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Microbiology / PH Qualifying

Timed Assessment: This Test has a 1 hour and 30 minute timer.The elapsed time appears at the bottom of the window. A 1 minute warning will be displayed. Multiple Attempts: Force Completion: Not allowed. This Test can only be taken once. This Test must be completed now. It cannot be resumed later. 0.91 points

Question 1 Multiple Choice The food posioning most associated with improperly canned food is? Shigella Salmonella Cholera Botulism Question 2 Multiple Choice Who developed the rabies immunization? Koch Pasteur Jenner Sabin Question 3 Multiple Choice Which of the following Hepatitis infections usually has a fecal-oral route? Hep Hep Hep Hep A B C D

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Question 4 Multiple Choice 0.91 points What causes a heterophile-negative mononucleosis syndrome in humans? papillomavirus herpes virus 6 cytomegalovirus varicella virus Question 5 Multiple Choice 0.91 points Which feature of the streptococci is the basis for the Lancefield groupings? Hemolysis patterns Colony size Membrane lipids Cell wall carbohydrates Question 6 Multiple Choice What produces an erythrogenic toxin? 0.91 points

Staphylococcus epidermidis Streptococcus pyogenes Salmonella typhi Shigella boydii Question 7 Multiple Choice Which is a characteristic of IgM Presents on mucous membrane Crosses the placental barrier Lacks a J-chain Predominance early in primary immune reaction Question 8 Multiple Choice The organism that causes Hansen's disease is _________. A bacterium A fungus A virus A parasitic protozoan Question 9 Multiple Choice Which of the following is the causative organisms of gas gangrene: Clostridium tetani Clostridium perfringes Staphylococcus aureus Clostridium botulinum Question 10 Multiple Choice 0.91 points Entamoeba histolytica is acquired by ingesting the ________ form of a parasite. egg larva adult cyst Question 11 Multiple Choice How do the mycoplasmas differ structurally from other bacteria? The mycoplasmas The mycoplasmas The mycoplasmas The mycoplasmas 0.91 points 0.91 points 0.91 points 0.91 points

have DNA but not RNA lack a cell wall lack a cell membrane lack are Gram positive, yet possess an outer membrane

Question 12 Multiple Choice 0.91 points Which complement component is common to both the classic and alternative pathways? C1 C2

C4 C5 Question 13 Multiple Choice 0.91 points Viruses characterized by a bullet shaped capsid are most likely ________. Ebola Influenza Rabies Measles Question 14 Multiple Choice 0.91 points Which of the following water borne enteric dieases is characterized by massive amounts of fluids passed in the feces? Salmonellosis Cholera Hepatitis A E.coli enteritis Question 15 Multiple Choice Which parasites are also known as flukes? nematodes trematodes plasmodia amebae Question 16 Multiple Choice Which parasite blocks the intestine or biliary and pancreatic ducts? Iodamoeba btschlii Diphyllobothrium latum Entamoeba histolytica Ascaris lumbricoides Question 17 Multiple Choice Eating undercooked pork may put you at risk for ________. Clostridium Salmonella Trichinella Escherichia Question 18 Multiple Choice 0.91 points Which genera is the most common cause of bacterial enterocolitis in the United States? shigella staphylococcus 0.91 points 0.91 points 0.91 points

salmonella campylobacter Question 19 Multiple Choice 0.91 points Which spirochete occurs in the blood of an individual with erythema chronicum migrans? Borrelia burgdorferi Leptospira interrogans Treponema pallidum Borrelia recurrentis Question 20 Multiple Choice Functional loss of ______ predisposes a person to fungal infections. neutrophils B cells T cells plasma cells Question 21 Multiple Choice How is Hepatitis A spread? Contaminated food Insects or arthropods Sexual contact Spread through fomites Question 22 Multiple Choice 0.91 points Which of the following is most likely the cause of food poisoning linked to episodes of violent vomiting and diarrhea reported only two hours the consumption of food? Streptococcus pyogenes Staphylococcus epidermidis Staphylococcus aureus Listeria monocytogenes Question 23 Multiple Choice 0.91 points Which virus causes the majority of bronchiolitis cases in infants and young children? respiratory syncytial virus paramyxovirus mumps virus measles virus Question 24 Multiple Choice 0.91 points 0.91 points 0.91 points

