Nclex-Rn Practice Questions-Microbiology Principles of Disease and Epidemiology
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Question 1 |
A commensal bacterium
A | does not receive any benefit from its host. |
B | is beneficial to its host. |
C | may also be an opportunistic pathogen. |
D | isn't capable of causing disease in its host. |
E | always causes disease in its host. |
Question 2 |
Which of the following is NOT an example of microbial antagonism?
A | acid production by bacteria |
B | bacteriocin production |
C | bacteria occupying host receptors |
D | bacteria causing disease |
E | bacteria producing vitamin K |
Question 3 |
The yeast Candida albicans does not normally cause disease because of
A | symbiotic bacteria. |
B | antagonistic bacteria. |
C | parasitic bacteria. |
D | commensal bacteria. |
E | other fungi. |
Question 4 |
If a prodromal period exists for a certain disease, it should occur prior to
A | incubation. |
B | illness. |
C | decline. |
D | convalescence. |
Question 5 |
Which one of the following is NOT a zoonosis?
A | cat-scratch disease |
B | Hantavirus pulmonary syndrome |
C | rabies |
D | tapeworm |
E | All of these are zoonoses. |
Question 6 |
Pseudomonas bacteria colonized the bile duct of a patient following his liver transplant surgery. This is an example of a
A | communicable disease. |
B | latent infection. |
C | nosocomial infection. |
D | sporadic disease. |
E | None of the answers is correct. |
Question 7 |
In which of the following patterns of disease does the patient experience no signs or symptoms?
A | prodromal |
B | decline |
C | convalescence |
D | incubation |
E | both incubation and convalescence |
Question 8 |
In which of the following diseases can gender be considered a viable predisposing factor?
A | urinary tract infections |
B | pneumonia |
C | salmonellosis |
D | tetanus |
E | anthrax |
Question 9 |
A needlestick is an example of
A | direct contact. |
B | droplet transmission. |
C | indirect contact transmission by fomite. |
D | direct biological transmission by vector. |
E | vehicle transmission. |
Question 10 |
Which of the following statements is TRUE?
A | Both members are harmed in a symbiotic relationship. |
B | Members of a symbiotic relationship cannot live without each other. |
C | A parasite is not in symbiosis with its host. |
D | Symbiosis always refers to different organisms living together and benefiting from each other. |
E | At least one member must benefit in a symbiotic relationship. |
Question 11 |
A nosocomial infection is
A | always present, but is inapparent at the time of hospitalization. |
B | acquired during the course of hospitalization. |
C | always caused by medical personnel. |
D | only a result of surgery. |
E | always caused by pathogenic bacteria. |
Question 12 |
The major significance of Robert Koch's work is that
A | microorganisms are present in a diseased animal. |
B | diseases can be transmitted from one animal to another. |
C | microorganisms can be cultured. |
D | microorganisms cause disease. |
E | microorganisms are the result of disease. |
Question 13 |
Which of the following is NOT a verified exception in the use of Koch's postulates?
A | Some diseases have poorly defined etiologies. |
B | Some pathogens can cause several disease conditions. |
C | Some human diseases have no other known animal host. |
D | Some diseases are not caused by microbes. |
E | Some diseases are noncommunicable. |
Question 14 |
Which of the following diseases is NOT spread by droplet infection?
A | botulism |
B | tuberculosis |
C | measles |
D | the common cold |
E | diphtheria |
Question 15 |
Biological transmission differs from mechanical transmission in that biological transmission
A | occurs when a pathogen is carried on the feet of an insect. |
B | involves fomites. |
C | involves reproduction of a pathogen in an arthropod vector prior to transmission. |
D | requires direct contact. |
E | works only with noncommunicable diseases. |
Question 16 |
Which of the following definitions is INCORRECT?
A | endemic: a disease that is constantly present in a population |
B | epidemic: a disease that is endemic across the world |
C | pandemic: a disease that affects a large number of people in the world in a short time |
D | sporadic: a disease that affects a population occasionally |
E | incidence: number of new cases of a disease |
Question 17 |
Focal infections initially start out as
A | sepsis. |
B | bacteremia. |
C | local infections. |
D | septicemia. |
E | systemic infections. |
Question 18 |
The rise in herd immunity amongst a population can be directly attributed to
A | increased use of antibiotics. |
B | improved handwashing. |
C | vaccinations. |
D | antibiotic-resistant microorganisms. |
E | None of the answers is correct. |
Question 19 |
Koch observed Bacillus anthracis multiplying in the blood of cattle. What is this condition called?
A | bacteremia |
B | focal infection |
C | local infection |
D | septicemia |
E | systemic infection |
Question 20 |
Which one of the following does NOT contribute to the incidence of nosocomial infections?
