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MMSC438 Exam 2 Questions and Correct
Answers
LRT defense mechanisms Ans: — -competitive inhibition by
normal biota
-removal of pathogens
-immune response
bacterial pathogenic mechanisms Ans: — -evasion of host defenses
-adhesion to host respiratory (epithelial) cells
-toxin production
routes of transmission Ans: — -person-to-person
-aspiration of endogenous biota
-trauma
-enviornmental and animal reservoirs
-fomites
LRT collection Ans: — -oropharyngeal swabs
-nasopharyngeal swabs
-sinus aspiration
candidiasis (culture site) Ans: — swab buccal mucosa, tongue,
oropharynx
diphtheria (culture site) Ans: — nasopharyngeal or throat swab
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epiglottitis (culture site) Ans: — blood culture
pertussis (culture site) Ans: — posterior nasopharynx swab
nasopharyngeal MRSA screening Ans: — swab of nares
sinusitis Ans: — -viral infection leading to secondary bacterial
infection
-common cold (most common): S. pneumonia, H. influenzas, M.
catarrhalis
-fungi: immunocompromised (opportunistic)
-symptoms: facial pain or pressure
pharyngitis Ans: — -common in school-aged children
-S. pyogenes
-treatment: penicillin
S. pyogenes Ans: — -GPC
-catalase negative
-group A strep and b-hemolytic strep
-post-streptococcal sequelae --> rheumatic fever
diphtheria Ans: — -Corynebacterium diphtheriae
-symptoms: sore throat dysphagia
-toxin-mediated: exotoxin --> blocks protein synthesis
-obstruction of airway by pseudomembrane
-myocarditis
© 2025 All rights reserved
MMSC438 Exam 2 Questions and Correct
Answers
LRT defense mechanisms Ans: — -competitive inhibition by
normal biota
-removal of pathogens
-immune response
bacterial pathogenic mechanisms Ans: — -evasion of host defenses
-adhesion to host respiratory (epithelial) cells
-toxin production
routes of transmission Ans: — -person-to-person
-aspiration of endogenous biota
-trauma
-enviornmental and animal reservoirs
-fomites
LRT collection Ans: — -oropharyngeal swabs
-nasopharyngeal swabs
-sinus aspiration
candidiasis (culture site) Ans: — swab buccal mucosa, tongue,
oropharynx
diphtheria (culture site) Ans: — nasopharyngeal or throat swab
© 2025 All rights reserved
, 2 | Page
epiglottitis (culture site) Ans: — blood culture
pertussis (culture site) Ans: — posterior nasopharynx swab
nasopharyngeal MRSA screening Ans: — swab of nares
sinusitis Ans: — -viral infection leading to secondary bacterial
infection
-common cold (most common): S. pneumonia, H. influenzas, M.
catarrhalis
-fungi: immunocompromised (opportunistic)
-symptoms: facial pain or pressure
pharyngitis Ans: — -common in school-aged children
-S. pyogenes
-treatment: penicillin
S. pyogenes Ans: — -GPC
-catalase negative
-group A strep and b-hemolytic strep
-post-streptococcal sequelae --> rheumatic fever
diphtheria Ans: — -Corynebacterium diphtheriae
-symptoms: sore throat dysphagia
-toxin-mediated: exotoxin --> blocks protein synthesis
-obstruction of airway by pseudomembrane
-myocarditis
© 2025 All rights reserved