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Rickettsia prowazekii is transmitted by


A) mites of the genus Leptotrombidium.
B) the rat flea Xenopsylla cheopis.
C) the human body louse Pediculus humanus.
D) the dog tick Dermacentor.
E) the cat flea Ctenocephalides felis.

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People living in the northeastern United States are more at risk for exposure to which of the following rickettsias?


A) Rickettsia rickettsii
B) Rickettsia typhi
C) Ehrlichia chaffeensis
D) Orientia tsutsugamushi
E) Rickettsia prowazekii

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Louse-borne relapsing fever is caused by a spirochete known as Borrelia (burgdorferi/recurrentis/interrogans),which is capable of frequently changing its antigenic surface components.

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A patient was admitted to the emergency department suffering from severe diarrhea that had lasted a couple of days.There had already been significant weight loss.On examination,his stool was very watery with white bits of mucus and little odor.What pathogen is likely causing this condition,and how does it cause disease?

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The patient is suffering from cholera,an...

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An expanding rash that resembles a bull's-eye is a characteristic of secondary syphilis.

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  The pattern of fever shown in Figure 21.1 is most commonly seen with A)  yaws. B)  Lyme disease. C)  lymphogranuloma venereum. D)  syphilis. E)  relapsing fever. The pattern of fever shown in Figure 21.1 is most commonly seen with


A) yaws.
B) Lyme disease.
C) lymphogranuloma venereum.
D) syphilis.
E) relapsing fever.

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Compare and contrast the pathogenesis of the sexually transmitted diseases chlamydia and syphilis.

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Chlamydia is caused by the intracellular...

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Which of the following diseases is considered an emerging disease because it was unknown before 1987?


A) anaplasmosis
B) Brill-Zinsser disease
C) murine typhus
D) Rocky Mountain spotted fever
E) lymphogranuloma venereum

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The characteristic lesion for tertiary syphilis is the presence of (gummas/necrosis/granulomas)in bones,in nervous tissue,or on the skin.

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Helicobacter pylori produces (cytotoxin/hyaluronidase/urease),a unique virulence factor important to colonizing the digestive system.

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Which of the following statements regarding trachoma is FALSE?


A) It is the leading cause of nontraumatic blindness in humans.
B) It is most often a disease of adults who suffer from sexually transmitted chlamydia.
C) It leads to corneal scarring.
D) It first infects the conjunctiva and kills cells there.
E) Infants may contract the disease while passing through an infected birth canal.

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The endosomes of cells infected with chlamydia are filled up with the form known as


A) elementary bodies.
B) reticulate bodies.
C) inclusion bodies.
D) initial bodies.
E) morula.

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Chlamydia trachomatis produces a dormant,resistant stage for transmission from one host to another.

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The intracellular parasite ________ infects cells of the conjunctiva and mucous membranes throughout the body.


A) Anaplasma phagocytophilium
B) Chlamydia trachomatis
C) Orientia tsutsugamushi
D) Ehrlichia caffeensis
E) Helicobacter pylori

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Which of the following microorganisms have been referred to as energy parasites?


A) rickettsias
B) vibrios
C) chlamydias
D) spirochetes
E) Borrelia

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The zoonosis known as RMSF is the result of infection with Rickettsia (prowazekii/rickettsii/typhi).

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Transovarian transmission is a process in which


A) a pathogen infects the ovaries of the host.
B) a pathogen is transmitted to the host when the host ingests contaminated eggs.
C) an infected female vector transmits the pathogen to the eggs forming in its ovaries.
D) the pathogen is transmitted from an infected male to a healthy female during mating.
E) the pathogen is spread from one host to the next by unprotected sexual intercourse.

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Which of the following is the correct pairing of rickettsial pathogen and vector?


A) R. rickettsia; flea
B) R typhi; tick
C) R prowazekii; louse
D) R. typhi; mite
E) R rickettsia; louse

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The (body louse/cat flea/dog tick)is the primary vector of epidemic typhus.

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Which of the following causes pinta,a skin disease primarily of children,in which spirochetes are detectable in specimens from the lesions?


A) Borrelia recurrentis
B) Leptospira interrogans
C) Treponema carateum
D) Treponema pallidum pertenue
E) Treponema pallidum pallidum

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