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ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.01 Differentiate among the terms colonization, infection, and disease.
Section Number: 13.01
Topic: Development of an Infection
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 2. Understand
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.01
Topic: Resident Microbiota
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.01 Differentiate among the terms colonization, infection, and disease.
Section Number: 13.01
Topic: Resident Microbiota
4. Based upon new information from the Human Microbiome Project, the human body
typically begins to be colonized by its normal biota
A. before birth, in utero.
B. during and immediately after birth.
C. when a child first goes to school.
D. when an infant gets its first infectious disease.
E. during puberty.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.02
Topic: Resident Microbiota
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.01
Topic: Resident Microbiota
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.01 Differentiate among the terms colonization, infection, and disease.
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.01
Topic: Resident Microbiota
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.01
Topic: Resident Microbiota
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 2. Understand
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Learning Outcome: 13.05 Define opportunism, and list examples of common opportunistic pathogens.
Section Number: 13.01
Topic: Resident Microbiota
9. The effect of beneficial microbes of normal biota against invading microbes is called
A. microbial antagonism.
B. endogenous infection.
C. infectious disease.
D. axenic.
E. gnotobiotism.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.02
Topic: Resident Microbiota
10. All of the following genera are considered resident biota of skin sites except
A. Escherichia.
B. Staphylococcus.
C. Corynebacterium.
D. Micrococcus.
E. Candida.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.01
Topic: Resident Microbiota
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.01
Topic: Resident Microbiota
12. Which genus is resident biota of the mouth, large intestine, and within the vagina from
puberty to menopause?
A. Lactobacillus
B. Treponema
C. Haemophilus
D. Escherichia
E. Clostridium
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.01
Topic: Resident Microbiota
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.05 Define opportunism, and list examples of common opportunistic pathogens.
Section Number: 13.02
Topic: Resident Microbiota
14. Pathogenic microbes that cause disease in healthy people are called
A. opportunistic pathogens.
B. normal biota.
C. indigenous biota.
D. true pathogens.
E. micropathogens.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.05 Define opportunism, and list examples of common opportunistic pathogens.
Section Number: 13.02
Topic: Resident Microbiota
15. Which of the following is not a factor that weakens host defenses against infections?
A. genetic defects in immunity
B. physical and mental stress
C. strong, healthy body
D. chemotherapy
E. old age
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Virulence/Host Damage
16. Which genus is the most common resident biota of mouth surfaces?
A. Lactobacillus
B. Streptococcus
C. Haemophilus
D. Escherichia
E. Mycobacterium
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.01
Topic: Resident Microbiota
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Section Number: 13.02
Topic: Transmission of Infections
18. The greatest number of pathogens enter the body through the
A. respiratory system.
B. gastrointestinal system.
C. urinary system.
D. genital system.
E. skin.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.07 List several portals of entry and exit.
Learning Outcome: 13.08 Define infectious dose and explain its role in establishing infection.
Section Number: 13.02
Topic: Transmission of Infections
19. An infectious agent that originates from outside the body is called
A. exogenous.
B. an exotoxin.
C. an enterotoxin.
D. endogenous.
E. axenic.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.05 Define opportunism, and list examples of common opportunistic pathogens.
Section Number: 13.01
Topic: Resident Microbiota
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.05 Define opportunism, and list examples of common opportunistic pathogens.
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Learning Outcome: 13.15 Define healthcare-associated infection, listing common types and their causative agents.
Section Number: 13.01
Topic: Resident Microbiota
21. The minimum number of microbes required for infection to proceed is termed
A. virulence factor.
B. indigenous biota.
C. infectious dose.
D. endotoxin.
E. minimal dose.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.08 Define infectious dose and explain its role in establishing infection.
Section Number: 13.02
Topic: Development of an Infection
ASM Objective: 02.03 Bacteria and Archaea have specialized structures (e.g., flagella, endospores, and pili) that often confer critical
capabilities.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 02 Structure and Function
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
23. Once a microbe has entered a host, what process performed by certain white blood cells
will attempt to destroy the microbes?
