Respiratory System

| October 19, 2015

Section: Matching

1. Catarrhal stage with fever, sneezing, vomiting, and mild cough; paroxysmal stage with ropy mucus and

violent cough; convalescent stage with mild cough

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary syndrome

· Acute respiratory disease

· Histoplasmosis

· Cryptococcosis

· Aspergillosis

2. Inflammation of bronchi or alveoli of lungs with fluid accumulation and fever

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary syndrome

· Acute respiratory disease

· Histoplasmosis

· Cryptococcosis

· Aspergillosis

3. Inflammation of the lungs, fever, chills, headache, diarrhea, vomiting, and fluid in lungs

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary disease

· Acute respiratory disease

· Histoplasmosis

· Cryptococcosis

· Aspergillosis

4. Tubercles in lungs and sometimes in other tissues; organisms can persist in walled-off lesions and be

reactivated

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary syndrome

· Acute respiratory disease

· Cryptococcosis

· Aspergillosis

5. Viruses subject to antigenic variation, with new strains causing epidemics; inflammation of oropharyngeal

membranes, fever, malaise, muscle pain, cough, nasal discharge, and gastroenteritis

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary syndrome

· Acute respiratory disease

· Histoplasmosis

· Cryptococcosis

· Aspergillosis

6. Febrile disease of the respiratory tract; can cause viral pneumonia

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary syndrome

· Acute respiratory disease

· Histoplasmosis

· Cryptococcosis

· Aspergillosis

7. Fever, kidney abnormalities; in severe cases shock, bleeding, and pulmonary edema

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary syndrome

· Acute respiratory disease

· Histoplasmosis

· Cryptococcosis

· Aspergillosis

8. Mild cough and nasal discharge; can cause viral pneumonia

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary syndrome

· Acute respiratory disease

· Histoplasmosis

· Cryptococcosis

· Aspergillosis

9. Granulomatous lesions in lungs and spleen in susceptible individuals; can cause pneumonia

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary syndrome

· Acute respiratory disease

· Histoplasmosis

· Cryptococcosis

· Apsergillosis

10. Usually a mild pulmonary disease; pneumonia and dissemination to meninges can occur

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary syndrome

· Acute respiratory disease

· Histoplasmosis

· Cryptococcosis

· Aspergillosis

11. Allergic asthmatic response to inhalation of spores or invasive infection of lung; fungal balls can cause

asphyxiation

· Whooping cough

· Classic pneumonia

· Legionnaires’ disease

· Tuberculosis

· Influenza

· Respiratory syncytial virus infection

· Hantavirus pulmonary syndrome

· Acute respiratory disease

· Histoplasmosis

· Cryptococcosis

· Aspergillosis

Section: Multiple Choice

12. Which of the following is NOT a nonspecific defense mechanism associated with the respiratory tract?

· Epiglottis

· Mucus

· Mucociliary escalator

· Phagocytes

· None of the above

13. To cause disease, Corynebacterium diptheriae must ________

· produce a hemolysin.

· create a pseudomembrance.

· be infected with a lysogenic, toxin-producing bacteriophage.

· invade the bloodstream.

· become club-shaped.

14. The majority of patients with sore throats have a viral infection of the pharynx.

· True

· False

15. Which of the following respiratory infections CANNOT be treated with antimicrobial drugs?

· Atypical pneumonia

· Q Fever

· Otitis media

· Common cold

· Tuberculosis

16. Development of a vaccine against rhinoviruses is difficult because ________

· they are resistant to antibiotics.

· they are resistant to low pH.

· there are many different, antigenically diverse strains.

· rhinoviruses are resistant to immune system defenses.

· rhinoviruses replicate at a very high rate.

17. Which of the following is true of croup?

· Croup causes severe obstruction of the larynx.

· Croup causes an inflamed and enlarged epiglottis.

· Croup is a parainfluenza virus.

· Croup is a childhood disease.

· All of the above

18. Cyanosis is caused when ________

· there is too little oxygen in the blood.

· a patient has become septicemic.

· dehydration occurs.

· diptheria toxin enters the bloodstream.

· coughing causes hemorrhaging.

19. What is a treatment of choice for whooping cough?

· Tetracycline

· Penicillin

· Antitoxin and erythromycin

· Chloramphenicol

· Live, attenuated Bordetella pertussis

20. Penicillins have no effect on Mycoplasma pneumoniae because ________

· mycoplasmas are viruses.

· mycoplasmas possess beta lactamases.

· mycoplasmas are too small.

· mycoplasmas are eukaryotes.

· mycoplasmas lack cell walls.

21. Legionella pneumophila is usually transmitted by ________

· direct contact.

· fomites.

· food.

· blood.

· aerosols.

22. How many cases of tuberculosis are reported globally each year?

· 10

· 10,000

· 100,000

· 3 million

· 10 million

23. Mycobacteria are difficult to Gram stain, and are termed “acid-fast” due to their ________

· ability to survive in acidic conditions.

· resistance to drying.

· thick, waxy cell walls.

· resistance to sunlight.

· lack of a peptidoglycan layer.

24. Pathogenic mycobacteria, unlike most bacteria have a generation time of ________

· 12-18 minutes.

· 20-30 minutes.

· 12-18 hours.

· 20-30 hours.

· 6-8 weeks.

25. Clinical symptoms of tuberculosis primarily result from ________

· host inflammatory response.

· mycotoxins.

· endotoxin.

· mucus production.

· exotoxin.

26. Which of the following is NOT true of Mycobacterium tuberculosis?

· It can remain viable in dried sputum for 6 to 8 months.

· It is highly resistant to direct sunlight.

· It can grow inside macrophages.

· It can cause disease many years after initial infection.

· It can transmit by inhalation of respiratory secretions or dried sputum.

27. What is the DPT immunization for?

· Diptheria, parainfluenza, tetanus

· Dermatomycoses, Pontiac fever, tuberculosis

· Diptheria, pertussis, tetanus

· Dermatomycoses, pertussis, tetanus

· Diptheria, pneumonia, tetanus

28. Some strains of Legionella pneumophila live as endosymbionts of many amoebas in moist environments.

· True

· False

29. Hantavirus pulmonary syndrome is ________

· associated with inhalation of dried feces and urine of carrier rodents.

· a syndrome that has only been reported in Africa and Latin America.

· transmitted by the bite of a rodent carrying the virus.

· attributed to rats but not mice.

· preventable by vaccination.

Section: Matching

30. Causes primary atypical pneumonia

· Corynebacterium diphtheria

· Streptococcus pneumoniae

· Mycoplasma pneumoniae

· Histoplasma capsulatum

· Cryptococcus neoformans

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MN504 unit 1 dq topic 2 case study Review the facts of the case and discuss how would you find the evidenceneeded to address the clinical question. Include at least 3 references
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