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Alexander Fleming had been running tests using Staphylococcus,and 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) None of the above
F) A) and D)

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

A) True
B) False

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Sulfonamides


A) interfere with elongation of 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 C)

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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) B) and E)
G) C) and E)

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Which group are the key drugs used to treat Hansen's disease (leprosy) ?


A) sulfonamides
B) sulfones
C) fluoroquinolones
D) polymyxins
E) streptomyces

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

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The _____ are drugs that deposit in developing teeth and cause a permanent brown discoloration.


A) streptomycins
B) cephalosporins
C) macrolides
D) tetracyclines
E) penicillins

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

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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) B) and C)
G) B) and E)

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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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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 D)
G) B) and E)

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

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An antiviral that is a guanine analog would have an antiviral mode of action that


A) blocks penetration.
B) blocks transcription and translation.
C) inhibits DNA synthesis.
D) blocks maturation.
E) bonds to ergosterol in the cell membrane.

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

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


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

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

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Mebendazole,thiabendazole,and ivermectin are drugs used to treat _____ infections.


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

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

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Which drug is used to treat cases of tuberculosis?


A) penicillin G
B) vancomycin
C) tetracycline
D) synercid
E) isoniazid

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

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If pathogen A is more resistant to an erythromycin disc on a Kirby-Bauer plate compared to pathogen B,then pathogen A will have a/n _____ zone of inhibition compared to pathogen B.


A) smaller
B) equal
C) larger

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

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Side effects that occur in patient tissues while they are on antimicrobial drugs include all of the following except


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

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

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Each of the following contributes to emerging drug resistance except


A) overuse of antibiotics.
B) improper use of antibiotics.
C) multiple drug therapy.
D) ingestion of antibiotics with animal feed.
E) addition of antibiotics to common household products.

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

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Which of these drugs has the most narrow-spectrum activity?


A) tetracycline
B) isoniazid
C) erythromycin
D) aminoglycosides
E) cephalosporins

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

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The patient has a staphylococcal infection of the blood,a septicemia--very serious and possibly deadly.As the doctor,you would like to prescribe a relatively non-toxic and inexpensive drug out of the cephalosporin family.However,if the patient harbors a strain of Staphylococcus that is resistant to a variety of antibiotics,you would prefer to use vancomycin-- which is highly effective against Staphylococcus.Which of the following explains why the cephalosporin drug is preferred for use over the vancomycin?


A) You would rather give an inexpensive drug to save the family money.
B) You really do not know that much about vancomycin,so you would rather go with a drug that you can find out more about.
C) Vancomycin is very toxic,and the Staphylococcus strain could become resistant leaving no back-up drugs with which to treat the infection.
D) Vancomycin is one of the most selectively toxic drugs there is,so you would prefer one that has a more broad-spectrum effect.

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

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Sulfa drugs work on


A) nucleic acid biosynthesis.
B) ribosome biosynthesis.
C) peptidoglycan biosynthesis.
D) folic acid biosynthesis.

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

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