Ch. 20 Questions

Question 1

A unique characteristic of many isolates of Pseudomonas useful in identification is

a) fecal odor
b) fluorescent green pigment
c) drug resistance
d) motility

Answer 1

b) fluorescent green pigment

Question 2

Human brucellosis is also known as

a) Bang disease
b) undulant fever
c) rabbit fever
d) Malta fever

Answer 2

b) undulant fever

Question 3

Francisella tularensis has which portal(s) of entry?

a) tick bite
b) intestinal
c) respiratory
d) all of these

Answer 3

d) all of these

Question 4

A classic symptom of pertussis is

a) labored breathing
b )paroxysmal coughing
c) convulsions
d) headache

Answer 4

b )paroxysmal coughing

Question 5

The severe symptoms of pertussis are due to what effect(s)?

a) irritation of the glottis by the microbe
b) pneumonia
c) the destruction of the respiratory epithelium
d) blocked airways
e) both c and d are involved

Answer 5

e) both c and d are involved

Question 6

Escherichia coli displays which antigens?

a) capsular
b) somatic
c) flagellar
d) all of these

Answer 6

d) all of these

Question 7

Which of the following is not an opportunistic enteric bacterium?

a) Serratia
b) Klebsiella
c) Proteus
d) Shigella

Answer 7

d) Shigella

Question 8

Which of the following is a major difference between Salmonella and Shigella infections?

a) mode of transmission
b) likelihood of septicemia
c) the portal of entry
d) presence/absence of fever and diarrhea

Answer 8

b) likelihood of septicemia

Question 9

A complication/complications of typhoid fever is/are

a) neurological damage
b) intestinal perforation
c) liver abscesses
d) b and c

Answer 9

d) b and c

Question 10

Shigella is transmitted by

a) food
b) flies
c) feces
d) all of these

Answer 10

d) all of these

Question 11

The bubo of bubonic plague is a(n)

a) ulcer where the flea bite occurred
b) granuloma in the skin
c) enlarged lymph node
d) infected sebaceous gland

Answer 11

c) enlarged lymph node

Question 12

Haemophilus influenzae is ________ and requires special ________ for growth.

a) motile, temperatures
b) encapsulated, minerals
c) intracellular, sample swabs
d) fastidious, blood factors

Answer 12

d) fastidious, blood factors

Question 13

Which of the following is NOT associated with H. influenzae infections?

a) fever
b) flu
c) stiff neck
d) headache

Answer 13

b) flu

Question 14

Which of the following are primarily zoonoses?

a) tularemia
b) salmonellosis
c) shigellosis
d) brucellosis
e) pasteurellosis
f) bubonic plague

Answer 14

ALL BUT C

Question 15

________ H. influenzae aegyptius a) local abscess
________ Haemophilus influenzae b) chancroid
________ Haemophilus ducreyi c) pinkeye
________ Pasteurella multocida d) meningitis

Answer 15

c
d
b
a

Question 16

________ Salmonella enterica serotype Typhi a) whooping cough
________ Pseudomonas aeruginosa b) typhoid fever
________ Bordetella pertussis c) Pontiac fever
________ Legionella pneumophila d) folliculitis

Answer 16

b
d
a
c

Question 17

________ Francisella tularensis a) dysentery
________ Yersinia pestis b) bubonic plague
________ Escherichia coli O157:H7 c) gastroenteritis
________ Shigella species d) rabbit fever
________ Salmonella enterica e) hemolytic uremic syndrome

Answer 17

d
b
e
a
c

Question 18

Which is generally not a risk factor for acquiring brucellosis?

a) caring for a patient infected with Brucella
b) drinking unpasteurized milk
c) working in a microbiology lab
d) slaughtering animals

Answer 18

a) caring for a patient infected with Brucella

Question 19

Which of the following is NOT true concerning this case?

a) The vaccine strain of Brucella abortus does not produce easily detectable antibodies.
b) Pasteurization of milk likely would have prevented human infection.
Knowing that the vaccine strain RB51 was responsible for infection c)helped guide the choice of antibiotic.
d) Pregnant women infected with Brucella abortus are at risk of miscarriage.

Answer 19

d) Pregnant women infected with Brucella abortus are at risk of miscarriage.

Question 20

The nurse recognizes which of the following as a category A biological agent that may be used in a terrorist attack?

a) Escherichia coli
b) Francisella tularensis
c) Klebsiella pneumoniae
d) Pseudomonas aeruginosa

Answer 20

b) Francisella tularensis

Question 21

The nurse is preparing for a well-baby check of a 2-month-old. What vaccine will likely be given during the appointment?

a) DTaP
b) hepatitis B
c) MMR
d) plague

Answer 21

a) DTaP