Chpt 20

Question 1

Lysozyme and lactoferrin are found in

Answer 1

Saliva

Question 2

Stomach fluid and bile are considered ___

Answer 2

Antimicrobials

Question 3

Commensal organisms provide ____

Answer 3

protection of microbial antagonism

Question 4

___ has the most diverse POP and is VERY LARGE

Answer 4

Normal biota

Question 5

___ in the gut function is to provide protection

Answer 5

Normal biota

Question 6

Functions of the normal biota

Answer 6

PROVIDE NUTRIENTS THA WE CAN’T PROVIDE OURSELVES

Question 7

E.coli synthesizes ___!!

Answer 7

VITAMIN K

Question 8

Accessory organs and all internal organs contain a small amount of microorganisms (t/f)

Answer 8

False, ACCESSORY ORGANS AND ALL INTERNAL ORGANS don not contain MICROORGANISMS!!

Question 9

This type of diarrhea have a devastating effect.

Answer 9

E.coli O157:H7

Question 10

In most diarrheal illnesses, antimicrobial treatment is recommended (t/f)

Answer 10

FALSE, antimicrobial treatment IS CONTRAINDICATED!!

Question 11

Eggs are infected because the bacteria may enter the egg when the shell is being formed:

Answer 11

Salmonella

Question 12

Thypoid fever is caused by ___

Answer 12

Typhi variant

Question 13

One of the severe forms of salmonellosis can include __

Answer 13

Septicimia

Question 14

Treatment for uncomplicated cases of salmonellosis

Answer 14

Fluid and electrolyte balance

Question 15

Diarrhea containing blood

Answer 15

Dysentery

Question 16

Toxin that affects the GI tract, damages the mucosa and villi.

Answer 16

ENTEROTOXIN

Question 17

Produced by certain species is a more severe enterotoxin.

Answer 17

SHIGA TOXIN

Question 18

Shiga-toxin-producing E.coli is also known as

Answer 18

E.coli O157:H7

Question 19

E.coli 157:H7 is produced by

Answer 19

undercooked beef

products eaten raw such as lettuce, vegetables, and apples used in a unpausteurized cider

Question 20

Shiga toxin is killed by _

Answer 20

Heat

Question 21

Most common BACTERIAL cause of diarrheal in the US.

Answer 21

Campylobacter

Question 22

Campylobacter infection can lead to

Answer 22

Guillain-Barre syndrome (GBS)

Question 23

____ Is the single most common precipitatin event

Answer 23

Campylobacter infection

Question 24

Clostridioides difficile causes

Answer 24

Pseudomembraneous colitis

Question 25

Is the major cause of diarrhea in hospitals

Answer 25

Clostridioides Difficile

Question 26

Clostridioides difficile is precipitated by

Answer 26

Therapy with broad-spectrum antibiotics such as ampicillin, clindamycin, or cephalosporin

Question 27

Rice water stool is commonly present in

Answer 27

Vibrio cholerae

Question 28

Untreated cholera can lead to death (t/f)

Answer 28

True

Question 29

Food poisoning is caused by:

Answer 29

Staphylococcus aureus

Question 30

Food poisoning must be suspected when__

Answer 30

Vomiting is accompained by diarrhea

Question 31

Swelling of the parotid salivary gland

Answer 31

Parotitis

Question 32

Mumps is a __

Answer 32

vrius

Question 33

Where is mumps usually located

Answer 33

20%-30% of young adults males have it localized in the epidimys and testes on one side usually. NO permanent damage usually occurs

Question 34

Yellow tinge in the skin and eyes caused by billirubin

Answer 34

Jaundice

Question 35

Jaundice is a sign of

Answer 35

Hepatitis

Question 36

___ symptoms are subclinical or accompained by vague, flulike symptoms

Answer 36

Hepatitis A and E

Question 37

____ symptoms are direct damage to liver cells.

Answer 37

Hepatitis B and D

Question 38

___ can lead to liver cancer

Answer 38

Chronic HBV

Question 39

___ is considered one of the major infecitous concerns for healthcare workers.

Answer 39

Hepatitis B and D

Question 40

____ remains infective for days in dried blood

Answer 40

HBV

Question 41

Lifer failure for hepatitis A is one of the most common reasons for liver transplant in the USA (t/f)

Answer 41

False, liver failure is caused by HEPATITIS C

Question 42

Cancer may be a result from ___

Answer 42

HCV infection

Question 43

There's a vaccine for prevention against hepatitis C (t/f)

Answer 43

False, there's no vaccine for hepatitis C

Question 44

NCLEX1.GALT includes a. Peyer's patch b. the appendix c. tonsils d. adenoids e. all of the above f. none of the above

Answer 44

Peyer's patch, the appendix, tonsils, adenoids

Question 45

NCLEX2. A nurse is preparing to asses a patient admitted for persistent diaherra. It was reported that the patient has experienced a 6% weight loss in the past 24hrs. Which of the following manifstations may be expected a. increased respiratory rate b. hypertension c. headache d. headache e. extreme thrist f. sustained tachychardia

Answer 45

A,B,C,D,E

Question 46

NCLEX3. A client has been diagnosed with Guillain-Barre syndrome. Which observation found in the client's past medical hisotry is relevant? a. congestive heart faiulre b. campylobacter infection c. dehyration d. diabetes mellitus

Answer 46

Campylobacter infection

Question 47

NCLEX4. A patient with hepatitis is admitted to an inpatient medical unit. The nurse educates her about the clinical manifestations that accompany the disease. All of the following may be associated with jaundice, expect a. yellowsclerae b. pruritus c. clay-colored stools d. dark-colored urine

Answer 47

Dark colored urine

Question 48

NCLEX5. Blood in the stool may occur in which of the following? a. salmonella infection b. rotavirus infection c. clostridioides difficile infection d. shigella infection

Question 49

1. Which of the following causes of acute diahrreal is the ost concern to the CDC due to antibiotic? a. salmonella b. C.diff c. cryptosporidium d. Shigella

Answer 49

C.diff

Question 50

4. This endospore forming bacterium contaminates meat and vegetables, and in other situations causes gas gangrene. a. Bacillus cereus b. Clostridium perfringens c. Shigella d. Staph aureus

Answer 50

Clostridium perfringens

Question 51

7. Which of the following bacteria produces enzyme that breaks down urea a. helicobacter pylori b. salmonella c. shigella d. shiga-toxin producing E.coli

Answer 51

Helicobacter pylori

Question 52

10. Which of these organisms has an unusual double-stranded RNA genome? a. norovirus b. schistosoma c. hepatitis c d. rotavirus

Answer 52

Rotavirus

Question 53

13. The normal biota of the GI tract is the most diverse in the a. pharynx b. stomach c. small intestine d. large intestine

Answer 53

Large intestine

Question 54

16. Which of the following is associate with Guillain-Barre syndrome? a. E.coli b. Salmonella c. Campylobacter d. Shigella

Answer 54

Campylobacter

Question 55

19. You are examining a patient who is a recent immigrant from Southeast asia. She is complaining of diarrhea and vomiting. Which of these would add to your potential diagnosis in light of her history a. Vibrio cholerae b. Salmonlla c. Shigella d. Campylobacter

Answer 55

Vibrio cholerae