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Medical Micro 6: Cardiovascular

Total questions: 104

Worksheet time: 59mins

Name
Class
Date
1.

Most infections in the heart occur in the

a)

pericardium

b)

endocardium

c)

valves

2.

bacterial infection of the bloodstream (systemic infection)

a)

septicemia

b)

lymphangitis

c)

bacteremia

3.

infection of the lymphatic system

a)

septicemia

b)

lymphangitis

c)

bacteremia

4.

transient bacteria in the bloodstream

a)

septicemia

b)

lymphangitis

c)

bacteremia

5.

diagnosis of septicemia includes

a)

coma

b)

change in mental status

c)

low WBC

d)

SBP < 100

e)

RR > 22

6.

Sepsis is the body's response to septicemia

a)

True

b)

False

7.

Every hour you delay antibiotic therapy in septic shocks patients, chance of death increases

a)

True

b)

False

8.

Correct chain of events leading to sepsis and septic shock

a)

1) Endotoxin/Exotoxin Accumulation

2) Septicemia

3) Localized infections

b)

1) Septicemia

2) Localized Infections

3) Endotoxin/Exotoxin Accumulation

c)

1) Localized Infections

2) Endotoxin/Exotoxin Accumulation

3) Septicemia

d)

1) Localized Infections

2) Septicemia

3) Endotoxin/Exotoxin Accumulation

9.

affects the endocardium and heart valves

a)

infective endocarditis

b)

septicemia

c)

streptococcal infections

d)

schistosomiasis

10.

Causative agent(s) for acute endocarditis

a)

Staphylococcus aureus

b)

Streptococcus pneumoniae

c)

Neisseria gonorrhoeae

d)

Stretococcus pyogenes

e)

Enterococcus faecalis

11.

Signs/symptoms of this endocarditis include high fever, fast heart rate, fatigue, and signs of infections at other sites:

a)

Acute

b)

Subacute

c)

Prosthetic

12.

Causative agent(s) for subacute endocarditis:

a)

Streptococcus

b)

Staphylococcus

c)

Haemophilus

d)

Enterococcus

13.

Underlying heart valve disease

a)

Acute endocarditis

b)

Subacute endocarditis

c)

Prosthetic endocarditis

14.

Treatment for this endocarditis includes surgery, likely a valve replacement:

a)

Acute

b)

Subacute

c)

Prosthetic

15.

Streptococcal infections cannot affect the cardiovascular systems

a)

True

b)

False

16.

Causative agent(s) for Puerperal fever (childbed fever)

a)

S. pyogenes

b)

S. agalactiae

c)

E. coli

17.

Causative agent(s) of Neonatal sepsis

a)

S. pyogenes

b)

S. agalactiae

c)

E. coli

18.

Causative agent(s) of Rheumatic fever:

a)

S. pyogenes

b)

S. agalactiae

c)

E. coli

19.

Inflammatory response to the throat infection and primarily affects the joints and heart

a)

Puerperal fever

b)

Neonatal sepsis

c)

Rheumatic fever

20.

The worms that cause schistosomiasis are found in the United States

a)

True

b)

False

21.

Major effects in Schistosoma are due to snail eggs in the:

a)

Liver

b)

Intestines

c)

Bladder

22.

Schistosoma is transmitted by

a)

Snails

b)

Mosquitoes

23.

In filariasis, larvae infect the

a)

lymphatic system

b)

cardiovascular system

24.

Filariasis is transmitted by

a)

Snails

b)

Mosquitoes

25.

Filariasis is caused by

a)

Yersinia pestis

b)

Wuchereria bancrofti

c)

Neisseria gonorrhoeae

d)

Enterococcus faecalis

26.

Causative agent of the Plague ("The Black Death"):

a)

Yersinia pestis

b)

Wuchereria bancrofti

c)

Neisseria gonorrhoeae

d)

Enterococcus faecalis

27.

Yersinia pestis

a)

Facultative

b)

Gram-neg rod

c)

Gram-pos rod

d)

bipolar staining

e)

spore forming

28.

Bacteria localize in lymph nodes, painful and substantial swelling, transmitted through the bite of an infected flea or exposure to infected material through a break in the skin, dark splotches on skin from bleeding:

a)

Bubonic plague

b)

Septicemic plague

c)

Pneumonic plague

29.

