Exam 2 MC Flashcards

1
Q

Which of the following mechanisms can lead to drug resistance in viruses?

A

target alterations

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2
Q

Where in the body would activated dendritic cells most commonly be found

A

Encounter pathogens in peripheral tissues. Migrate to afferent lymph ducts. From there, lymph node

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3
Q

Unlike Vibrio cholerae, the related extracellular bacterium Vibrio vulnificus can cause invasive disease. What isotype of antibody generated in response to infection would contribute to the control of V. vulnificus invasive disease, but not to the control of V. cholerae infection?

A

Septema in the blood. Controlled by IgM, IgG, and IgA. Only IgA works in V. cholerae so IGM and IGG

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4
Q

Which of the following drug-resistance mechanisms is/are found only in bacteria?

A

inactivation of drug

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5
Q

In which of the following places in the body would naive lymphocytes be found?

A

circulating in the efferent lymphatics, blood, and the lymph node

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6
Q

In which of the following places in the body would macrophages be found

A

peripheral tissues

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7
Q

After encountering a pathogen in peripheral tissues, myeloid dendritic cells do which of the following

A

take up antigens from its surrounding and then migrate rapidly through afferent lymph ducts to the surrounding lymph node. Then present antigen to T-cells

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8
Q

In which of the following places in the body would monocytes be found?

A

Monocytes circulate in the blood waiting for a call for action

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9
Q

Which of the following are potential target of antimicrobial drugs?

A

inhibit growth/reproduction of microbes, inhibit pathogen specific enzymes involved in nucleic acid/protein synthesis and other pathogen functions

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10
Q

Which of the following diseases and conditions should be reported immediately to the local health department if they are reasonably suspected by a physician practicing in NC

A

All Boys Play Sports To Neglect Homework

anthrax, botulism, plague, smallpox, tuleremia, novel influenza, and hemorrhagic fever virus

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11
Q

Which of the following are examples of immediately actions that might be taken by public health authorities in response to a case of a reportable disease?

A

contact tracing, issuing isolation order, and performing post exposure prophylaxis

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12
Q

In which of the following classes of pathogen does antimicrobial drug resistance occur by enzymatic inactivation of the drug

A

only in bacteria

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13
Q

In which of the following classes of pathogens does antimicrobial drug resistance occur through mutations in target enzymes that prevent drug binding

A

bacteria, virus, fungi, and parasites

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14
Q

What type of infections is combination therapy with antimicrobial agents intended to treat?

A

Generally employed against pathogens that establish persistent infections (absence of outside intervention) Also can be used against any pathogen for which multiple drugs with different targets are available.

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15
Q

For which of the following types of infectious disease would supportive care alone be an appropriate treatment?

A

No cure (Ebola hemorrhagic fever). Pathogen-specific treatment doesn’t affect outcome (HUS by E.coli)

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16
Q

A positive PPD skin test for TB involves which of the following humoral and/or cellular effectors of the adaptive immune system?

A

TH1 T-cells

17
Q

Which of the following potentially could be a curative treatment for an infectious disease?

A

chemotherapy, antimicrobial agents, or surgery

18
Q

Results from which of the following types of tests might help a clinician to refine a differential diagnosis?

A

blood work, microscope, pathogen antigen testing, culture, pathogen specific PCR, serology, radiology, skin test, chest x-ray, CT scan, PPD

19
Q

In which of the following places in the body would naive lymphocytes encounter their antigen for the first time?

A

lymph nodes

20
Q

Which of the following types of intracellular pathogens would be expected to enter cells by phagocytosis

A

large, cellular pathogens like bacteria, fungi, or parasites

21
Q

Which of the following types of intracellular pathogens would be expected to enter cells by endocytosis?

A

viruses and small, cellular pathogens. Antigens bound by BCR

22
Q

Which of the following are effector function of terminal complement components?

A

generate the membrane attack complex - form pores in target cell membrane.

23
Q

which of the following are effector functions of neutrophils

A

acts as phagocytes; phagocytosis and digestion of cellular pathogens and debris

24
Q

Which of the following are effector functions of natural killer cells?

A

kill infected host cells. can also use antibody to identify targets.

25
Q

Which of the following are similarities between the cell killing mechanism utilized by the complement system and that of natural killer cells

A

both create pores in target cell’s cell membrane