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Which pathogen is the most common cause of neonatal pneumonia, sepsis, and meningitis in the United States?


A) Staphylococcus aureus
B) Staphylococcus epidermidis
C) Staphylococcus saprophyticus
D) Streptococcus pyogenes
E) Streptococcus agalactiae

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Rebecca Lancefield differentiated streptococci on the basis of differences in their:


A) cell wall carbohydrates in a serological test.
B) patterns of hemolysis on blood agar.
C) ability to produce catalase.
D) gram stain appearance.
E) All of the choices are correct.

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Staphylococci can be differentiated from streptococci by the:


A) Gram stain.
B) coagulase test.
C) catalase test.
D) fermentation of mannitol.
E) None of the choices are correct.

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Necrotizing fasciitis is:


A) also called impetigo.
B) possibly caused by antibodies to Group A streptococci that cross-react with body tissues.
C) associated with strains of Streptococcus pyogenes producing destructive enzymes and toxins.
D) typically a sequelae of streptococcal pharyngitis.
E) not treatable with antimicrobic drugs.

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The most common site where carriers of Staphylococcus aureus carry this pathogen is:


A) all over the skin.
B) under the fingernails.
C) anterior nares (nostrils) .
D) mouth.
E) intestines.

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

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Scarlet fever is caused by strains of:


A) Staphylococcus aureus.
B) Staphylococcus epidermidis.
C) Staphylococcus saprophyticus.
D) Streptococcus pyogenes.
E) Streptococcus agalactiae.

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The viridans group of streptococci and the pneumococcus produce _____ hemolysis on blood agar.

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The majority of otitis media in children is mainly due to infection with:


A) Streptococcus pneumoniae.
B) Streptococcus pyogenes.
C) Branhamella (Moraxella) catarrhalis.
D) Streptococcus agalactiae.
E) Staphylococcus saprophyticus.

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The two important hemolysins of Group A streptococci are _____ and _____.

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streptolys...

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All the following pertain to Staphylococcus epidermidis infections, except:


A) they often from an endogenous source.
B) they typically occur after insertion of shunts and prosthetic devices.
C) catheterization can introduce the organism and lead to urinary tract infection.
D) the organism is coagulase negative.
E) the organism produces a large number of tissue damaging enzymes and toxins.

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Explain what is meant by MRSA, why it is a particular concern to hospitals, and what action hospitals are taking to prevent MRSA spread.

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MRSA stands for Methicillin-resistant St...

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All of the following are correct about Streptococcus pyogenes, except:


A) humans are the only significant reservoir.
B) some of the streptococcal toxins act as superantigens.
C) most strains do not have a capsule.
D) it can cause impetigo and erysipelas.
E) infection is generally through direct contact.

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The enzyme that coagulates plasma is:


A) catalase.
B) coagulase.
C) hyaluronidase.
D) staphylokinase.
E) Dnase.

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The M protein of Streptococcus pyogenes:


A) is the basis for the organism belonging to Lancefield group A.
B) gives rise to a zone of b hemolysis on blood agar.
C) protects against phagocytosis and enhances adherence.
D) is also called streptokinase.
E) protects against lysozyme damage.

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Which chemical produced by S.aureus is also known as "spreading factor"?


A) Coagulase
B) Penicillinase
C) Hemolysin
D) Hyaluronidase
E) Toxic shock syndrome toxin

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Streptococcal pharyngitis involves all the following, except:


A) a purulent exudate over the tonsils.
B) can lead to scarlet fever if it is an erythrogenic toxin-producing strain.
C) can lead to serious sequelae.
D) is usually caused by the viridans streptococci.
E) causes redness, difficulty in swallowing, and fever.

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Discuss how normal flora Staphylococcus epidermidis can cause disease in the body, and describe the diseases that it causes.

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Staphylococcus epidermidis is a type of ...

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It is theorized that rheumatic fever and acute glomerulonephritis could be the result of antibodies to Group A streptococci that cross-react with patient tissues.

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Which pathogen has drug resistant strains called MRSA?


A) Staphylococcus aureus
B) Staphylococcus epidermidis
C) Staphylococcus saprophyticus
D) Streptococcus pyogenes
E) Streptococcus agalactiae

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