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All of the following pertain to listeriosis, except:


A) it causes symptoms of fever, diarrhea, and sore throat.
B) it causes a serious septicemia and meningitis in the elderly, immunocompromised, and infants.
C) intrauterine infection usually results in fetal death.
D) adequate pasteurization and thorough cooking of food can improve prevention.
E) enterotoxin of the organism causes symptoms.

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

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Characteristics of Bacillus anthracis include all the following, except:


A) capsule and exotoxins are virulence factors.
B) anaerobic.
C) reservoir includes infected grazing animals and contaminated soil.
D) gram positive bacillus.
E) sporeformer.

F) B) and C)
G) C) and D)

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Which of the following is not true about leprosy?


A) it is caused by Hansen's bacillus in honor of its discoverer
B) the leprosy bacillus is highly virulent
C) armadillos harbor a genetically identical M.leprae
D) early signs appear as small, spotty lesions colored differently than the surrounding skin
E) the number of new cases in the U.S.each year is about 100 to 200

F) A) and D)
G) A) and C)

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For which of the following diseases does the "feather test" provide evidence of early infection?


A) tuberculosis
B) botulism
C) tetanus
D) leprosy
E) anthrax

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

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Erysipeloid is transmitted by:


A) inhalation of spores from hides and wool of animals.
B) ingestion of improperly cooked hot dogs.
C) an abrasion on skin coming in contact with infected swine or other animals.
D) contaminated soil entering deep puncture wounds.
E) respiratory secretions.

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

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Production of a neurotoxin that prevents acetylcholine release from motor neurons at neuromuscular junctions is a characteristic of:


A) Clostridium botulinum.
B) Clostridium perfringens.
C) Clostridium difficile.
D) Clostridium tetani.
E) All of the choices are correct.

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

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The foodborne disease that involves neurotoxin is:


A) gastrointestinal anthrax.
B) Bacillus cereus intoxication.
C) botulism.
D) Clostridium perfringens gastroenteritis.
E) All of the choices are correct.

F) B) and E)
G) C) and D)

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Anthrax is:


A) a zoonosis.
B) transmitted by contact, inhalation, and ingestion.
C) a disease that, in humans, can cause a rapidly fatal toxemia and septicemia.
D) only seen sporadically in the United States.
E) All of the choices are correct.

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

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Mild, uncomplicated cases of pseudomembranous colitis may be treated by:


A) debridement.
B) wound cleansing.
C) vancomycin for several weeks.
D) withdrawal of antibiotics and replacement of lost fluids and electrolytes.
E) All of the choices are correct.

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

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_____ is a chronic progressive disease of the skin and nerves caused by Mycobacterium leprae.

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The major virulence factor of Corynebacterium diphtheriae that causes serious systemic effects is:


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

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

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

A) True
B) False

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The _____ test injects 0.1 ml of PPD intradermally into the forearm.

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All of the following pertain to Listeria monocytogenes, except:


A) gram positive
B) sporeformer
C) contaminant of dairy products, meats, poultry
D) causes foodborne listeriosis
E) bacterial cells multiply within the cytoplasm of a host cell

F) B) and D)
G) C) and D)

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Discuss the types of foods and food preparation associated with foodborne botulism, and explain how neurotoxins gain entry to the foods.

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Mycobacterium bovis is attenuated and used in the _____ vaccine.

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All of the following pertain to tuberculosis, except:


A) live bacilli can remain dormant in the lungs and reactivate later in life.
B) symptoms of active TB include low-grade fever, coughing, fatigue, weight loss, and night sweats.
C) lung infection can disseminate to many other organs in extrapulmonary TB.
D) the BCG vaccine is used in other countries.
E) antimicrobials cannot treat and cure tuberculosis.

F) C) and D)
G) D) and E)

Correct Answer

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The fermentation by-products of Clostridium perfringens can destroy muscle structure in myonecrosis.

A) True
B) False

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Diphtherotoxin targets cells in the _____ and _____.

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Which of the following may be recommended for treating gangrene?


A) debridement of the wound
B) hyperbaric chamber
C) amputation of affected limb
D) rigorous cleansing of deep wounds
E) All of the choices are correct

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

Correct Answer

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