NAME___________________________________ MCB 2004, MICROBIOLOGY TEST #3-A, APRIL 08, 2009 R. H. REEVES IN THIS SECTION THERE ARE FORTY QUESTIONS WORTH TWO POINTS EACH. THERE IS ONLY ONE CORRECT ANSWER FOR EACH QUESTION. PLEASE CIRCLE THE CORRECT LETTER OR PLACE THE CORRECT LETTER JUST TO THE LEFT OF THE QUESTION NUMBER. THEN TRANSFER ALL YOUR ANSWERS TO THE ANSWER SHEET. KEY FOR QUESTIONS 1-5. THERE IS ONLY ONE CORRECT ANSWER BUT EACH KEY WORD MAY BE USED MORE THAN ONCE. A. B. C. D. E. TETRACYCLINE DAPSONE & RIFAMPIN CEPHALOSPORIN TRIMETHOPRIM CIPROFLOXICIN D_____1. USED WITH SULFAMETHOXAZOLE FOR URINARY TRACT INFECTIONS E_____2. THIS DNA GYRASE INHIBITOR IS USED FOR ANTHRAX A_____3. THIS DRUG BINDS TO PROTEINS OF THE 30S RIBOSOMAL SUBUNIT B_____4. THE PRESCRIPTION FOR LEPROSY C_____5. THIS DRUG IS INACTIVATED BY A -LACTAMASE 6. HE DEVELOPED THE MAGIC BULLET CONCEPT AND IS CALLED THE FATHER OF CHEMOTHERAPY A. ALEXANDER FLEMMING B. FRANCIS CRICK C. LOUIS PASTEUR D.* PAUL ERLICH E. JONAS SALK 7. BY ACCIDENT HE DISCOVERED THE PENICILLINS A.* ALEXANDER FLEMMING B. FRANCIS CRICK C. LOUIS PASTEUR D. PAUL ERLICH E. JONAS SALK MCB 2004 TEST #3-A PAGE 2 8. A TOXIN PRODUCED BY STAPHYLOCOCCUS AUREUS CAUSES A. LOCK JAW B. FLACCID PARALYSIS C. BOTH OF THE ABOVE D.* NEITHER OF THE ABOVE 9. TWO BACTERIA ASSOCIATED MOST CLOSELY WITH CHILDHOOD SEPTIC MENINGITIS ARE A.* HAEMOPHILUS INFLUENZAE AND STREPTOCOCCUS PNEUMONIAE B. STREPTOCOCCUS PYOGENES AND STAPHYLOCOCCUS AUREUS C. NEISSERIA MENINGITIDIS AND LISTERIA MONOCYTOGENES D. MYCOBACTERIUM TUBERCULOSIS AND HAEMOPHILUS INFLUENZAE E. PSEUDOMONAS AERUGINOSA AND KLEBSIELLA PNEUMONIAE KEY FOR QUESTIONS 10-14. THERE IS ONLY ONE CORRECT ANSWER BUT EACH KEY WORD MAY BE USED MORE THAN ONCE. A. B. C. D. E. DENGUE FEVER VIRUS RABIES VIRUS HUMAN CORONAVIRUS RESPIRATORY SYNCYTIAL VIRUS HERPES SIMPLEX VIRUS-1 B_____10. CAUSES A FATAL ENCEPHALITIS OF MAMMALS E_____11. CAUSES LATENT AND RECURRENT INFECTIONS A_____12. AN INSECT BITE TRANSMITS IT, THE CAUSE OF "BREAK-BONE" FEVER C_____13. A COMMON COLD VIRUS (AND RECENTLY IMPLICATED IN "SARS") D_____14. FOR MANY YEARS IT HAS BEEN THE CAUSE OF A SERIOUS LOWER RESPIRATORY TRACT INFECTION IN INFANTS 15. THIS A. B.* C. D. E. VIRUS IS NOT ASSOCIATED WITH RESPIRATORY TRACT DISEASE RESPIRATORY SYNCYTIAL VIRUS POLYOMAVIRUS CORONAVIRUS RHINOVIRUS INFLUENZA VIRUS B MCB 2004 TEST #3-A PAGE 3 16. THE TWO PEDIATRIC TOXOID VACCINES PREVENT A. TETANUS AND CHOLERA B. BOTULISM AND CHOLERA C.* TETANUS AND DIPHTHERIA D. BOTULISM AND DIPHTHERIA E. CHOLERA AND DIPHTHERIA 17. FOOD POISONING THAT CAUSES LOWER GI SYMPTOMS WITH INCUBATION PERIODS UP TO 24 HOURS IS USUALLY CAUSED BY A. STAPHYLOCOCCUS AUREUS B. BACILLUS CEREUS C. VIBRIO PARAHAEMOLYTICUS D.* CLOSTRIDIUM PERFRINGENS E. ESCHERICHIA COLI 18. YERSINIA PESTIS IS TRANSMITTED TO HUMANS BY A. A DOG BITE B.* A FLEA BITE C. A MOSQUITO BITE D. A TICK BITE E. A RAT BITE KEY FOR QUESTIONS 19-24. THERE IS ONLY ONE CORRECT ANSWER, BUT EACH ANSWER MAY BE USED MORE THAN ONCE (OR NOT AT ALL). A. B. C. D. E. TOXIC SHOCK SYNDROME YELLOW FEVER GLOMERULONEPHRITIS DIPHTHERIA LYME DISEASE B_____19. IT IS TRANSMITTED BY MOSQUITOES D_____20. CHARACTERIZED BY PRODUCTION OF A "PSEUDOMEMBRANE" A_____21. DUE TO A TOXIN OF STAPHYLOCOCCUS AUREUS E_____22. LATE SYMPTOMS INCLUDE NEUROLOGICAL PROBLEMS AND ARTHRITIS E_____23. SYMPTOMS INCLUDE A "BULL'S EYE" RASH B_____24. THE AGENT OF THIS DISEASE IS A VIRUS MCB 2004 TEST #3-A PAGE 4 25. ALL OF THE FOLLOWING INHIBIT PROTEIN BIOSYNTHESIS EXCEPT A. CHLORAMPHENICOL B. TETRACYCLINE C.