1. Instructions:
Please answer the following with minimum 75-100 words for
each question. Must include references with answer in APA.
Must be 100% original work. Thanks
1.
A 40 year old bird handler was admitted to the hospital with
soreness over his upper jaw, progressive vision loss, and
bladder dysfunction. He had been well 2 months earlier.
Within weeks he lost reflexes in his lower extremities and
subsequently died. Examination of CSF showed lymphocytes.
What etiology do you suspect? What further information do you
need? (20 points)
2.
Please watch the film on Polio and comment. Also OPV is no
longer used for routine vaccination. Provide the rationale for
this policy. (10 points)
http://www.youtube.com/watch?v=XP2iUz4JzMY
3.
Nearly 70% of the patients seen in STI clinics are men.
a.
Offer a reason men are more likely to seek treatment than
women
b.
Why is it important that women seek treatment for STIs? (15

2. points)
4.
Pneumonia is diagnosed by the presence of fluid (dark shadows
in an X-ray image) in the alveoli. Given that pneumonia
usually is caused by a microorganism, what causes the fluid
accumulation? Name a bacterium, a virus, a fungus, a protozoan
and a helminth that can cause pneumonia (15 points)
5.
A 31 year old man became feverish 4 days after arriving at a
vacation resort in Idaho. During his stay he ate at two
restaurants that were not associated with the resort. AT the
resort he drank soft drinks with ice, used the hot tub and went
fishing. The resort is supplied by a well that was dug 3 years
ago. He went to the hospital when he developed vomiting and
bloody diarrhea. Gram-negative, lactose-negative bacteria were
cultured from his stool. The patient recovered after receiving
intravenous fluids. What microorganism most likely caused his
symptoms? How is this disease transmitted? What is the most
likely source of his infection and how would you verify the
source? (15 points)
6.
The tropical skin disease called yaws is transmitted by direct
contact. Its causative agent,
Treponemapallidum
pertenue is indistinguishable from
T. pallidum
. One theory is that syphilis epidemics in Europe coincided
with the return of Columbus from the New World. How might
T. Pallidum
pertenue have evolved into

3. T. Pallidum
in the temperate climate of Europe? (15 points)
7.
Research the disease Ebola. How would you feel as a nurse
being assigned to a patient with this disease and do you think
that patients should be brought to this country with the disease,
but remember that the two patients that are coming are both
American citizens. (10 points)