Deck 35: Treatment of Bacterial Infection
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Deck 35: Treatment of Bacterial Infection
1
Microbial resistance is the ability of bacteria to overcome the effects of an antibiotic.
True
Microbial resistance is the ability of bacteria to overcome the effects of an antibiotic.
Microbial resistance is the ability of bacteria to overcome the effects of an antibiotic.
2
An empirical method of differentiating bacterial species based on the chemical and physical properties of their cell walls is _____.
A)gram staining
B)culture testing
C)Western blot test
D)a and b
A)gram staining
B)culture testing
C)Western blot test
D)a and b
A
TECH NOTE: Gram staining (or Gram's method)is an empirical method of differentiating bacterial species into two large groups (gram-positive and gram-negative)based on the chemical and physical properties of their cell walls.
TECH NOTE: Gram staining (or Gram's method)is an empirical method of differentiating bacterial species into two large groups (gram-positive and gram-negative)based on the chemical and physical properties of their cell walls.
3
Nonparenteral uses for aminoglycosides include _____.
A)skin infection
B)eye and ear infections
C)reduce bacteria in colon prior to colorectal surgery
D)all of the above
A)skin infection
B)eye and ear infections
C)reduce bacteria in colon prior to colorectal surgery
D)all of the above
D
Aminogylcosides are not absorbed systemically when administered by mouth.The only aminoglycoside that is administered orally is used to reduce the bacteria in the bowel prior to colorectal surgery.Other nonparenteral use occurs when they are administered topically for skin and eye and ear infections.
Aminogylcosides are not absorbed systemically when administered by mouth.The only aminoglycoside that is administered orally is used to reduce the bacteria in the bowel prior to colorectal surgery.Other nonparenteral use occurs when they are administered topically for skin and eye and ear infections.
4
Cephalosporins are formulated for all of the following routes of administration except _____.
A)oral
B)topical
C)intramuscular
D)intravenous
A)oral
B)topical
C)intramuscular
D)intravenous
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5
All of the following drugs are agents that act to inhibit bacterial protein synthesis except _____.
A)aminoglycosides
B)nitroimidazoles
C)tetracyclines
D)oxazolidinones
A)aminoglycosides
B)nitroimidazoles
C)tetracyclines
D)oxazolidinones
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6
Multidrug resistance is only a problem in the hospital setting.
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7
Aminoglycosides antibiotics are effective for treating all of the following except _____.
A)aerobic gram-negative bacilli
B)staphylococci
C)streptococci
D)mycobacterium
A)aerobic gram-negative bacilli
B)staphylococci
C)streptococci
D)mycobacterium
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8
How are antiinfective agents classified?
A)bactericidal
B)bacteresitant
C)bacteriostatic
D)a and c
A)bactericidal
B)bacteresitant
C)bacteriostatic
D)a and c
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9
Which of the following is a third-generation cephalosporin?
A)ceftazidime
B)cefaclor
C)cefuroxime
D)cephalexin
A)ceftazidime
B)cefaclor
C)cefuroxime
D)cephalexin
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10
Infectious disease is no longer a leading cause of morbidity or mortality throughout the world.
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11
_____ factors not important for the effective treatment of bacterial infections.
A)Host
B)Social
C)Bacterial
D)Drug
A)Host
B)Social
C)Bacterial
D)Drug
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12
Fluoroquinolones' mechanism of action is to _____.
A)inhibit the enzyme DNA gyrase
B)bind to the enzyme kinase
C)inhibit bacterial DNA synthesis
D)a and c
A)inhibit the enzyme DNA gyrase
B)bind to the enzyme kinase
C)inhibit bacterial DNA synthesis
D)a and c
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13
Fluoroquinolones are not formulated for which route of administration?
A)oral
B)parenteral
C)topical
D)ophthalmic
A)oral
B)parenteral
C)topical
D)ophthalmic
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14
What is the most serious adverse reaction linked to aminoglycoside use?
A)hearing loss (ototoxicity)
B)kidney damage (nephrotoxicity)
C)liver toxicity (hepatotoxicity)
D)a and b
A)hearing loss (ototoxicity)
B)kidney damage (nephrotoxicity)
C)liver toxicity (hepatotoxicity)
D)a and b
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15
Vancomycin is the only glycopeptide antibiotic available in the United States and Canada.
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16
First-generation cephalosporins are most effective against what type of bacteria?
A)gram-positive,aerobic bacteria
B)gram-negative,aerobic bacteria
C)gram-positive,anaerobic bacteria
D)gram-negative,anaerobic bacteria
A)gram-positive,aerobic bacteria
B)gram-negative,aerobic bacteria
C)gram-positive,anaerobic bacteria
D)gram-negative,anaerobic bacteria
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17
ß-Lactam antibiotics target the bacterial cell wall.Which of the following drugs is not a ß-lactam antibiotic?
