TEST BANK microbiology a systems approach cowan 3e chapter019

Chapter 019 Infectious Diseases Affecting the Nervous System Multiple Choice Questions Cerebrospinal fluid is found in the A Pia mater B Dura mater C Subarachnoid space D Arachnoid mater E All of the choices are correct Place the following in order from skull to brain: 1) Subarachnoid space 2) Arachnoid mater 3) Dura mater 4) Pia mater A Subarachnoid space, arachnoid mater, dura mater, pia mater B Dura mater, arachnoid mater, subarachnoid space, pia mater C Dura mater, arachnoid mater,4, subarachnoid space D Arachnoid mater, subarachnoid space, dura mater, pia mater E Pia mater, arachnoid mater, subarachnoid space, dura mater The concept of "immunologically privileged" explains why the CNS A Has a greater immune response than the rest of the body B Has a reduced immune response compared to the rest of the body C Has a completely different set of immune responses D Has more MHC markers than other tissues E All of the choices are correct Which type of neuroglia has phagocytic capabilities in the CNS? A Astrocyt es B Schwann cells C Macrophag es D Microglial cells E Neuron s What brain defense restricts substances from entering the brain by the vascular system? A Meninge s B Blood-brain barrier C Macrophag es D Microgli a E Craniu m The normal biota of the CNS consists of A Neisseria meningitidis B Herpes simplex I C Herpes simplex II D Streptococcus agalactiae E The CNS has no normal biota Meningococcemia is A Best treated with penicillin G B Associated with vascular collapse, hemorrhage and petechiae C Started from a nasopharyngeal infection D Caused by a gram negative diplococcus E All of the choices are correct All of the following pertain to Neisseria meningitidis except A Virulent factors include a capsule, pili, endotoxin and IgA protease B Causes a serious meningitis C Reservoir is the nasopharynx of human carriers D More easily transmitted in day care facilities, dorms and military barracks E Common cause of bacterial pneumonia Which of the following is a sign of meningitis? A Headach e B Stiff neck C White blood cells in cerebrospinal fluid D Feve r E All of the choices are correct 10 Meningococci initially colonize the A Lacrimal ducts B Oral mucosa C Nasophary nx D Eustachian tube E All of the choices are correct 11 Neisseria meningitidis is transmitted by A Casual contact B Close contact C Intimate contact D Indirect contact E Fomite s 12 Treatment for Neisseria meningitidis consists of A Vancomyci n B Penicillin G orally C Penicillin G intravenously D Rifampi n E Tetracyclin e 13 Which of the following is not true of Streptococcus pneumoniae? A Most frequent cause of community acquired meningitis B Has a polysaccharide capsule that resists phagocytosis C Produces alpha-hemolysin and hydrogen peroxide D Small gram-positive flattened coccus E Responds well to penicillin 14 Which of the following is caused by Haemophilus influenzae? A Bacterial meningitis B Influenza (flu) C Otitis media D Bronchit is E Epiglottit is 15 The virulence of Haemophilus influenzae serotype b is associated with its A Fimbria e B Neurotox in C Enterotox in D Capsul e E None of the choices are correct 16 Prophylactic rifampin is indicated for individuals in close contact with patients infected by A Haemophilus influenzae B Listeria monocytogenes C Cryptococcus neoformans D Coccidiodes immitis E Streptococcus agalactiae 17 Each of the following is true for Listeria monocytogenes except A Resistant to cold B Fastidiou s C Resistant to heat D Resistant to salt E Can result in septicemia 18 Which organism is a common cause of meningitis in AIDS patients and can be found in bird droppings? A Listeria monocytogenes B Haemophilus influenza C Neisseria meningitidis D Cryptococcus neoformans E Streptococcus agalactiae 19 Cryptococcus neoformans is a A Viru s B Bacteri a C Prio n D Fungu s E Helmint h 20 Agricultural workers and field archaeologists are exposed to this organism which although entering via the respiratory tract can cause meningitis A Haemophilus influenzae B Coccidioides immitis C Cryptococcus neoformans D Streptococcus pneumoniae E Neisseria meningitidis 21 Arthrospores of Coccidioides immitis develop into _ that will release endospores into the lungs A Hypha e B Capsule s C Spherule s D Capsid s E Bud s 22 Although many viruses can cause meningitis, the most common viral cause is A Herpes simplex B Cytomegalovir us C Arbovir us D Enterovir us E Arenavir us 23 Neonatal meningitis is most commonly transmitted by A Breast feeding B Hospital personnel C Transplacental infection D Exposure in birth canal E Exposure from other infants 24 The organism responsible for the majority of neonatal meningitis