Question 1

Hantavirus has all of the following characteristics except ________.

Accepted Answer

A)   a reservoir is human carriers
B)   it is a zoonotic infection
C)   the symptoms are abrupt fever, lung edema, respiratory distress, and hypotension
D)   it is transmitted by aerosol transmission from rodent excreta
E)   the first U.S. outbreak occurred in 1993 in the SouthwestF) B) and E)
G) A) and E)

Question 2

Which of the following causes a noncommunicable pulmonary infection that resembles tuberculosis?

Accepted Answer

A)   Mycobacterium avium complex (MA
C)  
B)   Mycobacterium kansasii
C)   Mycobacterium scrofulaceum
D)   Mycobacterium fortuitum complex
E)   Mycobacterium marinumF) All of the above
G) C) and D)

Question 3

Assess the following statements and determine which one is incorrect regarding antigenic shift.

Accepted Answer

A)   The influenza virus genome mutates over time changing the amino acid sequence of the envelope glycoproteins. Each encounter with a new version of the virus requires activation of naive lymphocytes rather than memory cells, which is the reason we receive a new vaccination each year.
B)   The influenza genome contains 10 genes distributed on 8 separate RNA strands. These strands can be exchanged between different viruses.
C)   Some virus strains infect birds and swine, some infect swine and humans. If the strain that infects swine and humans exchanges strands with a bird flu strain while in a swine host cell, that virus can go on to infect a human who will have no recognition for the bird protein.
D)   If a new strain of virus emerged from an antigenic shift event, a vaccine different to the annual flu vaccine would have to be administered because the proteins coded for by the new strain would be different to those made as a result of antigenic drift.E) B) and D)
F) All of the above

Question 4

Which antibody is concentrated in the respiratory tract?

Accepted Answer

A)   IgA
B)   IgE
C)   IgG
D)   IgM
E)   All of the choices are correct.F) B) and E)
G) C) and D)

Question 5

Cold viruses are transmitted by ________.

Accepted Answer

A)   droplet contact and indirect contact
B)   endogenous
C)   direct contact
D)   None of the choices are correct.
E)   All of the choices are correct.F) C) and D)
G) B) and D)

Question 6

Suspecting the patient is infected with influenza, the nurse prepares to obtain which of the following specimens for rapid testing at an external laboratory?

Accepted Answer

A)   Blood
B)   Cerebrospinal fluid
C)   Nasal swab
D)   Skin scrapingE) A) and C)
F) All of the above

Question 7

The laboratory findings are discussed with the medical team. Culturing on specialized media will be required for definitive identification of the microbe. Which medium will the technicians use to culture this suspected pathogen?

Accepted Answer

A)   Tellurite medium
B)   Mannitol salt agar
C)   Eosin methylene blue agar
D)   None of the choices are correct. This pathogen must be propagated using tissue culture.E) All of the above
F) B) and D)

Question 8

Characteristics of Histoplasma capsulatum include ________.

Accepted Answer

A)   it grows in moist soil; rich in nitrogen from bird and bat droppings
B)   it is a yeast with a capsule
C)   it is commonly found in the southwestern United States
D)   it always results in severe infections
E)   its transmission occurs through water dropletsF) A) and C)
G) B) and D)

Question 9

Which of the following is not part of the lower respiratory system?

Accepted Answer

A)   Alveoli
B)   Bronchi
C)   Bronchioles
D)   Trachea
E)   SinusesF) A) and B)
G) A) and C)

Question 10

Extrapulmonary TB can involve the ________.

Accepted Answer

A)   kidneys
B)   long bones
C)   spine
D)   brain
E)   All of the choices are correct.F) A) and E)
G) None of the above

Question 11

Formation of a pseudomembrane in the back of the throat is seen in ________.

Accepted Answer

A)   diphtheria
B)   pharyngitis
C)   tuberculosis
D)   pertussis
E)   SARSF) A) and B)
G) A) and C)

Question 12

Respiratory syncytial virus ________.