A)penicillins
B)cephalosporins
C)erythromycins
D)carbapenems
A)penicillins
B)cephalosporins
C)erythromycins
D)carbapenems
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18
The drug rifampin works by what mechanism of action?
A)inhibits bacterial RNA synthesis
B)inhibits bacterial protein synthesis
C)inhibits bacterial DNA synthesis
D)inhibits bacterial cell wall function
A)inhibits bacterial RNA synthesis
B)inhibits bacterial protein synthesis
C)inhibits bacterial DNA synthesis
D)inhibits bacterial cell wall function
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19
Antibiotics are naturally substances produced by one organism that is capable of destroying or inhibiting the growth of bacteria.
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20
Which of the following drugs is not a ß-lactamase inhibitor?
A)clavulanic acid
B)sulbactam
C)Azactam
D)tazobactam
A)clavulanic acid
B)sulbactam
C)Azactam
D)tazobactam
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21
MATCHING
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
azithromycin
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
azithromycin
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22
Which of the following drugs is used for the treatment of tuberculosis (TB)?
A)isoniazid
B)metronidazole
C)tetracycline
D)ciprofloxacin
A)isoniazid
B)metronidazole
C)tetracycline
D)ciprofloxacin
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23
Sulfonamides are used in conjunction with _____ to treat various upper respiratory,urinary tract,and skin infections and AIDS-related pneumonia (Pneumocystis carinii).
A)vancomycin
B)Retrovir
C)trimethoprim
D)penicillin
A)vancomycin
B)Retrovir
C)trimethoprim
D)penicillin
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24
MATCHING
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
telithromycin
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
telithromycin
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25
A patient in the process of cleaning out her medicine cabinet found some an old prescription vial of tetracycline antibiotic that expired 3 months earlier.She calls the pharmacy and asks it the medication is still good to use even though expired.What advice should she be given?
A)Outdated tetracycline becomes toxic;discard it.
B)Call your physician to find out what to do.
C)The drug's still good for 6 months after the expiration date.
D)b and c
A)Outdated tetracycline becomes toxic;discard it.
B)Call your physician to find out what to do.
C)The drug's still good for 6 months after the expiration date.
D)b and c
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26
MATCHING
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
clindamycin
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
clindamycin
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27
MATCHING
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
dicloxacillin
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
dicloxacillin
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28
Your 2-year-old child breaks out with impetigo.What antiinfective will the physician prescribe?
A)cefuroxime
B)mupirocin
C)gentamycin
D)minocycline
A)cefuroxime
B)mupirocin
C)gentamycin
D)minocycline
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29
A patient has just been prescribed penicillin.What advice should the pharmacist give the patient?
A)no problem with GI side effects
B)no allergies to worry about
C)may decrease the effect of oral contraceptives
D)hunger increases during the treatment
A)no problem with GI side effects
B)no allergies to worry about
C)may decrease the effect of oral contraceptives
D)hunger increases during the treatment
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30
MATCHING
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
sulfisoxizole
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
sulfisoxizole
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31
Macrolide antiinfectives are primarily used for the treatment of _____.
A)upper respiratory infections
B)lower respiratory infections
C)a and b
D)bronchial infections
A)upper respiratory infections
B)lower respiratory infections
C)a and b
D)bronchial infections
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32
Which one of the following is not a property of tetracyclines?
A)broad spectrum
B)narrow spectrum
C)inhibit protein synthesis
D)bacteriostatic
A)broad spectrum
B)narrow spectrum
C)inhibit protein synthesis
D)bacteriostatic
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33
What is the difference between a penicillin and a carbapenem?
A)the ß-lactam ring
B)the sulfur-containing ring-like structure
C)the fusion with a penem ring
D)they are not inactivated by penicillinase
A)the ß-lactam ring
B)the sulfur-containing ring-like structure
C)the fusion with a penem ring
D)they are not inactivated by penicillinase
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34
Which of the following is a new antiinfective agent that is indicated for the treatment of gram-positive bacterial pneumonia and skin structure infections?
A)Telithromycin
B)Linezolid
C)Zosyn
D)Merrem
A)Telithromycin
B)Linezolid
C)Zosyn
D)Merrem
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35
Chloramphenicol should not be used in children because it _____.
A)is very toxic
B)may produce gray baby syndrome
C)causes cyanosis
D)all of the above
A)is very toxic
B)may produce gray baby syndrome
C)causes cyanosis
D)all of the above
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36
MATCHING
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
doxycycline
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
doxycycline
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37
MATCHING
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
levofloxacin
Match the following drugs with their classifications.
a.sulfonamide
b.miscellaneous
c.ketolide
d.tetracycline
e.fluoroquinolone
f.penicillin
g.macrolide
levofloxacin
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