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WorksheetsFoodborne Illnesses
Total questions: 96
Worksheet time: 48mins
How is “giardiasis” USUALLY transmitted to others?
Person-to-person transfer of cysts from the feces of the infected individual
Drinking unboiled water from streams and lakes
Drinking unfiltered water from streams and lakes
Drinking inadequately chlorinated water from a municipal water distribution system
Swimmer’s itch is a common name for which of the following diseases?
Leptospirosis
Subdural dermatitis
Schistosomiasis
Trichinosis
Which of the following factors would LEAST contribute to the emergence of new infectious disease?
Human behavior
Heat disinfection
Antibiotic use
Disinfectant use
Listeriosis is COMMONLY associated with:
Contaminated Water
Infected mice
Infected birds
Contaminated food
Hemolytic Uremic Syndrome is caused by infection with
Dracunculus medinensis
Staphylococcus aureus
Salmonella typhimurium
Escherichia coli 015 7:H7
The basic principles of disease control include all of the following EXCEPT
Lag phase
Mode of transmission
Susceptibility
Control of disease source
An establishment known to have imminent health hazards is not closed by the inspecting regulatory authority. This example BEST fits the definition of a
Malfeasance
Misfeasance
Controlling factor
Nonfeasance
Performance of an authorized act in a unauthorized manner is called
Nonfeasance
Misfeasance
Disfeasance
Malfeasance
How is the term “contamination” defined when used in connection with a communicable disease?
Infection of an individual or animal with pathogenic organisms
Transfer of a vector, regardless of time or the nature of the host
Contact between two or more sources of infection
Presence of pathogenic agents on a surface, article, or substance
Hay fever is correctly referred to as:
Leguminosis
Asthma
Sinusitis
Pollenosis
According to 2010 revised estimates by the CDC, the number of deaths annually related to foodborne illnesses, is estimated to be:
5,000
4,000
2,000
3,000
Although the Norwalk-like virus is considered an extremely common cause of foodborne illness, it is rarely diagnosed. According to Marriott, approximately 66% of all foodborne illnesses in the US are caused by:
bacteria
viruses
parasites
toxins
When discussing infective dose, exposure to 2 or more substances can cause this effect
antagonistic
additive
all of the above
synergistic
According to Marriott this pathogen is estimated to cause 2500 serious illnesses and 500 deaths annually (2001):
listeria monocytogenes
Norovirus.
Salmonella.
Staphylococcus aureus (Staph)
Large outbreaks of norovirus, vibrio parahaemolyticus, and vibrio vulnificus are generally associated with:
Raw oysters
Lobster
Shellfish
All of the Above
Incomplete cooking and cooling of stews, meats, gravies, and large cuts of meat that have been rolled or penetrated with skewers can lead to outbreaks of:
Clostridium perfringins food poisoning
Norovirus
Listeria monocytogenes
Parahaemolyticus
Goiter is a thyroid disorder usually caused by a Deficient iodine intake in the diet
Deficient iodine intake in the diet
Deficient calcium intake in the diet
Deficient potassium intake in the diet
Kwashiorkor, common among children less than 6 years of age living in under developed areas of the world, is caused by a deficiency of:
Lipids
Protein
Vitamins
Minerals
Which of the foodborne disease has the most rapid time of onset following consumption of the food contamination with this particular pathogen?
Staphylococcal intoxications
Clostridium perfringens
Salmonella
All of the above
A microorganism that consists only of a single molecule of DNA or RNA surrounded by a protein coating is a:
Virus
Protein
Bacteria
All of the above
Bacterial pathogens prefer a neutral pH, but these microorganisms can withstand a wider pH range of 2.0 to 8.0:
Molds
Chlamydiae
Spirochaetes
Bacilli
Which of the following have the highest water activity (Aw) requirements?
Bacteria
Virus
Toxins
All of the above
Substances or agents that inhibit microbial activity are called
Bacteriostat
Bactericidal
Fluoroquinolones
All of the Above
Unlike salmonella and listeria which require an infective dose of millions of bacteria, the infective dose for this pathogen is less than 100.
