Chapter 020

Chapter 020 Infectious Diseases Affecting the Cardiovascular and Lymphatic
Syst Key
Multiple Choice Questions

1.
The fibrous sac that encloses the heart is the

A. Epicardiu
m
B. Myocardiu
m
C. Endocardiu
m
D. Pericardiu
m
E. Ectocardiu
m
Learning Objective: 20.01 Describe the important anatomical features of the cardiovascular system.
2.
The presence of viruses in the blood is called

A. Viremi
a
B. Fungemi
a
C. Hemovir
us
D. Bacterem
ia
E. Septicem
ia
Learning Objective: 20.02 List the natural defenses present in the cardiovascular system
Learning Objective: 20.03 Discuss the "what" and the "why" of the normal biota of the cardiovascular system
3.
______ occurs when bacteria flourish and grow in the blood stream.
A. Viremi
a
B. Fungemi
a
C. Hemovir
us
D. Bacterem
ia
E. Septicem
ia
Learning Objective: 20.02 List the natural defenses present in the cardiovascular system.
Learning Objective: 20.03 Discuss the "what" and the "why" of the normal biota of the cardiovascular system.
4.
All of the following are associated with subacute endocarditis except

A. Occurs in patients that have prior heart
damage
B. Caused by immune system autoantibodies that attack heart and
valve tissue
C. Oral bacteria get introduced by dental procedures to
the blood
D. Bacteria colonize previously damaged heart tissue resulting in a
vegetation
E. Signs and symptoms include fever, heart murmur and
possible emboli
5.
The common causative agent of acute endocarditis is

A. Staphylococcus
aureus
B. Streptococcus
pneumoniae
C. Streptococcus
pyogenes
D. Neisseria
gonorrhaeae
E. All of the choices are
correct
Learning Objective: 20.04 List the possible causative agents
Learning Objective: diagnostic techniques and prevention/treatment for the two forms of endocarditis.
Learning Objective: modes of transmission
Learning Objective: virulence factors
6.
Acute endocarditis is most commonly contracted through

A. Ingestio
n
B. Parenteral
entry
C. Casual
contact
D. Droplet
s
E. Fomite
s
7.
Most cases of septicemia are caused by

A. Fung
i
B. Viruse
s
C. Prion
s
D. Bacteri
a
E. Protozoan
s
Learning Objective: 20.05 Discuss what series of events may lead to septicemia and how it should be prevented and treated.
8.
Which of the following is not true of septicemia?

A. Fever and shaking
chills
B. Respiratory
acidosis
C. Endotoxic
shock
D. Parenteral or endogenous
transfer
E. Drop in blood
pressure
Learning Objective: 20.05 Discuss what series of events may lead to septicemia and how it should be prevented and treated.
9.
Yersinia pestis
A. Was virulent in the Middle Ages but is no longer
virulent
B. Has humans as an endemic
reservoir
C. Does not respond to antimicrobial
drugs
D. Is usually transmitted by a flea
vector
correct
Learning Objective: Lyme disease and infectious mononucleosis.
Learning Objective: diagnostic techniques and prevention/treatment for cardiovascular system infections that have only one
infectious cause. These are plague
Learning Objective: tularemia
10.
All of the following are associated with bubonic plague except

A. Transmitted by human
feces
B. Caused by Yersinia
pestis
C. Patient often has enlarged inguinal lymph
nodes
D. Patient has fever, headache, nausea,
weakness
E. Can progress to a
septicemia
11.
Which is incorrect about Yersinia pestis?