Which virus causes acute viral encephalomyelitis? hepatitis A varicella rotavirus rhabdovirus Question 25 Multiple Choice 0.91 points In cases of meningitis, in which age group is Neisseria meningitidis most often implicated? Newborns 3 years to six years Young adults, college aged Older adults, elderly Question 26 Multiple Choice Which microorganism is resistant to water chlorination? Escherichia coli Giardia lamblia Balantidium coli Vibrio cholerae Question 27 Multiple Choice What type of genome is found in the Orthomyxoviruses? Single stranded DNA Double stranded DNA Single stranded RNA Double stranded RNA Question 28 Multiple Choice Darkfield microscopy is usually used to view which of the following? Neisseria meningitides Staphylococcus aureus Treponema pallidum Clostridium difficile Question 29 Multiple Choice The organism that causes genital herpes is ________. A bacterium A fungus A virus A parasitic worm Question 30 Multiple Choice Which of these is an opportunistic fungal infection? histoplasmosis candidiasis 0.91 points 0.91 points 0.91 points 0.91 points 0.91 points

coccidioidomycosis blastomycosis Question 31 Multiple Choice Which of these causes inclusion conjunctivitis in neonates? Treponema pallidum Chlamydia trachomatis Coxiella burnetii Haemophilus ducreyi Question 32 Multiple Choice 0.91 points The Gram stain is based on differences in the composition of the bacterial _______. Plasmids Cell membrane Plasma membrane Cell wall Question 33 Multiple Choice Burkitt's lyphoma is a condition linked to which of the following? Epstein Barr Virus Cytomegalvirus Respiratory syncytial virus Varicella zoster virus Question 34 Multiple Choice Which of the following is a major medical research facility? NIH FDA EPA FSIS Question 35 Multiple Choice 0.91 points In a primary humoral response, which of the following actually produces the antibodies? B cells Plasma cells Helper T cells Macrophages Question 36 Multiple Choice Which virus causes erythema infectiosum (fifth disease)? parvovirus adenovirus echovirus coxsackievirus 0.91 points 0.91 points 0.91 points 0.91 points

Question 37 Multiple Choice The Acid Fast stain allows the identification of __________. Genus Genus Genus Genus Treponema Mycoplasma Mycobacterium Corynebacterium

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Question 38 Multiple Choice Which of these cells produce and release antibodies? T cells B cells basophils plasma cells Question 39 Multiple Choice Fluid from a fever blister is most apt to contain Varicella zoster Staphylococcus aureus Herpes simplex virus type 1 Herpes zoster Question 40 Multiple Choice How do bacteria reproduce? Spore formation Binary fission Sexual reproduction Fusion

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Question 41 Multiple Choice 0.91 points Negri bodies are inclusion bodies seen in which of the following disease: Parkinson's disease Rheumatic fever Smallpox Rabies Question 42 Multiple Choice Tapeworms can also be referred to as which of the following? Cestodes Nematodes Trematodes Flukes Question 43 Multiple Choice Protozoans are classified into phyla based on ________. Means of motility Replicative spores Cell wall structure Photosynthetic pigments Question 44 Multiple Choice The most common cause of upper respiratory infections is: 0.91 points 0.91 points 0.91 points

Bacterial infections Viral infections Protozoal infections Fungal infections Question 45 Multiple Choice Which of these provides the best long-term control of viral disease? active immunization passive immunization interferon therapy antibiotic therapy Question 46 Multiple Choice Painful, suppurating inguinal buboes are characteristic of ________. lymphogranuloma venereum gonorrheal urethritis syphilitic gummas chlamydia trachomatis Question 47 Multiple Choice 0.91 points Which of the following is the word that means a cluster of cases that occurs during a brief time interval affecting a specific population? Attack rate Incidence Endemic Outbreak Question 48 Multiple Choice 0.91 points What is the most commonly reported tick borne disease seen in the US? AIDS Lyme Disease Rocky Mountain Spotted Fever Syphilis Question 49 Multiple Choice The first pure culture technique was developed by ________. Koch Leeuwenhoek Pasteur Lister Question 50 Multiple Choice Proglottids and a scolex would be structures found in ______. Parasitic protozoans Parasitic roundworms Parasitic hookworms Parasitic flatworms Question 51 Multiple Choice What type of virus causes SARS? Paramyxovirus 0.91 points 0.91 points 0.91 points 0.91 points 0.91 points

Orthomyxovirus Picornavirus Coronavirus Question 52 Multiple Choice 0.91 points

Which of the following holds the heavy and light chains of an immunoglobulin molecule to each other? J chains Disulfide bonds Hinges regions Carbohydrate Question 53 Multiple Choice 0.91 points The most abundant substance in the cell walls of gram-positive bacteria is ______. lipoprotein peptidoglycan phospholipid chitin Question 54 Multiple Choice What are you using indicator organisms in water testing to detect? Fecal contamination Turbidity levels Presence or absence of chemicals Offensive odors Question 55 Multiple Choice 0.91 points Thymine dimmers are produced when bacterial DNA is affected by _____. UV light Penicillin Base analogs Base insertions Question 56 Multiple Choice What is the primary virulence factor of pneumococcus? capsule enterotoxin pneumolysin nucleus Question 57 Multiple Choice Rice Water Stools typically described which of the following diseases? Childhood Diarrhea Cholera Amebic Dysentary Salmonella Question 58 Multiple Choice 0.91 points 0.91 points 0.91 points 0.91 points

