Chapter 10 Microbiology

24 July 2022
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A large percentage of antibiotics and semisynthetic drugs are produced by members of the genus
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Streptomyces.
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An antimicrobial that inhibits cell wall synthesis will result in which of the following?
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Cells become more susceptible to osmotic pressure.
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Beta-lactam antibiotics have an effect on which of the following types of cells?
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bacterial cells
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Which of the following is a primary advantage of semisynthetic drugs?
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They have a broader spectrum of action.
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Which of the following drugs specifically targets cell walls that contain arabinogalactan-mycolic acid?
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isoniazid
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Which of the following antibiotics disrupts cytoplasmic membrane function?
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amphotericin B
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Which of the following is NOT a target of drugs that inhibit protein synthesis?
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interference with alanine-alanine bridges
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Which scientist coined the term antibiotic?
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Waksman
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The most limited group of antimicrobial agents is the __________ drugs.
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antiviral
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Another term for the Kirby-Bauer test is the
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diffusion susceptibility test.
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Which of the following statements about the zone of inhibition is FALSE?
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The larger the zone, the more resistant the organism is.
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Which of the following groups of drugs can become incorporated into the bones and teeth of a fetus?
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tetracyclines
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Which of the following can result when antibiotic therapy disrupts the normal microbiota?
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both pseudomembranous colitis and thrush
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Which of the following statements concerning development of antibiotic resistance is FALSE?
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Resistant cells grow more efficiently and quickly than susceptible cells.
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ฮฒ-lactamase production is an example of which of the following types of resistance?
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inactivation of the drug
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Probiotics
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are an alternative to the use of chemotherapy involving microbial antagonism.
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Most drugs that inhibit the synthesis of the cell wall act by
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preventing the cross-linkage of NAM subunits
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Most broad-spectrum antibiotics act by
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inhibiting protein synthesis
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Which of the following antifungals works by inhibiting ergosterol synthesis?
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turbinafine
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Sulfonamides
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were the first widely used antimetabolic antimicrobial and indirectly inhibit nucleic acid synthesis.
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Which of the following pathways is specifically inhibited by sulfonamides?
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the conversion of PABA to dihydrofolic acid
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Which of the following drugs inhibits nucleic acid synthesis specifically in prokaryotes?
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quinolones
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The cooperative activity of drugs such as beta-lactam antibiotics and clavulanic acid, a ฮฒ-lactamase inhibitor, is known as
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synergism.
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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?
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porins
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It is inappropriate to prescribe antibacterial agents to treat colds or flu because
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these diseases are caused by viruses.
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Who discovered the first widely available antibiotic?
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Domagk
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Which of the following statements is true of selective toxicity?
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Selective toxicity takes advantage of structural and/or metabolic differences between host and pathogen.
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Antimicrobials that block protein synthesis by binding to the mRNA are
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antisense nucleic acids.
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The Etest determines which of the following?
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both susceptibility and MIC
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Which of the following is NOT a criterion by which all antimicrobial agents can be evaluated?
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their activity against cell walls
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Which of the following interferes with cell wall synthesis by blocking alanine bridge formation?
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both cycloserine and vancomycin
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Antimicrobial sugar analogs are effective for
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preventing virus attachment
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Which of the following is a measurement associated with the broth dilution test?
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lack of turbidity
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Infection of the __________ would be the hardest to treat with antimicrobial drugs.
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brain
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Disruption of the normal microbiota can result in infections caused by which of the following microbes?
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Candida albicans, Mycobacterium, and Clostridium difficile
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The antimicrobials called quinolones act by
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inhibiting nucleic acid synthesis.
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Amphotericin B is an antifungal drug that
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disrupts cytoplasmic membranes.
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The mechanism of action of the antibiotic vancomycin is
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inhibition of cell wall synthesis.
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The tetracyclines interfere with
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protein synthesis.
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Trimethoprim is an example of antimicrobials that
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inhibit metabolic pathways.
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The mechanism of action of erythromycin is
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inhibition of protein synthesis.
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Methicillin is an example of the beta-lactam class of drugs that
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inhibit cell wall synthesis.
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Ribavirin is an antiviral that interferes with
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nucleic acid synthesis.
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The antimicrobial polymyxin
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disrupts cytoplasmic membranes.
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The mechanism of action of sulfonamides is
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inhibition of metabolic pathways.
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Paul Erhlich coined the term antibiotics for the "magic bullet" antimicrobials he pursued.
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FALSE
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Antisense nucleic acids are designed to have no side effects against humans.
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TRUE
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Beta-lactam drugs act by inhibiting formation of the cytoplasmic membrane.
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FALSE
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Because all cells engage in protein synthesis, there are few antimicrobial drugs that selectively inhibit this process
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FALSE
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Many antimicrobial drugs that affect the cytoplasmic membrane are used only externally because they can be toxic to humans.
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TRUE
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Some bacterial cells are resistant to a variety of antimicrobials because they actively pump the drugs out of the cell.
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TRUE
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The outer membrane of Gram-negative bacteria enables many antimicrobial drugs to enter the cell more easily.
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FALSE
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If a subculture of an MIC test grows in an MBC test, the concentration of the drug was bactericidal.
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FALSE
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Brain and spinal cord infections are difficult to treat because most antimicrobial drugs cannot diffuse out of the blood into these organs.
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TRUE
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Organs that are commonly affected by drug toxicity include the kidneys and the liver.
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TRUE
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Any drug that acts against a disease is called a(n) __________ agent.
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chemotherapeutic
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Selective __________ means that a given antimicrobial agent is more toxic to a pathogen than to the host being treated.
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toxicity
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Nucleotide or nucleoside __________are antimicrobial agents that mimic the chemical structure of DNA building blocks.
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analogs
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A broad-spectrum __________ is effective against a wide variety of pathogens.
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drug
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Secondary infections that result from the killing of the normal microbiota are called __________.
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Superinfections
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Competition between beneficial microbes and potential pathogens is called microbial __________.
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antagonism
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A(n) __________ concentration of a drug is one at which microbes survive but are not able to grow and reproduce.
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bacteriostatic
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R-plasmids are __________ pieces of DNA that promote horizontal transfer of genes among bacteria and contribute to the spread of antimicrobial resistance.
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extrachromosomal
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Some bacteria develop resistance to groups of drugs because the drugs are all structurally similar to each other; this is a phenomenon known as __________ resistance.
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cross
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Second-generation drugs are semisynthetic drugs developed to combat __________ against an existing drug
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resistance
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Drugs that slow down bacterial growth would be __________ to penicillin.
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antagonistic
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External infections can be treated by __________ administration, in which a drug is applied directly to the site of infection.
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topical
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The abbreviation __________ stands for the smallest amount of a drug that will inhibit the growth and reproduction of a pathogen.
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MIC
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Antiviral medications frequently block unique __________ to prevent production of new virus.
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enzymes
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Praziquantel alters the cytoplasmic membrane permeability of __________ worms.
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parasitic