A. Exhibit bipolar
staining
B. Gram negative
rod
C. Produces
coagulase
D. Has a
capsule
E. Produces
enterotoxin
12.
Plague includes
A. Septicemic form - called black
death
B. Bubonic form - buboes
develop
C. Pneumonic form - sputum highly
contagious
D. Disease control - control of rodent
population
correct
13.
Bubonic plague is transmitted by

A. Mosquito
s
B. Flie
s
C. Animal
bites
D. Sexual
contact
E. Flea
s
14.
Control of rodent populations is important for preventing

A. Brucellos
is
B. Plagu
e
C. Malari
a
D. Q
fever
correct
15.
Which is not associated with tularemia?

A. A
zoonosis
B. Transmitted by arthropod
vectors
C. A gram-positive
bacerium
D. Symptoms include fever, swollen lymph nodes, ulcerative lesions, conjunctivitis
and pneumonia
E. Sometimes called rabbit
fever
16.
Rabbits and rodents are the reservoirs of the causative agent of

A. Tularemi
a
B. Anthra
x
C. Malari
a
D. Brucellos
is
E. Mononucleos
is
17.
The causative agent of Lyme disease is

A. Ixodes
scapularis
B. Borrelia
hermsii
C. Borrelia
burgdorferi
D. Ixodes
pacificus
E. Leptospira
interrogans
18.
Erythema migrans, a bull's-eye rash, at the portal of entry is associated with

A. Plagu
e
B. Rocky Mountain spotted
fever
C. Q
fever
D. Lyme
disease
E. Yellow
fever
19.
The white-footed mouse, deer and deer ticks are important to maintaining the
enzootic transmission cycle associated with
A. Lyme
disease
B. Yellow
fever
C. Q
fever
D. Rocky Mountain spotted
fever
E. Plagu
e
20.
Lyme disease involves

A. Early symptoms of fever, headache,
stiff neck
B. Crippling polyarthritis and cardiovascular and neurological
problems
C. People having contact with wooded or
forested areas
D. Treatment with
antimicrobials
correct
21.
Lyme disease is transmitted by

A. Flie
s
B. Droplet
s
C. Lic
e
D. Flea
s
E. Tick
s
22.
Epstein-Barr virus has the following characteristics except

A. It is more commonly found in
adults
B. It is transmitted by direct oral contact
and saliva
C. It produces sudden
leukocytosis
D. It as a 30-50 day
incubation
E. Can be transmitted by contaminated blood transfusions and organ
transplants
23.
Symptoms of infectious mononucleosis include

A. Vesicular lesions in oral
mucosa
B. Fever and pocks on
skin
C. Sore throat, fever, cervical lymphadenopathy and
splenomegaly
D. Fever, severe diarrhea, pneumonitis, hepatitis and
retinitis
E. None of the choices are
correct
24.
The patients at greatest risk for severe cytomegalovirus infection include all the
following except
A. Diabeti
cs
B. Organ transplant
patients
C. Infants infected in
utero
D. AIDS
patients
E. Babie
s
25.
Cytomegalovirus
A. Causes the most prevalent fetal
infection
B. Is transmitted by saliva, mucus, milk, urine, semen, cervical secretions
and feces
C. Can be sexually
transmitted
D. Is commonly carried in the latent
state
correct
26.
Which of the following require direct contact with infected body fluids?
A. Yellow
fever
B. Dengue
fever
C. Q
fever
D. Lassa
fever
E. Trench
fever
Learning Objective: 20.07 Discuss factors that distinguish hemorrhagic and nonhemorrhagic fever diseases.
27.
Which of the following is a hemorrhagic fever?

A. Yellow
fever
B. Trench
fever
C. Q
fever
D. Rocky mountain spotted
fever
E. Cat scratch
fever
Learning Objective: diagnostic techniques and prevention/treatment for hemorrhagic fever diseases.

28.
Yellow fever and dengue fever are

A. Caused by
arboviruses
B. Caused by viruses that disrupt capillaries and blood
clotting
C. Zoonose
s
D. Transmitted by a mosquito
vector
correct
29.
Which of the following is not true of Ebola and Marburg?

A. Caused by
filoviruses
B. Disruption of clotting
factors
C. Transmitted by direct contact with body
fluids
D. Transmitted by
mosquitos
E. There is not
treatment
30.
Which type of hemorrhagic fever can be treated with Ribavirin?

