Question 1

The normal biota of the CNS consists of ________.

Accepted Answer

A)   Neisseria meningitidis
B)   herpes simplex I
C)   herpes simplex II
D)   Streptococcus agalactiae
E)   The CNS has no normal biota.F) A) and E)
G) B) and C)

Question 2

Pneumovax is a vaccine for prevention of disease caused by strains of Neisseria meningitidis.

Accepted Answer

A) True 
 B)False

Question 3

Which antibiotic(s)  would the nurse expect the medical team to prescribe to treat pneumococcus?

Accepted Answer

A)   Vancomycin and ceftriaxone
B)   Amoxicillin
C)   Fluconazole
D)   None of the choices are correct.E) A) and B)
F) A) and C)

Question 4

Which is the exotoxin of botulism?

Accepted Answer

A)   Hemolysin
B)   Tetanospasm
C)   Peroxidase
D)   Factor V
E)   BotulinumF) C) and D)
G) A) and E)

Question 5

The oral and inactivated polio vaccines are made from plant cell cultures.

Accepted Answer

A) True 
 B)False

Question 6

Based upon the patient's symptoms, which of the following tests is most important to obtain a diagnosis?

Accepted Answer

A)   CT scan
B)   Chest X-ray
C)   Complete blood count
D)   Lumbar punctureE) None of the above
F) B) and D)

Question 7

What components of the patient's history are most important for the nurse to collect during the initial triage assessment?

Accepted Answer

A)   Past medical history, mosquito exposure, allergies, medications
B)   Medications, food allergies, religious preference
C)   Birth history, childhood development, level of education
D)   Mosquito exposure, use of DEET, level of water filtrationE) A) and B)
F) All of the above

Question 8

Each of the following is true for Toxoplasma gondii except ________.

Accepted Answer

A)   is a flagellated parasite
B)   is often fatal for AIDS patients
C)   can cause stillbirth
D)   has a narrow host range
E)   All of the choices are true.F) B) and E)
G) A) and C)

Question 9

Which of the following statements regarding the microbiome of the nervous system is true?

Accepted Answer

A)   In the healthy state, the nervous system is believed to be free from microorganisms.
B)   In its latent state, the herpesvirus is considered to be part of the microbiome of the nervous system.
C)   The nervous system develops without any influence from microbes inhabiting other tissues.
D)   Defense mechanisms of the CNS include competition for nutrients and space between pathogens and the normal microbiota within the tissues.E) A) and B)
F) All of the above

Question 10

Serological testing on the patient's cerebral spinal fluid confirms a diagnosis of polio. What is the best treatment modality?

Accepted Answer

A)   Antibiotics and fever control
B)   Acyclovir and pain control
C)   Immunization and respiratory support
D)   Pain control and respiratory supportE) A) and D)
F) None of the above

Question 11

Patients with Creutzfeldt-Jakob disease live ________.

Accepted Answer

A)   less than 1 year post diagnosis
B)   1 to 5 years post diagnosis
C)   5 to 10 years post diagnosis
D)   10 to 20 years post diagnosis
E)   greater than 25 years post diagnosisF) C) and D)
G) B) and D)

Question 12

In paralytic polio, what structures are damaged?

Accepted Answer

A)   Peripheral nerves
B)   Diaphragm
C)   Anterior horn cells
D)   Sensory nerves
E)   Brain stemF) B) and C)
G) A) and D)

Question 13

Some cases of CJD may be caused by a mutation of the PrP gene.

Accepted Answer

A) True 
 B)False

Question 14

Each of the following is true for Listeria monocytogenes except ________.

Accepted Answer

A)   resistant to cold
B)   fastidious
C)   resistant to heat
D)   resistant to salt
E)   can result in septicemiaF) A) and B)
G) All of the above

Question 15

Cerebrospinal fluid is found in the ________.

