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The cellular basis for bacterial resistance to antimicrobials include ________.


A) bacterial chromosomal mutations
B) synthesis of enzymes that alter drug structure
C) prevention of drug entry into the cell
D) alteration of drug receptors on cell targets
E) All of the choices are correct.

F) A) and B)
G) A) and C)

Correct Answer

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Polymyxin B and daptomycin are both narrow spectrum drugs that target the cell membrane. They differ in that polymyxin B is effective against gram-negative organisms since it disrupts both the inner and outer membranes whereas daptomycin integrates only into the gram-positive cell wall creating leakage.

A) True
B) False

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The use of any chemical in the treatment, relief, or prophylaxis of a disease is called ________.


A) prophylaxis
B) chemotherapy
C) selective toxicity
D) nephrotoxicity
E) synergism

F) A) and C)
G) A) and B)

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Which therapeutic index value would be the drug of choice?


A) 20
B) 10
C) 1
D) 0.1
E) Any value would be equally effective.

F) C) and D)
G) B) and E)

Correct Answer

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Each of the following result in drug resistance except ________.


A) drug pumped out of the cell
B) drug used as a nutrient by the cell
C) drug binding site altered
D) drug inactivated
E) drug blocked from entering cell

F) C) and D)
G) A) and D)

Correct Answer

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A superinfection results from ________.


A) buildup of a drug to toxic levels in the patient
B) the wrong drug administered to the patient
C) an immune system reaction to the drug
D) decrease in the microbiota with overgrowth of an unaffected species

E) A) and D)
F) All of the above

Correct Answer

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Antiviral drugs that target reverse transcriptase would be used to treat ________.


A) influenza A virus
B) HIV
C) herpes zoster virus
D) respiratory syncytial virus
E) hepatitis C virus

F) C) and D)
G) All of the above

Correct Answer

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Indwelling catheter biofilm infections are more resistant to antibiotics than nonbiofilm infections.

A) True
B) False

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Which of the following is an example of a probiotic?


A) Penicillin
B) Micafungin
C) Yogurt
D) Fructans

E) C) and D)
F) All of the above

Correct Answer

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Biofilm infections are harder to treat than the same free-living organisms because ________.


A) when part of a biofilm community, the bacterial cells express different genes thus changing their antibiotic susceptibility
B) bacteria in a biofilm exist only on synthetic surfaces such as catheters, so they cannot be treated with antibiotics
C) the organisms in the biofilm degrade the antibiotics at a much faster rate than their free-living counterparts
D) organisms in a biofilm develop antibiotic resistance more rapidly than free-living cells

E) All of the above
F) A) and B)

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The RN provides education to the patient and his mother regarding the diagnosis. Which of the following statements by the mother demonstrates a proper understanding of the teaching?


A) My son has an extremely resistant form of MRSA causing his prolonged illness.
B) My son developed simultaneous bacterial infections and his antibiotics were not treating his MRSA infection.
C) My son developed a MRSA superinfection following suppression of normal resident species in his lungs by the antibiotics he was taking to treat his initial infection.
D) My son has pneumonia caused by a virus.

E) All of the above
F) A) and B)

Correct Answer

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A ratio of the dose of a drug that is toxic to humans versus the minimum effective dose for that pathogen is assessed to predict the potential for toxic drug reactions. This is called the ________.


A) Kirby-Bauer
B) antibiogram
C) E-test
D) MIC
E) therapeutic index (TI)

F) C) and E)
G) B) and D)

Correct Answer

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Bacteria can have a natural resistance to a drug that it has never been exposed to.

A) True
B) False

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An antibiotic of the penicillin family is amoxicillin.

A) True
B) False

Correct Answer

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Which of the following block HIV binding to host cell receptors?


A) AZT
B) Acyclovir
C) Nevirapine
D) Fuzeon
E) Amantidine

F) A) and C)
G) B) and C)

Correct Answer

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The use of vaginal inserts of Lactobacillus to restore healthy vaginal biota is an example of ________.


A) prebiotics
B) probiotics
C) lantibiotics
D) phytobiotics
E) riboswitches

F) B) and E)
G) A) and B)

Correct Answer

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Polymyxin B is a large molecule with a hydrophobic tail that can disrupt phospholipids, making it particularly effective against ________.


A) gram-negative cells since they have both an outer and inner membrane
B) gram-positive cells since the peptidoglycan is easily dissolved by detergent-like molecules
C) fungi since the drug can traverse the complex chitin cell wall to dissolve the cell membrane
D) both gram-positive and gram-negative cells since they both have a membrane

E) A) and D)
F) A) and C)

Correct Answer

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Each of the following affect cell walls except ________.


A) penicillin
B) isoniazid
C) vancomycin
D) erythromycin
E) cephalosporin

F) C) and D)
G) A) and E)

Correct Answer

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Important characteristics of antimicrobial drugs include ________.


A) low toxicity for human tissues
B) high toxicity against microbial cells
C) do not cause serious side effects in humans
D) stable and soluble in body tissues and fluids
E) All of the choices are correct.

F) A) and B)
G) D) and E)

Correct Answer

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When a patient's immune system reacts adversely to a drug, this serious side effect is called a superinfection.

A) True
B) False

Correct Answer

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