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Drug toxicity occurs when an antimicrobial drug acts as antigen and stimulates an allergic response.

A) True
B) False

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Which of the following antibacterial drug groups does not target protein synthesis?


A) Clindamycin
B) Erythromycin
C) Aminoglycosides
D) Sulfonamides
E) Tetracycline

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

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D

Which of the following statements does not accurately reflect the origins of antimicrobial drugs?


A) All antimicrobial drugs are synthesized by medicinal chemists in a laboratory environment.
B) Bacteria and fungi are natural producers of antimicrobial drugs; the molecules are synthesized to maintain competition for nutrients and space to a minimum.
C) Scientists have learned how to modify antimicrobial molecules naturally produced by organisms to enhance their efficacy and range.
D) Some antimicrobial agents are synthesized wholly in the laboratory.

E) B) and C)
F) A) and D)

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A

Sulfonamides ________.


A) interfere with elongation of peptidoglycan
B) block folic acid synthesis
C) attach to the 30S ribosomal subunit and disrupt protein synthesis
D) damage cell membranes
E) block peptidases that cross-link glycan molecules

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

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Microbial resistance resulting from mutation occurs because ________.


A) bacterial genomes undergo mutation rapidly
B) bacterial genomes undergo mutation often
C) short generation times accumulate mutations in populations
D) mutations are passed between organisms
E) All of the choices are correct.

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

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E

Ciprofloxacin is used to treat viral respiratory infections.

A) True
B) False

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The greatest hurdle to overcome when treating biofilm infections is finding a drug that can penetrate the extracellular material.

A) True
B) False

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Substances that are naturally produced by certain microorganisms that can inhibit or destroy other microorganisms are called ________.


A) antibiotics
B) narrow-spectrum drugs
C) semisynthetic drugs
D) synthetic drugs
E) broad-spectrum drugs

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

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Which antimicrobial does not inhibit cell wall synthesis?


A) Gentamicin
B) Vancomycin
C) Cephalosporins
D) Penicillins
E) Bacitracin

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

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The use of which of the following drugs results in the highest risk of superinfection in a patient receiving antimicrobial chemotherapy?


A) Broad-spectrum antibiotics
B) Narrow-spectrum antibiotics
C) Antifungals
D) Antivirals

E) A) and B)
F) C) and D)

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Aminoglycosides demonstrate selective toxicity since they target the bacterial 30s subunit, leaving the host 40s subunit largely unaffected.

A) True
B) False

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Acyclovir is used to treat ________.


A) influenza A virus
B) HIV
C) herpes simplex virus
D) respiratory syncytial virus
E) hepatitis C virus

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

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Broad-spectrum drugs that disrupt the body's microbiota often cause ________.


A) nephrotoxicity
B) superinfections
C) allergic reactions
D) drug toxicity
E) mutation

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

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Clavulanic acid ________.


A) inhibits B-lactamase activity
B) inhibits peptidoglycan synthesis
C) inhibits formation of peptidoglycan cross linkages
D) inhibits cell membrane synthesis
E) None of the choices are correct.

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

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Antimicrobials that are effective against a wide variety of microbial types are termed ________.


A) antibiotics
B) narrow-spectrum drugs
C) semisynthetic drugs
D) synthetic drugs
E) broad-spectrum drugs

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

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Side effects that occur in patient's tissues while on antimicrobial drugs include all the following except ________.


A) development of resistance to the drug
B) hepatotoxicity
C) nephrotoxicity
D) diarrhea
E) deafness

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

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Treatment of a urinary tract infection with antimicrobials is most likely to lead to a superinfection caused by which microbe?


A) Giardia lamblia
B) Lactobacillus acidophilus
C) Escherichia coli
D) Candida albicans

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

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Penicillinases are enzymes produced by bacterial cells, usually after acquiring a new gene, that ________.


A) hydrolyze the β-lactam ring of penicillins and cephalosporins, rendering them ineffective
B) pump the penicillins out of the cell as soon as they enter
C) prevent the drug from crossing the cell membrane
D) block the target binding site of the drug, rendering it ineffective

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

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Which of the following is not true of polymyxins?


A) Disrupt the cell membrane
B) Have a narrow spectrum
C) Toxic to kidneys
D) Target peptidoglycan
E) Can treat severe urinary tract infections

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

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Drug susceptibility testing determines ________.


A) the patient's response to various antimicrobials
B) the pathogen's response to various antimicrobials
C) if normal flora will be affected by antimicrobials
D) if the drug is increasing to toxic levels in a patient
E) None of the choices are correct.

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

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