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A common food intoxication is caused by enterotoxin-producing strains of


A) Staphylococcus aureus.
B) Staphylococcus epidermidis.
C) Staphylococcus saprophyticus.
D) Streptococcus pyogenes.
E) Streptococcus agalactiae.

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

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Which organ of the GI tract has a large,commensal population of microorganisms?


A) liver
B) salivary glands
C) pancreas
D) large intestine
E) small intestine

F) A) and B)
G) B) and D)

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D

Which of the following is not a virulence factor of E.coli O157:H7?


A) secretes shiga exotoxin from a bacteriophage
B) secretes shiga exotoxin from the
C) protein called intimin for host attachment
D) type III secretion system
E) provides the receptor for intimin to attach to the host

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

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Which of the following is not a normal causative agent of acute diarrhea with vomiting (food poisoning) ?


A) Clostridium perfringens
B) Staphylococcus aureus exotoxin
C) Clostridium difficile
D) Bacillus cereus

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

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All of the following are characteristics of Campylobacter jejuni except


A) transmitted through ingestion of contaminated chicken,meat,milk,and water.
B) causes fever and a watery to bloody diarrhea.
C) infects the stomach.
D) produces an enterotoxin that stimulates diarrhea.
E) are gram-negative,curved rods with darting motility.

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

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Which is mismatched?


A) hepatitis A virus - nonenveloped,single-stranded RNA enterovirus
B) hepatitis B virus - enveloped DNA virus
C) hepatitis C virus - RNA virus
D) hepatitis D virus - defective RNA virus that coinfects with HAV
E) hepatitis E virus - self-limiting RNA virus

F) A) and B)
G) A) and E)

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Which of the following helminths is paired with a correct characteristic of its pathogenesis?


A) Ascaris lumbricoides - enters through the skin
B) Necator americanus - eggs are ingested
C) Enterobius vermicularis - sexual transmission
D) Taenia solium - eggs or larvae can be ingested
E) Schistomoma species - carried by an insect vector into human

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

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Cholera symptoms are


A) copious watery diarrhea.
B) loss of blood volume.
C) acidosis,sunken eyes,and thirst.
D) hypotension,tachycardia,and shock.
E) All of the choices are correct.

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

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Gingivitis


A) is primarily caused by normal anaerobic biota.
B) involves the formation of calculus and plaque.
C) involves a crevice in the gum along the tooth.
D) may involve archaeal species.
E) All of the choices are correct.

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

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Which is incorrect about Staphylococcus aureus food intoxication?


A) Food gets contaminated by a human carrier.
B) Common associated foods include custards,ham,cream pastries,and processed meats.
C) Food is left unrefrigerated for several hours after contamination.
D) Ingestion of the pathogen allows it to multiply and damage the GI tract lining.
E) Symptoms come on quickly and include nausea,vomiting,and diarrhea.

F) A) and E)
G) B) and E)

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Which of the following is not true of enterotoxigenic E.coli (ETEC) ?


A) causes traveler's diarrhea
B) has an A-B,heat labile exotoxin
C) has heat-stable exotoxins
D) causes a high fever

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

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Parasitic helminths exhibit all of the following characteristics except


A) are multicellular animals.
B) have a definitive host where the adult form lives.
C) have larval forms that do not affect humans.
D) include roundworms.
E) include tapeworms.

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

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Having just returned from a vacation in South America,you find that you now have a severe diarrheal illness.Your symptoms,other than diarrhea,are pain,cramps,some fecal blood,and fever.These are symptoms of many of the gastrointestinal diseases,so that information does not help you or the doctors identify the infectious agent.Your doctor wants to send a sample of your feces down to the microbiology lab for them to look at it under the light microscope.Based upon this protocol selection,the physician believes that have:


A) cholera
B) salmonellosis
C) hepatitis A
D) amoebiasis
E) rotavirus

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

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The only body fluid that can transmit Hepatitis B virus is blood.

A) True
B) False

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False

Liver flukes live in all of the following areas except the


A) small intestine.
B) liver.
C) gallbladder.
D) bile duct.

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

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Which of the following is not true of enterovasive E.coli (EIEC) ?


A) produces shiga toxin
B) invades gut mucosa
C) blood and pus in the stool
D) no heat-labile or heat-stable exotoxins

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

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Carriers of Hepatitis B virus are not common.

A) True
B) False

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All of the following pertain to Clostridium difficile infection except it


A) is due to ingestion of contaminated,improperly stored,cooked meats and gravies.
B) is a colitis that is a superinfection.
C) often has an endogenous source.
D) is associated with disruption of normal flora due to broad-spectrum antimicrobials.
E) is the major cause of diarrhea in hospitals.

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

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Even as late as the1980s,the medical establishment thought that ulcers were caused by stress and the increase in gastricity acidity.How has the current understanding of ulcer development changed patient treatment,compared to treatments before 1980?


A) Antibiotics are now used to treat ulcers.
B) Doctors now give their patients sedatives to calm patients with ulcers.
C) There is no treatment for ulcers,then or now.
D) Different foods are now suggested for patients having ulcers.

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

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Escherichia coli infections


A) All of the choices are correct.
B) are often transmitted by fecal contaminated water and food.
C) involve enterotoxin in traveler's diarrhea.
D) include EIEC that destroys gut mucosa.
E) are self-limiting with the only treatment being rehydration.

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

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A

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