Generalized urethritis is associated with which of the following organisms Candida albicans Chlamydia trachomatis Neisseria gonorrhea Neisseria meningitides Question 59 Multiple Choice Which virus causes roseola? herpes virus adenovirus coxsackievirus parvovirus Question 60 Multiple Choice 0.91 points Gram-negative rods that ferment glucose to produce acid and gas are classified in which family? Neisseriaceae Enterobacteriaceae Rickettsiaceae Micrococcaceae Question 61 Multiple Choice 0.91 points Staphylococcal scalded skin syndrome is produced by which product of the microorganism? coagulase enterotoxin exfoliative toxin erythrogenic toxin Question 62 Multiple Choice 0.91 points An immunity gained from acquiring the infection and recovering from it is best described as: natural active immunity natural passive immunity artificial active immunity artificial passive immunity Question 63 Multiple Choice What is the causative agent of granuloma inguinale? bacterium fungus virus 0.91 points 0.91 points

helminth Question 64 Multiple Choice 0.91 points What reaction is visualized by mixing equivalent amounts of antibody and soluble antigen? flocculation precipitation absorption neutralization Question 65 Multiple Choice 0.91 points The development of anemia and kidney disease among metal and smelt workers is linked to ______ poisoning. lead iron benzene vinyl chloride Question 66 Multiple Choice Toxoplasmosis affects the ______ in the fetus. heart and brain brain and lungs kidneys and heart eyes and brain Question 67 Multiple Choice 0.91 points A phagocyte capable of repeated, sustained phagocytosis is most likely ________. A macrophage A neutrophil A plasma cell A lymphocyte Question 68 Multiple Choice 0.91 points Which of the following occurs in both the classical and the alternate Properdin pathways of Complement activation? Cleavage of C 2 Cleavage of C 4 Cleavage of C 5 Binding of C 1 Question 69 Multiple Choice How many antigen binding sites does IgG possess? One Two Four Ten 0.91 points 0.91 points

Question 70 Multiple Choice Cytotoxic T cells kill foreign cells by ________. Activation of Complement Opsonization Producing antibodies Producing lymphokines

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Question 71 Multiple Choice 0.91 points Which of the following is characterized by possessing a thick layer of peptidoglycan? Gram negative bacteria Gram positive bacteria All bacteria All viruses Question 72 Multiple Choice Diphtheria vaccination stimulates antibodies to _______. opsonize the pathogen neutralize the pathogen's toxicity inhibit the pathogen's adherence inhibit the pathogen's growth Question 73 Multiple Choice Immunization against ______ requires an attenuated virus. pertussis measles tuberculosis hepatitis B Question 74 Multiple Choice Anopheles mosquito is known to be a carrier of which of the following? Malaria African Sleeping Sickness Leishmaniasis Rocky Mountain Spotted Fever Question 75 Multiple Choice Which of these is an opportunistic fungus? Nocardia asteroides Coccidioides immitis Aspergillus flavus Histoplasma capsulatum Question 76 Multiple Choice 0.91 points 0.91 points 0.91 points 0.91 points 0.91 points

What is one potential virulence factor shared by all Gram negative bacteria? Flagella Capsules

Exotoxins Endotoxin Question 77 Multiple Choice Which of these sexually transmitted disease is caused by a spirochete? gonorrhea syphilis chlamydia trichomonias Question 78 Multiple Choice A capsomer is best described as __________. A viral inclusion body Part of a viral capsid The lipid envelope A protein spike Question 79 Multiple Choice 0.91 points The term "staphylococci" implies the arrangement of large cocci in ________. chains packets clusters pairs Question 80 Multiple Choice 0.91 points Which part of the bacterial growth curve represents a period of active growth? Lag phase Log phase Stationary phase Decline phase Question 81 Multiple Choice Cell associated cytotoxicity occurs in _________. Type I hypersensitivity reactions Type II hypersensitivity reactions Type III hypersensitivity reactions Type IV hypersensitivity reactions Question 82 Multiple Choice 0.91 points Which of the following is characterized by possessing a thick outer lipid membrane (LPS)? Gram negative bacteria Gram positive bacteria All bacteria All viruses Question 83 Multiple Choice 0.91 points Which fungal infection is relatively common among horticulturists and timber workers? histoplasmosis cryptococcosis 0.91 points 0.91 points 0.91 points

