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Which of the following would be selective against the tubercle bacillus?


A) Streptomycin - inhibits protein synthesis
B) Vancomycin - inhibits peptidoglycan synthesis
C) Streptogramin - inhibits protein synthesis
D) Ethambutol - inhibits mycolic acid synthesis
E) Bacitracin - inhibits peptidoglycan synthesis

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

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Figure 20.5 Figure 20.5    -If the compound shown in Figure 20.5 is the substrate for a particular enzyme, which of the drugs would be the most effective competitive inhibitor? A)  a B)  b C)  c D)  d E)  None of the above. -If the compound shown in Figure 20.5 is the substrate for a particular enzyme, which of the drugs would be the most effective competitive inhibitor?


A) a
B) b
C) c
D) d
E) None of the above.

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

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Protozoan and helminthic diseases are difficult to treat because


A) Their cells are structurally and functionally similar to human cells.
B) They replicate inside human cells.
C) They don't reproduce.
D) They don't have ribosomes.
E) None of the above.

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

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Table 20.1 The following data were obtained from a broth dilution test.  Growth in  Concentration of Antibiotic X Growth  Subculture 2μg/ml++10μg/ml+15μg/ml25μg/ml\begin{array}{c}&&\text { Growth in }\\\text { Concentration of Antibiotic } X&\text { Growth }&\text { Subculture }\\\hline2 \mu \mathrm{g} / \mathrm{ml}&+&+ \\10 \mu \mathrm{g} / \mathrm{ml}&-&+ \\15 \mu \mathrm{g} / \mathrm{ml} &-&-\\25 \mu \mathrm{g} / \mathrm{ml}&-&-\end{array} -In Table 20.1, the minimal bactericidal concentration of antibiotic X is


A) 15 µg/ml.
B) 25 µg/ml.
C) 2 µg/ml.
D) 10 µg/ml.
E) Can't tell.

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

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A

Which one of the following does not belong with the others?


A) Bacitracin
B) Cephalosporin
C) Monobactam
D) Streptomycin
E) Penicillin

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

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Which of the following antibiotics is not bactericidal?


A) Cephalosporins
B) Aminoglycosides
C) Penicillin
D) Polyenes
E) Rifampins

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

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Figure 20.4 Figure 20.4    -The antibiotic streptomycin binds to the 30S subunit of the ribosome as shown in Figure 20.4. The effect is to A)  Prevent binding of tRNA in eukaryotes. B)  Cause misreading of mRNA in 70S ribosomes. C)  Prevent peptide bond formation in prokaryotes. D)  Prevent polypeptide elongation in eukaryotes. E)  None of the above. -The antibiotic streptomycin binds to the 30S subunit of the ribosome as shown in Figure 20.4. The effect is to


A) Prevent binding of tRNA in eukaryotes.
B) Cause misreading of mRNA in 70S ribosomes.
C) Prevent peptide bond formation in prokaryotes.
D) Prevent polypeptide elongation in eukaryotes.
E) None of the above.

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

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Use of antibiotics in animal feed leads to antibiotic- resistant bacteria because


A) The antibiotics cause new mutations to occur in the surviving bacteria, which results in resistance to antibiotics.
B) Bacteria from other animals replace those killed by the antibiotics.
C) The antibiotics kill susceptible bacteria, but the few that are naturally resistant live and reproduce, and their progeny repopulate the host animal.
D) The few surviving bacteria that are affected by the antibiotics develop immunity to the antibiotics, which they pass on to their progeny.
E) The antibiotics persist in soil and water.

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

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All of the following statements about drug resistance are true except


A) It may be due to enzymes that degrade some antibiotics.
B) It may be due to increased uptake of a drug.
C) It may be carried on a plasmid.
D) It is found only in gram- negative bacteria.
E) It may be transferred from one bacterium to another during conjugation.

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

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Which of the following antibiotics causes misreading of mRNA?