Accepted Answer

A)   causes serious disease in infants 6 months old or younger
B)   is highly contagious
C)   is transmitted through droplet contact and fomite contamination
D)   cannot be prevented by vaccination at this time
E)   All of the choices are correct.F) B) and E)
G) A) and D)

Question 13

Which of the following is not part of the upper respiratory tract?

Accepted Answer

A)   Mouth
B)   Nasal cavity
C)   Trachea
D)   Pharynx
E)   LarynxF) A) and D)
G) C) and E)

Question 14

Which of the following is not true of whooping cough?

Accepted Answer

A)   Secondary infections can occur during the convalescent phase
B)   Caused by a small gram-positive rod
C)   Incubation period is 3-21 days
D)   Coldlike symptoms are common for the paroxysmal stage
E)   An uncontrollable cough occurs during the paroxysmal stageF) A) and B)
G) A) and C)

Question 15

Antibiotic treatment for otitis media is standard procedure today.

Accepted Answer

A) True 
 B)False

Question 16

Virulence factors of Streptococcus pyogenes include ________.

Accepted Answer

A)   polysaccharides on the cell wall
B)   lipoteichoic acid
C)   M proteins
D)   hyaluronic acid capsule
E)   All of the choices are correct.F) None of the above
G) A) and E)

Question 17

The major reservoir for the hantavirus is the deer mouse.

Accepted Answer

A) True 
 B)False

Question 18

What features of the respiratory system protect us from infection?

Accepted Answer

A)   Nasal hairs
B)   Cilia
C)   Mucus
D)   Macrophages
E)   All of the choices are correct.F) All of the above
G) C) and D)

Question 19

Infection travels to the middle ear by way of the ________.

Accepted Answer

A)   auditory canal
B)   sinuses
C)   nasal cavity
D)   eustachian (auditory)  tubes
E)   subarachnoid spaceF) A) and C)
G) A) and B)

Question 20

A paroxysmal cough is associated with Legionnaires' disease.

Accepted Answer

A) True 
 B)False

Exam 19: Infectious Diseases Affecting the Respiratory Systems

Which of the following causes a noncommunicable pulmonary infection that resembles tuberculosis?

Correct AnswerverifiedShow Answer

Virulence factors of Streptococcus pyogenes include ________.

Correct AnswerverifiedShow Answer

Hantavirus has all of the following characteristics except ________.

Correct AnswerverifiedShow Answer

The major reservoir for the hantavirus is the deer mouse.

Correct AnswerverifiedShow Answer

Infection travels to the middle ear by way of the ________.

Correct AnswerverifiedShow Answer

Formation of a pseudomembrane in the back of the throat is seen in ________.

Correct AnswerverifiedShow Answer

Extrapulmonary TB can involve the ________.

Correct AnswerverifiedShow Answer

Assess the following statements and determine which one is incorrect regarding antigenic shift.

Correct AnswerverifiedShow Answer

A paroxysmal cough is associated with Legionnaires' disease.

Correct AnswerverifiedShow Answer

Respiratory syncytial virus ________.

Correct AnswerverifiedShow Answer

What features of the respiratory system protect us from infection?

Correct AnswerverifiedShow Answer

Which antibody is concentrated in the respiratory tract?

Correct AnswerverifiedShow Answer

Which of the following is not true of whooping cough?

Correct AnswerverifiedShow Answer

Which of the following is not part of the upper respiratory tract?

Correct AnswerverifiedShow Answer

Suspecting the patient is infected with influenza, the nurse prepares to obtain which of the following specimens for rapid testing at an external laboratory?

Correct AnswerverifiedShow Answer

The laboratory findings are discussed with the medical team. Culturing on specialized media will be required for definitive identification of the microbe. Which medium will the technicians use to culture this suspected pathogen?

Correct AnswerverifiedShow Answer

Which of the following is not part of the lower respiratory system?

Correct AnswerverifiedShow Answer

Antibiotic treatment for otitis media is standard procedure today.

Correct AnswerverifiedShow Answer

Characteristics of Histoplasma capsulatum include ________.

Correct AnswerverifiedShow Answer

Cold viruses are transmitted by ________.

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified