Final Exam (Lect. 33-41) Flashcards
(242 cards)
In an experiment, test subjects are given a diet without sucrose, while control subjects are given a
diet with sucrose. Which of the following results would NOT be expected?
A. Test subjects would have a more acidic oral pH.
B. Test subjects would have fewer Streptococcus mutans adhering to their teeth.
C. Control subjects would form a multi-species biofilm on their tooth enamel.
D. Test subjects would have a lower incidence of dental caries.
E. There would be a thicker glycocalyx on the teeth of control subjects.
Test subjects would have a lower incidence of dental caries.
Which of the following is a major virulence factor in Helicobacter pylori?
A. An antiphagocytic capsule
B. Ability to produce lots of acid
C. An AB toxin
D. The enzyme urease
E. Ability to live within macrophages
The enzyme urease
What is the most effective treatment for cholera?
A. Antibiotics as soon as the infection is apparent
B. An oral antitoxin
C. Oral rehydration with isotonic electrolyte
D. Intravenous saline drip
E. Prompt surgery to remove the diseased tissue
Oral rehydration with isotonic electrolyte
Which of the following is NOT a part of the Shigella disease cycle?
A. Forms ruffles on M cells in intestine
B. Gets uptaken by macrophages
C. Enters epithelial cells via the basal membrane
D. Spreads between cells via actin polymerization
E. Eventually colonizes the gallbladder, where it can persist for years
Eventually colonizes the gallbladder, where it can persist for years
The usual location of a mumps infection is . . .
A. lung epithelial cells
B. glandular epithelial cells
C. intestinal epithelial cells
D. macrophages
E. nerve cells
glandular epithelial cells
A 38-year-old intravenous drug user presented at a clinic with a swollen, tender abdomen. The
sclera of his eyes were yellow (icteric), and his skin had a faint yellow coloration. A direct fluorescent
antibody test was positive for a particular infectious agent. What is unusual about this agent?
A. It is transmitted as a foodborne illness, but has non-gastrointestinal symptoms.
B. Antibodies produced against it cause arthritis as a late sequela.
C. It replicates nearly as fast in the body as it does in tissue culture.
D. It is a DNA virus that needs reverse transcriptase to replicate.
E. You can detect the agent with a direct antibody test instead of an indirect test.
It is a DNA virus that needs reverse transcriptase to replicate.
Which of the following do the Hepatitis A and B viruses have in common?
A. The portal of entry by which they enter the host
B. The family of virus to which they belong
C. The location of the infection in the host’s body
D. The severity of symptoms
E. They are completely different - they only happen to share a name
The location of the infection in the host’s body
The object at the right was isolated from a patient with
diarrhea. What is it?
A. A Giardia trophozoite
B. A flagellated bacterium like Shigella
C. The motile form of Entamoeba histolytica
D. A Cryptococcus oocyte
E. A Histoplasma spore
A Giardia trophozoite
A patient presents at a clinic in Mumbai with voluminous “ricewater stool” diarrhea. The best
treatment would consist of what?
A. Intravenous isotonic saline drip
B. Slowly sipping a solution of glucose and salts
C. Vaccination with an AB toxoid vaccine
D. An injection of passive immune globulin
E. Antibiotic therapy against the vibrio causing the disease
Slowly sipping a solution of glucose and salts
Chronic diarrhea can be caused by a trophozoite that burrows into and sometimes through the
intestinal lining, causing irritation and abscesses. Which of the following public health steps would
reduce the spread of this disease in a community?
A. Drying up pools of stagnant water
B. Controlling the rat population
C. Killing the snails which the parasite uses for part of its life cycle
D. Moving the hog feedlot farther from the town water source
E. Avoiding the use of human feces from septic tanks as fertilizer
Avoiding the use of human feces from septic tanks as fertilizer
Which of the following is NOT a virulence factor associated with Helicobacter pylori?
A. Urease
B. the VacA toxin
C. a cellulolytic toxin
D. an IgG Fc binding protein
E. motility
an IgG Fc binding protein
This could be considered the most serious hepatitis infection, since it is chronic, causes liver
cancer and organ failure, and there is no vaccine for it.
