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β-lactamase production is an example of which of the following types of resistance?


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

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A "zone of inhibition" is associated with which of the following tests used to determine the efficacy of antibiotics?


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

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

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How does resistance to drugs spread in bacterial populations?


A) Exposure to drugs causes mutations in bacterial genes.
B) Horizontal gene transfer between bacteria spreads R (resistance) plasmids.
C) Genetic recombination during sexual reproduction.
D) Exposure to drugs induces immunity.
E) Exposure to drugs alters gene expression in bacteria.

F) All of the above
G) A) and D)

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

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Pentamidine is an example of an antimicrobial


A) used to treat bacterial infections.
B) effective against helminths.
C) used to treat viral infections.
D) effective against eukaryotes, especially protozoa.
E) used to treat both bacterial and fungal infections.

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

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Competition between beneficial microbes and potential pathogens is called microbial (antagonisms/synergy/toxicity).

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External infections can be treated by (intramuscular/surface/topical)administration,in which a drug is applied directly to the site of infection.

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   Examine the diffusion susceptibility plate results shown in Figure 10.2.Propose an explanation for the appearance of the zone around the S/10 disk,and discuss the implications for therapeutic use of this antibiotic for the pathogen tested. Examine the diffusion susceptibility plate results shown in Figure 10.2.Propose an explanation for the appearance of the zone around the S/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 outermost limit of the zone of inhibition indicates that there are some cells in the population that are less susceptible to the antibiotic than the rest.If this antibiotic were used to treat an infection with this population,the growth of bacteria with some resistance would be promoted at the expense of the more susceptible cells,potentially giving rise to a new variant that is fully resistant.If this were to occur in a patient being treated,the antibiotic therapy would fail,putting the patient's health at risk.Therefore,drug AM would be a poor choice,perhaps the poorest choice,for chemotherapy against this bacterial species.

Which of the following is NOT a target of drugs that inhibit protein synthesis?


A) the shape of the 30S ribosomal subunit
B) interference with alanine-alanine bridges
C) the enzymatic site of the 50S ribosomal subunit
D) movement of the ribosome from one codon to the next
E) the tRNA docking site

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

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Which of the following steps in the folic acid synthesis pathway 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) B) and E)
G) B) and D)

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

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Most broad-spectrum antibiotics act by


A) inhibiting the synthesis of the cell wall.
B) inhibiting protein synthesis.
C) inhibiting nucleic acid synthesis.
D) inhibiting metabolic pathways.
E) disrupting the cytoplasmic membrane.

F) C) and D)
G) None of the above

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


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

F) C) and D)
G) All of the above

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Secondary infections that result from the killing of some of the normal microbiota are called (antagonism/superinfections/resistance).

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Some bacteria are resistant to antimicrobials due to the activity of ________,which removes many of them.


A) plasmids
B) porins
C) efflux pumps
D) lipopolysaccharides
E) ribosomes

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

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C

The ratio of a medication's dose that can be tolerated to its effective dose is the therapeutic (MIC/index/range)of the medication.

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index

Which of the following antifungals works by binding to ergosterol in membranes?


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

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

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Medications administered intravenously can provide much higher effective concentrations than other delivery methods.

A) True
B) False

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Most drugs that inhibit the synthesis of the cell wall act by


A) preventing the cross-linkage of NAM subunits.
B) blocking the secretion of cell wall molecules from the cytoplasm.
C) preventing the formation of alanine-alanine bridges.
D) disrupting the formation of the mycolic acid layer of the cell wall.
E) preventing the formation of β-lactamases.

F) A) and B)
G) All of the above

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An antimicrobial that inhibits cell wall synthesis will result in which of the following?


A) Cells become more susceptible to osmotic pressure.
B) Cells cannot attach to their hosts.
C) Ribosomes lose their function.
D) The sterols in the cell wall become nonfunctional.
E) The replication of cells, including cancer cells, slows down.

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

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