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Exam 19: Infectious Diseases Affecting the Respiratory Systems

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Question 41

Multiple Choice

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The enzyme associated with the influenza virus that hydrolyzes the protective mucous coating of the respiratory tract is

A) catalase.
B) reverse transcriptase.
C) hyaluronidase
D) neuraminidase.
E) kinase.

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

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Question 42

True/False

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The major reservoir for the hantavirus is the deer mouse.

A) True
B) False

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Question 43

Multiple Choice

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The highest incidence of histoplasmosis in the United States occurs in the

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. As an RN in a primary care office, you recently took care of a 10-year-old patient experiencing fever, chills, a stuffy nose, and a sore throat. The patient’s mother indicated that the child had been ill for the past 2 days, was eating poorly, and sleeping a great deal of the time. You swab the patient’s throat for rapid microbial analysis, suspecting the problem was due to a common pathogen. -Microscopic analysis revealed the presence of only normal biota in the patient specimen.Based upon this information,all but which of the following microbes could be ruled out in the diagnosis?

Secondary bacterial infections may occur with the common cold.

The most common causative agent of otitis media is

Untreated streptococcal pharyngitis can lead to all of the following except

Normal biota of the lower respiratory tract include

Characteristics of Histoplasma capsulatum include

Legionellosis is a zoonosis.

Streptococcal pharyngitis involves all of the following except

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. About 5 days ago, a 45-year-old patient began experiencing symptoms of what appeared to be a simple upper respiratory tract infection. She has come to the ER after experiencing mild paralysis in her arms and an abnormal heartbeat. While in triage, she suddenly develops difficulty breathing and is sent up to the respiratory unit where you are the charge nurse. In your initial assessment, you discover gross inflammation of her pharynx and tonsils, and the entire area appears to be covered by a grayish-white membrane. You order a throat swab and additional specimens for microbial analysis, and you immediately send the patient into isolation. -The patient's condition is worsening quite rapidly.You report the laboratory findings to the on-call physician.Even without laboratory confirmation,she orders you to begin which course of treatment?