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Legionellosis is a zoonosis.

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The causative organisms for CAP and HCAP differ, but the modes of transmission do not; that are all transmitted via aerosolized droplets which enter the lungs.

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The enzyme associated with the influenza virus that hydrolyzes the protective mucous coating of the respiratory tract is ______.


A) catalase
B) reverse transcriptase
C) hyaluronidase
D) neuraminidase
E) kinase

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In addition to antimicrobials, patients with diphtheria are treated with ______.


A) antitoxin
B) tracheostomy
C) heart medication
D) bronchoscopy
E) All of the choices are correct.

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Which of the following is not true of influenza?


A) Influenza has glycoprotein spikes of hemagglutinin (H) and neuraminidase (N) .
B) Antigenic drift changes the antigens to reduce immune recognition.
C) Antigenic shift causes changes in the RNA strands.
D) Influenza B viruses undergo both antigenic drift and antigenic shift.
E) H5N1 is the bird flu strain that may cause a pandemic.

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Influenza virus can exhibit constant mutation of viral glycoproteins, called antigenic ________, or alternatively antigenic ________, which is a more serious phenomenon caused by the exchange of a viral gene with that of another influenza virus strain.


A) drift; exchange
B) exchange; drift
C) drift; shift
D) shift; drift

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Infection travels to the middle ear by way of the ______.


A) auditory canal
B) sinuses
C) nasal cavity
D) eustachian (auditory) tubes
E) subarachnoid space

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Superantigens


A) include streptolysin O.
B) include erythrogenic toxin.
C) induce production of tumor necrosis factor.
D) are potent stimulators of T cells.
E) All of the choices are correct.

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The primary transmission route for acquiring agents of the common cold is by contact with hands and fomites contaminated with the nasal discharges of an infected person.

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Which of the following statements is false regarding RSV?


A) While RSV is most prevalent in infants 6 months of age and younger, the highest mortality rate is in those children with underlying risk factors such as prematurity.
B) Infants aged 6 months and younger are the most susceptible to infection by RSV; however, adults and older children can also become infected with this virus.
C) RSV infects infants aged 6 months and younger; it is unlikely that a 4-year-old would develop a respiratory disease as a result of this virus.
D) Although RSV is most prevalent in infants aged 6 months and younger, usually by age 2 most children have been exposed to this virus.

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Which of the following is not part of the upper respiratory tract?


A) Mouth
B) Nasal cavity
C) Trachea
D) Pharynx
E) Larynx

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Of the six Category A diseases listed by the U.S.Public Health Service, which affect/s the respiratory tract?


A) Botulism
B) Pneumonic plague
C) Tularemia
D) Smallpox
E) Both pneumonic plague and tularemia are correct.

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Treatment for diphtheria requires only penicillin or erythromycin.

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Which of the following is not part of the lower respiratory system?


A) Alveoli
B) Bronchi
C) Bronchioles
D) Trachea
E) Sinuses

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Which of the following pertains to diphtheria?


A) Results in meningitis
B) Symptoms include vomiting and diarrhea
C) Can be transmitted from mother's birth canal to neonate
D) Prevented by the DTaP immunization

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Which is not correct about Mycobacterium species?


A) All species are human pathogens.
B) Cell walls have waxy lipids.
C) It is an acid-fast bacterium.
D) It exhibits a very slow growth rate.
E) Cells appear as long, slender rods via microscopy.

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The most common type of virus leading to rhinitis is _______.


A) coronavirus
B) adenovirus
C) rhinovirus
D) herpes simplex virus
E) retrovirus

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A paroxysmal cough is associated with Legionnaires'disease.

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The most common causative agent of otitis media is ______.


A) Aspergillus fumigatus
B) Haemophilus influenzae
C) Candida albicans
D) Corynebacterium diphtheriae
E) Streptococcus pneumoniae

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Which of the following causes a noncommunicable pulmonary infection that resembles tuberculosis?


A) Mycobacterium avium complex (MAC)
B) Mycobacterium kansasii
C) Mycobacterium scrofulaceum
D) Mycobacterium fortuitum complex
E) Mycobacterium marinum

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