DATE AND TIME OF EXAMINATION: __________________________________________
DIRECTIONS: Choose the best answer for each question.
MODULE 15: DIAGNOSING INFECTIOUS DISEASES 1. Assuming that a clean-catch, midstream urine was processed in the CML, which of the following colony counts is (are) indicative of a urinary tract infection? a. 10,000 CFU/mL b. 100,000 CFU/mL c. 150,000 CFU/mL d. both b and c 2. Which of the following statements about blood is false? a. As it circulates throughout the human body, blood is usually sterile. b. Following centrifugation, the layer of leukocytes and platelets is referred to as the buffy coat. c. Bacteremia and septicemia are synonyms. d. Plasma constitutes about 55% of whole blood 3. Which of the following statements about cerebrospinal fluid (CSF) specimens is false? a. They are collected only by clinicians. b. They are treated as STAT (emergency) specimens in the laboratory. c. They should always be refrigerated. d. They should be rushed to the laboratory after collection. 4. All clinical specimens submitted to the CML must be: a. properly and carefully collected. b. properly labeled. c. properly transported to the laboratory. d. all of the above 5. Which of the following is not one of the three parts of a urine culture? a. isolation and identification of the pathogen b. performing a colony count c. performing a microscopic observation of the urine specimen d. performing antimicrobial susceptibility testing 6. The primary responsibility of this section of the CML is to assist clinicians in the diagnosis of tuberculosis: a. Virology Section Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM b. Mycology Section c. Mycobacteriology Section d. Bacteriology Section 7. Who is primarily responsible for the quality of specimens submitted to the CML? a. microbiologist who is in charge of the CML b. pathologist who is in charge of “the lab” c. person who collects the specimen d. person who transports the specimen to the CML 8. Which of the following is not one of the four major day-to-day responsibilities of the CML? a. identify (speciate) pathogens b. isolate pathogens from clinical specimens c. perform antimicrobial susceptibility testing when appropriate d. process environmental samples 9. Which of the following sections is the overall responsible in assisting the clinicians in the diagnosis of viral diseases. a. Bacteriology Section b. Mycology Section c. Parasitology Section d. Virology Section 10. The overall responsibility of this section of the CML is to assist clinicians in the diagnosis of fungal infections. a. Bacteriology Section b. Mycology Section c. Parasitology Section d. Virology Section 11. Which of the following pathology department perform autopsies in the morgue and examine diseased organs, stained tissue sections, and cytology specimens? a. Anatomical Pathology b. Clinical Pathology c. Immunology Laboratory d. Pathology Laboratory 12. Which of the following sections assist clinicians in the diagnosis of parasitic diseases? a. Parasitology Section b. Bacteriology Section c. Virology Section d. Mycology Section 13. _______________ of the CML is to assist clinicians in the diagnosis of tuberculosis. a. Bacteriology Section Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM b. Virology Section c. Mycology Section d. Mycobacteriology Section MODULE 16: PATHOGENESIS INFECTIOUS DISEASES 14. Which of the following virulence factors enable(s) bacteria to attach to tissues? a. capsules b. endotoxin c. flagella d. pili 15. Neurotoxins are produced by: a. Clostridium botulinum and Clostridium tetani. b. Clostridium difficile and Clostridium perfringens. c. Pseudomonas aeruginosa and Mycobacterium tuberculosis. d. Staphylococcus aureus and Streptococcus pyogenes. 16. Which of the following pathogens produce enterotoxins? a. Bacillus cereus and certain serotypes of Escherichia coli b. C. difficile and C. perfringens c. Salmonella spp. and Shigella spp. d. all of the above 17. A bloodstream infection with __________ could result in the release of endotoxin into the bloodstream. a. C. difficile or C. perfringens b. Neisseria gonorrhoeae or E. coli c. S. aureus or M. tuberculosis d. S. aureus or S. pyogenes 18. Communicable diseases are most easily transmitted during the: a. incubation period. b. period of convalescence. c. period of illness. d. prodromal period. 19. Enterotoxins affect cells in the: a. central nervous system. b. gastrointestinal tract. c. genitourinary tract. d. respiratory tract. 