Microbiology Final Exam Quiz - 1

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1. Tuberculosis

Explanation

Tuberculosis is a bacterial infection that primarily affects the respiratory system. It is caused by the bacteria Mycobacterium tuberculosis and commonly affects the lungs. Symptoms of tuberculosis include coughing, chest pain, and difficulty breathing. The bacteria can be spread through the air when an infected person coughs or sneezes, making the respiratory system the main route of transmission. Therefore, the correct answer is respiratory.

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About This Quiz
Microbiology Quizzes & Trivia

Microbiology is the part of science that deals with microorganisms. Take this quiz and learn more about Microbial Sciences!

2. Salmonellosis

Explanation

Salmonellosis is an infection caused by the bacteria Salmonella. It primarily affects the gastrointestinal system, causing symptoms such as diarrhea, abdominal pain, and vomiting. The bacteria can be ingested through contaminated food or water, and once in the gastrointestinal tract, it can cause inflammation and infection. Other systems of the body, such as the respiratory, urogenital, nervous, and skin systems, may also be affected to some extent, but the primary manifestation of salmonellosis is in the gastrointestinal system.

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3. Mumps is a viral infection that affects what part of the body?

Explanation

Mumps is a viral infection that primarily affects the parotid glands. The parotid glands are the largest salivary glands located on either side of the face, just below and in front of the ears. When infected with the mumps virus, these glands become swollen and painful, causing symptoms such as fever, headache, and difficulty swallowing. Mumps can also affect other parts of the body, but the parotid glands are the most commonly affected.

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4. Pandemic

Explanation

A pandemic refers to a worldwide outbreak of a disease, affecting a large number of people across different countries or continents. It is characterized by the rapid spread of the disease, causing significant illness and sometimes death. The term "pandemic" is used when a disease surpasses the epidemic level and becomes a global health concern. Therefore, the answer "worldwide outbreak of disease" accurately describes the concept of a pandemic.

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5. Virluence

Explanation

The term "degree of pathogenicity" refers to the measure of how likely a disease-causing agent is to cause illness in an infected individual. It indicates the severity and virulence of the pathogen in causing disease. This term is unrelated to the other options provided, which include "worldwide outbreak of disease," "disease outbreak," and "inanimate object." Therefore, the correct answer is "degree of pathogenicity."

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6. Involves heat, redness, swelling, and pain

Explanation

Inflammation is a localized response to tissue injury or infection, characterized by heat, redness, swelling, and pain. It is a natural defense mechanism of the body to protect and heal damaged tissues. When tissues are injured, immune cells release chemical signals that attract other immune cells to the site of injury. These immune cells release additional chemicals that increase blood flow to the area, causing redness and heat. They also cause blood vessels to become more permeable, allowing fluid and immune cells to move into the tissues, leading to swelling. The release of chemicals also stimulates nerve endings, causing pain. Overall, inflammation helps to remove harmful substances, repair damaged tissues, and initiate the healing process.

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7. Mucous

Explanation

The correct answer is "sticky substance that traps organisms trying to enter the body." Mucous is a substance secreted by the body's mucous membranes, such as those in the respiratory and digestive systems. It acts as a protective barrier by trapping foreign particles, such as dust, bacteria, and viruses, preventing them from entering the body and causing harm. Mucous also contains antibodies and enzymes that help to neutralize and eliminate these trapped organisms.

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8. Which of the following are possible shapes of bacteria?

Explanation

The correct answer is all except e. Bacteria can exist in various shapes such as spheres, rods, and spirals. However, star shapes, green clovers, and pink diamonds are not possible shapes for bacteria.

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9. A bacterium has a monotirchous flagellar arrangment if they are

Explanation

A bacterium has a monotrichous flagellar arrangement when there is only one flagellum located at the end of the cell. This means that the bacterium has a single flagellum that is positioned at one end of its body.

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10. The two major drawbacks to the use of penicillin are

Explanation

Penicillin, although an effective antibiotic, has two major drawbacks. Firstly, it can cause allergic reactions in some individuals, ranging from mild rashes to severe anaphylactic reactions. Secondly, the prolonged use of penicillin can lead to the development of drug-resistant bacteria. This occurs when bacteria mutate and become resistant to the effects of penicillin, making the antibiotic less effective over time. These two drawbacks highlight the importance of careful monitoring and appropriate use of penicillin to minimize these risks.

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11. A 45 year old construction site worker recieves a deep puncture wound from a piece of sheet metal sticking out of the ground.  The wound does not seem to be that bad and is not bleeding very much.  2 days later the wound is sore and red and patient is having muscle cramps in legs, neck, back and arms.  what should she do?

Explanation

The correct answer is emergency room for tetanus treatment. This is because the deep puncture wound from the sheet metal could potentially introduce tetanus bacteria into the body. Tetanus is a serious bacterial infection that affects the nervous system and can lead to muscle stiffness and spasms. The symptoms of soreness, redness, and muscle cramps in the legs, neck, back, and arms are indicative of tetanus infection. Therefore, immediate medical attention is necessary to receive tetanus treatment, which usually involves a tetanus shot and wound cleaning.

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12. Peptic ulcers

Explanation

The correct answer is gastrointestinal because peptic ulcers are a type of ulcer that occur in the stomach or upper part of the small intestine, which are both part of the gastrointestinal system. Peptic ulcers are typically caused by a bacterial infection or the overuse of certain medications, and they can cause symptoms such as abdominal pain, bloating, and indigestion. Therefore, the gastrointestinal system is directly involved in the development and manifestation of peptic ulcers.

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13. E Coli 0157:H7

Explanation

E. coli O157:H7 is a strain of bacteria that primarily causes gastrointestinal infections. It is commonly associated with foodborne illnesses and can cause symptoms such as diarrhea, abdominal pain, and vomiting. This strain of E. coli produces toxins that can damage the lining of the intestines, leading to the gastrointestinal symptoms. While E. coli O157:H7 can potentially cause infections in other parts of the body, such as the urinary tract or respiratory system, the most common and characteristic manifestation is gastrointestinal.

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14. Syphilis

Explanation

Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum. It can affect various parts of the body, including the urogenital system. The urogenital symptoms of syphilis can include genital sores, pain during urination, and swollen lymph nodes in the groin. Other symptoms of syphilis can affect the respiratory, nervous, gastrointestinal, skin, and muscular systems. However, the urogenital system is commonly affected in syphilis, making it the most likely answer.

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15. Meninogococcal meningitis

Explanation

Meningococcal meningitis is an infection that affects the meninges, the protective membranes surrounding the brain and spinal cord. It is caused by the bacteria Neisseria meningitidis and can lead to inflammation, fever, and symptoms affecting the nervous system. The bacteria can also cause infection in the eyes, leading to redness, irritation, and potentially vision problems. Therefore, the symptoms mentioned in the answer - nervous, fever, eyes - are associated with meningococcal meningitis.

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16. Streptococcal pneumonia

Explanation

Streptococcal pneumonia is caused by the bacteria Streptococcus pneumoniae and primarily affects the respiratory system. It commonly presents with symptoms such as fever, cough, chest pain, and difficulty breathing. The bacteria can infect the lungs and cause inflammation and fluid accumulation, leading to pneumonia. It can also spread to other parts of the body, but the respiratory system is the most commonly affected.

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17. Tuberculosis is transmitted through

Explanation

Tuberculosis is transmitted through aerosolized droplets, which means that the bacteria responsible for the disease can be spread through tiny droplets that are released into the air when an infected person coughs, sneezes, or talks. These droplets can then be inhaled by others, leading to the transmission of tuberculosis. Other modes of transmission mentioned in the options, such as person to person contact, blood transfusions, and animal vectors, are not the primary means of spreading tuberculosis.

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18. Is a protein subunit of the capsid

Explanation

The correct answer is the capsomere. A capsomere is a protein subunit that makes up the capsid of a virus. The capsid is the outer protein coat that surrounds the viral genome. It provides protection to the genetic material of the virus and helps in its attachment to host cells. The capsomere is responsible for the structural integrity of the capsid and plays a crucial role in the overall structure and function of the virus.

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19. Animal viruses have several stages in viral replication.  put these stages in order a.penetration b.envelope acquisition c.uncoating d.attachement e.replication of nucleic acid

Explanation

The correct order of stages in viral replication for animal viruses is as follows:

d. Attachment - The virus attaches to the host cell's surface receptors.
a. Penetration - The virus enters the host cell, either through direct fusion with the cell membrane or by endocytosis.
c. Uncoating - The viral genetic material is released from its protein coat.
e. Replication of nucleic acid - The viral genetic material is replicated within the host cell.
b. Envelope acquisition - Some viruses acquire an envelope derived from the host cell's membrane.

This order allows the virus to successfully enter the host cell, release its genetic material, replicate it, and potentially acquire an envelope for protection and further infection.

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20. The microscope with high resolution and low maginification is better than a microscope with low resolution and high magnification

Explanation

A microscope with high resolution and low magnification is better than a microscope with low resolution and high magnification because high resolution allows for clear and detailed imaging, while low magnification provides a wider field of view. This combination allows for better overall visualization and understanding of the specimen being observed.

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21. Gonorrhea

Explanation

Gonorrhea is a sexually transmitted infection caused by the bacteria Neisseria gonorrhoeae. It primarily affects the urogenital tract, including the urethra, cervix, and rectum. The symptoms of gonorrhea can include pain or burning during urination, increased vaginal discharge in women, and discharge from the penis in men. If left untreated, gonorrhea can lead to serious complications such as pelvic inflammatory disease in women and epididymitis in men. Therefore, the correct answer is urogenital.

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22. Pertussis

Explanation

The correct answer is respiratory because pertussis is a highly contagious respiratory infection caused by the bacterium Bordetella pertussis. It primarily affects the respiratory system, causing severe coughing spells that can lead to difficulty breathing and other respiratory symptoms.

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23. Which techinique allows for microscopic detection of mycobacteria

Explanation

Acid fast staining is the technique that allows for microscopic detection of mycobacteria. This staining method is specifically designed to identify bacteria that have a high lipid content in their cell walls, such as mycobacteria. Acid fast staining involves the use of a special dye called carbol fuchsin, which is resistant to decolorization by acid-alcohol. This allows the mycobacteria to retain the red color of the dye, while other bacteria are decolorized and appear blue after counterstaining with methylene blue. Therefore, acid fast staining is the most suitable technique for detecting mycobacteria in a microscopic examination.

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24. For many of the bacterial gastroenteritii, antidiarrheal medicines like imodium are not recommended

Explanation

Many bacterial gastroenteritis infections are caused by toxins produced by bacteria, such as E. coli or Salmonella. These toxins can cause inflammation and damage to the intestines, leading to diarrhea. Antidiarrheal medications like Imodium work by slowing down the movement of the intestines, which can prevent the toxins from being eliminated from the body. This can prolong the infection and increase the risk of complications. Therefore, it is generally not recommended to use antidiarrheal medicines for bacterial gastroenteritis.

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25. May be either DNA or RNA but not both

Explanation

The genome refers to the complete set of genetic material present in an organism. In the context of viruses, the genome can be either DNA or RNA, but not both. This means that a virus can have either DNA or RNA as its genetic material, but not both at the same time. Therefore, the statement "the genome" is the correct answer as it accurately describes the genetic material of a virus.

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26. The diploid form of fungi is refered to as a zygospore

Explanation

The diploid form of fungi is referred to as a zygospore because during sexual reproduction, two haploid cells (gametes) fuse together to form a diploid zygote. The zygote then undergoes meiosis to produce haploid spores, which eventually develop into new individuals. The zygospore is a temporary diploid stage in the fungal life cycle.

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27. Long term effects of strep throat can include

Explanation

Strep throat is caused by the streptococcus bacteria and if left untreated, it can lead to complications such as rheumatic fever. Rheumatic fever is an inflammatory disease that can affect the heart, joints, skin, and brain. It occurs as a result of an autoimmune response to the streptococcus bacteria. Glomerulonephritis, another potential long-term effect of strep throat, is a condition where the kidneys become inflamed. Encephalitis, inflammation of the brain, can also occur as a rare complication of strep throat. In severe cases, if the infection spreads and is not properly treated, it can even lead to death.

