The prokaryotes strike back Flashcards

1
Q

What are the four different ways of antibiotic resistance?

A
  • Efflux
  • Immunity and bypass
  • Target modification
  • Inactivation of enzyme
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2
Q

Cabapenem resistance is the drug of last resort. TRUE OR FALSE?

A

TRUE

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3
Q

With cabapenem, specific resistant pathogens have merged that prevent successful antiobiotic interventio. TRUE OR FALSE?

A

TRUE

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4
Q

Multi drug resistance M TB, is linked to non compliance and soical factors. TRUE OR FALSE?

A

TRUE

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5
Q

What is the mechanism of action for Multi drug resistance M TB?

A

Efflux
target modification
inactivation of enzyme
immunity and bypass

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6
Q

What is the mechanism of action for b-lactams, glycopeptides, aminoglycosides,macrolides and quinolones?

A

b-lactams- Inactivate peptidoglycan synthesis
glycopeptides - Bind to precursor peptidoglycan
aminoglycosides - inhibit protein synthesis
macrolides - Inhibit protein synthesis
quinolones - inhibit DNA synthesis

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7
Q

S. aures has reduced susceptibility to vancomycin. TRUE OR FALSE?

A

TRUE

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8
Q

What is the reason for the reduced susceptibility of vancomycin to S. aures?

A

Increased level of peptidoglycan and precursors

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9
Q

What is intrisinc acquired resistance and what is determined and expressed by?

A

inherent features which prevent action of antibiotic which is determined and expressed by genetic material contained within the chromsome

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10
Q

What si acquired resistance and what is determined by?

A

-resistant strains emerge from previously sensitive bacterial populations
determined by acquisition of plasmids or transposons

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11
Q

Horizontal gene transfer occurs by transformation, conjugation and transduction. TRUE OR FALSE?

A

TRUE

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12
Q

For vancomycin resistant enterococci, the resistance genes are on mobile elements. TRUE OR FALSE?

A

TRUE

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13
Q

What are transposons?

A

Discrete genetic elements capable of moving within the bacterial genome

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14
Q

Are transposons found in all organisms?

A

Yes

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15
Q

Transposition is capable of providing multiple copies. TRUE OR FALSE?

A

TRUE

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16
Q

Transposons are not capable of independent replication. TRUE OR FALSE?

17
Q

Transposons carry genetic material encoding for antibiotic resistance. TRUE OR FALSE?

18
Q

What is conservative transposition?

A

DNA replication does not occur so transposon is removed from site of the original chromosome

19
Q

Vacomycin is NOT a member of the peptidoglycan family. TRUE OR FALSE?

20
Q

Vacomycin prevents glycosilation and transpeptidation by binding in peptidoglycan precusors . TRUE OR FALSE?

21
Q

Vancomycin only works on gram positive bacteria and cannot cross out of the membrane negative bacteria. TRUE OR FALSE?

22
Q

Vancomycin is mostly used for MDR Stph infections, PATIENTS WITH SENSITIVITY TO PENICILLIN AND C.DIFFICE INFECTIONS. TRUE OR FALSE?

23
Q

In Replicative transposition
Transposase is responsible for excision and transfer
Resolvase is responsible for resolution of the transfer. TRUE OR FALSE?

24
Q

What does B lactam antibiotics inhibit?

A

crosslinking step of peptidoglycan synthesis

25
What does PBPs stand for?
penicillin binding proteins
26
What does PBPs do?
catalyse final steps of peptidoglycan synthesis
27
Multiple PBPs are not important for cell viability. TRUE OR FALSE?
FALSE
28
The b-lactams acylate the active site serine residue of | PBPs to inhibit transpeptidation. TRUE OR FALSE
TRUE
29
What are the activity of B lactams determined by?
by affinity for PBPs, stability to b-lactamases and membrane permeability
30
Most MRSA are multi-drug resistant (MDR-MRSA) but are susceptible to vancomycin. TRUE OR FALSE?
TRUE