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Patterns of Disease & Epidemiology

Total questions: 60

Worksheet time: 30mins

Name
Class
Date
1.

__________________ vaccines are deliberately weakened cell cultures that closely mimic an actual infection and tend to provide better immunity; booster shots are examples.

a)

attenuated

b)

conjugated

c)

live

d)

protein-based

2.

The major significance of Robert Koch's work is that:

a)

all microbes can be cultured.

b)

diseases can be transmitted from one animal to another.

c)

specific microbes cause specific diseases.

d)

microbes are present in a diseased animal.

3.

__________________ showed that hand washing decreased the incidence of puerperal sepsis in pregnant women and their newborns.

a)

Pasteur

b)

Jenner

c)

Ehrlich

d)

Semmeleweis

4.

Unlike influenza, tuberculosis symptoms develop slowly and are less severe, but are continuous or recurrent for long periods of time. Tuberculosis is a(n) ____________________ disease.

a)

latent

b)

chronic

c)

acute

d)

serious

5.

Biological transmission differs from mechanical transmission in that biological transmission

a)

occurs when a pathogen is carried on the feet of an insect.

b)

involves fomites.

c)

involves reproduction of a pathogen in an arthropod vector prior to transmission.

d)

requires direct contact.

6.

Mechanical transmission differs from biological transmission in that mechanical transmission

a)

occurs when a pathogen is carried on the insect.

b)

involves fomites.

c)

involves reproduction of a pathogen in an arthropod vector prior to transmission.

d)

requires direct contact.

7.

__________________ are standard precautions that allow medical personnel to avoid contact with blood, body fluids, excretions, secretions.

a)

PPE

b)

labcoats

c)

goggles

d)

gloves

8.

Symptoms of disease differ from signs of disease in that symptoms:

a)

always occur as part of a syndrome.

b)

are changes felt by the patient.

c)

are specific for a particular disease.

d)

are measurable changes observed by the physician.

9.

Robert has a migraine. This is a:

a)

sign

b)

symptom

10.

Phyllis has a temperature of 103.6F. This is a:

a)

sign

b)

symptom

11.

The rise in herd immunity among a population can be directly attributed to:

a)

improved handwashing.

b)

increased use of antibiotics.

c)

antibiotic-resistant microbes

d)

vaccinations

12.

A disease in which the causative agent remains inactive for a time before producing symptoms is referred to as:

a)

communicable

b)

subacute

c)

zoonotic

d)

latent

13.

Toxic inflammatory condition arising from the spread of microbes, especially bacteria or their toxins are termed:

a)

shock

b)

sepsis

c)

bacteremia

d)

septicemia

14.

Both normal and transient flora can become opportunistic pathogens.

a)

True

b)

False

15.

__________________ are animals that carry pathogens from one host to another; many are arthropods.

a)

vectors

b)

reservoirs

c)

fomites

d)

hosts

16.

Which of the following is NOT a reservoir of infection?

a)

a sick person

b)

a healthy person

c)

a sheep

d)

All are reservoirs

17.

Which of the following is NOT a communicable disease?

a)

tetanus

b)

tuberculosis

c)

HIV

d)

syphilis

18.

Which of the following is a communicable disease?

a)

tetanus

b)

botulism

c)

cancer

d)

chlamydia

19.

Which of the following definitions is INCORRECT?

a)

pandemic: a disease that affects a large number of people in the world in a short time

b)

epidemic: a disease that is endemic across the world

c)

endemic: a disease that is constantly present in a population

d)

sporadic: a disease that affects a population occasionally

20.

__________________ is the incidence of a specific notifiable disease, whereas __________________ is the number of deaths resulting from a notifiable disease.

a)

morbidity; mortality

b)

mortality; morbidity

21.

An___________________ individual is one whose resistance to infection is impaired by disease, therapy, or burns.

a)

ill

b)

immunocompromised

c)

overtreated

d)

hypersensitive

22.

Which of the following is a fomite?

a)

insects

b)

droplets from a sneeze

c)

water

d)

hypodermic needle

23.

Which of the following is a vehicle?

a)

blood

b)

food

c)

water

d)

all of these

24.

Rabies is an example of a zoonotic disease.

a)

True

b)

False

25.

The role a microbe takes on in a particular habitat is a:

a)

commensal

b)

microbiome

c)

microenvironment

d)

niche

26.

__________________ is the route of transmission of all foodborne illnesses.

a)

urinary

b)

gastrointestinal

c)

respiratory

d)

parenteral

27.

Number of new cases of a disease compared to individuals at risk in a population:

a)

mortality

b)

incidence

c)

morbidity

d)

prevalence

28.

Emergence of infectious diseases can be attributed to all of the following EXCEPT:

a)

The emergence of infectious diseases can be attributed to all of these.

b)

ease of travel

c)

climatic changes.

d)

antibiotic resistance.

29.