sporotrichosis candidiasis Question 84 Multiple Choice Which type of cell represents a component of innate immunity? T-helper B-memory T-memory natural killer Question 85 Multiple Choice Which parasite is transmitted by eating raw fish? Schistosoma mansoni Trypanosoma cruzi Clonorchis sinensis Toxoplasma gondii Question 86 Multiple Choice 0.91 points Prevalence and incidence differ in that incidence measures ______ cases. all only new only fatal the ratio of new to existing Question 87 Multiple Choice Which of the following classes of antibodies exists as a pentamer? IgG IgA IgM IgE Question 88 Multiple Choice A retrovirus causes ______. AIDS shingles smallpox mononucleosis Question 89 Multiple Choice 0.91 points Which of the following has been implicated in hemolytic uremic syndrome (HUS)? Salmonella typhi Escherichia coli Salmonella enteritidis 0.91 points 0.91 points 0.91 points 0.91 points

Vibrio cholerae Question 90 Multiple Choice Which of these determines the strength of sewage? trace metal content biological oxygen demand coliform count phosphatase test Question 91 Multiple Choice 0.91 points Pigeon roosts are a common source of which etiologic agent of meningitis? Neisseria meningitidis Cryptococcus neoformans Candida albicans Sporothrix shenckii Question 92 Multiple Choice In which disease is mesothelioma a complication? Silicosis White lung disease Brown lung disease Black lung disease Question 93 Multiple Choice 0.91 points Which of these cells are essential for B cell responses to certain antigens? stem cells T-helper cells T-suppressor cells plasma cells Question 94 Multiple Choice 0.91 points Which microorganism has recently re-emerged as a significant cause of morbidity? Bacillus anthracis Streptococcus pyogenes Mycobacterium tuberculosis Clostridium botulinum Question 95 Multiple Choice 0.91 points Which of the following US government agencies sets the standars for air, water, and soil quanlity? WHO CDC FDA EPA 0.91 points 0.91 points

Question 96 Multiple Choice 0.91 points Neisseria meningitides uses which of the following virulence factors to survive its passage from the blood to the meninges? Flagellum Pilus Pyrogenic exotoxin Polysaccharide capsule Question 97 Multiple Choice Which of the following has been implicated in peptic ulcer disease? Mycobacterium Listeria Helicobacter Corynebacterium Question 98 Multiple Choice What occurs in a primary lymphoid tissue? Lymphocytes Lymphocytes Lymphocytes Lymphocytes respond to antigens process antigens produce antibodies mature into T and B cells. 0.91 points 0.91 points

Question 99 Multiple Choice 0.91 points A patient with primary atypical pneumonia is most likely to exhibit a positive ________ test. Weil-Felix Paul-Bunnell heterophil antibody cold agglutinin Question 100 Multiple Choice 0.91 points

Identification of the HIV core protein (p-24) is a direct indication of ______. active HIV replication opportunistic infection reduced CD4+ percentages presence of malignancy Question 101 Multiple Choice "Etiology" of disease refers to __________. The cause of the disease How to control the disease The distribution of the disease The treatment of the disease Question 102 Multiple Choice How would members of the Family Enterobactriaceae be classified? Gram negative cocci Gram positive cocci Gram negative bacilli Gram positive bacilli Question Multiple Choice 0.91 points 0.91 points 0.91 points

103 The most common cause of skin lesion such as boils or abscesses is ______. Streptococcus pneumoniae Staphylococcus aureus Bacillus cereus Listeria monocytogenes Question 104 Multiple Choice 0.91 points

In regard to public health, the most effective method for sterilizing biohazardous waste is ______. incineration pasteurization dehydration boiling Question 105 Multiple Choice Which of these is the etiologic agent of erysipelas? Staphylococcus aureus Bacillus anthracis Streptococcus pyogenes Rickettsia rickettsii Question 106 Multiple Choice What is the usual cause of death from acute mercury poisoning? myocardial infarction pulmonary distress kidney failure dimentia Question 107 Multiple Choice 0.91 points 0.91 points 0.91 points

Gastroenteritis caused by the ingestion of raw shellfish typically implicates which microorganism? Clostridium botulinum Staphylococcus aureus Vibrio parahaemolyticus Shigella sonnei Question Multiple Choice 0.91 points

108 How is Bubonic Plague spread? Drinking contaminated water Sexual contact Ticks Fleas Question 109 Multiple Choice 0.91 points

Human toxoplasmosis is best diagnosed from which of these specimens? brain biopsy stool urine serum Question 110 Multiple Choice 0.91 points A previously healthy 30-year-old farmer recently tore down an old chicken coop and developed a transient respiratory illness followed by headaches, nausea, malaise, fever, and a variety of respiratory complaints. Which of these is the most likely etiologic agent? Blastomyces dermatitidis Candida albicans Histoplasma capsulatum Aspergillus fumigatus