Question 1

Which of the following is not true of Streptococcus pneumoniae?

Accepted Answer

A)  Most frequent cause of community-acquired meningitis
B)  Has a polysaccharide capsule that resists phagocytosis
C)  Produces alpha-hemolysin and hydrogen peroxide
D)  Small gram-positive flattened coccus
E)  Responds well to penicillinF) A) and C)
G) None of the above

Question 2

Cerebrospinal fluid is found in the ________.

Accepted Answer

A)  pia mater
B)  dura mater
C)  subarachnoid space
D)  arachnoid mater
E)  All of the choices are correct.F) None of the above
G) B) and E)

Question 3

Agricultural workers and field archaeologists are exposed to this organism,which,although entering via the respiratory tract,can cause meningitis.

Accepted Answer

A)  Haemophilus influenzae
B)  Coccidioides immitis
C)  Cryptococcus neoformans
D)  Streptococcus pneumoniae
E)  Neisseria meningitidisF) A) and B)
G) A) and E)

Question 4

The virulence of Haemophilus influenzae serotype b is associated with its ________.

Accepted Answer

A)  fimbriae
B)  neurotoxin
C)  enterotoxin
D)  capsule
E)  None of the choices are correct.F) A) and E)
G) None of the above

Question 5

Some cases of CJD may be caused by a mutation of the PrP gene.

Accepted Answer

A) True 
 B)False

Question 6

Following vaccination,no cases of attenuated polio virus reverting to a neurovirulent strain have been documented.

Accepted Answer

A) True 
 B)False

Question 7

Subacute sclerosing panencephalitis is caused by a prion.

Accepted Answer

A) True 
 B)False

Question 8

Which organism is the definitive host for Toxoplasma gondii?3

Accepted Answer

A)  Cat
B)  Dog
C)  Mouse
D)  Mosquito
E)  RaccoonF) A) and B)
G) B) and D)

Question 9

The oral and inactivated polio vaccines are made from plant cell cultures.

Accepted Answer

A) True 
 B)False

Question 10

Production of a neurotoxin that binds to target sites on spinal cord neurons responsible for inhibiting skeletal muscle contraction is a characteristic of ________.

Accepted Answer

A)  Clostridium botulinum
B)  Clostridium perfringens
C)  Clostridium difficile
D)  Clostridium tetani
E)  All of the choices are correct.F) D) and E)
G) A) and E)

Question 11

Meningococcemia is ________.

Accepted Answer

A)  best treated with ceftriaxone,penicillin or chloramphenicol
B)  associated with high fever,vascular collapse,hemorrhage,and petechiae
C)  started from a nasopharyngeal infection
D)  caused by a gram-negative diplococcus
E)  All of the choices are correct.F) B) and C)
G) A) and E)

Question 12

A 75-year-old female is brought to the emergency department by ambulance after having a seizure at her home. The woman's son reports she has not been acting normally. She complained of a severe headache and he noted a hand tremor and an unsteady gait. The past few days, she developed a high fever. Upon assessment by the medical team, the woman is not responding verbally. The nurse collects the patient's history from her son, which is notable for a recent camping trip in the woods.
-What components of the patient's history are most important for the nurse to collect during the initial triage assessment?

Accepted Answer

A)  Past medical history,mosquito exposure,allergies,medications
B)  Medications,food allergies,religious preference
C)  Birth history,childhood development,level of education
D)  Mosquito exposure,use of DEET,level of water filtrationE) B) and C)
F) A) and C)

Question 13

Viral meningitis normally requires aggressive antiviral treatment.

Accepted Answer

A) True 
 B)False

Question 14

What brain defense restricts substances from entering the brain by the vascular system?

Accepted Answer

A)  Meninges
B)  Blood-brain barrier
C)  Macrophages
D)  Microglia
E)  CraniumF) A) and D)
G) A) and E)

Question 15

Which of the following statements is incorrect regarding the characteristics of  Zika virus disease?

Accepted Answer

A)  Individuals who live in mosquito-infested areas can be administered a vaccine as prevention.
B)  The Zika virus can be transmitted via a mosquito vector,sexually from an infected partner,and vertically from mother to fetus during gestation.
C)  Females who are infected with Zika during pregnancy are at risk of having a child with microcephaly.
D)  Adults who have been infected with the Zika virus occasionally go on to develop Guillain-Barre syndrome.
E)  Zika virus is an RNA virus in the family Flaviviridae.F) A) and D)
G) All of the above

Question 16

Which of the following statements regarding the microbiome of the nervous system is true?

Accepted Answer

A)  In the healthy state,the nervous system is believed to be free from microorganisms.
B)  In its latent state,the herpesvirus is considered to be part of the microbiome of the nervous system.
C)  The nervous system develops without any influence from microbes inhabiting other tissues.
D)  Defense mechanisms of the CNS include competition for nutrients and space between pathogens and the normal microbiota within the tissues.E) B) and C)
F) A) and B)

Question 17

Which of the following is not a causative agent of acute encephalitis?