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28. A substance that has been pasterized could also be considered to be steralized

Explanation

Pasteurization and sterilization are two different processes used to kill microorganisms in substances. Pasteurization involves heating the substance to a specific temperature to kill harmful bacteria, but it may not eliminate all types of microorganisms. On the other hand, sterilization is a more intense process that aims to kill or eliminate all forms of microorganisms, including bacteria, viruses, and fungi. Therefore, a substance that has been pasteurized cannot be considered sterilized because it may still contain some types of microorganisms.

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29. Nonsocomial

Explanation

The term "nosocomial" refers to infections that are acquired in a hospital or healthcare setting. These infections are typically spread from person to person within the hospital environment. Therefore, the correct answer "spread while staying at hospital" accurately describes the transmission of the disease within the hospital setting.

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30. Pyrogens

Explanation

Pyrogens are substances that stimulate the body to increase its temperature, resulting in fever. When pyrogens are present in the body, they trigger the release of certain chemicals that act on the hypothalamus, the part of the brain responsible for regulating body temperature. This causes the body to raise its temperature in an attempt to fight off infections or other harmful agents. Therefore, the correct answer is "stimulates fever."

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31. MMR protects against what three diseases?

Explanation

The correct answer is measles, mumps, rubella. MMR is an abbreviation for the combined vaccine that protects against these three diseases. Measles is a highly contagious viral infection that causes fever, rash, and respiratory symptoms. Mumps is also a viral infection that primarily affects the salivary glands, causing swelling and pain. Rubella, also known as German measles, is a viral infection that causes a rash and flu-like symptoms. The MMR vaccine is typically given in childhood to provide immunity against these diseases.

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32. Consists of nucleic acids and protein only

Explanation

Viruses consist of nucleic acids (either DNA or RNA) and proteins. Unlike other organisms, viruses are not considered living as they cannot reproduce or carry out metabolic activities on their own. Instead, they rely on host cells to replicate and cause infections. The genetic material of viruses is enclosed within a protein coat, known as a capsid. Some viruses may also have an outer envelope made up of lipids. Therefore, the correct answer is virus.

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33. Why are diseases that are caused by endospore producing organisms so difficult to control?

Explanation

Spores produced by endospore producing organisms are highly resistant to chemicals, heat, and radiation. This makes it difficult to control diseases caused by these organisms because the spores can survive in harsh conditions and remain viable for long periods of time. They can withstand disinfectants, antibiotics, and other treatments, making it challenging to eliminate them from the environment. Additionally, the resistance of spores allows them to persist and spread, leading to the continued reproduction and proliferation of the bacteria, further complicating disease control efforts.

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34. When we talk about antibiotic resistance...who is resistant?

Explanation

Antibiotic resistance refers to the ability of bacteria to withstand the effects of antibiotics, rendering them ineffective in treating bacterial infections. Therefore, when discussing antibiotic resistance, it is the bacteria that are resistant to the drugs. The host (such as humans or animals) and the community (including other organisms and the environment) may be affected by antibiotic resistance, but they are not inherently resistant themselves.

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35. Family returning home from a safari holiday in nariobi, kenya notice that two of the children have a fever and a sore throat.  Looking in the back of the throat they notice a thick membrane that is covering the back of the throat.  This family has not vaccinated their children upon the grounds they think it is unnessassary and against their hippy beliefs.  Their children have probably gotten

Explanation

The correct answer is diptheria. Diptheria is a bacterial infection that can cause a thick membrane to form in the back of the throat. It can lead to symptoms such as fever and sore throat, which the children in this scenario are experiencing. Since the family has not vaccinated their children, they are at a higher risk of contracting diptheria.

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36. Tuberculosis is transmitted through

Explanation

Tuberculosis is transmitted through aerosolized droplets. When an infected person coughs, sneezes, or talks, tiny droplets containing the bacteria can be released into the air. These droplets can then be inhaled by another person, leading to the transmission of tuberculosis. This mode of transmission is particularly common in crowded or poorly ventilated spaces. Other modes of transmission, such as person to person contact, blood transfusion, and animal vectors, are not as common for tuberculosis.

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37. One of the reasons for sharp incrase in the number of cases of pertusis is due to

Explanation

The correct answer is "parents refusing to vaccinate." One of the reasons for the sharp increase in the number of pertussis cases is due to parents choosing not to vaccinate their children. Vaccination is a crucial preventive measure against pertussis, and when parents refuse to vaccinate, it can lead to a higher risk of transmission and outbreaks of the disease. This is a concerning trend as it puts not only unvaccinated children at risk but also those who cannot receive the vaccine due to medical reasons.

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38. Acids

Explanation

Acids have the ability to lower the pH of their surroundings, which creates an acidic environment. This acidic environment is not suitable for most bacteria to survive and grow in. Bacteria typically thrive in a neutral or slightly alkaline pH. Therefore, the statement that acids lower the pH, making it not suitable for most bacteria, is a correct explanation.

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39. DTP protects against what three diseases

Explanation

DTP stands for Diphtheria, Tetanus, and Pertussis, which are three diseases that the DTP vaccine protects against. Diphtheria is a bacterial infection that affects the throat and nose, while tetanus is a bacterial infection that affects the muscles and nerves. Pertussis, also known as whooping cough, is a highly contagious respiratory infection. The DTP vaccine is given in multiple doses to provide immunity against these three diseases. Therefore, the correct answer is diphtheria, tetanus, and pertussis.

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40. Local hunter ill with fever after skinning rabbits all weekend

Explanation

The term "outbreak" refers to the sudden occurrence of cases of a particular disease in a specific population or area, indicating a higher number of cases than what is normally expected. In this scenario, the local hunter falling ill with a fever after skinning rabbits all weekend suggests a sudden increase in cases of a potential disease. However, without more information, it cannot be determined whether the outbreak is limited to the hunter or if it has spread to others in the community.

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41. What techinque allow for microscopic detection of mycrobacteria?

Explanation

Acid fast staining is a technique that allows for the microscopic detection of mycobacteria. This technique involves staining the bacteria with a combination of a primary stain (such as carbol fuchsin) and a counterstain (such as methylene blue). Mycobacteria have a unique cell wall composition that makes them resistant to the decolorization step in the staining process, allowing them to retain the primary stain. This results in the mycobacteria appearing as bright red or pink rods under a microscope, while other bacteria appear blue or purple. This technique is commonly used to identify and diagnose diseases caused by mycobacteria, such as tuberculosis.

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42. Why is tb commonly referred to as consumption?

Explanation

TB is commonly referred to as consumption because the bacterium responsible for causing TB essentially consumes the body. When a person is infected with TB, the bacterium multiplies and spreads throughout the body, feeding on the nutrients and resources of the host. This consumption of the body's resources leads to the weakening of the infected individual, as most of the energy in the body is consumed by the infection. Therefore, the term "consumption" is used to describe the process by which the bacterium consumes the body's resources during a TB infection.

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43. Why is treatment of TB so difficult?

Explanation

The treatment of TB is difficult because it requires a long time period of treatment. TB is caused by bacteria that grow slowly, and it takes several months of consistent medication to effectively kill all the bacteria. This long duration of treatment can be challenging for patients to adhere to, as it requires a significant commitment and can be mentally and physically exhausting. Additionally, the lengthy treatment period increases the risk of non-compliance, which can lead to drug resistance and treatment failure.

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44. What is one of the biggest problems in preventing the spread of gonorrheal and chlamydia?

Explanation

Asymptomatic people not realizing they have gonorrhea and chlamydia is one of the biggest problems in preventing their spread. This is because these individuals do not show any symptoms of the infection, making it difficult for them to seek medical attention and get tested. As a result, they continue to engage in sexual activities, unknowingly transmitting the infections to others. This highlights the importance of regular testing and education about the risks of asymptomatic infections in order to effectively prevent the spread of gonorrhea and chlamydia.

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45. Helper t cells and killer t cells

Explanation

The cell-mediated response is a type of immune response that involves the activation of helper T cells and killer T cells. These cells play a crucial role in defending the body against intracellular pathogens, such as viruses and certain bacteria. Helper T cells recognize antigens presented by antigen-presenting cells and release cytokines to activate killer T cells. Killer T cells, in turn, directly attack and destroy infected cells. This response is important in eliminating infected cells and controlling the spread of pathogens.

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46. Which one of these staining methods is a differential staining technique?

Explanation

Gram staining is a differential staining technique because it differentiates bacteria into two groups: Gram-positive and Gram-negative. This technique involves the application of crystal violet, iodine, alcohol, and safranin to the bacterial cells. Gram-positive bacteria retain the crystal violet stain, appearing purple, while Gram-negative bacteria do not retain the stain and appear pink after counterstaining with safranin. This staining method is widely used in microbiology to identify and classify bacteria based on their cell wall composition.

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47. Put these steps in the progression of TB in order a.macrophages attack bacteria b.bacteria spread through the rest of the body c.bacteria multiply within macrophage which from granuloma d.inhalation of bacteria e.macrophages form tubercules

Explanation

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48. When we talk about antibiotic resistance, who is resistant?

Explanation

Antibiotic resistance refers to the ability of bacteria to withstand the effects of antibiotics, rendering them ineffective in treating bacterial infections. Therefore, the correct answer is bacteria, as they are the ones that can develop resistance to antibiotics. The host (such as humans or animals) and the community (population of bacteria in a specific environment) are not resistant themselves, but they can be affected by antibiotic-resistant bacteria.

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49. A common symptoms of pinworm disease is

Explanation

Pinworm disease, also known as enterobiasis, is caused by a parasitic infection of the intestines. The most common symptom of this disease is itching around the anus, particularly at night. This itching is caused by the female pinworms laying their eggs in the skin around the anus. Itching can lead to discomfort and disturbed sleep. Other symptoms such as pain in the thoracic muscles, difficulty in seeing, headaches, jaundice, and vomiting of blood are not associated with pinworm disease.

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50. Which groups of ppl are most often infected with salmonella

Explanation

Salmonella infection can affect people of all ages, but certain groups are more susceptible. The young, including infants and children, have developing immune systems that may not be able to fight off the bacteria effectively. The elderly often have weakened immune systems due to age-related factors, making them more vulnerable to infections. Additionally, individuals who are immunocompromised, such as those with HIV/AIDS or undergoing chemotherapy, have weakened immune systems, making them more prone to salmonella infection. Therefore, all of these groups are most often infected with salmonella.

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51. Sebum

Explanation

Sebum is an oily substance produced by the sebaceous glands in the skin. It acts as a natural moisturizer and lubricant, keeping the skin hydrated and protected. The presence of sebum creates a slightly acidic environment on the skin, which lowers its pH. This acidic pH makes it unfavorable for the growth of most bacteria, as they thrive in a more alkaline environment. Therefore, the statement "oily goo on the skin" is an accurate description of sebum.

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52. Vaccination is

Explanation

None of the statements provided are true. Vaccination is not dangerous when done at a young age, it is not the leading cause of autism, and it does not cause individuals to get the disease. These statements are misleading and not supported by scientific evidence. Vaccination is a safe and effective way to prevent the spread of diseases and protect public health.

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53. The total magnification of a microscope is equal to

Explanation

The correct answer is the magnification of the objective multiplied by the magnification of the ocular. This is because the objective lens is responsible for magnifying the image of the specimen, and the ocular lens further magnifies this image. The total magnification is the product of these two magnifications, resulting in a higher level of magnification for the viewer. The other options, such as the total of all objectives or the price of the microscope, are not relevant to determining the total magnification.

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54. A drug that works by competitibe inhibition will

Explanation

A drug that works by competitive inhibition will bind to the active site of an enzyme, preventing it from functioning normally. Competitive inhibition occurs when a molecule similar in structure to the substrate competes with the substrate for binding to the active site of the enzyme. By occupying the active site, the drug effectively blocks the substrate from binding and carrying out its normal function, thus inhibiting the enzyme's activity. This can lead to a disruption in the biochemical processes that the enzyme is involved in, potentially affecting the overall functioning of the organism.

