PH 161 Module 1 Practice Exam – Flashcards

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The epithelial membrane would be found in the
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GI Tract
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According to Healthy People 2010, the social environment includes:
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Housing, transportation, urban development, Work-related stress, injury, and violence.
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Most cancer deaths are attributable to
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Diet
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The field of environment health encompasses the effects of the environment on all but:
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The geologic environment.
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According to the US EPA the second leading cause of lung cancer in the United States is the result of exposure to
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Radon
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This cleaning mechanism, derived from the ancient greek word meaning "big eater", is one of the primary mechanisms for protecting our lungs from foreign particle.s
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Macrophage
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Respirable particulates are those in the size range
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1 - 10 um.
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The largest membrane separating our internal from our external environment is our
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Lungs.
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The prolific environmental author Kenneth Boulding defined "pollution" as a ________ out of place".
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Resource.
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Environmental pollution is believed to account for what percentage of cancer deaths in a given year?
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2%.
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The concept of a sustainable environment is based on the premise that
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(All of the above) Renewable resources should only be used at a rate that ensures their continued existence. Nonrenewable resources should be used sparingly and recycled wherever possible. Natural systems should not be polluted to the point where they are n longer able to cope with the resulting damage.
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The alveoli membrane would be found in the
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Lungs.
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Which of the following is a form of anthropogenic pollution?
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Heat being emitted from a building.
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The model for improving the state of human health and the environment which calls for preventing the development of disease is referred to as the
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Public health intervention model.
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Our skin protects us from external water soluble substances by a waxy coating produced by
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Sebaceous glands.
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In a case-control study, cases are those who have the outcome of interest and the controls are those who do not.
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True.
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A relative risk of less than 1 means that there is no association between exposure and outcome.
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False.
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An ecologic study is one that examines a group as the unit of analysis. (True) Cross-sectional studies may be used to formulate hypotheses that can be followed up in analytic studies.
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True.
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The limitations of environmental epidemiology include the fact that:
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(All of the above) Accurate Assessment of exposure is difficult. Environmentally associated diseases often have a low incidence and prevalence. Long latency periods often occur between initial exposures and disease outcomes. The effects of exposures are often non-specific.
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Hill's criteria of causality include
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Strength, consistency, temporality, biological gradient.
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Cohort study is to risk ratio as:
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Case-control study is to odds ratio.
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Which of the following statements is true about cohort studies?
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(All of the above) Subjects are classified according to their exposures. They are a type of longitudinal design. They may be either prospective or retrospective. The measure of association is called relative risk.
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Which of the following statements is untrue about case-control studies?
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They are a type of longitudinal design.
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Which of the following observational designs is used for hypothesis testing?
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Cohort Studies.
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Examples of purely observational epidemiological studies do not usually include:
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Experimental studies.
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The risk of acquiring a given disease during a time period is best determined by:
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The incidence rate for that disease during the past year.
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Identify the historical figure who was among the first to expound on the role of the environmental factors in causing diseases:
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Hippocrates.
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Which of the following activities characterizes the epidemiological approach (as opposed to the clinical approach)?
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Study of cancer occurrence in populations.
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Sir Percival Pott, who wrote Chirurgical Observations:
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Was a London surgeon who identified an environmental cause of cancer.
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John Snow, in Snow on Cholera:
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Was an English anesthesiologist who used natural experiments.
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Environmental health science is concerned with agent, host, and environmental factors in disease (the epidemiologic triangle). What statement below is true about the triangle?
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All of the above are true. Agent factors can include particles, toxic chemicals, and pesticides. The environment is the domain in which disease-causing agents may exist. The host is the person who affords lodgment of an infectious agent. Disease causality includes three major factors: agent, host, and environment.
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The Texas Sharpshooter Effect illustrates:
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One cause of spurious or chance clustering.
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The contributions of epidemiology to enviornmental health include:
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All of the above. Methodology for study designs. Concern with populations. Use of observational date. Methodology for study designs. Descriptive and analytical studies.
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Used in cohort studies, the relative risk is a measure of the strength of association between a possible risk factor and a disease.
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True
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What does the abbreviation EPA represent?
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U.S. Environmental Protection Agency.
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What does the abbreviation LLRW represent?
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Low-Level Radioactive Waste.
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Industrial exposure to toxic agents most frequently to toxic agents most frequently is the result of ____ and ____ exposure.
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Inhalation, dermal.
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Tetralogy is the study of:
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Defects induced in pregnancy during development between conception and birth.
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What does the abbreviation AEA represent?
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Atomic Energy Act.
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In recent years some scientists have postulated that certain people have "multiple chemical sensitivity," which can lead to a type of "______".
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Chemical AIDS.
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What does the abbreviation NEPA represent?
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National Environmental Policy Act.
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Poison antidotes work on the principle of:
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Antagonism.
