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Methicillin is an example of the beta-lactam class of drugs that


A) disrupt cytoplasmic membranes.
B) inhibit cell wall synthesis.
C) inhibit nucleic acid synthesis.
D) inhibit metabolic pathways.
E) inhibit protein synthesis.

F) A) and E)
G) A) and D)

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B

Examine the diffusion susceptibility plate results shown in Figure 10.9. Propose an explanation for the appearance of the zone around the AM/10 disk, and discuss the implications for therapeutic use of this antibiotic for the pathogen tested.

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The ring of colonies within the outermos...

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Competition between beneficial microbes and potential pathogens is called microbial __________.

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Paul Erhlich coined the term antibiotics for the "magic bullet" antimicrobials he pursued.

A) True
B) False

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Which of the following groups of drugs can become incorporated into the bones and teeth of a fetus?


A) beta-lactams
B) aminoglycosides
C) quinolones
D) tetracyclines
E) sulfonamides

F) A) and D)
G) A) and E)

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Which of the following pathways is specifically inhibited by sulfonamides?


A) the conversion of tetrahydrofolic acid to PABA
B) the conversion of PABA to dihydrofolic acid
C) the conversion of dihydrofolic acid to tetrahydrofolic acid
D) the conversion of PABA to tetrahydrofolic acid
E) the conversion of dihydrofolic acid to PABA

F) A) and B)
G) A) and C)

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Brain and spinal cord infections are difficult to treat because most antimicrobial drugs cannot diffuse out of the blood into these organs.

A) True
B) False

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The tetracyclines interfere with


A) protein synthesis.
B) cell wall synthesis.
C) cell membrane component synthesis.
D) nucleic acid synthesis.
E) folic acid synthesis.

F) B) and E)
G) A) and E)

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If a subculture of an MIC test grows in an MBC test, the concentration of the drug was bactericidal.

A) True
B) False

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Which scientist coined the term antibiotic?


A) Fleming
B) Domagk
C) Kirby
D) Ehrlich
E) Waksman

F) C) and E)
G) B) and C)

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E

Discuss the cellular factors that might make a drug's spectrum of action narrow rather than broad.

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When a drug is labeled "narrow-spectrum,...

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Selective __________ means that a given antimicrobial agent is more toxic to a pathogen than to the host being treated.

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Antimicrobials that block protein synthesis by binding to the mRNA are


A) aminoglycosides.
B) antisense nucleic acids.
C) macrolides.
D) beta-lactams.
E) nucleic acid analogs.

F) A) and C)
G) C) and E)

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Ribavirin is an antiviral that interferes with


A) protein synthesis.
B) cell wall synthesis.
C) cell membrane component synthesis.
D) nucleic acid synthesis.
E) viral attachment.

F) A) and B)
G) C) and D)

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Second-generation drugs are semisynthetic drugs developed to combat __________ against an existing drug.

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Which of the following statements is true of selective toxicity?


A) Selective toxicity takes advantage of structural differences between host and pathogen.
B) To be effective, an antimicrobial agent must be more toxic to the patient than the pathogen.
C) Selective toxicity takes advantage of metabolic differences between host and pathogen.
D) Antimicrobial agents must target structural differences between host and pathogen and be more toxic to the patient than the pathogen.
E) Selective toxicity takes advantage of structural and/or metabolic differences between host and pathogen.

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

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Which of the following is NOT a criterion by which all antimicrobial agents can be evaluated?


A) their spectrum of action
B) their efficacy
C) their activity against cell walls
D) their route of administration
E) their safety

F) A) and B)
G) D) and E)

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Which of the following antifungals works by inhibiting ergosterol synthesis?


A) fluconazole
B) turbinafine
C) amphotericin B
D) nystatin
E) both fluconazole and turbinafine

F) A) and D)
G) A) and C)

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Antisense nucleic acids are designed to have no side effects against humans.

A) True
B) False

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Nucleotide or nucleoside __________are antimicrobial agents that mimic the chemical structure of DNA building blocks.

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