Deck 6: Transmission of Infection, the Compromised Host, Epidemiology, and Diagnosing Infections
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Deck 6: Transmission of Infection, the Compromised Host, Epidemiology, and Diagnosing Infections
1
A disease that is transferred from animals to humans is called _____,with _____ serving as an example.
A)Fomite-derived; malaria
B)Vector-derived; anthrax
C)Zoonotic; tuberculosis
D)Opportunistic; methicillin-resistant Staphylococcus aureus (MRSA)
E)Zoonotic; rabies
A)Fomite-derived; malaria
B)Vector-derived; anthrax
C)Zoonotic; tuberculosis
D)Opportunistic; methicillin-resistant Staphylococcus aureus (MRSA)
E)Zoonotic; rabies
Zoonotic; rabies
2
The risk of a(n)_____ infection is increased in clinical settings.
A)Super-
B)Nosocomial
C)Opportunistic
D)Antibiotic susceptible
E)Ubiquitous
A)Super-
B)Nosocomial
C)Opportunistic
D)Antibiotic susceptible
E)Ubiquitous
Nosocomial
3
Which of the following statements is false?
A)It is possible for a bacterium to be part of the normal flora in one anatomical location and pathogenic in a different anatomical location
B) Females are more likely than males to acquire urinary tract infections
C) The presence of fecal microorganisms in water used for drinking and cooking causes fecal-oral transmission
D)Patients with neutropenia are more susceptible to bacterial and fungal infections
E)Neutropenia refers to a type of anemia in which red blood cell numbers are lower than normal
A)It is possible for a bacterium to be part of the normal flora in one anatomical location and pathogenic in a different anatomical location
B) Females are more likely than males to acquire urinary tract infections
C) The presence of fecal microorganisms in water used for drinking and cooking causes fecal-oral transmission
D)Patients with neutropenia are more susceptible to bacterial and fungal infections
E)Neutropenia refers to a type of anemia in which red blood cell numbers are lower than normal
Neutropenia refers to a type of anemia in which red blood cell numbers are lower than normal
4
Which term refers to diseases that persist in a population at low levels?
A)Endemic disease
B)Epidemic
C)Prevalent disease
D)Sporadic disease
A)Endemic disease
B)Epidemic
C)Prevalent disease
D)Sporadic disease
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5
Two new cases of a particular disease occur within a population of 50,000,in the year 2013.What is the morbidity rate of this disease?
A)2 per year per 50,000
B)2 per year
C)2 per 50,000
D)4/100,000
E)0
A)2 per year per 50,000
B)2 per year
C)2 per 50,000
D)4/100,000
E)0
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6
Contact transmission may occur indirectly when a nonliving intermediate,called a _____,is involved.
A)Fomite
B)Vector
C)Droplet
D) Zoonotic agent
A)Fomite
B)Vector
C)Droplet
D) Zoonotic agent
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7
The Hantavirus has a limited transmission because
A)It is transmitted by droplets
B)It is not transmitted from human to human
C)Only a small fraction of humans are susceptible
D)It is transmitted by direct contact
A)It is transmitted by droplets
B)It is not transmitted from human to human
C)Only a small fraction of humans are susceptible
D)It is transmitted by direct contact
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8
The statement "Wash hands before and after patient contact and after removal of gloves." comes from
A) Common sense
B)Biohazard control regulations
C)Surveillance measures
D)Center for Disease Control
A) Common sense
B)Biohazard control regulations
C)Surveillance measures
D)Center for Disease Control
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9
In July 9,2009 about 2% of patients visiting emergency rooms had influenza.This number rose until in October of that year,when 10% had influenza.This was probably a(n)
A)Superinfection
B)Sporadic outbreak
C)Index case
D)Opportunistic outbreak
E)Epidemic
A)Superinfection
B)Sporadic outbreak
C)Index case
D)Opportunistic outbreak
E)Epidemic
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10
A factor that affects disease transmission is
A)Crowding
B)Travel
C)Potable water supply
D)War
E)All of the choices
A)Crowding
B)Travel
C)Potable water supply
D)War
E)All of the choices
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11
Out of a population of 200,000,500 people are infected by a disease on January 1,2013.The prevalence of the disease is
A)500/year
B)500
C)250/100,000
D)0
A)500/year
B)500
C)250/100,000
D)0
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12
Which of these describes vectors?
A)Vectors transmit organisms from one host to another
B)Vectors are always living organisms
C)Vectors must allow organisms to grow and increase in numbers
D)Mosquitos are not vectors
E)Fomites are not vectors
A)Vectors transmit organisms from one host to another
B)Vectors are always living organisms
C)Vectors must allow organisms to grow and increase in numbers
D)Mosquitos are not vectors
E)Fomites are not vectors
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13
Which of the following is an example of direct contact transmission?
A)A housefly transfers pathogens from cow manure to the conjunctiva of a human host
B)HIV is transmitted from a contaminated needle
C)Influenza is acquired by breathing in airborne droplets
D)A college student acquires mononucleosis after kissing someone infected with Epstein-Barr virus
A)A housefly transfers pathogens from cow manure to the conjunctiva of a human host
B)HIV is transmitted from a contaminated needle
C)Influenza is acquired by breathing in airborne droplets
D)A college student acquires mononucleosis after kissing someone infected with Epstein-Barr virus
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14
Tetanus,caused by Clostridium tetani,is often acquired by people walking barefooted because its reservoir is
A)Food
B)Soil
C)Ticks
D)Water
E)Air
A)Food
B)Soil
C)Ticks
D)Water
E)Air
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15
The most common anatomical site for a hospital-borne infection is
A)The urinary tract
B)The respiratory tract
C)Surgical wounds
D)The gastrointestinal tract
E)The skin
A)The urinary tract
B)The respiratory tract
C)Surgical wounds
D)The gastrointestinal tract
E)The skin
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16
Which of the following zoonotic diseases is not transmitted by a tick bite?
