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Which of the following definitions is INCORRECT?


A) acute: a short-lasting primary infection
B) inapparent: infection characteristic of a carrier state
C) chronic: a disease that develops slowly and lasts for months
D) primary infection: an initial illness
E) secondary infection: a long-lasting illness

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

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In which of the following patterns of disease does the patient experience no signs or symptoms?


A) prodromal
B) decline
C) convalescence
D) incubation
E) both incubation and convalescence

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

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Which of the following diseases is NOT spread by droplet infection?


A) botulism
B) tuberculosis
C) measles
D) the common cold
E) diphtheria

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

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Situation 14.1 During a six-month period, 239 cases of pneumonia occurred in a town of 300 people. A clinical case was defined as fever ≥ 39°C lasting >2 days with three or more symptoms (i.e., chills, sweats, severe headache, cough, aching muscles/joints, fatigue, or feeling ill) . A laboratory-confirmed case was defined as a positive result for antibodies against Coxiella burnetii. Before the outbreak, 2000 sheep were kept northwest of the town. Of the 20 sheep tested from the flock, 15 were positive for C. burnetii antibodies. Wind blew from the northwest, and rainfall was 0.5 cm compared with 7 to 10 cm during each of the previous three years. -The etiologic agent of the disease in Situation 14.1 is


A) sheep.
B) soil.
C) Coxiella burnetii.
D) pneumonia.
E) wind.

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

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Situation 14.1 During a six-month period, 239 cases of pneumonia occurred in a town of 300 people. A clinical case was defined as fever ≥ 39°C lasting >2 days with three or more symptoms (i.e., chills, sweats, severe headache, cough, aching muscles/joints, fatigue, or feeling ill) . A laboratory-confirmed case was defined as a positive result for antibodies against Coxiella burnetii. Before the outbreak, 2000 sheep were kept northwest of the town. Of the 20 sheep tested from the flock, 15 were positive for C. burnetii antibodies. Wind blew from the northwest, and rainfall was 0.5 cm compared with 7 to 10 cm during each of the previous three years. -Situation 14.1 is an example of


A) human reservoirs.
B) a zoonosis.
C) a nonliving reservoir.
D) a vector.
E) a focal infection.

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

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Reservoirs of infections are always inanimate objects.

A) True
B) False

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Which of the following definitions is INCORRECT?


A) endemic: a disease that is constantly present in a population
B) epidemic: a disease that is constantly present across the world
C) pandemic: a disease that affects a large number of people in the world in a short time
D) sporadic: a disease that affects a population occasionally
E) incidence: number of new cases of a disease

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

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Pseudomonas bacteria colonized the bile duct of a patient following his liver transplant surgery.This is an example of a


A) communicable disease.
B) latent infection.
C) nosocomial infection.
D) sporadic disease.
E) None of the answers is correct.

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

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Zika virus infection,a zoonotic disease,produced somewhat sizable outbreaks recently in certain areas of Central America,but not in the U.S (although there were some infected individuals uncovered in the U.S.).Provide two plausible explanations for this dichotomy,and explain.

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Which of the following pairs is mismatched?


A) malaria - foodborne transmission
B) salmonellosis - vehicle transmission
C) syphilis - direct contact
D) influenza - droplet infection

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

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Which of the following can contribute to postoperative infections?


A) using syringes more than once
B) normal microbiota on the operating room staff
C) errors in aseptic technique
D) antibiotic resistance
E) All of the answers are correct.

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

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Which of the following is NOT a verified exception in the use of Koch's postulates?


A) Some diseases have poorly defined etiologies.
B) Some pathogens can cause several disease conditions.
C) Some human diseases have no other known animal host.
D) Some diseases are not caused by microbes.
E) Some diseases are noncommunicable.

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

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Which of the following is a fomite?


A) water
B) droplets from a sneeze
C) pus
D) insects
E) a hypodermic needle

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

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A disease in which the causative agent remains inactive for a time before producing symptoms is referred to as


A) subacute.
B) subclinical.
C) latent.
D) zoonotic.
E) acute.

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

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Bloodstream infections are the least common forms of nosocomial infections.

A) True
B) False

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A healthcare-associated infection (traditionally known as a nosocomial infection) is


A) always present,but is inapparent at the time of hospitalization.
B) acquired during the course of hospitalization.
C) always caused by medical personnel.
D) only a result of surgery.
E) always caused by pathogenic bacteria.

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

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Which of the following statements is FALSE?


A) Antimicrobial therapy for hemodialysis-associated infections increases antibiotic resistance.
B) S) aureus is differentiated from other mannitol+ cocci by the coagulase test.
C) The M in MRSA stands for mannitol.
D) The USA100 strain accounts for most hospital-acquired MRSA.
E) The USA300 strain accounts for most community-acquired MRSA.

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

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Refer to Figure 14.3 for the next several questions. Refer to Figure 14.3 for the next several questions.    -The graph in Figure 14.3 shows the incidence of polio in the United States.The period between 1945 and 1955 indicates a(n)  A) endemic level. B) epidemic level. C) sporadic infection. D) communicable disease. E) pandemic. -The graph in Figure 14.3 shows the incidence of polio in the United States.The period between 1945 and 1955 indicates a(n)


A) endemic level.
B) epidemic level.
C) sporadic infection.
D) communicable disease.
E) pandemic.

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

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Emergence of infectious diseases can be attributed to all of the following EXCEPT


A) antibiotic resistance.
B) climatic changes.
C) new strains of previously known agents.
D) ease of travel.
E) The emergence of infectious diseases can be attributed to all of these.

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

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Which of the following statements about healthcare-associated infections is FALSE?


A) They occur in compromised patients.
B) They may be caused by opportunists.
C) They may be caused by drug-resistant bacteria.
D) They may be caused by normal microbiota.
E) The patient was infected before hospitalization.

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

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