20. Which of the following bacteria is least likely to be the cause of septic shock? a. E. coli b. Haemophilus influenzae Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM c. Mycoplasma pneumoniae d. Neisseria meningitidis 21. Which of the following produces both a cytotoxin and an enterotoxin? a. C. botulinum b. C. difficile c. C. tetani d. Corynebacterium diphtheriae 22. Which of the following virulence factors enable(s) bacteria to avoid phagocytosis by white blood cells? a. capsule b. cell membrane c. cell wall d. pili 23. An exoenzyme that causes destruction of host cell membranes. a. coagulase b. kinase c. hemolysins d. lecithinase 24. Some pathogens periodically change their surface antigens, a phenomenon known as _______________. a. Camouflage and Molecular Mimicry b. Antigenic Variation c. Destruction of Antibodies d. Diphtheria toxin 25. __________________ is a pathogen that cover their surface antigens with host proteins, so the pathogens will not be recognized as being foreign. a. Antigenic Variation b. Mycoplasma pneumonia c. Diphtheria toxin d. Erythrogenic toxin 26. This is a mechanism in which pathogens are capable of destroying some of the antibodies that the host’s immune system has produced in an attempt to destroy them. a. Camouflage and Molecular Mimicry b. Destruction of Antibodies c. Antigenic Variation d. Diphtheria toxin MODULE 17: NON – SPECIFIC HOST DEFENSE MECHANISMS Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM 27. Host defense mechanisms—ways in which the body protects itself from pathogens—can be thought of as an army consisting of how many lines of defense? a. two b. three c. four d. five 28. Which of the following is not part of the body’s first line of defense? a. Fever b. intact skin c. mucus d. pH of the stomach contents 29. Each of the following is considered a part of the body’s second line of defense except: a. fever. b. inflammation. c. interferons. d. lysozyme. 30. Which of the following is not a consequence of activation of the complement system? a. attraction and activation of leukocytes b. increased phagocytosis by phagocytic cells (opsonization) c. lysis of bacteria and other foreign cells d. repair of damaged tissue 31. Each of the following is a primary purpose of the inflammatory response except: a. to localize the infection. b. to neutralize any toxins being produced at the site. c. to prevent the spread of microbial invaders. d. to stimulate the production of opsonins. 32. Which of the following cells is a granulocyte? a. eosinophil b. lymphocyte c. macrophage d. monocyte 33. All the following would be considered an aspect of microbial antagonism except: a. competition for nutrients. b. competition for space. c. production of bacteriocins. d. production of lysozyme. 34. Steps in phagocytosis in which the object is broken down and dissolved by digestive enzymes and other mechanisms? a. Chemotaxis Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM b. Attachment c. Ingestion d. Digestion 35. Which of the following statements about interferons is false? a. Interferons are virus-specific. b. Interferons have been used to treat hepatitis C and certain types of cancer. c. Interferons produced by a virus-infected cell will not save that cell from destruction. d. Interferons produced by virus-infected rabbit cells cannot be used to treat viral diseases in humans. 36. Which of the following is not one of the four cardinal signs or symptoms of inflammation? a. edema b. heat c. loss of function d. redness 37. The four steps in phagocytosis are: a. Chemotaxis, Attachment, Ingestion, and Digestion b. Phagocytosis, Cytosis, Mycosis, and Neutrophils c. redness, heat, swelling (edema), and pain d. Opsonization, Inflammation, Cytokines, and eosinophilia 38. _________ is a process by which phagocytosis is facilitated by the deposition of opsonins onto the surface of particles or cells. a. Cytokines b. Inflammation c. Opsonization d. Eosinophilia 39. ______________ remain within tissues and organs. a. Wandering macrophages b. Neutrophils c. Phagocytosis d. Fixed macrophages MODULE 18: SPECIFIC HOST DEFENSE MECHANISMS: AN INTRODUCTION TO IMMUNOLOGY 40. These are molecules that stimulate the immune system to produce antibodies a. antigen b. antibodies c. vaccines d. immunoglobulin Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM 41. These are proteins produced by the immune system in response