Deck 23: Cardiovascular, lymphatic and Systemic Disease

Question 1

Arenavirus fevers include

A) Colorado fever
B) Fifth disease
C) Toxoplasmosis
D) Lassa fever

Answer 1

D

Question 2

Aplastic crisis caused by an Erythrovirus is characterized by

A) destruction of platelets
B) destruction of RBCs
C) destruction of plasma
D) destruction of WBCs

Answer 2

B

Question 3

Which of the following statements does not refer to leishmaniasis?

A) transmitted by sandflies
B) has an affinity for the pericardium and myocardium
C) is limited to tropical and subtropical countries where the vector is available
D) symptoms include high irregular fever, progressive wasting and protrusion of abdomen

Answer 3

B

Question 4

Normal microflora of the cardiovascular system include

A) Staphylococcus aureus
B) parvovirus
C) Escherichia coli
D) none of the above

Question 5

Epstein Barr Virus is associated with

A) Burkitt's lymphoma
B) cervical cancer
C) nasopharyngeal carcinoma
D) two of the above

Question 6

Which of the following terms refers to red streaks beneath the skin of legs and arms?

A) bacteremia
B) septic shock
C) septicemia
D) lymphangitis

Question 7

Puerperal fever is caused by

A) Streptococcus pyogenes
B) Staphylococcus aureus
C) Pseudomonas aeruginosa
D) Streptococcus agalactiae

Question 8

All of the following occur in shistosomiasis except

A) allergic reactions to eggs and cirrhosis of liver from eggs
B) flukes lodge in heart and brain causing disease
C) cercariae penetrate skin when humans wade in snail-infested waters
D) dermatitis from cercarcia

Question 9

Which fever causes severe bone and joint pain along with other symptoms (headache,nausea,weakness,rash),its main vector is Aedes aegypti and vaccines are only available for two strains?

A) Yellow fever
B) Colorado Tick fever
C) Dengue fever
D) Ehrlichiosis

Question 10

Dengue fever is transmitted via

A) mosquitoes
B) sand flies
C) mites
D) ticks

Question 11

Which of the following terms refers to a bacteria-fibrin mass that forms on damaged valvular surfaces?

A) vegetation
B) lymphangitis
C) ischemia
D) petichia

Question 12

Chronic fatigue syndrome

A) is due to Burkitt's Lymphoma
B) is transmitted by organ transplantation
C) may be associated with EBV, HHV6 or other viral illnesses
D) is a fictitious disease made up by psychiatry patients

Question 13

Which of the following terms refers to a pin-point hemorrhage most common in skin folds?

A) septicemia
B) lymphangitis
C) ischemia
D) petichia

Question 14

Which term refers to the presence of bacteria in the blood stream?

A) bacteremia
B) septic shock
C) septicemia
D) lymphangitis

Question 15

Yellow fever is characterized by all of the following except

A) carrier is sand fly
B) reservoir is monkey
C) vaccine is available
D) limited to tropical areas of Central & South America and Africa

Question 16

What role do antibiotics play in septic shock?

A) reduce the fever and lymphangitis symptoms
B) kills gram positive bacteria but are ineffective without gram negative bacteria
C) worsen the situation by releasing large quantities of endotoxin
D) none of the above

Question 17

Which infection refers to inflammation of the lining and valves of the heart?

A) septicemia
B) rheumatic fever
C) bacterial endocardiatis
D) puerperal fever

Question 18

Inflammation and blockage of lymph ducts leading to elephantiasis is due to which organism?

A) Schistosoma haematobium
B) Streptococus pyogenes
C) Wuchereria bancrofti
D) Staphylococcus aureus

Question 19

Infectious mononucleosis is characterized by all of the following except

A) caused by Human herpes virus number 4
B) an acute disease that affects many systems
C) most patients have a sore throat
D) a vaccine is available

Question 20

Parvovirus infections are severe in

A) cats
B) children
C) dogs
D) two of the above

Question 21

Ehrlichiosis is characterized by all of the following except

A) symptoms include fever, headache, hepatitis, and muscle pain
B) reduction in white blood cells
C) a rash similar to Rocky Mountain Spotted fever
D) ehrlichial intracytoplasmic inclusions in WBCs suggest presence of Ehrlichia

Question 22

Which of the following diseases was a problem during the Vietnam War as soldiers crawled on their bellies in low vegetation to avoid snipers?

A) scrub typhus
B) murine typhus
C) epidemic typhus
D) leishmaniasis

Question 23

The body louse is the arthropod vector for

A) Endemic typhus
B) Epidemic typhus
C) Trench fever
D) two of the above

Question 24

Brucellosis can be controlled by all of the following except

A) protective clothing for workers with occupational exposure
B) human vaccine
C) pasteurization of dairy products
D) immunizing animal herds

Question 25

______ disease is actually the re-occurrence of a rickettsial infection.

A) Zoster
B) Brill-Zinsser
C) Tsutsugamushi
D) Burkitt's lymphoma

Question 26

Spirochetes are responsible for

A) Lyme disease
B) Syphilis
C) Relapsing fever
D) all of the above

Question 27

Anthrax is characterized by all of the following except

A) cutaneous is the most common form
B) intestinal anthrax has the highest mortality rate
C) etiology is Bacillus anthracis
D) diagnosed by cultured blood or smears from cutaneous lesions

Question 28

Epidemic typhus is characterized by all of the following except

A) etiology is Rickettsia prowazekii
B) in WWI, killed 3 million Russians
C) there is no immunity after recovery
D) rash from trunk to extremities, but rarely on palms and soles

Question 29

Bartonellosis is seen mainly in

A) the western slopes of the Andes
B) Amazon jungle areas
C) sub-Saharan Africa
D) Central America

