a station wagon and get caught in a dust storm. Several weeks later you develop a chronic pulmonary infection that demonstrates the presence of a spherule during a lung biopsy. Which is the best diagnosis?
A. Histoplasmosis
B. Paracoccidioidomycosis
C. Aspergillosis
D. Cryptococcosis
E. Coccidioidomycosis
A. Histoplasmosis
B. Paracoccidioidomycosis
C. Aspergillosis
D. Cryptococcosis
E. Coccidioidomycosis
answer
Coccidiodomycosis
question
Fungi
A. are eukaryotes
B. possess a cell wall
C. can be saprophytic
D. B and C
E. A,B and C
A. are eukaryotes
B. possess a cell wall
C. can be saprophytic
D. B and C
E. A,B and C
answer
A,B and C
question
A sac containing mold spores is called a(n)
A. Sporangium
B. Thallus
C. Mycelium
D. Conidiospore
E. Dermatophyte
A. Sporangium
B. Thallus
C. Mycelium
D. Conidiospore
E. Dermatophyte
answer
Sporangium
question
Which of the following fungal pathogens is associated with soils enriched in nutrients due to bird and bat droppings?
A. Histoplasmosis
B. Paracoccidioidomycosis
C. Aspergillosis
D. Cryptococcosis
E. Coccidiodomycosis
A. Histoplasmosis
B. Paracoccidioidomycosis
C. Aspergillosis
D. Cryptococcosis
E. Coccidiodomycosis
answer
Histoplasmosis
question
After spending hours carving a pumpkin, three days later you notice a large fuzzy mass growing. What would best describe what you see?
A. Mycelium of yeast
B. Hyphae of bacteria
C. Mycelium of mold
D. Spores of mold
E. Septate hyphae of mold
A. Mycelium of yeast
B. Hyphae of bacteria
C. Mycelium of mold
D. Spores of mold
E. Septate hyphae of mold
answer
Mycelium of mold
question
Azole drugs work by
A. Binding to ergosterol in fungal cell wall
B. Binding to ergosterol in fungal cell membrane
C. Blocking synthesis of ergosterols
D. Disrupting synthesis of fungal cell wall
A. Binding to ergosterol in fungal cell wall
B. Binding to ergosterol in fungal cell membrane
C. Blocking synthesis of ergosterols
D. Disrupting synthesis of fungal cell wall
answer
Blocking synthesis of ergosterols
question
True fungal pathogens
A. are acquired through inhalation
B. grow like yeast within humans
C. often begin as pulmonary infections
D. all of the above
A. are acquired through inhalation
B. grow like yeast within humans
C. often begin as pulmonary infections
D. all of the above
answer
all of the above
question
Viral shape most often describes which of the following parts of a virus?
A. Envelope
B. Capsid
C. Nucleic Acid
D. Capsomere
E. Spikes
A. Envelope
B. Capsid
C. Nucleic Acid
D. Capsomere
E. Spikes
answer
Capsid
question
A virus that lacks an envelope is called a(n) ___________ virus
A. Naked
B. Empty
C. Uncoated
D. Dimorphic
E. None of the above
A. Naked
B. Empty
C. Uncoated
D. Dimorphic
E. None of the above
answer
Naked
question
Which of the following is the first and most important way viruses are classified?
