Test Bank
https://www.stuvia.com/user/angelinas
, Chapter 25: Circulatory and Lymphatic System Infections
* = Correct answer
Multiple Choice
1. Where does oxygenated blood enter the heart?
A. the left atrium*
B. the left ventricle
C. the right atrium
D. the right ventricle
Difficulty: Easy
ASM Standard: N/A
2. Which artery carries deoxygenated blood?
A. aorta
B. femoral
C. pulmonary*
D. subclavian
Difficulty: Easy
ASM Standard: N/A
3. Which of the following is an infection of the inner lining of the heart?
A. endocarditis*
B. myocarditis
C. pericarditis
D. vasculitis
Difficulty: Easy
ASM Standard: 23
4. Which pathogen causes toxic shock syndrome?
A. Enterococcus faecalis
B. Pseudomonas aeruginosa
C. Staphylococcus aureus*
D. Vibrio cholerae
Difficulty: Easy
ASM Standard: 23
5. Which pathogen causes gas gangrene?
A. Bacillus spp.
B. Clostridium spp.*
C. Staphylococcus spp.
D. Streptococcus spp.
https://www.stuvia.com/user/angelinas
, Difficulty: Easy
ASM Standard: 23
6. What is another name for tularemia?
A. brucellosis
B. rabbit fever*
C. toxic shock syndrome
D. Valley fever
Difficulty: Easy
ASM Standard: 23
7. The gram-negative bacterium Yersinia pestis causes which disease(s)?
A. bubonic plague only
B. bubonic and septicemic plague only
C. pneumonic and septicemic plague only
D. bubonic, pneumonia, and septicemic plague*
Difficulty: Easy
ASM Standard: 23
8. Which of the following infections is transmitted by ticks?
A. brucellosis
B. ehrlichiosis*
C. plague
D. rat bite fever
Difficulty: Easy
ASM Standard: N/A
9. Which organ of the human body removes damaged red blood cells?
A. heart
B. kidneys
C. liver*
D. pancreas
Difficulty: Moderate
ASM Standard: N/A
10. Which of the following is true of lymphatic fluid?
A. It contains erythrocytes.
B. It is sterile.
C. It travels at slower speeds than blood.*
D. Its fluid composition is very different from plasma.
https://www.stuvia.com/user/angelinas
, Difficulty: Moderate
ASM Standard: N/A
11. Which of the following is a type of primary lymphoid tissue?
A. bone marrow*
B. diffuse lymphoid tissue
C. lymph nodes
D. the spleen
Difficulty: Moderate
ASM Standard: N/A
12. What is a dangerous drop in blood pressure associated with infection called?
A. bacteremia
B. hypotensive shock
C. sepsis
D. septic shock*
Difficulty: Moderate
ASM Standard: 23
13. Which of the following is true of staphylococcal toxic shock syndrome?
A. Most infected individuals have negative serological tests even if infected.
B. Most infected individuals hTaE
vS
eTneBgA
atN
ivK
eSskEinLaLnEdRb.
loC
odOcMultures.*
C. Most infected individuals test negative, so clinical symptoms are used for diagnosis.
D. Most infected individuals test positive in both serological tests and cultures.
Difficulty: Moderate
ASM Standard: 23
14. Instead of basing diagnosis solely on clinical symptoms and patient history, what common
approach is used to confirm a tularemia infection?
A. culturing techniques
B. direct fluorescent antibody microscopic examination*
C. light microscopy and Gram staining.
D. phase-contrast microscopy
Difficulty: Moderate
ASM Standard: 6, 23
15. Which of the following individuals would be most likely to receive antibiotics for cat scratch
disease?
A. an individual likely to be repeatedly exposed to infected cats
B. an individual undergoing cancer treatment simultaneously*
C. an individual who exhibits a fever
D. an individual who develops pus nodules at the site of the scratch
https://www.stuvia.com/user/angelinas
, Difficulty: Moderate
ASM Standard: 14, 23
16. What are buboes?
A. abscesses within blood vessels
B. abscesses within lungs
C. infected swellings involving follicles
D. inflamed, swollen lymph nodes*
Difficulty: Moderate
ASM Standard: 23
17. Which of the following describes undulant fever?
A. It is associated with seizures.
B. It is associated with an especially high temperature.
C. It is chronic.
D. It is variable; it comes and goes.*
Difficulty: Moderate
ASM Standard: 23
18. Rocky Mountain spotted fever is most common in which region of the United States?
A. the Midwestern United StaTteEs,SiT
ncBluAdN
inKgSM
EiL
nnLeE
soRta., C
IoOwMa, North Dakota, South Dakota,
and Wisconsin
B. the northeastern United States, including New York and Connecticut
C. the southeastern United States, including Oklahoma, Arkansas, Tennessee, Missouri, and
North Carolina*
D. the western United States, including the Rocky Mountains of Colorado and Wyoming
Difficulty: Moderate
ASM Standard: 23
19. Which of the following best describes Borrelia burgdorferi?
A. a bacillus that causes plague
B. a coccus that causes cat scratch disease
C. a spirillum that causes Rocky Mountain spotted fever
D. a spirochete that causes Lyme disease*
Difficulty: Moderate
ASM Standard: 23
20. How should a tick be removed?
A. It should be covered with petroleum jelly until it releases its hold and can be easily
removed.