A. phagocytosis
B. adhesion
C. encapsulation
D. margination
E. exocytosis
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Development of an Infection
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Development of an Infection
ASM Objective: 02.03 Bacteria and Archaea have specialized structures (e.g., flagella, endospores, and pili) that often confer critical
capabilities.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 02 Structure and Function
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.10 Compare and contrast major characteristics of exotoxins and endotoxin.
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.10 Compare and contrast major characteristics of exotoxins and endotoxin.
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.10 Compare and contrast major characteristics of exotoxins and endotoxin.
Section Number: 13.02
Topic: Virulence/Host Damage
ASM Objective: 02.03 Bacteria and Archaea have specialized structures (e.g., flagella, endospores, and pili) that often confer critical
capabilities.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 02 Structure and Function
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
32. Exotoxins
A. are secreted by pathogenic organisms.
B. are bound to the membrane of pathogenic organisms.
C. are bound to the cell wall of pathogenic organisms.
D. cause more damage than endotoxins.
E. are host specific
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
33. An endotoxin is
A. secreted by pathogenic organisms.
B. indicative of gram-negative bacterial infection.
C. secreted by gram-positive organisms.
D. indicative of fungal infections.
E. indicative of viral infections.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
34. _____ is the lipopolysaccharide of the outer membrane of gram-negative cell walls.
A. Exotoxin
B. Endotoxin
C. Enterotoxin
D. Leukocidin
E. Hemolysin
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
35. _____ are various bacterial enzymes that dissolve fibrin clots.
A. Coagulases
B. Mucinases
C. Keratinases
D. Kinases
E. Hyaluronidases
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.10 Compare and contrast major characteristics of exotoxins and endotoxin.
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.10 Compare and contrast major characteristics of exotoxins and endotoxin.
Section Number: 13.02
Topic: Virulence/Host Damage
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.10 Compare and contrast major characteristics of exotoxins and endotoxin.
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Infectious Disease Terminology
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Infectious Disease Terminology
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Infectious Disease Terminology
41. The stage of an infectious disease when specific signs and symptoms are seen and the
pathogen is at peak activity is the
A. prodromal stage.
B. convalescent stage.
C. incubation period.
D. period of invasion.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.12 Draw and label a curve representing the course of clinical infection.
Section Number: 13.02
Topic: Development of an Infection
42. The time from when pathogen first enters the body and begins to multiply, until symptoms
first appear is the
A. prodromal stage.
B. convalescent stage.
C. incubation period.
D. period of invasion.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.12 Draw and label a curve representing the course of clinical infection.
Section Number: 13.02
Topic: Development of an Infection
43. The initial, brief period of early, general symptoms such as fatigue and muscle aches is
the
A. prodromal stage.
B. convalescent stage.
C. incubation period.
D. period of invasion.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.12 Draw and label a curve representing the course of clinical infection.
Section Number: 13.02
Topic: Infectious Disease Terminology
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.01 Differentiate among the terms colonization, infection, and disease.
Section Number: 13.02
Topic: Development of an Infection
45. The subjective evidence of disease sensed by the patient is termed a/an
A. syndrome.
B. symptom.
C. sign.
D. pathology.
E. inflammation.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Development of an Infection
46. The objective, measurable evidence of disease evaluated by an observer is termed a/an
A. syndrome.
B. symptom.
C. sign.
D. pathology.
E. inflammation.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Learning Outcome: 13.07 List several portals of entry and exit.
Section Number: 13.02
Topic: Development of an Infection
47. Local edema, swollen lymph nodes, fever, soreness, and abscesses are indications of
A. toxemia.
B. inflammation.
C. sequelae.
D. a syndrome.
E. latency.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Development of an Infection
48. A symptom is
A. an objective indication of disease.
B. a subjective indication of disease.
C. measurable by health care personnel.
D. a temperature.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Development of an Infection
49. A sign is
A. an objective indication of disease.
B. a subjective indication of disease.
C. measurable by health care personnel.
D. malaise and body aches.
E. An objective indication of disease that is measurable by health care personnel.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Development of an Infection
50. Leukopenia is the _____ in the level of white blood cells in a patient.
A. elevation
B. stabilization
C. decrease
D. abnormal production
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.08 Define infectious dose and explain its role in establishing infection.