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55. Jenny a 29 yr old mother of 2 was at work and collapsed.  she had been complaining of having "period like" symptoms with pain and cramping along with fever, headache, and a red sunburn rash.  doctors did a spinal tap and it the fluid came out clear with no sign of diplococci.  jenny was rapidly deteriorating and experience mulit organ shut down.  multiple antibiotics were given and she recovered in 6 weeks total and has permanent kidney damage.  jenny was most likely experiencing

Explanation

Jenny's symptoms, including "period like" symptoms with pain and cramping, fever, headache, and a red sunburn rash, along with the rapid deterioration and multi-organ shutdown, suggest that she was experiencing toxic shock syndrome caused by Staphylococcus aureus (S. aureus) bacteria. The clear spinal fluid with no sign of diplococci rules out meningitis as a cause. Scalded skin syndrome and folliculitis followed by septicemia are not consistent with the symptoms described. Anthrax is also unlikely based on the symptoms provided.

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56. Many grains, peanuts and hay can become contaminated with fungi that produce powerful toxins called aflatoxins.  these toxins are produced by

Explanation

Many grains, peanuts, and hay can become contaminated with fungi, specifically Aspergillus flavus, which produce powerful toxins called aflatoxins. These toxins pose a serious health risk to humans and animals if consumed. Aflatoxins are known to be carcinogenic and can cause liver damage and other health issues. Therefore, it is crucial to monitor and control the presence of Aspergillus flavus in agricultural products to prevent aflatoxin contamination.

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57. The vaccine for herpes simplex virus II is

Explanation

The correct answer is "nonexistent" because the statement suggests that there is currently no vaccine available for herpes simplex virus II. The other options, such as being expensive, given in multiple doses, or resulting in a positive skin test, do not correctly describe the vaccine for this virus.

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58. Which of the following arguments makes the most sense?

Explanation

The answer "parasites tend to feed off of their host little by little" makes the most sense because it aligns with the concept of parasites gradually consuming resources from their host without killing it immediately. This behavior allows the parasite to sustain itself for a longer period of time, maximizing its chances of survival. The other options either do not accurately describe the relationship between parasites and hosts or make generalizations that may not apply to all parasites.

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59. A woman brings her daughter into the e.r after they have spent a couple of weeks hiking the appalachian trail.  she is complaining of a fever, and a macropapular rash that started on the hand and feet and has now spread to the rest of the body.  what is the preliminary diagnosis?

Explanation

The symptoms described in the question, including fever and a macropapular rash that started on the hands and feet and spread to the rest of the body, are consistent with Rocky Mountain spotted fever. This disease is caused by a bacterial infection transmitted through tick bites, and it is commonly found in the Appalachian region. Epidemic and endemic typhus are caused by different bacteria and typically present with different symptoms. Leptospirosis is caused by a different type of bacteria and usually presents with symptoms such as muscle pain and jaundice. Therefore, based on the symptoms and the context provided, Rocky Mountain spotted fever is the most likely preliminary diagnosis.

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60. All strains of e coli are harmful

Explanation

The statement "all strains of E. coli are harmful" is false. While some strains of E. coli can cause illnesses and infections, not all strains are harmful. In fact, many strains of E. coli are harmless and can be found naturally in the human gut, where they play a role in digestion. It is important to note that harmful strains of E. coli typically originate from contaminated food or water sources, and proper hygiene and food safety practices can help prevent infections.

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61. Why cant viral disease be studied using kochs postulates?

Explanation

Viral diseases cannot be studied using Koch's postulates because viruses have very specific hosts and cannot be grown in pure culture. Koch's postulates require the ability to isolate and grow the pathogen in pure culture, which is not possible with viruses. Additionally, viruses have a narrow host range, meaning they can only infect specific species or cell types, making it difficult to study their effects in a controlled experimental setting. Therefore, both options "a" and "b" are correct explanations for why viral diseases cannot be studied using Koch's postulates.

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62. Put the stage of infection in order from the begining to the end a. acme period b. incubation period c. prodromal phase d. period of convalescence e. period of decline

Explanation

The correct order of the stages of infection is as follows:

b. incubation period - This is the period between the initial infection and the appearance of symptoms. The pathogen is multiplying within the body during this stage.

c. prodromal phase - This is the stage where the initial symptoms start to appear. The symptoms may be mild, but they indicate that the infection is progressing.

a. acme period - This is the stage where the infection is at its peak. The symptoms are usually the most severe during this stage.

e. period of decline - In this stage, the symptoms start to lessen, and the infection begins to subside. The body's immune response is effectively fighting off the infection.

d. period of convalescence - This is the final stage where the body is recovering from the infection. The symptoms have disappeared, and the individual is returning to their normal state of health.

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63. A light microscope works by

Explanation

A light microscope works by allowing light to pass through the specimen and through the objective lens and ocular, and then into the eye. This allows the observer to see the magnified image of the specimen. The other options mentioned, such as light reflecting off the specimen or light refracting through a layer of oil, are not accurate explanations of how a light microscope works.

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64. Chlorea

Explanation

The correct answer is gastrointestinal. This suggests that the symptoms mentioned in the question, such as fever, eyes, and muscles, are associated with a gastrointestinal infection or illness.

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65. Why is a common strep throat so dangerous?

Explanation

A common strep throat can be dangerous because it can lead to acute glomerulonephritis and rheumatic fever. Acute glomerulonephritis is a condition where the kidneys become inflamed and can lead to kidney damage. Rheumatic fever is a serious inflammatory condition that can affect the heart, joints, and other organs. Both of these complications can have long-term effects on the individual's health. Antibiotic resistance, mentioned in option d, is not directly related to the danger of strep throat but is a concern in general for the overuse or misuse of antibiotics.

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66.  a medical student on an international program in namibia sees a 1 week old infant with an eye infection.  there is also evidence of hordes of flies in the village that are constantly bothering the children.  a sample of discharge from the eye found to contain encapsulated, paired, gram negative cocci.  The kiddo has

Explanation

The presence of encapsulated, paired, gram-negative cocci in the discharge from the infant's eye suggests a bacterial infection. Neonatal gonorrhea is a sexually transmitted infection that can be transmitted to a newborn during childbirth. This infection can cause eye infections in newborns, which is consistent with the symptoms described in the scenario. The evidence of hordes of flies in the village may indicate poor hygiene conditions, which could contribute to the spread of the infection. Therefore, neonatal gonorrhea is the most likely explanation based on the given information.

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67. Listeriosis is a food borne illness that is NOT found in what type of foods?

Explanation

Listeriosis is a foodborne illness caused by the bacteria Listeria monocytogenes. It is commonly found in raw or undercooked meats, unpasteurized dairy products, and raw vegetables. However, bread is not typically associated with listeriosis as the baking process involves high temperatures that can kill the bacteria. Therefore, bread is not a type of food in which listeriosis is commonly found.

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68. Why do you think that antibiotics such as penicillin cannot be used with bacteria like mycobacterium tuberculosis, the causative agent of TB?

Explanation

The correct answer is that the cell walls of these organisms are not affected by penicillin. This is because penicillin primarily targets and inhibits the synthesis of peptidoglycan, a component of bacterial cell walls. However, mycobacterium tuberculosis, the causative agent of TB, has a unique cell wall structure that is not susceptible to the action of penicillin. Therefore, penicillin is ineffective in treating TB infections.

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69. Why is tb commonly referred to as consumption?

Explanation

The term "consumption" is commonly used to refer to tuberculosis because the bacterium responsible for the disease essentially consumes or destroys the body tissues. Tuberculosis infection can lead to the destruction of lung tissue, causing symptoms such as coughing, weight loss, and fatigue. This destruction of body tissues by the bacterium is why tuberculosis is often referred to as consumption.

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70. What age group is at most risk for legionelliosis

Explanation

Older adults are at the highest risk for legionelliosis. Legionelliosis is a respiratory infection caused by the Legionella bacteria, which is commonly found in water sources. As people age, their immune system weakens, making them more susceptible to infections. Additionally, older adults are more likely to have underlying health conditions or weakened respiratory systems, further increasing their vulnerability to the disease. Therefore, the age group at most risk for legionelliosis is old folks.

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71. A flexible membrane composed of protein and lipid

Explanation

The correct answer is "the envelope." The envelope is a flexible membrane composed of protein and lipid that surrounds some viruses. It is derived from the host cell's membrane during the viral replication process. The envelope plays a crucial role in the virus's ability to infect host cells by facilitating attachment and entry into the cell. Additionally, the envelope can help the virus evade the host's immune system.

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72. Consists of nucleic acid

Explanation

The correct answer is "the genome". The genome refers to the complete set of genetic material present in an organism or virus. In the context of a virus, the genome consists of nucleic acid, which can be either DNA or RNA. The capsid refers to the protein coat that surrounds the genome, providing protection and structure. The envelope, on the other hand, is a lipid membrane that some viruses have, derived from the host cell's membrane. Capsomeres are the individual protein subunits that make up the capsid. However, none of these options specifically represent the genetic material of the virus, which is the genome.

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73. The fungus candida causes

Explanation

The fungus Candida is known to cause both vaginal yeast infections and thrush of the mouth. These are common infections that occur when there is an overgrowth of Candida in the affected area. Vaginal yeast infections typically result in itching, irritation, and abnormal discharge in women, while thrush of the mouth leads to white patches on the tongue, inner cheeks, and throat. Therefore, the correct answer is "a and b" as both vaginal yeast infections and thrush of the mouth are caused by the fungus Candida.

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74. Fomite

Explanation

The term "fomite" refers to an inanimate object that can carry and transmit infectious agents. It can include things like doorknobs, phones, or clothing. These objects can become contaminated with pathogens and act as a source of infection when touched or used by others. Therefore, the correct answer is "inanimate object," as it accurately describes the role of a fomite in spreading infections.

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75. Cell walls of peptidoglycan

Explanation

The correct answer is bacteria because bacteria are the only microorganisms that have cell walls made of peptidoglycan. Fungus, protozoa, and algae have different types of cell walls, while viruses do not have cell walls at all. Therefore, the presence of cell walls made of peptidoglycan is a characteristic feature of bacteria.

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76. Why do we have to stain bacteria before viewing them on the microscope?

Explanation

Bacteria are usually colorless and transparent, making them difficult to see under a microscope. Staining them helps to enhance their visibility by adding color to the cells. This allows us to observe their shape, size, and arrangement more clearly. Staining also helps in distinguishing different types of bacteria, as different stains can be used to highlight specific cellular structures or characteristics.

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77. Antibiotics and chemotherapeutic agents have been available to doctors since

Explanation

Antibiotics and chemotherapeutic agents have been available to doctors since the 1940's. This era marked a significant advancement in medical science with the discovery of penicillin by Alexander Fleming in 1928 and its subsequent mass production during the 1940's. The development and availability of antibiotics revolutionized the treatment of bacterial infections and saved countless lives. Similarly, chemotherapeutic agents, such as methotrexate and nitrogen mustard, were also introduced in the 1940's, providing effective treatment options for cancer patients. Therefore, the 1940's was a pivotal period in the history of medicine, leading to the widespread use of antibiotics and chemotherapeutic agents.

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78. Cephalosporin

Explanation

Cephalosporin is a type of antibiotic that inhibits cell wall synthesis. Cell walls are important for the structural integrity of bacteria, and by inhibiting their synthesis, cephalosporin weakens the cell walls and ultimately leads to the death of the bacteria. This mechanism of action is effective against a wide range of bacterial infections. However, cephalosporin does not affect protzoal metabolism, fungal nucleic acid synthesis, or RNA synthesis.

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79. Griseofulvin

Explanation

Griseofulvin is a medication used to treat fungal infections. It works by affecting fungal nucleic acid synthesis. This means that it interferes with the production of nucleic acids, such as DNA and RNA, in fungi. By inhibiting this process, griseofulvin prevents the fungi from replicating and spreading, ultimately helping to clear the infection. It does not affect protzoal metabolism or folic acid synthesis, nor does it inhibit protein synthesis.

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80. What are some of the problems associated with BCG vaccine?

Explanation

The correct answer is "just a and b". This means that some of the problems associated with the BCG vaccine are that it is not very effective and it can result in a positive skin test. The vaccine may not provide full protection against tuberculosis, and a positive skin test can lead to false positive results, causing unnecessary concern and further testing.

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81. Pancho, a 16 yr old on the woodlands soccer team was very popular, a good player, and an all around good guy.  one day at practice hsi girlfriend on the way back from church shows up and slaps him on the face calling him a cheater and she never wanted to see him anymore bc he had given her gonorrhea.  dumbounded he stood there taking the abuse but insisted that it wasnt him bc he didnt have anything wrong  with him.  could he have been the cheating slut his girlfriend claimed him to be?

Explanation

The correct answer suggests that Pancho may have had gonorrhea but was asymptomatic, meaning he did not show any symptoms of the infection. As a result, there would be no way for him to know if he had it without getting tested. This explanation implies that his girlfriend's accusation may have been true, even though Pancho insisted that he did not have anything wrong with him. To confirm whether he had the infection or not, Pancho would need to undergo testing.

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82. Why is it so difficult to develope a vaccine for the common cold?

Explanation

Developing a vaccine for the common cold is difficult because the antigens on the outer surface of the virus constantly change, making it challenging to target them effectively. Additionally, there are numerous different viruses that can cause the common cold, further complicating the development of a single vaccine. Lastly, vaccine development can be expensive, and considering the common cold is a relatively minor disease, the cost may not be justified. Therefore, all of the mentioned reasons contribute to the difficulty in developing a vaccine for the common cold.

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83. Sexual reproduction occurs in all of the fungi

Explanation

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84. How does the dose of a particular infectious agent affect the disease?

Explanation

Different doses of a particular infectious agent can have different effects in some diseases. This means that the severity of the disease can vary depending on the dose of the infectious agent. Additionally, smaller doses can cause subclinical infections, which means that the person may not show any symptoms of the disease but can still be infected.

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85. The major circulating antibody

Explanation

IgG is the major circulating antibody in the body. It is the most abundant immunoglobulin in the bloodstream and is responsible for long-term immunity. IgG antibodies are able to cross the placenta, providing passive immunity to the fetus during pregnancy. They are also involved in opsonization, neutralization of toxins and viruses, and activation of the complement system. IgG is produced in response to both primary and secondary immune responses and plays a crucial role in protecting against bacterial and viral infections.

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86. Found in tears

Explanation

IgA is the correct answer because it is found in tears. IgA is an immunoglobulin that is primarily found in mucosal secretions, including tears, saliva, and mucus. It plays a crucial role in protecting the mucosal surfaces of the body from infections by trapping pathogens and preventing their entry into the body. IgD, IgM, IgG, and IgE are also immunoglobulins, but they are not specifically found in tears.

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87. Hiv/aids cutting short the lives of young people worldwide

Explanation

The correct answer is pandemic. A pandemic refers to a global outbreak of a disease that affects a large number of people across different countries or continents. In the context of HIV/AIDS cutting short the lives of young people worldwide, it is accurate to describe it as a pandemic because the disease has spread extensively and continues to impact individuals globally, rather than being confined to a specific region or population.

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88. Photosynthetic eukarya

Explanation

Algae is the correct answer because it is a photosynthetic eukaryote. Algae are a diverse group of organisms that can range from unicellular to multicellular forms. They are capable of photosynthesis, which means they can convert sunlight into energy and produce their own food. Algae can be found in various aquatic environments such as freshwater and marine habitats. Unlike fungi, protozoa, bacteria, and viruses, algae have chloroplasts and can carry out photosynthesis.

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89. The rules for writing bacterial names include which of the following?

Explanation

The given correct answer states that all of the mentioned rules for writing bacterial names will be followed. This means that the scientific name, which includes the genus and species, will always be used. Genus names will always be capitalized. Bacterial names should be written in italics or underlined. Additionally, after the scientific name is used, abbreviated names of organisms are commonly used. Therefore, all of these rules will be followed when writing bacterial names.

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90. Chemotaxis is the activity of a cell to detect a chemical gradient and then move toward the source of the corresponding gradient

Explanation

Chemotaxis refers to the ability of a cell to sense and respond to a chemical gradient by moving towards the source of the gradient. This process allows cells to navigate their environment and locate beneficial substances or avoid harmful ones. Therefore, the given statement accurately describes chemotaxis, making the answer "true".

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91. In the graph to the right what type of bacterium would this be?

Explanation

Based on the given information, the graph to the right indicates a specific type of bacterium. Since thermophiles are organisms that thrive in high temperatures, it can be inferred that the bacterium in the graph is a thermophile.

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92. A rancher that has been process deer sking comes down with an eschar on his forearm.  This could mean that he has

Explanation

The rancher developing an eschar on his forearm suggests that he has cutaneous anthrax. Cutaneous anthrax is a bacterial infection caused by Bacillus anthracis, commonly found in animals like deer. The infection occurs when the bacteria enters through a cut or abrasion on the skin, leading to the formation of a black, painless sore called an eschar. This is a characteristic symptom of cutaneous anthrax. Tetanus and listeriosis are not associated with eschar formation, and having a tattoo would not explain the development of an eschar.

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93. Why is treatment of tb so difficult?

Explanation

The treatment of tuberculosis is difficult primarily due to the long time period required for treatment. TB is caused by a slow-growing bacteria that requires a prolonged course of antibiotics to completely eradicate it from the body. Patients are typically required to take multiple drugs for at least six months, and in some cases, up to two years. This long duration of treatment poses challenges in terms of patient adherence and completion of the entire course. Additionally, the drugs used for TB treatment can have serious side effects, which further complicates the treatment process.

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94. Roughly how many ppl on the planet are infected with mycobacterium tuerculosis?

Explanation

Based on the given answer, approximately 30% of the global population is infected with Mycobacterium tuberculosis. This suggests that a significant proportion of people worldwide are affected by this bacterium, which causes tuberculosis. This high percentage highlights the widespread nature of the disease and the need for effective prevention and treatment strategies to combat its impact on public health.

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95. A U.S physician in a program offering medical care in Taijikistan (part of a former u.s.s.r) examines an 18 month old child who has been suffering from cold symptoms for the past 10 days.  4 days ago he was seen by a physician and found to have a fever, and exudate on his pharynx, and englarged cervical lymph nodes.  his ches was clear.  a throat culture was taken and the child given a course of ampicllin.  on day 10 of the infection, the childs conditon worsened.  he became increasingly lethargic, develped resp. distress and was admitted to a hosptial.  on examination the child was found tto have a yellowish, thick membrane in the back of his throat.  A non spore forming gram positive rod, which displayed a palisades arragement  was recovered from patient.  child probably had....

Explanation

The child most likely has diphtheria. Diphtheria is a bacterial infection caused by Corynebacterium diphtheriae, a non-spore forming gram-positive rod. The presence of a yellowish, thick membrane in the back of the throat is a characteristic symptom of diphtheria. Other symptoms such as fever, enlarged lymph nodes, and respiratory distress also align with diphtheria. The fact that the child's condition worsened despite treatment with ampicillin suggests that the initial diagnosis and treatment were incorrect, further supporting the likelihood of diphtheria.

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96. Filariasis is plentiful where there are

Explanation

Filariasis is a parasitic disease transmitted through the bites of infected mosquitoes. The presence of a plentiful number of mosquitoes in an area increases the risk of transmission of the disease. Mosquitoes act as vectors for the filarial worms, which they acquire by feeding on infected humans. Therefore, areas with a high population of mosquitoes are likely to have a higher prevalence of filariasis. The other options mentioned, such as wild dogs, water bamboo, and snails, are not directly related to the transmission of filariasis.

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97. Mycelium

Explanation

The correct answer is fungus because mycelium is a term used to describe the vegetative part of a fungus. Fungi are eukaryotic organisms that belong to their own kingdom, separate from plants, animals, and bacteria. They obtain nutrients by decomposing organic matter and play a crucial role in ecosystems as decomposers. Fungi can be found in various forms such as mushrooms, molds, and yeasts.

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98. Grandma was correct that stepping on a rusty nail could lead to tetanus. why?

Explanation

The correct answer is "b and c only." Grandma was correct that stepping on a rusty nail could lead to tetanus because sharp objects can drive bacteria deep into a wound, and rust absorbs oxygen, allowing anaerobic bacteria to grow. The rust sticking the bacteria in the wound is not a valid explanation for tetanus.

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99. Listeriosis is a disease that causes mild GI infection.  When can it be more serious?

Explanation

Listeriosis is a disease that typically causes mild gastrointestinal infection. However, it can become more serious when it spreads to the skin, causing abscesses. Additionally, it can also lead to intrauterine infection, resulting in miscarriage. Furthermore, listeriosis can cause meningitis and septicemia. Therefore, the correct answer is that listeriosis can be more serious when it causes intrauterine infection leading to miscarriage and when it causes meningitis and septicemia.

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100. Hemarrhagic viruses often kill by what mechanism?

Explanation

Hemorrhagic viruses often kill by causing excessive bleeding throughout the body. These viruses, such as Ebola and Marburg, target the blood vessels and disrupt the body's ability to clot blood. As a result, the infected individual experiences severe internal and external bleeding, leading to organ failure and eventual death. This mechanism of bleeding to death is a characteristic feature of hemorrhagic viruses and distinguishes them from other causes of mortality.

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101. Hepatitis viruses attack the liver which results in which of the following symptoms except

Explanation

Hepatitis viruses attack the liver, leading to various symptoms. Jaundice, dark urine, and light-colored feces are all common symptoms of liver damage caused by hepatitis. However, a macropapular rash is not typically associated with hepatitis. This rash is characterized by large, raised bumps on the skin and is more commonly seen in other viral infections or allergic reactions. Therefore, the correct answer is macropapular rash.

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102. Which treatment is used for staphlococcal pneumonia?

Explanation

The correct answer is "a and c" because supportive treatment is used to manage symptoms and provide relief, while vancomycin is an antibiotic that is effective against staphylococcal pneumonia. Penicillin, on the other hand, is not typically used as a first-line treatment for this type of pneumonia. Therefore, a combination of supportive treatment and vancomycin would be the appropriate approach.

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103. One characterisitc of typhoid fever is that after people become infected they

Explanation

The correct answer is "all of the above." This means that all the options mentioned - recovering completely, feeling fine but becoming carriers, and having S. typhi colonize their GI tract - are characteristics of typhoid fever. After being infected, some individuals may recover fully, while others may not show any symptoms but still carry the bacteria and spread it to others. Additionally, the bacteria can colonize the gastrointestinal tract of infected individuals.

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104. Staphlococcus

Explanation

Staphylococcus is a type of bacteria that can cause skin infections. These infections can range from mild to severe and if left untreated, they can spread to the bloodstream, leading to septicemia. Septicemia is a serious condition where the bacteria and their toxins enter the bloodstream, causing a systemic infection. This can result in fever, chills, rapid heart rate, and other symptoms. Therefore, skin infections caused by Staphylococcus can potentially lead to septicemia if not properly treated.

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105. Which of these gram negative rods is not a major cause of infectious gastorenteritis?

Explanation

Serratia is not a major cause of infectious gastroenteritis. Shigella, Salmonella, and Campylobacter are all well-known gram-negative rods that can cause gastroenteritis. However, Serratia is more commonly associated with other types of infections, such as urinary tract infections and respiratory tract infections, rather than gastroenteritis.

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106. Is a protective covering for the genome

Explanation

The capsid is the correct answer because it is a protective covering for the genome. The capsid is a protein shell that surrounds the genetic material of a virus, providing it with protection from the external environment. It helps to maintain the integrity of the genome and prevent it from being damaged or degraded. The capsid also plays a role in facilitating the entry of the virus into host cells and protecting it from the host's immune system. Therefore, the capsid serves as a crucial protective barrier for the genome within the virus.