Accepted Answer

A)   pia mater
B)   dura mater
C)   subarachnoid space
D)   arachnoid mater
E)   All of the choices are correct.F) A) and B)
G) A) and E)

Question 16

Encephalitis is most commonly caused by a ________.

Accepted Answer

A)   bacteria
B)   protozoan
C)   virus
D)   helminth
E)   All of the choices are correct.F) B) and E)
G) A) and B)

Question 17

Prophylactic rifampin is indicated for individuals in close contact with patients infected by ________.

Accepted Answer

A)   Neisseria menigitidis
B)   Listeria monocytogenes
C)   Cryptococcus neoformans
D)   Coccidiodes immitis
E)   Streptococcus agalactiaeF) None of the above
G) A) and D)

Question 18

Encephalitis caused by arboviruses involves ________.

Accepted Answer

A)   fever, headache, and rash
B)   coma, convulsions, and paralysis in severe cases
C)   myalgia and orbital pain
D)   muscle aches and joint stiffness
E)   All of the choices are correct.F) B) and C)
G) C) and D)

Question 19

Meningococcemia is ________.

Accepted Answer

A)   best treated with ceftriaxone, penicillin or chloramphenicol
B)   associated with high fever, vascular collapse, hemorrhage, and petechiae
C)   started from a nasopharyngeal infection
D)   caused by a gram-negative diplococcus
E)   All of the choices are correct.F) All of the above
G) A) and B)

Question 20

The RN assists in educating the patient's mother about the diagnosis through a translator. What is the causative agent for polio?

Accepted Answer

A)   Poliovirus
B)   Streptococcus pneumoniae
C)   Naegleria fowleri
D)   AcanthamoebaE) None of the above
F) All of the above

Exam 17: Infectious Diseases Affecting the Nervous System

Which is the exotoxin of botulism?

Correct AnswerverifiedShow Answer

The RN assists in educating the patient's mother about the diagnosis through a translator. What is the causative agent for polio?

Correct AnswerverifiedShow Answer

Encephalitis caused by arboviruses involves ________.

Correct AnswerverifiedShow Answer

Encephalitis is most commonly caused by a ________.

Correct AnswerverifiedShow Answer

Based upon the patient's symptoms, which of the following tests is most important to obtain a diagnosis?

Correct AnswerverifiedShow Answer

Meningococcemia is ________.

Correct AnswerverifiedShow Answer

Each of the following is true for Listeria monocytogenes except ________.

Correct AnswerverifiedShow Answer

The oral and inactivated polio vaccines are made from plant cell cultures.

Correct AnswerverifiedShow Answer

Cerebrospinal fluid is found in the ________.

Correct AnswerverifiedShow Answer

Which of the following statements regarding the microbiome of the nervous system is true?

Correct AnswerverifiedShow Answer

Some cases of CJD may be caused by a mutation of the PrP gene.

Correct AnswerverifiedShow Answer

Patients with Creutzfeldt-Jakob disease live ________.

Correct AnswerverifiedShow Answer

Which antibiotic(s) would the nurse expect the medical team to prescribe to treat pneumococcus?

Correct AnswerverifiedShow Answer

Each of the following is true for Toxoplasma gondii except ________.

Correct AnswerverifiedShow Answer

Serological testing on the patient's cerebral spinal fluid confirms a diagnosis of polio. What is the best treatment modality?

Correct AnswerverifiedShow Answer

In paralytic polio, what structures are damaged?

Correct AnswerverifiedShow Answer

What components of the patient's history are most important for the nurse to collect during the initial triage assessment?

Correct AnswerverifiedShow Answer

The normal biota of the CNS consists of ________.

Correct AnswerverifiedShow Answer

Prophylactic rifampin is indicated for individuals in close contact with patients infected by ________.

Correct AnswerverifiedShow Answer

Pneumovax is a vaccine for prevention of disease caused by strains of Neisseria meningitidis.

Correct AnswerverifiedShow Answer

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