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Some bacteria develop resistance to groups of drugs because the drugs are all structurally similar to each other; this is a phenomenon known as (cross/multiple/synergistic) resistance.

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The abbreviation (MBC/MIC/MID) stands for the smallest amount of a drug that will inhibit the growth and reproduction of a pathogen. (Be sure to use all capital letters.)

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Beta-lactam antibiotics such as penicillins, have an effect on which of the following types of cells?


A) animal cells
B) bacterial cells
C) fungal cells
D) virus-infected cells
E) both animal and fungal cells

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

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Nucleotide or nucleoside (acids/analogs/antisense) are antimicrobial agents that mimic the chemical structure of DNA building blocks.

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Which of the following tests does NOT provide information on the lowest concentration of drug effective on a pathogen?


A) Etest
B) diffusion susceptibility test
C) broth dilution test
D) both the Etest and diffusion susceptibility test
E) MBC test

F) C) and E)
G) D) and E)

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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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The cooperative activity of drugs such as beta-lactam antibiotics and clavulanic acid, a β-lactamase inhibitor, is known as


A) cross resistance.
B) antimetabolism.
C) synergism.
D) selective toxicity.
E) chemotherapy.

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

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A (bacteriocidial/bacteriostatic/minimum) concentration of a drug is one at which microbes survive but are not able to grow and reproduce.

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

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B

Which of the following drugs specifically targets cell walls that contain mycolic acid?


A) vancomycin
B) penicillin
C) methicillin
D) isoniazid
E) bacitracin

F) None of the above
G) B) and E)

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Bacillus licheniformis secretes a compound that inhibits the growth of other Gram-positive bacteria. This is an example of a(n)


A) analog.
B) antibiotic.
C) chemotherapeutic.
D) porin.
E) toxin.

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

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Biofilms contribute to the spread of resistance to antimicrobials.

A) True
B) False

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Explain the concept of selective toxicity.

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Selective toxicity is the underlying pri...

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The mechanism of action of ciprofloxacin is


A) inhibition of protein synthesis.
B) inhibition of cell wall synthesis.
C) inhibition of nucleic acid synthesis.
D) inhibition of a metabolic pathway.
E) disruption of cytoplasmic membranes.

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

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The topical drug ________ inhibits protein synthesis in Gram positive bacteria by preventing loading of isoleucine onto tRNA.


A) Amphotericin B
B) Bacitracin
C) Ciprofloxacin
D) Mupirocin
E) Tetracycline

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

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D

Paul Erhlich discovered the first antibiotic.

A) True
B) False

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Drug-resistant populations of microbes arise when


A) exposure to drugs selectively kills sensitive cells, allowing overgrowth of resistant cells.
B) exposure to drugs causes mutations that produce resistance.
C) resistant cells become numerous in a population due to their greater vigor.
D) the patient becomes immune to the drug.
E) synergy between medications occurs.

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

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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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Organs that are commonly affected by drug toxicity include the kidneys and the liver.

A) True
B) False

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Some bacteria are resistant to erythromycin as a result of mutation of their ribosomal RNA. What type of resistance does this represent?


A) alteration of the target of the drug
B) inactivation of the drug
C) change in the permeability of the drug
D) overproduction of an enzyme in a key metabolic pathway
E) removal of the drug via a pump

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

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A

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