Microbiology Chp. 20

Pseudomonas aeruginosa is resistant to many antimicrobics.

True

Proteus species often cause urinary tract infections.

True

Legionellosis is a zoonosis.

False

​The Enterobacteriaceae do not produce oxidase compared to the pseudomonads that do produce oxidase.

True

​The pathogen that causes Legionnaires' pneumonia also causes a milder infection called Pontiac fever.

True

Pseudomonas is an enteric gram-negative rod.

False

Plague is a quarantinable disease.

True

A paroxysmal cough is associated with Legionnaires' disease.

False

​The IMViC series of biochemical tests are used to identify the Enterobacteriaceae.

True

Shigellosis is typically acquired via the respiratory route.

False

​Patients with legionellosisshould be placed in isolation when hospitalized due to the contagious nature of the pathogen.

False

​Carbapenem-resistant Enterobacteriaceae(CRE) are typically resistant to carbapenem but sensitive to most other antibiotics.

False

​Pseudomonads act as decomposers with the ability to degrade hundreds of natural substrates.

True

​Due to its aerobic metabolism, P. aeruginosa differs from members of the Enterobacteriaceae.

True

​Pseudomonas exhibits pink and green pigments during growth, which helps with identification.

False

Burkholderia and Stenotrophomonas can both be grown on mannitol salt agar.

False

​Stenotrophomonas maltophilia appears as a common contaminant of disinfectants and healthcare equipment.

True

Some bacterium in the genus Alcaligenes are isolated from feces.

True

Enteropathogenic strains of E. coli (EPEC) are linked to a wasting form of infantile diarrhea whose pathogenesis is not well understood.

True

Enterobacter is commonly associated with urinary tract infections.

True

Which are considered true enteric pathogens? Select All ​​A) Salmonella​​B) Klebsiella​C) Proteus​D) Enterobacter​E) Shigella

A) Salmonella E) Shigella

The bacteria classified as carbepenem-resistant Enterobacteriaceae(CRE)primarily are species within the genera. Select All​​A) Klebsiella.​​B) Proteus.​C) Enterobacter.​D) Escherichia.​E) Salmonella.​

A) KlebsiellaC) EnterobacterD) Escherichia

​Pseudomonas aeruginosa is​​A) found in soil and water.​​B) an opportunist that produces many diverse enzymes.​C) highly chemical resistant.​D) motile.​E) All of these choices are correct.​

E) All of the choices are correct

Pseudomonas aeruginosa causes all the following, except​​A) severe nosocomial infection in burn patients.​​B) skin rashes from contaminated hot tubs and bath sponges.​C) diarrheal illness.​D) external ear infection.​E) serious infection in lung tissue of cystic fibrosis patients.

C) diarrheal illness

Which color pigment is produced by Pseudomonas aeruginosa?​​A) lemon yellow​​B) red-orange​C) golden​D) blue-green​E) pale orange​

D) blue-green

Brucellosis is​​A) a zoonosis.​​B) seen in the patient as a fluctuating fever, with headache, muscle pain, and weakness.​C) associated with pathogen in the blood.​D) an occupational illness of people that work with animals​E) All of these choices are correct.​

E) All of these choices are correct

Which is not associated with tularemia?​​A) The causative agent is a pathogen of concern on the lists of bioterrorism agents.​​ B) Tularemia is transmitted by arthropod vectors.​C) The reservoir can be rabbits and squirrels.​D) Symptoms include fever, swollen lymph nodes, ulcerative lesions, conjunctivitis, and pneumonia.​E) In animals, tularemia infects the placenta and fetus.

E) In animals, tularemia infects the placenta and fetus.

​Pasteurization of milk helps to prevent​​A) tularemia.​​B) pertussis.​C) legionellosis​D) brucellosis.​E) shigellosis.

D) brucellosis

​Rabbits and rodents are the reservoirs of the causative agent of​​A) tularemia.​​B) pertussis.​C) legionellosis.​D) brucellosis.​E) shigellosis.

A) tularemia

Pertussis has the following characteristics, except​​A) the pathogen has virulence factors to destroy the action of respiratory cilia.​​B) the catarrhal stage has persistent, hacking coughs with "whoops".​C) an early stage resembles a cold with nasal discharge and sneezing.​D) DTaP immunization will prevent it.​E) transmission is by respiratory droplets.​

​B) the catarrhal stage has persistent, hacking coughs with "whoops".

​Legionella pneumophila​​A) requires special lab growth media.​​B) often lives in close associations with amoebas.​C) causes fever, cough, and diarrhea.​D) causes a severe pneumonia.​E) All of these choices are correct.​

E) all of these choices are correct

Characteristics of all the members of the family Enterobacteriaceae include​​A) lactose fermentation.​​B) their role as normal flora of human intestines.​C) production of enterotoxins.​D) glucose fermentation.​E) All of these choices are correct.