Section Number: 13.02
Topic: Virulence/Host Damage
51. The term _____ refers to the presence of small numbers of bacteria in the blood.
A. bacteremia
B. septicemia
C. viremia
D. toxemia
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.08 Define infectious dose and explain its role in establishing infection.
Section Number: 13.02
Topic: Development of an Infection
52. Infections that go unnoticed because there are no symptoms are called
A. syndromes.
B. malaise.
C. inflammation.
D. asymptomatic.
E. secondary infections.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Learning Outcome: 13.07 List several portals of entry and exit.
Section Number: 13.02
Topic: Development of an Infection
53. Which of the following is not a normal portal of exit of an infectious disease?
A. removal of blood
B. urogenital tract and feces
C. coughing and sneezing
D. skin
E. All of these are normal exit portals.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.07 List several portals of entry and exit.
Section Number: 13.02
Topic: Development of an Infection
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.09 Describe three ways microbes cause tissue damage.
Section Number: 13.02
Topic: Virulence/Host Damage
55. Some diseases can cause long-term or permanent damage in the patient termed
A. edema.
B. sequelae.
C. granulomas.
D. abcesses.
E. swollen lymph nodes.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.09 Describe three ways microbes cause tissue damage.
Section Number: 13.02
Topic: Virulence/Host Damage
56. The primary, natural habitat of a pathogen where it continues to exist is called the
A. fomite.
B. carrier.
C. vector.
D. reservoir.
E. source.
ASM Objective: 05.01 Microorganisms are ubiquitous and live in diverse and dynamic ecosystems.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.13 Differentiate among the various types of reservoirs, providing examples of each.
Section Number: 13.02
Topic: Transmission of Infections
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.13 Differentiate among the various types of reservoirs, providing examples of each.
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Section Number: 13.02
Topic: Transmission of Infections
58. An animal, such as an arthropod, that transmits a pathogen from one host to another is a
A. fomite.
B. carrier.
C. vector.
D. reservoir.
E. source.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Section Number: 13.02
Topic: Transmission of Infections
59. The intermediary object or individual from which the infectious agent is actually acquired
is termed the
A. fomite.
B. carrier.
C. vector.
D. reservoir.
E. source.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Section Number: 13.02
Topic: Transmission of Infections
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Section Number: 13.02
Topic: Transmission of Infections
61. Animals that participate in the life cycles of pathogens and transmit pathogens from host
to host are
A. fomites.
B. aerosols.
C. mechanical vectors.
D. droplet nuclei.
E. biological vectors.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Section Number: 13.02
Topic: Transmission of Infections
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Section Number: 13.02
Topic: Transmission of Infections
63. _____ carriers are shedding and transmitting pathogens while they are recovering from an
infectious disease.
A. Asymptomatic
B. Passive
C. Incubation
D. Chronic
E. Convalescent
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.13 Differentiate among the various types of reservoirs, providing examples of each.
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Section Number: 13.02
Topic: Transmission of Infections
64. ______ carriers are shedding and transmitting pathogens a long time after they have
recovered from an infectious disease.
A. Asymptomatic
B. Passive
C. Incubation
D. Chronic
E. Convalescent
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.13 Differentiate among the various types of reservoirs, providing examples of each.
Section Number: 13.02
Topic: Transmission of Infections
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.01 Differentiate among the terms colonization, infection, and disease.
Section Number: 13.02
Topic: Development of an Infection
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Learning Outcome: 13.15 Define healthcare-associated infection, listing common types and their causative agents.
Section Number: 13.02
Topic: Transmission of Infections
67. A laboratory technologist splashed a blood specimen onto his face, eyes, nose, and mouth.
This specimen was from an HIV positive patient. If this blood exposure leads to HIV infection
in the technologist, the transmission route is
A. direct.
B. fomite.
C. vehicle.
D. droplet nuclei.
E. aerosol.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 3. Apply
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Learning Outcome: 13.15 Define healthcare-associated infection, listing common types and their causative agents.
