Micro Chapter 9 Flashcards

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1
Q
Which of the following scientists started the modern era of chemotherapy with the discovery that trypan red dye destroyed trypanosomes, the causative agent of African sleeping sickness?
	A)	Paul Ehrlich
	B)	Sahachiro Hata
	C)	Gerhard Domagk
	D)	Selman Waksman
A

A

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2
Q
Which of the following scientists was instrumental in the discovery and production of penicillin?
	A)	Alexander Fleming
	B)	Howard Florey
	C)	Ernst Chain
	D)	All of the above
A

D

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3
Q
Which of the following scientists discovered streptomycin, an antimicrobial treatment for tuberculosis?
	A)	Paul Ehrlich
	B)	Sahachiro Hata
	C)	Gerhard Domagk
	D)	Selman Waksman
A

D

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4
Q

An antimicrobial’s therapeutic index is
A) The drug level required for clinical treatment of an infection
B) The drug level at which the agent becomes too toxic for the host
C) The ratio of the toxic dose to the therapeutic dose
D) The level of effectiveness in a population

A

C

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5
Q
A drug that inhibits growth of microbial cells, damages host tissues, and results in undesirable side effects has a \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ therapeutic index.
	A)	Low
	B)	Moderate
	C)	High
	D)	None of the above
A

A

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6
Q
Which of the following groups functions as a narrow-spectrum antibiotic?
	A)	Cephalosporins
	B)	Vancomycin
	C)	Trimethoprim
	D)	Chloramphenicol
A

B

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7
Q
Which of the following groups functions as a broad-spectrum antibiotic?
	A)	Tetracyclines
	B)	Dapsone
	C)	Polymyxin B
	D)	Quinolones
A

A

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8
Q

The minimal inhibitory concentration (MIC) is
A) The lowest concentration of a drug that inhibits infection
B) The lowest concentration of a drug that kills the host
C) The lowest concentration of a drug that prevents growth of a particular pathogen
D) The lowest concentration of a drug that kills the pathogen

A

C

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9
Q
The level of antimicrobial activity of a drug can be estimated from
	A)	Dilution susceptibility tests
	B)	Disk diffusion tests
	C)	The Etest
	D)	All of the above
A

D

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10
Q

In the Kirby-Bauer method, a large zone of inhibition means that the pathogen is
A) More likely to kill the host
B) More susceptible to the antibiotic
C) Less susceptible to the antibiotic
D) Less likely to cause disease in any host

A

B

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11
Q
A plot of minimal inhibitory concentration (MIC) versus diameter of the zone of inhibition is used to estimate the degree of microbial resistance to a drug in the
	A)	Dilution susceptibility test
	B)	Kirby-Bauer method
	C)	Etest
	D)	None of the above
A

B

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12
Q
The most selective antibiotics are those that
	A)	Inhibit cell wall synthesis
	B)	Inhibit protein synthesis
	C)	Act as metabolic antagonists
	D)	Inhibit nucleic acid synthesis
A

A

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13
Q
The most important feature of the penicillin molecule is the
	A)	Amino sugars
	B)	Lactone groups
	C)	Beta-lactam ring
	D)	Multi-ring structures
A

C

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14
Q

Penicillins work by
A) Activating autolytic enzymes
B) Blocking the transpeptidation reaction that forms peptidoglycan cross-links
C) Stimulating holins to form holes in the plasma membrane
D) All of the above

A

D

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15
Q
Which of the following is a naturally produced antibiotic?
	A)	Ampicillin
	B)	Carbenicillin
	C)	Ticarcillin
	D)	Penicillin G
A

D

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16
Q
Which of the following antibiotics inhibits cell wall synthesis?
	A)	Macrolides
	B)	Vancomycin
	C)	Sulfonamides
	D)	Quinolones
A

B

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17
Q
In addition to penicillins, which group of antibiotics also exhibits a beta-lactam ring structure?
	A)	Trimethoprim
	B)	Sulfonamides
	C)	Cephalosporins
	D)	Chloramphenicol
A

C

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18
Q
Which of the following antibiotics is the "drug of last resort" in cases of antibiotic-resistance Staphylococcus aureus infections?
	A)	Aminoglycosides
	B)	Vancomycin
	C)	Chloramphenicol
	D)	Sulfonamides
A

B

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19
Q

Aminoglycosides work by
A) Inhibiting the binding of aminoacyl-tRNA molecules to the A site of ribosomes
B) Binding to the small ribosomal subunit to interfere with protein synthesis
C) Inhibiting peptide chain elongation during protein synthesis
D) Inhibiting the peptidyl transferase reaction

A

B

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20
Q

The macrolide erythromycin works by
A) Inhibiting the binding of aminoacyl-tRNA molecules to the A site of ribosomes
B) Binding to the small ribosomal subunit to interfere with protein synthesis
C) Inhibiting peptide chain elongation during protein synthesis
D) Inhibiting the peptidyl transferase reaction

A

C

21
Q
Which antibiotic is fairly toxic to humans and, as a result, is used only in life-threatening situations when no other drug is adequate?
	A)	Penicillin
	B)	Sulfonamides
	C)	Chloramphenicol
	D)	Quinolones
A

C

22
Q
Which of the following groups of antibiotic drugs functions as a metabolic antagonist?
	A)	Penicillins
	B)	Sulfonamides
	C)	Aminoglycosides
	D)	Quinolones
A

B

23
Q
Sulfonamides work by
	A)	Inhibiting folic acid synthesis
	B)	Inhibiting cell wall synthesis
	C)	Inhibiting nucleic acid synthesis
	D)	Lysing plasma membranes
A

