Deck 8: Infectious Diseases
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Deck 8: Infectious Diseases
1
There are normally one or two cases of measles per month in a particular city.However,in the month of September,there were 15 cases.Is this an epidemic?
True
2
HIV/AIDS and tuberculosis are both examples of current
A) outbreaks.
B) epidemics.
C) pandemics.
D) opportunistic infections.
E) acute infections.
A) outbreaks.
B) epidemics.
C) pandemics.
D) opportunistic infections.
E) acute infections.
pandemics.
3
Which of the following is not a characteristic found in Gram-negative bacteria?
A) Plasmids and antibiotic resistance.
B) A peptidoglycan cell wall.
C) An outer membrane composed of lipopolysaccharide.
D) They Gram stain pink.
E) A thick peptidoglycan cell wall that stains purple.
A) Plasmids and antibiotic resistance.
B) A peptidoglycan cell wall.
C) An outer membrane composed of lipopolysaccharide.
D) They Gram stain pink.
E) A thick peptidoglycan cell wall that stains purple.
A thick peptidoglycan cell wall that stains purple.
4
Which of the following diseases is not categorized as an opportunistic infection found in AIDS patients?
A) prolonged diarrhea
B) yeast infections of the mouth or vagina
C) shingles
D) Kaposi sarcoma
A) prolonged diarrhea
B) yeast infections of the mouth or vagina
C) shingles
D) Kaposi sarcoma
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5
Prokaryotic cells do not possess DNA.
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6
If an epidemic is confined to a local area,it is usually called
A) an opportunistic infection.
B) a pandemic.
C) an outbreak.
D) a slow infection.
E) a chronic infection.
A) an opportunistic infection.
B) a pandemic.
C) an outbreak.
D) a slow infection.
E) a chronic infection.
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7
How does HIV know which cells to infect?
A) It can infect any cell it comes in contact with.
B) It can only infect cells on surfaces of the body where the temperature is lower.
C) It can only infect cells that are actively growing and dividing.
D) It can infect cells with particular surface receptors.
E) It only infects cells that line the reproductive tract.
A) It can infect any cell it comes in contact with.
B) It can only infect cells on surfaces of the body where the temperature is lower.
C) It can only infect cells that are actively growing and dividing.
D) It can infect cells with particular surface receptors.
E) It only infects cells that line the reproductive tract.
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8
The vast majority of new HIV infections are in people under the age of 15.
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9
What are fimbriae,and what is their function?
A) They are long, thin appendages that allow bacteria to be motile (move).
B) They are stiff fibers that allow bacteria to adhere to surfaces.
C) They are elongated, hollow appendages that allow for the transfer of DNA.
D) They are small, circular pieces of DNA that frequently contain genes for antibiotic resistance.
E) They are a thick, gelatinous substance surrounding some bacterial cells that allow them to stick to surfaces and protect them from phagocytic white blood cells.
A) They are long, thin appendages that allow bacteria to be motile (move).
B) They are stiff fibers that allow bacteria to adhere to surfaces.
C) They are elongated, hollow appendages that allow for the transfer of DNA.
D) They are small, circular pieces of DNA that frequently contain genes for antibiotic resistance.
E) They are a thick, gelatinous substance surrounding some bacterial cells that allow them to stick to surfaces and protect them from phagocytic white blood cells.
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10
Patient X has 150 CD4 T cells/mm3.What phase of an HIV infection is this patient in?
A) acute phase
B) chronic phase
C) AIDS
D) transmission phase
E) terminal phase
A) acute phase
B) chronic phase
C) AIDS
D) transmission phase
E) terminal phase
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11
In which phase of an HIV infection is a person typically asymptomatic?
A) acute phase (A)
B) chronic phase (B)
C) AIDS (C)
D) AIDS (D)
E) terminal phase (E)
A) acute phase (A)
B) chronic phase (B)
C) AIDS (C)
D) AIDS (D)
E) terminal phase (E)
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12
What types of cells does HIV infect?
A) helper T cells and macrophages
B) B cells and red marrow cells
C) liver cells and cardiac muscle cells
D) epithelial cells and eosinophils
E) basophils and killer T cells
A) helper T cells and macrophages
B) B cells and red marrow cells
C) liver cells and cardiac muscle cells
D) epithelial cells and eosinophils
E) basophils and killer T cells
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13
Why aren't viruses considered living organisms?
A) because they do not replicate
B) because they do not possess genetic material
C) because they are not composed of cells
D) because they lack the metabolic machinery to acquire and use nutrients
E) None of these are correct.
A) because they do not replicate
B) because they do not possess genetic material
C) because they are not composed of cells
D) because they lack the metabolic machinery to acquire and use nutrients
E) None of these are correct.