A. Lassa
fever
B. Ebol
a
C. Marbur
g
D. Dengue
fever
E. Yellow
fever
31.
Which type of hemorrhagic fever is also known as "breakbone fever" because of

the severe pain in bones?
A. Lassa
fever
B. Ebol
a
C. Marbur
g
D. Dengue
fever
E. Yellow
fever
32.
The reservoir for Lassa fever is the

A. Monke
y
B. Ra
t
C. Gorill
a
D. Ca
t
E. Cattl
e

33.
Brucellosis is
A. A
zoonosis
B. Seen in the patient as a fluctuating fever, with headache, muscle pain
and weakness
C. Associated with pathogen in the
blood
D. An occupational illness of people that work with
animals
correct
Learning Objective: diagnostic techniques and prevention/treatment for nonhemorrhagic fever diseases.
34.
Pasteurization of milk helps to prevent

A. Tularemi
a
B. Plagu
e
C. Endocardit
is
D. Brucellos
is
E. Mononucleos
is
35.
The gram negative bacillus associated with abscesses from cat bites or scratches
is
A. Salmonella
typhimurium
B. Yersinia
enterocolitica
C. Bartonella
henselae
D. Brucella
suis
E. Francisella
tularensis
36.
Rocky Mountain spotted fever

A. Seen in highest numbers along the west
coast
B. Transmitted by Ixodes
ticks
C. Symptoms include fever, headache
and rash
D. Never has severe
complications
correct
37.
All of the following pertain to erhlichiosis except

A. Transmitted by Ixodes
ticks
B. Diagnosed by PCR or indirect fluorescent
assay
C. Treatment requires an extensive course of
antibiotics
D. Symptoms include fever, headache and
muscle pains
E. Often coinfects with Borrelia
burgdorferi

38.
Which is incorrect regarding Q fever?

A. Transmitted by
lice
B. Pathogen produces resistant
spores
C. Humans infected from unpasteurized milk and
airborne spread
D. Causes fever, muscle aches, rash and sometimes
pneumonia
E. Is a
zoonosis
39.
Which of the following is mismatched?

A. Yersinia pestis plague
B. Coxiella burnetii - Q
fever
C. Bartonella quintana - trench
fever
D. Bartonella henselae - cat scratch
disease
E. Rickettsia typhi - rocky mountain
spotted fever
40.
Cat-scratch fever can be prevented by

A. Avoiding
ticks
B. Pasteurizing
milk
C. Vaccin
e
D. Animal
control
E. Cleaning the scratch
wound
41.
The symptoms that occur in cyclic 48 to 72 hour episodes in a malaria patient are
A. Bloody, mucus-filled stools, fever, diarrhea and
weight loss
B. Fever, swollen lymph nodes and joint
pain
C. Urinary frequency and pain and vaginal
discharge
D. Chills, fever and
sweating
E. Sore throat, low grade fever and swollen lymph
nodes
42.
Which is incorrect about malaria?

A. Merozoites enter and multiply in
liver cells
B. Trophozoites develop in
RBCs
C. The mosquito inoculates human blood with
sporozoites
D. Gametocytes enter the mosquito as she draws a blood meal from
a human
correct
Learning Objective: 20.10 Discuss all aspects of malaria
Learning Objective: with special emphasis on epidemiology.
43.
The cyclic bouts of fever and chills in malaria are caused by

A. Liver cell
lysis
B. White blood cell
lysis
C. Red blood cell
lysis
D. Neurological
involvement
correct
44.
Malaria may be prevented by

A. Using bed nets sprayed with
insecticide
B. Eliminating standing
water
C. Taking prophylactic
drugs
D. Using interfering RNA in
mosquitos
E. All of these are
correct
45.
The causative organism of malaria is a

A. Bacteri
a
B. Viru
s
C. Fungu
s
D. Protozoa
n
E. Prio
n
46.
Characteristics of Bacillus anthracis include all the following except

A. Capsule and exotoxins are virulence
factors
B. Anaerobi
c
C. Reservoir includes infected grazing animals and
contaminated soil
D. Gram positive
bacillus
E. Sporeform
er
Learning Objective: 20.11 Describe what makes anthrax a good agent for bioterrorism and list the important signs to look for in
presenting patients.
47.
Anthrax is
A. A
zoonosis
B. Transmitted by contact, inhalation and
ingestion
C. A disease that, in humans, can cause a rapidly fatal toxemia and
septicemia
D. Only seen sporadically in the United
States
correct
48.
The preferred treatment for anthrax is

