GTC Microbiology Final Exam with correct
answers 2025
Whatvisvsepticemia?vHowvdoesvitvdiffervfromvbacteremia?v-vcorrect-answers-
Septicemavrefersvtovthevpresencevofvmicrobialvinfectionvofvthevbloodvthatvcausesvillness.vBacterem
iavrefersvspecificallyvtovbacterialvsepticemia,vthoughvmanyvphysiciansvusevthevtermsvbacteremiavan
dvsepticemiavinterchangeably.
Whatvisvthevcausevofvendotoxicvshock?v-vcorrect-answers-Dyingvgram-
negativevbacteriavdisintegrate,vreleasingvendotoxin,vwhichvisvthevlipidvAvportionvofvLPSvfromvthevou
tervmembrane,vintovthevblood.
Whatvisvthevcausevofvpuerperalvfever?v-vcorrect-answers-
Puerperalvrefersvtovthevperiodvimmediatelyvaftervchildbirth.vPuerperalvfevervisvcausedvbyvStrepvpyo
genes,vwhichvisvusuallyvharmlessvonvthevskinvorvinvthevmouthvbutvcausesvseverevcomplicationsvwhe
nvitventersvthevblood.vBacteriavpassvuterinevwallvintovthevblood.
Explainvhowvrheumaticvfevervdevelops.vWhatvtypevofvhypersensitivityvisvthat?v-vcorrect-answers-
Rheumaticvfevervonlyvoccursvinv3%vofvthevcasesvofvpeoplevwhovhavevhadvavstrepvinfection.vItvdevel
opsvasvavresultvofvanvautoimmunevresponse.vThevantibodiesvdirectedvagainstvstreptococcalvantige
nsvcross-
reactvwithvheartvantigensvwhichvthenvaffectvthevvalvesvofvthevheart.vThisvisvtypev3vimmunevcomple
xvhypersensitivity.
,Namevthreevtypesvofvbacteriavthatvcausevacutevbacterialvendocarditis:v-vcorrect-answers-
1)vViridiansvsreptococcusv
2)vStaphvaureus
3)vStrepvpneumonia
manyvothervbacteria
Whatvcausesv"cat-scratchvfever?"v-vcorrect-answers-Bartonella
Namevthevsignsvofvcatvscratchvfever:v-vcorrect-answers-
swellingvwherevscratchedvorvbit,vlymphvnodevinvolvement
Whatvdoesvitvmeanvthatvthevdiseasevoftervisv"subclinical?"v-vcorrect-answers-
Thevdiseasevmayvgovunnoticedvbecausevofvthevabsencevofvsymptoms,vevenvthoughvclinicalvtestsvre
vealvsignsvofvdisease.
Namevthevcausativevagentvinvplague:v-vcorrect-answers-Yersiniavpestis
Whatvisvavbuboe?v-vcorrect-answers-
Buboesvarevsmooth,venlarged,vreddened,vandvpainfullyvinflamedvlymphvnodes.
Howvdoesvtransmissionvoccur?v-vcorrect-answers-
Fleasvarevthevvectorsvforvthevspreadvofvthevbacteria.vInfectedvfleasvthatvhavevleftvtheirvnormalvanim
alvhostsvcanvspreadvplaguevtovhumans.
Whatvtypevofvplaguevhasvthevhighestvmortality?v-vcorrect-answers-
pneumonicvplague:vspreadvtovlungsv(orvthroughvinhalation)
Canvplaguevbevtreated?v-vcorrect-answers-
Yes,vstreptomycinvandvtetracyclinevareveffectivevagainstvYersinia.
,NamevthevbacteriavthatvcausevLymevdisease?v-vcorrect-answers-Borreliavburdorferiv(gramv-vrod)
Howvisvitvtransmitted?v-vcorrect-answers-ticksv(biologicalvvector)
Isvavbull'sveyevrashvalwaysvseen?vWhatvisvthat?v-vcorrect-answers-
No,v80%vofvpatientsvhavevthevbull'sveyevrashvatvthevsitevofvinfection.vItvisverythemavmigrans.
Canvitvbevtreated?v-vcorrect-answers-
Yes,vpenicillins,vtetracyclines,vorvcephalosporinsvareveffectivevinvthevfirstvphase,vlatervphasesvarevdi
fficultvtovtreat.
Whatvarevsomevlatevmanifestationsvofvthevdisease?v-vcorrect-answers-
headache,vfatigue,vinvsmallv%vnervousv(CNS)vandvcardiovascularvsymptoms,veventuallyvchronicvart
hritis
HowvisvRockyvMountainvspottedvfevervtransmitted?v-vcorrect-answers-ticksv(biologicalvvectors)
Whichvbacteriumvcausesvthevdisease?v-vcorrect-answers-Rickettsia
Whatvtypevofvrashvisvseen?v-vcorrect-answers-subcuaneousvhemorrhagesvknownvasvpetechiae
Whatvarevothervsymptoms?v-vcorrect-answers-
fever,vheadache,vchills,vmusclevpain,vnauseavandvvomitting
Howvseriousvisvthevdisease?v-vcorrect-answers-
Earlyvdiagnosisvisvcrucialvbecausevpromptvtreatmentvoftenvmakesvthevdifferencevbetweenvrecover
yvandvdeath.vItvisvimpossiblevtoveliminatevthevticksvinvthevwild,vinvpartvbecausevtheyvcanvsurvivevwit
houtvfeedingvforvmorevthanvfourvyears.
