Which combination of two organisms is associated with contamination of contact lens solutions and conjunctivitis/keratitis?

s
s s s s

A.
B. C. D. E.

Staphylococcus aureus--Klebsiella rhinoscleromatis Pseudomonas aeruginosa--Acanthamoeba spp. Entamoeba histolytica--Naegleria fowleri Streptococcus pyogenes--Pseudomonas cepacia Chlamydia trachomatis--Candida albicans

Which of the following statements is FALSE?

s

s s

A. The presence of red cells in amoeba (erythrophagocytosis) is diagnostic for Entamoeba histolytica B. The presence of a thin-walled vesicle on a maculopapular base (dew drop on a rose petal) is characteristic of Herpes zoster (chicken pox) C. The gametocyte stage of Plasmodium falciparum is infective for humans D. The infectious form of Giardia lamblia is the cyst E. The presence of rhabditiform larvae in the stool is diagnostic for Strongyloides stercoralis infection

Which of the following statements is characteristic of Trichinella spiralis infection?

s s

A. A 5-year old boy with perianal itching B. A 28 year old woman with a serpigenous skin lesion on the bottom of her foot (history of walking barefoot on the beach) C. A 19 year old man from the Caribbean with a chronic non-healing skin ulcer D. A 45 year old midwesterner with periorbital swelling, fever, and muscle aches E. A 24 year old Laotian woman with jaundice, no fever, hepatomegaly, and diarrhea

Which of the following vaccines can be given to patients with AIDS?

A. s B. s C. s D. s E.
s

Oral polio (Sabin) Oral typhoid Hepatitis B vaccine Yellow fever Varicella-zoster

An 82 year old man who has a 120 pack year history presented with a right lower lung lobe infiltrate. A diagnosis of pneumonia was strongly considered and the patient was admitted to the hospital. Which of the following etiologic agents is NOT associated with adult community-acquired pneumonia?

A. s B. s C. s D. s E.
s

Streptococcus pneumoniae Mycoplasma pneumoniae Chlamydia trachomatis Hemophilus influenzae Legionella pneumophila

Which of the following is INCORRECTLY associated with its site of latent infection? A. s B. s C. s D. s E.
s

Herpes simplex virus--neuron Ebstein Barr virus--neuron Cytomegalovirus--monocyte Varicella-zoster--neuron HIV-follicular dendritic cells

A blood donor was screened for hepatitis B infection to determine whether he would be eligible to be a donor. Which of the following serologic profiles would be considered safe and appropriate for donating blood? A. B. C. D. E. Anti-HBc + + Anti-HBe Anti-HBsAg + + HBsAg + + + +

All of the following provide resistance to infection by Plasmodium spp. EXCEPT: A. B. C. D. E. Beta-Thalassemia Sickle cell anemia Giardiasis Glucose-6-phosphate dehydrogenase deficiency Absence of Duffy coat antigen

Which of the following combinations is responsible for subtype and strain specificity and antigenic shifts and drifts in influenza? A. M1 nucleoprotein and gp41 B. gp41 and gp120 C. Vi antigen and Neuraminidase D. Neuraminidase and Hemagglutinin E. V factor and X factor

All of the following represent CORRECT associations EXCEPT:

A. Hemophilus influenzae nthi-non typable strains=Cause communityacquired pneumonias and otitis media B. MRSA strains of Staph aureus= resistance to -lactam antibiotics and cephalosporins C. Blastomyces dermatitidis=association with inland waterways and beaver dams D. Rocky Mountain Spotted Fever=rash begins on trunk and spreads to face and extremities sparing the tongue E. Trypanosoma infections-produce Winterbottoms sign, Romanas sign with the leishmanial form being found in tissues

All of the following cancer associations are CORRECT EXCEPT: A. Clonorchis sinensis-Cholangiocarcinoma B. HTLV-2--Hairy cell leukemia C. HPV 16 and 18--Squamous cell carcinoma of cervix D. Streptococcus bovis--Adenocarcinoma of the colon E. Schistosoma mansoni--Squamous cell carcinoma of the urinary bladder

Which of the following pathogens is considered to be the MOST COMMON CAUSE of native valve endocarditis as well as endocarditis associated with IV drug use? A. Staphylococcus epidermidis B. Staphylococcus aureus C. Streptococcus viridans D. Streptococcus mutans E. Corynebacterium jeikeium

