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Syphilitic tumors called _____ develop in the liver, skin, bone, and cartilage during the tertiary stage of syphilis.

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Which of the following is not transmitted via an arthropod vector?


A) leptospirosis
B) Lyme disease
C) Rocky Mountain spotted fever
D) epidemic typhus
E) human Ehrlichosis

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

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Permanent cardiovascular and neurological damage is seen in which stage of syphilis?


A) primary
B) secondary
C) tertiary
D) latent
E) All of these choices are correct.

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

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During which stage of syphilis does fever, lymphadenopathy, and a red to brown rash occur?


A) primary
B) secondary
C) tertiary
D) latent
E) All of these choices are correct

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

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All of the following can positively influence the structure of tooth enamel except


A) fluoride.
B) lysozyme in saliva.
C) antibodies in saliva.
D) refined sugar.
E) genetics.

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

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The Argyll-Robertson pupil that is fixed and small, and does not react to light but does accommodate for focusing is associated with


A) Lyme disease.
B) leptospirosis.
C) chlamydiosis.
D) Rocky Mountain spotted fever.
E) tertiary syphilis.

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

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When plaque becomes mineralized with calcium and phosphate crystals, it becomes a hard, porous substance called _____.

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Which of the following organisms causes a type of diarrhea with stools described as watery "rice water stools"?


A) Vibrio vulnificus
B) Vibrio parahaemolyticus
C) Vibrio cholerae
D) Campylobacter jejuni
E) Helicobacter pylori

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

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Oral flora bacteria on the tooth surface


A) develop a biofilm.
B) use fimbriae and slime layers to adhere.
C) include streptococci that metabolize sucrose, produce sticky glucans, and form plaque.
D) include lactobacilli and streptococci that ferment carbohydrates and produce acids that cause caries.
E) All of these choices are correct.

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

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In patients with diabetes or liver disease, ingestion of raw oysters contaminated with this organism can lead to death.


A) Vibrio vulnificus
B) Vibrio parahaemolyticus
C) Vibrio cholerae
D) Campylobacter jejuni
E) Helicobacter pylori

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

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Relapsing fever involves


A) soft-bodied ticks transmitting Borrelia hermsii.
B) initial symptoms of fever, headache, fatigue.
C) campers and forestry personnel.
D) human body louse transmitting Borrelia recurrentis.
E) All of these choices are correct.

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

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Which is mismatched?


A) epidemic typhus - body louse feces
B) murine typhus - flea feces
C) rickettsial pox - mite bite
D) Rocky Mountain spotted fever - tick bite
E) human ehrlichiosis - flea bite

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

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Which of the following is most useful for the definitive diagnosis of Lyme disease?


A) blood cultures
B) culture of the bull's-eye rash on Lyme-selective agar
C) Gram stain of blood specimen
D) Lyme antibody titers
E) All of these choices are correct.

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

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Which is incorrect about Mycoplasma pneumoniae?


A) Birds are a reservoir.
B) It is a common cause of primary atypical pneumonia.
C) Early infections are characterized by fever, malaise, sore throat, headache.
D) After 2 to 3 weeks, it develops into an unproductive cough and earache.
E) Its cells lack a cell wall.

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

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The tertiary stage of syphilis


A) is when gummas develop in tissues.
B) is when the patient is highly infectious to others.
C) occurs within 10 days of the primary stage.
D) has no symptoms.
E) is when a chancre develops.

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

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After being bitten by a tick on a hiking trip, Amy had chills, headache, muscle pain, nausea, lethargy, and a rash.Before further testing, Amy's health care provider gave her information about which of the following diseases?


A) anaplasmosis
B) ehrlichiosis
C) Shigella and dysentery
D) Streptococcus pyogenes and strep throat
E) Both anaplasmosis and ehrlichiosis are correct.
F) All of these choices are correct

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

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Ornithosis


A) is caused by Chlamydophila pneumoniae.
B) is a zoonosis of certain types of birds.
C) is a mild, upper respiratory tract illness.
D) has humans as a reservoir.
E) All of these choices are correct.

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

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Lyme disease involves


A) early symptoms of fever, headache, stiff neck.
B) crippling polyarthritis and cardiovascular and neurological problems.
C) people having contact with wooded or forested areas.
D) treatment with antimicrobics.
E) All of these choices are correct.

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

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The chancre of syphilis


A) occurs due to small hemorrhaging of capillaries.
B) is very painful.
C) occurs during the tertiary stage.
D) develops into a lesion with firm margins and an ulcerated central crater.
E) All of these choices are correct.

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

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Treponema pallidum subspecies pallidum


A) has humans as the reservoir.
B) can cross the placenta.
C) is the cause of syphilis.
D) is transmitted by direct sexual contact.
E) All of these choices are correct.

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

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