Question 1

In paralytic polio,what structures are damaged?

Accepted Answer

A) peripheral nerves 
B) diaphragm 
C) anterior horn cells 
D) sensory nerves 
E) brain stem 
A) peripheral nerves 
B) diaphragm 
C) anterior horn cells 
D) sensory nerves 
E) brain stem

Question 2

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
 Nancy has brought in her 75-year-old mother, Leah, into your ER because she has not been acting like herself. She has been using her hands less and less, complained of a severe headache, and then developed a severe tremor, high fever, and has now stopped talking. Her gait has also been effected. She reports a recent trip to the woods to go camping as a family. As Nancy is giving you the history, Leah collapses on the floor and has a seizure. 
-Nancy wants to know with which antibiotics you will be treating her mother.What is the best antibiotic for this illness?

Accepted Answer

A) vanomycin 
B) cefotaxime 
C) cefepime 
D) No antibiotic therapy is indicated. 
A) vanomycin 
B) cefotaxime 
C) cefepime 
D) No antibiotic therapy is indicated.

Question 3

Tetanus differs from botulism in that
4-26-2013

Accepted Answer

A) tetanus results in flaccid paralysis while botulism paralysis is rigid. 
B) tetanus results from an exotoxin;botulism results from an endotoxin. 
C) there is a vaccine for botulism,but not for tetanus. 
D) muscles cannot relax in tetanus;muscles cannot contract in botulism. 
E) All of the choices are correct. 
A) tetanus results in flaccid paralysis while botulism paralysis is rigid. 
B) tetanus results from an exotoxin;botulism results from an endotoxin. 
C) there is a vaccine for botulism,but not for tetanus. 
D) muscles cannot relax in tetanus;muscles cannot contract in botulism. 
E) All of the choices are correct.

Question 4

Patients with Creutzfeldt-Jacob disease live

Accepted Answer

A) less than 1 year post diagnosis. 
B) 1 to 5 years post diagnosis. 
C) 5 to 10 years post diagnosis. 
D) 10 to 20 years post diagnosis. 
E) greater than 25 years post diagnosis. 
A) less than 1 year post diagnosis. 
B) 1 to 5 years post diagnosis. 
C) 5 to 10 years post diagnosis. 
D) 10 to 20 years post diagnosis. 
E) greater than 25 years post diagnosis.

Question 5

Arthrospores of Coccidioides immitis develop into _____ that will release endospores into the lungs.

Accepted Answer

A) hyphae 
B) capsules 
C) spherules 
D) capsids 
E) buds 
A) hyphae 
B) capsules 
C) spherules 
D) capsids 
E) buds

Question 6

Although many viruses can cause meningitis,the most common viral cause is

Accepted Answer

A) measles. 
B) cytomegalovirus. 
C) arbovirus. 
D) enterovirus. 
E) arenavirus. 
A) measles. 
B) cytomegalovirus. 
C) arbovirus. 
D) enterovirus. 
E) arenavirus.

Question 7

The virulence of Haemophilus influenzae serotype b is associated with its

Accepted Answer

A) fimbriae. 
B) neurotoxin. 
C) enterotoxin. 
D) capsule. 
E) None of the choices is correct. 
A) fimbriae. 
B) neurotoxin. 
C) enterotoxin. 
D) capsule. 
E) None of the choices is correct.

Question 8

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
 Amanda is a 20-year-old college student who lives on campus. Her roommate brought her into your emergency room, because Amanda is not acting like herself. She was previously healthy, very involved in campus politics, and a 4.0 student. About 2 weeks ago, she started not feeling well. She had bad nasal congestion, and was diagnosed with a sinus infection. However, she decided against taking antibiotics because she did not believe they were good for her. She started getting very high fevers, which Amanda told her roommate were good because they were killing the infection. Yesterday, she started complaining of a stiff neck, and today she seems especially lethargic with a fever of 105. Her roommate was scared, so she forced her into her car and has driven her to your ICU. 
-What is the most likely diagnosis for Amanda?

