Deck 23: Cardiovascular, lymphatic and Systemic Disease

Question 1

Which infection refers to inflammation of the lining and valves of the heart?

A)septicemia
B)rheumatic fever
C)endocardiatis
D)puerperal fever

Answer 1

C

Question 2

Which of the following terms refers to red streaks beneath the skin of legs and arms?

A)bacteremia
B)septic shock
C)septicemia
D)lymphangitis

Answer 2

D

Question 3

Dengue fever is transmitted via:

A)mosquitoes
B)sand flies
C)mites
D)ticks

Answer 3

A

Question 4

Epstein Barr Virus is associated with:

A)Burkitt's lymphoma
B)cervical cancer
C)nasopharyngeal carcinoma
D)two of these choices

Question 5

Which term refers to the presence of bacteria in the blood stream?

A)bacteremia
B)septic shock
C)septicemia
D)lymphangitis

Question 6

Arenavirus fevers include:

A)Colorado fever
B)Fifth disease
C)Toxoplasmosis
D)Lassa fever

Question 7

Chronic fatigue syndrome:

A)is due to Burkitt's Lymphoma
B)is transmitted by organ transplantation
C)may be associated with EBV, HHV6 or other viral illnesses
D)is a fictitious disease made up by psychiatry patients

Question 8

Puerperal fever is caused by:

A)Streptococcus pyogenes
B)Staphylococcus aureus
C)Pseudomonas aeruginosa
D)Streptococcus agalactiae

Question 9

Aplastic crisis caused by an Erythrovirus is characterized by the destruction of:

A)platelets
B)RBCs
C)plasma
D)WBCs

Question 10

Inflammation and blockage of lymph ducts leading to elephantiasis is due to which organism?

A)Schistosoma haematobium
B)Streptococus pyogenes
C)Wuchereria bancrofti
D)Staphylococcus aureus

Question 11

All of the following occur in shistosomiasis except:

A)allergic reactions to eggs and cirrhosis of liver from eggs
B)flukes lodge in heart and brain causing disease
C)cercariae penetrate skin when humans wade in snail-infested waters
D)dermatitis from cercarcia

Question 12

Which of the following terms refers to a bacteria-fibrin mass that forms on damaged valvular surfaces?

A)vegetation
B)lymphangitis
C)ischemia
D)petechiae

Question 13

Which fever causes a severe bone and joint pain along with other symptoms (headache,nausea,weakness,rash),its main vector is Aedes aegypti and vaccines are only available for two strains?

A)Yellow fever
B)Colorado tick fever
C)Dengue fever
D)Ehrlichiosis

Question 14

Which of the following statement does not refer to leishmaniasis?

A)Transmitted by sandflies.
B)Has an affinity for the pericardium and myocardium.
C)Is limited to tropical and subtropical countries where the vector is available.
D)Symptoms include high irregular fever, progressive wasting and protrusion of abdomen.

Question 15

What role do antibiotics play in septic shock?

A)reduce the fever and lymphangitis symptoms
B)kills Gram-positive bacteria but are ineffective with Gram-negative bacteria
C)worsen the situation by releasing large quantities of endotoxin
D)none of these choices

Question 16

Parvovirus infections are severe in:

A)cats
B)children
C)dogs
D)two of these choices

Question 17

Yellow fever is characterized by all of the following except:

A)carrier is the sand fly
B)reservoir in monkey populations
C)vaccine is available
D)limited to tropical areas of Central & South America and Africa

Question 18

Normal microflora of the cardiovascular system include _____.

A)Staphylococcus aureus
B)parvovirus
C)Escherichia coli
D)none of these choices

Question 19

Infectious mononucleosis is characterized by all of the following except:

A)caused by Epstein Barr virus
B)an acute disease that affects many systems
C)most patients have a sore throat
D)a vaccine is available

Question 20

Which of the following terms refers to a pin-point hemorrhage most common in skin folds?

A)septicemia
B)lymphangitis
C)ischemia
D)petechiae

Question 21

Rickettsia are characterized by all of the following except:

A)Gram-negative coccobacilli
B)obligate intracellular parasites
C)embryonated eggs are often used for cultivation
D)treatment with amoxicillin is usually effective

Question 22

Erhlichiosis is characterized by all of the following except:

A)symptoms include fever, headache, hepatitis, and muscle pain
B)reduction in white blood cells
C)a rash similar to Rocky Mountain spotted fever
D)ehrlichial intracytoplasmic inclusions in WBCs suggest presence of Ehrlichia

Question 23

The body louse is the arthropod vector for:

A)Endemic typhus
B)Epidemic typhus
C)Trench fever
D)two of these choices

Question 24

Bartonellosis is seen mainly in:

A)western slopes of the Andes
B)Amazon jungle areas
C)sub-Saharan Africa
D)Central America

Question 25

Anthrax is characterized by all of the following except:

A)cutaneous is the most common form
B)intestinal anthrax has the highest mortality rate
C)etiology is Bacillus anthracis
D)diagnosed by cultured blood or smears from cutaneous lesions

Question 26

The mite is the vector for:

A)Rickettsialpox
B)Ehrlichiosis
C)Trench fever
D)Rocky Mountain spotted fever

Question 27

Lyme disease is characterized by all of the following except:

A)etiology is Borrelia burgdorferi
B)bull's eye rash
C)genetic predisposition with HLA-DR4 or RLA-DR2
D)debilitating hepatitis is a common complication

Question 28

Which infection is seen in individuals with extreme stress,poor sanitation,and nutritional deficiencies,transmitted by body lice and had an impact on both World War I and II?