Shigella
Campylobacter
Hemorrhagic E. coli
Listeria
Salmonella is an example of a(n):
Bacterial infection
Viral infection
Fungal
Toxin
A pathogen that is commonly found in rice, pasta, and dried milk is:
Bacillus cereus
Hepatitis A
Cyclospora
Escherichia coli
A foodborne illness whose symptoms mimics appendicitis and which leads to hundreds of unnecessary operations annually is:
Yersiniosis
Listeria
Campylobacter
Shigella
A foodborne pathogen that may also cause stomach ulcers is:
Campylobacter jujuni
Helicobacter pylori
Enterobacterales
Yersinia enterocolitica
Uremic syndrome
E coli
Dysgeusia
Escherichia
Shiga toxin
The bacteria responsible for producing the most deadly toxin known to humans are:
Clostridium botulinum
Bacillus cereus
Staphylococcus aureus
Campylobacter
Outbreaks of ciguatera fish poisoning are most frequently associated with eating which of the following?
Barracuda
Moray eel
Red snapper
Grouper
Scrombroid poisoning is generally associated with:
Shellfish
Oysters
Mollusks
Crustaceans
Forty five people at a wedding reception become ill with predominant symptoms of nausea, vomiting, diarrhea, and low grade fever within 24-48 hours of eating the meal. The most likely foodborne illness of the following is:
Norovirus
Escherichia coli
Salmonella
Listeria
5-10% of all raw bovine milk is contaminated with this microorganism:
Listeria monocytogens
Cryptosporidiosis
Giardiasis
Campylobacteriosis
Undercooked hamburgers can cause serious illness in young children due to this pathogen:
Escherichia coli
Salmonella
Listeria
Norovirus
Which of the following muscle food is a more viable source of clostridium botulinum bacteria?
Seafood
Crustaceans
Shellfish
Mollusks
Salmonella DT 104 is a foodborne pathogen that is:
Resistant to ampicillin
Resistant to streptomycin
Resistant to tetracycline
Resistant to antibiotics
What percentage of food contamination is attributed to improper hand washing
38%
62%
55%
20%
A chemical compound being used in recent years to control cockroaches that have become resistant to previously used insecticides is:
Diazinon
Boric acid
Permethrin
Bromethalin
The powder form insecticide is not toxic to humans and pets, but causes insects to dehydrate and die:
Boric acid
Cyfluthrin
Diazinon
Bromethalin
Evisceration and cold storage of chickens at 3 degrees Celsius (37.4 degrees Fahrenheit) may cause an increase in numbers of these bacteria
Aeromonas hydrophila
Salmonella
Listeria
Escherichia coli
An observational epidemiologic study in which a group of persons with disease and a group of persons without disease are identified with knowledge of prior exposure history and compared with respect to exposure history is called a:
Retrospective Study
Prospective Study
Case Studies
Qualitative studies
In epidemiologic terms, the number of new cases per unit of person-time risk is known as:
Incidence rate
Prevalence Risk
Prevalence Rate
Cumulative Incidence
In epidemiologic terms, the number of actual cases of disease cases in a community at a point in time is known as a:
Incidence rate
Prevalence Risk
Prevalence Rate
Cumulative Incidence
Reducing microorganisms to a safe and acceptable level by the application of heat or chemicals for a prescribed amount of time defines:
Sanitation
Cleanliness
Disinfection
Asepsis
Commercial mayonnaise is not a potentially hazardous food because:
The product has a low pH level
The product has a high pH level
None of the above
The product has a neutral pH level
An explosive outbreak off illness with a short incubation period of a few minutes to less than an hour might suggest:
Cadmium or zinc poisoning
Lead poisoning
Legionnaires
Coronavirus
A local health dept releases info to a population of people that a wastewater cross connection had, at some point, contaminated the water distribution system in their area. The proper epidemiological study to compare this population to another population in an unaffected part of town would be a:
Case-control study
Prospective study
Observational Study
Retrospective study
Which of the following etiologic agents has been identified in imported raspberries and lettuce from south American countries?
