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Why did the H1N1 strain of influenza virus cause a pandemic in 2009?


A) The H1N1 virus had a mutation that increased the mortality associated with infection.
B) The H1N1 virus had a mutation that increased the basic reproduction number of the virus.
C) The H1N1 virus underwent a significant antigenic shift compared to other circulating strains of influenza.
D) The H1N1 virus acquired a new gene from pigs that resulted in increased virulence.

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

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With regards to mode of disease transmission,respiratory pathogens are generally ________,and intestinal pathogens are generally spread by contaminated ________.


A) spread by direct contact / vectors
B) spread by indirect contact / carriers
C) more transmissible / needles
D) airborne / food or water

E) C) and D)
F) None of the above

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A disease showing a relatively slow,progressive rise followed by a gradual decline in incidence is indicative of a(n)


A) host-to-host epidemic.
B) common source epidemic.
C) biological weapon.
D) endemic disease.

E) B) and C)
F) None of the above

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Which public health measure(s) is/are MOST effective against pathogens transmitted through common vehicles?


A) water purification
B) mosquito control
C) food safety regulations
D) water purification and food safety regulations

E) A) and C)
F) All of the above

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A disease that is constantly present in low numbers is called an acute disease.

A) True
B) False

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A large number of cases of a particular disease observed in a relatively short period of time in an area that previously experienced only sporadic cases of the disease is known as a(n)


A) pandemic.
B) outbreak.
C) endemic.
D) zoonosis.

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

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An example of a cyclical disease is


A) diphtheria.
B) smallpox.
C) influenza.
D) anthrax.

E) All of the above
F) None of the above

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What is a/are potential reservoir(s) for viruses?


A) water
B) insects
C) bats
D) fomites

E) None of the above
F) B) and C)

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Diseases can be controlled through immunization even if the percentage of the population that is immunized is less than 100% because


A) vectors can be controlled through other means.
B) most diseases lack reservoirs.
C) of herd immunity.
D) vehicles can be sterilized.

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

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Which of the following is/are considered (a) direct contact infection(s) ?


A) syphilis
B) gonorrhea
C) skin infections
D) syphilis,gonorrhea,and skin infections

E) All of the above
F) None of the above

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In just over a decade of efforts,the World Health Organization (WHO) eradicated smallpox by using worldwide


A) education campaigns.
B) destruction of infected domestic animals.
C) education campaigns and destruction of infected domestic animals.
D) vaccination programs.

E) A) and B)
F) None of the above

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Which of the following diseases would be the easiest to control in a human population?


A) an infectious disease with wild animals as a reservoir
B) an infectious disease with humans as the only reservoir
C) an infectious disease with domestic cows as the only reservoir
D) an infectious disease with several possible reservoirs

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

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Over time,the relationship between a pathogen and a naΓ―ve susceptible population tends towards


A) the extinction of the host.
B) the extinction of the pathogen.
C) a balance between host and pathogen such that both are maintained.
D) the extinction of either the host or the pathogen.

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

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Upper respiratory infectious agents are commonly transmitted from person to person.

A) True
B) False

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Disease cases that exhibit new syndromes or characteristics or are linked to new pathogens are surveyed through regional laboratories and considered ________ cases.


A) zoonotic
B) index
C) endemic
D) epidemic

E) B) and C)
F) None of the above

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Cholera is an example of a pandemic disease that


A) has multiple wild animal reservoirs and is thus difficult to eradicate.
B) spreads from a common source and could be controlled with adequate clean water and waste sanitation measures.
C) is spread through direct contact and has only a human reservoir.
D) has recently emerged due to overcrowding in urban centers.

E) A) and C)
F) All of the above

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Give an example of an acute and a chronic carrier of disease.What disease characteristics allow for chronic carriers to play significant roles in the spread of the disease? How are diseases with chronic carriers controlled?

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Acute disease carriers contain only the ...

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Why are public health officials concerned about smallpox being used as a biological weapon? Give several reasons in your answer.

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The causative agent for smallpox,Variola...

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Failure to reach equilibrium with a disease agent could result in extinction for a host species.

A) True
B) False

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Which group of organisms is difficult to control through immunization because of their rapid and unpredictable genetic mutations?


A) vector-borne organisms
B) RNA viruses
C) Archaea
D) DNA viruses

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

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