Section Number: 13.02
Topic: Transmission of Infections
68. The dried residues of fine droplets from mucus or saliva that harbor and transmit pathogen
are
A. fomites.
B. aerosols.
C. mechanical vectors.
D. droplet nuclei.
E. biological vectors.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Section Number: 13.02
Topic: Transmission of Infections
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Learning Outcome: 13.15 Define healthcare-associated infection, listing common types and their causative agents.
Section Number: 13.02
Topic: Transmission of Infections
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Learning Outcome: 13.15 Define healthcare-associated infection, listing common types and their causative agents.
Section Number: 13.02
Topic: Transmission of Infections
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
Blooms Level: 2. Understand
Learning Outcome: 13.15 Define healthcare-associated infection, listing common types and their causative agents.
Learning Outcome: 13.16 List Koch's postulates, and explain alternative methods for identifying an etiological agent.
Section Number: 13.02
Topic: Transmission of Infections
72. Which of the following does not illustrate the use of universal precaution methods in the
handling of patients and body substances?
A. mask and gloves
B. proper disposal of needles
C. healthcare worker with active, open lesions handling patients
D. hand washing
E. sterilizing or disinfection of dental hand pieces
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.15 Define healthcare-associated infection, listing common types and their causative agents.
Section Number: 13.02
Topic: Transmission of Infections
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.16 List Koch's postulates, and explain alternative methods for identifying an etiological agent.
Section Number: 13.02
Topic: Development of an Infection
74. The study of the frequency and distribution of a disease in a defined population is
A. pathology.
B. clinical microbiology.
C. medicine.
D. immunology.
E. epidemiology.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.17 Summarize the goals of epidemiology and the role of the Centers for Disease Control and Prevention (CDC).
Section Number: 13.03
Topic: Epidemiology
75. The principal government agency responsible for tracking infectious diseases in the
United States is the
A. Centers for Disease Control and Prevention.
B. World Health Organization.
C. National Institutes of Health.
D. United States Department of Agriculture.
E. Infection Control Committee.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.17 Summarize the goals of epidemiology and the role of the Centers for Disease Control and Prevention (CDC).
Section Number: 13.03
Topic: Epidemiology
76. The number of new cases of a disease in a population over a specific period of time
compared with the healthy population is the
A. mortality rate.
B. morbidity rate.
C. incidence rate.
D. prevalence rate.
E. epidemic rate.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.19 Differentiate between the terms incidence and prevalence.
Section Number: 13.03
Topic: Epidemiology
77. A disease that has a steady frequency over time in a particular geographic location is
referred to as
A. epidemic.
B. endemic.
C. pandemic.
D. sporadic.
E. chronic.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.17 Summarize the goals of epidemiology and the role of the Centers for Disease Control and Prevention (CDC).
Section Number: 13.03
Topic: Epidemiology
78. The total number of deaths in a population due to a disease is the _____ rate.
A. morbidity
B. mortality
C. incidence
D. endemic
E. pandemic
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.17 Summarize the goals of epidemiology and the role of the Centers for Disease Control and Prevention (CDC).
Learning Outcome: 13.20 Discuss the three major types of epidemics, and identify the epidemic curves associated with each.
Section Number: 13.03
Topic: Epidemiology
79. The number of persons afflicted with an infectious disease is the _____ rate.
A. morbidity
B. mortality
C. incidence
D. endemic
E. pandemic
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.17 Summarize the goals of epidemiology and the role of the Centers for Disease Control and Prevention (CDC).
Learning Outcome: 13.20 Discuss the three major types of epidemics, and identify the epidemic curves associated with each.
Section Number: 13.03
Topic: Epidemiology
ASM Objective: 05.01 Microorganisms are ubiquitous and live in diverse and dynamic ecosystems.
ASM Objective: 05.03 Microorganisms and their environment interact with and modify each other.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 2. Understand
Learning Outcome: 13.03 Discuss how the Human Microbiome Project has changed our understanding of normal biota.
