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Each of the following statements is true for Toxoplasma gondii except that


A) infection often fatal for AIDS patients.
B) it has a narrow host range.
C) it can cause stillbirth.
D) it is a flagellated parasite.

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

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Spongiform encephalopathies are


A) associated with abnormal, transmissible, protein in the brain.
B) chronic, fatal infections of the nervous system.
C) caused by prions.
D) Creutzfeldt-Jacob disease, kuru, and Gertsmann-Straussler-Scheinker syndrome.
E) All of the choices are correct.

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

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Toxoplasmosis prevention includes ______.


A) vector control
B) hygienic precautions
C) vaccination of humans
D) vaccination of cats

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

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Neisseria meningitidis is transmitted by ______.


A) an insect vector
B) sexual contact
C) fomites
D) close contact

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

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Arthrospores of Coccidioides immitis develop into ______ that will release endospores into the lungs.


A) capsules
B) hyphae
C) capsids
D) spherules
E) buds

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

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Both Streptococcus pneumoniae and Cryptococcus neoformans are causes of meningitis, and both are diagnosed by microscopic observation.How are they distinguished in the microscope?


A) Because Cryptococcus is a fungus, it will not react in the Gram stain, and the cells will always remain colorless.
B) These organisms have different cellular arrangements; Streptococcus form chains, whereas Cryptococcus forms irregular clusters of cells.
C) Cryptococcus is a fungus whereas Streptococcus is a bacterium; cells will be dramatically different in complexity and size.
D) Streptococcus has a prominent capsule that can be observed by negative staining of the sample.

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

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Which of the following is not true of meningoencephalitis?


A) The condition involves infection of both the brain and meninges.
B) The mode of transmission is via respiratory droplets.
C) The treatment for primary amoebic meningoencephalitis (PAM) is mostly ineffective.
D) The causative organisms are Naegleria fowleri and Acanthamoeba.

E) None of the above
F) All of the above

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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 tetani
C) Clostridium difficile
D) Clostridium perfringens

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

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Which of the following statements regarding poliomyelitis is incorrect?


A) The virus is transmitted by contaminated water.
B) Summer outbreaks in the U.S.have been increasing in frequency.
C) It is caused by poliovirus (genus Enterovirus) .
D) If the virus enters the central nervous system, motor neurons can be infected and destroyed.
E) It can be asymptomatic or mild with headache, sore throat, fever, and nausea.

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

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A group is planning a cross-country hike on the Pacific Crest Trail, from the Mexican border, through California, Oregon, and Washington, to the Canadian border.Which of the following should not be a concern for the group while on this trip?


A) Rabies
B) Valley Fever
C) Powassan Virus
D) West Nile Encephalitis

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

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Some cases of CJD may be caused by a mutation of the PrP gene.

A) True
B) False

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Cryptococcal meningitis is highly communicable among humans.

A) True
B) False

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As a child, you received the OPV vaccine and its boosters.Now you are going on a mission trip to Pakistan, and the vaccine is recommended by the Centers for Disease Control and Prevention.When you go to the health office for the vaccine, they give you the IPV vaccine.When you ask why you are receiving the IPV rather than the OPV, the personnel explain that


A) there is no possibility of actually developing polio from this vaccine.
B) IPV is used as a booster only, and OPV is used exclusively for children's first immunization.
C) the IPV has fewer active viruses in it than the OPV, so it is safer.
D) the IPV is preferred by patients because it can be taken orally.

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

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Tetanus can be prevented with the DTaP childhood immunization and boosters with the tetanus toxoid.

A) True
B) False

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The food-borne disease that involves neurotoxin is ______.


A) Clostridium perfringens gastroenteritis
B) botulism
C) gastrointestinal anthrax
D) Bacillus cereus intoxication

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

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As a nurse, you have to teach your patients about control and management of their diseases as well as the facts of the disease--risk, treatment, symptoms, etc.How might you instruct a patient who has West Nile virus to avoid the infectious agent in the future?


A) Be sure to treat your dogs and cats with flea medication.
B) Do not go outside at dusk or dawn, and cover the skin if this is unavoidable.
C) Do not eat food served from kiosks and food trucks in foreign countries.
D) Always drink bottled water when outside of the U.S.
E) Get an annual vaccination if you live in an area where the virus is known to circulate.

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

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The organism responsible for the majority of neonatal meningitis is ______.


A) Listeria monocytogenes
B) Streptococcus agalactiae
C) Neisseria meningitidis
D) Haemophilus influenzae
E) Escherichia coli K1

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

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A group of men make an annual week-long hunting trip for deer season in West Virginia.This year, they had to chase a family of squirrels out of the cabin, and during the week, they killed several deer and processed the meat, eating venison steaks most nights.All of the men had a few mosquito bites, and two cases of beer were consumed.The following week, they all developed symptoms of fever, headache, confusion, and seizures.Which of the following organisms can be ruled out as the cause of this encephalitis?


A) Jamestown Canyon Virus
B) JC Virus
C) Powassan Virus
D) Eastern Equine Encephalitis Virus

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

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Patients with Creutzfeldt-Jacob disease live ______ post diagnosis.


A) less than 1 year
B) 1 to 5 years
C) 5 to 10 years
D) 10 to 20 years
E) greater than 25 years

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

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Place the following components of the nervous system anatomy in order from skull to brain.


A) Pia mater, arachnoid mater, subarachnoid space, dura mater
B) Subarachnoid space, arachnoid mater, dura mater, pia mater
C) Dura mater, arachnoid mater, subarachnoid space, pia mater
D) Arachnoid mater, subarachnoid space, dura mater, pia mater
E) Dura mater, arachnoid mater, pia mater, subarachnoid space

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

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