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14
Which category of disease classification is described as having more cases than expected in a given period of time?
A) epidemic
B) outbreak
C) pandemic
D) opportunistic infection
E) none of these
A) epidemic
B) outbreak
C) pandemic
D) opportunistic infection
E) none of these
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15
Infection with HIV is listed as the cause of death for an AIDS patient.
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16
Which of the following molecules is not found in eukaryotic cells?
A) phospholipids
B) DNA
C) RNA
D) peptidoglycan
E) All of these are found in eukaryotic cells.
A) phospholipids
B) DNA
C) RNA
D) peptidoglycan
E) All of these are found in eukaryotic cells.
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17
Describe the structure of a typical virus.
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18
A disease is called an epidemic if people all over the world have the same disease.
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19
When was the first documented case of HIV in the United States?
A) 1884
B) 1924
C) 1959
D) 1969
E) 1982
A) 1884
B) 1924
C) 1959
D) 1969
E) 1982
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20
Why might an HIV test be negative within the first two to three weeks of an HIV infection?
A) because there is no HIV in the blood
B) because there are no detectable levels of HIV antibodies in the blood
C) because there are no symptoms
D) because the CD4 T-cell count is above 500 cells/mm3
E) because there are no opportunistic infections yet
A) because there is no HIV in the blood
B) because there are no detectable levels of HIV antibodies in the blood
C) because there are no symptoms
D) because the CD4 T-cell count is above 500 cells/mm3
E) because there are no opportunistic infections yet
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21
How is Mycobacterium tuberculosis spread?
A) airborne droplets
B) contaminated food or water
C) sexual intercourse
D) IV drug abuse
E) blood transfusions
A) airborne droplets
B) contaminated food or water
C) sexual intercourse
D) IV drug abuse
E) blood transfusions
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22
List and describe the opportunistic diseases that individuals in category C of AIDS usually die from.
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23
Which of the following is not important for classifying HIV as a retrovirus?
A) reverse transcriptase
B) RNA genome
C) an envelope obtained from the host
D) the production of viral DNA
E) integration into the host genome
A) reverse transcriptase
B) RNA genome
C) an envelope obtained from the host
D) the production of viral DNA
E) integration into the host genome
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24
The envelope of the HIV virus is actually part of the host cell plasma membrane.
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25
Which of the following is important for the attachment stage of the HIV life cycle?
A) acquisition of an envelope from the host
B) gp120 spike proteins
C) cleavage of the proteins by protease
D) integration of the viral DNA into the host genome
E) uncoating
A) acquisition of an envelope from the host
B) gp120 spike proteins
C) cleavage of the proteins by protease
D) integration of the viral DNA into the host genome
E) uncoating
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26
Arrange the steps of the HIV life cycle in the correct order:
1.Assembly
2.Integration
3.Entry
4.Fusion
5.Attachment
6.Budding
7.Biosynthesis and cleavage
8.Reverse transcription
A. 1, 3, 2, 4, 5, 7, 6, 8
B. 1, 2, 3, 4, 5, 6, 7, 8
C. 8, 1, 7, 2, 6, 3, 5, 4
D. 4, 6, 3, 7, 2, 8, 1, 5
E. 5, 4, 3, 8, 2, 7, 1, 6
1.Assembly
2.Integration
3.Entry
4.Fusion
5.Attachment
6.Budding
7.Biosynthesis and cleavage
8.Reverse transcription
A. 1, 3, 2, 4, 5, 7, 6, 8
B. 1, 2, 3, 4, 5, 6, 7, 8
C. 8, 1, 7, 2, 6, 3, 5, 4
D. 4, 6, 3, 7, 2, 8, 1, 5
E. 5, 4, 3, 8, 2, 7, 1, 6
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27
What are the symptoms of a TB infection?
A) skin rash, fever
B) opportunistic infections, chronic diarrhea
C) bad cough, chest pain, coughing up blood or sputum
D) runny nose, sore throat, postnasal drip
E) lethargy, general malaise
A) skin rash, fever
B) opportunistic infections, chronic diarrhea
C) bad cough, chest pain, coughing up blood or sputum
D) runny nose, sore throat, postnasal drip
E) lethargy, general malaise
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28
An HIV vaccine would be the cure for AIDS that science has been looking for.
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29
Describe the causative agents and transmission of tuberculosis.
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30
The HIV virus contains a genome composed of
A) double-stranded DNA.
B) single-stranded DNA.
C) double-stranded RNA.
D) single-stranded RNA.
E) one strand of DNA and one strand of RNA.
A) double-stranded DNA.
B) single-stranded DNA.
C) double-stranded RNA.
D) single-stranded RNA.
E) one strand of DNA and one strand of RNA.
