Question 1

When you were much younger you received the OPV polio vaccine and its boosters.Now you are going on a mission trip to Bangladesh and the vaccine is recommended by the Centers for Disease Control.When you go to the city health office to get the vaccine,they given you the IPV vaccine.When you ask why you are receiving the IPV rather than the OPV,the personnel there tell you:

Accepted Answer

A)  the IPV is preferred by patients because it can be taken orally.
B)  the IPV has fewer active viruses in it than the OPV,so they say it is safer.
C)  the health facility is just out of the OPV vaccine,but if they had it that one would be the one they would prefer to use.
D)  there is no possibility of actually developing polio from this vaccine.E) All of the above
F) None of the above

Question 2

Which of the following is not true of meningoencephalitis?

Accepted Answer

A)  causative organisms are Naegleria fowleri and Acanthamoeba
B)  involves infection 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 (PAM) is mostly ineffectiveF) A) and D)
G) B) and D)

Question 3

Which of the following is not true of Streptococcus pneumoniae?

Accepted Answer

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 penicillinF) C) and D)
G) A) and E)

Question 4

All of the following are true for Listeria monocytogenes except

Accepted Answer

A)  resistant to cold.
B)  fastidious.
C)  resistant to heat.
D)  resistant to salt.
E)  can result in septicemia.F) B) and D)
G) A) and C)

Question 5

Neonatal meningitis is most commonly transmitted by

Accepted Answer

A)  breast feeding.
B)  hospital personnel.
C)  transplacental infection.
D)  exposure in birth canal.
E)  exposure from other infants.F) A) and B)
G) None of the above

Question 6

Patients with Creutzfeldt-Jacob disease live _____ post diagnosis.

Accepted Answer

A)  less than 1 year
B)  1 to 5 years
C)  5 to 10 years
D)  10 to 20 years
E)  greater than 25 yearsF) None of the above
G) A) and C)

Question 7

Pneumovax is a vaccine for prevention of disease caused by strains of Neisseria meningitidis.

Accepted Answer

A) True 
 B)False

Question 8

Production of a neurotoxin that prevents acetylcholine release from motor neurons at neuromuscular junctions is a characteristic of

Accepted Answer

A)  Clostridium botulinum.
B)  Clostridium perfringens.
C)  Clostridium difficile.
D)  Clostridium tetani.E) None of the above
F) A) and D)

Question 9

Which of the following is not a prion disease?

Accepted Answer

A)  scrapie
B)  Creutzfeldt-Jacob disease
C)  bovine spongiform encephalopathy
D)  subacute sclerosing panencephalitisE) A) and B)
F) B) and D)

Question 10

Your friend is bitten on the leg by an aggressive dog.Since the dog ran and was not caught,and since the dog bit many other people without reason,it is suspected that it had rabies.The city health department recommends the rabies vaccination for her,even though she has already been exposed to the infectious agent.Which statement best describes why the vaccine can be given post-exposure?

Accepted Answer

A)  This particular strain of the rabies virus is probably nonpathogenic,so the vaccine is given to simply boost the immune system's own protective functions.
B)  Since there is really nothing else to do,they suggest the vaccine as a last possibility.
C)  The virus exhibits a long incubation period,in many cases providing the vaccine adequate time to have a protective effect in the patient.
D)  There were few virus particles in the bite,so her immune system has enough time to kick into high gear.E) A) and B)
F) A) and D)

Question 11

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

Accepted Answer

A) True 
 B)False

Question 12

The organism responsible for the majority of neonatal meningitis is

Accepted Answer

A)  Streptococcus agalactiae.
B)  Escherichia coli K1.
C)  Listeria monocytogenes.
D)  Haemophilus influenzae.
E)  Neisseria meningitidis.F) A) and C)
G) B) and E)

Question 13

What brain defense restricts substances from entering the brain by the vascular system?

Accepted Answer

A)  meninges
B)  blood-brain barrier
C)  macrophages
D)  microglia
E)  craniumF) A) and B)
G) A) and C)

Question 14

Which organism is a common cause of meningitis in AIDS patients and can be found in bird droppings?

Accepted Answer

A)  Listeria monocytogenes
B)  Haemophilus influenzae
C)  Neisseria meningitidis
D)  Cryptococcus neoformans
E)  Streptococcus agalactiaeF) A) and E)
G) A) and B)

Question 15

In rabies,spasms of muscles for swallowing lead to a fear of water.

Accepted Answer

A) True 
 B)False

Question 16

Which of the following is/are a sign or symptom of meningitis?

Accepted Answer

A)  headache
B)  stiff neck
C)  white blood cells in cerebrospinal fluid
D)  fever
E)  All of the choices are correct.F) C) and D)
G) A) and E)

Exam 19: Infectious Diseases Affecting the Nervous System

What brain defense restricts substances from entering the brain by the vascular system?

Correct Answer
verified

Which organism is a common cause of meningitis in AIDS patients and can be found in bird droppings?

Correct Answer
verified

Which of the following is not a prion disease?

Correct Answer
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Pneumovax is a vaccine for prevention of disease caused by strains of Neisseria meningitidis.

Correct Answer
verified

Neonatal meningitis is most commonly transmitted by

Correct Answer
verified

Patients with Creutzfeldt-Jacob disease live _____ post diagnosis.

Correct Answer
verified

The organism responsible for the majority of neonatal meningitis is

Correct Answer
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In rabies,spasms of muscles for swallowing lead to a fear of water.

Correct Answer
verified

All of the following are true for Listeria monocytogenes except

Correct Answer
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Which of the following is/are a sign or symptom of meningitis?

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

Correct Answer
verified

Which of the following is not true of meningoencephalitis?

Correct Answer
verified

Correct Answer
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Which of the following is not true of Streptococcus pneumoniae?

Correct Answer
verified

Correct Answer
verified

Production of a neurotoxin that prevents acetylcholine release from motor neurons at neuromuscular junctions is a characteristic of

Correct Answer
verified

Exam 19: Infectious Diseases Affecting the Nervous System

What brain defense restricts substances from entering the brain by the vascular system?

Correct AnswerverifiedShow Answer

Which organism is a common cause of meningitis in AIDS patients and can be found in bird droppings?

Correct AnswerverifiedShow Answer

Which of the following is not a prion disease?

Correct AnswerverifiedShow Answer

Pneumovax is a vaccine for prevention of disease caused by strains of Neisseria meningitidis.

Correct AnswerverifiedShow Answer

Neonatal meningitis is most commonly transmitted by

Correct AnswerverifiedShow Answer

Patients with Creutzfeldt-Jacob disease live _____ post diagnosis.

Correct AnswerverifiedShow Answer

The organism responsible for the majority of neonatal meningitis is

Correct AnswerverifiedShow Answer

In rabies,spasms of muscles for swallowing lead to a fear of water.

Correct AnswerverifiedShow Answer

All of the following are true for Listeria monocytogenes except

Correct AnswerverifiedShow Answer

Which of the following is/are a sign or symptom of meningitis?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Which of the following is not true of meningoencephalitis?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Which of the following is not true of Streptococcus pneumoniae?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Production of a neurotoxin that prevents acetylcholine release from motor neurons at neuromuscular junctions is a characteristic of

Correct AnswerverifiedShow Answer

Correct Answer
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