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Botulism is caused by ingestion of a proteinaceous exotoxin; therefore, it can easily be prevented by


A) filtering food.
B) administering antibiotics to patients.
C) not eating canned food.
D) boiling food prior to consumption.
E) preventing fecal contamination of food.

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

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Nonpathogenic Vibrio cholerae can acquire the cholera toxin gene by


A) conjugation.
B) infecting a pathogenic Vibrio cholerae.
C) transduction.
D) transformation.
E) phagocytosis.

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

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The M protein enhances the virulence of Streptococcus by preventing phagocytosis.

A) True
B) False

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Ergot and aflatoxin are toxins sometimes found in grains contaminated with fungi.

A) True
B) False

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Which of the following mechanisms is used by gram- negative bacteria to cross the blood- brain barrier?


A) inducing TNF
B) antigenic variation
C) producing fimbriae
D) producing toxins
E) inducing endocytosis

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

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Twenty- five people developed symptoms of nausea, vomiting, and diarrhea three to six hours after attending a church picnic where they ate a ham and green bean casserole with cream sauce. The most likely cause of this case of food intoxication is


A) cholera toxin.
B) staphylococcal enterotoxin.
C) botulinum toxin.
D) erythrogenic toxin.
E) aflatoxin.

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

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The fimbriae of Neisseria gonorrhea and enteropathogenic E. coli are examples of


A) adhesins.
B) receptors.
C) ligands.
D) adhesins and ligands.
E) adhesins, ligands, and receptors.

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

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Which of the following contributes to the virulence of a pathogen?


A) toxin production
B) evasion of host defenses
C) numbers of microorganisms that gain access to a host
D) numbers of microorganisms that gain access to a host and evasion of host defenses
E) numbers of microorganisms that gain access to a host, evasion of host defenses, and toxin production

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

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Cholera toxin polypeptide A binds to surface gangliosides on target cells. If the gangliosides were removed,


A) polypeptide A would bind to target cells.
B) polypeptide B would not be able to enter the cells.
C) polypeptide A would enter the cells.
D) Vibrio would bind to target cells.
E) Vibrio would not produce cholera toxin.

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

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All of the following are used by bacteria to attach to host cells EXCEPT


A) ligands.
B) capsules.
C) M protein.
D) A- B toxins.
E) fimbriae.

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

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Which of the following statements about exotoxins is generally FALSE?


A) They are resistant to heat.
B) They are produced by gram- positive bacteria.
C) They are composed of proteins.
D) They are more potent than endotoxins.
E) They have specific methods of action.

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

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The ID50is


A) the dose that will kill 50 percent of the test population.
B) the dose that will cause an infection in some of the test population.
C) the dose that will kill some of the test population.
D) the dose that will cause an infection in 50 percent of the test population.
E) a measure of pathogenicity.

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

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Bacteria such as E. coli and Salmonella produce invasins that bind host cells, thus causing the cells to


A) engulf the bacteria.
B) release TNF.
C) release cytokines.
D) produce iron- binding proteins.
E) destroy the bacteria.

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

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All of the following are examples of entry via the parenteral route EXCEPT


A) bite.
B) hair follicle.
C) surgery.
D) injection.
E) skin cut.

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

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Siderophores are bacterial proteins that compete with the host's


A) antibodies.
B) receptors.
C) red blood cells.
D) white blood cells.
E) iron- transport proteins.

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

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Table 15.2  Bacterium  ID 50 E. coli O157:H7 20 Legionella  pneumophila 1 Shigella 10 Treponema  pallicum 57\begin{array} { | l | c | } \hline \text { Bacterium } & \text { ID } 50 \\\hline \text { E. coli O157:H7 } & 20 \\\hline \begin{array} { l } \text { Legionella } \\\text { pneumophila }\end{array} & 1 \\\hline \text { Shigella } & 10 \\\hline \begin{array} { l } \text { Treponema } \\\text { pallicum }\end{array} & 57 \\\hline\end{array} -Which organism in Table 15.2 most easily causes an infection?


A) Shigella
B) E. coli O157:H7
C) Treponema pallidum
D) Legionella pneumophila
E) The answer cannot be determined based on the information provided.

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

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Which of the following statements is FALSE?


A) Coagulase destroys blood clots.
B) Kinase destroys fibrin clots.
C) Hyaluronidase breaks down substances between cells.
D) Leukocidins destroy neutrophils.
E) Hemolysins lyse red blood cells.

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

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Which of the following does NOT contribute to the symptoms of a fungal disease?


A) toxins
B) allergic response of the host
C) capsules
D) cell walls
E) metabolic products

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

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 Bacterium  Portal of Entry  ID50  Stephylococcus aureus  Wound <10 Stephylococcus aureus  Wound + Ampicillin 300\begin{array} { l | l | l } \text { Bacterium } & \text { Portal of Entry } & \text { ID50 } \\\hline \text { Stephylococcus aureus } & \text { Wound } & < 10 \\\hline \text { Stephylococcus aureus } & \text { Wound + Ampicillin } & 300\end{array} Table 15.1 shows the ID50 for Staphylococcus aureus in wounds with and without the administration of ampicillin before surgery. Based on the data, the administration of ampicillin before surgery


A) increases the risk of staphylococcal infection.
B) decreases the risk of staphylococcal infection.
C) replaces tetracycline.
D) has no effect on risk of infection.
E) The answer cannot be determined based on the information provided.

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

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Symptoms of protozoan and helminthic diseases are due to


A) tissue damage due to growth of the parasite on the tissues.
B) waste products excreted by the parasite.
C) products released from damaged tissues.
D) tissue damage due to growth of the parasite on the tissues and waste products excreted by the parasite.
E) tissue damage due to growth of the parasite on the tissues, waste products excreted by the parasite, and products released from damaged tissues.

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

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