Nclex-Rn Practice Questions-Microbiology Microbial Diseases Of The Cardiovascular And Lymphatic Syst
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Question 1 |
Which of the following statements about sepsis is FALSE?
A | Symptoms include fever and decreased blood pressure. |
B | Lymphangitis may occur. |
C | It can be treated with antibiotics. |
D | It usually is caused by gram-positive bacteria. |
E | It may be aggravated by antibiotics. |
Question 2 |
Brucella bacteria are considered a potential agent of bioterrorism because
A | they are not susceptible to antibiotics. |
B | they easily become airborne. |
C | infection causes a fever. |
D | it is a endospore-forming organism. |
E | it causes ulcerating lesions of the skin. |
Question 3 |
Which of the following statements about group B streptococci is FALSE?
A | They are present in healthy carriers. |
B | They cause gram-positive sepsis. |
C | They cause strep throat. |
D | They cause neonatal sepsis. |
E | They are classified as Streptococcus agalactiae. |
Question 4 |
Which of the following is NOT controlled by a mosquito eradication program?
A | chikungunya fever |
B | yellow fever |
C | dengue fever |
D | schistosomiasis |
E | malaria |
Question 5 |
Which of the following is evidence that the arthritis afflicting children in Lyme, Connecticut, was due to bacterial infection?
A | treatable with penicillin |
B | not contagious |
C | accompanied by a rash |
D | affected mostly children |
E | transmitted by ticks |
Question 6 |
You advise your pregnant friend to not adopt a new kitten from her neighbor because she could contract
A | plague. |
B | Brukitt's Lymphoma. |
C | toxoplasmosis. |
D | listeriosis. |
E | infectious mononucleosis. |
Question 7 |
Scrapings from a patient's rash reveal cercariae. The disease is most likely
A | Lyme disease. |
B | Rocky Mountain spotted fever. |
C | relapsing fever. |
D | swimmer's itch. |
E | Chagas' disease. |
Question 8 |
Which of the following pairs is NOT correctly matched for Gram reaction?
A | Lyme disease — gram-negative |
B | tularemia — gram-negative |
C | anthrax — gram-positive |
D | Rocky Mountain spotted fever — gram-negative |
E | Ehrlichia — gram-positive |
Question 9 |
A patient complains of fever, severe muscle and joint pain, and a rash. The patient reports returning from a Caribbean vacation one week ago. Which of the following do you suspect?
A | Lassa fever |
B | dengue |
C | Hantavirus hemorrhagic fever |
D | typhus |
E | yellow fever |
Question 10 |
Epstein-Barr virus has been implicated in all of the following EXCEPT
A | endocarditis. |
B | infectious mononucleosis. |
C | Burkitt's lymphoma. |
D | nasopharyngeal carcinoma. |
E | Hodgkin's disease. |
Question 11 |
A patient presents with inflammation of the heart valves, fever, malaise, and subcutaneous nodules at joints. The recommended treatment is
A | supportive care. |
B | streptomycin. |
C | chloroquine. |
D | hyperbaric chamber. |
E | praziquantel. |
Question 12 |
Which of the following is NOT caused by a bacterium?
A | epidemic typhus |
B | tickborne typhus |
C | malaria |
D | plague |
E | relapsing fever |
Question 13 |
Which of the following pairs does NOT apply to Chagas' disease?
A | causative agent — Trypanosoma cruzi |
B | vector — kissing bug |
C | reservoir — rodents |
D | diagnosis of acute phase — serological tests for antibodies |
E | treatment — nifurtimox |
Question 14 |
Which of the following statements about toxoplasmosis is FALSE?
A | It is caused by a protozoan. |
B | The reservoir is cats. |
C | It is transmitted by the gastrointestinal route. |
D | It is a severe illness in adults. |
E | It can be congenital. |
Question 15 |
Unsanitary and crowded conditions increase the incidence of all of the following diseases EXCEPT
A | plague. |
B | epidemic typhus. |
C | endemic murine typhus. |
D | Rocky Mountain spotted fever. |
E | relapsing fever. |
Question 16 |
Which of the following pairs is mismatched?
