SCI250 Week 7 Chapter 24 Nervous System Quiz Section: Multiple Choice 1. Which of the following is associated with serious infection of the meninges? · A. Clogging of blood vessels · B. Increased pressure within the skull · C. Decreased cerebrospinal fluid flow · D. Impaired central nervous system function · E. All of the above 2. Which of the following is NOT true of the nervous system? · A. Consists of central and peripheral systems · B. Central nervous system is composed of brain and spinal cord · C. Ganglia are part of brain · D. Meminges is membrane that covers brain and spinal cord · E. Normally free of microbes 3. Which of the following is a common cause of meningitis in non-immunized young children? · A. Streptococcus pneumoniae · B. Escherichia coli · C. Staphylococcus · D. Haemophilus influenzae · E. None of the above 4. A complication of infection with this organism (Waterhouse-Friderichsen syndrome) can occur if the organism becomes widely distributed in the body, leading to endotoxin shock and death. What is this organism? · A. Haemophilus influenzae · B. Neisseria meningitidis · C. Haemophilus influenza · D. Streptococcus pneumoniae · E. Listeria monocytogenes 5. Because patients who survive serious disease with this microorganism may have permanent central nervous system disorders, it is the leading cause of mental retardation in the world. · A. Haemophilus influenzae · B. Neisseria meningitidis · C. Streptococcus pneumoniae · D. Listeria monocytogenes 6. What is the microorganism that causes most cases of meningitis among adults? · A. Haemophilus influenzae · C. Haemophilus influenzae · D. Listeria monocytogenes · E. Streptococcus pneumoniae 7. Which of the following bacteria that may cause meningitis is Gram positive and therefore does not cause endotoxin shock in infected individuals? · A. Escherichia coli · B. Neisseria meningitidis · C. Listeria monocytogenes · D. Haemophilus influenzae 8. The disease associated with Chronic meningitis is caused by ________ · A. Streptococcus pneumoniae. · B. Mycobacterium tuberculosis. · C. Staphylococcus. · D. Treponema pallidum. · E. B and D 9. Meningitis caused by Listeria monocytogenes is usually transmited by ________ · A. food. · B. water. · C. aerosols. · C. sexual contact. · D. physical contact. 10. Which of the following can most easily pass through the blood–brain barrier? · A. Penicillin · B. Chloramphenicol · C. Antibodies · D. Complement · E. All of the above 11. What causes Hansen’s disease (leprosy)? · A. Mycobacterium tuberculosis · B. Mycobacterium leprae · C. Listeria monocytogenes · D. Clostridium botulinum · E. Prions 12. An immunofluorescent antibody test (IFAT) has replaced the older test for the presence of inclusions in neurons (Negri bodies) for the detection of infections caused by ________ · A. Neisseria meningitides. · B. Enteroviruses. · C. Mumps virus. · D. Rabies virus. · E. Haemophilus influenzae . 13. What viruses most likely cause encephalitis? · A. Togaviruses · B. Enteroviruses · C. Mumps virus · D. Rabies virus · E. Hepatitis viruses 14. What is the only bacterium known to damage peripheral nerves? · A. Naegleria fowleri · B. Mycobacterium leprae · D. Neisseria meningitidis · E. Haemophilus influenzae 15. Muscle spasms that can lead to an arched back and spasms of the jaw muscles (lockjaw) can be caused by infections with ________ · A. Clostridium tetani. · B. Clostridium botulinum. · C. Mycobacterium leprae. · D. Mycobacterium tuberculosis. · E. Poliovirus. 16. A vaccine that was developed in 1933 has proven effective in reducing the incidence of disease caused by ________ · A. Clostridium botulinum. · B. Mycobacterium leprae. · C. Clostridium tetani. · D. Streptococcus pneumoniae. · E. Listeria monocytogenes. 17. What is the most common form of disease caused by Clostridium botulinum? · A. Infant · B. Wound · C. Lung, followed by exposure to aerosols · D. Foodborne · E. None of the above 18. A toxin that causes paralysis by preventing the release of acetylcholine at the junctions between neurons and muscles is produced by strains of ________ · A. Clostridium botulinum. · C. Streptococcus thermicos. · D. Clostridium tetani. · E. Listeria monocytogenes. 19. Preventing African sleeping sickness is nearly impossible because ________ · A. the trypanosomes change their surface glycoproteins evading the host immune response. · B. the tsetse fly has a wide range and eradication is difficult. · C. vaccines must target many antigens. · D. All of the above · E. A and B 20. Poliovirus infections may cause no symptoms and go undetected in ________ · A. small children. · B. teenagers. · C. young adults. · D. elderly. · E. All of the above 21. Which form of poliovirus vaccine is better at eliminating viruses in the gastrointestinal tract? · A. Live attenuated vaccine · B. Formalin-killed vaccine 22. A major difference between infections with prions and other agents is that infections with prions: · A. Do not lead to an inflammatory response · B. Are not transmissible · C. Do not cause an increase in the size of astrocytes · D. Are not fatal · E. All of the above Section: Matching 23. Tissue necrosis, brain edema, headache, fever, occasionally seizures · A. Bacterial meningitis · B. Listeriosis · C. Rabies · D. Encephalitis
· E. Hansen’s disease
· F. Tetanus
· G. Botulism · H. Poliomyelitis · I. Transmissable spongiform encephalopathies · J. Chagas’ disease 24. A kind of meningitis seen in fetuses and immunodeficient patients · A. Bacterial meningitis · C. Rabies · D. Encephalitis · I. Transmissable spongiform encephalopathies · J. Chagas’ disease 25. Invades nerves and brain; headache, fever, nausea, partial paralysis, coma, and death ensue unless patient has immunity · A. Bacterial meningitis · D. Encephalitis · E. Hansen’s disease · H. Pliomyelitis · I. Transmissable spongiform encephalopathies 26. Shrinkage and lysis of neurons of the central nervous system; headache, fever, and sometimes brain necrosis and convulsions · A. Bacterial meningitis · B. Listeriosis · C. Rabies · D. Encephalitis · E. Hansen’s disease · F. Tetanus 27. Range of symptoms from loss of skin pigment and sensation to lepromas and erosion of skin and bone · A. Bacterial meningitis 28. Toxin-mediated disease; muscle stiffness, spasms, paralysis of respiratory muscles, heart damage, and usually death · A. Bacterial meningitis · H. Pioliomyelitis · I. Transmissable spongiform encephalopathies · J. Chagas’ disease 29. Preformed toxin from food prevents release of acetylcholine; paralysis and death result unless treated promptly; in infants and wounds, endospores germinate and produce toxin · A. Bacterial meningitis · B. Listeriosis 30. Fever, back pain, muscle spasms, partial or complete flaccid paralysis from destruction of motor neurons · A. Bacterial meningitis 31. Death of brain cells leave holes, creating spongiform brain tissue; amyloid plaques form; long delay before symptoms appear; then spasms rapidly worsening to collapse; no cure · A. Bacterial meningitis · J. Chagas’ disease 32. Subcutaneous inflammation, damage to lymphatic tissues, muscle, and nerve ganglia; muscle pain and paralysis of intestinal, heart, and skeletal muscle · A. Bacterial meningitis |
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