Deck 14: Surgical Microbiology and Antimicrobial Therapy

Question 1

Bacteria have membrane-bound organelles with a nucleus.

Answer 1

False
Bacteria are microscopic,single-cell structures with DNA but no formal nucleus and no membrane-bound organelles.

Question 2

Which of the following is a common fungal infection transmission route?

A) Urine
B) Coughing
C) Fecal material
D) Spermatic fluid

Answer 2

B
Fungal infection can be transmitted by spores in direct contact with the respiratory system,nonintact skin,or mucous membranes.

Question 3

Which is a type of antibiotic whose mechanism inhibits the cell wall synthesis?

A) Vancomycin
B) Sulfonamide
C) Tetracycline
D) Quinolone

Answer 3

A
Vancomycin,along with penicillins and cephalosporins,inhibits the cell wall synthesis.

Question 4

Resident flora aid in the synthesis of vitamins and folic acid while in the large intestine but may cause an infection if relocated to a surgical incision.

Question 5

People with a compromised immune system are at risk for contracting tuberculosis (TB).

Question 6

Which is the infectious process caused by exotoxins secreted by types of Staphylococcus aureus?

A) Septic shock
B) Plague
C) Toxic shock syndrome
D) Tuberculosis

Question 7

Stomach acid provides what line of defense?

A) First
B) Second
C) Third
D) Fourth

Question 8

What form of hepatitis is a major health care-associated problem transmitted by blood,saliva,semen,and other body fluids?

A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis D

Question 9

Which is a recommendation for caring for a surgical patient with TB?

A) Use reusable anesthesia equipment as often as possible.
B) Operate on these patients as soon as possible to decrease the spread of the secretions.
C) Use respiratory isolation precautions for those patients with a positive TB sputum culture.
D) Keep these patients in a isolation room with positive pressure ventilation.

Question 10

Which is a disease caused by direct contact or exposure of neurologic tissue to a prion?

A) Kaposi's sarcoma
B) Tapeworms
C) Creutzfeldt-Jakob disease
D) Pneumocystis carinii

Question 11

Which describe signs and symptoms of a localized infection?

A) Inflammation,red,painful,swelling
B) Generalized edema,lymphedema
C) Hematoma with clear exudate
D) Scaly rash with skin nodules

Question 12

Which is a transmission route of viruses?

A) Vector contact
B) Insect bites
C) Skin to skin contact
D) Intact skin

Question 13

Which is not a sexually transmitted disease?

A) Gonorrhea
B) Herpes simplex
C) Shingles
D) Chlamydia

Question 14

Who has a higher risk of exposure to potentially harmful microorganisms?

A) Scrub person
B) Circulating nurse
C) Central processing technician
D) Fluoroscopy technician

Question 15

Which is an example of a helminthic disease?

A) Parasites
B) Bloodborne flukes
C) Influenza
D) Iatrogenic Creutzfeldt-Jakob

Question 16

Which are two examples of diseases caused by exotoxins?

A) Tuberculosis,acute respiratory infection
B) Influenza,anthrax
C) Diphtheria,leprosy
D) Otitis media,E.coli

Question 17

What is the definition of biofilm?

A) An implantable meshlike tissue that helps to prevent adhesions in the peritoneum
B) A clear spray used on sterile instruments to keep infection rates low
C) A collection of microorganisms that develops on the surfaces of implanted medical devices
D) A patient-specific picture of organs or body tissues that define a disease process

Question 18

Which is an example of active immunity against the prevention of disease?

A) A preformed immunoglobulin
B) A vaccine or booster shot
C) Vitamin supplements
D) Protein power bar

Question 19

Bacteria are transmitted only through insect bites.

Question 20

Which conditions may be indicative of a systemic infection?

A) Temp = 37.5° C,heart rate = 76
B) Temp = 38.5° C,respiratory rate = 26 to 30
C) White blood cell count = 5000,heart rate = 90
D) Temp= 36.5° C,respiratory rate= 18,

Question 21

What is the name of the procedures strictly followed to protect all personnel from contact with blood and bodily fluids?

A) The Golden Rule
B) Universal precautions
C) Standard precautions
D) HIPAA precautions

Question 22

Which is an action that occurs during the viral infection stage?

A) Dormancy phase
B) Death of host cell
C) Exponential growth
D) Inflammatory response production

Question 23

Which is a common microorganism in the operating room that is found on skin,hair,and in the upper respiratory tract?

A) Hepatitis virus
B) Pseudomonas
C) Escherichia coli
D) Staphylococci

Question 24

Which is one of the four phases of bacteria's reproduction stage?

A) Birth phase
B) Development phase
C) Lag phase
D) Working phase

Question 25

Why would a broad-spectrum antibiotic drug be given before a surgical procedure?

A) To allow development of a super-resistant bacteria
B) To cover any potential surgical contamination
C) For procedures associated with high risk of infection
D) To assess for any sensitivity or allergic reaction

Question 26

Which is one example of an infection resistant to antibiotic therapy?

A) MRSA
B) Helicobacter pylori
C) Tetracycline
D) Rhinitis