All of the following could be considered an occupational risk for a small animal veterinarian EXCEPT: A. Leptospira interrogans B. Yersinia pestis C. Bartonella henselae D. Eikenella corrodens E. Pasturella multocida

A 35 year old woman has a positive Dick test and a negative Schick test. This indicates that she has A. neutralizing antibodies against diphtheria B. neutralizing antibodies against scarlet fever C. a defect in cellular immunity D. had rheumatic fever as a child E. previously had the full complement of DPT shots as a child

An American Indian living in the Sonoran desert in Arizona presents with ARDS (adult respiratory distress syndrome). You suspect that the reservoir of this infection is a/an: A. wild pig B. skunk C. bat D. deer mouse E. goat

All of the following are associated with handling or ingesting poorly cooked or raw seafood or shellfish EXCEPT: A. Bacillus anthracis B. Erysipelothrix rhusiopathiae C. Pleisomonas shigelloides D. Vibrio parahemolyticus E. Diphyllobothrium latum

In which of the following diseases is Xersinia enterocolitica MORE LIKELY to be the primary pathogen rather than Pseudomonas aeruginosa? A. Malignant otitis externa B. Hot tub folliculitis C. Reactive arthritis (HLA-B-27) D. Pneumonia in a cystic fibrosis patient E. Third degree burn infections

Which of the following could potentially be transmitted at the same time as the pathogen responsible for babesiosis? A. Rocky Mountain Spotted fever B. Colorado tick fever C. Scrub typhus D. Lymes disease E. Q-fever

A 7 year old boy complains of general malaise and loss of appetite. He has a low grade fever and over the past 24 hours, his mother has noted vesicular skin lesions on his trunk, some of which are umbilicated or scabbing over but in different stages of evolution. Which of the following is the MOST LIKELY disease in this child? A. Varicella-herpes zoster-chicken pox B. Human Herpes virus 6 (exanthem subitum-roseola) C. German measles (Rubella) D. Measles (Rubeola) E. Rocky Mountain Spotted Fever

This patient has been camping and now presents with an annular, erythematous lesion with an area of central clearing. She also has arthralgias, headache, fever, and chills. Without treatment, this patient is at risk for developing: A. gastroenteritis B. osteomyelitis C. arthritis D. jaundice E. renal failure

Match the following clinical facts with the appropriate etiologic agent or disease A. Mycoplasma pneumoniae B. Campylobacter jejuni C. Enterohemorrhagic E. coli (EHEC) D. Capnocytophaga canimorsus E. Ureaplasma urealyticum A disease which produces life-threatening disease in immunocompromised patients. Fever is the most common presenting symptom. The organism is part of the normal flora of healthy dogs and cats and is transmitted to humans via saliva.

Match the following clinical facts with the appropriate etiologic agent or disease A. Mycoplasma pneumoniae B. Campylobacter jejuni C. Enterohemorrhagic E. coli (EHEC) D. Capnocytophaga canimorsus E. Ureaplasma urealyticum Organism associated with hemorrhagic enterocolitis and hemolytic-uremic syndrome. A non-invasive diarrhea.

Match the following clinical facts with the appropriate etiologic agent or disease A. Mycoplasma pneumoniae B. Campylobacter jejuni C. Enterohemorrhagic E. coli (EHEC) D. Capnocytophaga canimorsus E. Ureaplasma urealyticum The most common cause of invasive bacterial enterocolitis in the U.S. Occurs in young children and young adults. It causes crypt abscesses and ulcers in the small bowel and colon.

Match the following clinical facts with the appropriate etiologic agent or disease A. Mycoplasma pneumoniae B. Campylobacter jejuni C. Enterohemorrhagic E. coli (EHEC) D. Capnocytophaga canimorsus E. Ureaplasma urealyticum Patient presents with flu-like synptoms. There is extensive consolidation in the right lung. Chest x-ray shows interstitial pneumonia with plate-like atelectasis on lateral plate film. The patient also has bullous myringitis, erythema multiform, sinusitis, and exudative pharyngitis. An organism that causes genito-urinary tract disease including non-gonococcal urethritis.

