Chapter 34 Microbiology

25 July 2022
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question
Who is usually credited with the discovery of penicillin?
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Fleming
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Whose discovery of streptomycin stimulated an intense search for other antibiotics?
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Waksman
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The use of arsenic compound Salvarsan as a treatment for syphilis is credited to
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Ehrlich.
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Chemotherapeutic agents that are natural products of microorganisms are most specifically referred to as __________.
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antibiotics
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Who is generally credited with the discovery of sulfanilamide as a chemotherapeutic agent?
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Gerhard Domagk
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__________ __________ are activities of a chemotherapeutic agent that damage the host either by inhibiting the same process in the host as in the target cell or by damaging other processes.
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Side effects
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The minimum lethal concentration (MLC) is the lowest concentration of drug from which organisms fail to recover when removed from the drug.
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true
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Agents that are static and, therefore, do not kill infecting microorganisms are not useful as chemotherapeutic agents.
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false
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A drug that disrupts a microbial function not found in animal cells usually has a higher therapeutic index.
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true
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The drug level required for the clinical treatment of a particular infection is called the
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therapeutic dose.
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Which of the following inhibits protein synthesis?
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erythromycin
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Which of the following is likely to have the most toxic side effects to humans?
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disrupters of cell membrane structure
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Isoniazid is a narrow-spectrum antibiotic that
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is one of the few drugs effective against Mycobacterium tuberculosis.
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Consider an antibacterial drug. In which of the following cases would the action of the drug be considered primarily bacteriostatic?
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The MLC is 10-20 times higher than the MIC.
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Chemotherapeutic agents that are chemically modified natural products of microorganisms are most specifically referred to as __________.
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semisynthetic drugs
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Chemotherapeutic agents that are artificially produced are most specifically referred to as __________.
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synthetic drugs
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The ratio of toxic dose to therapeutic dose is called the
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therapeutic index.
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The minimal lethal concentration (MLC) is the
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lowest concentration of a drug that kills a particular pathogen.
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The lowest concentration of an antibiotic that prevents growth is the
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minimal inhibitory concentration (MIC).
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Which of the following is a desirable general characteristic of antimicrobial drugs?
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selective toxicity, broad-spectrum of activity, and bactericidal rather than bacteriostatic
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When a chemotherapeutic agent is effective against many different pathogens, it is said to be a __________ antibiotic.
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broad-spectrum
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In a disk diffusion assay for drug susceptibility, a drug producing a larger clear zone is always more effective than a drug than to one producing a smaller clear zone.
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false
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Which of the following affects the size of the clear zone in a disk diffusion test of antimicrobial susceptibility?
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the initial concentration of the drug, the solubility of the drug, and the diffusion rate of the drug
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The E test is
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a quantitative antibiotic sensitivity test that utilizes plastic strips impregnated with an antibiotic of interest.
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In the broth dilution test, the highest concentration of the antibiotic resulting in no growth after 16 to 20 hours of incubation is the MIC.
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false
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Which of the following is not true about Kirby-Bauer disk diffusion method?
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Bacteria used to swab plate should be at least a week old.
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Which of the following does not inhibit protein synthesis?
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penicillin
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The most selective antibacterial agents are those that interfere with bacterial cell wall synthesis. This is because
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bacterial cell walls have a unique structure not found in eukaryotic host cells.
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In addition to inhibiting the transpeptidation reaction in cell wall synthesis, penicillins may also destroy bacteria by
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stimulating proteins to form holes in the plasma membrane.
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It is difficult to treat central nervous system infections because
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it is difficult for many drugs to penetrate the blood-brain barrier.
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Aminoglycoside antibiotics
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bind to the 30S ribosomal subunit.
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Sulfonamides and other drugs that inhibit folic acid synthesis have a high therapeutic index because
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humans do not synthesize folic acid but obtain it in their diets.
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Antibiotics that are given by injection are said to have a(n) __________ route of administration.
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parenteral
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Sulfonamides inhibit the production of folic acid and, therefore, inhibit the synthesis of __________.
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purines and pyrimidines
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Which of the following is (are) true about cephalosporins?
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They, like penicillin, inhibit bacterial cell wall synthesis, there are four generations of cephalosporins, and they can be given to patients with penicillin allergies.
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Bacitracin
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inhibits peptidoglycan synthesis.
