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Keratitis is usually caused by ________.


A) Streptococcus pyogenes
B) Staphylococcus aureus
C) herpes simplex
D) Neisseria gonorrhoeae
E) All of the choices are correct.

F) A) and C)
G) A) and E)

Correct Answer

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All Staphylococci can be differentiated from all Streptococci because only Staphylococci produce the enzyme ________ that is easily detected in the lab.


A) staphylokinase
B) exfoliative toxin A
C) exfoliative toxin B
D) catalase
E) lactase

F) C) and E)
G) All of the above

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Infections caused by Staphylococcus aureus include all of the following except ________.


A) meningitis
B) furuncles and carbuncles
C) impetigo
D) scalded skin syndrome
E) acne

F) D) and E)
G) A) and D)

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Which of the following provides the eye with its best defense against microorganisms?


A) Conjunctiva
B) Eyelids
C) Lymphocytes
D) Tears
E) Eyelashes

F) B) and C)
G) A) and E)

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The eye's best defense is/are the ________.


A) optic nerve
B) eyelid
C) eyelashes
D) tear film
E) cornea

F) C) and D)
G) All of the above

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Impetigo involves itching papules that break and form a very contagious yellow crust.

A) True
B) False

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Based on the reported symptoms and clinical findings, which of the following is the most likely diagnosis?


A) Keratitis
B) Neonatal conjunctivitis
C) Bacterial conjunctivitis
D) Viral conjunctivitis
E) The discharge must be cultured to make a diagnosis.

F) B) and E)
G) A) and E)

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The parts of the eye that are the most susceptible to microbial infection are the sclera and the iris.

A) True
B) False

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The provider orders a specimen to be obtained for microbial analysis. What is the most appropriate site to culture in this case?


A) The lesion itself, since there seems to be a superficial infection.
B) The posterior pharynx, since the tonsils are likely the primary source of infection.
C) The blood, since the infection was probably carried systemically.
D) The urine, since the kidneys are probably removing bacterial casts from the body.

E) A) and B)
F) B) and C)

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All species of Staphylococcus ________.


A) lack spores
B) are motile
C) have capsules
D) produce coagulase
E) All of the choices are correct.

F) A) and E)
G) B) and E)

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Which of the following statements is incorrect regarding keratitis?


A) Keratitis can be caused by bacteria or viruses, but not eukaryotic organisms.
B) Infection of the cornea by microbes can lead to destruction of the cornea and blindness.
C) Infection of the cornea can occur through sexual transmission.
D) Latent HSV-1, that reactivates during times of stress, enters the ophthalmic nerve causing keratitis instead of cold sores.

E) C) and D)
F) None of the above

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A staff member in the office is concerned that the state health department needs to be notified of a suspected case of smallpox infection. The RN caring for the child discusses the distinct differences between the symptoms of chickenpox and smallpox. Which of the following is not true concerning the two diseases?


A) Smallpox features deep lesions mainly on the extremities, whereas chickenpox features superficial lesions mainly on the trunk.
B) Smallpox patients exhibit a prodromal fever, whereas chickenpox patients do not.
C) Smallpox lesions are filled with clear fluid, whereas chickenpox lesions are filled with a thick, opaque liquid and are distinctly indented in the center.
D) Smallpox is caused by the variola virus, whereas chickenpox is caused by varicella-zoster virus.

E) B) and D)
F) All of the above

Correct Answer

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Which of the following is not true of bacterial conjunctivitis?


A) Transmitted through both direct and indirect contact
B) Can be caused by Streptococcus pyogenes or Streptococcus pneumoniae
C) Treatment is with a broad-spectrum topical antibiotic
D) Has a clear discharge
E) Can be caused by Staphylococcus aureus, Haemophilus influenzae, or Neisseria gonorrhoeae

F) C) and E)
G) A) and D)

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Transmission of the pathogen of Leishmaniasis is by the ________.


A) reduviid "kissing" bug
B) tsetse fly
C) anopheles mosquito
D) sand fly
E) hard-bodied tick

F) A) and B)
G) A) and E)

Correct Answer

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Which of the following is not true of staphylococcal scalded skin syndrome (SSSS) ?


A) Affects mostly newborns and babies
B) An exotoxin-mediated disease
C) Toxin causes bullous lesions
D) Split in skin occurs between the dermis and epidermis
E) Split in skin occurs within the epidermis

F) A) and B)
G) A) and C)

Correct Answer

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Which is true of viral conjunctivitis?


A) Caused by Chlamydia trachomatis or Neisseria gonorrhoeae
B) Has a mucopurulent discharge
C) Caused by adenoviruses
D) Must be treated with topical and oral antibiotics
E) Caused by Moraxella

F) A) and E)
G) D) and E)

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The child shares a bedroom with her younger brother, who has not been vaccinated against or infected with chickenpox. He is supposed to go to summer camp in one week. The mother asks if it is safe to let him go to camp. How would the nurse best respond?


A) Yes, it is safe for him to go. Since chickenpox has an incubation period of 3-5 days, he would have exhibited symptoms of the disease already if he had contracted it.
B) Yes, it is safe for him to go. Chickenpox is rarely contracted by children younger than 7 years of age.
C) No, it is not safe for him to go. Since chickenpox has an incubation period of 10-20 days, he could begin exhibiting symptoms at camp.
D) No, it is not safe for him to go. Since he was exposed to his sister, he will be contagious to other kids at camp even without exhibiting symptoms.

E) A) and C)
F) None of the above

Correct Answer

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Based upon the patient's symptoms, the most likely diagnosis is ________.


A) smallpox
B) chickenpox
C) shingles
D) measles

E) All of the above
F) A) and D)

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Transmission of tineas includes ________.


A) human to human
B) animal to human
C) soil to human
D) fomites to human
E) All of the choices are correct.

F) All of the above
G) A) and B)

Correct Answer

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Smallpox is caused by an orthopoxvirus.

A) True
B) False

Correct Answer

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