Antimicrobial Agents Quiz

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Questions and Answers

What is the minimum inhibitory concentration (MIC)?

  • The concentration needed to kill 99.9% of the original inoculum
  • The concentration that is many dilutions higher than MBC for bacteriostatic agents
  • The concentration needed for visible growth of a microorganism to be inhibited (correct)
  • The concentration at which beta-lactamase is produced by bacteria

Why are penicillins used mainly to treat Gram-positive bacterial infections?

  • Most staphylococci are resistant to benzylpenicillin
  • They have a poor spectrum of activity
  • They are resistant to beta-lactamases (correct)
  • They are lipids soluble

Why is benzylpenicillin given by injection rather than orally?

  • It has a poor spectrum of activity
  • It is inactivated by gastric acid (correct)
  • It has a high MIC
  • It is lipids soluble

Which penicillin is effective against beta-lactamase producing staphylococci?

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

What is the main reason ampicillin is rarely used now?

<p>It is inactivated by beta-lactamase (B)</p> Signup and view all the answers

Why is amoxicillin often given in combination with clavulanic acid?

<p>To extend the spectrum of activity (B)</p> Signup and view all the answers

What is a key structural difference between human cells and bacterial cells?

<p>Human cells have a membrane-bound nucleus while bacterial cells do not. (A)</p> Signup and view all the answers

Which type of bacteria has a poorly-defined cell wall and does not hold the Gram stain?

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

What is the main purpose of the Gram stain in classifying micro-organisms?

<p>To classify them based on their cell wall characteristics (D)</p> Signup and view all the answers

Which component of bacterial cells is essential to their survival?

<p>Peptidoglycan in the cell wall (C)</p> Signup and view all the answers

What is the difference in staining outcome between typical and atypical bacteria with the Gram stain?

<p>Typical bacteria stain red/pink, while atypical bacteria remain colorless. (B)</p> Signup and view all the answers

What characteristic distinguishes most bacterial species classified as Gram-positive from those classified as Gram-negative?

<p>Color in the Gram stain (C)</p> Signup and view all the answers

What is the main structural component of bacterial cell walls, essential for their survival?

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

Which type of bacteria do not hold the Gram stain due to their poorly-defined cell wall?

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

What is the main purpose of the Gram stain in microbiology?

<p>To classify microorganisms based on cell wall characteristics (C)</p> Signup and view all the answers

Why are penicillins primarily used to treat Gram-positive bacterial infections?

<p>They bind to peptidoglycan in the thick cell walls of Gram-positive bacteria (A)</p> Signup and view all the answers

What distinguishes most bacterial species classified as Gram-positive from those classified as Gram-negative?

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

What is the measure of antimicrobial susceptibility that indicates the lowest concentration of an antimicrobial that inhibits bacterial growth?

<p>MIC (Minimum Inhibitory Concentration) (D)</p> Signup and view all the answers

Why must the minimum inhibitory concentration (MIC) be exceeded for antibacterial agents to be effective?

<p>To inhibit the growth of micro-organisms (D)</p> Signup and view all the answers

What is the main difference between minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC)?

<p>MIC is higher than MBC for bacteriostatic agents, MBC is higher for bactericidal agents (D)</p> Signup and view all the answers

Why is ampicillin rarely used now?

<p>It has low absorption properties (D)</p> Signup and view all the answers

Why are penicillins like Benzylpenicillin and Phenoxymethylpenicillin given orally?

<p>They are stable against gastric acid (D)</p> Signup and view all the answers

Why are the antipseudomonal penicillins, piperacillin and ticarcillin, administered with an aminoglycoside in Pseudomonas septicaemias?

<p>To create a synergistic effect against Pseudomonas aeruginosa (B)</p> Signup and view all the answers

Which penicillin is effective against beta-lactamase producing staphylococci?

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

Flashcards

Minimum Inhibitory Concentration (MIC)

The lowest concentration of an antimicrobial that inhibits bacterial growth.

Gram-positive bacteria

Bacteria that stain purple in the Gram stain due to a thick cell wall.

Gram-negative bacteria

Bacteria that stain pink/red in the Gram stain due to a thin cell wall.

Peptidoglycan

A major component of bacterial cell walls; essential for their survival.

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Penicillins

Antibiotics that target bacterial cell wall synthesis.

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Beta-lactamases

Bacterial enzymes that break down penicillin.

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Gram stain

A procedure used to differentiate bacteria based on their cell wall structure.

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Atypical bacteria

Bacteria that do not stain with the Gram stain.

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Flucloxacillin

A penicillin effective against beta-lactamase producing staphylococci.

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Amoxicillin

A penicillin with a wide spectrum of activity.

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Clavulanic acid

An inhibitor of beta-lactamases.

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Benzylpenicillin

A penicillin requiring injection due to inactivation by gastric acid.

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Minimum Bactericidal Concentration (MBC)

The lowest concentration of an antimicrobial that kills bacteria.

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Bacteriostatic

Antimicrobial that inhibits bacterial growth, but doesn't kill them.

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Bactericidal

Antimicrobial that kills bacteria.

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Synergistic effect

Combining two drugs to achieve a greater effect than either drug alone.

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Anti-pseudomonal penicillins

Penicillins effective against Pseudomonas species.

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Ampicillin

A penicillin that is rarely used now due to beta-lactamase inactivation.

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Nucleus

A membrane-bound organelle containing the genetic material of a cell.

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Bacterial cell wall

A rigid outer shell of a bacterial cell, made up of peptidoglycan.

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Chlamydia

A type of atypical bacteria that does not retain Gram stain.

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Cell wall thickness

A key component to classify gram-positive from gram-negative bacteria.

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