D) glucose fermentation

​Which disease involves transmission by aerosolized water from whirlpool spas, air conditioners, cooling towers, and supermarket vegetable misters?​​A) Legionellosis​​B) Pertussis​C) Brucellosis​D) Plague​E) Traveler's diarrhea

A) Legionellosis

​Genes for which of the following may be transferred between fecal bacteria?​​A) Toxin production​​B) Capsules​C) Fimbriae​D) Hemolysins​E) All of these choices are correct.​

E) All of these choices are correct

Escherichia coli infections​​A) are often transmitted by fecal contaminated water and food.​​B) include urinary tract infections from normal flora strains.​C) involve enterotoxin in traveler's diarrhea.​D) can cause an inflammatory disease similar to Shigella dysentery.​E) All of these choices are correct.

E) All of these choices are correct

Which is mismatched?​​A) H antigen—fimbriae​​B) K antigen—capsule​C) O antigen—cell wall, somatic​D) All of these choices are correct.

​​A) H antigen—fimbriae​​

​E. coli 0157:H7 characteristics include all the following, except​​A) it only causes occupational illness in people who work with animals.​​B) it is transmitted by ingestion of contaminated, undercooked food, especially hamburger.​C) it causes a bloody diarrhea.​D) its reservoir is cattle intestines.​E) some cases go on to hemolytic uremic syndrome (HUS) with possible kidney failure.

A) it only causes occupational illness in people who work with animals.​​

Salmonella are​​A) coliforms.​​B) motile.​C) gram-positive rods.​D) lactose fermenters.​E) All of these choices are correct.​

B) Motile

​All of the following are coliforms that cause opportunistic and nosocomial infections, except​​A) Enterobacter.​​B) Citrobacter.​C) Shigella.​D) Klebsiella.​E) Serratia.

​C) Shigella.​

Typhoid fever has the following characteristics, except​​A) it is spread by handling reptiles.​​B) it is transmitted by ingesting fecally contaminated food and water.​C) chronic carriers harbor the pathogens in their gallbladder.​D) it can infect the small intestine with fever, diarrhea, and abdominal pain.​E) it can become a septicemia, spread to lymph nodes and spleen, and cause liver abscesses.

​A) it is spread by handling reptiles.

​Salmonelloses are​​A) not caused by Salmonella typhi.​​B) associated with undercooked poultry and eggs, and reptile and rodent feces.​C) gastroenteritis with vomiting and diarrhea.​D) enteric fevers that often include septicemia.​E) All of these choices are correct.

E) All of these choices are correct

​Which is incorrect about shigellosis?​​A) Outbreaks have occurred in day-care centers.​​B) It is characterized by watery diarrhea with bloody, mucoid stools, and abdominal cramps.​C) It frequently involves septicemia.​D) Human carriers cause fecal transmission.​E) It is also called bacillary dysentery.

C) It frequently involves septicemia.​

Shigella species have the following characteristics, except​​A) they are non-motile​​B) they release endotoxin.​C) they belong to Enterobacteriaceae.​D) they infect the small intestine.​E) they produce enterotoxin.​

D) they infect the small intestine.

​Salmonella typhi​​A) multiplies within phagocytes.​​B) is not a coliform.​C) can be treated with antimicrobics.​D) causes invasive infection of the small intestine.​E) All of these choices are correct.​

E) All of these choices are correct

Yersinia pestis​​A) was virulent in the Middle Ages but is no longer virulent.​​B) has humans as an endemic reservoir.​C) does not respond to antimicrobic drugs.​D) is usually transmitted by a flea vector.​E) All of these choices are correct.​

D) is usually transmitted by a flea vector.​

All of the following are associated with bubonic plague, except​​A) it is transmitted by human feces.​​B) it is caused by Yersinia pestis.​C) the patient often has enlarged inguinal lymph nodes.​D) the patient has fever, headache, nausea, weakness.​E) it can progress to a septicemia.​

​A) it is transmitted by human feces.

​Which of the following are true about plague?​​A) There is a septicemic form called the Black Death.​​B) There is a bubonic form, during which buboes develop.​C) There is a pneumonic form, in which the sputum is highly contagious.​D) The disease can be controlled by controlling therodent population.​E) All of these choices are correct.​

E) All of these choices are correct

The gram-negative bacillus associated with abscesses from dog and cat bites or scratches is​​A) Salmonella typhimurium.​​B) Yersinia enterocolitica.​C) Pasteurella multocida.​D) Brucella suis.​E) Francisella tularensis.​

​C) Pasteurella multocida.