to antigens. a. antigen b. antibodies c. vaccines d. immunoglobulin 42. The primary function of these cells are to secrete of cytokines. a. T cells b. B cells c. helper T cells d. cytotoxic T cells 43. The primary function of these cells is to destroy virally infected host cells, foreign cells, and tumor cells. a. T cells b. B cells c. helper T cells d. cytotoxic T cells 44. These vaccines can be injected safely to stimulate the production of antibodies that are capable of neutralizing the exotoxins of pathogens a. conjugate vaccine b. Inactivated vaccine c. attenuated vaccine d. toxoid vaccine 45. A 15-year-old healthy girl with no major medical problems notes blotchy areas of erythema that are pruritic over the skin of her arms, legs, and trunk within an hour every time she eats seafood, followed by diarrhea. These problems abate within 3 hours, and then physical examination reveals no abnormal findings. Which of the following immunologic abnormalities is she most likely to have? a. Localized anaphylaxis b. Cell-mediated hypersensitivity c. Complement activation d. Immune complex deposition 46. Twelve hours after going on a hike through dense foliage, a 40-year-old man notices a slightly raised and tender irregular reddish rash on one forearm that was not covered by clothing. This rash gradually increases in intensity for 2 days and then fades away after two weeks. Which of the following forms of immunologic hypersensitivity is most likely demonstrated in this patient? a. Type I hypersensitivity b. Type II hypersensitivity c. Type III hypersensitivity Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM d. Type IV hypersensitivity 47. Which of the following could be an effect of type III hypersensitivity? a. glomerulonephritis b. rheumatoid arthritis c. SLE d. all of the above 48. A 9-year-old boy has a sore throat. A throat culture grows group A hemolytic Streptococcus. He receives antibiotic therapy. However, 17 days later he develops dark- colored urine. Laboratory studies show 3+ blood on urinalysis. A renal biopsy is performed. On immunofluorescence staining the biopsy shows granular deposition of IgG and complement around glomerular capillary loops. Which of the following immune hypersensitivity mechanisms is most likely responsible for this pattern of findings? a. Type I hypersensitivity b. Type II hypersensitivity c. Type III hypersensitivity d. Type IV hypersensitivity 49. A positive tuberculin skin test, with a firm 15 mm diameter dark red firm area of induration on the forearm, appears 60 hours following injection of the purified protein derivative (PPD). This finding is most likely to be a consequence of which of the following types of hypersensitivity reaction? a. Type I hypersensitivity b. Type II hypersensitivity c. Type III hypersensitivity d. Type IV hypersensitivity 50. These chemicals can cause skin reactions similar to those caused by poison ivy. a. Irritant contact dermatitis b. Latex allergy c. Allergic contact dermatitis d. Systemic anaphylaxis 51. ___________________ occur from within a few minutes to 24 hours after contact with a particular antigen. a. Delayed-type hypersensitivity reactions b. Immediate-type hypersensitivity reactions c. Localized reactions d. Systemic anaphylaxis 52. Which of the following statement is TRUE? a. The person has active tuberculosis (in which case, a chest radiograph will show the disease, the person will probably be coughing, and the person’s sputum will contain acid-fast bacilli). Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM b. The person had tuberculosis at some time in the past and recovered (in this case, the person should remember having had tuberculosis or the person’s medical records will contain this information). c. The person was infected with M. tuberculosis at some time in the past, but the organisms were killed by that person’s host defense mechanisms (even though this person currently harbors no live M. tuberculosis cells, he or she will receive a 6-month course of isoniazid, because there is no way to differentiate possibility 3 from possibility 4). d. All choices are correct. MODULE 19: OVERVIEW OF INFECTIOUS DISEASES PART 1 53. Otitis media is an inflammation or infection of the: a. ear. b. eye. c. brain. d. urinary bladder. 