Transient microbiota differ from normal microbiota in that transient microbiota

a)

are found in a certain location on the host.

b)

cause diseases.

c)

are always acquired by direct contact.

d)

are present for a relatively short time.

30.

Chemicals that preserve and increase the efficacy of vaccines and other medical treatments are termed _________________.

a)

adjuvants

b)

preservatives

c)

cultures

d)

metals

31.

Tammie is being treated for a verified case of strep throat, but her throat is getting worse. She goes to the doctor again and is diagnosed with oral thrush. What type of infection is being caused by Candida albicans?

a)

primary infection

b)

secondary infection

c)

septic infection

d)

misdiagnosed infection

32.

The organization responsible for overseeing international health issues and monitoring worldwide disease occurrences is the :

a)

CDC

b)

WHO

c)

EUHSC

d)

Ministry of Magic

33.

Steven got a deep cut on his toe and it is inflamed. What type of infection is this?

a)

local

b)

focal

c)

systemic

d)

accidental

34.

Craig got a deep paper cut and his finger-tip became inflamed. He did not treat the cut and now, 2 weeks later, his whole body hurts. He is tired and pale. What type of infection is this?

a)

local

b)

focal

c)

systemic

d)

accidental

35.

During the period of illness, what phases of growth are bacteria most likely undergoing?

a)

lag & log

b)

log & stationary

c)

stationary & death

d)

lag & stationary

36.

Typhoid Mary is considered a(n) ________________ carrier.

a)

convalescent

b)

incubation

c)

asymptomatic

d)

chronic

37.

Health professionals that interact with patients and may accidentally contaminate them are considered ___________carriers.

a)

passive

b)

convalescent

c)

nosocomial

d)

asymptomatic

38.

E. coli in the gut secrete _______________ that kill pathogenic microbes like Salmonella.

a)

bacteriocins

b)

penicillinases

c)

tetracyclins

d)

nystatins

39.

You are an epidemiologist at the CDC. You have four possible outbreaks to investigate. Which needs the most immediate attention?

a)

18 cases of gonorrhea

b)

300 cases of rhinovirus

c)

2 cases of rabies

d)

all are of equal importance

40.

During flu season, in a population of 32,000 individuals, 96 people became infected, and of those, 77 people died. What is the mortality rate?

a)

77/32,000

b)

96/32,000

c)

77/96

d)

None of these

41.

_______________ is the cause of a particular disease.

a)

etiology

b)

pathology

c)

infection

d)

microbial type

42.

The common cold is always present in the human population. This is a(n) _______ disease.

a)

epidemic

b)

endemic

c)

pandemic

d)

sporadic

43.

The flu virus usually replicates rapidly and only causes signs/symptoms for a short period of time. This is a ________ disease.

a)

acute

b)

chronic

c)

latent

d)

bacterial

44.

Herd immunity is usually the most protective when ______% of the population is vaccinated.

a)

85-100

b)

60-100

c)

40-100

d)

25-100

45.

The more contagious a disease, the higher percentage of herd immunity required for protection.

a)

True

b)

False

46.

Humans can be a reservoir.

a)

True

b)

False

47.

The two most contagious stages of disease are:

a)

incubation and convalenscence

b)

incubation and illness

c)

illness and decline

d)

prodromal and illness

48.

The mouth, nose, urinary tract, and open wounds are:

a)

portals of entry

b)

portals of exit

c)

both portals of entry & exit

49.

All pathogens can use the same portals of entry in order to cause disease.

a)

True

b)

False

50.

Which of the following are routes of direct contact?

a)

kissing

b)

sex

c)

handshaking

d)

all of these

51.

One sneeze can produce over 20,000 droplets.

a)

True

b)

False

52.

Chance of transmission is highest for diseases transmitted via direct contact

a)

True

b)

False

53.

When does an infected individual begin to have signs/symptoms of disease?

a)

period of incubation

b)

prodromal period

c)

period of illness

d)

period of decline

54.

Recovery from illness usually occurs during the:

a)

period of incubation

b)

period of decline

c)

prodromal period

d)

period of convalescence

55.

Responsible for identifying reservoir of cholera in London:

a)

Semmelweis

b)

Lister

c)

Snow

d)

Koch

56.

Which of the following are types of epidemiological control methods?

a)

Reduce or eliminate source or reservoir of infection

b)

Break connection between source and susceptible individual

c)

Reduce number of susceptible individuals

d)

All of these are control methods

57.

Responsible for vaccination procedures, starting with smallpox:

a)

Koch

b)

Pasteur

c)

Snow

d)

Jenner

58.

Outbreak investigations do not involve:

a)

detecting the source of infection

b)

interviewing those infected

c)

recalling food and products

d)

infecting healthy individual to see if they get the same illness

59.

Outbreaks end when:

a)

there are no susceptible individuals

b)

there is no more source of infection

c)

the pathogen becomes less pathogenic

d)

all of these

60.

This organization collects and analyzes epidemiological information in the United States.

a)

CDC

b)

WHO

c)

EU

d)

OSHA