Match the following Mycobacterial species with the BEST CLINICAL DESCRIPTION. A. Mycobacterium avium-intracellulare B. Mycobacterium leprae (lepromatous) C. Mycobacterium marinum D. Mycobacterium fortuitum-chelonae E. Mycobacterium leprae (tuberculoid) Positive lepromin skin reaction in a patient with autoamputation of the digits of the hands Non-photochromogen associated with Whipple-like syndrome in a patient with AIDS

Match the following Mycobacterial species with the BEST CLINICAL DESCRIPTION. A. Mycobacterium avium-intracellulare B. Mycobacterium leprae (lepromatous) C. Mycobacterium marinum D. Mycobacterium fortuitum-chelonae E. Mycobacterium leprae (tuberculoid) Photochromogen causing swimming pool or fish tank granulomas which lack caseation No granulomas, macrophages filled with organisms predominate; produces symmetrical skin lesions with leonine facies; Grentz zone Organisms produce post-survical and post-traumatic wound infections and pulmonary disease; most patients are females over 50 years of age

Which of the following pathogens is EASILY identified with a standard gram stain or Brown-Hobbs gram stain? A. Legionella pneumophila B. Pneumocystis carinii C. Chlamydia pneumoniae D. Nocardia asteroides E. Mycoplasma pneumoniae

Which of the following combinations of two organisms cause travelers diarrhea? A. Cytomegalovirus--Rotavirus B. Shigella flexneri--Helicobacter pylori C. Rotavirus--Enterotoxigenic E. coli D. Salmonella enteriditis--Vibrio cholera E. Staphylococcus aureus--Clostridium botulinum

Which of the following diseases has a pathogenesis that is different from the other diseases listed? A. Post-streptococcal glomerulonephritis B. Scalded Skin syndrome C. Toxic Shock Syndrome D. Diphtheria E. Cholera

Which of the following diseases has a pathogenesis other than traumatic implantation? A. Sporotrichosis B. Clostridium perfringens gas gangrene C. Herpetic whitlow D. Clostridium tetani E. Cysticerosis

A 5 year old girl presents to your office with mild respiratory symptoms, joint pain and malaise and a confluent rash on her cheeks that looks like she has been slapped. All of the following are true in this case EXCEPT: A. The causative organism is a RNA virus belonging to the Togavirus group B. The causative organism is a single stranded DNA virus belonging to the Parvovirus group C. This disease is called erythema infectiosum or Fifths disease D. This organism may cause an aplastic anemia crisis in patients with chronic hemolytic anemia E. If a pregnant mother acquires this infection, the fetus may become infected and develop anemia and hydrops fetalis

Which of the following organisms listed below are associated with food poisoning secondary to ingestion of preformed toxins? 1. Staphylococcus aureus 2. Salmonella enteriditis 3. Clostridium botulinum (infant) 4. Bacillus cereus 5. Clostridium perfringens 6. Clostridium botulinum (adult) A. 1-3-4 B. 2-3-5 C. 1-4-6 D. 1-2-5-6 E. 1-3-4-6

Non-invasive diarrhea would MOST LIKELY be due to A. Mycobacterium tuberculosis B. Salmonella typhi C. Entamoeba histolytica D. Vibrio cholera E. Shigella flexneri

A 5 year old boy has been scratching and picking for several days around his anus. His mother calls your office and you instruct her to place some scotch tape on his anus at night, remove it the following morning, and bring it to your office for microscopic examination. What is the most likely pathogen causing these symptoms? A. Giardia lamblia B. Ascaris lumbricoides C. Enterobius vermicularis D. Trichuris trichuria E. Taenia saginata

A child has just returned from a week long camp and has multiple crusted bullous lesions on his face. He has been scratching and picking the lesions which has caused them to spread. The organism which causes this lesion in 80% of the cases is: A. Staphylococcus epidermitis B. Staphylococcus saprophyticus C. Bacillus cereus D. Staphylococcus aureus E. Streptococcus pyogenes

A patient works in a sheep and cattle hide tanning factory. He presents to your office with a localized skin lesion having a central black eschar surrounded by nonpitting edema. The cause of this infection is MOST LIKELY a... A. Gram positive rod B. Gram negative rod C. Gram negative rod D. Gram positive coccus E. Spirochete