A)Bubonic plague
B)Relapsing fever
C)Tularemia
D)Rocky Mountain spotted fever
E)Lyme disease
A)Bubonic plague
B)Relapsing fever
C)Tularemia
D)Rocky Mountain spotted fever
E)Lyme disease
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17
In 1832 Cholera was present in the Indian subcontinent,Russia,Hungary,Germany,England,France,Canada and the USA.The technical term for this situation is a(n)
A)Pandemic
B)Epidemic
C)Global outbreak
D)Prospective disease
E)International emergency
A)Pandemic
B)Epidemic
C)Global outbreak
D)Prospective disease
E)International emergency
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18
Chemicals with activities similar to antibiotics that are made by normal bacterial flora are called
A)Bacteriocins
B)Opportunistic inhibitors
C)Super-antibiotics
D)Flora
A)Bacteriocins
B)Opportunistic inhibitors
C)Super-antibiotics
D)Flora
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19
Infections with _____ are particularly problematic in burn patients?
A)HIV
B)Escherichia coli
C)Pseudomonas aeruginosa
D)Borrelia burgdorferi
E)Clostridium tetani
A)HIV
B)Escherichia coli
C)Pseudomonas aeruginosa
D)Borrelia burgdorferi
E)Clostridium tetani
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20
An individual who seems healthy but infects others with disease-causing pathogens is a(n)
A)Index case
B)Compromised patient
C)Immunodeficient patient
D)Public health hazard
E)Carrier
A)Index case
B)Compromised patient
C)Immunodeficient patient
D)Public health hazard
E)Carrier
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21
What is the mode of transmission for cholera?
A)Droplets
B)Mosquito
C)Flea
D)Drinking water
E)Direct contact
A)Droplets
B)Mosquito
C)Flea
D)Drinking water
E)Direct contact
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22
What is achieved when widespread vaccination is administered to a population as a means of protecting unvaccinated potential hosts?
A)Immunosuppression
B)Super-vaccination
C)Multi-drug resistance
D)Quarantine
E)Herd immunity
A)Immunosuppression
B)Super-vaccination
C)Multi-drug resistance
D)Quarantine
E)Herd immunity
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23
What are potential sources of nosocomial infections? List at least six.
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24
What is the mode of transmission for plague?
A)Droplets
B)Mosquito
C)Flea
D)Drinking water
E)Direct contact
A)Droplets
B)Mosquito
C)Flea
D)Drinking water
E)Direct contact
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25
How does morbidity rate differ from incidence rate?
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26
It is sometimes difficult to identify human reservoirs of infectious disease.Discuss three reasons and provide an example.
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27
Explain how global warming could affect the spread of infectious diseases.
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28
The mode of transmission for the common cold is
A)Droplets
B)Mosquito
C)Flea
D)Drinking water
E)Direct contact
A)Droplets
B)Mosquito
C)Flea
D)Drinking water
E)Direct contact
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29
Explain the difference between morbidity rate and mortality rate.
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30
Describe and provide examples for the three types of contact transmission.
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31
The likelihood that a particular host will succumb to an infectious microorganism depends on many factors.Identify and describe at least five different circumstances that contribute to disease susceptibility in a host.
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32
Explain why patients with malignant tumors who are receiving cytotoxic chemotherapy are more susceptible to infections.
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33
Control groups are required when performing _____ studies.
A)Descriptive epidemiological
B)Universal precaution
C)Superinfection
D)Nosocomial
E)Analytical epidemiological
A)Descriptive epidemiological
B)Universal precaution
C)Superinfection
D)Nosocomial
E)Analytical epidemiological
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34
Diseases that health care workers must report to the Centers for Disease Control are known as _____ diseases.
A)Incidental
B)Nationally notifiable
C)Endemic
D)Propagated
E)Common-source
A)Incidental
B)Nationally notifiable
C)Endemic
D)Propagated
E)Common-source
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35
Calculate the morbidity,mortality,and incidence rates,given the following information: in a study conducted between January 1 and January 31,80 new cases of influenza were reported in a community of 10,000 individuals,bringing the total number of active influenza cases to 100.In this same period,2 individuals died from complications of the disease.
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36
An epidemic arising from a shared,contaminated water supply is a
A)Pandemic
B)Common-source outbreak
C)Propagated epidemic
D)Sporadic outbreak
A)Pandemic
B)Common-source outbreak
C)Propagated epidemic
D)Sporadic outbreak
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37
What is the mode of transmission for mononucleosis?
A)Droplets
B)Mosquito
C)Flea
D)Drinking water
E)Direct contact
A)Droplets
B)Mosquito
C)Flea
D)Drinking water
E)Direct contact
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38
The mode of transmission for malaria is
A)Droplets
B)Mosquito
C)Flea
D)Drinking water
E)Direct contact
A)Droplets
B)Mosquito
C)Flea
D)Drinking water
E)Direct contact
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39
Epidemiological studies that sometimes identify the index case are known as _____ studies.
A)Common-source
B)Retrospective
C)Prospective
D)Analytical
E)Descriptive
A)Common-source
B)Retrospective
C)Prospective
D)Analytical
E)Descriptive
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40
Identify and describe three types of reservoir with a role in the transmission of infectious diseases to humans and provide an example of a disease for each type of reservoir.
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41
Explain the difference between descriptive and analytical epidemiological studies.
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