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Gums bleeding while brushing oneʹs teeth is most commonly associated with


A) gingivitis.
B) cavities.
C) periodontitis.
D) trench mouth.
E) halitosis.

F) A) and C)
G) None of the above

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An outbreak of viral gastroenteritis occurs in a pediatrics ward. Rotavirus is the most likely causative agent.

A) True
B) False

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True

Most of the normal microbiota of the digestive system are found in the


A) stomach and small intestine.
B) stomach.
C) small intestine and large intestine.
D) mouth.
E) accessory structures.

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

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A 38-year-old man had onset of fever, chills, nausea, and myalgia while vacationing on the Gulf of Mexico. On April 29, he had eaten raw oysters and gone wading in the warm coastal waters. On May 2, he was admitted to a hospital because of a fever of 39°C and two circular necrotic lesions on the left leg. He had a history of alcoholic liver disease. He was transferred to the ICU; therapy with antibiotics was initiated. On May 4, he died. Which of the following is the most likely cause?


A) Vibrio vulnificus
B) Cyclospora cayetanensis
C) Salmonella typhi
D) hepatitis C virus
E) Bacillus cereus

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

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All of the following pertain to pinworm infections EXCEPT


A) all family members living with the patient must also be treated.
B) it is a helminth disease.
C) diagnosis is by detecting eggs on transparent tape pressed to the perianal area.
D) transmission is typically by contact with fomites or inhalation of eggs.
E) it is most commonly transmitted by cysts in water.

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

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Which of the following pertains to typhoid fever?


A) It is caused by several different species of Salmonella.
B) It is also called bacillary dysentery.
C) It is acquired via ingestion of contaminated meat.
D) Causative microorganism multiplies in patient phagocytes.
E) Enterotoxin spreads via the blood.

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

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Microscopic examination of a patientʹs fecal culture shows spiral bacteria. The bacteria probably belong to the genus


A) Campylobacter jejuni.
B) Salmonella typhi.
C) Shigella spp.
D) Escherichia coli.
E) Vibrio cholerae.

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

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The most common cause of travelerʹs diarrhea is


A) Escherichia coli.
B) Salmonella enterica.
C) Campylobacter jejuni.
D) Giardia lamblia.
E) Shigella spp.

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

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Bacterial intoxications differ from bacterial infections of the digestive system in that intoxications


A) are accompanied by high fever.
B) are more severe.
C) are transmitted via contaminated water.
D) are treated with antibiotics.
E) have shorter incubation times.

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

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E

Clostridium difficile-associated diarrhea is usually preceded by


A) travel to an underdeveloped country.
B) eating contaminated food.
C) extended use of antibiotics.
D) a blood transfusion.
E) improper food storage.

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

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Epidemics related to bacterial infection of the digestive system are typically caused by


A) the respiratory route.
B) contaminated food and water.
C) unpasteurized milk.
D) exposure to contaminated soil.
E) biological vectors.

F) None of the above
G) B) and C)

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Which of the following causes inflammation of the liver?


A) hepatitis A virus
B) Salmonella enterica
C) Escherichia coli
D) Shigella spp.
E) Vibrio cholerae

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

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Which of the following organisms is likely to be transmitted via contaminated shrimp?


A) Staphylococcus aureus
B) Clostridium perfringens
C) Vibrio parahaemolyticus
D) Trichinella spiralis
E) Giardia lamblia

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

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Which of the following is included in GALT?


A) liver
B) salivary glands
C) thymus
D) tonsils
E) Peyerʹs patches

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

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E

Which of the following organisms feeds on red blood cells?


A) Giardia lamblia
B) Taenia spp.
C) Escherichia coli
D) Entamoeba histolytica
E) Vibrio parahaemolyticus

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

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All of the following are eukaryotic organisms that cause diarrheal disease EXCEPT


A) Entamoeba.
B) Cryptosporidium.
C) Campylobacter.
D) Giardia.
E) Cyclospora.

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

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Which of the following is mismatched?


A) pinworm infestation - humans ingest parasiteʹs eggs
B) hydatid disease - humans are the definitive host
C) trichinellosis - humans eat larva of parasite
D) Taenia infestation - humans are the definitive host
E) hookworm infestation - parasite bores through skin

F) All of the above
G) A) and D)

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Typhoid fever differs from salmonellosis in that in typhoid fever


A) the incubation period is much longer.
B) the microorganisms multiply within macrophages.
C) the symptoms are due to infection of the gallbladder.
D) infection occurs due to ingestion of endospores.
E) infection is spread only in the feces of domesticated animals.

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

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Which of the following organisms is likely to be transmitted via undercooked pork and horse?


A) Shigella spp.
B) Staphylococcus aureus
C) Salmonella enterica
D) Trichinella spiralis
E) Entamoeba histolytica

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

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Dental plaque is an example of


A) a pellicle.
B) tooth enamel.
C) dentin.
D) gingivitis.
E) a biofilm.

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

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