A | malaria — Anopheles (mosquito) |
B | dengue — Aedes (mosquito) |
C | epidemic typhus — Pediculus (louse) |
D | Rocky Mountain spotted fever — Dermacentor (tick) |
E | encephalitis — Ixodes (tick) |
Question 17 |
Which of the following bacterial infections CANNOT be transmitted by dog or cat bites?
A | Pasteurella multocida |
B | Streptobacillus |
C | Bartonella henselae |
D | Fusobacterium |
E | None of the answers is correct; all of these bacterial infections can be transmitted by dog or cat bites. |
Question 18 |
The symptoms of gas gangrene are due to all of the following EXCEPT
A | microbial fermentation. |
B | necrotizing exotoxins. |
C | proteolytic enzymes. |
D | hyaluronidase. |
E | endocarditis |
Question 19 |
Which of the following is NOT a characteristic of Bacillus anthracis?
A | is aerobic |
B | is gram-positive |
C | forms endospores |
D | found in soil |
E | produces endotoxins |
Question 20 |
Which of the following is NOT transmitted in raw milk?
A | toxoplasmosis |
B | anthrax |
C | brucellosis |
D | listeriosis |
E | All of these can be transmitted in raw milk. |
Question 21 |
Which of the following is a symptom of brucellosis?
A | gastroenteritis |
B | relapsing fever |
C | undulant fever |
D | pneumonia |
E | jaundice |
Question 22 |
Which of the following statements about tularemia is FALSE?
A | It is caused by Francisella tularensis. |
B | The most common reservoir is rabbits. |
C | It may be transmitted by arthropods. |
D | It may be transmitted by direct contact. |
E | It occurs only in California. |
Question 23 |
Which of the following is NOT typically treated with penicillin?
A | serious wounds at risk for gas gangrene |
B | tularemia |
C | patients at risk for rheumatic fever |
D | puerperal sepsis |
E | rat-bite fever |
Question 24 |
Which of the following is NOT a recognized form of anthrax?
A | cutaneous |
B | inhalationial |
C | septic |
D | gastrointestinal |
E | None of the answers are correct; all of these are recognized forms of anthrax. |
Question 25 |
Which of the following pairs is mismatched?
A | subacute bacterial endocarditis — alpha-hemolytic streptococci |
B | acute bacterial endocarditis — Staphylococcus aureus |
C | pericarditis — Streptococcus pyogenes |
D | puerperal sepsis — Staphylococcus aureus |
E | Burkitt's lymphoma — Epstein-Barr virus |
Question 26 |
Which of the following statements about puerperal sepsis is FALSE?
A | It is transmitted from mother to fetus. |
B | It is caused by health care personnel. |
C | It begins as a focal infection. |
D | It is a complication of abortion or childbirth. |
E | Its frequency of occurrence has decreased because of antibiotics and aseptic techniques. |
Question 27 |
Which of the following leads to all the others?
A | subcutaneous hemorrhaging |
B | presence of antirickettsial antibodies |
C | blockage of capillaries |
D | bacterial growth in endothelial cells |
E | breakage of capillaries |
Question 28 |
Which of the following statements about schistosomiasis is FALSE?
A | The cercariae penetrate human skin. |
B | They symptoms are caused by immune reactions to the eggs shed in the human host. |
C | The intermediate host is an aquatic snail. |
D | It is caused by a roundworm. |
E | The female worm lives in a groove that runs down the body of the male. |
Question 29 |
Which of the following pairs is mismatched?
A | Rickettsia — intracellular parasite |
B | Brucella — gram-negative aerobic rods |
C | Francisella — gram-positive facultatively anaerobic pleomorphic bacillus |
D | Bacillus — gram-positive endospore-forming rods |
E | None of the pairs is mismatched. |
Question 30 |
Which of the following produces a permanent carrier state following infection?