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Excretion from the body primarily occurs via:
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Urine.
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The principal means of excretion of chemicals from the human body is through:
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Urine.
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Which of the chemicals below can produce death in humans at concentrations of only nanograms per kilogram of body weight?
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Botulism toxin.
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Toxicologist's primary study include the use of:
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Laboratory studies of animals.
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What does the abbreviation WHO represent?
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World Health Organization.
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Who states that "All substances are poisons: there is none which is not a poison?
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Paracelsus.
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Some toxicologist estimate that more than ____% of the current intake of toxic substances by human population is of natural origin.
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95.
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Acute exposure is defined as exposure to a chemical for:
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Less than 24 hours.
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The role of the toxicologist is to:
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All of the above. Study the adverse effects of chemical agents on living organisms. Predict the hazards of chemicals and their impact on the human population. participation in the development of standards and regulations designed to protect human health and environment from adverse effects of chemicals.
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he process by which lakes become enriched with nutrients leading to algae growth, oxygen deficiency, and then death of fish is known as:
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Eutrophication.
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Deposition if airborne particles of primary interest are those in the size range _______.
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0.001-2.5 micrometer.
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Toxicologic evaluations of carcinogenicity are available for less than ____% of the chemicals in use today, and epidemiologic assessments for less than ____%.
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20, 1.
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What percentage of Americans are employed in companies of less than 20 employees?
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25%
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Hospital workers in particular must be concerned with protection against:
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Hepatitis B, TB, Aids.
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What year was Alice Hamilton's classic work, Exploring the Dangerous Trades, published?
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1943.
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Common problems in the service industries include:
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Inadequate indoor air quality, low-back pain, and cumulative trauma disorders.
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There are six basic approaches for controlling toxic airborne chemicals, which one below is not one of them?
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Humidification precipitator.
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Which act of 1936 established safety and health standards in industries conducting work under contract to the federal government?
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Walsh-Healey Public Contracts Act.
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Workplace exposures include all of the following except:
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Fluorescent vapor.
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Studies have shown that placing high psychological demands on workers, and giving them little control over the work process, are:
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Casually related to atherosclerosis of the coronary arteries.
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Which type of the occupational disease occurs the most frequent?
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Dermatitis.
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With which industry would you associate formaldehyde?
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Funeral.
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The California Occupational Health and Safety Act was passed in what year?
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1973.
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Respirators are approved by:
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NIOSH.
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In 1911, which state became the first to enact a workers' compensation law?
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New Jersey.
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The U.S. Department of Health and Human Services has recognized the important of a safe and healthy occupational environment in its National Health Goals for the Year 2000. Below are the areas targeted for improvement, except:
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Increasing the budget for research, from 5 billion to 10 billion.
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OSHA Permissible Exposure Limits (PEL's) were derived from?
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Threshold Limit Values (TLV's)
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Biological Exposure Indices (BEI's) are published by which organization?
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ACGIH
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In what year did the federal government provide limited compensation to civil service employees injured on the job?
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1908
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Which method of worker protection (according to OSHA) would be used by an employer as a last resort?
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Respirators.
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Biological Exposure indices for urine are expressed as ug per gram _____?
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Creatinine.
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The sources of exposure are divided into three principal groups:
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Toxic chemicals, biological agents, and physical factors.
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Identify the correct fact about rabies:
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Post-exposure prophylaxis has prevented human rabies successfully.
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Which of the following statements about anthrax is untrue?
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The inhalational form is untreatable
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Methods for the control of mosquito-borne diseases include:
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All of the above. Monitoring the presence of viruses in sentinel chickens and birds. Removing standing water around the home. Use of mosquito-eating fish. Wearing long clothing.
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In what sense is influenza a zoonotic disease?
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It has animal reservoirs, especially birds and swine.
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The term "hydrophobia" is also known as:
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Rabies.
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The vector for the hantavirus pulmonary syndrome in the southwestern United States is:
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Rodents
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The definition of emerging zoonoses covers:
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Only new and unknown agents Appearance of agents in regions not usually affected.
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Which of the following is not classified as an arboviral disease.
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None of the above.
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One of the differences between Lyme disease and Rocky Mountain spotted fever (RMSF) is that:
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Lyme disease is transmitted by mosquitoes and RSMF by ticks.
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In the western United States, the natural reservoir of plague is:
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Ground squirrels.
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The infectious agent for plague is a:
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Bacterium.
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The causative agent for leismaniasis is a:
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Parasite.
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The most deadly form of malaria is caused by:
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P. falciparum.
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Examples of disease vectors are:
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Rats and mice, mosquitoes, ticks, and sand flies.
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Methods for transmission of zoonotic pathogens include.
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All of the above. Contact with the skin. Bite or scratch of an animal. Direct inhalation. Ingestion of contaminated foods.
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