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Which of the following is a primary advantage of semisynthetic drugs?


A) They are less stable and consequently have fewer side effects.
B) They work faster.
C) They are more effective than the unmodified natural antibiotics.
D) They must be administered intravenously.
E) They are not readily absorbed.

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A microbe resistant to a variety of different antimicrobials is said to have (cross/drug/multiple) resistance.

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There are relatively few antifungal medications available compared to antibacterial drugs.

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Antisense nucleic acids interfere with protein synthesis.

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Selective (action/toxicity/treatment) means that a given antimicrobial agent is more toxic to a pathogen than to the host being treated.

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  Figure 10.1 represents a Petri plate. The gray area is where bacteria A is growing, the black area is where bacteria B is growing. The white area is a zone where neither organism is growing. What is the best interpretation of what is observed on the plate? A)  Bacteria B is producing an antibiotic that inhibits the growth of bacteria A. B)  Bacteria A produces a compound that inhibits the growth of bacteria B. C)  Bacteria A grows faster than bacteria B. D)  Bacterial colony B has depleted the nutrients in the area around the colony. E)  No conclusion can be made from this information. Figure 10.1 represents a Petri plate. The gray area is where bacteria A is growing, the black area is where bacteria B is growing. The white area is a zone where neither organism is growing. What is the best interpretation of what is observed on the plate?


A) Bacteria B is producing an antibiotic that inhibits the growth of bacteria A.
B) Bacteria A produces a compound that inhibits the growth of bacteria B.
C) Bacteria A grows faster than bacteria B.
D) Bacterial colony B has depleted the nutrients in the area around the colony.
E) No conclusion can be made from this information.

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The ratio of a medication's dose that can be tolerated to its effective dose is the therapeutic (MIC/index/range) of the medication.

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An antimicrobial that inhibits bacterial cell wall synthesis will result in which of the following?


A) Bacterial cells become more susceptible to osmotic pressure.
B) Bacteria cannot attach to their hosts.
C) Cytoplasmic membrane proteins lose their function.
D) The sterols in the bacterial cell wall become nonfunctional.
E) No change in bacterial cell activity.

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Pentamidine is an example of an antimicrobial


A) used to treat bacterial infections.
B) effective against helminths.
C) used to treat viral infections.
D) effective against eukaryotes, especially protozoa.
E) used to treat both bacterial and fungal infections.

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The therapeutic range of an antimicrobial is the


A) ratio of the dose a patient can tolerate to the effective dose.
B) range of microorganisms the antimicrobial effects.
C) range of concentrations at which the antimicrobial is both effective and non-toxic.
D) ratio of the concentration of antimicrobial in the blood to the oral dose.
E) length of time the medication persists in the body after a single dose.

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It is inappropriate to prescribe antibacterial agents to treat colds or flu because


A) the microbes involved can develop resistance rapidly.
B) these diseases are transmitted by endospores, which are difficult to kill.
C) these diseases exhibit cross resistance.
D) these diseases are caused by viruses.
E) these diseases can act synergistically with each other.

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Which of the following groups of drugs can become incorporated into the bones and teeth of a fetus?


A) beta-lactams
B) aminoglycosides
C) quinolones
D) tetracyclines
E) sulfonamides

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   Examine the diffusion susceptibility plate results shown in Figure 10.2. Propose an explanation for the appearance of the zone around the S/10 disk, and discuss the implications for therapeutic use of this antibiotic for the pathogen tested. Examine the diffusion susceptibility plate results shown in Figure 10.2. Propose an explanation for the appearance of the zone around the S/10 disk, and discuss the implications for therapeutic use of this antibiotic for the pathogen tested.

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The ring of colonies within the outermos...

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Which of the following is NOT a target of drugs that inhibit protein synthesis?


A) the shape of the 30S ribosomal subunit
B) interference with alanine-alanine bridges
C) the enzymatic site of the 50S ribosomal subunit
D) movement of the ribosome from one codon to the next
E) the tRNA docking site

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Most broad-spectrum antibiotics act by


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

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Which of the following statements is true of selective toxicity?


A) Selective toxicity takes advantage of structural similarities between host and pathogen.
B) To be effective, an antimicrobial agent must be more toxic to the patient than the pathogen.
C) Selective toxicity takes advantage of differences in metabolic rates of the host and pathogen.
D) Selective toxicity damages only pathogenic bacteria and not beneficial bacteria.
E) Selective toxicity takes advantage of structural and/or metabolic differences between host and pathogen.

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Which of the following steps in the folic acid synthesis pathway is specifically inhibited by sulfonamides?


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

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Amoxicillin is very effective for treating infections with Gram-positive bacteria but rarely causes side effects in humans. This is an example of


A) selective toxicity.
B) narrow spectrum of action.
C) a broad-spectrum antimicrobial.
D) antibiotic resistance.
E) altruism.

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The drug metronidazole is effective on both bacteria and some protozoa. It can therefore be described as a ________ drug.


A) narrow spectrum
B) broad spectrum
C) full spectrum
D) general spectrum
E) specific spectrum

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A drug is structurally similar to PABA and inhibits folic acid synthesis. It is most likely a(n)


A) nucleic acid analog.
B) penicillin.
C) tetracycline.
D) azole.
E) sulfonamide.

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