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Spongiform encephalopathies are


A) associated with abnormal,transmissible protein in the brain.
B) chronic,fatal infections of the nervous system.
C) caused by prions.
D) Creutzfeldt-Jacob disease,kuru,and Gerstmann-Straussler-Scheinker syndrome.
E) All of the choices are correct.

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

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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 on a medical trip to sub-Saharan Africa with a team from your hospital. You are stationed at a well-equipped hospital, in spite of the scant development of the area surrounding the hospital. You meet Raj, a cute 5-year-old boy who runs around barefoot and likes to play in the area ponds to stay cool. He comes into the clinic with a high fever, sore throat, and generalized weakness. His parents are nowhere to be found. Raj says he has been sick for about a week. -You are wondering what the specific causative agent is,so you do a search on PubMed from the hospital's medical library.What is the causative agent for polio?


A) Enterovirus picornaviridae
B) Streptococcus pneumoniae
C) Naegleria fowleri
D) Poliovirus intoxicum

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

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Tetanus can be prevented with the DTaP childhood immunization and boosters of the tetanus toxoid.

A) True
B) False

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Which organism is the definitive host for Toxoplasma gondii? 4-10-2013


A) cat
B) dog
C) mouse
D) mosquito
E) raccoon

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

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Treatment of an animal bite for possible rabies includes


A) debridement.
B) washing bite with soap or detergent.
C) infusing the wound with human rabies immune globulin (HRIG) .
D) postexposure vaccination with inactive vaccine.
E) All of the choices are correct.

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

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Which of the following has the highest mortality rate?


A) Western equine encephalitis
B) St.Louis encephalitis
C) California encephalitis
D) Eastern equine encephalitis
E) West Nile encephalitis

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

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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. Nancy has brought in her 75-year-old mother, Leah, into your ER because she has not been acting like herself. She has been using her hands less and less, complained of a severe headache, and then developed a severe tremor, high fever, and has now stopped talking. Her gait has also been effected. She reports a recent trip to the woods to go camping as a family. As Nancy is giving you the history, Leah collapses on the floor and has a seizure. -What other questions would be most important to ask to elicit a thorough history?


A) family history,mosquito exposure,allergies,medications
B) medications,food preferences,religious preference
C) birth history,childhood development,level of education
D) mosquito exposure,use of DEET,level of water filtration

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

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Prophylactic rifampin is indicated for individuals in close contact with patients infected by


A) Neisseria menigitidis.
B) Listeria monocytogenes.
C) Cryptococcus neoformans.
D) Coccidiodes immitis.
E) Streptococcus agalactiae.

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

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All of the following pertain to Neisseria meningitidis except


A) virulent factors include a capsule,pili,endotoxin,and IgA protease.
B) causes a serious meningitis.
C) reservoir is the nasopharynx of human carriers.
D) more easily transmitted in day care facilities,dorms,and military barracks.
E) common cause of bacterial pneumonia.

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

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Toxoplasmosis prevention includes


A) vaccination of humans.
B) vaccination of cats.
C) hygienic precautions.
D) vector control.
E) All of the choices are correct.

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

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Neonatal meningitis is most commonly transmitted by


A) breast feeding.
B) hospital personnel.
C) transplacental infection.
D) exposure in birth canal.
E) exposure from other infants.

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

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


A) Listeria monocytogenes
B) Haemophilus influenzae
C) Neisseria meningitidis
D) Cryptococcus neoformans
E) Streptococcus agalactiae

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

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The foodborne disease that involves neurotoxin is


A) gastrointestinal anthrax.
B) bacillus cereus intoxication.
C) botulism.
D) clostridium perfringens gastroenteritis.
E) All of the choices are correct.

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

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Which of the following is not true of Streptococcus pneumoniae?


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 penicillin

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

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