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107. Pneumonia is simply

Explanation

Pneumonia is a disease that can affect both the very young and the elderly. It is characterized by the presence of fluid in the lungs. Additionally, pneumonia can be caused by a wide variety of organisms. Therefore, the correct answer is "all of the above" as all the statements mentioned are true about pneumonia.

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108. Hookworms are contracted through

Explanation

Hookworms are parasites that enter the human body through the skin, usually through the feet. The larvae of hookworms can be found in soil contaminated with feces, and when a person walks barefoot on this contaminated soil, the larvae can penetrate the skin and enter the body. Once inside, the larvae migrate to the intestines where they mature into adult worms. Therefore, the correct answer is "larva entering through foot".

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109. Oligodyanmic activity can be said to mean

Explanation

Oligodynamic activity refers to the phenomenon where a small amount of a substance is more effective than a large amount. This means that even a small concentration of the substance can have a significant impact or produce desired results. It implies that the substance is highly potent and efficient, making it more effective in smaller quantities compared to larger amounts.

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110. Reservoir

Explanation

A reservoir refers to a source of infection in the environment. It is an inanimate object that can harbor and transmit disease-causing organisms. This means that even though someone may have recovered from a disease, they can still spread it to others through contact with the reservoir. In the context of a disease outbreak, identifying and controlling these sources of infection is crucial in preventing further spread of the disease.

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111. Trachoma

Explanation

Trachoma is an infectious disease caused by the bacterium Chlamydia trachomatis. It primarily affects the eyes and is transmitted through direct contact with eye or nasal discharge of infected individuals. The symptoms of trachoma include inflammation of the conjunctiva, eyelid scarring, and ultimately, blindness if left untreated. The reference to "nervous, fever, eyes" in the answer suggests that trachoma affects the nervous system, causes fever, and specifically targets the eyes as its primary site of infection and manifestation.

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112. Put these steps in the progression of TB in order a.macrophages attack bacteria b.bacteria spread through rest of body c.bacteria mulitiply within macrophages which form granuloma d.inhalation of bacteria e.cytotoxic t-cells kill macrophages forming tubercules

Explanation

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113. What characteristic is shared by both syphilis and with lymes disease?

Explanation

Both syphilis and Lyme disease have distinct phases. Syphilis progresses through three phases: primary, secondary, and tertiary. The primary phase is characterized by the appearance of a painless sore at the site of infection, while the secondary phase involves rashes, fever, and flu-like symptoms. The tertiary phase can lead to severe complications affecting various organs. Similarly, Lyme disease has three phases: early localized, early disseminated, and late persistent. Each phase presents different symptoms and complications, including the characteristic bull's eye rash in the early stage.

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114. Is affected by base analogs in viral inhibition

Explanation

Base analogs are chemical compounds that resemble the building blocks of DNA or RNA. When incorporated into the viral genome during replication, base analogs can cause mutations or disrupt the normal functioning of the genetic material. This can lead to viral inhibition, as the altered genome may not be able to effectively replicate or produce functional viral proteins. Therefore, the genome is affected by base analogs in viral inhibition.

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115. Tinea infections are all caused by the same fungus

Explanation

Tinea infections are not all caused by the same fungus. Tinea is a general term for several different types of fungal infections that can affect the skin, hair, and nails. Each type of tinea infection is caused by a specific fungus. For example, tinea pedis (athlete's foot) is caused by a different fungus than tinea corporis (ringworm). Therefore, the statement that all tinea infections are caused by the same fungus is false.

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116. A conditon called elephantitis may develop in one who

Explanation

Elephantitis, also known as lymphatic filariasis, is a condition caused by the parasitic worm transmitted through mosquito bites. The worms block the lymphatic system, leading to severe swelling in the limbs and other body parts. Consuming raw beef, walking barefoot in warm moist soil, or using manure in farm fields are not associated with the development of elephantitis. Therefore, the correct answer is "has been bitten by an infected mosquito."

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117. Proglottids are an important feature of the

Explanation

Proglottids are segments found in the reproductive system of tapeworms. They are responsible for producing eggs and are released from the tapeworm's body to be passed out in the host's feces. Each proglottid contains both male and female reproductive organs, allowing for self-fertilization. These segments play a crucial role in the life cycle of tapeworms by ensuring the production and dispersal of eggs, which can then be ingested by other hosts to continue the parasite's life cycle.

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118. Epidemic

Explanation

The correct answer is "disease of outbreak" because an epidemic refers to a sudden increase in the number of cases of a particular disease in a specific population or geographic area. It is characterized by the rapid spread of the disease and affects a larger number of people than usual. Therefore, an epidemic can be described as a disease of outbreak.

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119. Destroying cancer cells

Explanation

The cell mediated response refers to the immune response that involves the activation of T cells, which are responsible for recognizing and destroying infected or cancerous cells. This response is characterized by the release of cytokines and the recruitment of other immune cells to the site of infection or tumor. Unlike the humoral response, which involves the production of antibodies by B cells, the cell mediated response directly targets and eliminates the cancer cells or infected cells. Therefore, the cell mediated response is the most appropriate explanation for destroying cancer cells.

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120. Series in protein that result in cell death or opsonization

Explanation

The complement cascade is a series of reactions in the immune system that play a crucial role in inflammation, cell-mediated response, humoral response, and opsonization. It involves a group of proteins that work together to tag pathogens for destruction, recruit immune cells to the site of infection, and enhance the effectiveness of antibodies. Activation of the complement cascade can lead to cell death of pathogens, as well as the activation of other immune responses.

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121. Responsible for allergic responses

Explanation

IgE is responsible for allergic responses. IgE is an antibody that plays a crucial role in triggering allergic reactions. When a person is exposed to an allergen, such as pollen or pet dander, their immune system produces IgE antibodies. These antibodies then bind to mast cells and basophils, which are immune cells found in tissues throughout the body. When the person is exposed to the allergen again, it binds to the IgE antibodies on the mast cells and basophils, causing the release of histamine and other chemicals that lead to allergic symptoms like itching, sneezing, and inflammation.

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122. The function of the glycocalyx is to stimulate the immune system

Explanation

The statement that the function of the glycocalyx is to stimulate the immune system is false. The glycocalyx is a layer of carbohydrates that coats the surface of cells and has various functions, including protection, cell signaling, and lubrication. While it does play a role in immune response by helping to identify foreign substances, it does not directly stimulate the immune system.

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123. How are gram positive and gram negative cell walls different?

Explanation

Gram-negative cells have a single layer of peptidoglycan and an outer membrane, while gram-positive cells have a thick layer of peptidoglycan with teichoic acids. This difference in cell wall structure is important for distinguishing between gram-negative and gram-positive bacteria using the Gram staining method. Gram-negative bacteria retain the counterstain and appear pink or red, while gram-positive bacteria retain the crystal violet stain and appear purple under a microscope.

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124. A 50 year old was brought to the urgent care center in snook, texas by her daughter.  The mother is having difficulty keeping her eyes open and she is also having trouble speaking and swallowing, shallow respiration, and some difficulty standing.  Daughter is insisting that she had a stroke because she has been canning vegtables and fruit all summer long in an overheated kitchen.  What could be an alternative diagnosis?

Explanation

The symptoms described in the scenario, such as difficulty keeping eyes open, trouble speaking and swallowing, shallow respiration, and difficulty standing, are consistent with botulism. Botulism is a rare but serious illness caused by a toxin produced by the bacterium Clostridium botulinum. This toxin affects the nerves and can lead to muscle weakness and paralysis. The fact that the patient has been canning vegetables and fruits in an overheated kitchen suggests that the food may have been contaminated with the bacteria, leading to botulism. Therefore, botulism is a possible alternative diagnosis in this case.

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125. Of the treatments above, which will most likely result in the problems gettting much worse

Explanation

Taking some Tylenol and resting for one day is the least effective treatment option among the given choices. If the problems mentioned (presumably related to a wound or injury) are severe enough to require medical attention, simply taking Tylenol and resting for one day is unlikely to provide adequate relief or address the underlying issues. The other options, such as going to the emergency room for tetanus or gangrene treatment, or visiting a doctor's office for wound cleaning and possibly stitches, are more appropriate and likely to result in better outcomes.

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126. Patient comes to the doctors office vomiting and very ill.  She says that she hadnt eaten anything until about 2 hours ago she had leftover macaroni and cheese at her grandmothers house.  What is she probably sick with?

Explanation

The patient is likely suffering from the emetic form of bacillus food poisoning because she had recently consumed leftover macaroni and cheese. This form of food poisoning is caused by Bacillus cereus, a bacterium commonly found in rice, pasta, and other starchy foods. Symptoms of this type of food poisoning include vomiting, nausea, and abdominal cramps, which align with the patient's symptoms.

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127. What types of foods are associated with the diarrheal form of bacillus food poisoning?

Explanation

The correct answer is meat. Bacillus food poisoning is commonly associated with consuming contaminated meat, especially undercooked or improperly stored meat. The bacteria Bacillus cereus can produce toxins that cause diarrhea and other gastrointestinal symptoms when ingested. Other types of foods, such as starchy foods, veggies, and candy, are not typically associated with this form of food poisoning.

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128. A man walks into a clinic and is complaining of an ulcerated lesion on his penis.  It is painless and appears to be healing on its own.  Which of the following would probably be the cause?

Explanation

The correct answer is syphilis. Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum. One of the characteristic symptoms of syphilis is the development of painless ulcerated lesions, known as chancres, on the genitals. These lesions can heal on their own, but the infection remains in the body and can progress to more severe stages if left untreated. Therefore, the presence of an ulcerated lesion on the penis that is painless and healing suggests syphilis as the probable cause.

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129. A family in northern california was camping and swimming in a river.  about a week later two of the children are taken to the doctor with high fever, headache, vomitting and adbominal pain.  one of the kids ends up in critical condition with kidney failure.  the kids probably are infected with

Explanation

The correct answer is borrelia borgdorferi. This is because the symptoms described, such as high fever, headache, vomiting, abdominal pain, and kidney failure, are consistent with Lyme disease, which is caused by the bacterium borrelia borgdorferi. Lyme disease is commonly transmitted to humans through the bite of infected black-legged ticks, which are prevalent in Northern California. It is important to note that the other options listed are not associated with the symptoms described or the geographical location mentioned.

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130. One of the classes of synthetic drugs that is used in HIV treatment is called a protease inhibitor.  How does it work?

Explanation

Protease inhibitors work by stopping the processing of the newly translated peptide into functional proteins. This means that they prevent the viral proteins from being properly formed and assembled, thereby inhibiting the replication and spread of the virus. By interfering with this crucial step in the viral life cycle, protease inhibitors are able to effectively control HIV infection.

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131. Tinea coropis cause ringworm of the

Explanation

The correct answer is "body" because tinea corporis is a fungal infection that affects the skin of the body. It typically appears as a red, circular rash with raised edges, resembling a ring. Tinea corporis can occur on any part of the body except for the scalp, which is affected by a different type of fungal infection known as tinea capitis. The term "military" and "lower extremities" are unrelated to tinea corporis.

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132. Btwn 1964 and 2009, the state with the highest incidence of SLE has been

Explanation

Between 1964 and 2009, Texas has had the highest incidence of Systemic Lupus Erythematosus (SLE) compared to New York, Florida, and Ohio. This suggests that Texas has had the highest number of reported cases of SLE during this time period. It could be due to various factors such as population size, environmental factors, or healthcare accessibility in Texas that have contributed to the higher incidence of SLE in the state.

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133. Plamsa cells and memory cells

Explanation

The humoral response is one of the two main types of immune responses, along with the cell-mediated response. It involves the activation of B cells, which produce antibodies that circulate in the blood and lymphatic system. These antibodies can recognize and bind to specific antigens, marking them for destruction by other immune cells or neutralizing their effects. The humoral response is particularly effective against extracellular pathogens, such as bacteria and viruses that are circulating in the body fluids. This response is characterized by the production of plasma cells, which are specialized B cells that secrete large amounts of antibodies, and memory cells, which provide long-term immunity.