​Which is incorrect about Yersinia pestis? ​​A) It exhibits bipolar staining.​​B) It is a gram-negative rod.​C) It produces coagulase enzyme.​D) It has a capsule.​E) It produces enterotoxin.​

​E) It produces enterotoxin.

Which of the following is not caused by Haemophilus influenzae? ​​A) Bacterial meningitis​​B) Influenza (flu)​C) Otitis media​D) Bronchitis​E) Epiglottitis​

​B) Influenza (flu)

​Which of the following is an agent of the sexually transmitted disease chancroid?​​A) Haemophilus aegyptius​​B) Haemophilus influenzae​C) Haemophilus parainfluenzae​D) Haemophilus ducreyi​E) Haemophilus aphrophilus​

​D) Haemophilus ducreyi

The vaccine for immunity to Haemophilus influenzae serotype b is ​​A) DtaP.​​B) Pneumovax.​C) MMR.​D) Hib.​

D) Hib

​Although Burkholderia cepacia could be very useful in bioremediation programs, it is not feasible to use it. Why? ​​A) Because it can cause opportunistic infections in the respiratory tract.​​B) Because it cannot be cultured in the lab to necessary numbers.​C) Because it is too expensive at this time to grow it.​D) It encourages the overgrowth of fungus in the environment, which is not desirable.​E) It produces a foul odor making it a poor choice for most situations.​

​A) Because it can cause opportunistic infections in the respiratory tract.​

Which of the following is normal oral and nasopharyngeal flora but is involved in infective endocarditis in adults who have underlying congenital or rheumatic heart disease? ​​A) Haemophilus influenzae​​B) Haemophilus aphrophilus​C) Haemophilus aegyptius​D) Haemophilus ducreyi​E) All of these choices are correct.

​B) Haemophilus aphrophilus

A cause of epiglottitis in children and young adults is ​​A) Haemophilus influenzae.​​B) Haemophilus ducreyi.​C) Haemophilus aegyptius.​D) Haemophilus parainfluenzae.​E) Haemophilus aphrophilus.​

​A) Haemophilus influenzae.​

Chancroidis characterized by ​​A) sexual transmission.​​B) geographical distribution in the tropics and subtropics.​C) lesions which develop at theportal of entry.​D) bubo-like swelling of the lymph nodes.​E) All of these choices are correct.​these choices are correct.​

E) All of these choices are correct

​All of the following are correct about salmonelloses except ​​A) non-typhoidal strains of salmonella are zoonotic in origin.​​B) foods contaminated by rodent feces may cause outbreaks.​C) outbreaks have been caused by eggs.​D) drug resistance of salmonella is on the rise.​E) strains are normal flora in dogs and cats.

E) strains are normal flora in dogs and cats

​Nationwide, over 100,000 patients a year die from septic shock. This is due to ​​A) the presence of lipopolysaccharide in the outer membrane of bacteria.​​B) lipoteichoic acid in the cell wall of bacteria.​C) a cytotoxin similar to the diphtheria toxin.​D) coagulase.​E) a neurotoxin similar to botulin.​

​A) the presence of lipopolysaccharide in the outer membrane of bacteria.​

What is incorrect about pertussis? ​​A) A virulence factor of B. pertussis is toxins that destroy cilia cells is produced.​​B) The source of infection is direct contact with inhaled droplets.​C) The paroxysmal stage is characterized by persistent coughing.​D) The number of cases has been steadily decreasing since 1976.​E) It can cause severe, life-threatening complications in babies.

​D) The number of cases has been steadily decreasing since 1976.

​The buildup of mucus and blockage of airways in pertussis is due to ​​A) endotoxin.​​B) lipopolysaccharide.​C) toxins that destroy the ciliated cells of the respiratory tract.​D) Pseudomonas aeruginosa.​E) the presence of a capsule.

​C) toxins that destroy the ciliated cells of the respiratory tract.

​​Which of the following species was once considered so benign that microbiologists used it to trace movements of air currents in hospitals and over cities? ​​A) Morganella​​B) Providencia​C) Citrobacter​D) Serratia​E) Legionella​​

​D) Serratia​​

​Up to 70% of travel-associated gastrointestinal diseases are caused by ​​A) enterotoxigenic strains of E. coli.​​B) Salmonella.​C) Shigella dysenteriae.​D) E. coli 0157:H7.​E) enteroinvasive E. coli.

