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QUIZ 3

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

ALL are true of Diphtheria toxin, EXCEPT:

a)

double chain

b)

three-domain polypeptide

c)

heat-stable

d)

All are correct

2.

This is a typical findings of what specie? *


a)

Clostridium tetani

b)

Clostridium botulinum

c)

All of the above

d)

Clostridium perfringens

3.

Invasiveness of the Corynebacterium diphtheriae is dependent on the: *

a)

Bacterial gene

b)

Host gene

c)

Phage gene

d)

All are true

4.

Germination of the spore and development of vegetative organisms that produce toxin in Clostridium tetani is aided by *

a)

Calcium salts

b)

Absence of necrotic tissue

c)

All of the above

d)

Not associated with pyogenic infections

5.

What is the minimum lethal dose of Diphtheria toxin? *

a)

0.1 ug/kg/body weight

b)

0.001 ug/kg/body weight

c)

1.0 ug/kg/body weight

d)

0.01 ug/kg/body weight

6.

The incubation period in inhalation anthrax is *

a)

6 days

b)

3 days

c)

6 months

d)

6 weeks

7.

These cause food poisoning and opportunistic infections in immunocompromised patients *

a)

Bacillus anthracis and Bacillus cereus

b)

Bacillus cereus

c)

Bacillus cereus and Bacillus thuringiensis

d)

Bacillus thuringiensis

8.

one of the coryneform bacteria most commonly isolated from acutely ill patients. *

a)

Corynebacterium jeikeium

b)

Corynebacterium xerosis

c)

Corynebacterium minutissimum

d)

Corynebacterium urealyticum

9.

Any of the choices is correct

Bacillus anthracis is acquired through which of the following entry? *

a)

Cutaneous

b)

Gastrointestinal

c)

Inhalation

d)

All of the above

10.

Toxigenicity of the Corynebacterium diphtheriae is dependent on the: *

a)

All are true

b)

Bacterial gene

c)

Phage gene

d)

Host gene

11.

What are the organs affected in disseminated Nocardiosis? *

a)

Liver and Gallbladder

b)

Brain and Skin

c)

Gastrointestinal Tract

d)

Pancreas

12.

Which of the following is the characteristic of emetic form of Bacillus cereus? *

a)

Incubation period of 1-24 hours

b)

Occasional diarrhea

c)

Fever and vomiting

d)

Profuse diarrhea

13.

Which of the following causes diphtheria? *

a)

Corynebacterium diphtheria

b)

Corynebacterium pseudotuberculosis

c)

All are correct

d)

Corynebacterium ulcerans

14.

Myonecrosis and gas gangrene are findings of *

a)

Clostridium difficile

b)

Clostridium botulinum

c)

Clostridium tetani

d)

Clostridium perfringens

15.

Treatment of choice for Erysipeloid: *

a)

Penicillin

b)

Cephalosphorins

c)

Macrolides

d)

trimethoprim–sulfamethoxazole

16.

Which of the following is most commonly isolated coryneform bacteria from clinical material. *

a)

All are correct

b)

Corynebacterium minutissimum

c)

Corynebacterium striatum

d)

Corynebacterium xerosis

17.

The motility that Listeria monocytogenes has is: *

a)

Falling- leaf motility

b)

Tumbling motility

c)

Gliding motility

d)

Jumping

18.

Alternatives to penicillin in treating Bacillus cereus infection include *

a)

Doxycline

b)

Erythromycin

c)

Ciprofloxacin

d)

All of the above

19.

Identify based on the morphology *

a)

Clostridium tetani

b)

Listeria monocytogenes

c)

Actinomycetes

d)

Bacillus subtilis

20.

Which of the following antibiotics are associated with Pseudomembranous colitis? *

a)

Fluoroquinolones

b)

All of the above

c)

Ampicillin

d)

Clindamycin

21.

