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Dissemination of a pathogen is when:


A) a pathogen penetrates and grows in tissues.
B) a pathogen multiplies intracellularly.
C) a pathogen circumvents host antibodies by shifting key cell-surface antigens.
D) infection with a pathogen spreads from the initial infection site to distant sites such as organs and tissues.

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

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Diabetics may sometimes be infected with their own resident flora.This type of infection is called:


A) an opportunistic infection.
B) a carrier state.
C) symbiosis.
D) a parasitic infection.

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

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Factors that determine the pathogenicity and increase the virulence of organisms include all the following except an organism's ability to:


A) avoid phagocytosis.
B) produce exotoxins and extracellular enzymes.
C) produce infection when host conditions change.
D) survive intracellularly when phagocytized.

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

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Mechanisms used by the skin to prevent infection and protect the underlying tissue from invasion by potential pathogens include all the following except:


A) desquamation of the epithelium.
B) excretion of lysozyme by sweat glands.
C) antibiotics that inhibit many microorganisms.
D) mechanical separation of microorganisms from the tissues.

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

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One of the most effective defenses bacteria have against phagocytosis is:


A) enzymes.
B) the capsule.
C) plasmids.
D) lipopolysaccharide layer.

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

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The human body is constantly challenged by pathogens in the environment.It is not infected by every pathogen it encounters because the microbial flora:


A) engulf the pathogenic bacteria.
B) produce conditions at the microenvironmental level that block colonization.
C) prime our immune system.
D) activate and support the action of antigen-presenting cells, cytokines, and cell-mediated immunity.

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

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Healthy skin secretes what substances to help prevent colonization by transient and possibly pathogenic organisms?


A) Long-chain fatty acids
B) Sebaceous glands
C) Carbohydrates
D) Antibodies

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

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After perforation of the colon, surgeons must guard against infection in the _____ because of leakage of the contents of the colon.


A) peritoneal cavity
B) urinary bladder
C) vaginal flora
D) renal vein

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

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The classic example of a bite-wound infection is:


A) rabies.
B) S.aureus.
C) plague.
D) Ebola.

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

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All the following are potentially pathogenic organisms found in the nasopharynx of healthy individuals except:


A) Haemophilus influenzae.
B) Streptococcus pneumoniae.
C) Streptococcus mutans.
D) Neisseria meningitidis.

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

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What is the name of a leukocidin that is lethal to leukocytes and produced by staphylococci?


A) Panton-Valentine
B) Lancefield
C) Hemolysin
D) Adhesins

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

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A

Changes in what host structures can result in lower virulence of a microorganism?


A) Pili
B) Adhesin receptors
C) Surface polysaccharides
D) Phagocytes

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

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B

During the childbearing years, the normal flora of the vagina maintain a low pH, thus encouraging colonization with all the following types of organisms except:


A) lactobacilli.
B) gram-negative rods.
C) anaerobic gram-negative bacilli.
D) gram-positive cocci.

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

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Organisms that participate in a biologic relationship where both benefit from one another are called:


A) parasites.
B) symbionts.
C) hosts.
D) flora.

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

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B

A physician notices that several patients are infected with Clostridium difficile, but only a few of the patients are symptomatic for disease.The reason for this discrepancy is:


A) only those strains of the organism carrying the extrachromosomal DNA coding for the toxin gene will produce toxin and cause the individuals to be symptomatic.
B) only those strains of the organism carrying DNA coding for the toxin within its main DNA molecule will produce toxin and cause the individuals to be symptomatic.
C) the exotoxin produced contains only the nontoxic portion.
D) the exotoxin must be produced in conjunction with extracellular enzymes to cause problems.

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

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What virus causes immune suppression in the host by targeting and destroying the host's CD4+ T cells?


A) HIV
B) Hepatitis B
C) Epstein-Barr
D) Cytomegalovirus

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

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Because infections can be encountered via the air, _____ can cause transmission of some pathogens.


A) cuts
B) eyes
C) coughing
D) eating

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

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What type of bacteria is able to live in the colon with little to no oxygen and is the predominant organism?


A) Anaerobes
B) Facultative anaerobes
C) Facultative gram-negative rods
D) Gram-positive cocci

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

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What mechanism allows strict anaerobes to grow in the cervices and areas between the teeth when plaque is present?


A) A low oxidation-reduction potential occurs at the tooth surface under the plaque.
B) The bacteria secrete sugar to nourish the strict anaerobes.
C) The normal flora secrete antibiotics to kill all the other bacteria and allow the strict anaerobes to thrive.
D) The plaque-causing bacteria secrete an alkaline fluid and change the pH around the tooth.

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

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The stomach can be considered a first line of defense against microbial infections because:


A) most microorganisms are susceptible to the antibiotics and alkaline pH present in the stomach.
B) most microorganisms are killed by the liver enzymes that are emptied into the stomach during a meal.
C) the stomach produces proteases, which attacks the lipopolysaccharide cell wall of the organisms.
D) most microorganisms are susceptible to the acid pH of the stomach.

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

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