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134. Causes dilation of capillaries

Explanation

Inflammation is the correct answer because it causes dilation of capillaries. During inflammation, the body's immune response is activated, leading to an increase in blood flow to the affected area. This increase in blood flow causes the capillaries to dilate, allowing more immune cells and substances to reach the site of inflammation. This helps in fighting off any pathogens or foreign substances that may be present, and also facilitates the delivery of nutrients and oxygen to the area for tissue repair and healing.

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135. Must enter the host cytoplasm for replication to occur

Explanation

The genome is the correct answer because it contains the genetic material necessary for replication to occur. The genome carries the instructions for the synthesis of viral proteins and the production of new viral particles. Without entering the host cytoplasm, the genome cannot utilize the host's cellular machinery to replicate and produce more viral particles. Therefore, the genome must enter the host cytoplasm for replication to take place.

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136. If you spray a disinfectant that is able to break down a lipid envelope, will it be effective against an enveloped virus?

Explanation

If a disinfectant is able to break down a lipid envelope, it will be effective against an enveloped virus. This is because enveloped viruses have a lipid envelope that surrounds their genetic material, and if this envelope is destroyed, the virus is unable to infect host cells and replicate. Therefore, by breaking down the lipid envelope, the disinfectant can effectively neutralize the enveloped virus and prevent its spread.

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137. Sterilization is defined as

Explanation

Sterilization is the process of completely destroying all forms of life, including microorganisms. This means that no living organisms, including bacteria, viruses, and spores, should remain after sterilization. It is a crucial procedure in various industries, such as healthcare, pharmaceuticals, and food processing, to ensure the safety and quality of products. Sterilization methods can include heat, chemicals, radiation, or filtration, depending on the specific application.

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138. The MHC proteins of cells

Explanation

The MHC proteins of cells play a crucial role in the immune system. They display antigens of self and non-self origin, allowing the immune system to distinguish between the body's own cells and foreign cells. Additionally, MHC proteins interact with both B cells and T cells, which are key players in the immune response. Therefore, the correct answer is a and b.

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139. Rotating flagella

Explanation

Bacteria is the correct answer because rotating flagella are whip-like structures that are used for locomotion. While all the given options have flagella, only bacteria have rotating flagella. Fungus, protozoa, and algae have flagella, but they do not rotate. Viruses, on the other hand, do not have flagella at all. Therefore, the presence of rotating flagella is a characteristic feature of bacteria.

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140. Put the following in order from largest to smallest a.virus b.average bacterium c.fungus d.yeast e.mulitcellular organisms

Explanation

The correct answer is "ecdba". This order is based on the size of the organisms listed. The largest organism is "e" (mulitcellular organisms), followed by "c" (fungus), then "d" (yeast), "b" (average bacterium), and finally "a" (virus), which is the smallest organism.

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141. The structure of the plasma membrane is referred to as the fluid mosaic model.  Why is this name appropriate?

Explanation

The name "fluid mosaic model" is appropriate because it accurately describes the structure of the plasma membrane. The membrane is fluid because the phospholipids, which make up the majority of the membrane, are free to move. Additionally, the proteins within the membrane can also move. This fluidity allows for flexibility and dynamic interactions within the membrane. The term "mosaic" refers to the diverse composition of the membrane, with various proteins embedded within the phospholipid bilayer. Overall, the name captures the fluidity and complexity of the membrane structure.

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142. The sulfonamide drugs interfere with bacterial metabolism by

Explanation

Sulfonamide drugs disrupt folic acid metabolism. Folic acid is essential for the synthesis of nucleic acids and proteins, which are crucial for bacterial growth and replication. By interfering with folic acid metabolism, sulfonamide drugs prevent the bacteria from producing these necessary components, ultimately inhibiting their growth and replication.

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143. Chloroquine, primaquine, and quinine are of value for the treatment of

Explanation

Chloroquine, primaquine, and quinine are effective treatments for cases of malaria. Malaria is a disease caused by a parasite transmitted through the bite of infected mosquitoes. These medications work by killing the malaria parasites in the body and preventing the infection from spreading. They are commonly used in the treatment and prevention of malaria in areas where the disease is prevalent.

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144. A female presents at her primary care physician complaining of pain in her groin.  On examination, she is found to have englarged lymph nodes in her groin, and painless lesion around her genitals and anus.  she is also 5 months pregnant.  questioning reveals that her boyfriend has recently returned from vacation to see his family in venezuela.  she is very distressed and fears for the baby.  a diganosis was made on the basis of positive serology to the sterotypes of this very small non motile gram negative intracellular bacterium.  her boyfriend probably brought back a case of

Explanation

The correct answer is chlamydia. Chlamydia is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. The patient's symptoms, including pain in the groin, enlarged lymph nodes, and painless lesions around the genitals and anus, are consistent with chlamydia infection. The fact that her boyfriend recently returned from Venezuela suggests a possible exposure to the infection. The diagnosis was confirmed through positive serology to the serotypes of Chlamydia trachomatis.

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145. Any fungal infection of the skin, hair or nails is called a

Explanation

Dermatophytosis is the correct answer. Dermatophytosis refers to any fungal infection of the skin, hair, or nails. It is caused by a group of fungi called dermatophytes, which feed on keratin, a protein found in the outer layers of the skin, hair, and nails. This infection can cause various symptoms such as itching, redness, scaling, and sometimes even hair loss. Treatment typically involves antifungal medications, both topical and oral, to eliminate the infection and relieve symptoms.

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146. Histoplasmosis is NOT associated with ppl that go to or work in

Explanation

Histoplasmosis is a fungal infection caused by inhaling spores of the fungus Histoplasma capsulatum. It is commonly found in environments with high levels of bird or bat droppings, such as caves, chicken coops, and dry dusty soils. However, garage sales do not typically have the same conditions for the growth and spread of the fungus, so histoplasmosis is not associated with people who go to or work in garage sales.

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147. Cryptoscoccus neoformans is a fungus that is primarily affecting the

Explanation

Cryptococcus neoformans is a fungus that primarily affects individuals with weakened immune systems, known as immunocompromised individuals. This includes people with conditions such as HIV/AIDS, organ transplant recipients, and those undergoing chemotherapy. In healthy individuals, the immune system is able to effectively fight off the infection caused by this fungus. However, in immunocompromised individuals, the weakened immune system is unable to mount a strong defense, allowing the fungus to cause severe and potentially life-threatening infections.

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148. Which have mulitple intermeidate host and forms?

Explanation

Flatworms, also known as platyhelminthes, are a type of worm that have multiple intermediate hosts and forms. This means that during their life cycle, they go through different stages and require different hosts to complete their development. This is in contrast to roundworms, which do not have multiple intermediate hosts and forms. Flatworms include various species such as tapeworms and flukes, and their complex life cycles involve different hosts, such as snails or other animals, depending on the species.

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149. Hantavirus is transmitted through

Explanation

Hantavirus is transmitted through inhalation of dried mouse urine. This means that when the urine of an infected mouse dries up, the virus can become airborne and be inhaled by humans. This mode of transmission is particularly dangerous as it can occur in enclosed spaces where mice may have urinated, such as attics or sheds. It is important to take precautions when cleaning such areas to avoid inhaling the virus.

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150. Antibodies

Explanation

The humoral response is the immune response mediated by antibodies, which are produced by B cells. This response is primarily targeted against extracellular pathogens and toxins. Antibodies bind to antigens on the surface of pathogens, neutralizing them and marking them for destruction by other immune cells. This response is characterized by the production of specific antibodies that can provide long-lasting immunity to future infections. In contrast, the cell-mediated response involves the activation of T cells to directly attack infected cells. The complement cascade is a series of proteins that enhance the immune response by promoting inflammation and the destruction of pathogens. Therefore, the humoral response is the most appropriate answer in this context.

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151. Antiboidies attaching to antigens during the course of an infection is an example of

Explanation

During the course of an infection, antibodies attach to antigens to neutralize them and prevent further harm to the body. This process is an example of active natural immunity because the immune system of the body is actively producing antibodies in response to the infection. Active natural immunity is acquired through natural exposure to pathogens and the subsequent immune response, leading to the development of memory cells that provide long-term protection against future infections.

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152. Typhoid fever

Explanation

Typhoid fever is an infectious disease caused by the bacterium Salmonella typhi. The main route of transmission is through contaminated food and water. The symptoms of typhoid fever typically include a high fever, abdominal pain, diarrhea, and vomiting. The bacteria primarily affect the gastrointestinal system, leading to inflammation and damage in the intestines. Therefore, the correct answer is "gastrointestinal."

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153. Schistosomiasis is caused by

Explanation

Schistosomiasis is caused by the larva of the Schistosoma parasite entering the body through the skin, usually through the foot. The larva is present in contaminated freshwater bodies, such as lakes or rivers, where it can penetrate the skin of individuals who come into contact with the water. Once inside the body, the larva develops into adult worms, which can cause various health issues. It is not transmitted through mosquito bites or sexual contact, nor is it caused by drinking contaminated water.

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154. Phagocytosis is the process where

Explanation

Phagocytosis is a process where macrophages, which are immune cells, engulf and remove foreign particles and infected cells from the body. Additionally, invading pathogens are tagged and broken down during phagocytosis. Bacteria can also be broken down through phagocytosis, and their antigens are used to stimulate an immune response. Therefore, phagocytosis involves all of the mentioned processes, making the given answer correct.

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155. Most fungi reproduce asexually to form haploid

Explanation

Most fungi reproduce asexually through the formation of haploid spores. Spores are single-celled structures that are capable of germinating and developing into new individuals. They are produced by specialized structures such as sporangia or conidiophores. This asexual reproduction method allows fungi to rapidly colonize new habitats and spread their genetic material without the need for a mate. Spores can be dispersed by various means, such as wind, water, or animals, facilitating their wide distribution and colonization.

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156. The hypha of fungi is observed with the use of a

Explanation

The hypha of fungi is observed with the naked eye because hyphae are the thread-like structures that make up the body of a fungus, and they are typically visible without the need for magnification. Fungi can form large networks of hyphae, known as mycelium, which can be seen as visible patches or strands in certain environments. Microscopes may be used to study the finer details of hyphae, but the overall presence and growth patterns of hyphae can be observed without magnification. A face shield or a friend would not be relevant or useful for observing hyphae.

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157. Valley fever occurs

Explanation

Valley fever occurs in the American Southwest and Mexico, specifically in desert regions. It primarily affects individuals with compromised immune systems. The correct answer states that valley fever occurs in all the mentioned conditions except for between mountains, indicating that it does not occur in mountainous areas.

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158. Filariasis is caused when mosquitoes deliver worms that end up blocking

Explanation

Filariasis is a parasitic disease caused by filarial worms that are transmitted to humans through the bites of infected mosquitoes. These worms can block the lymphatic system, which is responsible for maintaining fluid balance and fighting infections in the body. When the lymphatic system is blocked, it can lead to swelling, pain, and other symptoms associated with filariasis. Therefore, the correct answer is the lymphatic system.

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159. Herpetic whitlow occurs on what part of the body

Explanation

Herpetic whitlow is a viral infection caused by the herpes simplex virus. It typically affects the fingers and is characterized by painful blisters or sores on the fingers. The virus can be transmitted through direct contact with the affected area or through contact with the fluid from the blisters. The infection can occur when the virus enters through a break in the skin, such as a cut or a hangnail. Therefore, the correct answer is fingers.

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160. Most healthy ppl that get CMV are asymptomatic

Explanation

Most healthy individuals who contract CMV (Cytomegalovirus) do not show any symptoms. CMV is a common virus that can infect people of all ages, but it typically only causes mild illness or no symptoms at all in healthy individuals. However, CMV can be more severe and cause complications in individuals with weakened immune systems, such as newborns, pregnant women, and individuals with HIV/AIDS. Therefore, it is true that most healthy people who get CMV are asymptomatic.

