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Which is incorrect regarding Q fever?


A) Transmitted by lice
B) Pathogen produces resistant spores
C) Humans infected from unpasteurized milk and airborne spread
D) Causes fever,muscle aches,rash,and sometimes pneumonia
E) Is a zoonosis

F) C) and D)
G) A) and E)

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A nurse is volunteering with a medical team in Southeast Asia. A 35-year-old female presents to the clinic reporting that the village doctors have diagnosed her with malaria. The nurse notes that the woman is febrile, tachypneic, and her eyes have a yellow tint. She reports generalized body aches and weakness. Through a translator, the nurse collects the woman's medical history. She reports feeling ill for about ten days, experiencing several cycles of fever, sweating, and chills that are temporarily relieved before occurring again. The village doctors treated her with a combination of a mosquito paste and an indigenous root, but her symptoms have not improved. The medical team performs serological testing at the clinic and confirms a diagnosis of malaria. -If pharmacological treatment is not successful,what may be the ultimate cause of death?


A) Malaremia
B) Multiorgan failure
C) Seizures
D) Respiratory arrest

E) C) and D)
F) None of the above

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Plague includes ________.


A) septicemic form; called Black Death
B) bubonic form; buboes develop
C) pneumonic form; sputum highly contagious
D) disease control; control of rodent population
E) All of the choices are correct.

F) A) and B)
G) A) and C)

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The highest numbers of cases of Rocky Mountain spotted fever occur along the eastern seaboard.

A) True
B) False

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The common causative agent of acute endocarditis is ________.


A) Staphylococcus aureus
B) Streptococcus pneumoniae
C) Streptococcus pyogenes
D) Neisseria gonorrhoeae
E) All of the choices are correct.

F) A) and D)
G) A) and E)

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Which of the following requires direct contact with infected body fluids?


A) Yellow fever
B) Dengue fever
C) Ehrlichiosis
D) Lassa fever
E) Chikungunya

F) None of the above
G) A) and B)

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A nurse is volunteering with a medical team in Southeast Asia. A 35-year-old female presents to the clinic reporting that the village doctors have diagnosed her with malaria. The nurse notes that the woman is febrile, tachypneic, and her eyes have a yellow tint. She reports generalized body aches and weakness. Through a translator, the nurse collects the woman's medical history. She reports feeling ill for about ten days, experiencing several cycles of fever, sweating, and chills that are temporarily relieved before occurring again. The village doctors treated her with a combination of a mosquito paste and an indigenous root, but her symptoms have not improved. The medical team performs serological testing at the clinic and confirms a diagnosis of malaria. -If the medical team had the ability to perform more thorough blood tests,what would the nurse expect to find?  


A) Hyperglycemia,increased RBC count
B) Hyperglycemia,decreased RBC count
C) Hypoglycemia,increased RBC count
D) Hypoglycemia,decreased RBC count

E) All of the above
F) None of the above

Correct Answer

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Which drugs interfere with the action of an HIV enzyme needed for final assembly and maturation of the virus?


A) Reverse transcriptase inhibitors
B) Protease inhibitors
C) Fusion inhibitors
D) Integrase inhibitors
E) All of the choices are correct.

F) A) and E)
G) A) and B)

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The greatest rise in new HIV infections throughout the world is in the homosexual male population.

A) True
B) False

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________ occurs when bacteria flourish and grow in the bloodstream.


A) Viremia
B) Fungemia
C) Hemovirus
D) Bacteremia
E) Septicemia

F) C) and D)
G) B) and D)

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Rocky Mountain spotted fever ________.


A) is seen in highest numbers along the west coast
B) is transmitted by Ixodes ticks
C) symptoms include fever,headache,and rash
D) never has severe complications
E) All of the choices are correct.

F) All of the above
G) A) and B)

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Documented transmission of HIV involves ________.


A) mosquitoes
B) unprotected sexual intercourse and contact with blood/blood products
C) respiratory droplets
D) contaminated food
E) All of the choices are correct.

F) A) and C)
G) B) and E)

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Malaria may be prevented by ________.


A) using bed nets sprayed with insecticide
B) eliminating standing water
C) taking prophylactic drugs
D) decreasing the mosquito population
E) All of the choices are correct.

F) A) and E)
G) A) and B)

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A common cardiovascular/lymph system disease in AIDS patients is ________.


A) acute endocarditis
B) Burkitt's lymphoma
C) herpes simplex virus
D) ehrlichioses
E) brucellosis

F) B) and C)
G) C) and E)

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A vaccine for Lyme disease is available.

A) True
B) False

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Which is incorrect about malaria?


A) Merozoites enter and multiply in liver cells.
B) Trophozoites develop in RBCs.
C) The mosquito inoculates human blood with sporozoites.
D) Gametocytes enter the mosquito as she draws a blood meal from a human.
E) Cerebral malaria is a potential serious complication.

F) A) and C)
G) B) and D)

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A pregnant 25-year-old woman with known HIV infection presents to an obstetric office for a 20-week prenatal visit. This is her first pregnancy and thus far it has been uncomplicated. The patient was first diagnosed as HIV-positive seven years prior and she has remained asymptomatic. She has been compliant with her antiretroviral therapies. The patient reports that the father of her child is not HIV-positive. -The patient asks the nurse for information about preventing HIV transmission to her sexual partner.What is the best form of prevention for HIV transmission,assuming sexual abstinence is not an option?  


A) Use of barrier-method contraceptive
B) Contraceptive drugs
C) Prophylactic treatment of all sexual partners with antiviral chemotherapy
D) compliance with antiretroviral regimen

E) A) and D)
F) A) and C)

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The symptoms that occur in cyclic 48- to 72- hour episodes in a malaria patient are ________.


A) bloody,mucus-filled stools,fever,diarrhea,and weight loss
B) fever,swollen lymph nodes,and joint pain
C) urinary frequency and pain,and vaginal discharge
D) chills,fever,and sweating
E) sore throat,low-grade fever,and swollen lymph nodes

F) A) and B)
G) B) and D)

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The reservoir for Lassa fever is the ________.


A) monkey
B) rat
C) gorilla
D) cat
E) cattle

F) A) and B)
G) D) and E)

Correct Answer

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A nurse is volunteering with a medical team in Southeast Asia. A 35-year-old female presents to the clinic reporting that the village doctors have diagnosed her with malaria. The nurse notes that the woman is febrile, tachypneic, and her eyes have a yellow tint. She reports generalized body aches and weakness. Through a translator, the nurse collects the woman's medical history. She reports feeling ill for about ten days, experiencing several cycles of fever, sweating, and chills that are temporarily relieved before occurring again. The village doctors treated her with a combination of a mosquito paste and an indigenous root, but her symptoms have not improved. The medical team performs serological testing at the clinic and confirms a diagnosis of malaria. -The nurse provides education to the woman's family regarding malaria prevention.All of the following are recommended,except ________.


A) washing all bedding and clothing in hot water
B) eliminating areas of stagnant water
C) use of bed nets
D) prophylactic antimalarials

E) All of the above
F) C) and D)

Correct Answer

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