Accepted Answer

A) prolonged sinus infection 
B) meningitis 
C) tumor of the cervical spine 
D) necrotizing encephalitis 
A) prolonged sinus infection 
B) meningitis 
C) tumor of the cervical spine 
D) necrotizing encephalitis

Question 9

Treatment for Neisseria meningitidis consists of

Accepted Answer

A) vancomycin. 
B) penicillin G orally. 
C) penicillin G intravenously. 
D) rifampin. 
E) tetracycline. 
A) vancomycin. 
B) penicillin G orally. 
C) penicillin G intravenously. 
D) rifampin. 
E) tetracycline.

Question 10

Which is incorrect about rabies?

Accepted Answer

A) is a zoonotic disease 
B) wild populations of bats,skunks,raccoons,cats,and canines are primary reservoirs 
C) transmission can involve bites,scratches,and inhalation 
D) average incubation in human is 1 week 
E) symptoms include anxiety,agitation,muscle spasms,convulsions,and paralysis 
A) is a zoonotic disease 
B) wild populations of bats,skunks,raccoons,cats,and canines are primary reservoirs 
C) transmission can involve bites,scratches,and inhalation 
D) average incubation in human is 1 week 
E) symptoms include anxiety,agitation,muscle spasms,convulsions,and paralysis

Question 11

Botulism is often referred to as lockjaw.

Accepted Answer

A) True 
 B)False

Question 12

Prions can be destroyed by autoclaving.

Accepted Answer

A) True 
 B)False

Question 13

Up to 50% of persons who survived polio as children will suffer from post-polio syndrome later in life.

Accepted Answer

A) True 
 B)False

Question 14

Subacute encephalitis may be caused by

Accepted Answer

A) Toxoplasma gondii. 
B) prions. 
C) herpes simplex virus. 
D) persistent measles virus. 
E) All of the choices are correct. 
A) Toxoplasma gondii. 
B) prions. 
C) herpes simplex virus. 
D) persistent measles virus. 
E) All of the choices are correct.

Question 15

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
 Amanda is a 20-year-old college student who lives on campus. Her roommate brought her into your emergency room, because Amanda is not acting like herself. She was previously healthy, very involved in campus politics, and a 4.0 student. About 2 weeks ago, she started not feeling well. She had bad nasal congestion, and was diagnosed with a sinus infection. However, she decided against taking antibiotics because she did not believe they were good for her. She started getting very high fevers, which Amanda told her roommate were good because they were killing the infection. Yesterday, she started complaining of a stiff neck, and today she seems especially lethargic with a fever of 105. Her roommate was scared, so she forced her into her car and has driven her to your ICU. 
-A lumbar puncture is performed,which confirms a diagnosis of meningitis.Antibiotics are started right away.Amanda's cerebral spinal fluid is placed on a microscope slide and Gram-stained.On stain,you see gram-positive cocci in pairs.What is the most likely offending organism?

Accepted Answer

A) Streptococcus pneumoniae 
B) Neisseria meningitides 
C) Haemophilus influenzae 
D) Listeria monocytogenes 
A) Streptococcus pneumoniae 
B) Neisseria meningitides 
C) Haemophilus influenzae 
D) Listeria monocytogenes

Question 16

Which type of neuroglia has phagocytic capabilities in the CNS?

Accepted Answer

A) astrocytes 
B) Schwann cells 
C) macrophages 
D) microglial cells 
E) neurons 
A) astrocytes 
B) Schwann cells 
C) macrophages 
D) microglial cells 
E) neurons

Question 17

All of the following pertain to poliomyelitis except

Accepted Answer

A) summer outbreaks in the United States have been increasing recently. 
B) transmitted primarily by fecal-contaminated water. 
C) can be asymptomatic or mild with headache,sore throat,fever,and nausea. 
D) if virus enters the central nervous system motor,neurons can be infected and destroyed. 
E) caused by enterovirus. 
A) summer outbreaks in the United States have been increasing recently. 
B) transmitted primarily by fecal-contaminated water. 
C) can be asymptomatic or mild with headache,sore throat,fever,and nausea. 
D) if virus enters the central nervous system motor,neurons can be infected and destroyed. 
E) caused by enterovirus.

Question 18

No cases of attenuated polio virus reverting to a neurovirulent strain have been documented.

