You are caring for a patient with Lyme disease. Which of the following would be the method that the patient contracted Lyme disease?
  1. Skin contact with an infected person.
  2. Inhalation of spores in bird droppings.
  3. Contamination from cat feces.
  4. Tick carried by deer.
Explanation
Answer: D - Lyme disease is caused by ticks carried by deer. When bitten by the tick, the patient becomes infected with Borrelia burgdorferi. Histoplasmosis is contracted from inhalation of spores from bird droppings. Toxoplasmosis is contracted from contaminated cat feces.
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