https://www.stuvia.com/user/angelinas
, B. It should be grasped gently with blunt tweezers on the head, near its site of attachment,
and pulled very carefully until it releases its grip.*
C. It should be grasped gently with tweezers on the tick’s abdomen, then twisted until it
comes off.
D. It should be touched with a hot match until it releases its grip, then gently removed, taking
care to extract all parts.
Difficulty: Moderate
ASM Standard: 14, 23
21. A radiograph is used to diagnose which condition?
A. anaplasmosis
B. infectious arthritis
C. Lyme disease
D. osteomyelitis*
Difficulty: Moderate
ASM Standard: 23
22. Which of the following conditions is caused by the Epstein-Barr virus?
A. erhlichiosis
B. infectious mononucleosis*
C. Rocky Mountain spotted fever
D. yellow fever
Difficulty: Moderate
ASM Standard: 23
23. What is the standard protocol for HIV diagnosis?
A. ELISA testing, repeated after 6 months for confirmation and followed by NATs
B. serological testing followed by Western blot or PCR testing for confirmation or NATs*
C. serological testing only, with no additional testing needed
D. viral culturing followed by appropriate serological testing for confirmation
Difficulty: Moderate
ASM Standard: 23
24. Malaria is an important cause of mortality worldwide, making it a significant public health
concern. What is the classic presentation of malaria?
A. abrupt development of a dangerously high fever
B. abrupt development of malaise with cycles of chills and high fever, among other
symptoms*
C. slowly escalating headache, nausea, and vomiting, without fever and with variable other
symptoms
D. slowly escalating temperature that reaches dangerously high levels after several days to a
week
https://www.stuvia.com/user/angelinas
https://www.stuvia.com/user/angelinas
, Chapter 25: Circulatory and Lymphatic System Infections
* = Correct answer
Multiple Choice
1. Where does oxygenated blood enter the heart?
A. the left atrium*
B. the left ventricle
C. the right atrium
D. the right ventricle
Difficulty: Easy
ASM Standard: N/A
2. Which artery carries deoxygenated blood?
A. aorta
B. femoral
C. pulmonary*
D. subclavian
Difficulty: Easy
ASM Standard: N/A
3. Which of the following is an infection of the inner lining of the heart?
A. endocarditis*
B. myocarditis
C. pericarditis
D. vasculitis
Difficulty: Easy
ASM Standard: 23
4. Which pathogen causes toxic shock syndrome?
A. Enterococcus faecalis
B. Pseudomonas aeruginosa
C. Staphylococcus aureus*
D. Vibrio cholerae
Difficulty: Easy
ASM Standard: 23
5. Which pathogen causes gas gangrene?
A. Bacillus spp.
B. Clostridium spp.*
C. Staphylococcus spp.
D. Streptococcus spp.
https://www.stuvia.com/user/angelinas
, Difficulty: Easy
ASM Standard: 23
6. What is another name for tularemia?
A. brucellosis
B. rabbit fever*
C. toxic shock syndrome
D. Valley fever
Difficulty: Easy
ASM Standard: 23
7. The gram-negative bacterium Yersinia pestis causes which disease(s)?
A. bubonic plague only
B. bubonic and septicemic plague only
C. pneumonic and septicemic plague only
D. bubonic, pneumonia, and septicemic plague*
Difficulty: Easy
ASM Standard: 23
8. Which of the following infections is transmitted by ticks?
A. brucellosis
B. ehrlichiosis*
C. plague
D. rat bite fever
Difficulty: Easy
ASM Standard: N/A
9. Which organ of the human body removes damaged red blood cells?
A. heart
B. kidneys
C. liver*
D. pancreas
Difficulty: Moderate
ASM Standard: N/A
10. Which of the following is true of lymphatic fluid?
A. It contains erythrocytes.
B. It is sterile.
C. It travels at slower speeds than blood.*
D. Its fluid composition is very different from plasma.
https://www.stuvia.com/user/angelinas
, Difficulty: Moderate
ASM Standard: N/A
11. Which of the following is a type of primary lymphoid tissue?
A. bone marrow*
B. diffuse lymphoid tissue
C. lymph nodes
D. the spleen
Difficulty: Moderate
ASM Standard: N/A
12. What is a dangerous drop in blood pressure associated with infection called?
A. bacteremia
B. hypotensive shock
C. sepsis
D. septic shock*
Difficulty: Moderate
ASM Standard: 23
13. Which of the following is true of staphylococcal toxic shock syndrome?
A. Most infected individuals have negative serological tests even if infected.
B. Most infected individuals hTaE
vS
eTneBgA
atN
ivK
eSskEinLaLnEdRb.
