OLFU College of Medicine Class 2015

Microbiology Platings 21: Rickettsia

Dr. Quiles October 12, 2012

A 35-year-old male sought consult at the emergency room with fever, chills, headache, myalgia and papulovesicular rash. Patient went
camping for one week in the mountains of Montana.

1. The probable diagnosis is:

a. scrub typhus c. RMSF Rickettsial pox
b. rickettsial pox d. epidemic typhus
2. This infection is transmitted to human by
a. ticks c. mites Mites
b. louse d. flea
3. The reservoir for this organism is
a. humans c. wild rodents Wild rodents
b. squirrels d. cattles
4. Q fever can be transmitted through
a. inhalation c. vector Inhalation
b. contact with infected tissues d. none of the above
5. The typical rash of rickettsial infections is due to:
a. Vasculitis c. both Both
b. damage to the vessels d. neither
6. Which of the following is NOT an obligate intracellular parasite
a. N. sennetsu c. R. quintana R. quintana
b. R. prowazekii d. R. akari
7. Each of the ff. statements concerning epidemic typhus is correct EXCEPT Transmitted from
a. the disease is characterized by rash c. caused by R. prowazekii rodents to human
b. Weil-Felix test can aid in the diagnosis d. transmitted from rodents to human by a tick by a tick
8. Amblyomma americanus is the vector for
a. RMSF c. endemic typhus Erhlichiosis
b. erhlichiosis d. trench fever
9. Rash with eschar
a. RMSF c. murine typhus Scrub typhus
b. scrub typhus d. Sennetsu fever
10. Intracellularly located in the nucleus of the infected cell
a. RMSF c. murine typhus RMSF
b. scrub typhus d. Sennetsu fever

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