A | Borrelia |
B | cytomegalovirus |
C | Spirillum |
D | Toxoplasma |
E | Yersinia |
Question 31 |
Which of the following is NOT treated with antibiotics?
A | plague |
B | tularemia |
C | Lyme disease |
D | Ebola |
E | anthrax |
Question 32 |
Which of the following is the same for both relapsing fever and undulant fever?
A | rising and falling body temperature |
B | mode of transmission |
C | presence of rash |
D | reservoir |
E | etiology |
Question 33 |
Which of the following CANNOT be transmitted to humans from domestic cats?
A | toxoplasmosis |
B | plague |
C | Chagas' disease |
D | Bartonella |
E | None of the answers is correct; all of these diseases can be transmitted to humans from domestic cats. |
Question 34 |
Arthropods can serve as a reservoir for all of the following diseases EXCEPT
A | plague. |
B | brucellosis. |
C | epidemic typhus. |
D | yellow fever. |
E | malaria. |
Question 35 |
Which of the following statements about rheumatic fever is FALSE?
A | It is a complication of a group A beta-hemolytic streptococcal infection. |
B | It is an inflammation of the heart. |
C | It is an inflammation of the joints. |
D | It is rarely fatal, even when untreated. |
E | The incidence has declined in the last ten years. |
Question 36 |
Which of the following is NOT a zoonosis?
A | puerperal sepsis |
B | Hantavirus infection |
C | anthrax |
D | brucellosis |
E | tularemia |
Question 37 |
Which of the following pairs regarding the epidemiology of malaria is mismatched?
A | vector — Ixodes |
B | etiology — Plasmodium |
C | found in liver — sporozoites |
D | diagnosis — presence of merozoites |
E | treatment — chloroquine when possible |
Question 38 |
A characteristic symptom of plague is
A | small red spots on the skin. |
B | swollen lymph nodes. |
C | rose-colored spots. |
D | recurrent fever. |
E | nausea and vomiting. |
Question 39 |
Human-to-human transmission of plague is usually by
A | rat flea. |
B | dog flea. |
C | the respiratory route. |
D | wounds. |
E | unsanitary conditions. |
Question 40 |
A patient returning from an extended trip into Mexico has the following symptoms: a papule at the site of a previous bug bite and enlarged lymph nodes. Microscopic examination of the papule reveals nucleated cells in white blood cells. The patient most likely has
A | anthrax. |
B | brucellosis. |
C | leishmaniasis. |
D | malaria. |
E | schistosomiasis. |
Question 41 |
Which of the following pairs is mismatched?
A | Borrelia — relapsing fever |
B | Yersinia — plague |
C | Streptobacillus — rat-bite fever |
D | Pasteurella — cat-scratch disease |
E | Spirillum — rat-bite fever |
Question 42 |
Which of the following can be transmitted from an infected mother to her fetus across the placenta?
A | Borrelia |
B | cytomegalovirus |
C | Spirillum |
D | anthrax |
E | Yersinia |
Question 43 |
A predisposing factor for infection by Clostridium perfringens is
A | gangrene. |
B | burns. |
C | debridement. |
D | hyperbaric treatment. |
E | an infected finger. |
Question 44 |
Which of the following pairs is mismatched?
A | cat-scratch disease — malignant pustule developing into septicemia |
B | brucellosis — a temperature of 40°C each evening |
C | tularemia — a localized infection appearing as a small ulcer |
D | Borrelia — rash and flulike |
E | toxoplasmosis — congenital brain damage |
Question 45 |
A 62-year-old man was hospitalized with an eight-day history of fever, chills, sweats, and vomiting. His temperature on admission was 40°C (104°F). A routine peripheral blood smear revealed ring-shaped bodies in the RBCs. What treatment would you prescribe?
A | hyperbaric oxygen |
B | mefloquine |
C | no treatment |
D | penicillin |
E | streptomycin |
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