A. Type of nucleic acid that makes their genome.
B. Whether a virus is enveloped or not
C. Polyhedral or helical infect
D. the type of cell they infect
E. non of the above
A. Type of nucleic acid that makes their genome.
B. Whether a virus is enveloped or not
C. Polyhedral or helical infect
D. the type of cell they infect
E. non of the above
answer
Type of nucleic acid that makes their genome
question
Host specificity (and the ability to invade a cell) of a virus is due to
A. particular genes that it shares with the infected cell
B. interactions between viral and cellular surface molecules
C. the presence of an envelope
D. differences in size between the virus and the host cell
E. the presence or absence of a cell wall on the host cell
A. particular genes that it shares with the infected cell
B. interactions between viral and cellular surface molecules
C. the presence of an envelope
D. differences in size between the virus and the host cell
E. the presence or absence of a cell wall on the host cell
answer
interactions between viral and cellular surface molecules
question
After infecting the host cell, the initial intracellular state of a virus is solely
A. Lipid
B. Protein
C. Nucleic acid
D. B and C
E. A and C
A. Lipid
B. Protein
C. Nucleic acid
D. B and C
E. A and C
answer
Nucleic acid
question
After a virion enters a host cell, the process of removing the capsid is called
A. Uncapping
B. Exocytosis
C. Budding
D. Uncoating
E. None of the above
A. Uncapping
B. Exocytosis
C. Budding
D. Uncoating
E. None of the above
answer
Uncoating
question
The proteins that are used to build the viral protein coat are called
A. Spikes
B. Aptameres
C. Capsomeres
D. Viromeres
E. None of the above
A. Spikes
B. Aptameres
C. Capsomeres
D. Viromeres
E. None of the above
answer
Capsomeres
question
Put the following stages of a lytic replication cycle in order, from earliest to latest stages:
I. Synthesis
II. Assembly
III. Attachment
IV. Release
V. Entry
A. III, V, I, II, IV
B. III, II, V, I, IV
C. V, III, II, IV, I
D. I, III, V, II, IV
E. I, II, III, V, IV
I. Synthesis
II. Assembly
III. Attachment
IV. Release
V. Entry
A. III, V, I, II, IV
B. III, II, V, I, IV
C. V, III, II, IV, I
D. I, III, V, II, IV
E. I, II, III, V, IV
answer
III, V, I, II, IV
question
Humans herpes virus 3 can remain latent within
A. Sensory neurons
B. Motor neurons
C. Dermatome cells
D. Liver cells
E. Epidermal cells
A. Sensory neurons
B. Motor neurons
C. Dermatome cells
D. Liver cells
E. Epidermal cells
answer
Sensory neurons
question
Which of the following best describes varicella-zoster virus?
A. Enveloped, helical, RNA virus
B. Enveloped, polyhedral, DNA virus
C. No envelope, helical, RNA virus
D. No envelope, polyhedral, DNA virus
A. Enveloped, helical, RNA virus
B. Enveloped, polyhedral, DNA virus
C. No envelope, helical, RNA virus
D. No envelope, polyhedral, DNA virus
answer
Enveloped, polyhedral, DNA virus
question
You have a patient that has a painful rash that is localized along a dermatome. Which of the following microbes is most likely responsible for their symptoms?
A. HIV
B. Varicella-Zoster Virus
C. Paracoccodioides
D. Dermatophytes
E. Staphylococcus
A. HIV
B. Varicella-Zoster Virus
C. Paracoccodioides
D. Dermatophytes
E. Staphylococcus
answer
Varicella-Zoster Virus
question
Which of the following enzymes is responsible for maturation of HIV into infectious virions?
A. protease
B. reverse transcriptase
C. integrase
D. helicase
A. protease
B. reverse transcriptase
C. integrase
D. helicase
answer
Protease
question
The HIV protein gp41 is important for
A. uncoating
B. membrane fusion
C. attachment to cell
D. budding
E. endocytosis
A. uncoating
B. membrane fusion
C. attachment to cell
D. budding
E. endocytosis
answer
membrane fusion
question
Reverse transcriptase
A. makes RNA from proteins
B. makes DNA from proteins
C. makes proteins from DNA
D. makes RNA from DNA
E. makes DNA from RNA
A. makes RNA from proteins
B. makes DNA from proteins
C. makes proteins from DNA
D. makes RNA from DNA
E. makes DNA from RNA
answer
makes DNA from RNA
question
HIV primarily infects which of the following cells
A. macrophages
B. sensory neurons
C. cytotoxic T-cells
D. helper T-cells
E. none of the above
A. macrophages
B. sensory neurons
C. cytotoxic T-cells
D. helper T-cells
E. none of the above
answer
Helper T-cells
question
In which of the following do the mucous membranes serve as a portal of entry for disease?
A. a pathogen crosses from the mother to the fetus by way of the placenta
B. a pathogen is introduced into the body when the person rubs the eye with contaminated fingers and the pathogen is washed into the nasal cavity by way of tears
C. a person is bitten by a mosquito that carries the malaria parasite
D. fungi digest the outer layer of the skin
E. a person receives an injection with a contaminated needle
A. a pathogen crosses from the mother to the fetus by way of the placenta
B. a pathogen is introduced into the body when the person rubs the eye with contaminated fingers and the pathogen is washed into the nasal cavity by way of tears
C. a person is bitten by a mosquito that carries the malaria parasite
D. fungi digest the outer layer of the skin
E. a person receives an injection with a contaminated needle
answer
a pathogen is introduced into the body when the person rubs the eye with contaminated fingers and the pathogen is washed into the nasal cavity by way of tears
question
Which of the following locations contain resident microbiota?
