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The most common causative agent in fungal sinusitis is _______.


A) Aspergillus fumigatus
B) Haemophilus influenzae
C) Candida albicans
D) Corynebacterium diphtheriae
E) Streptococcus pneumoniae

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

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In addition to antimicrobials,patients with diphtheria are treated with ______.


A) antitoxin
B) tracheostomy
C) heart medication
D) bronchoscopy
E) All of the choices are correct.

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

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Normal biota of the respiratory tract


A) are localized to the nasopharynx only.
B) can cause disease in immunocompromised patients.
C) do not include yeasts or viruses.
D) only include Staphylococcus aureus.
E) are only comprised of staphylococcal species.

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

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The primary transmission route for acquiring agents of the common cold is by contact with hands and fomites contaminated with the nasal discharges of an infected person.

A) True
B) False

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The difference between MDR-TB and XDR-TB is that


A) XDR-TB is predominantly seen in the USA whereas MDR-TB is common in India and China.
B) MDR-TB exhibits resistance to isoniazid and rifampin whereas XDR-TB strains are resistant to bedaquiline.
C) MDR-TB strains have a higher mortality rate than XDR-TB strains.
D) MDR-TB strains are classified as having resistance to two antibiotics, whereas XDR-TB strains are classified when they are resistant to four antibiotics.

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

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Which of the following is not true of whooping cough?


A) Secondary infections can occur during the convalescent phase.
B) It is caused by a small, aerobic, gram-negative rod.
C) Incubation period is 3-21 days.
D) Cold-like symptoms are common for the paroxysmal stage.
E) An uncontrollable cough occurs during the paroxysmal stage.

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

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Drug-resistant strains of Streptococcus pneumoniae are now treated with ______.


A) penicillin V
B) eryrthromycin
C) tetracyline
D) vancomycin
E) Ketek

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

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The major reservoir for the hantavirus is the deer mouse.

A) True
B) False

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Legionella pneumophila


A) requires special lab growth media.
B) often lives intracellularly in amoebas.
C) causes fever, cough, and diarrhea.
D) always causes a severe pneumonia.

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

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Cold viruses are transmitted by _______.


A) droplet contact
B) indirect contact
C) direct contact
D) All of the choices are correct.

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

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Your dog has flu caused by an H3N8 strain.Assume that you breathe in this strain,after you have already come in contact with an H1N1 strain.Both viruses go into the cells of your upper respiratory tract.During the viral replication cycle inside of your epithelial cells,genetic information for hemagglutinin antigen and for neuraminidase antigen are recombined.Your cells end up producing a new variant---H3N1.Predict what might happen as a result of this set of events.


A) Only people who have never had flu before will get sick from the new H3N1 variant.
B) This is not a problem because the human immune system can respond quickly to any new antigens never seen before.
C) This novel virus will spread through the human population without much resistance.
D) Since this new virus has antigens from a dog strain, the new strain will not be able to infect human cells.

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

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Diphtheria is considered to be an upper respiratory tract infection.However,it can have a very high mortality rate if not caught early and treated.Predict why this is so.


A) It makes a toxin that can be carried in blood and produce organ damage, particularly the heart.
B) It successfully hides from the immune system of the patient.
C) The patient cannot eat or drink and so basically starves to death.
D) The bacterium moves from the throat to the brain, causing strokes to occur.

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

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The major virulence factor of Corynebacterium diphtheriae that causes serious systemic effects is its ______.


A) capsule
B) metachromatic granules
C) exotoxin
D) endospores
E) endotoxin

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

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Severe acute respiratory syndrome (SARS)


A) causes high fever, pneumonia, and respiratory distress.
B) began with an initial outbreak in the United States and then spread to Canada and China.
C) is caused by the respiratory syncytial virus.
D) is classified as an opportunistic infection.

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

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Of the six Category A diseases listed by the U.S.Public Health Service,which affect/s the respiratory tract?


A) Botulism
B) Pneumonic plague
C) Tularemia
D) Smallpox
E) Both pneumonic plague and tularemia are correct.

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

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