, Whatvisvthevcausevofv"mono?"v-vcorrect-answers-
Bacteriav=vEpsteinvBarrvVirus;v"Mono"visvavresultvofvavpatient'svcellularvimmunevsystemvwithvanvinf
ectedvWBC.
Whichvcellsvarevinvolved?v-vcorrect-answers-
Aftervinitiallyvinfectingvepithelialvcellsvofvthevthroatvandvsalivaryvglands,vEpstein-
Barrvvirusventersvthevblood,vwherevitvinvadesvBvlymphocytesv(WBC).
Characterizevthevvirusvthatvcausesvthisvdisease:v-vcorrect-answers-EBVvisvanvenveloped,vdouble-
strandedvDNAvvirusvthatvreplicatesvinvavhost'svcell'svnucleus.
Whyvisvthisvcalledvav"persistent"vinfection?v-vcorrect-answers-
virusvcanvinvadevmanyvorgansv(liver,vmyocarditis,vglomerulonephritis)
Howvisvitvtransmitted?v-vcorrect-answers-TransmissionvofvEpstein-
Barrvvirusvusuallyvoccursvviavsaliva,voftenvduringvthevsharingvofvdrinkingvglassesvorvwhilevkissing.vInf
ectiousvmononucleosisvisvcommonlyvknownvasvthev"kissingvdisease".
WhatvisvthevcausevofvBurkitt'svLymphoma?v-vcorrect-answers-
EBVvsuppressesvapoptosisv(programmedvcellvdeath)vofvBvlymphocytes,vcausingvinfectedvcellsvtovbe
comevimmortal.vInvcombinationvwithvavsuppressedvimmunevsystem,vsuchvinfectedvBvcellsvarevonevs
ourcevofvcancers,vlikevBurkitt'svlymphoma,vavcancervofvthevjaw.
Whatvarevthevsigns?v-vcorrect-answers-
1)vsorevthroat,vfever,venlargedvlymphvnodes,vmanyvothervvariedvsymptoms
2)v"persistent"vinfection:vvirusvcanvinvadevmanyvorgansvlikevthevliver,vheartv(myocarditis),vandvkidn
eyv(glomerulonephritis)
answers 2025
Whatvisvsepticemia?vHowvdoesvitvdiffervfromvbacteremia?v-vcorrect-answers-
Septicemavrefersvtovthevpresencevofvmicrobialvinfectionvofvthevbloodvthatvcausesvillness.vBacterem
iavrefersvspecificallyvtovbacterialvsepticemia,vthoughvmanyvphysiciansvusevthevtermsvbacteremiavan
dvsepticemiavinterchangeably.
Whatvisvthevcausevofvendotoxicvshock?v-vcorrect-answers-Dyingvgram-
negativevbacteriavdisintegrate,vreleasingvendotoxin,vwhichvisvthevlipidvAvportionvofvLPSvfromvthevou
tervmembrane,vintovthevblood.
Whatvisvthevcausevofvpuerperalvfever?v-vcorrect-answers-
Puerperalvrefersvtovthevperiodvimmediatelyvaftervchildbirth.vPuerperalvfevervisvcausedvbyvStrepvpyo
genes,vwhichvisvusuallyvharmlessvonvthevskinvorvinvthevmouthvbutvcausesvseverevcomplicationsvwhe
nvitventersvthevblood.vBacteriavpassvuterinevwallvintovthevblood.
Explainvhowvrheumaticvfevervdevelops.vWhatvtypevofvhypersensitivityvisvthat?v-vcorrect-answers-
Rheumaticvfevervonlyvoccursvinv3%vofvthevcasesvofvpeoplevwhovhavevhadvavstrepvinfection.vItvdevel
opsvasvavresultvofvanvautoimmunevresponse.vThevantibodiesvdirectedvagainstvstreptococcalvantige
nsvcross-
reactvwithvheartvantigensvwhichvthenvaffectvthevvalvesvofvthevheart.vThisvisvtypev3vimmunevcomple
xvhypersensitivity.
,Namevthreevtypesvofvbacteriavthatvcausevacutevbacterialvendocarditis:v-vcorrect-answers-
1)vViridiansvsreptococcusv
2)vStaphvaureus
3)vStrepvpneumonia
manyvothervbacteria
Whatvcausesv"cat-scratchvfever?"v-vcorrect-answers-Bartonella
Namevthevsignsvofvcatvscratchvfever:v-vcorrect-answers-
swellingvwherevscratchedvorvbit,vlymphvnodevinvolvement
Whatvdoesvitvmeanvthatvthevdiseasevoftervisv"subclinical?"v-vcorrect-answers-
Thevdiseasevmayvgovunnoticedvbecausevofvthevabsencevofvsymptoms,vevenvthoughvclinicalvtestsvre
vealvsignsvofvdisease.