Section Number: 13.01
Topic: Resident Microbiota
81. Bacterial toxins are chemical products made by bacteria. A person ingests some honey
containing Clostridium botulinum. The C. botulinum is actively growing and releases toxin in
the honey. The person becomes ill from ingesting the toxin. This is an example of a/n
A. intoxication.
B. toxemia.
C. hemolysin.
D. pandemic.
E. infection.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 3. Apply
Learning Outcome: 13.10 Compare and contrast major characteristics of exotoxins and endotoxin.
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.01 Differentiate among the terms colonization, infection, and disease.
Section Number: 13.01
Topic: Infectious Disease Terminology
83. Under certain circumstances, a person's resident biota can act as opportunistic pathogens.
TRUE
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 2. Understand
Learning Outcome: 13.05 Define opportunism, and list examples of common opportunistic pathogens.
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Infectious Disease Terminology
84. The skin's resident biota are localized to only the outermost superficial layer of the
epidermis.
FALSE
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 1. Remember
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.01
Topic: Resident Microbiota
85. The virulence factors of a pathogen are determined by how strong or weak a patient's body
defenses are at the time of infection.
FALSE
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Learning Outcome: 13.12 Draw and label a curve representing the course of clinical infection.
Section Number: 13.02
Topic: Virulence/Host Damage
86. The Centers for Disease Control and Prevention assigns the most virulent microbes known
to cause human disease to biosafety level 4.
TRUE
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.18 Identify why some diseases are "notifiable," and provide four examples of such reportable diseases.
Section Number: 13.03
Topic: Epidemiology
87. A fetus can get an infection when a pathogen in the mother's blood is capable of crossing
the placenta to the fetal circulation and tissues.
TRUE
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Learning Outcome: 13.15 Define healthcare-associated infection, listing common types and their causative agents.
Section Number: 13.02
Topic: Transmission of Infections
88. When an infected person is in the incubation period, that person cannot transmit the
pathogen to others.
FALSE
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Section Number: 13.02
Topic: Transmission of Infections
89. Septicemia means that a pathogen is present and multiplying in the blood.
TRUE
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.01 Differentiate among the terms colonization, infection, and disease.
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Section Number: 13.02
Topic: Infectious Disease Terminology
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.06 List the steps a microbe has to take to get to the point where it can cause disease.
Learning Outcome: 13.15 Define healthcare-associated infection, listing common types and their causative agents.
Section Number: 13.02
Topic: Development of an Infection
91. Fomites, food, and air serve as indirect transmission routes of pathogens.
TRUE
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.14 List six different modes of horizontal transmission, providing an infectious disease spread by each.
Learning Outcome: 13.15 Define healthcare-associated infection, listing common types and their causative agents.
Section Number: 13.02
Topic: Transmission of Infections
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 1. Remember
Learning Outcome: 13.16 List Koch's postulates, and explain alternative methods for identifying an etiological agent.
Section Number: 13.02
Topic: Development of an Infection
ASM Objective: 05.01 Microorganisms are ubiquitous and live in diverse and dynamic ecosystems.
ASM Objective: 05.03 Microorganisms and their environment interact with and modify each other.
ASM Objective: 06.01 Microbes are essential for life as we know it and the processes that support life (e.g., in biogeochemical cycles and
plant and/or animal microflora).
ASM Topic: Module 05 Systems
ASM Topic: Module 06 Impact of Microorganisms
Blooms Level: 3. Apply
Learning Outcome: 13.03 Discuss how the Human Microbiome Project has changed our understanding of normal biota.
Section Number: 13.01
Topic: Resident Microbiota
94. Treponema pallidum is the bacterium that causes syphilis. The gram-negative spirochete
has never been cultured on bacteriological media. Select the statement that most accurately
describes this disease-causing microbe:
A. There is no way to perform an epidemiological study on this disease.
B. Koch's postulates cannot be fulfilled for this disease.
C. Because the bacterium cannot be grown, there is no way to characterize the organism as to
staining features, biochemical test reactions, molecular testing, etc.