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161. Intial symtoms of EBV include all except

Explanation

The initial symptoms of EBV include a sore throat, fever, and swollen lymph nodes. However, diarrhea is not typically associated with EBV infection.

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162. Carrier

Explanation

A carrier is someone who has recovered from a disease but still has the ability to spread it to others. Even though they may not show any symptoms, they still carry the infectious agent and can transmit it to others. This is why carriers are considered a source of infection, as they can unknowingly pass on the disease to others. In the context of a hospital, where there may be vulnerable individuals, it is important to identify and isolate carriers to prevent further transmission of the disease.

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163. Pentameric antibody

Explanation

IgM is the correct answer because it is the first antibody produced in response to an infection. It is a pentameric antibody, meaning it is made up of five individual antibody molecules. IgM is primarily found in the bloodstream and is responsible for activating the complement system to help eliminate pathogens. It is also the largest antibody and has a high binding avidity, allowing it to effectively neutralize and clear pathogens from the body.

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164. Found in mother milk

Explanation

IgA is found in mother's milk.

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165. Associated with mucous membrane

Explanation

IgA is the correct answer because it is the immunoglobulin that is primarily associated with mucous membranes. IgA is found in high concentrations in saliva, tears, and other bodily secretions, where it plays a crucial role in defending against pathogens that enter the body through these routes. It acts as the first line of defense by neutralizing and preventing the attachment of pathogens to the mucosal surfaces, thus preventing infections. IgA is also important in providing immunity to newborns through breast milk, as it helps protect their gastrointestinal tract from harmful bacteria and viruses.

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166. Influenza reported in 36 states

Explanation

The term "epidemic" is used to describe the occurrence of a disease in a larger number of cases than what is normally expected in a particular population or region. In this case, the statement "influenza reported in 36 states" suggests that the number of reported cases of influenza is higher than usual, indicating an outbreak that is spreading rapidly. Therefore, the correct answer is "epidemic."

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167. Diseases such as botulism and tetanus are treated using passive immune therapy, which of the following would that include?

Explanation

Passive immune therapy involves the administration of pre-formed antibodies, such as antitoxins, to neutralize toxins produced by pathogens. Antitoxins are specifically designed to target and neutralize the toxins responsible for diseases like botulism and tetanus. This treatment does not involve IV antibiotics, interferon alpha, or vaccines, as they are not directly related to passive immune therapy.

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168. Legionaires disease

Explanation

Legionnaires' disease is a severe form of pneumonia caused by the Legionella bacteria. It primarily affects the respiratory system, causing symptoms such as cough, shortness of breath, and chest pain. The bacteria can be inhaled through contaminated water droplets and then infect the lungs. Other systems of the body, such as the urogenital, nervous, gastrointestinal, skin, and muscles, may also be affected, but the respiratory system is the most commonly affected.

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169. Communicable

Explanation

The term "communicable" refers to a disease that can be transmitted from one person to another through direct contact. This means that the disease can spread through physical touch, such as shaking hands or sharing personal items. Unlike diseases that are spread through inanimate objects, like contaminated surfaces or airborne particles, communicable diseases require direct contact with an infected individual for transmission. Therefore, the correct answer is "disease that is spread by direct contact."

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170. Which of the following is not one of Koch's Postulates?

Explanation

The given answer, "grow the bacterium in pure culture to see what antibiotic is most effective," is not one of Koch's Postulates. Koch's Postulates are a set of criteria used to establish a causal relationship between a microorganism and a disease. The correct postulates are: (1) isolate the microorganism from the diseased host, (2) grow the microorganism in pure culture, (3) inoculate a healthy host with the cultured microorganism, (4) re-isolate the same microorganism from the newly infected host. The given answer does not fit into any of these postulates and is therefore not one of Koch's Postulates.

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171. HAI

Explanation

The given answer, "spread while staying at hospital," suggests that the transmission of the disease occurs within the hospital setting. This means that individuals who are already hospitalized can further spread the infection to other patients or healthcare workers. This can happen due to various factors such as poor hygiene practices, contaminated medical equipment, or close proximity between infected and susceptible individuals. The answer implies that the spread of the disease is specifically linked to hospital-associated infections, rather than being caused by other factors like the degree of pathogenicity, a worldwide outbreak, or a vector of infection.

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172. What is the difference between natural and artificial immunity

Explanation

The given answer correctly explains that artificial immunity is acquired through vaccination or the administration of immune serum. This type of immunity is intentionally induced by introducing specific antigens into the body to stimulate an immune response. On the other hand, natural immunity is obtained through the course of infection or vaccination, meaning that the body develops immunity naturally in response to exposure to pathogens. The explanation provided is clear and concise, highlighting the distinction between natural and artificial immunity.

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173. Which section shows a growth phase where the number of cells dying is greater than the number of cells dividing?

Explanation

Section D shows a growth phase where the number of cells dying is greater than the number of cells dividing.

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174. Penicillin

Explanation

Penicillin is a type of antibiotic that works by inhibiting the synthesis of the cell wall in bacteria. The cell wall is a crucial component for the structural integrity of bacterial cells. By inhibiting its synthesis, penicillin weakens the cell wall, making it more susceptible to damage and ultimately leading to the death of the bacteria. This mechanism of action is specific to penicillin and is one of the reasons why it is effective against a wide range of bacterial infections.

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175. C diff is a clostridial infection that usually shows up in

Explanation

The correct answer is "a and b". Clostridium difficile (c diff) is a bacterial infection that commonly affects elderly patients and individuals who have been on prolonged antibiotic therapy. Antibiotics disrupt the normal balance of bacteria in the gut, allowing c diff to overgrow and cause infection. This infection can also occur in people with weakened immune systems, such as habitual drug users. Therefore, both options "elderly patients" and "people that have been taking antibiotics for a long time" are correct explanations for c diff infection.

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176. Acid fast bacteria

Explanation

Acid-fast bacteria have cell walls that contain mycolic acid. This unique characteristic of their cell walls makes them resistant to staining with traditional dyes, hence the term "acid-fast". This property is important for the identification of acid-fast bacteria, such as Mycobacterium tuberculosis, which causes tuberculosis. The presence of mycolic acid in the cell walls also contributes to the pathogenicity of these bacteria by providing protection against host immune responses and allowing them to survive in harsh environments.

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177. Retroviruses have a specialized protein known as reverse transcriptase that

Explanation

Retroviruses have a specialized protein known as reverse transcriptase that is able to make a DNA strand from an mRNA. This process is called reverse transcription and is unique to retroviruses. Reverse transcriptase converts the viral RNA genome into DNA, which can then be integrated into the host cell's genome. This allows the virus to replicate and produce more viral proteins.

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178. One characteristic of fungal respiratory infections include all except which of the following

Explanation

Fungal respiratory infections are commonly associated with moist, wet conditions, as fungi thrive in these environments. They can also be found in dry dusty soil and can be transmitted through contact with animals. However, the presence of fecal material is not typically a characteristic of fungal respiratory infections. Fecal material is more commonly associated with bacterial or parasitic infections.

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179. Toxic shock syndrome is a result of a type 1 exotoxin.  Which best describes type 1 exotoxins?

Explanation

Type 1 exotoxins are toxins that cause a major overreaction of the immune system. This means that when these toxins are released by bacteria, they trigger an excessive response from the immune system, leading to an exaggerated inflammatory response. This can result in symptoms such as fever, rash, and organ dysfunction, which are characteristic of toxic shock syndrome.

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180. Polio is primarily a disease that affects

Explanation

Polio is primarily a disease that affects the central nervous system. This is because the poliovirus specifically attacks and damages the nerve cells in the spinal cord and brain, leading to muscle weakness or paralysis. The virus enters the body through the mouth and multiplies in the intestines before spreading to the central nervous system. It can cause various symptoms such as fever, headache, fatigue, and in severe cases, can result in permanent paralysis or even death. Therefore, the central nervous system is the main target of polio infection.

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181. Syphilis cases at local clinic at 5 year high

Explanation

The correct answer is endemic. The term "endemic" refers to a disease or condition that is constantly present in a particular population or region. In this case, the fact that syphilis cases at a local clinic are at a 5-year high suggests that the disease is consistently present in that specific area. It is not considered an outbreak, epidemic, or pandemic, as those terms typically imply a sudden increase or spread of a disease across a larger population or multiple regions.

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182. What are some of the problems associated with BCG vaccine?

Explanation

The correct answer is "just a and b". This means that the problems associated with the BCG vaccine include it not being very effective and resulting in a positive skin test. It does not mention that the vaccine is very expensive, so this option is not included in the problems associated with the BCG vaccine.

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183. Most fungi grows best with oxygen, at room temp and under ________ conditions

Explanation

Most fungi grow best under slightly acidic conditions. This is because the enzymes and metabolic processes involved in fungal growth and reproduction are optimized at a slightly acidic pH. Fungi are known to thrive in environments with pH levels ranging from 5 to 6, which is slightly acidic. At this pH range, the nutrients in the environment are more readily available for fungal uptake and utilization. Additionally, the acidic conditions also inhibit the growth of competing microorganisms, giving fungi a competitive advantage in these environments.

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184. Hepatic cell carcinoma is associated with individuals with acute hep B infection

Explanation

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185. What is the minimal number of E coli cells (CFU) does it take to make you sick?

Explanation

The minimal number of E. coli cells (CFU) that can make a person sick is between 10-100. This means that ingesting or coming into contact with 10-100 E. coli cells can result in illness. It is important to note that the severity of the illness can vary depending on various factors such as the individual's immune system and the strain of E. coli.

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186. Which of the following is not true of antigens?

Explanation

The statement "they are made of lipids and DNA" is not true of antigens. Antigens are usually proteins or polysaccharides that can stimulate the immune system. Lipids and DNA are not typically considered antigens.

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187. Diners sickend at 14 local dairy queens

Explanation

The term "outbreak" refers to a sudden occurrence of something, usually negative, such as a disease or illness, affecting a specific area or group of people. In this context, the phrase "diners sickened at 14 local Dairy Queens" suggests that a group of people who ate at these specific restaurants fell ill, indicating a localized incident of sickness. Therefore, "outbreak" is the correct term to describe this situation.

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188. Obligate or strict decomposers only

Explanation

Fungi are considered obligate or strict decomposers because they play a crucial role in breaking down organic matter and recycling nutrients in ecosystems. They secrete enzymes that break down complex organic compounds into simpler forms, allowing them to absorb and utilize the nutrients. Fungi are known for their ability to decompose various organic materials, such as dead plants, animals, and even synthetic materials. Their decomposing activities are essential for nutrient cycling and maintaining the balance of ecosystems. Therefore, fungi are the correct answer as obligate or strict decomposers.

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189. Which of the following statements about flourescence microscopy is true?

Explanation

Fluorescence microscopy involves the use of fluorescent dyes that are excited by specific wavelengths of light. When these dyes are exposed to the appropriate wavelength of light, they absorb the energy and re-emit it at a longer wavelength, producing a fluorescent signal. This allows the visualization of specific structures or molecules within a microscopic specimen. The statement correctly highlights this fundamental principle of fluorescence microscopy.

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190. What is the function of endospores?

Explanation

Endospores are specialized structures formed by certain bacteria as a survival mechanism. They are highly resistant to harsh environmental conditions such as heat, radiation, and chemicals. Endospores allow bacteria to enter a dormant state, protecting their genetic material until conditions become favorable again. This enables the bacteria to survive in unfavorable conditions for extended periods of time and then resume growth and reproduction when conditions improve. Therefore, the function of endospores is primarily for survival rather than reproduction, pathogenesis, or metabolism.

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191. In thioglycollate broth, a bacteria that are strictly anaerobic will grow

Explanation

In thioglycollate broth, a bacteria that are strictly anaerobic will grow only at the bottom. This is because thioglycollate broth contains a reducing agent that removes oxygen from the medium. As a result, oxygen is depleted at the bottom of the broth, creating an anaerobic environment where strictly anaerobic bacteria can thrive. Bacteria that require oxygen will grow at the top of the broth where oxygen is available, while facultative anaerobic bacteria will grow throughout the medium.

