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Antiviral drugs that target reverse transcriptase would be used to treat infections caused by ______.


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

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

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Alexander Fleming had been running tests using Staphylococcus, and he left some plates out to incubate. Evidently, after returning to his lab after the weekend, he found that Penicillium mold was growing on his agar plates containing the growth of Staphylococcus. Looking more closely, he Found a large, clear area around the mold colony where Staphylococcus colonies did not grow. Given this situation, a valid hypothesis would be that ________.


A) the Staphylococcus was being inhibited by the Penicillium mold
B) the Penicillium mold was being killed by the Staphylococcus
C) the bacteriological medium being used in the plates was somehow inhibitory to the Staphylococcus growth
D) the room temperature incubation was inhibitory to the growth of Staphylococcus

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

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All of the following pertain to cephalosporins, except ______.


A) they have a beta-lactam ring
B) they have greater resistance to beta-lactamases
C) newer generations have activity against gram-negative bacteria
D) many are administered by injection, not orally
E) they are are synthetic drugs

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

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


A) Oxazolidinones
B) Macrolides
C) Aminoglycosides
D) Sulfonamides
E) Tetracyclines

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

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Ketoconazole, fluconazole, clotrimazole, and miconazole are broad-spectrum azoles used to treat _______ infections.


A) bacterial
B) fungal
C) protozoan
D) helminthic
E) viral

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

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Clavulanic acid inhibits _______.


A) beta-lactamase activity
B) peptidoglycan synthesis
C) formation of peptidoglycan cross linkages
D) cell membrane synthesis

E) All of the above
F) B) and C)

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Substances that are naturally produced by certain microorganisms that can inhibit or destroy bacteria are called ______.


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

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

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A superinfection results from _______.


A) build up of a drug to toxic levels in the patient
B) the wrong drug administered to the patient
C) an immune system reaction to the drug
D) a decrease in most normal biota resulting in the overgrowth of an unaffected species

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

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A clinical microbiologist makes serial dilutions of several antimicrobials in broth, and then incubates each drug dilution series with a standard amount of a patient's isolated pathogen. What is this microbiologist setting up?


A) A Kirby-Bauer technique
B) A antibiogram
C) An E-test
D) A minimum inhibitory concentration (MIC) test
E) A therapeutic index (TI)

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

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Your patient has been on antibiotics for 6 weeks after a case of streptococcal endocarditis, an infection of the inner heart wall. The infection clears up. However, the patient just visited you about a urinary tract infection, and the lab verified that the culprit was E. coli. What do you hypothesize happened in this situation?


A) The lab has made a mistake in identifying the cause, and, in fact, the UTI was caused by the original Streptococcus.
B) The lab has made a mistake in identifying the cause, and, in fact, the endocarditis was caused by the E. coli.
C) Her normal microbiota in the genitourinary tract were killed, allowing E. coli ( not killed by the antibiotics) to establish an infection.
D) The antibiotics damaged her immune system, making her very susceptible to environmental bacteria.

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

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All of the following pertain to fluoroquinolones, except _______.


A) they are broad spectrum
B) they include ciprofloxacin and levofloxacin
C) they are nephrotoxic
D) they are used to treat respiratory, urinary, and sexually transmitted infections
E) they are readily absorbed from intestines

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

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The MIC is the smallest concentration of an antimicrobial required to inhibit the growth of the microbe.

A) True
B) False

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Bacteria can have a natural resistance to a drug to which they have never been exposed.

A) True
B) False

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The drug that is used to treat typhoid fever and brain abscesses, but can cause aplastic anemia, is _______.


A) chloramphenicol
B) clindamycin
C) ciprofloxacin
D) bacitracin
E) gentamicin

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

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Each of the following affect cell walls, except ______.


A) penicillin
B) cycloserine
C) vancomycin
D) erythromycin
E) cephalosporin

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

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Which of the following is not a mode of action of antiviral drugs?


A) Block penetration
B) Block transcription and translation
C) Inhibit DNA synthesis
D) Block maturation
E) Bond to ergosterol in the cell membrane

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

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Resistance genes can be transferred to other bacterial cells during transformation, transduction, and conjugation.

A) True
B) False

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Penicillins and cephalosporins _______.


A) destroy peptidoglycan
B) are metabolic analogs of PABA and 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) D) and E)
G) A) and E)

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What drug is used in cases of penicillin and methicillin resistance and also used to treat endocarditis?


A) Penicillin G
B) Vancomycin
C) Tetracycline
D) Erythromycin
E) Isoniazid

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

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The cellular basis for bacterial resistance to antimicrobials include _______.


A) bacterial chromosomal mutations
B) synthesis of enzymes that alter drug structure
C) prevention of drug entry into the cell
D) alteration of drug receptors on cell targets
E) All of the choices are correct.

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

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