Which antimicrobial agents have the narrowest spectrum of action? antivirals antifungals beta-lactams sulfanilamidesBottom of Form

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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  1. Which antimicrobial agents have the narrowest spectrum of action?
    1. antivirals
    2. antifungals
    3. beta-lactams
    4. sulfanilamidesBottom of Form
  1. Penicillin is a narrow spectrum antibiotic because
    1. it only affects bacteria with mycolic acid in its cell wall, such as Mycobacterium tuberculosis.
    2. it only affects viruses
    3. it only affects Gram-negative organisms
    4. it only affects Gram-positive organismsBottom of Form
  1. Which of the following antibiotics might be destroyed by beta-lactamase enzymes?
    1. amphotericin B and ciprofloxacin
    2. streptomycin
    3. penicillin
    4. ciprofloxacinBottom of Form
  1. Which is incorrect about how the pharmaceutical industry has discovered drugs over the past 100 years?
    1. The process of discovery has involved custom-designing chemical compounds that we know will bind to target enzymes.
    2. The process of discovery has involved screening for chemicals that are toxic to bacteria while being less toxic to human cells.
    3. The process of discovery has involved screening thousands of randomly generated synthetic or semi-synthetic chemicals for antimicrobial activity.
    4. The process of discovery has involved screening natural compounds produced by bacteria and fungi for their antibiotic activity.Bottom of Form
  1. Which antibiotic should not be prescribed to pregnant women due to toxicity?
    1. tetracyclines.
    2. beta lactams
    3. sulfonamides.
    4. aminoglycosides.Bottom of Form
  1. Antimicrobial drugs that block cross-linking of peptidoglycan are
    1. nucleic acid synthesis inhibitors.
    2. protein synthesis inhibitors.
    3. cell wall synthesis inhibitors.
    4. antimetabolites.Bottom of Form
  1. How does a cell wall synthesis inhibitor cause death of a bacterial cell?
    1. Ribosomes lose their function.
    2. Weakened cell walls rupture in response to osmotic pressure.
    3. The replication of cells, including cancer cells, slows down.
    4. Cells cannot attach to their hosts.Bottom of Form
  1. Which of these antibiotics are DNA synthesis inhibitors?
    1. the quinolones (ciprofloxacin, levofloxacin, etc).
    2. the streptomycins (actinomycin, streptomycin, and erythromycin).
    3. rifampin, trimethoprim, and sulfamethoxazole.
    4. the penicillins (penicillin, ampicillin, and amoxicillin).Bottom of Form
  1. A father rushes his six-year old son to the emergency room. His son has a high fever, dark reddish splotches on his skin, and was previously complaining of neck pain and stiffness but is now becoming delirious. The emergency room physician immediately suspects meningitis, performs a spinal tap, and orders an antibiotic.
    1. Which route of administration do you think is most likely, in this situation?
    1. intravenous (IV).
    2. intramuscular (IM).
    3. oral (PO)
    4. rectal (PR)Bottom of Form
  1. Which of these drugs inhibits cell wall synthesis by blocking alanine bridge formation?
    1. penicillin and cephalosporin
    2. bacitracin
    3. cycloserine and vancomycin
    4. erythromycinBottom of FormTop of Form
  1. Paul Ehrlich created the first drug that was produced using a modern pharmaceutical approach. His drug was highly effective against syphilis, although it had terrible side effects and occaisonally killed the patient. What was this product?
    1. calomel
    2. sulfanilamide
    3. penicillin
    4. SalvarsanBottom of Form
  1. How might bacteria become resistant to aminoglycosides?
    1. Mutation or loss of a porin protein.
    2. Production of an enzyme to destroy the beta-lactam ring.
    3. Mutation or loss of penicillin-binding proteins.
    4. Mutation or loss of DNA gyrase enzyme.Bottom of Form
  1. The first synthetic antimicrobial widely available for treatment of infections
    1. disrupted cytoplasmic membranes.
    2. interfered with bacterial cell wall synthesis.
    3. was an attachment antagonist.
    4. was an antimetabolite.Bottom of Form
  1. Which diseases can happen after antibiotic therapy disrupts the normal microbiota?
    1. yeast infections and pseudomembranous colitis
    2. staphylococcal skin infections
    3. yeast infections
    4. pseudomembranous colitisBottom of Form
  1. Which is a common way that Gram-negative bacteria become resistant to antimicrobial drugs?
    1. mutation of mitochondria
    2. mutation of ribosomal subunits
    3. mutation of peptidoglycan cross-linking enzymes
    4. mutation of porinsBottom of Form
  1. Most broad-spectrum antibiotics belong to which class?
    1. protein synthesis inhibitors
    2. antimetabolites
    3. cell wall synthesis inhibitors
    4. cytoplasmic membrane disruptorsBottom of Form
  1. In the antiviral drug lamivudine, an -SH group replaces an -OH group in cytosine. When used as a medication, it
    1. interferes with cell wall synthesis.
    2. disrupts lipid membrane structure.
    3. interferes with nucleic acid synthesis.
    4. interferes with protein synthesis.Bottom of Form
  1. How do most of the protein synthesis inhibitors class of antibiotics work?
    1. Most bind to mRNA.
    2. Most bind to RNA polymerase.
    3. Most bind to DNA gyrase.
    4. Most bind to a ribosomal subunit.Bottom of Form
  1. Who developed Prontosil (sulfonamidochrysoidine), the first synthetic broad-spectrum antibiotic?
    1.  Gerhard Domagk.
    2. Alexander Fleming.
    3. Paul Ehrlich.
    4. Joseph Lister.Bottom of Form
  1. Which pathway do trimethoprim and sulfamethoxazole target?
    1. catabolism of glucose
    2. synthesis of peptidoglycan
    3. synthesis of ribosomes
    4. conversion of PABA to purines
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