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Vancomycin
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inhibits the transpeptidation reaction in peptidoglycan biosynthesis.
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Which of the following is a useful mechanism of action for an antibacterial drug?
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inhibition of cell wall synthesis, inhibition of protein synthesis, and interference with RNA and DNA synthesis
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Which of the following antibiotics specifically inhibits DNA synthesis?
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quinolones
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Protein synthesis inhibitors have a low therapeutic index because they usually cannot discriminate between prokaryotic and eukaryotic ribosomes.
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false
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Ampicillin, like penicillin, must be administered by injection because it is rapidly degraded in the stomach and cannot, therefore, be given orally.
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false
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A(n) __________ is a drug that blocks the function of a metabolic pathway.
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antimetabolite
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Which of the following is normally treated by antifungal creams and solutions?
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superficial mycoses
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The treatment for pneumonia caused by Pneumocystis jiroveci in AIDS patients is
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either atovaquone or pentamidine
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_______________ ________________ from Streptomyces spp. binds to the sterols in fungal membranes, disrupting membrane permeability and causing leakage of cell constituents.
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Amphotericin B
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Treatment of fungal infections is more difficult than treatment of bacterial infections because the greater metabolic similarity between the fungi and their hosts limits the ability of a drug to have a selective toxicity.
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true
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A neuraminidase inhibitor called __________ is sometimes used in the treatment of people infected with influenza viruses.
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Tamiflu
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Which of the following is sometimes useful against viral infections?
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zidovudine
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Which of the following is the major reason why it has been difficult to treat viral infections with chemotherapeutic agents?
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Viruses use the metabolic machinery of their hosts, which limits many of the potential points of attack.
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________ and ________ can be used to prevent influenza A infections, reducing the incidence of influenza by 50 to 70% in an exposed population.
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Amantadine, rimantadine
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All of the following are reverse transcriptase inhibitors used to treat HIV infection except
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acyclovir.
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The antiviral drugs currently approved for use in HIV disease include
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nucleoside reverse transcriptase inhibitors, nonnucleoside reverse transcriptase inhibitors, protease inhibitors, and fusion inhibitors.
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Drugs are used to treat malaria include
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chloroquine and qualaquin.
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Metronidazole is used to treat Entamoeba infections.
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true
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The antimicrobial action of artemisinin is not well understood but this chemical appears to
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form reactive oxygen intermediates inside Plasmodium-infected red blood cells.
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Most of the drugs used to treat protozoan infection have insignificant side effects; because protozoa are prokaryotes, the potential for drug action on host cells and tissues is less than it is when targeting bacteria.
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false
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________, which is used to treat Toxoplasma gondii, is an analog of ________, an integral component of the eukaryotic electron transport system.
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Atovaquone, ubiquinone
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Bacteria in biofilms or abscesses may be replicating very slowly and are therefore resistant to chemotherapy because many agents affect pathogens only if they are actively growing and dividing.
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true
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The chemotherapeutic agent must reach levels in the body that are ________ the pathogen's MIC value if it is going to be effective.
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A. greater than
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The concentration of an antimicrobial drug that is reached in the body will depend on
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the amount of drug administered, the route of administration and speed of uptake, and the rate at which the drug is cleared or eliminated from the body.
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Penicillin is frequently injected but not normally given orally because it is rapidly degraded in the stomach.
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true
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Genes for drug resistance may be present
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both on the chromosome and on plasmids
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One way in which organisms may exhibit resistance to a drug is the ability to pump the drug out of the cell immediately after it has entered.
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true
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The effects of most antimicrobial drugs are greater if the microorganisms are actively growing.
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true
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R plasmids, transposons, integrons and gene cassettes have each contributed to the spread of bacterial antibiotic resistance.
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true
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One way that the development of drug resistance in viruses has been reduced has been by the use of a cocktail of several drugs at high doses.
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true
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The drug of last resort that is generally used in treating infections caused by methicillin resistant Staphylococcus aureus is
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vancomycin.
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Development of drug resistance is not discouraged by
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widespread use of broad-spectrum drugs.
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Which of the following is (are) used by microorganisms to become resistant to a particular drug?
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enzymatic inactivation of the drug, exclusion of the drug from the cell, and an alternate metabolic pathway that bypasses the drug-sensitive step
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A plasmid bearing one or more antibiotic resistance genes is a(n)
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R plasmid.