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Which type of neuroglia has phagocytic capabilities in the CNS?


A) Astrocytes
B) Schwann cells
C) Macrophages
D) Microglial cells
E) Neurons

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

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Based upon the patient's clinical presentation and course of illness, what is the most likely diagnosis?


A) Septicemia, secondary to sinus infection
B) Meningitis
C) Tumor of the cervical spine
D) Necrotizing encephalitis

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

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In rabies, spasms of muscles for swallowing leads to a fear of water.

A) True
B) False

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Which of the following pertains to both tetanus and foodborne botulism?


A) Occurs when spore-contaminated soil enters deep wounds
B) Caused by enterotoxins of the pathogen
C) Exotoxin blocks acetylcholine release
D) Nausea and diarrhea are symptoms
E) Treatment involves antitoxin therapy

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

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What brain defense restricts substances from entering the brain by the vascular system?


A) Meninges
B) Blood-brain barrier
C) Macrophages
D) Microglia
E) Cranium

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

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Polio virus initially multiplies in the ________.


A) liver
B) CNS
C) oropharynx and intestine
D) nasal mucosa
E) None of the choices are correct.

F) None of the above
G) All of the above

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Toxoplasmosis prevention includes ________.


A) vaccination of humans
B) vaccination of cats
C) hygienic precautions
D) vector control
E) All of the choices are correct.

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

Correct Answer

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Which of the following is not true of Streptococcus pneumoniae?


A) Most frequent cause of community-acquired meningitis
B) Has a polysaccharide capsule that resists phagocytosis
C) Produces alpha-hemolysin and hydrogen peroxide
D) Small gram-positive flattened coccus
E) Responds well to penicillin

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

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Which organism is a common cause of meningitis in AIDS patients and can be found in bird droppings?


A) Listeria monocytogenes
B) Haemophilus influenzae
C) Neisseria meningitidis
D) Cryptococcus neoformans
E) Streptococcus agalactiae

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

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Production of a neurotoxin that binds to target sites on spinal cord neurons responsible for inhibiting skeletal muscle contraction is a characteristic of ________.


A) Clostridium botulinum
B) Clostridium perfringens
C) Clostridium difficile
D) Clostridium tetani
E) All of the choices are correct.

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

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Neonatal meningitis is most commonly transmitted by ________.


A) breast feeding
B) hospital personnel
C) transplacental infection
D) exposure in birth canal
E) exposure from other infants

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

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Which of the following is not a causative agent of acute encephalitis?


A) JC virus
B) West Nile virus
C) Herpes simplex virus
D) Toxoplasma gondii
E) California encephalitis

F) None of the above
G) All of the above

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The patient's son is anxious about his mother's prognosis. He asks the RN if his mother will survive the infection. What is the best response by the nurse?


A) That's a good question. You should ask the doctor next time you see him.
B) Almost all patients survive this disease. We will do our best to make sure your mother is one of them.
C) I'm sorry, but your mother will probably not survive this disease. Would you like to see a chaplain?
D) Unfortunately, we see about a 70% mortality rate for this disease. We are doing everything we can do to provide excellent care for your mother.

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

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Which of the following diseases should the nurse be most concerned about, considering the patient's presentation?


A) Meningitis
B) Tetanus
C) Polio
D) Typhoid

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

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Which of the following statements is incorrect regarding the characteristics of Zika virus disease?


A) Individuals who live in mosquito-infested areas can be administered a vaccine as prevention.
B) The Zika virus can be transmitted via a mosquito vector, sexually from an infected partner, and vertically from mother to fetus during gestation.
C) Females who are infected with Zika during pregnancy are at risk of having a child with microcephaly.
D) Adults who have been infected with the Zika virus occasionally go on to develop Guillain-Barre syndrome.
E) Zika virus is an RNA virus in the family Flaviviridae.

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

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Treatment for Neisseria meningitidis consists of ________.


A) vancomycin
B) penicillin G orally
C) penicillin G intravenously
D) rifampin
E) tetracycline

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

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The Salk IPV and the Sabin OPV differ from one another in that ________.


A) the IPV contains a version of the virus that is fully inactivated, whereas the virus within the OPV is attenuated, that is, reduced virulence but still viable
B) the IPV must be administered by injection, whereas the OPV can be given orally
C) the OPV, being viable, may revert back to the neurovirulent strain and be transmitted to other susceptible individuals, whereas the IPV, being inactivated, cannot revert to a virulent strain
D) children in developing countries are administered the OPV, whereas in the USA, children are given the IPV by injection
E) All of the choices are correct.

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

Correct Answer

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Which of the following is a sign of meningitis?


A) Headache
B) Stiff neck
C) White blood cells in cerebrospinal fluid
D) Fever
E) All of the choices are correct.

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

Correct Answer

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Production of a neurotoxin that prevents acetylcholine release from motor neurons at neuromuscular junctions is a characteristic of ________.


A) Clostridium botulinum
B) Clostridium perfringens
C) Clostridium difficile
D) Clostridium tetani
E) All of the choices are correct.

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

Correct Answer

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