Micro - Pathogenic Bacteria IV

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Micro - Pathogenic Bacteria IV - Quiz

Review quiz on pathogenic bacteria IV, includes legionella, bartonella, mycoplasma, bordatella, and clostridium


Questions and Answers
  • 1. 
    Legionella pneumophila is a / an
    • A. 

      Possible cause of pneumonia

    • B. 

      Anaerobic gram negative rod

    • C. 

      Opportunistic pathogen of macrophages

    • D. 

      A & C

    • E. 

      All of the above

  • 2. 
    Which of the following would be most likely to colonize plumbing systems, water tanks and humidifiers?
    • A. 

      Treponema pallidum

    • B. 

      Mycobacterium

    • C. 

      Bordatella

    • D. 

      Legionella

  • 3. 
    Which of the following would be most like to be found extracellularly
    • A. 

      Legionella

    • B. 

      Mycobacterium

    • C. 

      Treponema pallidum

    • D. 

      None of the above

  • 4. 
    Which of the following occurs  after legionella has been inhaled into the alveolar macrophages of its host?  The legionella
    • A. 

      Depletes nutrients before changing to a replicative form

    • B. 

      Permanently remains in a transmissible form

    • C. 

      Escapes host by secreting pore forming toxins

    • D. 

      Use cork screw like motion to escape host phagomes

  • 5. 
    Damage in legionella infection is best described by which of the following?
    • A. 

      Host response only

    • B. 

      Flagellin that leads to cell death

    • C. 

      No nodules or microabscesses

    • D. 

      None of the above

  • 6. 
    Legionella can be diagnosed by which of the following?
    • A. 

      ELISA stool test for antigen

    • B. 

      Culture on special media

    • C. 

      Cold agglutinin tests

    • D. 

      All of the above

  • 7. 
    A patient that has been scratched or bitten by a cat should be tested for the presence of which bacteria?
    • A. 

      B. henselae

    • B. 

      M. pneumoniae

    • C. 

      B. pertussis

    • D. 

      C. perfringens

  • 8. 
    Bacillary angiomatosis is linked to which of the following bacteria?
    • A. 

      Mycobacterium

    • B. 

      Mycoplasma

    • C. 

      Legionella

    • D. 

      Bartonella

  • 9. 
    Bartonella spreads through which of the following methods in  immune competent Pts?
    • A. 

      Blood

    • B. 

      lymph

    • C. 

      neurons

    • D. 

      All of the above

  • 10. 
    After diagnosing a patient with cat scratch fever or bacillary angiomatosis which of the following would be the best drug for treatment?
    • A. 

      Metronidazole

    • B. 

      Fluoroquinolones

    • C. 

      Tetracycline

    • D. 

      Erythromycin

  • 11. 
    Which of the following make B. henselae problematic in immunocompromised Pts?
    • A. 

      Increased chances of relapse

    • B. 

      Liver infection

    • C. 

      Systemic spread and sepsis

    • D. 

      A & C

    • E. 

      All of the above

  • 12. 
    Bartonella culture very slowly so clinicians should inform the laboratory whenever there may be possible Bartonella infections
    • A. 

      True

    • B. 

      False

  • 13. 
    Which of the following describe mycoplasma?
    • A. 

      Need sterols for growth

    • B. 

      Common cause of alveolar infection

    • C. 

      Have double layered cell wall

    • D. 

      All of the above

  • 14. 
    Mycoplasma demonstrates which of the following properties?
    • A. 

      Cold agglutinins and hemolysis

    • B. 

      Renal and cardiac involvement in early infection stages

    • C. 

      Ability to cause pneumonia, urethritis and PID

    • D. 

      A & C

    • E. 

      All of the above

  • 15. 
    Diagnosis of mycoplasma infection is usually made based upon which of the following?
    • A. 

      Culture

    • B. 

      Clinical presentation

    • C. 

      Serological tests

    • D. 

      Direct antigen tests

  • 16. 
    Which of the following causes whooping cough
    • A. 

      B. henselae

    • B. 

      M. pneumoniae

    • C. 

      L. pneumophila

    • D. 

      B. pertussis

  • 17. 
    Which of the following is a small aerobic gram negative coccibacilli
    • A. 

      Mycoplasma

    • B. 

      Bordatella

    • C. 

      Bartonella

    • D. 

      Legionella

  • 18. 
    A mother brings in her 1 year old for paroxysmal cough. Which of the following bacteria is the most likely cause?
    • A. 

      Legionella

    • B. 

      Bordatella

    • C. 

      Mycobaterium

    • D. 

      C. pneumonia

  • 19. 
    There is no damage or invasion of host tissue during  bordatella infections
    • A. 

      True

    • B. 

      False

  • 20. 
    Bordatella shows tissue tropism for which of the following areas?
    • A. 

      Ciliary mucosal surface

    • B. 

      GI tract

    • C. 

      GU tract

    • D. 

      Liver

  • 21. 
    Which of the following occurs during the paroxysmal stage of Bordatella infection?
    • A. 

      Organism multiplies and spreads to lower respiratory tract

    • B. 

      Series of coughs then breath deeply and force out air

    • C. 

      Bacteria get trapped in cilia and mucus

    • D. 

      Sub mucosa becomes inflamed and lymph nodes enlarge

  • 22. 
    B. pertussis infection features which of the following methods of damage?
    • A. 

      Pertussin toxin affects cAMP leading to watery diarrhea

    • B. 

      Bordatella LPS causes respiratory cilia to release ciliated toxin

    • C. 

      Increased cAMP hinders neutrophil function

    • D. 

      B. pertussis invades cells of ciliary mucosa

  • 23. 
    Why does diagnosis of bordatella become more difficult as the diseases becomes more severe
    • A. 

      The number of organisms decrease

    • B. 

      Special media is needed

    • C. 

      None of the above

  • 24. 
    A patients presents with whooping cough, which medications would be recommended?
    • A. 

      Macrolides

    • B. 

      Flouroquinolones

    • C. 

      Cephalosporins

    • D. 

      None of the above

  • 25. 
    Which of the following describe clostridium?
    • A. 

      Unable to form spores

    • B. 

      Aerobic gram negative rod

    • C. 

      Disease is from host response

    • D. 

      Can be carried in asymptomatic hosts

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