54. Keratitis is an inflammation or infection of the: a. conjunctiva. b. cornea. c. kidney. d. skin. 55. Which of the following is/are the most common cause of pharyngitis? a. Escherichia coli b. Staphylococcus aureus c. Streptococcus pyogenes d. Viruses 56. Which of the following is the most common cause of tooth decay? a. S. aureus b. Streptococcus agalactiae c. Streptococcus mutans d. S.pyogenes 57. An abnormally frequent discharge of semisolid or fluid fecal matter. a. diarrhea b. dysentery c. colitis d. gastritis 58. Which of the following is not one of the three most common causes of bacterial meningitis? a. E. coli Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM b. Haemophilus influenzae c. Neisseria meningitidis d. Streptococcus pneumoniae 59. Which of the following is not one of the three most common causes of bacterial meningitis? a. E. coli b. Haemophilus influenzae c. Neisseria meningitidis d. Streptococcus pneumoniae 60. A bacterial lower respiratory infection that can cause meningitis and occurs in immunocompetent individuals but is more common and more severe in immunosuppressed individuals. a. Mycobacterium avium complex b. Pneumocystis pneumonia c. Toxoplasmosis d. Tuberculosis 61. What are the major causes of bacterial meningitis in neonates? a. Streptococcus agalactiae b. E. coli c. Listeria monocytogenes. d. both A and C e. All of the above 62. 10. What is the most common cause of nephritis and pyelonephritis? a. H. pylori b. E. coli c. Streptococcus pyogenes d. Staphylococcus aureus 63. ________ is a parasitic infection that occurs in immunocompetent individuals but _is more common and more severe in immunosuppressed individuals. a. Aspergillosis b. Candidiasis c. Malaria d. Toxoplasmosis 64. _________ is the protozoal infection of the eyes and brain. a. Aspergillosis b. Candidiasis c. Malaria d. Toxoplasmosis Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM 65. __________________ is a yeast infection of the mouth (thrush), throat, or vagina; can become a systemic infection in immunosuppressed individuals. a. Aspergillosis b. Candidiasis c. Malaria d. Toxoplasmosis MODULE 20: VIRAL INFECTIONS 66. What is the most virulent strain of avian influenza? A a. H1N1 b. H3N1 c. H5N1 d. H7 67. Which of the following are considered to be oncogenic? a. Epstein-Barr virus and HPVs b. HIV and Ebola virus c. rubella and rubeola viruses d. variola and varicella viruses 68. Laboratory diagnosis of HIV infection is usually made by which of the following? a. electron microscopy b. Growth of HIV in cell culture c. growth of HIV in embryonated chicken eggs d. immunodiagnostic procedures for the detection of antigen and antibodies 69. Which of the following is also known as infectious hepatitis? a. HAV b. HBV c. HCV d. HDV 70. Mosquitoes serve as vectors in all of the following viral diseases, except: a. dengue fever. b. hepatitis. c. West Nile virus disease. d. yellow fever. 71. Which of the following viruses is/are not transmitted sexually? a. hantavirus b. HSVs c. HIV d. Papillomaviruses 72. Which of the following is a DNA virus? A Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM a. HAV b. HBV c. HCV d. HDV 73. Which of the following is a type of herpes virus? a. Epstein-Barr virus b. measles virus c. mumps virus d. rabies virus 74. Measles is caused by what type of virus? a. rubeola b. rubella c. varicella d. varicella-zoster 75. The disease known as severe acute respiratory syndrome (SARS) is caused by a type of: a. coronavirus. b. herpes virus. c. papillomavirus. d. picornavirus. 76. EEE virus is an RNA virus in the family of ______________. a. Togaviridae b. Bunyaviridae c. Flaviviridae d. Coquilletidia mosquitoes 77. St. Louis virus encephalitis virus is an RNA virus in the family of ________________. a. Togaviridae b. Bunyaviridae c. Flaviviridae d. Aedes mosquito 78. Which of the following are reservoirs of California encephalitis virus? a. Bats, birds b. Rodents, rabbits c. Horses d. Chipmunks MODULE 21: BACTERIAL INFECTIONS PART 1 79. Nurse Sandra is handling a child with pertussis. During the assessment, the nurse will observe on which of the following characteristic of the child’s cough? a. A sour cough Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM b. A chesty cough c. A hacking cough that ends with a whooping sound d. A barking, painful cough 80. A clinical instructor is providing teachings among nursing students about the stages of pertussis. Which of the following is the final phase of a pertussis infection? a. Paroxysmal phase b. Recovery phase c. Catarrhal phase d. Convalescent phase 81. Leprosy is also called: a. Hartmann's disease b. Hansen's disease c. Humprey's disease d. Harry's disease 82. 