Cyclospora cayetanensis
Schistosomiasis
Oropouche
Cholera
The most common waterborne disease in the world, with an estimated 600 million people at risk and 300 million affected is:
Cyclospora cayetanensis
Schistosomiasis
Oropouche
Cholera
Sampling for this waterborne disease pathogen involves the filtration of about 500 gallons through a one micrometer pore size filter at a rate of 1 gal/minute.
Giardia lamblia
Cryptosporidium
Schistosoma
Shigella
Methemoglobinemia, also known as blue baby syndrome, is caused by high levels of this inorganic substances in the water supply?
Nitrates
Nitrites
Amoebiasis
Cholera
When water cannot be used to extinguish a chemical fire, industrial sites provide large quantities of a dry extinguisher commonly known as "Purple K" which is:
Potassium bicarbonate
Potassium hydrogen
Potassium oxide
Potassium chloride
EPA identifies four levels of PPE to be worn when responding to chemical spills. Providing protection against normal workplace hazards including; safety glasses, hard hats, and leather work gloves is considered:
Level D
Level C
Level A
Level B
Indoor relative humidity of _______ % promotes germination and growth of fungal spores, mold, and mildew.
60
50
70
80
Which of the following has a great potential for the reduction of microbial flora in the air, where the patent may be especially vulnerable?
UV Radiation
Lead Dust
Mold
Radon
Which of the following organisms are most resistant to unfavorable environmental conditions and indicate past or possibly intermittent pollution?
Fecal streptococci
Escherichia coli
Clostridium sporulates
Aerobacter aerogenes
The final product in biochemical oxidation of ammonia yields:
Nitride
Nitrate
Nitrite
nitrogen
Which contaminant in water is associated with methemoglobinemia?
Zinc
Lead
Copper
Nitrate
Which organisms are most resistant to unfavorable environmental conditions and indicate past or possibly intermittent pollution?
Fecal streptococci
Escherichia coli
Aerobacter aerogenes
Clostridium sporidium
Historically in the US, most of the impetus for adequate water treatment came from the need to control:
Infectious hepatitis
TB
Malaria
typhoid
What is the MOST common cause of bacteria meningitis in children under five years of age?
Neisseria meningitides
Group B Streptococci
Streptococcus pneumoniae
Haemophilus influenzae
How is "giardiasis" USUALLY transmitted to others?
Person-to-person transfer of cysts from the feces of the infected individual
Drinking unfiltered water from streams and lakes
Drinking inadequately chlorinated water from a municipal water distribution system
Drinking unboiled water from streams and lakes
Listeriosis is commonly associated with
contaminated water
contaminated food
infected birds
infected mice
Hemolytic Uremic Syndrome is caused by infection with
dracunculus medinensis
staphylococcus aureus
salmonella typhimurium
escherichia coli O157;H7
An environmental health specialist receives a cash payment from a restaurant operator in order to receive a passing restaurant inspection score. This event is known as
Malfeasance
Misfeasance
Nonfeasance
Exclusionary Rule
An environmental health manager trains environmental health specialists on the operation of environmental probe thermometers. in the interest of time, the manager omits a training section on safe sheathing of the thermometer, and subsequently an environmental health specialist punctures their finger and injures themselves. This is an example of
Malfeasance
Misfeasance
Exclusionary Rule
Nonfeasance
An environmental health specialist informs vector control staff to perform "landing counts" on their skin in a known mosquito breeding ground which is confirmed to be positive with West Nile virus. This is an example of
Malfeasance
Misfeasance
Exclusionary Rule
Nonfeasance
Performance of an authorized act in an unauthorized manner is called
disfeasance
Nonfeasance
Misfeasance
Malfeasance
How is the term "contamination" defined when used in connection with a communicable disease?
Infection of an individual or animal with pathogenic organisms
Transfer of a vector, regardless of time or the nature of the host
Contact between two or more sources of infection
presence of pathogenic agents on a surface, article, or substance
Which organism would probably survive in a hot tub?
