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

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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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Antimicrobials 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.

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A clinical microbiologist makes serial dilutions of several antimicrobials in broth,and then incubates each drug dilution series with a standard amount of a patient's isolated pathogen.What is this microbiologist setting up?


A) A Kirby-Bauer technique
B) A antibiogram
C) An E-test
D) A minimum inhibitory concentration (MIC) test
E) A therapeutic index (TI)

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Drugs that target the plasma membrane are able to do so because


A) they are able to denature the membrane-associated proteins, creating pores thereby disrupting the integrity.
B) they target the phosphate group on the phospholipids, breaking down the bilayer.
C) they act as enzymes to break down the phospholipids.
D) they contain a lipid part that enables them to act as a detergent.

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Antibiotics are derived from all of the following,except ______.


A) Penicillium
B) Bacillus
C) Staphylococcus
D) Streptomyces
E) Cephalosporium

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Which of the following is not true of polymyxins?


A) The source is Bacillus polymyxa.
B) They are narrow spectrum.
C) They are toxic to kidneys.
D) They target cell walls.
E) They can be used to treat severe urinary tract infections caused by gram-negative bacilli.

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If pathogen A is more resistant to an erythromycin disc on a Kirby-Bauer plate compared to pathogen B,then pathogen A will have a/n _____ zone of inhibition compared to pathogen B.


A) smaller
B) equal
C) larger

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Beta-lactams are selectively toxic because


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

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Which antimicrobial does not interfere with protein synthesis?


A) Aminoglycosides
B) Tetracyclines
C) Erythromycin
D) Trimethroprim
E) Chloramphenicol

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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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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.

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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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Which two antibiotics affect nucleic acids of bacteria?


A) Tetracycline and amphotericin B
B) Trimethoprim and sulfonamides
C) Rifampin and quinolones
D) Tetracycline and bacitracin
E) Penicillin and vancomycin

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

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

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Clavulanic acid inhibits


A) beta-lactamase activity.
B) peptidoglycan synthesis.
C) formation of peptidoglycan cross linkages.
D) cell membrane synthesis.

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Acyclovir is used to treat infections caused by ______.


A) influenza A virus
B) HIV
C) herpes simplex virus
D) respiratory syncytial virus
E) hepatitis C virus

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Substances that are naturally produced by certain microorganisms that can inhibit or destroy bacteria are called ______.


A) semisynthetic drugs
B) broad-spectrum drugs
C) antibiotics
D) synthetic drugs
E) narrow-spectrum drugs

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Your patient has been on antibiotics for 6 weeks after a case of streptococcal endocarditis,an infection of the inner heart wall.The infection clears up.However,the patient just visited you about a urinary tract infection,and the lab verified that the culprit was E.coli.What do you hypothesize happened in this situation?


A) The lab has made a mistake in identifying the cause,and,in fact,the UTI was caused by the original Streptococcus.
B) The lab has made a mistake in identifying the cause,and,in fact,the endocarditis was caused by the E.coli.
C) Her normal microbiota in the genitourinary tract were killed,allowing E.coli (not killed by the antibiotics) to establish an infection.
D) The antibiotics damaged her immune system,making her very susceptible to environmental bacteria.

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