Microbiology, 9e (Tortora)

Chapter 22

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Chapter 22

Objective Questions

Microbiology, 9e (Tortora)

Chapter 22

1)

Microbiology, 9e (Tortora)

Chapter 22

Which of the following is true about the normal microbiota of the nervous system?

Microbiology, 9e (Tortora)

Chapter 22

A)

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Chapter 22

Only transient microbiota are present.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

There are no normal microbiota.

Microbiology, 9e (Tortora)

Chapter 22

C)

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Chapter 22

Normal microbiota are present in the central nervous system only.

Microbiology, 9e (Tortora)

Chapter 22

D)

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Chapter 22

Normal microbiota are present in the peripheral nervous system only.

Microbiology, 9e (Tortora)

Chapter 22

E)

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None of the above.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

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2)

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Chapter 22

Encephalitis and meningitis are difficult to treat because

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

They are not caused by bacteria.

Microbiology, 9e (Tortora)

Chapter 22

B)

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Chapter 22

Antibiotics damage tissues.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Antibiotics cannot penetrate the blood-brain barrier.

Microbiology, 9e (Tortora)

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D)

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The infections move along peripheral nerves.

Microbiology, 9e (Tortora)

Chapter 22

E)

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Chapter 22

All of the above.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

3)

Microbiology, 9e (Tortora)

Chapter 22

Which of the following organisms is not capable of causing meningitis?

Microbiology, 9e (Tortora)

Chapter 22

A)

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Chapter 22

Neisseria meningitidis

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Chapter 22

B)

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Chapter 22

Haemophilus influenzae

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Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Cryptococcus neoformans

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Streptococcus pneumoniae

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

None of the above

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

4)

Microbiology, 9e (Tortora)

Chapter 22

All of the following are true about H. influenzae, except

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

A healthy carrier state can exist.

Microbiology, 9e (Tortora)

Chapter 22

B)

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Chapter 22

It is encapsulated.

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Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

It requires a blood supplement in media.

Microbiology, 9e (Tortora)

Chapter 22

D)

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Chapter 22

It usually infects children.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

It is used in a whole bacterial vaccine.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

5)

Microbiology, 9e (Tortora)

Chapter 22

Which of the following pairs is mismatched?

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Neisseria meningitidis  cultured in a candle jar

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Haemophilus influenzae  virulence due to capsule

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Mycobacterium leprae  cultured in armadillos

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Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Cryptococcus neoformans  acid-fast rod

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

Naegleria fowleri  causes amoebic encephalitis

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22


6)

Microbiology, 9e (Tortora)

Chapter 22

Which of the following organisms is not correctly matched to the recommended treatment?

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Neisseria meningitidis  cephalosporins

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Haemophilus influenzae  cephalosporins

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Cryptococcus neoformans  amphotericin B

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Mycobacterium leprae  dapsone

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

Poliovirus  Salk vaccine

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

7)

Microbiology, 9e (Tortora)

Chapter 22

All of the following are true about leprosy except

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

It is rarely fatal.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Patients with leprosy must be isolated.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

It is transmitted by direct contact.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Diagnosis may be based on the lepromin test.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

None of the above.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

8)

Microbiology, 9e (Tortora)

Chapter 22

Which of the following is not transmitted by the respiratory route?

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

N. meningitidis

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

H. influenzae

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

L. monocytogenes

Microbiology, 9e (Tortora)

Chapter 22

D)

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Chapter 22

C. neoformans

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

None of the above

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

9)

Microbiology, 9e (Tortora)

Chapter 22

All of the following are true about rabies except

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

It is caused by Rhabdovirus.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Hydrophobia is an early symptom.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

The reservoir is mainly rodents.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Diagnosis is based on immunofluorescent techniques.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

It is not fatal in bats.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

10)

Microbiology, 9e (Tortora)

Chapter 22

The symptoms of tetanus are due to

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Deep puncture wounds.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Hemolysins.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Lack of oxygen.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Clostridial neurotoxin.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

All of the above.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22


11)