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31
Which of the following is not a layer of the protein coat that surrounds the HIV genetic material?
A) matrix
B) capsid
C) nucleocapsid
D) protease
E) gp120
A) matrix
B) capsid
C) nucleocapsid
D) protease
E) gp120
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32
The organism that causes malaria is a
A) virus.
B) bacterium.
C) protist.
D) fungus.
E) worm.
A) virus.
B) bacterium.
C) protist.
D) fungus.
E) worm.
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33
In the "kitchen-sink model" for CD4 T-cell loss,what does the sink's drain represent?
A) the destruction of CD4 T cells by the virus
B) the production of new CD4 T cells
C) the amplification of the virus in the blood
D) the destruction of the virus by the immune system
E) the wide variety of possible opportunistic infections
A) the destruction of CD4 T cells by the virus
B) the production of new CD4 T cells
C) the amplification of the virus in the blood
D) the destruction of the virus by the immune system
E) the wide variety of possible opportunistic infections
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34
List and explain the events that occur during the reproductive cycle of an HIV virus.
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35
AIDS is the new name for what used to be called consumption.
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36
There currently is no effective cure for AIDS.
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37
How long does treatment for TB take?
A) one to two days
B) one to two weeks
C) one month
D) two months
E) six months or more
A) one to two days
B) one to two weeks
C) one month
D) two months
E) six months or more
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38
Tuberculosis is caused by a
A) virus.
B) bacterium.
C) fungus.
D) protist.
E) worm.
A) virus.
B) bacterium.
C) fungus.
D) protist.
E) worm.
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39
Of the following modes of HIV transmission,which is the least common mode and rare in many countries?
A) transfusions of infected blood
B) vaginal/rectal intercourse with an infected person
C) needle sharing among IV drug users
D) babies born to HIV-infected women
E) oral-genital contact with an infected person
A) transfusions of infected blood
B) vaginal/rectal intercourse with an infected person
C) needle sharing among IV drug users
D) babies born to HIV-infected women
E) oral-genital contact with an infected person
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40
HIV strains may differ by 10% within one person and by 35% in people around the globe.This is due to
A) both cellular and antibody-mediated responses.
B) the fact that HIV inserts its genome into the host genome.
C) HIV's high rate of mutation.
D) the fact that HIV targets T cells.
E) the fact that most people do not die from HIV infection.
A) both cellular and antibody-mediated responses.
B) the fact that HIV inserts its genome into the host genome.
C) HIV's high rate of mutation.
D) the fact that HIV targets T cells.
E) the fact that most people do not die from HIV infection.
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41
Streptococcus is now considered to be a reemerging pathogen.
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42
Once SARS appeared in China,how long did it take for it to reach nine other countries/provinces via air travel?
A) three months
B) six months
C) one year
D) two years
E) five years
A) three months
B) six months
C) one year
D) two years
E) five years
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43
SARS is thought to have arisen in China due to the consumption of civets.
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44
When were the first cases of SARS reported?
A) 2002
B) 1992
C) 1820
D) 1920
E) 2012
A) 2002
B) 1992
C) 1820
D) 1920
E) 2012
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45
Which of the following diseases is considered an emerging disease?
A) SARS
B) H1N1
C) H5N1
D) strep throat
E) All of these are considered emerging diseases.
A) SARS
B) H1N1
C) H5N1
D) strep throat
E) All of these are considered emerging diseases.
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46
Most people with malaria exhibit chills and fevers every 48 to 72 hours.This is due to
A) reinfection with new Plasmodium.
B) the bursting of red blood cells in the body.
C) the formation of Plasmodium gametes within the body.
D) the fusion of the male and female Plasmodium gametes to form new organisms.
E) waves of activity from the body's B and T cells.
A) reinfection with new Plasmodium.
B) the bursting of red blood cells in the body.
C) the formation of Plasmodium gametes within the body.
D) the fusion of the male and female Plasmodium gametes to form new organisms.
E) waves of activity from the body's B and T cells.
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47
Why is bird flu (H5N1)considered an emerging disease whereas HIV is not?
A) Bird flu (H5N1) has only been recognized in the past 20 years.
B) Bird flu (H5N1) is more deadly than HIV.
C) Bird flu (H5N1) is bacterial whereas HIV is viral.
D) Bird flu (H5N1) has infected more people than HIV.
E) Bird flu (H5N1) has not infected as many people as HIV.
A) Bird flu (H5N1) has only been recognized in the past 20 years.
B) Bird flu (H5N1) is more deadly than HIV.
C) Bird flu (H5N1) is bacterial whereas HIV is viral.
D) Bird flu (H5N1) has infected more people than HIV.
E) Bird flu (H5N1) has not infected as many people as HIV.