loC
odOcMultures.*
C. Most infected individuals test negative, so clinical symptoms are used for diagnosis.
D. Most infected individuals test positive in both serological tests and cultures.
Difficulty: Moderate
ASM Standard: 23
14. Instead of basing diagnosis solely on clinical symptoms and patient history, what common
approach is used to confirm a tularemia infection?
A. culturing techniques
B. direct fluorescent antibody microscopic examination*
C. light microscopy and Gram staining.
D. phase-contrast microscopy
Difficulty: Moderate
ASM Standard: 6, 23
15. Which of the following individuals would be most likely to receive antibiotics for cat scratch
disease?
A. an individual likely to be repeatedly exposed to infected cats
B. an individual undergoing cancer treatment simultaneously*
C. an individual who exhibits a fever
D. an individual who develops pus nodules at the site of the scratch
https://www.stuvia.com/user/angelinas
, Difficulty: Moderate
ASM Standard: 14, 23
16. What are buboes?
A. abscesses within blood vessels
B. abscesses within lungs
C. infected swellings involving follicles
D. inflamed, swollen lymph nodes*
Difficulty: Moderate
ASM Standard: 23
17. Which of the following describes undulant fever?
A. It is associated with seizures.
B. It is associated with an especially high temperature.
C. It is chronic.
D. It is variable; it comes and goes.*
Difficulty: Moderate
ASM Standard: 23
18. Rocky Mountain spotted fever is most common in which region of the United States?
A. the Midwestern United StaTteEs,SiT
ncBluAdN
inKgSM
EiL
nnLeE
soRta., C
IoOwMa, North Dakota, South Dakota,
and Wisconsin
B. the northeastern United States, including New York and Connecticut
C. the southeastern United States, including Oklahoma, Arkansas, Tennessee, Missouri, and
North Carolina*
D. the western United States, including the Rocky Mountains of Colorado and Wyoming
Difficulty: Moderate
ASM Standard: 23
19. Which of the following best describes Borrelia burgdorferi?
A. a bacillus that causes plague
B. a coccus that causes cat scratch disease
C. a spirillum that causes Rocky Mountain spotted fever
D. a spirochete that causes Lyme disease*
Difficulty: Moderate
ASM Standard: 23
20. How should a tick be removed?
A. It should be covered with petroleum jelly until it releases its hold and can be easily
removed.
https://www.stuvia.com/user/angelinas
, B. It should be grasped gently with blunt tweezers on the head, near its site of attachment,
and pulled very carefully until it releases its grip.*
C. It should be grasped gently with tweezers on the tick’s abdomen, then twisted until it
comes off.
D. It should be touched with a hot match until it releases its grip, then gently removed, taking
care to extract all parts.
Difficulty: Moderate
ASM Standard: 14, 23
21. A radiograph is used to diagnose which condition?
A. anaplasmosis
B. infectious arthritis
C. Lyme disease
D. osteomyelitis*
Difficulty: Moderate
ASM Standard: 23
22. Which of the following conditions is caused by the Epstein-Barr virus?
A. erhlichiosis
B. infectious mononucleosis*
C. Rocky Mountain spotted fever
D. yellow fever
Difficulty: Moderate
ASM Standard: 23
23. What is the standard protocol for HIV diagnosis?
A. ELISA testing, repeated after 6 months for confirmation and followed by NATs
B. serological testing followed by Western blot or PCR testing for confirmation or NATs*
C. serological testing only, with no additional testing needed
D. viral culturing followed by appropriate serological testing for confirmation
Difficulty: Moderate
ASM Standard: 23
24. Malaria is an important cause of mortality worldwide, making it a significant public health
concern. What is the classic presentation of malaria?
A. abrupt development of a dangerously high fever
B. abrupt development of malaise with cycles of chills and high fever, among other
symptoms*
C. slowly escalating headache, nausea, and vomiting, without fever and with variable other
symptoms
D. slowly escalating temperature that reaches dangerously high levels after several days to a
week
https://www.stuvia.com/user/angelinas
