(19) Micro 3 SLO Flashcards
A female patient is complaining of an abnormally smelly vaginal discharge. She has just completed a course of Keflex. What is the most likely cause? A. Hypersensitivity reaction B. Clostridium difficile C. Kidney failure D. Superinfection E. Pseudomembranous colitis
Superinfection
Beta lactamases are enzymes produced by almost all __?__ bacteria
A. known (All bacteria produce lots of beta lactamase)
B. Gram +
C. Mycobacterium
D. None of the above is correct
E. Gram –
Gram –
Cell walls are NOT present in \_\_?\_\_ bacteria A. Gram + B. Gram – C. Mycobacterium D. Spirochete E. Mycoplasma
Mycoplasma
Cephalosporin antibiotics are associated with __?__.
A. Causing a false positive Coomb’s test and false positive urine glucose tests
B. Blood dyscrasias including anemia and pancytopenia.
C. Peripheral neuropathies and fatal hepatitis, as well as seizures, psychosis, blood dyscrasias, hyperglycemia and because of MAOI activity, hypertensive crisis.
D. All the above
E. A & B only
A & B only
Dapsone and the sulfonamides work by: A. Inhibition of cell wall synthesis B. Inhibition of transcription C. Inhibition of protein synthesis D. Anti-metabolite which leads to the inhibition of nucleic acid synthesis E. Other mechanism
Anti-metabolite which leads to the inhibition of nucleic acid synthesis
INH has a boxed warning regarding: A. Cancer B. Kidney failure C. Peliosis D. Liver failure E. Blood dyscrasias
Liver failure
INH is metabolized mostly by acetylation. 50% of blacks and whites are slow acetylators; 80% of Asians and Eskimos are fast acetylators - who is more likely to experience treatment failure? A. Blacks and/or Whites B. Eskimos and/or Whites C. Asians and/or Eskimos D. Blacks E. Whites
Asians and/or Eskimos
Inhibition of cell wall synthesis is caused by: A. Beta lactams B. Vancomycin C. Isoniazid D. Penicillins E. All of the above
All of the above
Isoniazid associated with __?__.
A. Allergy, but only 1/10 th of the patients reporting a penicillin allergy probably actually are allergic to the antibiotic.
B. 8th cranial nerve damage
C. Causing a false positive Coomb’s test and false positive urine glucose tests
D. Peripheral neuropathies and fatal hepatitis, as well as seizures, psychosis, blood dyscrasias, hyperglycemia and because of MAOI activity, hypertensive crisis.
E. Turning secretions bright orange.
Peripheral neuropathies and fatal hepatitis, as well as seizures, psychosis, blood dyscrasias, hyperglycemia and because of MAOI activity, hypertensive crisis.
Isoniazid is primarily metabolized by \_\_?\_\_ A. Phase 2 acetylation B. Phase 2 glucuronidation C. P450 CYP 3A4 D. Monoamine oxidase E. Phase 1 enzymes
Phase 2 acetylation
Penicillin antibiotics are associated with __?__.
A. Blood dyscrasias including anemia and pancytopenia.
B. Peripheral neuropathies and fatal hepatitis, as well as seizures, psychosis, blood dyscrasias, hyperglycemia and because of MAOI activity, hypertensive crisis
C. Turning secretions bright orange.
D. Causing a false positive Coomb’s test and false positive urine glucose tests
E. Allergy, but only 1/10 th of the patients reporting a penicillin allergy probably actually are allergic to the antibiotic.
Allergy, but only 1/10 th of the patients reporting a penicillin allergy probably actually are allergic to the antibiotic.
Rifampin is associated with __?__.
A. Allergy, but only 1/10 th of the patients reporting a penicillin allergy probably actually are allergic to the antibiotic.
B. Turning secretions bright orange
C. Blood dyscrasias including anemia and pancytopenia.
D. Causing a false positive Coomb’s test and false positive urine glucose tests
E. Peripheral neuropathies and fatal hepatitis, as well as seizures, psychosis, blood dyscrasias, hyperglycemia and because of MAOI activity, hypertensive crisis.
Turning secretions bright orange
Rifampin works as a(n): A. Inhibitor of cell wall synthesis B. Anti-metabolite or inhibitor of nucleic acid synthesis C. Other mechanism D. Inhibitor of fatty acid synthesis E. Inhibitor of transcription
Inhibitor of transcription
The acronym, CRE, stands for: A. Carbapenem-Resistant Enterobacteria B. Carbapenem Restricted Escherichia C. Crush and Reconstitute Enterics D. Carry Resilient Enteric-tubing E. Could Result in Emergency
Carbapenem-Resistant Enterobacteria
The acronym, CRKP, stands for:
A. Carbapenem Resistant Kidney Pathogen
B. Carries Resistance, Keep Private
C. Caring Really Kind People
D. Carbapenem-Resistant Klebsiella pneumonia
E. Carbohydrate Resistant Klebsiella pneumonia
Carbapenem-Resistant Klebsiella pneumonia