Accepted Answer

A)  JC virus
B)  West Nile virus
C)  Herpes simplex virus
D)  Toxoplasma gondii
E)  California encephalitisF) C) and D)
G) All of the above

Question 18

Pneumovax is a vaccine for prevention of disease caused by strains of Neisseria meningitidis.

Accepted Answer

A) True 
 B)False

Question 19

Encephalitis caused by arboviruses involves ________.

Accepted Answer

A)  fever,headache,and rash
B)  coma,convulsions,and paralysis in severe cases
C)  myalgia and orbital pain
D)  muscle aches and joint stiffness
E)  All of the choices are correct.F) C) and E)
G) C) and D)

Question 20

The best defense against arboviruses is ________.

Accepted Answer

A)  prophylactic rifampin
B)  vector control
C)  vaccination
D)  prompt treatment with acyclovir
E)  All of the choices are correct.F) All of the above
G) A) and E)

Exam 17: Infectious Diseases Affecting the Nervous System

Meningococcemia is ________.

Correct Answer
verified

The best defense against arboviruses is ________.

Correct Answer
verified

Pneumovax is a vaccine for prevention of disease caused by strains of Neisseria meningitidis.

Correct Answer
verified

Following vaccination,no cases of attenuated polio virus reverting to a neurovirulent strain have been documented.

Correct Answer
verified

The oral and inactivated polio vaccines are made from plant cell cultures.

Correct Answer
verified

Which of the following statements is incorrect regarding the characteristics of Zika virus disease?

Correct Answer
verified

Encephalitis caused by arboviruses involves ________.

Correct Answer
verified

Cerebrospinal fluid is found in the ________.

Correct Answer
verified

Which of the following is not true of Streptococcus pneumoniae?

Correct Answer
verified

The virulence of Haemophilus influenzae serotype b is associated with its ________.

Correct Answer
verified

What brain defense restricts substances from entering the brain by the vascular system?

Correct Answer
verified

Viral meningitis normally requires aggressive antiviral treatment.

Correct Answer
verified

Subacute sclerosing panencephalitis is caused by a prion.

Correct Answer
verified

Which organism is the definitive host for Toxoplasma gondii?3

Correct Answer
verified

Agricultural workers and field archaeologists are exposed to this organism,which,although entering via the respiratory tract,can cause meningitis.

Correct Answer
verified

Which of the following statements regarding the microbiome of the nervous system is true?

Correct Answer
verified

Some cases of CJD may be caused by a mutation of the PrP gene.

Correct Answer
verified

Correct Answer
verified

Production of a neurotoxin that binds to target sites on spinal cord neurons responsible for inhibiting skeletal muscle contraction is a characteristic of ________.

Correct Answer
verified

Which of the following is not a causative agent of acute encephalitis?

Correct Answer
verified

Exam 17: Infectious Diseases Affecting the Nervous System

Meningococcemia is ________.

Correct AnswerverifiedShow Answer

The best defense against arboviruses is ________.

Correct AnswerverifiedShow Answer

Pneumovax is a vaccine for prevention of disease caused by strains of Neisseria meningitidis.

Correct AnswerverifiedShow Answer

Following vaccination,no cases of attenuated polio virus reverting to a neurovirulent strain have been documented.

Correct AnswerverifiedShow Answer

The oral and inactivated polio vaccines are made from plant cell cultures.

Correct AnswerverifiedShow Answer

Which of the following statements is incorrect regarding the characteristics of Zika virus disease?

Correct AnswerverifiedShow Answer

Encephalitis caused by arboviruses involves ________.

Correct AnswerverifiedShow Answer

Cerebrospinal fluid is found in the ________.

Correct AnswerverifiedShow Answer

Which of the following is not true of Streptococcus pneumoniae?

Correct AnswerverifiedShow Answer

The virulence of Haemophilus influenzae serotype b is associated with its ________.

Correct AnswerverifiedShow Answer

What brain defense restricts substances from entering the brain by the vascular system?

Correct AnswerverifiedShow Answer

Viral meningitis normally requires aggressive antiviral treatment.

Correct AnswerverifiedShow Answer

Subacute sclerosing panencephalitis is caused by a prion.

Correct AnswerverifiedShow Answer

Which organism is the definitive host for Toxoplasma gondii?3

Correct AnswerverifiedShow Answer

Agricultural workers and field archaeologists are exposed to this organism,which,although entering via the respiratory tract,can cause meningitis.

Correct AnswerverifiedShow Answer

Which of the following statements regarding the microbiome of the nervous system is true?

Correct AnswerverifiedShow Answer

Some cases of CJD may be caused by a mutation of the PrP gene.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Production of a neurotoxin that binds to target sites on spinal cord neurons responsible for inhibiting skeletal muscle contraction is a characteristic of ________.

Correct AnswerverifiedShow Answer

Which of the following is not a causative agent of acute encephalitis?

Correct AnswerverifiedShow Answer

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