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The cellular basis for bacterial resistance to antimicrobics 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 these choices are correct.

F) C) and D)
G) All of the above

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


A) Block viral entry into a host cell
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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Why has the United States and Europe banned the use of human drugs in animal feeds?


A) Because it makes the animals grow too large.
B) Because it causes infections in the cows and poultry fed them.
C) Because it raises the price of the meat too high.
D) Because it contributes to the growing drug resistance problem.
E) All of these choices are correct.

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

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The major source of naturally-produced penicillin is the mold _____.

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Penicilliu...

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Important characteristics of antimicrobic drugs include


A) readily delivered to the site of infection.
B) high toxicity against microbial cells.
C) do not cause serious side effects in humans.
D) remains active in body tissues and fluids.
E) All of these choices are correct.

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

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Which of these drugs is useful in treating infections by methicillin-resistant S.aureus and vancomycin-resistant Enterococcus?


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

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

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Nutrients that encourage the growth of beneficial microbes in the intestines are called ________.

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


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

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

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Broad-spectrum drugs that disrupt the body's normal flora often cause


A) nephrotoxicity.
B) superinfections.
C) allergic reactions.
D) drug toxicity.
E) All of these choices are correct.

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

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Antimicrobics 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 D)
G) All of the above

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When a patient's immune system reacts adversely to a drug, this serious side effect is called a superinfection.

A) True
B) False

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One of the greatest challenges in development of antivirals is finding drugs that are


A) administered orally.
B) absorbed by the GI tract.
C) not likely to disrupt the normal microbiota of the patient.
D) selectively toxic for viruses.

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

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Which organ is responsible for metabolizing and detoxifying foreign chemicals in the blood, including drugs?


A) liver
B) kidneys
C) gallbladder
D) spleen
E) stomach

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

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

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

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

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Ciprofloxacin is used to treat viral respiratory infections.

A) True
B) False

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The most versatile and useful antifungal drug that is used to treat serious systemic fungal infections is


A) nystatin.
B) griseofulvin.
C) amphotericin B.
D) sulfa drugs.
E) metronidazole.

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

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An antimicrobic with a low therapeutic index is a safer choice compared to a drug with a high therapeutic index.

A) True
B) False

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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) decrease in most normal flora with overgrowth of an unaffected species.
E) All of these choices are correct.

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

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