4. _______________ is the most common cause of pneumonia in the world. a. Chlamydophila pneumoniae b. Legionella pneumophila c. Mycoplasma pneumoniae d. Streptococcus pneumoniae 83. Gas gangrene is always caused by: a. Bacillus anthracis. b. Clostridium spp. c. Staphylococcus aureus. d. Streptococcus pyogenes. 84. Untreated strep throat can lead to the following complications. EXCEPT? a. Scarlet fever b. infective endocarditis c. acute glomerulonephritis d. rheumatic fever 85. What do you call an influenza-like, less severe form of legionellosis, is not associated with pneumonia or death? a. Scarlet fever b. Parrot fever c. Rheumatic fever d. Pontiac fever 86. It is a highly contagious, acute, or chronic conjunctival inflammation, resulting in scarring of cornea and conjunctiva a. Gonococcal Conjunctivitis b. Chlamydia Keratoconjunctivitis Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM c. Inclusion Conjunctivitis d. Paratrachoma 87. This is characterized by numerous nodules in skin and possible involvement of the nasal mucosa and eyes. a. lepromatous leprosy b. tuberculoid leprosy c. leprosy d. Hansen’s disease 88. This is referred to as “swimmer’s ear” because it often results from swimming in water contaminated with Pseudomonas aeruginosa. a. tinnitus b. otitis externa c. otitis media d. otitis interna 89. ____________________ is also called Vincent’s angina and trench mouth. a. Acute Necrotizing Ulcerative Gingivitis b. Tonsilitis c. Periodontal disease d. Thrush 90. The coughing fits produce a clear, tenacious mucus and vomiting. They may be so severe as to cause lung rupture, bleeding in the eyes and brain, broken ribs, rectal prolapse, or hernia. These are symptoms of _________________. a. Tuberculosis b. Whooping Cough c. Mycoplasmal Pneumonia d. Legionellosis 91. ___________________ is an acute bacterial infection of the throat with soreness, chills, fever, headache, a beefy red throat, white patches of pus on pharyngeal epithelium, enlarged tonsils, and enlarged and tender cervical lymph nodes. a. Diphtheria b. Pneumonia c. Streptococcal Pharyngitis d. Whooping cough MODULE 22: BACTERIAL INFECTIONS PART 2
92. What organism causes Rocky Mountain spotted fever?
a. Rickettsia helvetica b. Borrelia burgdorferi Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM c. Ehrlichia chaffeensis d. Rickettsia rickettsia 93. Which of the following organisms causes fever, headache, fatigue, myalgia, and buboes? a. Borrelia burgdorferi b. Staphylococcus aureus c. Yersinia pestis d. Bacillus anthracis 94. Which of the following describes the classification of Neisseria gonorrhoeae? a. Gram negative diplococcus b. Gram positive diplococcus c. Gram positive rod d. Gram negative rod 95. Which of the following is the most common arthropod-borne disease? a. Lyme disease b. plague c. Rocky Mountain spotted fever d. Tularemia 96. Which of the following diseases is not caused by a spirochete? a. Lyme disease b. Plague c. relapsing fever d. syphilis 97. Which of the following associations is incorrect? a. Lyme disease . . . tick b. plague . . . rat flea c. Rocky Mountain spotted fever . . . tick d. typhoid fever . . . mosquito 98. Tetanus is an acute neuromuscular disease induced by a bacterial exotoxin called? a. tetanospasmin b. neurotoxin c. cytotoxin d. endotoxin 99. What is the etiologic agent of typhoid fever? a. typhoid bacillus b. Rickettsia prowazekii c. Rickettsia typhi d. salmonella typhi 100. What is the etiologic agent of endemic typhus? a. typhoid bacillus Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM b. Rickettsia prowazekii c. Rickettsia typhi d. Vibrio typhi 101. What is the etiologic agent of epidemic typhus? a. typhoid bacillus b. Rickettsia prowazekii c. Rickettsia typhi d. Vibrio typhi 102. Which of the following statement is TRUE about syphilis? a. Syphilis is a treponemal disease that occurs in four stages. b. Syphilis transmission occurs via direct mucous membrane-to-mucous membrane contact, usually sexual contact; adult-to-child (may indicate sexual abuse); and motherto-neonate during birth. c. Syphilis is an acute, often severe zoonosis. d. The etiologic agent of syphilis is Yersinia pestis, a nonmotile, bipolar-staining, Gram-negative coccobacillus, sometimes referred to as the plague bacillus. 