A. placenta
B. blood
C. cerebral spinal fluid
D. urinary tract
E. none of the above
A. placenta
B. blood
C. cerebral spinal fluid
D. urinary tract
E. none of the above
answer
urinary tract
question
Which of the following statements about our microbiota is TRUE?
A. it begins to develop in the womb
B. microbiota organisms are considered transient if they are present throughout one's life
C. microbiota organism can cause disease if they are introduced to locations within our body where they are not normally found
D. A and B
E. none of the above
A. it begins to develop in the womb
B. microbiota organisms are considered transient if they are present throughout one's life
C. microbiota organism can cause disease if they are introduced to locations within our body where they are not normally found
D. A and B
E. none of the above
answer
microbiota organism can cause disease if they are introduced to locations within our body where they are not normally found
question
In epidemiology, the number of new cases of a disease in a given area during a certain time is called disease _____________.
A. prevalence
B. occurrence
C. incidence
D. none of the above
A. prevalence
B. occurrence
C. incidence
D. none of the above
answer
incidence
question
A nosocomial disease is a disease acquired
A. by being bitten by an infected insect
B. by eating contaminated food
C. by using a contaminated needle
D. in a health care facility
E. by having unprotected sexual intercourse
A. by being bitten by an infected insect
B. by eating contaminated food
C. by using a contaminated needle
D. in a health care facility
E. by having unprotected sexual intercourse
answer
in a health care facility
question
A zoonotic disease
A. is disease that has an animal reservoir
B. can be transmitted by eating animals
C. can be transmitted by blood sucking arthropods (insects)
D. A and B
E. A, B, and C
A. is disease that has an animal reservoir
B. can be transmitted by eating animals
C. can be transmitted by blood sucking arthropods (insects)
D. A and B
E. A, B, and C
answer
A, B, and C
question
Which of the following would be classified as a symptom of a disease?
A. Neck pain
B. Temperature
C. Bloody Sputum
D. Swollen lymph nodes
E. None of the above
A. Neck pain
B. Temperature
C. Bloody Sputum
D. Swollen lymph nodes
E. None of the above
answer
Neck pain
question
Which of the following stages of an infectious disease is characterized by vague, general symptoms?
A. the incubation period
B. the prodromal period
C. the illness period
D. the decline period
E. the convalescence period
A. the incubation period
B. the prodromal period
C. the illness period
D. the decline period
E. the convalescence period
answer
the prodromal period
question
An enzyme that some bacteria have to make clots
A. Hemaglutinase
B. Collagenase
C. Kinase
D. Coagulase
E. Clotase
A. Hemaglutinase
B. Collagenase
C. Kinase
D. Coagulase
E. Clotase
answer
Coagulase
question
Bacterial proteins that serve as adhesion factors are called
A. Kinases
B. Affixins
C. Adhesins
D. Linker proteins
E. Connectins
A. Kinases
B. Affixins
C. Adhesins
D. Linker proteins
E. Connectins
answer
Adhesins
question
Bacteria collected from a severely inflamed wound are sent to the lab for analysis. The results come back as follows: Gram-positive cocci in irregular cluster, kinase and coagulase positive. The bacteria in the wound are most likely
A. Bacillus anthracis
B. Staphylococcus epidermidis
C. Staphylococcus aureus
D. Streptococcus pyogenes
A. Bacillus anthracis
B. Staphylococcus epidermidis
C. Staphylococcus aureus
D. Streptococcus pyogenes
answer
Staphylococcus aureus
question
You identify a gram-negative rod in the blood of a patient. What bacterial characteristics would cause you to conclude it is a member of the Enterobacteriacea group?
A. Glucose fermenter, oxidase positive, reduces nitrate to nitrite
B. Glucose nonfermenter, oxidase positive, reduces nitrate to nitrite
C. Glucose fermenter, oxidase negative, reduces nitrate to nitrite
D. Lactose fermenter, oxidase negative, reduces nitrate to nitrite
E. Lactose fermenter, oxidase positive, reduces nitrate to nitrite
A. Glucose fermenter, oxidase positive, reduces nitrate to nitrite
B. Glucose nonfermenter, oxidase positive, reduces nitrate to nitrite
C. Glucose fermenter, oxidase negative, reduces nitrate to nitrite
D. Lactose fermenter, oxidase negative, reduces nitrate to nitrite
E. Lactose fermenter, oxidase positive, reduces nitrate to nitrite
answer
Glucose fermenter, oxidase negative, reduces nitrate to nitrite
question
Which of the following organisms can produce an endotoxin?
