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Each of the following affect cell walls except


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

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

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Aminoglycosides


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 D)
G) None of the above

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There are fewer antifungal,antiprotozoan,and antihelminthic drugs compared to antibacterial drugs because fungi,protozoa,and helminths


A) do not cause many human infections.
B) are not affected by antimicrobials.
C) are so similar to human cells that drug selective toxicity is difficult to achieve.
D) are parasites found inside human cells.
E) fewer target sites in their cells compared to bacteria.

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

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

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Each of the following target prokaryotic ribosomes except


A) streptomycin.
B) gentamycin.
C) polymyxins.
D) tetracycline.
E) erythromycin.

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

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It is better to use a broad-spectrum drug instead of a more specific,narrow-spectrum drug.

A) True
B) False

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Sulfonamides are analogs of PABA and,as a result,they inhibit _____ synthesis.


A) protein
B) DNA
C) RNA
D) folic acid
E) phospholipid

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

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Important characteristics of antimicrobial drugs include


A) low toxicity for human tissues.
B) high toxicity against microbial cells.
C) do not cause serious side effects in humans.
D) stable and soluble in body tissues and fluids.
E) All of the choices are correct.

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

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Drugs that act by mimicking the normal substrate of an enzyme,thereby blocking its active site,are called


A) inhibitors.
B) blockers.
C) competitive inhibitors.
D) noncompetitive inhibitors

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

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Each of the following results in drug resistance except a drug


A) being pumped out of the cell.
B) being used as a nutrient by the cell.
C) binding site being altered.
D) being inactivated.
E) being blocked from entering the cell.

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

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The use of a drug to prevent imminent infection is called


A) competitive inhibition.
B) synergism.
C) prebiotics.
D) prophylaxis.
E) lantibiotics.

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

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Drugs that are hepatotoxic cause damage to a patient's kidneys.

A) True
B) False

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

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The use of any chemical in the treatment,relief,or prophylaxis of a disease is called


A) prophylaxis.
B) chemotherapy.
C) selective toxicity.
D) nephrotoxicity.
E) synergism.

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

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Which antimicrobial does not inhibit cell wall synthesis?


A) gentamicin
B) vancomycin
C) cephalosporins
D) penicillins
E) carbapenems

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

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Nutrients that encourage the growth of beneficial microbes in the intestines are known as


A) prebiotics.
B) probiotics.
C) lantibiotics.
D) phytobiotics.
E) riboswitches.

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

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Selective toxicity refers to damage to


A) pathogenic organisms.
B) prokaryotic cell membranes.
C) the target organisms but not vertebrate cells.
D) nucleic acids.

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

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In a conversation with your friends from microbiology class,you are talking about drug resistance.The three of you disagree about the definition of the term so each of you state his or her definition and give a justification.Compare the various definitions and justifications below and pick the one that is most accurate.


A) The bacterium becomes immune to the drug: the drug no longer kills or inhibits the bacterium.
B) The person becomes resistant to the drug: The body adjusts to the dosage of the chemical and no longer responds to its action.
C) The drug is changed in the body and is inactivated physically and chemically so it no longer works properly against the bacterium.
D) The bacterium has changed physically or chemically in some way to be able to destroy the drug or avoid its action,allowing it to grow unimpeded by the drug.

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

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The Kirby-Bauer test uses an agar surface,seeded with the test bacterium,to which small discs containing a specific concentration of several drugs are placed on the surface.

A) True
B) False

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