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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

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The multidrug resistant pumps in many bacterial cell membranes function by _______.


A) bacterial chromosomal mutations
B) synthesis of enzymes that alter drug structure
C) removing the drug from the cell when it enters

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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) have fewer target sites in their cells compared to bacteria

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Beta-lactams are selectively toxic because _______.


A) they cause hepato- and nephrotoxicity in humans
B) they initiate allergic reactions in many humans
C) they inhibit the formation of peptidoglycan, which humans do not make
D) they often initiate the evolution of drug-resistant organisms

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Which of the following antimicrobials does not inhibit DNA synthesis?


A) Chloroquine
B) Quinolone
C) Penicillin
D) Azidothymidine
E) Acyclovir

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Microbial resistance resulting from mutation occurs because ______.


A) bacterial genomes undergo mutation rapidly
B) bacterial genomes undergo mutation often
C) short generation times accumulate mutations in populations
D) mutations are passed between organisms
E) All of the choices are correct.

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Antibiotics that disrupt bacterial ribosomes can also affect _______.


A) eukaryotic large ribosomal subunit
B) eukaryotic small ribosomal subunit
C) ribosomal RNA
D) eukaryotic mitochondrial ribosomes

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Three classmates from microbiology class are talking about drug resistance. They each disagree about the de?nition of the term so they state his or her de?nition and give a justi?cation. Compare the various de?nitions and justi?cations 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.

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The most selectively toxic drugs are those that _______.


A) cause damage to host tissues
B) target microbial sites that are not present in humans, e.g., the bacterial cell wall
C) target structures present in both microbes and humans, thus causing host tissue damage
D) cause allergic reactions in humans

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Infections caused by gram-negative bacilli are often treated with ______.


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

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Each of the following results in drug resistance, except _______.


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

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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

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Each of the following is a mechanism for drug resistance transfer between microorganisms, except _______.


A) transposons
B) R-plasmids
C) conjugation
D) mutation

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The antifungal drug that can be used to treat serious systemic fungal infections is _______.


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

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Selective toxicity exhibited by a drug means that _______.


A) the drug is toxic to the human host but ineffective against the organism
B) the drug kills some organisms but not others
C) the drug is effective against gram-positive bacteria but not gram-negative
D) the drug is effective against the target organism, but not the human host

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The Kirby-Bauer test uses an agar surface seeded with the test bacterium, and small discs containing a speci?c concentration of several drugs are placed on the surface.

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Which of the following blocks HIV binding to host cell receptors?


A) AZT
B) Acyclovir
C) Nevirapine
D) Fuzeon
E) Amantidine

Correct Answer

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Sulfa drugs work on _______.


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

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Drug susceptibility testing determines _______.


A) the patient's response to various antimicrobials
B) the pathogen's response to various antimicrobials
C) if normal biota will be affected by antimicrobials
D) if the drug is increasing to toxic levels in a patient

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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

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