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Exam 17: Infectious Diseases Affecting the Nervous System

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Question 21

Multiple Choice

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The preferred preventative measure for polio in the United States is

A) inactivated poliovirus vaccine (IPV) developed by Jonas Salk.
B) oral poliovirus vaccine (OPV) developed by Jonas Salk.
C) inactivated poliovirus vaccine (IPV) developed by Albert Sabin.
D) oral poliovirus vaccine (OPV) developed by Albert Sabin.

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

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Question 22

Multiple Choice

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Meningococci initially colonize the

A) lacrimal ducts.
B) oral mucosa.
C) nasopharynx.
D) eustachian tube.
E) All of the choices are correct.

F) C) and D)
G) None of the above

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Question 23

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In rabies,spasms of muscles for swallowing leads to a fear of water.

The oral and inactivated polio vaccines are made from plant cell cultures.

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Amanda is a 20-year-old college student who lives on campus. Her roommate brought her into your emergency room, because Amanda is not acting like herself. She was previously healthy, very involved in campus politics, and a 4.0 student. About 2 weeks ago, she started not feeling well. She had bad nasal congestion, and was diagnosed with a sinus infection. However, she decided against taking antibiotics because she did not believe they were good for her. She started getting very high fevers, which Amanda told her roommate were good because they were killing the infection. Yesterday, she started complaining of a stiff neck, and today she seems especially lethargic with a fever of 105. Her roommate was scared, so she forced her into her car and has driven her to your ICU. -Which of the following tests will be most helpful in confirming Amanda's diagnosis?

The organism responsible for the majority of neonatal meningitis is

Pneumovax is a vaccine for prevention of disease caused by strains of Neisseria meningitidis.

The concept of "immunologically privileged" explains why the CNS

Neisseria meningitidis is transmitted by

In both botulism and tetanus,respiratory muscles cannot facilitate breathing and,if untreated,respiratory collapse leads to death.

Agricultural workers and field archaeologists are exposed to this organism which,although entering via the respiratory tract,can cause meningitis.

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Amanda is a 20-year-old college student who lives on campus. Her roommate brought her into your emergency room, because Amanda is not acting like herself. She was previously healthy, very involved in campus politics, and a 4.0 student. About 2 weeks ago, she started not feeling well. She had bad nasal congestion, and was diagnosed with a sinus infection. However, she decided against taking antibiotics because she did not believe they were good for her. She started getting very high fevers, which Amanda told her roommate were good because they were killing the infection. Yesterday, she started complaining of a stiff neck, and today she seems especially lethargic with a fever of 105. Her roommate was scared, so she forced her into her car and has driven her to your ICU. -Which antibiotic(s) is/are best suited to treat this particular infection?

Which of the following is a sign of meningitis?

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. You are on a medical trip to sub-Saharan Africa with a team from your hospital. You are stationed at a well-equipped hospital, in spite of the scant development of the area surrounding the hospital. You meet Raj, a cute 5-year-old boy who runs around barefoot and likes to play in the area ponds to stay cool. He comes into the clinic with a high fever, sore throat, and generalized weakness. His parents are nowhere to be found. Raj says he has been sick for about a week. -You are saddened to learn from serology testing that Raj,in fact,has polio.What is the best treatment modality?

Each of the following is true for Toxoplasma gondii except

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. You are on a medical trip to sub-Saharan Africa with a team from your hospital. You are stationed at a well-equipped hospital, in spite of the scant development of the area surrounding the hospital. You meet Raj, a cute 5-year-old boy who runs around barefoot and likes to play in the area ponds to stay cool. He comes into the clinic with a high fever, sore throat, and generalized weakness. His parents are nowhere to be found. Raj says he has been sick for about a week. -What is the transmission of the polio virus?

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Nancy has brought in her 75-year-old mother, Leah, into your ER because she has not been acting like herself. She has been using her hands less and less, complained of a severe headache, and then developed a severe tremor, high fever, and has now stopped talking. Her gait has also been effected. She reports a recent trip to the woods to go camping as a family. As Nancy is giving you the history, Leah collapses on the floor and has a seizure. -Nancy is very concerned about her mother,and wants to know if her mother will live.What is the best response?

The best defense against arborviruses is

Place the following in order from skull to brain: 1) subarachnoid space;2) arachnoid mater;3) dura mater;4) pia mater.

Which of the following is not a prion disease?