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Which of the following is not a normal portal of exit for an infectious disease?


A) removal of blood
B) urogenital tract and feces
C) coughing and sneezing
D) skin
E) All of these are normal exit portals.

F) A) and E)
G) A) and B)

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Which is mismatched?


A) secondary infection - infection spreads to several tissue sites
B) mixed infection - several agents established at infection site
C) acute infection - rapid onset of severe,short-lived symptoms
D) local infection - pathogen remains at or near entry site
E) toxemia - pathogen's toxins carried by the blood to target tissues

F) A) and B)
G) B) and E)

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The number of persons afflicted with an infectious disease is the _____ rate.


A) morbidity
B) mortality
C) incidence
D) endemic
E) pandemic

F) All of the above
G) B) and E)

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The dried residues of fine droplets from mucus or saliva that harbor and transmit pathogens are


A) fomites.
B) aerosols.
C) mechanical vectors.
D) droplet nuclei.
E) biological vectors.

F) C) and D)
G) D) and E)

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A 68-year-old male presents to the emergency department with complaints of a 2-day history of difficulty breathing, cough, and chest pain. Upon triage assessment, the patient is found to have a fever, increased work of breathing, decreased oxygen saturation, and crackles upon auscultation of the lungs. A chest X ray reveals consolidation in the right upper lung field. The patient is diagnosed with pneumonia, initiated on oxygen therapy, and admitted for observation and treatment. -As the RN,you document the care and assessment of the patient in the chart prior to transfer to an inpatient unit.What is the most appropriate term for the clinical manifestations of disease?


A) signs
B) symptoms
C) syndromes
D) signs and symptoms

E) B) and C)
F) A) and D)

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Fomites,food,and air serve as indirect transmission routes of pathogens.

A) True
B) False

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_____ are toxins that are the lipopolysaccharide of the outer membrane of gram-negative cell walls.


A) Exotoxins
B) Endotoxins
C) Enterotoxins
D) Leukocidins
E) Hemolysins

F) B) and C)
G) D) and E)

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An inanimate object that harbors and transmits a pathogen is a


A) fomite.
B) carrier.
C) vector.
D) reservoir.
E) source.

F) B) and E)
G) A) and B)

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Which is not terminology used for resident biota?


A) pathogenic biota
B) normal biota
C) indigenous biota
D) normal microbiota
E) commensals

F) A) and E)
G) A) and D)

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Which of the following is a direct contact method of microbe transmission?


A) fomites
B) water
C) droplet nuclei
D) aerosols
E) droplets

F) A) and E)
G) D) and E)

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Someone who inconspicuously harbors a pathogen and spreads it to others is a


A) fomite.
B) carrier.
C) vector.
D) reservoir.
E) source.

F) B) and C)
G) D) and E)

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Leukopenia is the _____ in the level of white blood cells in a patient.


A) elevation
B) stabilization
C) decrease

D) None of the above
E) All of the above

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When would Koch's postulates be utilized?


A) determination of the cause of a patient's illness in a hospital microbiology lab
B) development of a new antibiotic in a pharmaceutical lab
C) determination of the cause of a new disease in a microbiology research lab
D) formulation of a vaccine against a new pathogen in a genetic engineering lab
E) whenever the scientific method cannot be used to investigate a microbiological problem

F) All of the above
G) None of the above

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Exotoxins are


A) proteins.
B) only released after a cell is damaged or lysed.
C) antiphagocytic factors.
D) secretions that always target nervous tissue.
E) lipopolysaccharides.

F) A) and D)
G) C) and D)

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Animals that participate in the life cycles of pathogens and transmit pathogens from host to host are


A) fomites.
B) aerosols.
C) mechanical vectors.
D) droplet nuclei.
E) biological vectors.

F) B) and E)
G) A) and B)

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The term infection refers to


A) microorganisms colonizing the body.
B) contact with microorganisms.
C) contact with pathogens.
D) pathogens penetrating host defenses.
E) None of the choices is correct.

F) B) and C)
G) A) and B)

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Normal biota includes each of the following except


A) bacteria.
B) fungi.
C) protozoans.
D) viruses.
E) All of the choices are correct.

F) A) and B)
G) A) and C)

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Which of the following is not an anti-phagocytic factor?


A) secretion of slime
B) production of leukocidins
C) adhering to the host
D) secretion of a capsule
E) ability to survive intracellularly

F) B) and E)
G) B) and D)

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Which of the following is not a factor that weakens host defenses against infections?


A) genetic defects in immunity
B) physical and mental stress
C) strong,healthy body
D) chemotherapy
E) old age

F) B) and E)
G) None of the above

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The intermediary object or individual from which the infectious agent is actually acquired is termed the


A) fomite.
B) carrier.
C) vector.
D) reservoir.
E) source.

F) A) and E)
G) C) and D)

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