E. coli
vibrio cholera
Pseudomonas aeruginosa
Entamoeba histolytica
A seechi disk is used to determine
pH
coliform contamination
heavy metals
clarify in recreational waters
A biological form of indirect disease transmission in which the infectious agent may be passed vertically to succeeding generations, such as Rickettsia ricketsii in ticks, is known as:
transovarian transmission
adjuvant transmission
asexual transmission
bimodal transmission
This type of investigation has a rigorous design and is thus strongest for making causal inferences:
a randomized clinical trial
a case series
an ecological study
a cross-sectional study
A type of research study design, often used in community interventions intended to produce population-level behavioral change, where the investigator manipulates the study factor but does not assign subjects randomly to exposed and non-exposed groups is a
quasi-experiment
qualitative analysis
normative study
double blind study
A case-control study is associated with EACH of following EXCEPT:
relative risk
odds ratio
outcome of interest
retrospective exposure
A small P value (i.e., a highly significant result) is generally an indication that:
the experimental results were not obtained simply by chance
there is unlikely to be bias or systematic errors
there is likely to be generalizability of results
confounding variables have been accounted for
This type of study assembles a group of individuals without the disease of interest, classifies them on the basis of exposure and non-exposure and then monitors the subsequent development of disease frequency in each group:
cohort
case series
ecological
case-control
A disease transmitted by water, food, fomites, or flies that has feces as its portal of exit is:
typhoid
typhus
measles
trachoma
In a 2x2 table, the exposure-odds ratio (OR), which is the ratio of odds in favor of exposure among the cases compared to the odds in favor of exposure of the non-cases, is best represented by:
AD/BC
BC/AD
AC/BD
BD/AC
Failure by a public official in an administrative agency to use the police power delegated by the legislature may result in a charge of:
nonfeasance
malfeasance
profeasance
misfeasance
Toxic agents classified according to their chemical stability or reactivity may be identified EACH of the following EXCEPT:
aromatic
explosive
oxidizer
flammable
This term is used specifically to denote a toxic substance that results from anthropogenic activity:
toxicant
poison
exposure
toxic agent
The term that refers to the impact that a toxic agent may have on the human body is:
toxicodynamics
toxicokinetics
metabolic processing
transpiration
The term that refers to the aggregate processes of absorption, distribution, biotransformation, and elimination of a toxic agent or metabolite is:
toxicokinetics
toxicodynamics
metabolic processing
transpiration
EACH of the following is considered to be an irreversible toxic effect EXCEPT:
liver tissue damage
carcinogenic effects
teratogenic effects
CNS damage
Flaviviridae are a family of gram positive, arthropod-borne viral pathogens responsible for EACH of the following diseases EXCEPT:
scrub typhus
yellow fever
Zika
tick-borne encephalitis
A primary arthropod vector of disease caused by Yersinia pestis is:
Xenopsylla cheopis
Allocosa dufouri
Rickettsia rickettsia
Simulium colombaschense
The causative agent for the deadliest form of malaria is:
Plasmodium falciparum
Plasmodium vivax
Plasmodium malariae
Plasmodium ovale
EACH of the following is a type of pathogenic disease agent for zoonotic and vector-borne diseases EXCEPT:
fungi
protozoa
prions
helminths
______________ is an example of a zoonosis or vector-borne infection:
influenza
measles
varicella
COPD
The accumulation of dust in the lungs and the tissue reactions to its presence is defined as:
pneumoconiosis
asthma
Caisson disease
emphysema
Otoxic refers to agents:
that can produce hearing loss
that are extremely toxic
that are caused by exposure to vibrations
that are only mildly toxic
An injury or disorder of the muscles, nerves, tendons, joints, cartilage, or spinal discs is known as a:
musculoskeletal disorder (MSD)
repetitive motion injury (RMI)
stenosing tenosynovitis
epicodylitis
The disease caused by the accumulation of cotton dust in the lungs is called:
byssinosis
silicosis
berylliosis
siderosis
Skin infections or rashes may be caused by water in whirlpools, hot tubs, or spas resulting from:
Pseudomonas aeruginosa
M.ycoplasma pneumoniae
Moraxella catarrhalis
Coxiella burnetti