Namevthevcausativevagentvinvplague:v-vcorrect-answers-Yersiniavpestis
Whatvisvavbuboe?v-vcorrect-answers-
Buboesvarevsmooth,venlarged,vreddened,vandvpainfullyvinflamedvlymphvnodes.
Howvdoesvtransmissionvoccur?v-vcorrect-answers-
Fleasvarevthevvectorsvforvthevspreadvofvthevbacteria.vInfectedvfleasvthatvhavevleftvtheirvnormalvanim
alvhostsvcanvspreadvplaguevtovhumans.
Whatvtypevofvplaguevhasvthevhighestvmortality?v-vcorrect-answers-
pneumonicvplague:vspreadvtovlungsv(orvthroughvinhalation)
Canvplaguevbevtreated?v-vcorrect-answers-
Yes,vstreptomycinvandvtetracyclinevareveffectivevagainstvYersinia.
,NamevthevbacteriavthatvcausevLymevdisease?v-vcorrect-answers-Borreliavburdorferiv(gramv-vrod)
Howvisvitvtransmitted?v-vcorrect-answers-ticksv(biologicalvvector)
Isvavbull'sveyevrashvalwaysvseen?vWhatvisvthat?v-vcorrect-answers-
No,v80%vofvpatientsvhavevthevbull'sveyevrashvatvthevsitevofvinfection.vItvisverythemavmigrans.
Canvitvbevtreated?v-vcorrect-answers-
Yes,vpenicillins,vtetracyclines,vorvcephalosporinsvareveffectivevinvthevfirstvphase,vlatervphasesvarevdi
fficultvtovtreat.
Whatvarevsomevlatevmanifestationsvofvthevdisease?v-vcorrect-answers-
headache,vfatigue,vinvsmallv%vnervousv(CNS)vandvcardiovascularvsymptoms,veventuallyvchronicvart
hritis
HowvisvRockyvMountainvspottedvfevervtransmitted?v-vcorrect-answers-ticksv(biologicalvvectors)
Whichvbacteriumvcausesvthevdisease?v-vcorrect-answers-Rickettsia
Whatvtypevofvrashvisvseen?v-vcorrect-answers-subcuaneousvhemorrhagesvknownvasvpetechiae
Whatvarevothervsymptoms?v-vcorrect-answers-
fever,vheadache,vchills,vmusclevpain,vnauseavandvvomitting
Howvseriousvisvthevdisease?v-vcorrect-answers-
Earlyvdiagnosisvisvcrucialvbecausevpromptvtreatmentvoftenvmakesvthevdifferencevbetweenvrecover
yvandvdeath.vItvisvimpossiblevtoveliminatevthevticksvinvthevwild,vinvpartvbecausevtheyvcanvsurvivevwit
houtvfeedingvforvmorevthanvfourvyears.
, Whatvisvthevcausevofv"mono?"v-vcorrect-answers-
Bacteriav=vEpsteinvBarrvVirus;v"Mono"visvavresultvofvavpatient'svcellularvimmunevsystemvwithvanvinf
ectedvWBC.
Whichvcellsvarevinvolved?v-vcorrect-answers-
Aftervinitiallyvinfectingvepithelialvcellsvofvthevthroatvandvsalivaryvglands,vEpstein-
Barrvvirusventersvthevblood,vwherevitvinvadesvBvlymphocytesv(WBC).
Characterizevthevvirusvthatvcausesvthisvdisease:v-vcorrect-answers-EBVvisvanvenveloped,vdouble-
strandedvDNAvvirusvthatvreplicatesvinvavhost'svcell'svnucleus.
Whyvisvthisvcalledvav"persistent"vinfection?v-vcorrect-answers-
virusvcanvinvadevmanyvorgansv(liver,vmyocarditis,vglomerulonephritis)
Howvisvitvtransmitted?v-vcorrect-answers-TransmissionvofvEpstein-
Barrvvirusvusuallyvoccursvviavsaliva,voftenvduringvthevsharingvofvdrinkingvglassesvorvwhilevkissing.vInf
ectiousvmononucleosisvisvcommonlyvknownvasvthev"kissingvdisease".
WhatvisvthevcausevofvBurkitt'svLymphoma?v-vcorrect-answers-
EBVvsuppressesvapoptosisv(programmedvcellvdeath)vofvBvlymphocytes,vcausingvinfectedvcellsvtovbe
comevimmortal.vInvcombinationvwithvavsuppressedvimmunevsystem,vsuchvinfectedvBvcellsvarevonevs
ourcevofvcancers,vlikevBurkitt'svlymphoma,vavcancervofvthevjaw.
Whatvarevthevsigns?v-vcorrect-answers-
1)vsorevthroat,vfever,venlargedvlymphvnodes,vmanyvothervvariedvsymptoms
2)v"persistent"vinfection:vvirusvcanvinvadevmanyvorgansvlikevthevliver,vheartv(myocarditis),vandvkidn
eyv(glomerulonephritis)