A. Staphylococcus
B. E.coli
C. Streptococcus
D. B and C
E. A, B and C
A. Staphylococcus
B. E.coli
C. Streptococcus
D. B and C
E. A, B and C
answer
E. coli
question
Which of the following statements about Enterobacteriacea classification is FALSE?
A. Coliforms are part of the normal microbiota and may be opportunistic pathogens
B. Non-coliforms are lactose fermenters
C. Identification of enteric bacteria in fecal sample is sure sign of infection
D. Good personal hygiene and proper sewage control are important in limiting the risk of infection caused by enterics
E. B and C
A. Coliforms are part of the normal microbiota and may be opportunistic pathogens
B. Non-coliforms are lactose fermenters
C. Identification of enteric bacteria in fecal sample is sure sign of infection
D. Good personal hygiene and proper sewage control are important in limiting the risk of infection caused by enterics
E. B and C
answer
B and C are False
question
E. coli O157:H7 is best classified as
A. Enteropathogenic
B. Entertoxiigenic
C. Enterohemorrphagic
D. Enterovirulent
A. Enteropathogenic
B. Entertoxiigenic
C. Enterohemorrphagic
D. Enterovirulent
answer
Enterohemorrhagic
question
Stephanie suspects that her daughter has strep throat. Throat swab confirms the presence of Group A strep. Which organism is causing the disease?
A. Streptococcus agalactaie
B. Streptococcus mitis
C. Streptococcus aureus
D. Streptococcus viridens
E. Streptococcus pyogens
A. Streptococcus agalactaie
B. Streptococcus mitis
C. Streptococcus aureus
D. Streptococcus viridens
E. Streptococcus pyogens
answer
Streptococcus pyogens
question
Disseminated intravascular coagulation (DIC)
A. is caused by the presence of collagenase in bacteria
B. is the formation of blood clots within blood vessels
C. is caused when enterotoxin in the outer membrane is released from dead gram negative bacteria
D. B and C
E. A,B and C
A. is caused by the presence of collagenase in bacteria
B. is the formation of blood clots within blood vessels
C. is caused when enterotoxin in the outer membrane is released from dead gram negative bacteria
D. B and C
E. A,B and C
answer
is the formation of blood clots within blood vessels
question
Which of the following best describes the capsule of Streptococcus pyogenes
A. It is made of hyaluronic acid, camouflaging bacteria from our immune system
B. it is made of "slippery" molecules making it difficult for phagocytic cells to bind
C. it protects bacteria from lysosome digestive enzymes allowing bacteria to survive within phagocytic cells
D. it is made of collagen, camouflaging bacteria from out immune system
E. none fo the above
A. It is made of hyaluronic acid, camouflaging bacteria from our immune system
B. it is made of "slippery" molecules making it difficult for phagocytic cells to bind
C. it protects bacteria from lysosome digestive enzymes allowing bacteria to survive within phagocytic cells
D. it is made of collagen, camouflaging bacteria from out immune system
E. none fo the above
answer
it is made of hyaluronic acid, camouflaging bacteria from our immune system
question
Streptococci are frequently classified by
A. the bacteria's Lancefield antigen
B. the type of enzymes that bacteria produce
C. their staining properties
D. their ability to produce catalase
E. the diseases they produce
A. the bacteria's Lancefield antigen
B. the type of enzymes that bacteria produce
C. their staining properties
D. their ability to produce catalase
E. the diseases they produce
answer
the bacteria's Lancefield antigen
question
Fomites are
A. insects that transmit pathogens from an infected host to a noninfected host
B. inanimate objects involved in the indirect contact transmission of pathogens
C. fecal material from infected hosts
D. animal sources for human pathogens
E. silent carriers of infectious diseases
A. insects that transmit pathogens from an infected host to a noninfected host
B. inanimate objects involved in the indirect contact transmission of pathogens
C. fecal material from infected hosts
D. animal sources for human pathogens
E. silent carriers of infectious diseases
answer
inanimate objects involved in the indirect contact transmission of pathogens