103. __________________ is a disease consist of a hemorrhagic, watery diarrhea with abdominal cramping. a. Enterotoxigenic E. coli b. Enterohemorrhagic E. coli c. Shigellosis d. Cholera 104. __________________ is an acute bacterial infection of the lining of the small and large intestine, producing diarrhea (as many as 20 bowel movements a day) with blood, mucus, and pus. a. Enterotoxigenic E. coli b. Enterohemorrhagic E. coli c. Cholera d. Shigellosis MODULE 23: FUNGAL AND PARASITIC INFECTIONS 105. Which of the following diseases is caused by an encapsulated yeast? a. Coccidioidomycosis b. Cryptococcosis c. Histoplasmosis d. Pneumocystis pneumonia 106. Which of the following diseases is not caused by a dimorphic fungus? a. Coccidioidomycosis b. Cryptococcosis Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM c. Histoplasmosis d. Sporotrichosis 107. Which of the following diseases is a synonym for ringworm infection of the nails? a. tinea barbae b. tinea cruris c. tinea nigra d. tinea unguium 108. What do you call an acute-to-subacute pulmonary disease found in malnourished, chronically ill children; premature infants; and immunosuppressed patients, such as those with AIDS? a. Cryptococcosis b. Coccidioidomycosis c. Histoplasmosis d. Pneumocystis pneumonia 109. A fungal infection characterized with white, creamy patches occur on the tongue, mucous membranes, and the corners of the mouth? a. Cryptococcal meningitis b. thrush c. tinea pedis d. yeast vaginitis 110. You are visiting a friend whose parents raise pigs. Which of the following diseases are you most likely to acquire by drinking well water at their farm? a. amebiasis b. balantidiasis c. cryptosporidiosis d. giardiasis 111. You are working on a cattle ranch. Which of the following diseases are you most apt to acquire as you perform your duties at the ranch? a. amebiasis b. balantidiasis c. cryptosporidiosis d. giardiasis 112. Which of the following protozoal diseases are you most likely to acquire by eating a rare hamburger? a. amebiasis b. balantidiasis c. giardiasis d. toxoplasmosis 113. Which of the following associations is incorrect? Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM a. African trypanosomiasis . . . tsetse fly b. amebiasis . . . fecally contaminated water c. Chagas’ disease . . . mosquito d. toxoplasmosis . . . cats 114. Which of the following is caused by an ameboflagellate named N. fowleri? a. African trypanosomiasis b. giardiasis c. malaria d. PAM 115. ____________________ are fungal infections of the outermost areas of the human body, including the outer surfaces of hair shafts and the outermost, nonliving layer of the skin (the epidermis). a. Superficial mycoses b. Black Piedra c. Subcutaneous mycoses d. Systemic mycoses 116. ____________________ is a systemic mycosis of varying severity, ranging from asymptomatic to acute to chronic. The primary lesion is usually in the lungs. a. Dermatophytoses b. Histoplasmosis c. Pneumocystis Carinii Pneumonia d. Pneumonia 117. ____________________ starts as a lung infection, but spreads via the bloodstream to the brain. a. Yeast Vaginitis b. Thrush c. Cryptococcosis d. Leishmaniasis 118. ____________________ conjunctivitis and keratoconjunctivitis are amebic infections causing inflammation of the conjunctiva, corneal ulcers, pus formation, and severe pain. a. Toxoplasmosis b. Amebic Eye Infections c. Amebiasis d. Cyclosporiasis 119. ____________________ is a coccidial gastrointestinal infection, causing watery diarrhea (6 or more stools per day), nausea, anorexia, abdominal cramping, fatigue, and weight loss. a. Cyclosporiasis Araullo University - PHINMA College of Allied Health Sciences Microbiology AND Parasitology (HES007) FINAL EXAM b. Amebiasis c. Giardiasis d. Trichomoniasis 120. Which of the following statement is NOT TRUE. a. Malaria is a systemic disease caused by flagellated protozoa in the bloodstream, known as hemoflagellates. b. Human malaria is caused by four species in the genus Plasmodium: Plasmodium vivax (the most common species), P. falciparum (the deadliest), Plasmodium malariae, and Plasmodium ovale. c. Falciparum malaria may be accompanied by cough, diarrhea, respiratory distress, shock, renal and liver failure, pulmonary and cerebral edema, coma, and death. d. Infection with P. vivax and P. ovale results in chills and fever every 48 hours and is referred to as tertian malaria. P. malariae infection causes chills and fever every 72 hours and is referred to as quartan malaria. P. falciparum periodicity varies from 36–48 hours.