Term3 Flashcards

1
Q

L-31
Penetration by a virus with an envelope occurs by either fusion or endocytosis. Which of the below viruses executes penetration via fusion:

HIV
Influenza
polio
parvovirus

A

HIV

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2
Q

L-31

Penetration by a virus without an envelope can occur by direct entry across the plasma membrane or by endocytosis. Which os the below viruses executes penetration via direct entry across a plasma membrane:

HIV
Influenza
polio
parvovirus

A

Polio

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3
Q

L-32
What are the top three leading causes of death in the US

Heart disease, suicide, diabetes
Cancer, heart disease, stroke
Stroke, cancer, suicide
Kidney disease, cancer, heart disease

A

Cancer, heat disease, stroke

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4
Q

L-32
The are 10,121 people in Keuka, NY. 155 people have been diagnosed with skin cancer and 108 people have been diagnosed with diabetes During the past year 40 died from skin cancer, 250 people died from stroke, 10 died from diabetes, and 100 people died from natural causes. Calculate the case fatality rate for skin cancer.

250/10,121
100/250
40/155
100/155

A

40/155

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5
Q

DLA 17
Which is true based on the comparison between viruses with and without envelopes

  1. Envelope viruses are transmitted by blood or sexual contact and non-enveloped viruses can be inactivated by alcohol
  2. Envelope viruses are transmitted by fomites or droplets and non-enveloped viruses are resistant to detergents and heat.
  3. Envelope viruses are transmitted by blood or droplets and non-enveloped viruses are resistant to detergents and heat.
  4. Envelope viruses are transmitted by fomites or droplets and non-enveloped viruses are inactivated by detergents or alcohol
A

3

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6
Q

L-33
Two viruses which simultaneously and successfully infect a host despite having defective functions at different gene locations is an example of:

Recombination
Complementation
Antigenic drift
Antigenic shift

A

Complementation

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7
Q

L-33
Which is unique to retro transcribing viruses?

  1. They use DNA-dependent DNA Polymerase in replication
  2. They use RNA-dependent DNA Polymerase for reverse transcriptase
  3. The use RNA-dependent RNA Polymerase for replication
  4. Translation is carried out by the host ribosomes
A

2

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8
Q

L-34
A 21 y/o college student has stage 4 pancreatic cancer and has been informed by his doctor, Dr. Smith. Dr. Smith tells him that this is very serious, there are no treatment options and most people live for less than a year. The student is still on his parent’s health insurance. A week later the student’s parents call and ask Dr. Smith what is going on with their son, he has dropped out of school and his facebook has pictures of him in Europe. The doctor explains that he can’t tell the parents what he discussed with their son. This is an example of which of the elements of respect for persons?

Fidelity
Autonomy
Veracity
Avoidance of killing

A

Fidelity

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9
Q

L-34
A 45 y/o husband and father of 4 children has been diagnosed with colon cancer. The cancer has progressed and the treatment options only have a 50/50 survival outcome. The doctor asks the man what he would like to do. The man asks the doctor if he can think about it and call him back. The doctor agrees. A few days later the man calls the doctor back and informs the doctor they he has decided not to seek treatment. The doctor makes a note of the decision and tells the man he will have someone call him about hospice and end of life care. A week later the man’s wife shows up at the doctor’s office crying and very distraught. She tells the doctor her husband made the decision not to get treatment without discussing it with her and pleads with the doctor to convince her husband to get treatment. The doctor tells the woman that he would be happy to meet with the both of them to discuss the matter further but that he can’t force the man to get treatment. The woman thanks the doctor and an appointment for the both of them is made. This is and example of which element of respect for persons.

Fidelity
Autonomy
Veracity
Avoidance of killing

A

Autonomy

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10
Q

DLA-17

Icosahedral capsids have a 5-3-2 complex axes of symmetry. Which viruses have these types of capsids?

HIV
Rhabdoviruses
vaccina virus
Polio

A

Polio

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11
Q

DLA-16

What is an example of a financial barrier to health care?

ACA
COBRA
No insurance
Race

A

No insurance

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12
Q

DLA-16

What is an example of a non-financial barrier to health care?

ACA
COBRA
No insurance
Race

A

Race

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13
Q

DLA-18

What is commensalism?

  1. association of 2 different species where each one benefits from the other
  2. association o 2 different species where neither one benefits for the other
  3. associate of 2 different species where one species benefits and the other is harmed
  4. associated of 2 different species where one species benefits and the other neither benefits nor is harmed
A

4

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14
Q

DLA-18

Which are effective control measures against parasitic disease

Improved sanitation
vector control
drug administration programs
all of the above

A

all of the above

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15
Q

L-36
Which of the below refers to a clinical determination that is decision specific

Competence
Insanity
Capacity
Understanding

A

Capacity

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16
Q

L-36

Which of the below are part of the criteria for an emancipated minor

Someone older than 13
Someone married or economically self sufficient
Someone 17 years old and in the military with no parental support
all of the above

A

All of the above

17
Q

L-37

Which of the below affects the trunk and is also referred to as ring worm?

T. barbae
T. pedic
T. capitis
T. corporis

A

T. corporis

18
Q

L-37

Which fungi enters via the lungs as inhaled spores?

Primary mycosis
Cutaneous and superficial
Subcutaneous

A

Primary mycosis

19
Q

L-38

Give an example of an exception to doctor confidentiality and instead doctor mandated reporting?

A

Gunshot and knife wounds
Abuse or neglect
communicable diseases
patient poses imminent danger to others

20
Q

L-38

What are the three predictors of medical malpractice?

A

Years of training
Experience
Specialization

21
Q

L-39

Which of the below T cells receptors is responsible for T cell activation? (more than one answer)

CD28
CTLA-4
ICOS
PD-1

A

CD28

ICOS

22
Q

L-39

Which cells are cell mediated, antigen specific:

T Helper CD4
NK cells
Macrophages
neutrophils

A

T Helper CD4

23
Q

L-40

Name 4 criteria when physicians should act in regards to public health

A
  1. Expertise-when your expertise makes a greater impact that a non-expert
  2. Proximity-when you are closer to the public health risk
  3. Unique-when no others are available
  4. Severity-when failing to act might cause a much worse outcome
24
Q

L-40

Describe dilemmas involving vector-borne diseases

A

-killing a vector might also damage people as well as the environment, ex. spraying for misquitos

25
Q

L-41
Which chemokine differentiates CD4+ T Cells into Th2 cells?

IL-12
IFN gamma
IL-4
IL-1

A

IL-4

26
Q

L-41
Which chemokine suppresses Th-1 cell mediated immunity?

IL-4
IL-5
IL-10
IL-12

A

IL-10

27
Q

L-42
Which criteria is not one of the criteria for determining the strength of information and evidence

currency
relevance
accuracy
validity

A

Validity

28
Q

L-42
Which is not part of medical ethics

Autonomy
Nonmaleficence
Justice
Utility

A

Utility

29
Q

L-43

What does CCR7 do?

  1. Helps T and B cells meet in the cortex/paracortex
  2. Inhibits classic complement cascade
  3. Inhibits CD40 CD40L interactions
  4. Helps B cells recognize non-protein antugens
A

1

30
Q

L-43

What provides B cell signal 2 activation

Ig-gamma/IgB
CD40/CD40L
AID
B7/CD28

A

CD40/CD40L

31
Q

L-44

What are the 3 trajectories of illness?

A

cancer
organ failure
fraility

32
Q

L-44

What is consequential theory?

A

consequences of one’s conduct are the ultimate basis for any judgement about the rightness or wrongness of that conduct