Which is true to Diphtheria toxoid: *

a)

Should be given to immunocompromised patients

b)

commonly combined with tetanus toxoid (Td) and with acellular pertussis vaccine (DaPT)

c)

All are true

d)

commonly combined with measles

22.

this technology allows for assessment of ribosomal proteins whose spectral patterns are unique enough to identify organisms to the species level *

a)

MALDI-TOF-MS

b)

Gas Liquid Chromatography

c)

Polymerase Chain Reaction

d)

Culture

23.

Among the four biotypes of Corynebacteria, which produce more severe disease? *

a)

intermedius

b)

mitis

c)

Gravis

d)

belfanti

24.

The in-vitro production of Diphtheria toxin depends largely on the concentration of: *

a)

Sulfur

b)

Copper

c)

Iron

d)

magnesium

25.

Which of the following organism have these findings? *

a)

Bacillus cereus

b)

Clostridium difficile

c)

Bacillus subtilis

d)

Clostridium perfringens

26.

Comma shaped outgrowths (Medusa head) that project from the colony are characteristic finding of *

a)

Clostridium tetani

b)

Bacillus anthracis

c)

Listeria monocytogenes

d)

Corynebacterium bacteroides

27.

Gram- positive, spore forming bacilli, thin, branching and beaded modified acid-fast positive rods, chalky white colonies and infrequent cause of infection: *

a)

Nocardia brasiliensis

b)

Nocardia nova complex

c)

Nocardia asteroides

d)

Nocardia farcinica

28.

The most common offenders of Clostridium botulinum include *

a)

Canned alkaline food

b)

All of the above

c)

Spiced food and smoked food

d)

Vacuum packed

29.

This is associated with what infection? *

a)

Clostridium botulinum

b)

All of the above

c)

Clostridium tetani

d)

Clostridium perfringens

30.

The following are features of Clostridium botolinum *

a)

Resistant to heat and withstand 100 degree celsius

b)

Heat resistance is diminished at acid pH or high salt concentration

c)

All of the above

d)

Found in soil and in animal feces

31.

Mode of transmission of Nocardia? *

a)

Ingestion

b)

Person to Person

c)

Inhalation

d)

Close contact

32.

Polymerase chain reaction (PCR)–based methods have been described for detection of what diphtheria toxin gene

a)

E gene

b)

N2 gene

c)

tox

d)

tax

33.

This is a major potential agent of bioterrorism and biologic warfare *

a)

Bacillus subtiliis

b)

Bacillus anthrax

c)

Bacillus cereus

d)

Bacillus thuringiensis

34.

A 25 yo, female, went to a party, had wine and cheese, after 48 hours, the patient had onset of fever, chills, headache, myalgia, abdominal pain and diarrhea. Which of the following is true of her condition? *

a)

She got it from ingestion of wine

b)

Self- limited

c)

May lead to sepsis if not treated properly

d)

All are correct

35.

A form of adenylate cyclase *

a)

Lethal factor

b)

Protective antigen

c)

All of the above

d)

Edema factor

36.

This is true about Cutaneous eschar *

a)

The vesicles rapidly change into papules

b)

A pruritic papule develops 14 days after the entry of the organisms or spores

c)

Generally occurs in frequency by the face and neck followed on exposed surfaces of the arms

d)

The lesions have a central black eschar

37.

Treatment of choice for Nocardiosis: *

a)

Cephalosphorins

b)

Macrolides

c)

Penicillin

d)

trimethoprim–sulfamethoxazole

38.

What is the most important aspect of treatment in myonecrosis? *

a)

All of the above

b)

Administration of antibiotics

c)

Extensive surgical debridement of the involved area and excision of all devitalized tissue

d)

Vaccine administration

39.

Bacillus cereus is a soil organism that commonly contaminates *

a)

Honey

b)

All of the above

c)

Rice

d)

Milk and dairy products

40.

Mode of transmission of Diphtheriae: *

a)

droplet

b)

blood borne

c)

airborne

d)

ingestion