Accepted Answer

A) True 
 B)False

Question 19

Polio virus initially multiplies in the

Accepted Answer

A) liver. 
B) CNS. 
C) oropharynx and intestine. 
D) nasal mucosa. 
E) None of the choices is correct. 
A) liver. 
B) CNS. 
C) oropharynx and intestine. 
D) nasal mucosa. 
E) None of the choices is correct.

Question 20

Which of the following is not true of meningoencephalitis?

Accepted Answer

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 
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

In paralytic polio,what structures are damaged?

Tetanus differs from botulism in that 4-26-2013

Patients with Creutzfeldt-Jacob disease live

Arthrospores of Coccidioides immitis develop into _____ that will release endospores into the lungs.

Although many viruses can cause meningitis,the most common viral cause is

The virulence of Haemophilus influenzae serotype b is associated with its

Treatment for Neisseria meningitidis consists of

Which is incorrect about rabies?

Botulism is often referred to as lockjaw.

Prions can be destroyed by autoclaving.

Up to 50% of persons who survived polio as children will suffer from post-polio syndrome later in life.

Subacute encephalitis may be caused by

Which type of neuroglia has phagocytic capabilities in the CNS?

All of the following pertain to poliomyelitis except

No cases of attenuated polio virus reverting to a neurovirulent strain have been documented.

Polio virus initially multiplies in the

Which of the following is not true of meningoencephalitis?

Introduction to Microbes and Their Building Blocks

Tools of the Laboratory: Methods for the Culturing and Microscopic Analysis

Bacteria and Archaea

Eukaryotic Cells and Microorganisms

Viral Structure and Life Cycles

Microbial Nutrition and Growth

Microbial Metabolism

Microbial Genetics and Genetic Engineering

Physical and Chemical Control of Microbes

Antimicrobial Treatment

Interactions Between Microbes and Humans

Host Defenses I: Overview and Nonspecific Defenses

Host Defenses II: Specific Immunity and Immunization

Disorders in Immunity

Diagnosing Infections

Infectious Diseases Affecting the Skin and Eyes

Infectious Diseases Affecting the Cardiovascular and Lymphatic Systems

Infectious Diseases Affecting the Respiratory Systems

Infectious Diseases Affecting the Gastrointestinal Tract

Infectious Diseases Affecting the Genitourinary System

One Health: The Interconnected Health of the Environment, humans, and Other Animals

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Exam 17: Infectious Diseases Affecting the Nervous System

In paralytic polio,what structures are damaged?

Tetanus differs from botulism in that 4-26-2013

Patients with Creutzfeldt-Jacob disease live

Arthrospores of Coccidioides immitis develop into _____ that will release endospores into the lungs.

Although many viruses can cause meningitis,the most common viral cause is

The virulence of Haemophilus influenzae serotype b is associated with its

Treatment for Neisseria meningitidis consists of

Which is incorrect about rabies?

Botulism is often referred to as lockjaw.

Prions can be destroyed by autoclaving.

Up to 50% of persons who survived polio as children will suffer from post-polio syndrome later in life.

Subacute encephalitis may be caused by

Which type of neuroglia has phagocytic capabilities in the CNS?

All of the following pertain to poliomyelitis except

No cases of attenuated polio virus reverting to a neurovirulent strain have been documented.

Polio virus initially multiplies in the

Which of the following is not true of meningoencephalitis?

Introduction to Microbes and Their Building Blocks

Tools of the Laboratory: Methods for the Culturing and Microscopic Analysis

Bacteria and Archaea

Eukaryotic Cells and Microorganisms

Viral Structure and Life Cycles

Microbial Nutrition and Growth

Microbial Metabolism

Microbial Genetics and Genetic Engineering

Physical and Chemical Control of Microbes

Antimicrobial Treatment

Interactions Between Microbes and Humans

Host Defenses I: Overview and Nonspecific Defenses

Host Defenses II: Specific Immunity and Immunization

Disorders in Immunity

Diagnosing Infections

Infectious Diseases Affecting the Skin and Eyes

Infectious Diseases Affecting the Cardiovascular and Lymphatic Systems

Infectious Diseases Affecting the Respiratory Systems

Infectious Diseases Affecting the Gastrointestinal Tract

Infectious Diseases Affecting the Genitourinary System

One Health: The Interconnected Health of the Environment, humans, and Other Animals

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