Question 1
Question
Which are correct regarding Bacillus anthracis?
Question 2
Question
Which enzyme allows Yersinia pestis to survive in the midgut of the flea?
Answer
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phospholipase D
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phosphokinase
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adenylate cyclase
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protease
Question 3
Question
There is currently research being done to make an anthrax vaccine. A current candidate for a vaccine is LF (lethal factor) mutant E687C, which induces anti-LF antibody formation but lacks LF enzymatic activity. If a patient was given the E687C mutant as a vaccine but then was exposed to wildtype Bacillus anthracis, what would happen?
Answer
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The patient would get an intense anthrax infection. The mutant and wildtype LF would both contribute to pathogenesis causing lethal vascular collapse in the heart.
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The patient would get a normal anthrax infection. The vaccine doesn’t have the same protein structure as wildtype LF so it wouldn’t be effective against wildtype B. anthracis.
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The patient would not get an anthrax infection. The vaccine would cause the immune system to recognize B. anthracis and activate an immune response
Question 4
Question
Which bacterium does not survive within the host by disabling or killing phagocytic cells?
Answer
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Yersinia pestis
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Bacillus anthracis
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Treponema pallidum
Question 5
Question
You are a doctor and have several patients come into your clinic. They have various symptoms: some have skin infections and lesions, some have necrosis of intestines, and some have lung infections. You aren’t concerned because the symptoms don’t seem connected. However, your clinical microbiologist fears an outbreak in your city. What microbe did the clinical microbiologist identify causing infection in all 3 of your patients?
Answer
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Yersinia pestis
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Salmonella typhimurium
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Bordetella pertussis
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Bacillus anthracis
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Shigella flexneri
Question 6
Question
What are the major virulence factors of Bacillus anthracis?
Question 7
Question
How do the three anthrax toxins participate in pathogenesis?
Answer
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They alter cell signaling pathways in the host to interfere with innate immune responses in early stages of infection and to induce vascular collapse at late stages
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They migrate to the regional lymph nodes, are phagocytosed by polymorphonuclear and mononuclear phagocytes, and multiply intracellularly.
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They silence the pro-inflammatory cytokine response and cause apoptotic death of the infected macrophages
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They penetrate intact mucous membranes or microscopic dermal abrasions and, within a few hours, enter the lymphatics and blood to produce systemic infection
Question 8
Question
[blank_start]PA[blank_end] binds to cellular receptors to translocate [blank_start]LF[blank_end] and [blank_start]EF[blank_end] into cells.
Question 9
Question
What activates the virulence factors in Bacillus anthracis?
Answer
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increase in bicarbonate
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activation of AtxA
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change in temperature
Question 10
Question
[blank_start]Bacillus anthracis[blank_end]: [blank_start]gram-positive[blank_end], [blank_start]spore-forming[blank_end], causes anthrax
[blank_start]Yersinia pestis[blank_end]: [blank_start]gram-negative[blank_end], [blank_start]non-sporulating[blank_end], rod shape, [blank_start]causes the plague[blank_end]
[blank_start]Treponema pallidum[blank_end]: gram-negative, [blank_start]spirochete[blank_end], [blank_start]causes syphilis[blank_end]
Answer
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Bacillus anthracis
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Yersinia pestis
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Treponema pallidum
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gram-negative
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gram-positive
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spore-forming
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non-sporulating
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spirochete
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causes the plague
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causes syphilis
Question 11
Question
Fill in the blanks for the stages of syphilis.
[blank_start]Latent:[blank_end] no signs, but still infected
[blank_start]Secondary[blank_end]: skin rashes, mucous membrane lesions, fever, sore throat, headaches, muscle aches, etc. (“The Great Imposter”)
[blank_start]Tertiary (years later)[blank_end]: damage to internal organs (heart, eyes, brain)
[blank_start]Primary[blank_end]: sores at site of infection
Answer
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Latent:
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Secondary
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Tertiary
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Quaternary
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Secondary
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Primary
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Latent
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Acute
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Tertiary
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Tertiary (years later)
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Quaternary (years later)
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Latent (years later)
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Dormant (years later)
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Primary
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Secondary
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Acute
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Latent
Question 12
Question
Yersinia pestis rapidly penetrates intact mucous membranes or microscopic dermal abrasions and, within a few hours, enters the lymphatics and blood to produce systemic infection
Question 13
Question
[blank_start]T. pallidum[blank_end] evades the immune system via antigenic variation of [blank_start]TprK,[blank_end] a surface-exposed protein
On contact with host macrophages, [blank_start]Yersinia pestis[blank_end] injects [blank_start]Yops[blank_end] resulting in the silencing of the pro-inflammatory cytokine response and in apoptotic death of the infected macrophages
In [blank_start]Bacillus anthracis[blank_end], [blank_start]protective antigen[blank_end] binds to cellular receptors to translocate [blank_start]lethal factor[blank_end] and [blank_start]edema factor[blank_end] into cells. The toxins alter cell signaling pathways in the host to interfere with innate immune responses in early stages of infection and to induce vascular collapse at late stages.
Answer
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T. pallidum
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TprK,
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Yersinia pestis
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Yops
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Bacillus anthracis
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protective antigen
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lethal factor
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edema factor
Question 14
Question
Which transmission routes are possible for Bacillus anthracis?
Answer
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Respiratory tract
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Direct contact
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Mother to fetus
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Ingestion
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a, b, and d
Question 15
Question
What are the possible transmission routes for Yersinia pestis?
Answer
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Inhalation
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Ingestion
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Blood
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Lesions
Question 16
Question
Which of the following methods of contact would result in transmission of syphilis?
Answer
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Sexual contact with infectious lesions
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Mother to fetus in utero
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Blood product transfusion
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Physical touch with unbroken skin of infected person
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Infected person coughs near uninfected person
Question 17
Question
What is the secretion system of Yersinia pestis?
Answer
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Type I
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Type II
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Type III
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Type IV
Question 18
Question
Which of the following pathogens does not have endotoxin?
Answer
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Bacillus anthracis
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Yersinia pestis
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Salmonella typhimurium
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All of the above
Question 19
Question
Yersiniz pestis [blank_start]lesions[blank_end], [blank_start]skin infection[blank_end], [blank_start]lung infection[blank_end]
Bacillus anthracis [blank_start]necrosis of intestines[blank_end], [blank_start]lung damage[blank_end], skin infection
Treponema pallidum [blank_start]inflamed arteries[blank_end], sores on hands, [blank_start]fever[blank_end], [blank_start]headache[blank_end]
Answer
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lesions
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skin infection
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lung infection
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necrosis of intestines
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lung damage
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inflamed arteries
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fever
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headache