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The most frequently used portal of entry for pathogens is the


A) skin.
B) parenteral route.
C) mucous membranes of the respiratory tract.
D) mucous membranes of the gastrointestinal tract.
E) All of these portals are used equally.

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

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The Limulus amoebocyte assay is used to detect minute amounts of endotoxin in drugs and medical devices.

A) True
B) False

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All of the following bacteria release endotoxin EXCEPT


A) Haemophilus influenzae.
B) Clostridium botulinum.
C) Proteus vulgaris.
D) Salmonella typhi.
E) Neisseria meningitidis.

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

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Symptoms of intense inflammation and shock occur in some gram- positive bacterial infections due to


A) lipid A.
B) membrane- disrupting toxins.
C) A- B toxins.
D) superantigens.
E) erythrogenic toxin.

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

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Which of the following cytopathic effects is cytocidal?


A) antigenic changes
B) release of enzymes from lysosomes
C) giant cells
D) transformation
E) inclusion bodies

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

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In response to the presence of endotoxin, phagocytes secrete tumor necrosis factor. This causes


A) a decrease in blood pressure.
B) a aram- negative infection.
C) an increase in red blood cells.
D) the disease to subside.
E) a fever.

F) None of the above
G) All of the above

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Which of the following is NOT a cytopathic effect of viruses?


A) host cells fusing to form multinucleated syncytia
B) increased cell growth
C) inclusion bodies forming in the cytoplasm or nucleus
D) toxin production
E) cell death

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

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Cytopathic effects, such as inclusion bodies and syncytium formation, are the visible signs of viral infections.

A) True
B) False

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Antibiotics can lead to septic shock if used to treat


A) helminth infestations.
B) gram- negative bacterial infections.
C) protozoan infections.
D) viral infections.
E) gram- positive bacterial infections.

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

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All of the following are methods of avoiding host antibodies EXCEPT


A) antigenic changes.
B) membrane- disrupting toxins.
C) IgA proteases.
D) invasins.
E) inducing endocytosis.

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

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Injectable drugs are tested for endotoxins by


A) filtering out the cells.
B) looking for turbidity.
C) culturing bacteria.
D) counting the viable bacteria.
E) the Limulus amoebocyte lysate test.

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

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Superantigens produce intense immune responses by stimulating lymphocytes to produce


A) exotoxins.
B) leukocidins.
C) cytokines.
D) endotoxins.
E) interferons.

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

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In general, the LD50 for exotoxins is much greater than the LD50 for endotoxins.

A) True
B) False

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Polio is transmitted by ingestion of water contaminated with feces containing polio virus. What portal of entry does polio virus use?


A) skin only
B) parenteral only
C) mucous membranes only
D) skin and parenteral
E) skin, parenteral, and mucous membranes

F) A) and E)
G) A) and D)

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Gram- negative septic shock results from the following events. What is the second step?


A) LPS is released from gram- negative bacteria.
B) Phagocytes ingest gram- negative bacteria.
C) IL- 1 is released.
D) Body temperature is reset in the hypothalamus.
E) Fever occurs.

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

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Which of the following is NOT a membrane- disrupting toxin?


A) A- B toxin
B) streptolysin O
C) leukocidin
D) hemolysin
E) streptolysin S

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

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