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Nationwide, over 100,000 patients a year die from septic shock. This is due to


A) the presence of lipopolysaccharide in the outer membrane of bacteria.
B) lipoteichoic acid in the cell wall of bacteria.
C) a cytotoxin similar to the diphtheria toxin.
D) coagulase.
E) a neurotoxin similar to botulin.

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

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Chancroid is characterized by


A) sexually transmission.
B) geographical distribution in the tropics and subtropics.
C) lesions which develop at the portal of entry.
D) bubo-like swelling of the lymph nodes.
E) All of these choices are correct.

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

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All of the following are coliforms that cause opportunistic and nosocomial infections, except


A) Enterobacter.
B) Citrobacter.
C) Shigella.
D) Klebsiella.
E) Serratia.

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

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A paroxysmal cough is associated with Legionnaires'disease.

A) True
B) False

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Shigella species have the following characteristics, except


A) they are non-motile.
B) they release endotoxin.
C) they belong to Enterobacteriaceae.
D) they infect the small intestine.
E) they produce enterotoxin.

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

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Genes for which of the following may be transferred between fecal bacteria?


A) toxin production
B) capsules
C) fimbriae
D) hemolysins
E) All of these choices are correct.

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

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Which of the following is not correct concerning the plague?


A) Mice, voles, and other rodents are primary long-term reservoirs.
B) It is transmitted by flea vectors.
C) Less than 10 cases per year occur in the U.S.
D) The etiological agent is Yersinia pestis.
E) Strains of the plague bacillus are less virulent today compared to strains prevalent in the Middle Ages.

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

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The member of the Enterobacteriaceae that has enteroinvasive, enterotoxigenic, enteropathogenic, and enterohemorrhagic strains is _____.

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Which is incorrect about shigellosis?


A) Outbreaks have occurred in day-care centers.
B) It is characterized by watery diarrhea with bloody, mucoid stools, and abdominal cramps.
C) It frequently involves septicemia.
D) Human carriers cause fecal transmission.
E) It is also called bacillary dysentery.

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

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Which is incorrect about Yersinia pestis?


A) It exhibits bipolar staining.
B) It is a gram-negative rod.
C) It produces coagulase enzyme.
D) It has a capsule.
E) It produces enterotoxin.

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

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Which of the following is an agent of the sexually-transmitted disease chancroid?


A) Haemophilus aegyptius
B) Haemophilus influenzae
C) Haemophilus parainfluenzae
D) Haemophilus ducreyi
E) Haemophilus aphrophilus

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

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Patients with legionellosis should be placed in isolation when hospitalized due to the contagious nature of the pathogen.

A) True
B) False

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Which of the following species was once considered so benign that microbiologists used it to trace movements of air currents in hospitals and over cities?


A) Morganella
B) Providencia
C) Citrobacter
D) Serratia
E) Legionella

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

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The two true pathogenic enteric genera of the Enterobacteriaceae are _____ and _____.

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Shigella; ...

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Which are considered true enteric pathogens?


A) Salmonella
B) Klebsiella
C) Proteus
D) Enterobacter
E) Shigella

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

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