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Hepatitis D
E. Hepatitis E
Hepatitis C
Rita Colwell won the Nobel Prize for figuring out that you can stop a Cholera epidemic by filtering
water through ordinary cloth. How does this work?
A. You’re filtering out the Cholera toxin.
B. You’re filtering out a mechanical vector of Vibrio cholerae
C. You’re filtering out the Vibrio cholerae bacteria.
D. You’re increasing the pH of the water.
E. You’re aerating the water, and Vibrio is an anaerobe.
You’re filtering out a mechanical vector of Vibrio cholerae
This vaccine-preventable virus is worse in adults than it is in children because it can cause
inflammation of the testes and ovaries.
A. Mumps
B. Norovirus
C. Rotavirus
D. Measles
E. HPV
Mumps
This dangerous chronic infection is transmitted mainly by contaminated needles among drug users.
It causes cirrhosis after many years. There is no vaccine. It is . . .
A. E. coli O157:H7
B. Typhoid fever
C. Hepatitis C
D. Campylobacter
E. Hepatitis A
Hepatitis C
The organisms shown below were isolated from frothy, foul-smelling diarrhea from a hiker on the
Appalachian Trail, who was successfully treated with metronidazole. They are . . .
A. Vibrio cholerae
B. Flagellated amoebae
C. Schistosomes
D. Cryptosporidium oocysts
E. Giardia trophozoites
Giardia trophozoites
All of the following are virulence factors of Helicobacter pylori EXCEPT . . .
A. Survival in phagocytes
B. Flagella
C. An enzyme that buffers the stomach pH
D. A toxin that gets your cells to secrete urea
E. A toxin that kills your cells
Survival in phagocytes
This week there was a multi-state recall of sushi from yellow fin tuna that is contaminated with
Salmonella. You didn’t hear about that? You like sushi? Damn! What symptoms can you expect to
experience if you got infected?
A. Intestinal cramps and diarrhea with some blood in the stool
B. Several gallons per day of watery diarrhea
C. Guillain-Barré paralysis
D. Jaundice and abdominal pain
E. High fever, internal organ inflammation and death
Intestinal cramps and diarrhea with some blood in the stool
Jordyn is into the party scene at her college. She drinks a lot, occasionally injects drugs at parties
and has sex with three boyfriends. (Jordyn’s situation is not all that uncommon, by the way.) She is
putting herself at increased risk for all of the following EXCEPT . . .
A. Pelvic Inflammatory Disease
B. Hepatitis B
C. Hepatitis C
D. Mumps
E. Lower Respiratory Infections
Mumps
Infection with which of the following is more common in the US than in developing countries?
A. Cryptosporidium
B. Giardia
C. Streptococcus mutans
D. Entamoeba histolytica
E. Vibrio cholerae
Streptococcus mutans
Helicobacter pylori has all of the following virulence factors EXCEPT . . .
A. secretion of an A-B toxin that increases cAMP production
B. production of an enzyme that buffers stomach acid
C. a toxin that damages and eventually kills stomach endothelial cells
D. a form of motility that allows it to burrow into the gastric mucosa
E. a protein that induces secretion of urea from cells lining the stomach
secretion of an A-B toxin that increases cAMP production
A particular variety of _________ is engulfed by GALT macrophages but not killed. Instead
it travels within the macrophages throughout the body, causing high fever and organ failure,
eventually becoming established in the gall bladder.
A. Campylobacter
B. Salmonella
C. E. coli
D. Shigella
E. Vibrio
Salmonella
A cause of jaundice and liver inflammation, this infection normally lasts a few weeks, and
then goes away on its own. It can be prevented with a vaccine, or by avoiding food prepared
under unhygienic conditions.
A. Hepatitis A
B. Norovirus
C. Hepatitis E
D. Giardia
E. Hepatitis B
Hepatitis A
The cyst of the organism seen below is found in feces. Where would it
normally release trophozoites?
A. In the stomach
B. In the small intestine
C. In fecally-contaminated water
D. In the colon
E. In a snail
In the colon