A) enterotoxigenic strains of E. coli.​

Which bacteria could be responsible for hemolytic uremic syndrome (HUS)? ​​A) eterotoxigeic strains of E. coli​​B) Salmonella​C) Shigella dysenteriae​D) E. coli 0157:H7​E) eteroinvasive E. coli

​D) E. coli 0157:H7

Which of the following is not correct concerning Legionnaires' disease? ​​A) L. pneumophila lives in close associations with free-living amoebas.​​B) The disease is communicable from person to person.​C) Symptoms include cough, diarrhea, and abdominal pain.​D) It is more common in males over 50 years of age.​E) Cases have been traced to the fallout from the Mount Saint Helen's volcano.

B) The disease is communicable from person to person.

​Which of the following is not correct concerning the plague? ​​A) Mice, voles, and other rodents are primary long-term reservoirs.​​B) It is transmitted by flea vectors.​C) Less than 10 cases per year occur in the U.S.​D) The etiological agent is Yersinia pestis.​E) Strains of the plague bacillus are less virulent today compared to strains prevalent in the Middle Ages.

​E) Strains of the plague bacillus are less virulent today compared to strains prevalent in the Middle Ages.

​Although this bacteria is typically found in soil and water, burn wound patients are susceptible to __________ infection. ​​A) Yersinia pestis​​B) Bordetella pertussis​C) Pseudomonas​D) E. coli 0157:H7​E) Shigella

​C) Pseudomonas

​Whooping cough is transmitted via respiratory droplets. The __________ stage lasts 1-2 weeks, while the __________ stage is characterized by severe coughing. ​​A) primary; secondary​​B) catarrhal; paroxysmal​C) incubation; convalescent​D) low T-cell; high macrophage​E) incubation; invasion

B) catarrhal; paroxysmal

E. coli O157:H7 and E. coli O111:H7 differ in their ​​A) Gram reaction.​​B) capsular antigen.​C) flagellar antigen.​D) cell wall antigen.

​D) cell wall antigen.

​The designation CRE refers to ​​A) a group of bacteria that are resistant to many classes of antibiotics.​​B) an antibiotic that is effective against most gram-negative organisms.​C) a number of gram-negative bacteria which frequently cause infections in childhood.​D) a common methodology used in hospital inspections to enumerate and destroybacteria onsurfaces—count, record, eliminate.​

A) a group of bacteria that are resistant to many classes of antibiotics.​

Occasionally when doing serologic testing to identify strains of Salmonella isolates, the test for different O antigens is negative. What is the most likely explanation? ​​A) The H antigens are masking the O antigens.​​B) The K antigens are masking the O antigens.​C) The K antigens are masking the H antigens.​D) There is no O antigen present.

B) The K antigens are masking the O antigens.

​Species of Shigella are characteristically non-motile. Based on this information you can predict that members of the Shigella genus ​​A) have K antigens.​​B) do not have H antigens.​C) will not grow on MacConkey agar.​D) will not have O antigens.​

​B) do not have H antigens.

Which of the following bacterial genera contain members that are very similar physiologically to Pseudomonas and cause a similar spectrum of opportunistic infections? ​​A) Hemophilus​​B) Stenotrophomonas​C) Burkholderia​D) Legionella​E) both Burkholderia and Stenotrophomonas​F) All of these choices are correct.

E) both Burkholderia and Stenotrophomonas

Fever, vomiting, stiff neck, and neurological impairment are symptoms associated with __________.

meningitis

Inflammation of the lining of the stomach and intestines is called __________.

gastroenteritis

​Exotoxins that target and bind to surface receptors of the intestinal lining are specifically termed __________.

enterotoxins

​The two true pathogenic enteric genera of the Enterobacteriaceae are __________ and __________.

Shigella, Salmonella

​The member of the Enterobacteriaceae that has enteroinvasive, enterotoxigenic, enteropathogenic, and enterohemorrhagic strains is __________.

E. coli

​Klebsiella has a large __________ that contributes to its ability to cause chronic lung infections.

Capsule

The transmission of a disease from animal to human is termed _______.

Zoonotic

​Bordetella parapertussis causes a milder form of __________ __________.

Pertusis, Whooping cough

_______ serve as the primary reservoir for Legionella.

Ameoba

​_______ are gram-negative normal enteric microbiota that ferments lactose within 48 hours.

Coliforms

​The Family Enterobacteriaceae is traditionally divided into two subcategories: _______ and _______.

Coliforms, noncoliforms

In order to differentiate Yersinia from Shigellaa/an _____ test would be used.

urease

​__________ and __________ epithelia are targeted sites of invasion by gram-negative bacteria that exchange genetic codes for toxins, capsules, and fimbriae.

intestinal, urinary

​_______ exhibits a red pigment during growth at room temperature.

Serratia

​A strain of Shigella was found on ______ in Baja California.

parsley