Bacilli spread to the bloodstream, high fever, diarrhea, abdominal pain, can lead to meningitis and nearly 100% fatal if untreated:

a)

Bubonic plague

b)

Septicemic plague

c)

Pneumonic plague

30.

transmitted from person to person (from coughing), buboes are not present

a)

Bubonic plague

b)

Septicemic plague

c)

Pneumonic plague

31.

Tularemia is transmitted via

a)

person to person (coughing)

b)

arthropod bite (ticks)

32.

Tularemia (Rabbit fever) treatment:

a)

streptomycin

b)

oral ciprofloxacin

c)

doxycycline

d)

penicillin

33.

Disease(s) caused by spirochetes:

a)

Plague

b)

Tularemia

c)

Lyme Disease

d)

Relapsing fever

34.

Causative agent of lyme disease:

a)

Yersinia pestis

b)

Wuchereria bancrofti

c)

Neisseria gonorrhoeae

d)

Borrelia burgdorferi

35.

Symptoms of lyme disease

a)

fever

b)

headache

c)

fatigue

d)

change in mental status

e)

erythema migrans

36.

This stage of lyme disease involves a slowly expanding red rash (erythema migrans) at the bite site, resembles a bull's-eye, accompanied by flu like symptoms:

a)

Early localized stage

b)

Early disseminated stage

c)

Late stage

37.

This stage of lyme disease begins weeks to months later and bacteria disseminated to the skin, heart, and nervous system:

a)

Early localized stage

b)

Early disseminated stage

c)

Late stage

38.

This stage of lyme disease occurs months to years later and involves chronic arthritis with swelling in the larger joints:

a)

Early localized stage

b)

Early disseminated stage

c)

Late stage

39.

Treatment includes 10 days of doxycycline

a)

Early localized stage

b)

Early disseminated stage

c)

Late stage

40.

Treatment includes 28 days of doxycycline

a)

Early localized stage

b)

Early disseminated stage

c)

Late stage

41.

Causative agent(s) of Endemic relapsing fever

a)

Borrelia hermisii

b)

Borrelia turicatae

c)

Borrelia recurrentis

42.

Causative agent of Louseborne (epidemic) relapsing fever

a)

Borrelia hermisii

b)

Borrelia turicatae

c)

Borrelia recurrentis

43.

Endemic relapsing fever is transmitted via

a)

ticks from rodents

b)

body lice

c)

mosquitoes

d)

snails

44.

Louseborne (epidemic) relapsing fever is transmitted via

a)

ticks from rodents

b)

body lice

c)

mosquitoes

d)

snails

45.

Symptoms of relapsing fever

a)

fever

b)

chill

c)

headache peak

d)

erythema migrans

e)

high numbers of microorganisms in blood

46.

Treatment of relapsing fever without CNS involvement:

a)

doxycycline

b)

penicillin

c)

ceftriaxone

47.

Treatment of relapsing fever with CNS involvement:

a)

doxycycline

b)

penicillin

c)

ceftriaxone

48.

Causative agent of Brucellosis:

a)

Brucella species

b)

Rickettsia rickettsia

49.

Causative agent of Rocky Mountain spotted fever (RMSF) or Spotted Fever Rickettsiosis (SFR)

a)

Brucella species

b)

Rickettsia rickettsia

50.

Brucella species are

a)

Gram negative

b)

Gram positive

c)

coccus

d)

rods

51.

This disease has a specific fever pattern of sweats in the day, chills at night:

a)

Brucellosis

b)

Rocky Mountain spotted fever (RMSF)

c)

Human monocytic ehrlichiosis (HME)

d)

Human granulocytic anaplasmosis (HGA)

52.

Infection can occur through eyes, abrasions, or consumption of contaminated dairy products and has a 2-10 week incubation:

a)

Brucellosis

b)

Rocky Mountain spotted fever (RMSF)

c)

Human monocytic ehrlichiosis (HME)

d)

Human granulocytic anaplasmosis (HGA)

53.

The bacteria of this disease are transported to the spleen and lymph glands:

a)

Brucellosis

b)

Rocky Mountain spotted fever (RMSF)

c)

Human monocytic ehrlichiosis (HME)

d)

Human granulocytic anaplasmosis (HGA)

54.