A

24
Q
Drugs with the greatest therapeutic index work by
	A)	Inhibiting nucleic acid synthesis
	B)	Acting as a metabolic antagonist
	C)	Inhibiting protein synthesis
	D)	Inhibiting cell wall synthesis
A

D

25
Q

Quinolones work by
A) Acting as metabolic antagonists
B) Inhibiting bacterial DNA gyrase and topoisomerase II
C) Inhibiting the transpeptidation reaction in peptidoglycan formation
D) Lysing the plasma membrane

A

B

26
Q

Finding treatments for fungal infections is more difficult because
A) Antifungal drugs that kill fungi are also toxic to human cells
B) Most fungi have a detoxification system that modifies many antifungal agents
C) Antifungal drugs have a low therapeutic index
D) All of the above

A

D

27
Q

Antifungal drugs used to treat superficial mycoses work by
A) Disrupting fungal membrane permeability and inhibiting sterol synthesis
B) Disrupting RNA function
C) Altering glucose metabolism
D) Inhibiting protein synthesis

A

A

28
Q
Which of the following antifungal drugs is used to treat superficial mycoses?
	A)	Amphotericin B
	B)	Clotrimazole
	C)	Pentamidine
	D)	All of the above
A

B

29
Q
Which of the following antifungal drugs is used to treat systemic fungal infections?
	A)	Amphotericin B
	B)	Clotrimazole
	C)	Micronazole
	D)	All of the above
A

A

30
Q
Which of the following antiviral drugs is used to prevent influenza A infections?
	A)	Acyclovir
	B)	Azidothymidine (AZT)
	C)	Amantadine
	D)	Tamiflu
A

D

31
Q

Amantadine works by
A) Inhibiting viral DNA polymerase
B) Interfering with reverse transcriptase activity
C) Blocking the penetration and uncoating of virus particles
D) Functioning as a neuraminidase inhibitor

A

C

32
Q
Which of the following antiviral drugs is used to treat herpes infections?
	A)	Foscarnet
	B)	Acyclovir
	C)	Valcyclovir
	D)	All of the above
A

D

33
Q
Which of the following antiviral drugs has broad-spectrum treatment capabilities?
	A)	Acyclovir
	B)	Cidofovir
	C)	Azidothymidine (AZT)
	D)	Tamiflu
A

B

34
Q
The first drug to be developed to combat HIV infection was
	A)	Acyclovir
	B)	Azidothymidine (AZT)
	C)	Amantadine
	D)	Tamiflu
A

B

35
Q

Azidothymidine (AZT) works by
A) Inhibiting viral DNA polymerase
B) Interfering with reverse transcriptase activity
C) Blocking the penetration and uncoating of virus particles
D) Functioning as a neuraminidase inhibitor

A

B

36
Q
Drug cocktails for the treatment of HIV infection include which of the following?
	A)	Reverse transcriptase inhibitors
	B)	Protease inhibitors
	C)	Fusion inhibitors
	D)	All of the above
A

D

37
Q
Which of the following antiviral drugs aids in the treatment of H1N1 flu?
	A)	Acyclovir
	B)	Azidothymidine (AZT)
	C)	Amantadine
	D)	Tamiflu
A

D

38
Q

Quinine drugs work by
A) Formation of reactive oxygen intermediates
B) Inhibiting RNA expression
C) Interfering with the electron transport chain
D) Suppressing protozoan reproduction

A

D

39
Q
Which of the following antiprotozoan drugs is used to treat malaria?
	A)	Chloroquine
	B)	Aminoglycosides
	C)	Metronidazole
	D)	All of the above
A

A

40
Q
Which of the following antiprotozoan drugs is used to treat Entamoeba infections?
	A)	Chloroquine
	B)	Metronidazole
	C)	Artemisinin
	D)	Aminoglycosides
A

B

41
Q

Which of the following questions must be considered when selecting an antimicrobial drug?
A) Can it reach the site of infection?
B) Is the pathogen susceptible to the drug?
C) Is the pathogen resistant to the drug?
D) All of the above

A

D

42
Q

How did Staphylococcus aureus develop resistance to vancomycin?
A) Random mutation
B) Conjugation with vancomycin-resistant enterococci (VRE)
C) Transduction from viral particles
D) None of the above

A

B

43
Q

Many bacterial pathogens can resist the action of penicillin by
A) Inactivating it with the enzyme penicillinase
B) Pumping it out with efflux pumps
C) Preventing the entry into the cell
D) Using an alternate metabolic pathway

A

A

44
Q
Antibiotic resistance in bacteria develops primarily due to
	A)	Random mutation
	B)	Horizontal gene transfer
	C)	Metabolic changes
	D)	Induction by host cells
A

B

45
Q
Plasmids bearing one or more resistance genes are called
	A)	Transposons
	B)	F plasmids
	C)	Hfr plasmids
	D)	R plasmids
A

D

46
Q
The most effective treatment management strategy against Mycobacterium tuberculosis is
	A)	Drug therapy with multiple drugs
	B)	Directly observed therapy
	C)	Low doses of broad spectrum drugs
	D)	Transduction therapy
A

B

47
Q

Which of the following factors leads to antibiotic resistance to antimicrobial drugs?
A) Use of antibiotics as animal growth enhancers
B) Failure to complete course of antibiotic therapy
C) Inappropriate antibiotic prescribing practices
D) All of the above

A

D

48
Q
In the future, it is likely that \_\_\_\_\_\_\_\_\_\_\_\_ may be used to treat bacterial infections.
	A)	High doses of multiple toxic drugs
	B)	Regular prophylactic treatment
	C)	Predatory bacteria
	D)	Bacteriophages
A

D