A. Penicilli
n
B. Ciprofloxac
in
C. Quinin
e
D. Doxycycli
ne
E. Chloroquino
ne
49.
A common cardiovascular / lymph system disease in AIDS patients is

A. Acute
endocarditis
B. Burkitt's
lymphoma
C. Cytomegalovir
us
D. Ehrlichios
es
E. Brucellos
is
Learning Objective: 20.13 Discuss the epidemiology of HIV infection in the developing world.
50.
Retroviruses have the following characteristics except

A. Glycoprotein
spikes
B. DNA
genome
C. Envelope
d
D. Reverse
transcriptase
E. Viral genes integrate into the host
genome
51.
All of the following pertain to patients with AIDS except

A. Have an
immunodeficiency
B. Have CD4 T-cell titers below 200 cells/mm3 of
blood
C. Get repeated, life-threatening opportunistic
infections
D. Can get unusual cancers and neurological
disorders
E. Highest number of cases worldwide is in the
United States
Learning Objective: 20.12 Discuss how the epidemiology of HIV infection in the United States has changed over time and why.
52.
Documented transmission of HIV involves

A. Mosquito
es
B. Unprotected sexual intercourse and contact with blood/blood
products
C. Respiratory
droplets
D. Contaminated
food
correct
53.
All of the following pertain to HIV except

A. Attaches primarily to host cells with CD4
receptors
B. Viral DNA integrates into the host
nucleus
C. Becomes latent in host
cells
D. ELISA and Western blot tests detect HIV
antigens
E. Can enter into nervous tissues and cause
abnormalities
54.
Which drugs interfere with the action of an HIV enzyme needed for final assembly
and maturation of the virus?
A. Reverse transcriptase
inhibitors
B. Protease
inhibitors
C. Fusion
inhibitors
D. Integrase
inhibitors
correct
55.
Which new class of drugs will interfere with docking onto host cells?
A. Reverse transcriptase
inhibitors
B. Protease
inhibitors
C. Fusion
inhibitors
D. Integrase
inhibitors
correct
56.
A frequent cancer that is seen in AIDS patients is

A. Leukemi
a
B. Hodgkin's
lymphoma
C. Kaposi's
sarcoma
D. Melanom
a
E. Myelom
a
57.
Adult T-cell leukemia (ATL)

A. Is caused by the retrovirus,
HTLV II
B. Is an overall leukopenia but with an increased number of neoplastic B
lymphocytes
C. Is a persistent lymphocytosis with large atypical lymphocytes that is
progressive and fatal
D. Afflicted lymphocytes have pseudopod-like
extensions
E. Alpha interferon is used to achieve
remission
58.
Hairy-cell leukemia
A. Is caused by the retrovirus,
HTLV I
B. Is an overall leukopenia but with an increased number of neoplastic B
lymphocytes
C. Is seen in AIDS
patients
D. Afflicted lymphocytes have pseudopod-like
extensions
E. Both B and C are
correct
59.
Which of the following bacterial infection(s) have been linked to the development
of atherosclerosis?
A. Bacillus
anthracis
B. Staphylococcus
aureus
C. Chlamydia
trachomatis
D. Chlamydophila
pneumonia
E. Both C &
D
True / False Questions

60.
The cardiovascular and lymphatic systems have no normal biota.

TRUE
61.
Plague is a quarantinable disease.

TRUE
62.
Lyme disease is only seen in people living in Lyme, Connecticut.

FALSE
63.
Treatment of Lyme disease is difficult because the bacteria can change its
antigens.
TRUE
64.
Aedes mosquitoes are the vectors involved in yellow fever and dengue fever.
TRUE
65.
In severe cases of Rocky Mountain spotted fever, the enlarged lesions of the rash
can become necrotic and predispose the patient to gangrene of toes and
fingertips.
TRUE
66.
The highest numbers of cases of Rocky Mountain spotted fever occur along the
eastern seaboard.
TRUE
67.
Rifampin is the drug of choice for malaria.