* VANCOMYCIN D. ERYTHROMYCIN E. STREPTOMYCIN 26. MARY EXPERIENCES STOMACH CRAMPS AND VOMITING 3 HOURS AFTER EATING A CREAM PUFF AT A NEW YORK PASTRY SHOP. SHE PROBABLY HAS A. BOTULISM TOXINOSIS B. CLOSTRIDIAL FOOD POISONING C. SALMONELLOSIS D. BACILLARY DYSENTERY E.* STAPHYLOCOCCAL FOOD POISONING 27. IT’S THE CAUSE OF A TICK-BORNE FEVER AND WHOLE BODY RASH THAT CAN OFTEN LEAD TO COMA A. TREPONEMA PALLIDUM B. CHLAMYDIA PSITTASI C. LISTERIA MONCYTOGENES D. BORRELIA BURGDORFERI E.* RICKETTSIA RICKETTSII KEY FOR QUESTIONS 28-32. EACH QUESTION HAS ONLY ONE ANSWER, BUT EACH ANSWER MAY BE USED MORE THAN ONCE (OR NOT AT ALL). A. B. C. D. E. STREPTOCOCCUS PYOGENES STAPHYLOCOCCUS AUREUS LISTERIA MONOCYTOGENES STREPTOCOCCUS MUTANS BACILLUS CEREUS C_____28. IT CROSSES THE PLACENTA AND CAUSES STILLBIRTHS A_____29. ITS INFECTION MAY RESULT IN SCARLET FEVER B_____30. CAUSES BOILS E_____31. ITS SPORES SURVIVE COOKING AND CAUSE FOOD POISONING D_____32. ITS RESPONSIBLE FOR BIOFILM INVOLVED IN DENTAL CARIES MCB 2004 TEST #3-A PAGE 5 33. THIS DISEASE IS DIAGNOSED (IN PART) BY OBSERVING GHON COMPLEXES IN THE LUNGS A. WHOOPING COUGH B. PNEUMONIA C.* TUBERCULOSIS D. INFLUENZA E. PLEURISY 34. NEISSERIA GONORRHOEAE A. IS A GRAM POSITIVE, SLENDER ROD B. CAUSES A SECONDARY DISSEMINATED (WHOLE BODY)SKIN RASH C. IS KEPT IN CHECK BY A TOXOID VACCINE D. MAKES A TOXIN THAT INHIBITS PROTEIN SYNTHESIS E.* CAN CAUSE PELVIC INFLAMMORATORY DISEASE 35. THIS A.* B. C. D. VIRUS CAUSES LIVER DISEASE TRANSMITTED BY FOOD AND WATER HEPATITIS A VIRUS HEPATITIS B VIRUS HEPATITIS C VIRUS NONE OF THE ABOVE KEY FOR QUESTIONS 36-40. EACH QUESTION HAS ONLY ONE ANSWER, BUT EACH ANSWER MAY BE USED MORE THAN ONCE (OR NOT AT ALL). A. B. C. D. E. COXIELLA BURNETII STREPTOCOCCUS PNEUMONIAE MYCOPLASMA PNEUMONIAE PSEUDOMONAS AERUGINOSA LEGIONELLA PNEUMOPHILIA D_____36. OFTEN CAUSES A FATAL PNEUMONIA IN CYSTIC FIBROSIS PATIENTS B_____37. THE CAUSE OF PRIMARY TYPICAL PNEUMONIA E_____38. THE CAUSE OF AN ATYPICAL PNEUMONIA FIRST NOTED IN DOWNTOWN PHILADELPHIA A_____39. CAUSES AN ATYPICAL PNEUMONIA TRANSMITTED IN THE DUST OF STOCKYARDS C_____40. YOU CANNOT TREAT THIS AGENT OF PNEUMONIA WITH PENICILLINS OR CEPHALASPORINS MCB 2004 TEST #3-A 41. FILL IN THE FOLLOWING TABLE (10 POINTS): BACTERIAL AGENT TOXIN CAUSES SYMPTOMS YES _______ _______ SYPHILIS _______ _______ _______ YELLOW FEVER _______ _______ _______ ROCKY MTN SPOTTED FEVER _______ CHOLERA _______ _______ _______ SERUM HEPATITIS _______ _______ _______ GENITAL WARTS _______ DISEASE TYPHOID FEVER DIPHTHERIA YES NO NO _______ PEDIATRIC VACCINE AVAILABLE _______ _______ _______ ****************************************************************** ANSWER ONE OF THE FOLLOWING TWO QUESTIONS (10 POINTS) 42. I HAVE DISCUSSED FOUR DIFFERENT COMBINATION DRUGS. DESCRIBE TWO OF THESE DRUG COMBINATIONS (THE TWO COMPONENTS AND HOW THEY WORK), AND TELL ME WHY THE TWO ARE USED TOGETHER. 43. EXPLAIN THE DIFFERENCE BETWEEN ANTIGENIC DRIFT AND ANTIGENIC SHIFT. WHICH VIRUS DEMONSTRATES THESE PROPERTIES, AND WHICH VIRAL PROTEIN(S) IS/ARE AFFECTED. HOW ARE THE VIRUS AND THE PROTEIN(S)CHANGED.