is A Streptococcus agalactiae B Escherichia coli K1 C Listeria monocytogenes D Haemophilus influenzae E Neisseria meningitidis 25 The organism found in powdered baby formula which can cause meningitis is: A Escherichia coli O157:H7 B Escherichia coli K1 C Enterobacter sakazakii D Streptococcus agalactiae E Cryptococcus neoformans 26 Which of the following is not true of meningoencephalitis? A Causative organisms are Naegleria fowleri and Acanthamoeba B Infections of both the brain and meninges C Causative organisms are viruses D Modes of transmission are direct contact and swimming in warm fresh water E Treatment for Primary Amoebic Meningoencephalitis is mostly ineffective 27 Which of the following is not a causative agent of acute encephalitis? A JC virus B Arbovir us C Herpes simplex virus D Toxoplasma gondii E Varicella-zoster virus 28 Encephalitis caused by arboviruses involves A Fever, headache and rash B Coma, convulsions, paralysis in severe cases C Myalgia and orbital pain D Muscle aches and joint stiffness E All of the choices are correct 29 Encephalitis is most commonly caused by a A Bacteri a B Protozoa n C Viru s D Helmint h E All of the choices are correct 30 What is the likelihood of a patient infected by West Nile Virus developing West Nile encephalitis? A Less than 1% B Between 1% and 10% C Between 10% and 15% D Greater than 20% E Greater than 50% 68 Ch ild re n wit h hy po ga m m ag lo bu lin e mi a ar e at ris k for de vel op in g po lio if gi ve n th e or al po lio va cci ne TR UE Lea rnin g Obj ecti ve: 19 09 Expl ain the dif ere nce bet wee n the oral poli o vac cine and the inac tiva ted poli o vac cine and und er whi ch circ ums tan ces eac h is app ropr iate 69 No ca se s of att en ua te d po lio vir us re ve rti ng to a ne ur ovi rul en t str n ve be en cu m en te d FA LS E Lea rnin g Obj ecti ve: 19 09 Expl ain the dif ere nce bet wee n the oral poli o vac cine and the inac tiva ted poli o vac cine and und er whi ch circ ums tan ces eac h is app ropr iate Chapter 019 Infectious Diseases Affecting the Nervous System Summary Ca te go ry # of Qu est ion s Le ar ni ng Ob je cti ve :1 01 De sc rib et he im po rta nt an at o mi ca lf ea tur es of th e ne rv ou ss ys te m Le ar ni ng Ob je cti ve :1 02 Lis tt he na tu ral de fe ns es pr es en ti nt he ne rv ou ss ys te m Le ar ni ng Ob je cti ve :1 03 Tal k ab ou tt he no rm al bi ot a of th e ne rv ou ss ys te m an dt he ba ck gr ou nd be hi nd it Le 17 ar ni ng Ob je cti ve :1 04 Lis tt he po ssi bl e ca us ati ve ag en ts Le ar ni ng Ob je cti ve :1 05 Id en tif yt he m os tc o m m on an d als ot he m os td ea dl y of th e m ult ipl e po ssi bl e ca us es of m en in git is Le 12 ar ni ng Ob je cti ve :1 06 Lis tt he po ssi bl e ca us ati ve ag en ts Le ar ni ng Ob je cti ve :1 07 Id en tif y w hi ch vir us es th at ca n ca us e en ce ph ali tis yo u sh ou ld be on th el oo ko ut for in yo ur ge og ph ic al ar ea Le 20 ar ni ng Ob je cti ve :1 08 Lis tt he po ssi bl e ca us ati ve ag en ts Le ar ni ng Ob je cti ve :1 09 Ex pl nt he di ffe re nc e be tw ee nt he or al po lio va cci ne an dt he in ac tiv at ed po lio va cci ne an d un de r w hi ch cir cu m st an ce s ea ch is ap pr op ria te Le 12 ar ni ng Ob je cti ve :a nd su ba cu te en ce ph ali tis Le 20 ar ni ng Ob je cti ve :b ot uli s m an d Afr ic an sle ep in g sic kn es s Le 12 ar ni ng Ob je cti ve :d ia gn os tic te ch ni qu es an d pr ev en tio n/t re at m en tf or di se as es m os td ire ctl yi nv ol vi ng th e br n Th es e ar e: m en in go en ce ph ali tis Le 17 ar ni ng Ob je cti ve :d ia gn os tic te ch ni qu es an d pr ev en tio n/t re at m en tf or m en in git is an d als of or ne on at al m en in git is Le 20 ar ni ng Ob je cti ve :d ia gn os tic te ch ni qu es an d pr ev en tio n/t re at m en tf or ot he rd ise as es in th e ne rv ou ss ys te m Th es e ar e: bi es Le 12 ar ni ng Ob je cti ve :e nc ep liti s Le 49 ar ni ng Ob je cti ve : m od es of tra ns mi ssi on Le 20 ar ni ng Ob je cti ve :p oli o m ye liti s Le 20 ar ni ng Ob je cti ve :t et an us Le 49 ar ni ng Ob je cti ve :v iru le nc ef ac tor s ... Streptococcus agalactiae E The CNS has no normal biota Meningococcemia is A Best treated with penicillin G B Associated with vascular collapse, hemorrhage and petechiae C Started from a nasopharyngeal infection... Toxoplasma gondii except A It is a flagellated parasite B It is often fatal for AIDS patients C Can cause stillbirth D Has a narrow host range E All of the choices are true 34 What organism is... Toxoplasma gondii E Varicella-zoster virus 28 Encephalitis caused by arboviruses involves A Fever, headache and rash B Coma, convulsions, paralysis in severe cases C Myalgia and orbital pain D