A) Chloramphenicol - inhibits peptide bonds at 50S subunit
B) Streptogamin - prevents release of peptide from 70S ribosome
C) Tetracyclines - bind with 30S subunit
D) Aminoglycoside - changes shape of 30S units
E) Oxazolidinone - prevents formation of 70S ribosome

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

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Drug resistance occurs


A) When antibiotics are taken after the symptoms disappear.
B) Because bacteria are normal microbiota.
C) Against antibiotics and not against synthetic chemotherapeutic agents.
D) When antibiotics are used indiscriminately.
E) All of the above.

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

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Which of the following is not bactericidal?


A) Natural penicillin
B) Streptomycin
C) Bacitracin
D) Tetracycline
E) Semisynthetic penicillin

F) None of the above
G) D) and E)

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D

Which of the following methods of action would be bacteriostatic?


A) Injury to plasma membrane
B) Competitive inhibition with folic acid synthesis
C) Inhibition of RNA synthesis
D) Inhibition of cell wall synthesis
E) None of the above

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

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Table 20.3 The following data were obtained from a broth dilution test:  Concentration of Antibiotic X Growth 2.0μg/ml1.0μg/ml0.5μg/ml0.25μg/ml+0.125μg/ml+0+\begin{array}{ll}\text { Concentration of Antibiotic } X&\text { Growth }\\\hline2.0 \mu \mathrm{g} / \mathrm{ml} & - \\1.0 \mu \mathrm{g} / \mathrm{ml} & - \\0.5 \mu \mathrm{g} / \mathrm{ml} & - \\0.25 \mu \mathrm{g} / \mathrm{ml} & + \\0.125 \mu \mathrm{g} / \mathrm{ml} & + \\0 & +\end{array} Bacteria from the 0.25 µg/ml tube were transferred to new growth media containing antibiotic X with the following results:  Concentration of Antibiotic X Growth2.0μg/ml1.0μg/ml0.5μg/ml+0.25μg/ml+\begin{array}{ll} \underline{\text { Concentration of Antibiotic }} X& \underline{\text { Growth} }\\2.0 \mu \mathrm{g} / \mathrm{ml} \\1.0 \mu \mathrm{g} / \mathrm{ml} & - \\0.5 \mu \mathrm{g} / \mathrm{ml} & + \\0.25 \mu \mathrm{g} / \mathrm{ml} & + \\\end{array} -The data in Table 20.3 show that these bacteria


A) Developed resistance to antibiotics.
B) Can be subcultured.
C) Were killed by 0.5 µg/ml of antibiotic X.
D) Were killed by 0.125 µg/ml of antibiotic X.
E) Were resistant to 1.0 µg/ml at the start of the experiment.

F) A) and E)
G) None of the above

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Semisynthetic penicillins differ from natural penicillins in all of the following respects except that both are


A) Resistant to stomach acids.
B) Resistant to penicillinase.
C) Broad spectrum.
D) Bactericidal.
E) None of the above.

F) A) and E)
G) None of the above

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Which of the following antimicrobial agents is recommended for use against fungal infections?


A) Bacitracin
B) Polymyxin
C) Cephalosporin
D) Amphotericin B
E) Penicillin

F) B) and C)
G) None of the above

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Which of the following does not affect eukaryotic cells?


A) Antifungal drugs
B) Antihelminthic drugs
C) Antiprotozoan drugs
D) Nucleotide analogs
E) None of the above

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

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Most of the available antimicrobial agents are effective against


A) Viruses.
B) Bacteria.
C) Protozoa.
D) Fungi.
E) All of the above.

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

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B

Penicillin was considered a "miracle drug" for all of the following reasons except


A) It doesn't affect eukaryotic cells.
B) It inhibits gram- positive cell wall synthesis.
C) It was the first antibiotic.
D) It has selective toxicity.
E) None of the above.

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

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More than half of our antibiotics are


A) Produced by Fleming.
B) Produced by fungi.
C) Produced by bacteria.
D) Synthesized in laboratories.
E) None of the above.

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

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