Microbiology, 9e (Tortora)

Chapter 22

The treatment for tetanus is

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Penicillin.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Antibodies.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Toxoid.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Cleansing the wound.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

There is no treatment.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

12)

Microbiology, 9e (Tortora)

Chapter 22

A 30-year-old female was hospitalized after she experienced convulsions. On examination, she was alert and oriented and complained of a fever, headache, and stiff neck. Her symptoms could be due to all of the following except

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Clostridium botulinum.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Listeria monocytogenes.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Naegleria fowleri.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Streptococcus pneumoniae.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

None of the above.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

13)

Microbiology, 9e (Tortora)

Chapter 22

The most effective control of a vectorborne disease is

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Treatment of infected humans.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Treatment of infected wild animals.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Elimination of the vector.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Avoidance of endemic areas.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

None of the above.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

14)

Microbiology, 9e (Tortora)

Chapter 22

Treatment for tetanus in an unimmunized person is

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Tetanus toxoid.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Tetanus immune globulin.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Penicillin.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

DTP.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

None of the above.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

15)

Microbiology, 9e (Tortora)

Chapter 22

Treatment for tetanus in an immunized person is

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Tetanus toxoid.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Tetanus immune globulin.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Penicillin.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

DTP.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

None of the above.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22


16)

Microbiology, 9e (Tortora)

Chapter 22

The most common route of central nervous system invasion by pathogens is through

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

The skin.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

The circulatory system.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

The gastrointestinal system.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

The parenteral route.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

Direct penetration into nerves.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

17)

Microbiology, 9e (Tortora)

Chapter 22

The prodromal symptom(s) of meningitis is (are)

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Like a mild cold.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Fever and headache.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Stiff neck and back pains.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Convulsions.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

Paralysis.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

18)

Microbiology, 9e (Tortora)

Chapter 22

All of the following are requirements for an outbreak of botulism except

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Killing bacteria that compete with Clostridium.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

An anaerobic environment.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

An incubation period.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

A nutrient medium with a pH below 4.5.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

None of the above.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

19)

Microbiology, 9e (Tortora)

Chapter 22

The most common cause of meningitis in children is

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Mycobacterium tuberculosis.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Streptococcus pneumoniae.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Cryptococcus neoformans.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Haemophilus influenzae.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

Neisseria meningitidis.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

20)

Microbiology, 9e (Tortora)

Chapter 22

Meningitis that begins as an infection of the lungs is caused by

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Flavobacterium meningosepticum.

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Streptococcus pneumoniae.

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Cryptococcus neoformans.

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Haemophilus influenzae.

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

Neisseria meningitidis.

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22


21)

Microbiology, 9e (Tortora)

Chapter 22

Which of the following pairs is mismatched?

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Leprosy  direct contact

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Poliomyelitis  respiratory route

Microbiology, 9e (Tortora)

Chapter 22

C)

Microbiology, 9e (Tortora)

Chapter 22

Meningococcal meningitis  respiratory route

Microbiology, 9e (Tortora)

Chapter 22

D)

Microbiology, 9e (Tortora)

Chapter 22

Rabies  direct contact

Microbiology, 9e (Tortora)

Chapter 22

E)

Microbiology, 9e (Tortora)

Chapter 22

None of the above

Microbiology, 9e (Tortora)

Chapter 22

Microbiology, 9e (Tortora)

Chapter 22

22)

Microbiology, 9e (Tortora)

Chapter 22

A 30-year-old female was hospitalized after she experienced convulsions. On examination, she was alert and oriented and complained of a fever, headache, and stiff neck. Which of the following is most likely to provide rapid identification of the cause of her symptoms?

Microbiology, 9e (Tortora)

Chapter 22

A)

Microbiology, 9e (Tortora)

Chapter 22

Gram stain of cerebrospinal fluid

Microbiology, 9e (Tortora)

Chapter 22

B)

Microbiology, 9e (Tortora)

Chapter 22

Gram stain of throat culture

Microbiology, 9e (Tortora)

Chapter 22