Antimicrobials III: The β-Lactams Quiz
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Questions and Answers

Which of the following classes of antibiotics contain a thiazolidine ring?

  • Penicillins (correct)
  • Carbapenems
  • Monobactams
  • Cephalosporins

Which antibiotic is a part of the extended-spectrum Penicillins?

  • Ampicillin (correct)
  • Oxacillin
  • Methicillin
  • Naficillin

What is the mode of action of β-lactam antibiotics?

  • Inhibit protein synthesis
  • Inhibit cell membrane synthesis
  • Inhibit nucleic acid synthesis
  • Inhibit cell wall synthesis (correct)

Which antibiotic is commonly used in combination with sulbactam?

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

Among the listed antibiotics, which one is NOT a β-lactam antibiotic?

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

Which component in peptidoglycan do β-lactam antibiotics target?

<p>N-acetylmuramic acid (D)</p> Signup and view all the answers

What is the main function of PBP1 in bacterial cells?

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

Which type of penicillin is known for its activity against methicillin-sensitive Staphylococcus aureus (MSSA)?

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

Which generation of penicillins has basic gram-negative coverage?

<p>3rd Generation (B)</p> Signup and view all the answers

What is the main characteristic of extended-spectrum penicillins like Ampicillin and Amoxicillin?

<p>Inactivation by β-lactamases (C)</p> Signup and view all the answers

Which type of bacteria are anti-staphylococcal penicillins NOT active against?

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

What is the common mechanism of resistance observed in N.gonorrhoeae against Penicillins?

<p>Hydrolysis by β-lactamases (D)</p> Signup and view all the answers

Which penicillin has an improved activity against Gram-negative organisms, including Pseudomonas?

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

What is the main mechanism by which extended-spectrum penicillins like ticarcillin and piperacillin are inactivated?

<p>Hydrolysis by β-lactamases (C)</p> Signup and view all the answers

Which drug competes for tubular secretion with penicillins, leading to decreased renal excretion?

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

What is the approximate percentage of the population that reports an allergy to penicillins?

<p>~10% (A)</p> Signup and view all the answers

Which type of antibiotics are cephalosporins and cephamycins in relation to penicillins?

<p>Synthetic analogs (C)</p> Signup and view all the answers

In terms of pharmacodynamics, which parameter refers to the time the drug concentration remains above the minimum inhibitory concentration (MIC)?

<p>$T &gt;$ MIC (C)</p> Signup and view all the answers

Which drug uses a siderophore mechanism for unique entry compared to other β-lactams?

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

What is the primary advantage of Cefiderocol's entry mechanism compared to other β-lactams?

<p>Active transport through iron transport system (A)</p> Signup and view all the answers

Which bacteria show the highest MIC range for Cefiderocol among the listed pathogens?

<p>MDR P. aeruginosa (A)</p> Signup and view all the answers

Which pharmacodynamic parameter indicates the rate at which a drug kills bacteria and varies between different antibiotic classes?

<p>Net bactericidal effect (A)</p> Signup and view all the answers

What is the primary function of penicillin binding proteins (PBPs) in bacterial cells?

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

Which generation of cephalosporins includes Cefepime among its members?

<p>4th Generation (C)</p> Signup and view all the answers

What is the primary differentiating factor between Monobactams and other -lactam antibiotics?

<p>Absence of a thiazolidine ring (C)</p> Signup and view all the answers

Which antibiotic is known for its pronounced activity against Pseudomonas aeruginosa?

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

What is the primary characteristic of carbapenems compared to other -lactam antibiotics?

<p>Resistance to -lactamase enzymes (C)</p> Signup and view all the answers

Which structure plays a crucial role in the mode of action of -lactam antibiotics?

<p>$\beta$-lactam bond (B)</p> Signup and view all the answers

Among the listed combinations, which one pairs a cephalosporin with avibactam?

<p>Ceftazidime/avibactam (C)</p> Signup and view all the answers

Which fundamental component of peptidoglycan is targeted by -lactam antibiotics?

<p>$\delta$-N-acetylmuramic acid (C)</p> Signup and view all the answers

What is the primary mechanism by which extended-spectrum penicillins are enhanced to penetrate the outer membrane of Gram-negative bacteria?

<p>Inactivation by beta-lactamases (C)</p> Signup and view all the answers

What is the primary reason for using cephalosporins and cephamycins as alternatives to penicillins?

<p>Presence of two side chains instead of one (A)</p> Signup and view all the answers

Which antibiotic class shows some cross-allergy ranging from 5-15% with penicillins?

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

What is a characteristic feature of carbapenems in terms of pharmacodynamics?

<p>Time above the minimum inhibitory concentration (T&gt;MIC) of 20% (C)</p> Signup and view all the answers

Which aspect makes Cefiderocol unique compared to other beta-lactams regarding its entry mechanism?

<p>Active transport through iron transport system (C)</p> Signup and view all the answers

Which pharmacodynamic parameter indicates the rate at which a drug kills bacteria and varies significantly between different antibiotic classes?

<p>(T&gt;MIC) = 60-70% (D)</p> Signup and view all the answers

What is the primary function of siderophores in bacterial cells when targeted by drugs like Cefiderocol?

<p>Bind iron with high affinity to solubilize Fe3+ in the environment (B)</p> Signup and view all the answers

Which penicillin is known for its specific activity against Streptococci and oral anaerobes?

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

Which generation of penicillins has the highest activity against Pseudomonas aeruginosa?

<p>4th Generation Expanded-spectrum penicillins (B)</p> Signup and view all the answers

Which antibiotic is NOT classified as a -lactam antibiotic?

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

What is the main feature of Anti-staphylococcal penicillins like Methicillin and Nafcillin?

<p>Effective against MRSA (C)</p> Signup and view all the answers

Which type of penicillins are subject to hydrolysis by -lactamases in Staphylococcus aureus and Bacteroides fragilis?

<p>1st Generation Penicillins (B)</p> Signup and view all the answers

What is the unique feature of Aminopenicillins like Amoxicillin and Ampicillin?

<p>High activity against gram-negative bacteria (D)</p> Signup and view all the answers

Which antibiotic is considered an Ureidopenicillin and is particularly effective against Pseudomonas?

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

In terms of anti-bacterial coverage, which type of bacteria show little sensitivity to extended-spectrum penicillins like Piperacillin?

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

Which antibiotic is known for its resistance to -lactamases, rendering it effective against Staphylococcus aureus and streptococci?

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

Which generation of penicillins has expanded gram-negative coverage but is inactivated by common -lactamases?

<p>3rd Generation Extended-spectrum penicillins (A)</p> Signup and view all the answers

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