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87 people developed diarrhea, fever and abdominal cramps in the aftermath of a wedding. On diagnosis it was determined that they were suffering from salmonella, and after taking their histories, they all reported that they had eaten the chicken at the reception. This is an example of ________.


A) a point-source epidemic
B) a propagated epidemic
C) a pandemic
D) an endemic disease

E) A) and B)
F) B) and C)

Correct Answer

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An animal, such as an arthropod, that transmits a pathogen from one host to another is a ________.


A) fomite
B) carrier
C) vector
D) reservoir
E) source

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

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Which of the following is transmission of disease from mother to fetus?


A) Vertical
B) Direct
C) Vector
D) Horizontal
E) Fomites

F) All of the above
G) None of the above

Correct Answer

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The suffix -emia means ________.


A) blood
B) a disease or morbid process
C) an inflammation
D) tumor
E) pertaining to

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

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Infection occurs when


A) contaminants are present on the skin.
B) a person swallows microbes in/on food.
C) a person inhales microbes in the air.
D) pathogens enter and multiply in body tissues.
E) All of the choices are correct.

F) None of the above
G) All of the above

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An infectious agent that originates from outside the body is called ________.


A) exogenous
B) an exotoxin
C) an enterotoxin
D) endogenous
E) axenic

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

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The spread of influenza, which is particularly widespread during the winter months, is an example of a propagated epidemic.

A) True
B) False

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Opportunistic pathogens


A) cause disease in every individual.
B) cause disease in compromised individuals.
C) are always pathogens.
D) have well-developed virulence factors.
E) None of the choices is correct.

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

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Which of the following is not a normal portal of exit for an infectious disease?


A) Removal of blood
B) Urogenital tract and feces
C) Coughing and sneezing
D) Skin
E) All of these are normal exit portals.

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

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The study of the frequency and distribution of a disease in a defined population is ________.


A) pathology
B) clinical microbiology
C) medicine
D) immunology
E) epidemiology

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

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The number of new cases of a disease in a population over a specific period of time compared with the healthy population is the ________.


A) mortality rate
B) morbidity rate
C) incidence rate
D) prevalence rate
E) epidemic rate

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

Correct Answer

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Once a microbe has entered a host, what process performed by certain white blood cells will attempt to destroy the microbes?


A) Phagocytosis
B) Adhesion
C) Encapsulation
D) Margination
E) Exocytosis

F) D) and E)
G) A) and E)

Correct Answer

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Hyaluronidase is a virulence factor in ________.


A) amoebic dysentery
B) ringworm
C) clostridia
D) cold virus
E) diphtheria

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

Correct Answer

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Which of the following statements by a new nurse demonstrates understanding of the cause of infectious disease?


A) "All contact with infectious material leads to colonization."
B) "All colonization leads to infection."
C) "All infections lead to disease."
D) "Host resistance and organism pathogenicity determine the type and severity of infection an individual will experience."

E) A) and B)
F) B) and D)

Correct Answer

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Someone who inconspicuously harbors a pathogen and spreads it to others is a ________.


A) fomite
B) carrier
C) vector
D) reservoir
E) source

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

Correct Answer

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The infectious disease RN discusses scenarios that require hand washing with germicidal soap and water instead of alcohol-based hand cleanser. Which of the following statements by a new nurse is most accurate regarding when hands should be washed with soap and water?


A) "I should wash my hands when they are visibly contaminated."
B) "I should wash my hands before applying gloves."
C) "I should wash my hands after removing gloves."
D) "I should wash my hands when they are visibly contaminated, but also before and after using gloves."

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

Correct Answer

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Robert Koch is credited with proving the germ theory of disease; that infectious diseases are caused by specific microorganisms. In developing a series of proofs (Koch's Postulates) , he was able to determine the causative organism of anthrax was the bacteria Bacillus anthracis. Which of the following statements does not contribute to Koch's Postulates and the germ theory of disease?


A) The causative organism must be evidenced in each subject presenting with the disease manifestations.
B) Inoculating a healthy subject with the isolated organism must result in the reported disease manifestations.
C) The organism must be isolated, purified and characterized from an infected individual.
D) Each organism from a polymicrobial infection must be isolated and inoculated into a single host.
E) The same species of organism must be isolated from the second inoculated individual.

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

Correct Answer

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A symptom is ________.


A) an objective indication of disease
B) a subjective indication of disease
C) measurable by health care personnel
D) temperature
E) None of the choices are correct.

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

Correct Answer

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If the patient develops rabies infection, the time from the bite to the appearance of symptoms is referred to as the ________.


A) incubation period
B) prodromal stage
C) period of invasion
D) convalescent period

E) A) and B)
F) A) and C)

Correct Answer

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Which terminology is not used to describe members of the resident biota?


A) Pathogenic biota
B) Normal biota
C) Indigenous biota
D) Normal microbiota
E) Commensals

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

Correct Answer

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