FALSE
68.
The leading cause of morbidity and mortality in AIDS patients is Pneumocytis

pneumonia.
TRUE
69.
Under normal healthy circumstances the lymphatic system filters any

microorganisms present.
TRUE
Chapter 020 Infectious Diseases Affecting the Cardiovascular and Lymphatic

Syst Summary
Category
# of Que
stions
Learning Objective: 20.03 Discuss the "what" and the "why" of the normal biota of the cardiovascular syste
m
Learning Objective: 20.03 Discuss the "what" and the "why" of the normal biota of the cardiovascular syste
m.
Learning Objective: 20.05 Discuss what series of events may lead to septicemia and how it should be preve
nted and treated.
20
13
Learning Objective: 20.11 Describe what makes anthrax a good agent for bioterrorism and list the important
signs to look for in presenting patients.
Learning Objective: 20.12 Discuss how the epidemiology of HIV infection in the United States has changed o
ver time and why.
Learning Objective: diagnostic techniques and prevention/treatment for cardiovascular system infections th
at have only one infectious cause. These are plague
9
20
7
13
2
20
42
20
42

Chapter 020

Diunggah oleh

Informasi Dokumen

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Chapter 020

Diunggah oleh

Hak Cipta:

Format Tersedia

Chapter 020 Infectious Diseases Affecting the Cardiovascular and Lymphatic

Multiple Choice Questions

The fibrous sac that encloses the heart is the

The presence of viruses in the blood is called

All of the following are associated with subacute endocarditis except

The common causative agent of acute endocarditis is

Acute endocarditis is most commonly contracted through

Most cases of septicemia are caused by

Which of the following is not true of septicemia?

All of the following are associated with bubonic plague except

Which is incorrect about Yersinia pestis?

Bubonic plague is transmitted by

Control of rodent populations is important for preventing

Which is not associated with tularemia?

Rabbits and rodents are the reservoirs of the causative agent of

The causative agent of Lyme disease is

Erythema migrans, a bull's-eye rash, at the portal of entry is associated with

Lyme disease involves

Lyme disease is transmitted by

Epstein-Barr virus has the following characteristics except

Symptoms of infectious mononucleosis include

Which of the following is a hemorrhagic fever?

Learning Objective: modes of transmission

Yellow fever and dengue fever are

Which of the following is not true of Ebola and Marburg?

Which type of hemorrhagic fever can be treated with Ribavirin?

Which type of hemorrhagic fever is also known as "breakbone fever" because of

The reservoir for Lassa fever is the

Learning Objective: modes of transmission

Pasteurization of milk helps to prevent

Rocky Mountain spotted fever

All of the following pertain to erhlichiosis except

Learning Objective: modes of transmission

Which is incorrect regarding Q fever?

Which of the following is mismatched?

Cat-scratch fever can be prevented by

Which is incorrect about malaria?

The cyclic bouts of fever and chills in malaria are caused by

Malaria may be prevented by

The causative organism of malaria is a

Characteristics of Bacillus anthracis include all the following except

The preferred treatment for anthrax is

A common cardiovascular / lymph system disease in AIDS patients is

Retroviruses have the following characteristics except

All of the following pertain to patients with AIDS except

Documented transmission of HIV involves

All of the following pertain to HIV except

A frequent cancer that is seen in AIDS patients is

Adult T-cell leukemia (ATL)

True / False Questions

The cardiovascular and lymphatic systems have no normal biota.

Plague is a quarantinable disease.

Lyme disease is only seen in people living in Lyme, Connecticut.

Rifampin is the drug of choice for malaria.

The leading cause of morbidity and mortality in AIDS patients is Pneumocytis

Under normal healthy circumstances the lymphatic system filters any

Chapter 020 Infectious Diseases Affecting the Cardiovascular and Lymphatic

Learning Objective: 20.04 List the possible causative agents

Learning Objective: 20.06 List the possible causative agents

Learning Objective: 20.08 List the possible causative agents

Learning Objective: 20.09 List the possible causative agents

Learning Objective: 20.10 Discuss all aspects of malaria

Learning Objective: Lyme disease and infectious mononucleosis.

Learning Objective: modes of transmission