D. There is no satisfactory way to identify the disease without being able to grow it.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 4. Analyze
Learning Outcome: 13.16 List Koch's postulates, and explain alternative methods for identifying an etiological agent.
Section Number: 13.02
Topic: Development of an Infection
95. Your patient has a rash, a fever, and a very high white blood cell count. Blood specimens
are taken, put into culture bottles, and sent down to the microbiology lab for incubation and
analysis. Select the statement that best reflects why microbial analysis of blood is an
important step in patient diagnosis:
A. Microbial growth in blood samples may indicate sepsis.
B. A few bacterial cells in a blood sample are no big deal and should be ignored.
C. Blood specimen are often obtain through poor aseptic technique by the healthcare worker:
this is documentation of their failure to employ proper universal precautions.
D. A lack of microbes in the blood means that the patient's health is critical.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 4. Analyze
Learning Outcome: 13.02 Enumerate the sites where normal biota is found in humans.
Section Number: 13.01
Topic: Resident Microbiota
96. If you were a bacterial cell, which of the following would be the most beneficial for you
to have or be able to make for the survival of your species?
A. endospore
B. cilia
C. pilus
D. exotoxin
ASM Objective: 02.03 Bacteria and Archaea have specialized structures (e.g., flagella, endospores, and pili) that often confer critical
capabilities.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 02 Structure and Function
Blooms Level: 3. Apply
Learning Outcome: 13.11 List several virulence factors, and summarize their actions within a host.
Section Number: 13.02
Topic: Virulence/Host Damage
97. You are studying a newly identified infectious disease within a population. Think of the
typical graph of the course of infection--incubation period through to convalescent period.
The new disease reveals a course of infection characterized by fluctuating symptoms, with
intermittent periods of invasion (acute period) between prodromal periods. The whole course
of infection occurs over a period of months or even years. Based upon the information
presented, select the statement that most accurately reflects this new infectious disease:
A. This infectious disease exhibits latency.
B. This is not an infectious disease at all.
C. The host has immune problems and this is the typical course of a disease for that
population.
D. Viral infections always present with this type of disease course.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 4. Analyze
Learning Outcome: 13.12 Draw and label a curve representing the course of clinical infection.
Section Number: 13.02
Topic: Development of an Infection
98. In the movie "Contagion", one person who has become infected with a recombinant
pathogenic virus spreads it to a large number of people who she comes in contact with. Those
people then spread it to others, and, before you know it, the disease has spread all over the
world. This is an example of a _______ epidemic.
A. point-source
B. common-source
C. propagated
D. endemic
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 2. Understand
Learning Outcome: 13.20 Discuss the three major types of epidemics, and identify the epidemic curves associated with each.
Section Number: 13.03
Topic: Epidemiology
99. Assume that there are 335,104 new cases of gonorrhea reported among the U.S.
population. When calculated, this would be 115.2 per 100,000 or approximately 1 reported
case per 1,000 population. The value represents:
A. prevalence rate.
B. incidence rate.
C. morbidity rate.
D. mortality rate.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 3. Apply
Learning Outcome: 13.19 Differentiate between the terms incidence and prevalence.
Section Number: 13.03
Topic: Epidemiology
100. The prevalence rate of tuberculosis in one particular county in Texas is 7/1000 people,
while the incidence rate for 2011 is 2/1000 people. Analyze this data and summarize the
situation.
A. The data were collected incorrectly because the two values should match.
B. Incidence rate should really be higher than prevalence rate because it includes all new
cases for the year.
C. Prevalence rate is higher than incidence rate because the number of people still alive with
tuberculosis is higher because of better treatments.
D. Prevalence rate and incidence rate cannot be determined for the same disease.
ASM Objective: 05.04 Microorganisms, cellular and viral, can interact with both human and nonhuman hosts in beneficial, neutral or
detrimental ways.
ASM Topic: Module 05 Systems
Blooms Level: 4. Analyze
Learning Outcome: 13.19 Differentiate between the terms incidence and prevalence.
Section Number: 13.03
Topic: Epidemiology