A)Rickettsialpox
B)Dengue fever
C)Smallpox
D)Shinbone fever

Question 29

Endemic relapsing fever is transmitted by:

A)ticks
B)lice
C)sandflies
D)fleas

Question 30

The rickettsial disease that is found in Japan and Southwest Asia is:

A)trench fever
B)bartonellosis
C)endemic typhus
D)scrub typhus

Question 31

Brucellosis can be controlled by all of the following except:

A)protective clothing for workers with occupational exposure
B)human vaccine
C)pasteurization of dairy products
D)immunizing animal herds

Question 32

______ disease is actually the reoccurrence of a rickettsial infection.

A)Zoster
B)Brill-Zinsser
C)Tsutsugamushi
D)Burkitt's lymphoma

Question 33

Plague is characterized by all of the following except:

A)sylvanic plague infects city rats
B)etiology is Yersinia pestis
C)antibiotic treatment is effective
D)immense lymph node enlargements called buboes

Question 34

Epidemic typhus is characterized by all of the following except:

A)etiology is Rickettsia prowazekii
B)in WWI, killed 3 million Russians
C)there is no immunity after recovery
D)rash from trunk to extremities, but rarely on palms and soles

Question 35

Relapsing fever is characterized by all of the following except:

A)etiology is Borellia
B)vaccine is available
C)vectors are lice or ticks
D)infection was initiated to treat syphilis before antibiotics

Question 36

The flea is the arthropod vector for:

A)Epidemic typhus
B)Endemic typhus
C)Trench fever
D)Scrub typhus

Question 37

Spirochetes are responsible for:

A)Lyme disease
B)Syphilis
C)Relapsing fever
D)all of these choices

Question 38

Which of the following diseases was a problem during the Vietnam War as soldiers crawled on their bellies in low vegetation to avoid snipers?

A)Scrub typhus
B)Murine typhus
C)Epidemic typhus
D)Leishmaniasis

Question 39

Which of the following diseases was first seen in New York City about 60 years ago,associated with the mites of house mice and often misdiagnosed as chickenpox?

A)Ehrlichiosis
B)Turkeypox
C)Rickettsialpox
D)Shingles

Question 40

Rocky Mountain spotted fever is characterized by all of the following except:

A)vector is the dog tick, Dermacentor variabilis
B)etiology is Rickettsia rickettsii
C)most cases reported are in the northwest U.S.
D)prominent rash on palms and soles

Question 41

All of the following refer to sickle-cell anemia except:

A)makes children more susceptible to infection with Erythrovirus
B)is caused by Lyme disease
C)protects against malaria
D)is a blood disorder

Question 42

Which of the following statements is false?

A)Leishmaniasis was confirmed in US military personnel involved in conflicts in Iraq.
B)Drug resistant plague bacteria have been reported in the southwestern US.
C)Bacillary angiomatosis is a problem for immunocompromised individuals.
D)Borrelia is a bacterial spirochete.

Question 43

Problems in treating malaria arise because:

A)the bacteria contain multi-drug resistant plasmids
B)many Plasmodium species are resistant to chloroquine
C)the antibiotic cannot get to the blood
D)patients are allergic to the medications

Question 44

Which of the following causes hemorrhagic fever?

A)Toxoplasma gondii
B)Leishmania donovani
C)Ebola virus
D)Colorado Tick Fever

Question 45

In which disease(s)does the merozoite infect red blood cells?

A)Malaria
B)Blackwater fever
C)Ehrlichiosis
D)two of these choices

Question 46

This individual is suffering from:

A)leishmaniasis
B)yellow fever
C)cutaneous anthrax
D)puerperal fever

Question 47

Swelling that results from roundworms blocking lymphatics is called:

A)myocarditis
B)elephantiasis
C)pericarditis
D)lymphangitis

Question 48

Which of the following is most prevalent during rabbit-hunting season and causes high fever,headache and buboes?

A)Francisella tularensis
B)Bacillus anthracis
C)Yersinia pestis
D)Borrelia burgdorferi

Question 49

Brucellosis is:

A)a zoonosis highly infective in humans
B)characterized by a bull's eye rash
C)characterized by a chronic nonfatal skin disease
D)a blood disorder that protects from malaria infections

Question 50

Verruga peruana is:

A)a zoonosis highly infective for humans
B)transmitted by sandflies
C)characterized by a chronic nonfatal skin disease
D)two of these choices

Question 51

This individual is suffering from a disease caused by a/an:

A)virus
B)fungus
C)bacterium
D)blood fluke
E)Two of these choices

Question 52

Which infection manifests itself as fever,malaise,bacteremia and regurgitating heart murmur usually lasting two weeks or more?

A)Subacute endocarditis
B)Puerperal fever
C)Neonatal sepsis
D)Rheumatic fever

Question 53

This individual is suffering from _____.

A)subacute endocarditis
B)dengue fever
C)bartonellosis
D)lymphangitis

Question 54

In 2001,a series of letters containing anthrax endospores were mailed to journalists and senators. Some of those who handled the letters had black and necrotic scabs,while others presented with disorientation,high fever,vomiting and pneumonia. Why is there such a difference in their symptoms? Which group would be more likely to die? What are other ways that people come into contact with anthrax endospores? Why would anthrax be considered a good agent for bioterrorism or biological warfare?

Question 55

Malaria is not characterized by:

A)endemic in South and Central America, Africa, and Asia
B)world's greatest public health problem
C)bacterial strains infecting red blood cells
D)in a severe form, red blood cells agglutinate causing ischemia

Question 56

All of the following have vaccines except:

A)Dengue fever
B)Lyme disease
C)Malaria
D)Yellow fever

Question 57

Group B Streptococcal disease is characterized by:

A)early onset neonatal sepsis and meningitis
B)late onset neonatal meningitis
C)etiology is Streptococcus agalactiae
D)all of these choices