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Active Lecture
Questions
Chapter 23
Microbial Diseases
of the
Cardiovascular and
Lymphatic Systems
Copyright © 2010 Pearson Education, Inc.
A patient presents with vomiting, diarrhea, and
a history of fever and headache. Bacterial
cultures of blood, CSF, and stool are negative.
What is your diagnosis?
a.
b.
c.
d.
e.
ehrlichiosis
Lyme disease
septic shock
toxoplasmosis
viral hemorrhagic fever
A patient was hospitalized because of continuing
fever and progression of symptoms including
headache, fatigue, and back pain. Tests for
antibodies to Borrelia burgdorferi were negative.
What is your diagnosis?
a.
b.
c.
d.
e.
ehrlichiosis
Lyme disease
septic shock
toxoplasmosis
viral hemorrhagic fever
A patient complained of headache. A CT
(computed tomography) scan revealed
cysts of varying size in her brain. What is
your diagnosis?
a.
b.
c.
d.
e.
ehrlichiosis
Lyme disease
septic shock
toxoplasmosis
viral hemorrhagic fever
A patient presents with mental confusion,
rapid breathing and heartbeat, and low
blood pressure. What is your diagnosis?
a.
b.
c.
d.
e.
ehrlichiosis
Lyme disease
septic shock
toxoplasmosis
viral hemorrhagic fever
A patient has a red circular rash on his
arm and fever, malaise, and joint pain.
The most appropriate treatment is
a.
b.
c.
d.
e.
penicillin.
chloroquine.
anti-inflammatory drugs.
rifampin.
no treatment.
Which of the following is not a tickborne
disease?
a.
b.
c.
d.
e.
babesiosis
ehrlichiosis
Lyme disease
relapsing fever
tularemia
The patient’s fever spikes each evening.
Oxidase-positive, gram-negative cocci
were isolated from a lesion on his arm.
What is your diagnosis?
a.
b.
c.
d.
e.
brucellosis
malaria
relapsing fever
Rocky Mountain spotted fever
Ebola hemorrhagic fever
The patient was hospitalized with fever
and headache. Spirochetes were
observed in her blood. What is your
diagnosis?
a.
b.
c.
d.
e.
brucellosis
malaria
relapsing fever
Rocky Mountain spotted fever
Ebola hemorrhagic fever
Which of the following diseases has the
highest incidence in the United States?
a.
b.
c.
d.
e.
brucellosis
Ebola hemorrhagic fever
malaria
plague
Rocky Mountain spotted fever
Nineteen workers in a slaughterhouse
developed fever and chills, with the fever
spiking to 40°C each evening. The most likely
method of transmission of this disease is
a.
b.
c.
d.
e.
a vector.
the respiratory route.
a puncture wound.
an animal bite.
water.
Buboes are
a.
b.
c.
d.
Lymph nodes
Swollen lymph nodes
Bacteria
Viruses
Foreign microbes entering lymph nodes
encounter
a.
b.
c.
d.
B and T cells
Enzymes
Exotoxins
Endotoxins
Which microorganisms are now the most
common cause of sepsis?
a.
b.
c.
d.
Gram-negative bacteria
Gram-positive bacteria
Viruses
Fungi
Who demonstrated that puerperal sepsis
was transmitted by the hands and
instruments of attending physicians and
midwifes?
a.
b.
c.
d.
Louis Pasteur
Ignaz Semmelweis
Robert Koch
Christian Gram
Infections of Bacillus anthracis are
initiated by
a.
b.
c.
d.
Endospores
Endotoxins
Exotoxins
Capsules
Sydenham’s chorea is an unusual
complication in individuals with
a.
b.
c.
d.
Scarlet fever
Rabbit fever
Rheumatic fever
Dengue fever
Which organism can often be transmitted
by the bite of a domestic animal and
causes sepsis?
a.
b.
c.
d.
Pasteurella multocida
Streptococcus moniliformis
Spirillum minus
Yersinia pestis
Which of the following are spread by the
bite of an arthropod vector?
a.
b.
c.
d.
Bacillus anthracis
Rickettsia prowazekii
Brucella suis
Spirillum minus
Rabbit fever is caused by
a.
b.
c.
d.
Francisella tularensis
Yersinia pestis
Borrelia burgdorferi
Spirillum minus
In which disease does there frequently
occur a fast-growing tumor of the jaw?
a.
b.
c.
d.
Ebola
Infectious mononucleosis
Chikungunya fever
Burkitt’s lymphoma
Ebola virus is transmitted by
a.
b.
c.
d.
Contact with blood
Inhalation
Arthropod vector
Ingestion
The natural reservoir for the flavivirus
that causes yellow fever is the
a.
b.
c.
d.
Rabbit
Monkey
Bat
Field mice
Chagas’ disease is caused by
a.
b.
c.
d.
Toxoplasma gondii
Trypanosoma cruzi
Plasmodium vivax
Leishmania donovani
The most dangerous malaria is caused
by
a.
b.
c.
d.
Plasmodium ovale
Plasmodium malariae
Plasmodium falciparum
Plasmodium vivax
Currently the most promising method to
control malaria is
a.
b.
c.
d.
Antibiotics
Vaccine
Bed nets
Chloroquine