This disease can cause chronic infection in one organ or systemically, complications include endocarditis:

a)

Brucellosis

b)

RMSF

c)

HME

d)

HGA

55.

Treatment for Brucellosis:

a)

Penicillin (10 days)

b)

Gentamicin (7-10 days)

c)

Doxycycline (6 weeks)

d)

Fluconazole (for life)

56.

Rickettsiae

a)

small

b)

large

c)

gram negative

d)

gram positive

e)

obligate intracellular parasites

57.

RMSF or SFR is transmitted via

a)

hard ticks

b)

lone star tick

c)

blacklegged tick

58.

HME is transmitted via

a)

hard ticks

b)

lone star tick

c)

blacklegged tick

59.

HGA is transmitted via

a)

hard ticks

b)

lone star tick

c)

blacklegged tick

60.

Symptoms of RMSF/SFR include:

a)

high fever

b)

headache

c)

chills

d)

fatigue

e)

maculopapolar rash

61.

Clinical presentation of HME includes:

a)

acute febrile illness

b)

myalgia

c)

arthralgias

d)

malaise

e)

maculopapular rash

62.

Leukocytes are infected and a lowering of white blood cell count (leukopenia) is seen in this disease:

a)

Brucellosis

b)

RMSF

c)

HME

d)

HGA

63.

Doxycycline is the treatment

a)

RMSF

b)

SFR

c)

HME

d)

HGA

64.

What would distinguish from RMSF and ehrlichiosis

a)

White blood count

b)

Antibody test

c)

Strep test

d)

Oxygen levels

e)

Red blood count

65.

Treatment is available for infectious mononucleosis (mono)

a)

True

b)

False

66.

Individuals with preexisting cardiovascular disease are at increased risk for morbid and mortal complications due to COVID-19.

a)

True

b)

False

67.

Largest member of herpesviridae

a)

Cytomegalovirus (CMV)

b)

Epstein-Barr virus (EBV)

68.

The virus may pass into the fetus of a pregnant woman, causing mental impairment

a)

Cytomegalovirus (CMV)

b)

Epstein-Barr virus (EBV)

69.

Member of TORCH microbes that cross the placenta to cause severe congenital defects

a)

Cytomegalovirus (CMV)

b)

Epstein-Barr virus (EBV)

70.

Spread by contact with saliva

a)

Cytomegalovirus

b)

Infectious mononucleosis

c)

Burkitt lymphoma

71.

Causative agent of infectious mononucleosis (mono)

a)

Cytomegalovirus (CMV)

b)

Epstein-Barr virus (EBV)

72.

Causative agent of Burkitt lymphoma

a)

Cytomegalovirus (CMV)

b)

Epstein-Barr virus (EBV)

73.

Tumor of the jaw prevalent in Africa

a)

Cytomegalovirus

b)

Infectious mononucleosis

c)

Burkitt lymphoma

74.

Complications of mono include:

a)

Jaundice

b)

Black vomit

c)

Myocarditis

d)

Guillain-Barre

e)

Spleen rupture

75.

Passed from person to person via mosquitoes:

a)

Flaviviruses

b)

Yellow Fever

c)

Dengue Virus

d)

Lassa Fever

e)

Ebola hemorrhagic fever

76.

Dengue virus occurs in 3 types

a)

True

b)

False - 1 type

c)

False - 2 types

d)

False - 4 types

77.

Recovery from one type of Dengue Virus does not confer immunity to other types

a)

True

b)

False

78.

Two vaccines are available, but no therapeutic drugs

a)

Flavivirus

b)

Yellow Fever

c)

Dengue Virus

d)

Lassa Fever

e)

Ebola hemorrhagic fever (EHF)

79.

Treatment is more supportive (control blood pressure), no antiviral for this:

a)

Flavivirus

b)

Yellow Fever

c)

Dengue Virus

d)

Lassa Fever

e)

Ebola hemorrhagic fever (EHF)

80.

Transmitted via rodents that carry virus, human infected via contact with urine or droppings

a)

Flavivirus

b)

Yellow Fever

c)

Dengue Virus

d)

Lassa Fever

e)

Ebola hemorrhagic fever (EHF)

81.

Hemorrhagic viruses:

a)

Flavivirus

b)

Yellow Fever

c)

Dangue Virus

d)

Lassa Fever

e)

Ebola hemorrhagic fever (EHF)

82.