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192. If you start out with a population density of 200 CFU/ml of a bacterium that divides every 20 minutes, what will the population density be at the end of two hours, assuming the cells are in the log phase of growth.

Explanation

The population density will be 12800 CFU/ml at the end of two hours because the bacterium divides every 20 minutes. In two hours, there are 120 minutes, which means there will be 6 divisions (120 minutes / 20 minutes per division). Starting with a population density of 200 CFU/ml, each division will double the population. Therefore, 200 CFU/ml * (2^6) = 12800 CFU/ml.

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193. Which section of the graph shows where the number of cells dividing is equal the number of cells dying?

Explanation

Section C of the graph shows where the number of cells dividing is equal to the number of cells dying. This can be inferred from the fact that the graph is divided into two parts - one showing cell division and the other showing cell death. In section C, the two lines intersect, indicating that the rate of cell division is equal to the rate of cell death.

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194. Which section shows a growth phase where the cells dividing at their maximum rate of division?

Explanation

Section b shows a growth phase where the cells are dividing at their maximum rate of division. This can be inferred from the question which mentions a "growth phase" and the fact that the cells are dividing at their "maximum rate of division". Therefore, it can be concluded that section b is the correct answer as it represents the phase of rapid cell division.

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195. Metronidazole

Explanation

Metronidazole affects protozoal metabolism. This drug is commonly used to treat various infections caused by protozoa, such as trichomoniasis and giardiasis. It works by disrupting the metabolic processes of protozoa, leading to their death. This mechanism of action is specific to protozoa and does not affect protein synthesis, fungal nucleic acid synthesis, or RNA synthesis. Therefore, the correct answer is that metronidazole affects protozoal metabolism.

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196. Listeriosis is always a serious infection that results in a patient being hospitalized?

Explanation

Listeriosis is not always a serious infection that requires hospitalization. While it is true that listeriosis can be a severe infection, causing symptoms such as fever, muscle aches, and gastrointestinal issues, not all cases require hospitalization. In fact, many cases of listeriosis can be managed with appropriate antibiotic treatment on an outpatient basis. The severity of the infection depends on various factors, including the individual's overall health, age, and immune system function. Therefore, it is incorrect to state that listeriosis always results in hospitalization.

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197. Spriochetes

Explanation

The given answer "diseases that come in stages" is the correct explanation for the given information. This suggests that spirochetes cause diseases that progress in different stages, indicating that the symptoms and severity of the disease may vary over time. This could imply that the disease has different manifestations or progresses through different phases as it develops.

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198. Group a, b, c types of streptococcus are determined by

Explanation

The group a, b, c types of streptococcus are determined by cell wall antigens. Cell wall antigens are specific molecules present on the cell wall of bacteria that can trigger an immune response in the host. Different types of streptococcus have different cell wall antigens, which allow them to be classified into groups. This classification is important for identifying and understanding the pathogenicity and virulence of different streptococcus strains.

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199. What is pneumonia?

Explanation

Pneumonia is a condition characterized by the accumulation of fluid in the lungs, which is caused by a viral, bacterial, or fungal infection. This infection leads to inflammation and fluid build-up in the air sacs of the lungs, making it difficult to breathe. Pneumonia can be caused by various pathogens, including viruses like the flu or bacteria like Streptococcus pneumoniae. However, it does not directly lead to endocarditis, which is an infection of the lining of the heart. Therefore, the correct answer is "all but c."

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200. Requirements for fungal growth are aerobic or facultativley anaerobic, room temp or less autotrophic and saprophytic

Explanation

The statement "requirements for fungal growth are aerobic or facultatively anaerobic, room temp or less autotrophic and saprophytic" is false. Fungal growth can occur in a wide range of conditions, including anaerobic environments, high temperatures, and as parasites. Fungi can also be heterotrophic, obtaining their nutrients from organic matter rather than being autotrophic. Therefore, the given statement is not accurate.

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Tuberculosis
Salmonellosis
Mumps is a viral infection that affects what part of the body?
Pandemic
Virluence
Involves heat, redness, swelling, and pain
Mucous
Which of the following are possible shapes of bacteria?
A bacterium has a monotirchous flagellar arrangment if they are
The two major drawbacks to the use of penicillin are
A 45 year old construction site worker recieves a deep puncture wound...
Peptic ulcers
E Coli 0157:H7
Syphilis
Meninogococcal meningitis
Streptococcal pneumonia
Tuberculosis is transmitted through
Is a protein subunit of the capsid
Animal viruses have several stages in viral replication.  put...
The microscope with high resolution and low maginification is better...
Gonorrhea
Pertussis
Which techinique allows for microscopic detection of mycobacteria
For many of the bacterial gastroenteritii, antidiarrheal medicines...
May be either DNA or RNA but not both
The diploid form of fungi is refered to as a zygospore
Long term effects of strep throat can include
A substance that has been pasterized could also be considered to be...
Nonsocomial
Pyrogens
MMR protects against what three diseases?
Consists of nucleic acids and protein only
Why are diseases that are caused by endospore producing organisms so...
When we talk about antibiotic resistance...who is resistant?
Family returning home from a safari holiday in nariobi, kenya notice...
Tuberculosis is transmitted through
One of the reasons for sharp incrase in the number of cases of...
Acids
DTP protects against what three diseases
Local hunter ill with fever after skinning rabbits all weekend
What techinque allow for microscopic detection of mycrobacteria?
Why is tb commonly referred to as consumption?
Why is treatment of TB so difficult?
What is one of the biggest problems in preventing the spread of...
Helper t cells and killer t cells
Which one of these staining methods is a differential staining...
Put these steps in the progression of TB in order...
When we talk about antibiotic resistance, who is resistant?
A common symptoms of pinworm disease is
Which groups of ppl are most often infected with salmonella
Sebum
Vaccination is
The total magnification of a microscope is equal to
A drug that works by competitibe inhibition will
Jenny a 29 yr old mother of 2 was at work and collapsed.  she had...
Many grains, peanuts and hay can become contaminated with fungi that...
The vaccine for herpes simplex virus II is
Which of the following arguments makes the most sense?
A woman brings her daughter into the e.r after they have spent a...
All strains of e coli are harmful
Why cant viral disease be studied using kochs postulates?
Put the stage of infection in order from the begining to the end...
A light microscope works by
Chlorea
Why is a common strep throat so dangerous?
 a medical student on an international program in namibia sees a...
Listeriosis is a food borne illness that is NOT found in what type of...
Why do you think that antibiotics such as penicillin cannot be...
Why is tb commonly referred to as consumption?
What age group is at most risk for legionelliosis
A flexible membrane composed of protein and lipid
Consists of nucleic acid
The fungus candida causes
Fomite
Cell walls of peptidoglycan
Why do we have to stain bacteria before viewing them on the...
Antibiotics and chemotherapeutic agents have been available to doctors...
Cephalosporin
Griseofulvin
What are some of the problems associated with BCG vaccine?
Pancho, a 16 yr old on the woodlands soccer team was very popular, a...
Why is it so difficult to develope a vaccine for the common cold?
Sexual reproduction occurs in all of the fungi
How does the dose of a particular infectious agent affect the disease?
The major circulating antibody
Found in tears
Hiv/aids cutting short the lives of young people worldwide
Photosynthetic eukarya
The rules for writing bacterial names include which of the following?
Chemotaxis is the activity of a cell to detect a chemical gradient and...
In the graph to the right what type of bacterium would this be?
A rancher that has been process deer sking comes down with an eschar...
Why is treatment of tb so difficult?
Roughly how many ppl on the planet are infected with mycobacterium...
A U.S physician in a program offering medical care in Taijikistan...
Filariasis is plentiful where there are
Mycelium
Grandma was correct that stepping on a rusty nail could lead to...
Listeriosis is a disease that causes mild GI infection.  When can...
Hemarrhagic viruses often kill by what mechanism?
Hepatitis viruses attack the liver which results in which of the...
Which treatment is used for staphlococcal pneumonia?
One characterisitc of typhoid fever is that after people become...
Staphlococcus
Which of these gram negative rods is not a major cause of infectious...
Is a protective covering for the genome
Pneumonia is simply
Hookworms are contracted through
Oligodyanmic activity can be said to mean
Reservoir
Trachoma
Put these steps in the progression of TB in order...
What characteristic is shared by both syphilis and with lymes disease?
Is affected by base analogs in viral inhibition
Tinea infections are all caused by the same fungus
A conditon called elephantitis may develop in one who
Proglottids are an important feature of the
Epidemic
Destroying cancer cells
Series in protein that result in cell death or opsonization
Responsible for allergic responses
The function of the glycocalyx is to stimulate the immune system
How are gram positive and gram negative cell walls different?
A 50 year old was brought to the urgent care center in snook, texas by...
Of the treatments above, which will most likely result in the problems...
Patient comes to the doctors office vomiting and very ill.  She...
What types of foods are associated with the diarrheal form of bacillus...
A man walks into a clinic and is complaining of an ulcerated lesion on...
A family in northern california was camping and swimming in a...
One of the classes of synthetic drugs that is used in HIV treatment is...
Tinea coropis cause ringworm of the
Btwn 1964 and 2009, the state with the highest incidence of SLE has...
Plamsa cells and memory cells
Causes dilation of capillaries
Must enter the host cytoplasm for replication to occur
If you spray a disinfectant that is able to break down a lipid...
Sterilization is defined as
The MHC proteins of cells
Rotating flagella
Put the following in order from largest to smallest...
The structure of the plasma membrane is referred to as the fluid...
The sulfonamide drugs interfere with bacterial metabolism by
Chloroquine, primaquine, and quinine are of value for the treatment of
A female presents at her primary care physician complaining of pain in...
Any fungal infection of the skin, hair or nails is called a
Histoplasmosis is NOT associated with ppl that go to or work in
Cryptoscoccus neoformans is a fungus that is primarily affecting the
Which have mulitple intermeidate host and forms?
Hantavirus is transmitted through
Antibodies
Antiboidies attaching to antigens during the course of an infection is...
Typhoid fever
Schistosomiasis is caused by
Phagocytosis is the process where
Most fungi reproduce asexually to form haploid
The hypha of fungi is observed with the use of a
Valley fever occurs
Filariasis is caused when mosquitoes deliver worms that end up...
Herpetic whitlow occurs on what part of the body
Most healthy ppl that get CMV are asymptomatic
Intial symtoms of EBV include all except
Carrier
Pentameric antibody
Found in mother milk
Associated with mucous membrane
Influenza reported in 36 states
Diseases such as botulism and tetanus are treated using passive immune...
Legionaires disease
Communicable
Which of the following is not one of Koch's Postulates?
HAI
What is the difference between natural and artificial immunity
Which section shows a growth phase where the number of cells dying is...
Penicillin
C diff is a clostridial infection that usually shows up in
Acid fast bacteria
Retroviruses have a specialized protein known as reverse transcriptase...
One characteristic of fungal respiratory infections include all except...
Toxic shock syndrome is a result of a type 1 exotoxin.  Which...
Polio is primarily a disease that affects
Syphilis cases at local clinic at 5 year high
What are some of the problems associated with BCG vaccine?
Most fungi grows best with oxygen, at room temp and under ________...
Hepatic cell carcinoma is associated with individuals with acute hep B...
What is the minimal number of E coli cells (CFU) does it take to make...
Which of the following is not true of antigens?
Diners sickend at 14 local dairy queens
Obligate or strict decomposers only
Which of the following statements about flourescence microscopy is...
What is the function of endospores?
In thioglycollate broth, a bacteria that are strictly anaerobic will...
If you start out with a population density of 200 CFU/ml of a...
Which section of the graph shows where the number of cells dividing is...
Which section shows a growth phase where the cells dividing at their...
Metronidazole
Listeriosis is always a serious infection that results in a patient...
Spriochetes
Group a, b, c types of streptococcus are determined by
What is pneumonia?
Requirements for fungal growth are aerobic or facultativley anaerobic,...
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