A | antibiotic resistance |
B | lapse in aseptic techniques |
C | gram-negative cell walls |
D | lack of handwashing |
E | lack of insect control |
Question 21 |
Transient microbiota differ from normal microbiota in that transient microbiota
A | cause diseases. |
B | are found in a certain location on the host. |
C | are always acquired by direct contact. |
D | are present for a relatively short time. |
E | never cause disease. |
Question 22 |
Which of the following statements about nosocomial infections is FALSE?
A | They occur in compromised patients. |
B | They may be caused by opportunists. |
C | They may be caused by drug-resistant bacteria. |
D | They may be caused by normal microbiota. |
E | The patient was infected before hospitalization. |
Question 23 |
One effect of washing regularly with antibacterial agents is the removal of normal microbiota. This can result in
A | body odor. |
B | fewer diseases. |
C | increased susceptibility to disease. |
D | normal microbiota returning immediately. |
E | no bacterial growth because washing removes their food source. |
Question 24 |
Which of the following is NOT a reservoir of infection?
A | a sick person |
B | a healthy person |
C | a sick animal |
D | a hospital |
E | None of the answers is correct; all of these can be reservoirs of infection. |
Question 25 |
Which of the following is NOT a communicable disease?
A | malaria |
B | AIDS |
C | tuberculosis |
D | tetanus |
E | typhoid fever |
Question 26 |
Which of the following is a fomite?
A | water |
B | droplets from a sneeze |
C | pus |
D | insects |
E | a hypodermic needle |
Question 27 |
Which of the following statements about biological transmission is FALSE?
A | The pathogen reproduces in the vector. |
B | The pathogen may enter the host in the vector's feces. |
C | Houseflies are an important vector. |
D | The pathogen may be injected by the bite of the vector. |
E | The pathogen may require the vector as a host. |
Question 28 |
Which of the following definitions is INCORRECT?
A | acute: a short-lasting primary infection |
B | inapparent: infection characteristic of a carrier state |
C | chronic: a disease that develops slowly and lasts for months |
D | primary infection: an initial illness |
E | secondary infection: a long-lasting illness |
Question 29 |
Symptoms of disease differ from signs of disease in that symptoms
A | are changes felt by the patient. |
B | are changes observed by the physician. |
C | are specific for a particular disease. |
D | always occur as part of a syndrome. |
E | None of the answers is correct. |
Question 30 |
The science that deals with when diseases occur and how they are transmitted is called
A | ecology. |
B | epidemiology. |
C | communicable disease. |
D | morbidity and mortality. |
E | public health. |
Question 31 |
Emergence of infectious diseases can be attributed to all of the following EXCEPT
A | antibiotic resistance. |
B | climatic changes. |
C | new strains of previously known agents. |
D | ease of travel. |
E | The emergence of infectious diseases can be attributed to all of these. |
Question 32 |
Which of the following pairs is mismatched?
A | malaria — vector |
B | salmonellosis — vehicle transmission |
C | syphilis — direct contact |
D | influenza — droplet infection |
E | None of the pairs is mismatched. |
Question 33 |
Which of the following can contribute to postoperative infections?
A | using syringes more than once |
B | normal microbiota on the operating room staff |
C | errors in aseptic technique |
D | antibiotic resistance |
E | All of the answers are correct. |
Question 34 |
A cold transmitted by a facial tissue is an example of
A | direct contact. |
B | droplet transmission. |
C | fomite. |
D | vector. |
E | vehicle transmission. |
Question 35 |
A researcher has performed a prospective study on a disease. To which specific kind of epidemiological study is this referring?
A | analytical |
B | case control |
C | descriptive |
D | experimental |
E | prodromal |
Question 36 |
The CDC is located in
A | Atlanta, GA. |
B | Washington, DC. |
C | New York City, NY. |
D | Los Angeles, CA. |
E | Chicago, IL. |
Question 37 |
A disease in which the causative agent remains inactive for a time before producing symptoms is referred to as
A | subacute. |
B | subclinical. |
C | latent. |
D | zoonotic. |
E | acute. |
Question 38 |
Which of the following is NOT a predisposing factor of disease?
A | lifestyle |
B | genetic background |
C | climate |
D | occupation |
E | All of these are predisposing factors of disease. |
Question 39 |
Which of the following statements is FALSE?
A | Antimicrobial therapy for hemodialysis-associated infections increases antibiotic resistance. |
B | S. aureus is differentiated from other mannitol+ cocci by the coagulase test. |
C | The M in MRSA stands for mannitol. |
D | The USA100 strain accounts for most hospital-acquired MRSA. |
E | The USA300 strain accounts for most community-acquired MRSA. |
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