Ribavirin is an effective treatment; to decrease mortality, implement treatment early

a)

Flavivirus

b)

Yellow Fever

c)

Dangue Virus

d)

Lassa Fever

e)

Ebola hemorrhagic fever (EHF)

83.

Members of the _____ produce severe hemorrhagic lesions of the tissues

a)

Herpesviridae

b)

Filoviridae

84.

Appears to be zoonotic, with fruit bats as a possible reservoir. Transmission can occur with contact with blood or secretions from and infected person or contaminated objects:

a)

Flavivirus

b)

Yellow fever

c)

Dangue virus

d)

Lassa fever

e)

Ebola hemorrhagic fever (EHF)

85.

Who is most susceptible to malaria?

a)

Children

b)

Adults

c)

Elderly

86.

Species of Plasmodium that cause malaria:

a)

P. vivax

b)

P. ovale

c)

P. malariae

d)

P. falciparum

e)

P. knowlesi

87.

Malaria death can occur due to:

a)

Internal hemorrhaging

b)

Secondary infection

c)

Severe dehydration

d)

Loss of RBCs

e)

RBC clustering in small vessels

88.

Treatment drug of choice is doxycycline

a)

Babesiosis

b)

Trypanosomiasis

c)

Epidemic typhus

d)

Brill-Zinsser disease

e)

Endemic typhus

89.

Also known as typhus fever

a)

Epidemic typhus

b)

Endemic typhus

90.

Also known as Mexican typhus or murine typhus

a)

Epidemic typhus

b)

Endemic typhus

91.

Causative agent of Endemic typhus

a)

B. microti

b)

T. brucei

c)

T. cruzi

d)

R. typhi

e)

R. prowazekii

92.

Causative agent of Epidemic typhus:

a)

B. microti

b)

T. brucei

c)

T. cruzi

d)

R. typhi

e)

R. prowazekii

93.

Causative agent of Chagas disease

a)

B. microti

b)

T. brucei

c)

T. cruzi

d)

R. typhi

e)

R. prowazekii

94.

Causative agent of Human African sleeping sickness

a)

B. microti

b)

T. brucei

c)

T. cruzi

d)

R. typhi

e)

R. prowazekii

95.

Causative agent of Babesiosis

a)

B. microti

b)

T. brucei

c)

T. cruzi

d)

R. typhi

e)

R. prowazekii

96.

Malaria like disease that is transmitted by ticks, where parasites invade RBCs:

a)

Babesiosis

b)

Human African sleeping sickness

c)

Chagas disease

d)

Epidemic typhus

e)

Endemic typhus

97.

Trypanosomiasis is the name for 2 diseases caused by species of Trypanosoma and those 2 diseases are:

a)

Babesiosis

b)

Human African sleeping sickness

c)

Chagas disease

d)

Epidemic typhus

e)

Endemic typhus

98.

Transmitted by tsetse fly, chancre forms at the bite site, and parasites invade the bloodstream and then central nervous system

a)

Babesiosis

b)

Human African sleeping sickness

c)

Chagas disease

d)

Epidemic typhus

e)

Endemic typhus

99.

Treatment of malaria

a)

Doxycycline

b)

Chloroquine

c)

Penicillin

d)

No treatment exists

100.

Transmitted by reduviid bug (insect) and damages intestinal tract and cardiac nerve (sudden heart failure)

a)

Babesiosis

b)

Human African sleeping sickness

c)

Chagas disease

d)

Epidemic typhus

e)

Endemic typhus

101.

Transmitted by feces of body lice that flourish when sanitation and hygiene is poor

a)

Babesiosis

b)

Human African sleeping sickness

c)

Chagas disease

d)

Epidemic typhus

e)

Endemic typhus

102.

Transmitted by oriental rat fleas

a)

Babesiosis

b)

Human African sleeping sickness

c)

Chagas disease

d)

Epidemic typhus

e)

Endemic typhus

103.

Brill-Zinsser disease appears to be a relapse (years later) of:

a)

Epidemic typhus

b)

Endemic typhus

104.

Transmitted by one of two species of mosquito

a)

Flavivirus

b)

Yellow Fever

c)

Dangue Virus

d)

Lassa Fever

e)

Ebola hemorrhagic fever (EHF)