Question 30

Plague is characterized by all of the following except

A) sylvanic plague infects city rats
B) etiology is Yersinia pestis
C) antibiotic treatment is effective
D) immense lymph node enlargements called buboes

Question 31

The mite is the vector for

A) Rickettsialpox
B) Ehrlichiosis
C) Trench fever
D) Rocky Mountain Spotted Fever

Question 32

The flea is the arthropod vector for

A) Epidemic typhus
B) Endemic typhus
C) Trench fever
D) Scrub typhus

Question 33

Lyme disease is characterized by all of the following except

A) etiology is Borrelia burgdorferi
B) bull's eye rash
C) genetic predisposition with HLA-DR4 or RLA-DR2
D) debilitating hepatitis is a common sequelae

Question 34

The Rickettsial disease that is found in Japan and Southwest Asia is

A) Trench fever
B) Bartonellosis
C) endemic typhus
D) scrub typhus

Question 35

Relapsing fever is characterized by all of the following except

A) etiology is Borellia
B) vaccine is available
C) vectors are lice or ticks
D) infection was initiated to treat syphilis before antibiotics

Question 36

Which of the following diseases was first seen in New York City about 60 years ago,was associated with the mites of house mice and was often misdiagnosed as chickenpox?

A) Ehrlichiosis
B) Turkeypox
C) Rickettsialpox
D) Shingles

Question 37

Rickettsia are characterized by all of the following except

A) Gram-negative coccobacilli
B) obligate intracellular parasites
C) embryonated eggs are often used for cultivation
D) treatment with amoxicillin is usually effective

Question 38

Rocky Mountain Spotted Fever is characterized by all of the following except

A) vector is the dog tick, Dermacentor variabilis
B) etiology is Rickettsia rickettsii
C) most cases reported are in the northwest U.S.
D) prominent rash on palms and soles

Question 39

Endemic relapsing fever is transmitted by

A) ticks
B) lice
C) sandflies
D) fleas

Question 40

Which infection is seen in individuals with extreme stress,poor sanitation,and nutritional deficiencies,transmitted by body lice and had an impact on both World War I and II?

A) Rickettsialpox
B) Dengue fever
C) Smallpox
D) Shinbone fever

Question 41

Which of the following causes hemorrhagic fever?

A) Toxoplasma gondii
B) Leishmania donovani
C) Ebola virus
D) Colorado Tick Fever

Question 42

Verruga peruana is

A) a zoonosis highly infective for humans
B) transmitted by sandflies
C) characterized by a chronic nonfatal skin disease
D) two of the above

Question 43

Swelling that results from roundworms blocking the lymphatic is called

A) myocarditis
B) elephantiasis
C) pericarditis
D) lymphangitis

Question 44

All of the following refer to sickle-cell anemia except

A) makes children more susceptible to infection with B19
B) is caused by Lyme disease
C) protects against malaria
D) is a blood disorder

Question 45

Which of the following statements is false?

A) Leishmaniasis was confirmed in US military personnel involved in conflicts in Iraq
B) drug resistant plague bacteria have been reported in the southwestern US
C) bacillary angiomatosis is a problem for immunocompromised individuals
D) Borrelia is a bacterial spirochete

Question 46

Group B Streptococcal disease is characterized by

A) early onset neonatal sepsis and meningitis
B) late onset neonatal meningitis
C) etiology is Streptococcus agalactiae
D) all of the above

Question 47

Malaria is not characterized by

A) endemic in South and Central America, Africa, and Asia
B) world's greatest public health problem
C) bacterial strains infecting red blood cells
D) in a severe form, red blood cells agglutinate causing ischemia

Question 48

All of the following have vaccines except

A) dengue fever
B) Lyme disease
C) bubonic plague
D) yellow fever

Question 49

Brucelosis is

A) a zoonosis highly infective in humans
B) characterized by a bull's eye rash
C) characterized by a chronic nonfatal skin disease
D) a blood disorder that protects from malaria infections

Question 50

In 2001,a series of letters containing anthrax spores were mailed to journalists and senators. Some of those that handled the letters had black and necrotic scabs,while others presented with disorientation,high fever,vomiting and pneumonia. Why is there such a difference in their symptoms? Which group would be more likely to die? What are other ways that people come into contact with anthrax spores? Why would anthrax be considered a good agent for bioterrorism or biological warfare?

Question 51

Which infection manifests itself as fever,malaise,bacteremia and regurgitating heart murmur usually lasting two weeks or more?

A) subacute endocarditis
B) puerperal fever
C) neonatal sepsis
D) rheumatic fever

Question 52

A young girl has a small rash that began as a small red bump but has grown in size with expanding borders for the last two weeks. When you examine it you notice it has red expanding borders with a clearing center and that there are several concentric rings of redness. What is the microbe responsible for the rash? What is its lifecycle? Why is early treatment important? What are ways to prevent and control the disease?

Question 53

Problems in treating malaria arise because

A) the bacteria contain multi-drug resistant plasmids
B) many Plasmodium species are resistant to chloroquine
C) the antibiotic can't get to the blood
D) patients are allergic to the medications

Question 54

Which of the following is most prevalent during rabbit-hunting season and causes high fever,headache and buboes?

A) Francisella tularensis
B) Bacillus anthracis
C) Yersinia pestis
D) Borrelia burgdorferi

Question 55

In which disease does the parasite infect red blood cells as merozoites?

A) Malaria
B) Blackwater fever
C) Plasmodium falciparum
D) all of the above

Question 56

A family arrived at a rustic cabin in the woods in Texas for summer break and found it full of mice. During the second week most of the members of the family came down with fever,chills and a crushing headache,followed by a rash in 3 to 5 days. They all recovered in about 2 weeks from onset. What disease might they have had and how did they get it?