Antibiotic Treatment Approaches

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Questions and Answers

What is the primary reason for using drug combinations in antibiotic therapy?

  • To reduce the synergism between antibiotics
  • To decrease the risk of emergence of resistant organisms (correct)
  • To increase the toxicity of the antibiotics
  • To increase the risk of superinfection

What is the primary consideration when determining the necessity of antibiotic treatment?

  • The severity of the patient's symptoms
  • The cost of different antibiotic treatment options
  • Identifying the specific type of bacteria causing the infection
  • The potential risk of detrimental effects to the patient's life (correct)

What is the mechanism of resistance in β-lactamase resistant organisms?

  • Genetic alteration
  • Decreased permeability for the agent
  • Enzymic inactivation (correct)
  • Modification of target site

What is the advantage of combining bactericidal and bacteriostatic agents?

<p>No advantage, it is ineffective (C)</p> Signup and view all the answers

Which of the following pharmacological sanctuaries is characterized by poor penetration of antibiotics due to the presence of a natural barrier?

<p>Blood-brain barrier (C)</p> Signup and view all the answers

What is the primary difference between bacteriostatic and bactericidal antibiotics?

<p>The mechanism of action against bacteria (C)</p> Signup and view all the answers

What is the primary mechanism of drug resistance due to spontaneous mutation?

<p>Genetic alteration (B)</p> Signup and view all the answers

Which of the following antibiotic characteristics is defined as the lowest concentration of an antimicrobial that will inhibit the visible growth of a microorganism?

<p>MIC (A)</p> Signup and view all the answers

What is the classification of antibiotics based on their mechanism of action?

<p>Bactericidal vs. bacteriostatic (D)</p> Signup and view all the answers

What is the common complication of antibiotic therapy due to high levels in serum?

<p>Direct toxicity (C)</p> Signup and view all the answers

What is the primary goal of pulsed dosing in antibiotic treatment?

<p>To interval dose in escalating levels past the MIC early on in treatment (D)</p> Signup and view all the answers

What is the characteristic of natural antibiotics?

<p>They are metabolic by-products of soil microorganisms (A)</p> Signup and view all the answers

Which of the following antibiotics is classified as a Category A drug in terms of fetal risk during pregnancy?

<p>Azithromycin (B)</p> Signup and view all the answers

What is the primary factor to consider when selecting an antibiotic treatment option based on cost?

<p>The effectiveness of the drug against the specific type of bacteria (D)</p> Signup and view all the answers

What is the primary disadvantage of combining antibiotics?

<p>Increased risk of superinfection (B)</p> Signup and view all the answers

Which of the following antibiotics is characterized by time-dependent killing?

<p>Beta-lactams (D)</p> Signup and view all the answers

What is the primary mechanism of action of β-lactam antibiotics?

<p>Inhibition of cell wall synthesis by inactivating transpeptidases (D)</p> Signup and view all the answers

Which of the following β-lactam antibiotics is not classified as a semisynthetic penicillin?

<p>Ceftriaxone (A)</p> Signup and view all the answers

What is the mechanism of action of ß-lactamase inhibitors?

<p>Inactivating ß-lactamases by a 'suicide' mechanism (B)</p> Signup and view all the answers

What is the primary target of β-lactam antibiotics in the bacterial cell?

<p>Transpeptidases (D)</p> Signup and view all the answers

Which of the following antibiotics inhibits protein synthesis by binding to the 50s ribosomal subunit?

<p>Erythromycin (D)</p> Signup and view all the answers

What is the mechanism of action of glycopeptides?

<p>Inhibiting the assembly of the murein monomer into peptidoglycan (B)</p> Signup and view all the answers

Which of the following is a characteristic of carbapenems?

<p>Broad spectrum of activity, IV administration (B)</p> Signup and view all the answers

What is the effect of azithromycin on Haemophilus compared to erythromycin?

<p>It has better activity against Haemophilus (A)</p> Signup and view all the answers

What is the mechanism of action of penicillin on transpeptidases?

<p>Formation of a penicilloic-enzyme complex (D)</p> Signup and view all the answers

Which of the following generations of cephalosporins includes Cefotaxime?

<p>Third generation (B)</p> Signup and view all the answers

What is the difference in the excretion of clarithromycin and azithromycin?

<p>Clarithromycin is excreted biliarily, while azithromycin is excreted both biliarily and renally (C)</p> Signup and view all the answers

What is the primary effect of β-lactam antibiotics on bacterial growth?

<p>Inhibition of cell wall synthesis (B)</p> Signup and view all the answers

What is the effect of clindamycin on the production of toxins by GAS?

<p>It inhibits the production of toxins (C)</p> Signup and view all the answers

What is the mechanism of action of clindamycin?

<p>It inhibits protein synthesis by binding to the 50s ribosomal subunit (C)</p> Signup and view all the answers

Which of the following β-lactam antibiotics is used to treat severe infections of resistant bacteria?

<p>Ertapenem (D)</p> Signup and view all the answers

What is the effect of erythromycin estolate on the liver?

<p>It causes cholestatic hepatitis (B)</p> Signup and view all the answers

What is the primary mechanism of action of aminoglycosides against gram(-) bacilli and staphylococcus species?

<p>Inhibiting the binding of tRNA to the 30S ribosomal subunit (C)</p> Signup and view all the answers

Which of the following antibiotics is bactericidal against pneumococci, GAS, and anaerobes?

<p>Linezolid (D)</p> Signup and view all the answers

What is the primary mechanism of action of fluoroquinolones against gram-negative bacteria?

<p>Acting on enzymes topoisomerases II (DNA gyrase) in gram-negative bacteria (A)</p> Signup and view all the answers

What is the primary mechanism of resistance to tetracyclines in bacteria?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary mechanism of action of sulfonamides against bacteria?

<p>Competitively incorporating into tetrahydropteroic acid (B)</p> Signup and view all the answers

What is the primary mechanism of action of metronidazole against anaerobic bacteria?

<p>Generating metabolites that are toxic to bacteria (C)</p> Signup and view all the answers

What is the primary mechanism of resistance to aminoglycosides in bacteria?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary mechanism of action of clindamycin against staphylococci, streptococci, anaerobes, and H. pylori?

<p>Concentration-dependent bactericidal activity (B)</p> Signup and view all the answers

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