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Which is incorrect about shigellosis?


A) Outbreaks have occurred in day care centers.
B) Watery diarrhea with bloody,mucoid stools and abdominal cramps.
C) It frequently involves septicemia.
D) Human carriers cause fecal transmission.
E) It is also called dysentery.

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

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Orchitis and epididymitis are seen in young adult males as a complication of


A) croup.
B) mumps.
C) influenza.
D) measles (rubeola) .
E) rubella.

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

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B

The most common cause of liver cancer in the United States is


A) HAV.
B) HBV.
C) HCV.
D) HDV.
E) HEV.

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

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All of the following are characteristics of Campylobacter jejuni except it


A) is transmitted through ingestion of contaminated chicken,meat,milk,and water.
B) causes fever and a watery stool.
C) infects the stomach.
D) produces an enterotoxin that stimulates diarrhea.
E) has gram-negative curved rods with darting motility.

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

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The only body fluid that can transmit hepatitis B virus is blood.

A) True
B) False

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Ascaris lumbricoides


A) is an intestinal roundworm.
B) spreads to humans by ingestion of Ascaris eggs in food.
C) larvae penetrate into lymphatics and capillaries around intestines.
D) larvae migrate to the pharynx,get swallowed,and return to intestines to mature.
E) All of the choices are correct.

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

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Only feces from humans that contaminate food and water can be involved in transmission of amoebiasis.

A) True
B) False

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. You are taking care of Jennifer, a 6-year-old girl in your pediatric ICU. She had bloody diarrhea and fever for a few days, before her parents noted she had not urinated in a few days. She was admitted for a rising potassium level, as well as decreased blood urea nitrogen (BUN) and creatinine clearance, which are very specific markers of kidney function. She was diagnosed with hemolytic uremic syndrome (HUS) , and interestingly, it was traced back to drinking unpasteurized milk. -What organism is the leading cause of HUS in the United States?


A) Shigella
B) E.coli
C) Salmonella
D) Clostridium difficile

E) B) and D)
F) B) and C)

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Liver flukes live in all of the following areas except the


A) small intestine.
B) liver.
C) gallbladder.
D) bile duct.
E) All of the choices are correct.

F) A) and D)
G) None of the above

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A

All of the following pertain to tapeworms except


A) scolex is the head.
B) strobila is made up of proglottids.
C) proglottids are reproductive segments.
D) cysticerci are young infective larvae ingested in undercooked meat.
E) eosinophilia does not occur.

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

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Oral flora bacteria on the tooth surface


A) develop a biofilm.
B) use fimbriae and slime layers to adhere.
C) include Streptococci that metabolize sucrose,produce sticky glucans,and form plaque.
D) include Lactobacilli and Streptococci,which ferment carbohydrates and produce acids that cause caries.
E) All of the choices are correct.

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

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Which organ of the GI tract has a large commensal population of microorganisms?


A) liver
B) salivary glands
C) pancreas
D) large intestine
E) small intestine

F) B) and C)
G) B) and D)

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The virulence factor for mumps is


A) inflammation.
B) acid production.
C) endotoxin.
D) enterotoxin.
E) spike-induced syncytium.

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

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Hepatitis B infection


A) has an incubation of 2 to 7 weeks.
B) can be transmitted by the fecal-oral route.
C) increases risk for hepatocellular cancer.
D) is responsible for most cases of posttransfusion hepatitis.
E) All of the choices are correct.

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

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Which is not true of Clostridium difficile?


A) a gram-positive,endospore forming rod
B) part of normal intestinal biota
C) infection precipitated by broad-spectrum antibiotic therapy
D) also called pseudomembranous colitis
E) produces "rice-water" stools

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

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Inflammation of the liver with necrosis of the hepatocytes and swelling due to a mononuclear response is a disease called


A) hepatitis.
B) jaundice.
C) liver cancer.
D) mononucleosis.
E) None of the choices is correct.

F) B) and E)
G) C) and D)

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A

Which of the following helminths is paired with a correct characteristic/s of its pathogenesis?


A) Ascaris lumbricoides - life and transmission cycle B
B) Necator americanus - life and transmission cycle A
C) Trichuris trichuria - life and transmission cycle B
D) Strongyloides stercoralis - life and transmission cycle B
E) Taenia solium - life and transmission cycle A

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

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Enterobius vermicularis is


A) a whipworm.
B) common only to the tropics and subtropics.
C) an intestinal worm that easily contaminates fingers and fomites.
D) often fatal in heavy infestations.
E) All of the choices are correct.

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

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E.coli O157:H7 secretes shiga exotoxin.

A) True
B) False

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Outbreaks of which apicomplexan disease have been associated with fecal-contaminated imported raspberries and also fresh greens and drinking water?


A) cryptosporidiosis
B) cyclosporiasis
C) trichinosis
D) toxoplasmosis
E) None of the choices is correct.

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

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