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The lab results indicate that the coagulase test was performed. Which result would be consistent with a diagnosis of S. aureus infection?


A) The sample remains liquid
B) The sample completely coagulates
C) The sample turns yellow and coagulates
D) The sample turns yellow and remains liquid

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

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All of the following pertain to measles (rubeola) except ________.


A) it is transmitted by direct contact with the rash
B) humans are the only reservoir for the pathogen
C) secondary bacterial otitis media and sinusitis can occur
D) it involves a fatal complication called subacute sclerosing panencephalitis (SSPE)
E) dry cough, sore throat, fever, and conjunctivitis are symptoms

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

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The exposed surfaces of the eye that are the most vulnerable to infections are the ________.


A) conjunctiva and cornea
B) sclera and iris
C) iris and conjunctiva
D) retina and sclera
E) pupil and cornea

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

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Varicella zoster virus (human herpesvirus-3) ________.


A) uses the respiratory epithelium as its portal of entry
B) becomes latent in dorsal root ganglia that serve specific dermatomes
C) has humans as its reservoir
D) causes chickenpox and shingles
E) All of the choices are correct.

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

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The most serious teratogenic effects of intrauterine rubella infection occur if it is acquired during the third trimester.

A) True
B) False

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All of the following pertain to Streptococcus pyogenes except ________.


A) is often from an endogenous source
B) secretes streptokinase
C) causes impetigo
D) coats itself with host proteins
E) causes gas gangrene

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

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What group of microorganisms do not usually call the skin "home"?


A) Streptococcus
B) Corynebacterium
C) Propionibacterium
D) Yeasts
E) All of the choices are correct.

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

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Smallpox is a disease ________.


A) in which fever, prostration, rash, and possible toxemia and shock occur
B) in which the virus becomes latent in ganglia of sensory neurons
C) in which recurrent episodes are called shingles
D) that can only be transmitted by direct skin contact with skin crusts
E) All of the choices are correct.

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

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The eye differs from other parts of the body with reference to defense mechanisms in that ________.


A) innate defenses, such as inflammation and phagocyte influx, would impair vision and are therefore limited
B) they are not vulnerable to infection so they do not require natural defenses
C) the primary defense mechanism is the lymphocyte response to epitopes on the pathogen surface
D) the third line of defense is the most essential

E) B) and D)
F) B) and C)

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A

Blood vessels are found in the ________.


A) stratum corneum
B) dermis
C) stratum basale
D) subcutaneous layer
E) dermis and subcutaneous layer

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

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The lesions are diagnosed as S. aureus impetigo. The nurse is educating the mother about why her daughter's affected skin seems so fragile and blisters easily. Which of the following statements is most appropriate?


A) The constant exposure to moisture makes your daughter's skin very fragile, and blistering is the natural response.
B) Your daughter's scratching irritates the skin, making it very fragile and irritable.
C) The blood beneath the surface of the skin is broken down by waste products from S. aureus, and superficial blisters are the clinical sign.
D) An exotoxin produced by S. aureus targets a protein responsible for cell-to-cell binding, and blisters are the result.

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

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Fifth disease ________.


A) is caused by Parvovirus B19
B) is a childhood febrile disease with a bright red rash on the cheeks
C) cannot be prevented at this time with vaccination
D) has a maculopapular rash that lasts for days to weeks
E) All of the choices are correct.

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

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E

Measles is also known as ________.


A) rubella
B) shingles
C) rubeola
D) fifth disease
E) varicella

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

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Which of the following is the causative agent of tinea versicolor?


A) Malassezia
B) Trichophyton
C) Microsporum
D) Epidermophyton
E) None of the choices are correct.

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

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The Human Microbiome Project revealed what important information regarding the microbiota of the eye?


A) Previously thought to be sparsely populated, the eye has been found to have a robust, diverse population of microbiota.
B) Previously thought to be sparsely populated, the HMP showed the eye to be sterile.
C) The HMP showed that the eye contains only one species of bacteria; Corynebacterium.
D) The eye contains a unique population of bacteria, not found anywhere else on the body.

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

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Impetigo is caused by ________.


A) Propionibacterium acnes
B) Corynebacterium diphtheriae
C) Staphylococcus aureus
D) Streptococcus pyogenes
E) both Staphylococcus aureus and Streptococcus pyogenes

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

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The mother requests antibiotics to treat her daughter's infection. What is the most appropriate action by the RN?


A) Advocate that the physician write a prescription for oral amoxicillin because the spread of the infectious lesions can be slowed by a broad-spectrum antibiotic.
B) Inform the mother that her daughter needs an antiviral prescription, not an antibiotic, to treat the infection.
C) Educate the mother she can purchase a triple-antibiotic ointment to apply to the lesions three times daily.
D) Educate the mother that chickenpox does not respond to antibiotics, but is self-limiting and will heal on its own.

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

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The eye generally has a large percentage of normal biota present.

A) True
B) False

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MRSAs are Staphylococcus aureus strains that are ________.


A) resistant to mupirocin
B) responsive to mupirocin
C) resistant to penicillin derivatives
D) responsive to penicillin derivatives
E) related to Streptococcus pyogenes

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

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C

The Human Microbiome Project revealed ________.


A) vast numbers of organisms are found on expansive, dry areas of the skin
B) high salt areas of the skin limit bacterial growth
C) the skin microbiota changes constantly over time
D) the skin microbiome is much more varied than previously thought
E) All of the choices are correct.

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

Correct Answer

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