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Influenza exhibits antigenic drift which involves _____.


A) mutations in genes for hemagglutinin and neuraminidase
B) gene reassortment due to multiple viral infections
C) mutations in envelope phospholipids
D) mutations in capsid proteins

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

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The mucociliary escalator:


A) leads to aspirations of secretions that can cause pneumonia
B) allows materials in the bronchi to be lifted to the pharynx
C) is a ring of lymphoid tissue that surround the pharynx
D) two of these choices

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

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B

Treatment of choice for TB is _____.


A) erythromycin and penicillin
B) isoniazid and rifampin
C) purified protein derivative
D) cold fresh air

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

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Which is characterized by a pseudomembrane forming in the throat


A) Diphtheria
B) Pertussis
C) Pharyngitis
D) Laryngitis

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

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The pathogen responsible for the disease whooping cough is _____.


A) Rhinovirus
B) Bordetella pertussis
C) Corynebacterium
D) Haemophilus

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

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Primary atypical pneumonia is caused by:


A) Streptococcus pneumoniae
B) Mycobacterium pneumoniae
C) Mycoplasma pneumoniae
D) Klebsiella pneumoniae

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

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Pharyngitis is most often caused by:


A) a virus
B) Streptococcus pyogenes Group A
C) Staphylococcus aureus
D) Corynebacterium

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

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Which of the following statements about pneumonia is incorrect


A) Helminths can cause pneumonia.
B) Walking pneumonia is caused by Legionella pneumophilia.
C) Chemicals and radiation can cause pneumonia.
D) Walking pneumonia cannot be prevented by vaccination.

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

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Which fungal infection leads to an allergic asthmatic response


A) Aspergillosis
B) Blastomycosis
C) Cryptococcosis
D) Histoplasmosis

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

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Prevention of pneumococcal pneumonia is difficult because:


A) the vaccine only protects against 23 strains
B) the vaccine covers all the strains,but boosters must be administered
C) there is no vaccine
D) the vaccine is only given to adults

E) B) and D)
F) B) and C)

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A

Which of the following statements related to Rhinoviruses is incorrect


A) Rhinoviruses grow best at 33 - 34แต’C.
B) Antibiotics are not useful in treating the common cold.
C) There are at least 113 different Rhinoviruses.
D) Rhinoviruses are very resistant to acid.

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

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Sinusitis can be caused by:


A) Staphylococcus aureus
B) Streptococcus pneumoniae
C) Haemophilus influenzae
D) All of these choices

E) B) and D)
F) B) and C)

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Pontiac fever is a mild form of _____.


A) tuberculosis
B) pneumonia
C) legionellosis
D) diphtheria

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

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Which of the following statements about Corynebacterium diphtheriae is INCORRECT


A) A prophage carries the exotoxin producing gene.
B) An epidemic of diphtheria killed numerous people in the former Soviet Union.
C) The bacteria are Gram-negative rods.
D) The bacteria are in a palisade arrangement and have metachromatic granules.

E) A) and B)
F) All of the above

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Acute epiglottitis is invariably caused by:


A) a virus
B) Streptococcus pyogenes
C) Corynebacterium pseudoinfluenzae
D) Haemophilus influenzae type B

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

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Tubercles:


A) are white patches when seen on chest x-rays of TB patients
B) undergo destruction giving a cheesy,caseous appearance
C) contain live Mycobacterium
D) all of these choices

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

Correct Answer

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Otitis media is caused most often by:


A) Streptococcus pneumoniae
B) Staphylococcus aureus
C) Haemophilus influenzae
D) Two of these choices

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

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Which of the following statements about prevention of whooping cough is false


A) DTP contains the acellular Pertussis vaccine (Recombinant DNA vaccine) .
B) The whole cell vaccine caused a number of children to die or have brain damage.
C) The acellular vaccine is safer.
D) Babies are immunized early because they have no passive immunity from their moms.

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

Correct Answer

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The following statements about tuberculosis are all true except:


A) Mycobacterium avium-intracellulare causes TB in AIDS patients
B) the pathogens have long generation time (12-18 hours)
C) Mycobacterium tuberculosis is the most common causative agent
D) the pathogens are very sensitive to drying and die quickly in the environment

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

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D

The presence of Bordetella pertussis is confirmed by _____.


A) beta colonies on a blood agar plate
B) sensitivity to penicillin
C) a reddish pigmented colony
D) a fluorescent antibody stain

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

Correct Answer

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