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48
There is no point to taking antibiotics for a cold.
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49
Which of the following has/have developed antibiotic resistance?
A) tuberculosis
B) malaria
C) gonorrhea
D) enterococci
E) All of these diseases and organisms have developed drug resistance.
A) tuberculosis
B) malaria
C) gonorrhea
D) enterococci
E) All of these diseases and organisms have developed drug resistance.
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50
Unlike AIDS,both tuberculosis and malaria can be cured.
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51
Legionnaires disease emerged in 1976 due to
A) exposure to wild monkeys.
B) the consumption of horseshoe bats.
C) a mutation of the influenza virus.
D) contamination of an air-conditioning system.
E) the abuse of antibiotics.
A) exposure to wild monkeys.
B) the consumption of horseshoe bats.
C) a mutation of the influenza virus.
D) contamination of an air-conditioning system.
E) the abuse of antibiotics.
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52
The use of antibiotics does not cause antibiotic resistance.
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53
Where does the life cycle of the Plasmodium protist take place?
A) in mosquitoes
B) in humans
C) in both mosquitoes and humans
D) in snails
E) in pigs
A) in mosquitoes
B) in humans
C) in both mosquitoes and humans
D) in snails
E) in pigs
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54
People can become resistant to antibiotics.
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55
An emerging disease is one that
A) is newly recognized in the last two decades.
B) has suddenly caused an epidemic.
C) is now present on multiple continents.
D) can infect both humans and animals.
E) can be transmitted in multiple ways.
A) is newly recognized in the last two decades.
B) has suddenly caused an epidemic.
C) is now present on multiple continents.
D) can infect both humans and animals.
E) can be transmitted in multiple ways.
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56
Which of the following factors is/are helping increase the incidence of emerging diseases?
A) global warming
B) expansion of range by insect vectors
C) abuse of antibiotics
D) poor implementation of vaccination programs
E) All of these factors are helping increase the incidence of emerging diseases.
A) global warming
B) expansion of range by insect vectors
C) abuse of antibiotics
D) poor implementation of vaccination programs
E) All of these factors are helping increase the incidence of emerging diseases.
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57
The drugs that treat malaria can be used prophylactically,or before infection.
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58
How is malaria spread?
A) airborne droplets
B) blood transfusions
C) sexual intercourse
D) breast-feeding
E) mosquitoes
A) airborne droplets
B) blood transfusions
C) sexual intercourse
D) breast-feeding
E) mosquitoes
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59
Why is Helicobacter pylori considered an emerging disease?
A) It is highly resistant to antibiotics.
B) Ulcers were not known to have an infectious cause until recently.
C) It is now present on all of the continents.
D) It can jump from humans to pigs and back again.
E) It had declined in the 1960s but appears to be back again.
A) It is highly resistant to antibiotics.
B) Ulcers were not known to have an infectious cause until recently.
C) It is now present on all of the continents.
D) It can jump from humans to pigs and back again.
E) It had declined in the 1960s but appears to be back again.
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60
When penicillin was introduced,how long did it take for penicillin-resistant strains of bacteria to emerge?
A) 6 months
B) 1 year
C) 4 years
D) 10 years
E) 25 years
A) 6 months
B) 1 year
C) 4 years
D) 10 years
E) 25 years
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61
How many different "lines" of antibiotics against TB are there?
A) one
B) two
C) three
D) four
E) five or more
A) one
B) two
C) three
D) four
E) five or more
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62
What do MDR TB and MRSA have in common?
A) Both are transmitted by mosquitoes.
B) Both cause tuberculosis.
C) Both are multidrug-resistant bacteria.
D) Both have seen their numbers of infections decline dramatically in recent years.
E) Both are viruses.
A) Both are transmitted by mosquitoes.
B) Both cause tuberculosis.
C) Both are multidrug-resistant bacteria.
D) Both have seen their numbers of infections decline dramatically in recent years.
E) Both are viruses.
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63
Which type(s)of antibiotic(s)is MRSA resistant to?
A) methicillin
B) penicillin
C) amoxicillin
D) none of these
E) all of these
A) methicillin
B) penicillin
C) amoxicillin
D) none of these
E) all of these
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64
Which of the following is an unwise use of antibiotics?
A) discontinuing antibiotics when you feel better
B) not taking antibiotics for a viral infection
C) not saving unused antibiotics
D) not skipping doses of antibiotics
E) taking antibiotics only to treat the infection for which they were prescribed
A) discontinuing antibiotics when you feel better
B) not taking antibiotics for a viral infection
C) not saving unused antibiotics
D) not skipping doses of antibiotics
E) taking antibiotics only to treat the infection for which they were prescribed
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65
MRSA can be fatal.
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