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Drugs that insert on the _____ ribosomal subunit prevent peptide bond formation or inhibit translocation of the subunit during translation.


A) 30S
B) 40S
C) 50S
D) 60S
E) 70S

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

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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) All of the above

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Newer, more expensive antimicrobials are always better to use than cheaper, older drugs.

A) True
B) False

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Over 50 percent of all sales of medically important antibiotics in the United States are for livestock use.Why is this problematic for humans?


A) The livestock will become resistant to the antibiotics and not respond to treatment when they have infections.
B) Resistant bacteria grow in the animals and may then be passed to humans.
C) The use of antibiotics for livestock means that there are not enough for use in the human population.
D) The animals may become sick from the antibiotic ingestion.

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

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

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Antibiotics are derived from all of the following, except ______.


A) Penicillium
B) Bacillus
C) Staphylococcus
D) Streptomyces
E) Cephalosporium

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

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Which two antibiotics affect nucleic acids of bacteria?


A) Tetracycline and amphotericin B
B) Trimethoprim and sulfonamides
C) Rifampin and quinolones
D) Tetracycline and bacitracin
E) Penicillin and vancomycin

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

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Indwelling catheter biofilm infections are more resistant to antibiotics than nonbiofilm infections.

A) True
B) False

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Which of the following is not true of polymyxins?


A) The source is Bacillus polymyxa.
B) They are narrow spectrum.
C) They are toxic to kidneys.
D) They target cell walls.
E) They can be used to treat severe urinary tract infections caused by gram-negative bacilli.

F) C) and E)
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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Selective toxicity should be avoided when developing a new antimicrobial drug.

A) True
B) False

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An ideal antimicrobial therapeutic drug exhibits all of the following characteristics, except


A) they are nontoxic to host.
B) they are easily broken down by host.
C) they are easily administered.
D) they have limited capacity to elicit resistance.
E) they are nonallergenic.

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

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Antimicrobials that are macrolides


A) disrupt cell membrane function.
B) include tetracyclines.
C) include azithromycin, clarithromcyin, and erythromycin.
D) are very narrow-spectrum drugs.
E) are hepatotoxic.

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

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The production of antibiotics by microbes evolved so that


A) bacteria and viruses could be eliminated.
B) the growth of other organisms sharing their habitat was inhibited, thus giving them a selective advantage.
C) certain environments can be protected from pathogenic bacteria.
D) diseases could be cured.

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

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Drugs that target the plasma membrane are able to do so because


A) they are able to denature the membrane-associated proteins, creating pores thereby disrupting the integrity.
B) they target the phosphate group on the phospholipids, breaking down the bilayer.
C) they act as enzymes to break down the phospholipids.
D) they contain a lipid part that enables them to act as a detergent.

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

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


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

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

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Which antimicrobial does not interfere with protein synthesis?


A) Aminoglycosides
B) Tetracyclines
C) Erythromycin
D) Trimethroprim
E) Chloramphenicol

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

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

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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) None of the above
F) B) and C)

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

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