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Medications administered intravenously can provide much higher effective concentrations than other delivery methods.

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External infections can be treated by (surface/topical) administration, in which a drug is applied directly to the site of infection.

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topical

The majority of broad spectrum antibacterial medications inhibit (DNA/protein/RNA) synthesis.

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Most broad-spectrum antibiotics act by


A) inhibiting protein synthesis.
B) disrupting the cytoplasmic membrane.
C) inhibiting metabolic pathways.
D) inhibiting the synthesis of the cell wall.
E) inhibiting nucleic acid synthesis.

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A

Some bacteria develop resistance to groups of drugs because the drugs are all structurally similar to each other; this is a phenomenon known as (cross/multiple) resistance.

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Antiviral medications frequently block unique (proteins/enzymes/molecules) to prevent production of new virus.

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Drugs that slow bacterial growth would be (competitive/synergistic/antagonistic) to penicillin.

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Bacterial DNA replication requires the enzyme gyrase, but eukaryotic replication does not. Ciprofloxacin (ʺCiproʺ) inhibits gyrase activity. This is an example of


A) selective toxicity.
B) antimicrobial resistance.
C) synergism.
D) use of an analog.
E) an antimetabolite.

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A

The outer membrane of Gram-negative bacteria enables many antimicrobial drugs to enter the cell more easily.

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The antimicrobial polymyxin is primarily effective for treating superficial infections with


A) viruses.
B) fungi.
C) any bacteria.
D) Gram-negative bacteria.
E) Staphylococcus bacteria.

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Why can microbial resistance to antibiotics and other drugs be considered a primarily genetic phenomenon?

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Microbial resistance is considered a gen...

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Several antiviral medications used to treat HIV interfere with


A) protein synthesis.
B) folic acid synthesis.
C) cell wall synthesis.
D) nucleic acid synthesis.
E) assembly of membranes.

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Competition between beneficial microbes and potential pathogens is called microbial (synergy/antagonism).

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Which of the following types of antimicrobial agent has the narrowest spectrum of action?


A) azoles
B) antivirals
C) sulphonamides
D) erythromycins
E) Both azoles and erythromycins have equally narrow spectrums of action.

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Antimicrobial sugar analogs are effective for


A) preventing bacterial protein synthesis.
B) preventing nucleic acid synthesis.
C) preventing cell membrane synthesis.
D) blocking a metabolic pathway.
E) preventing virus attachment.

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Drug-resistant populations of microbes arise when


A) resistant cells become numerous in a population due to their greater vigor.
B) synergy between medications occurs.
C) the patient becomes immune to the drug.
D) exposure to drugs causes mutations that produce resistance.
E) exposure to drugs selectively kills sensitive cells, allowing overgrowth of resistant cells.

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Which of the following pathways is specifically inhibited by trimethoprim?


A) the conversion of tetrahydrofolic acid to PABA
B) the conversion of dihydrofolic acid to tetrahydrofolic acid
C) the conversion of dihydrofolic acid to PABA
D) the conversion of PABA to dihydrofolic acid
E) the conversion of PABA to tetrahydrofolic acid

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The CDC issued alerts about a bacterial strain known as NDM1 (New Delhi metalo-lactamase 1) . What type of antibiotic resistance is indicated by the name?


A) alteration of the target of the drug
B) change in the permeability of the drug
C) inactivation of the drug
D) overproduction of an enzyme in a key metabolic pathway
E) removal of the drug via a pump

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Alterations in the structure of which of the following are an important aspect of Gram -negative bacterial resistance to antimicrobial drugs?


A) plasmids
B) cytoplasmic membrane
C) mitochondria
D) ribosomes
E) porins

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Infection of the would be the hardest to treat with antimicrobial drugs.


A) heart
B) brain
C) colon
D) liver
E) kidneys

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