Dr. Nada M Nass: Bacterial Ribosomes and Protein Synthesis Inhibition
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Questions and Answers

What is the mechanism of action of tetracyclines?

  • Causing misreading of messenger RNA (mRNA)
  • Inhibiting DNA replication in bacterial cells
  • Preventing binding of amino-acyl transfer RNA (tRNA) to the ribosome (correct)
  • Preventing protein synthesis by inhibiting ribosomal initiation complex formation

Which statement about tigecycline is true?

  • It is ineffective against Gram-positive bacteria
  • It retains activity against many bacteria susceptible to other tetracyclines (correct)
  • It has limited activity against chlamediae and rickettsiae
  • It works by inhibiting the formation of ribosomal initiation complex

What is the main limitation that resistance has imposed on tetracyclines?

  • Prevention of binding amino-acyl transfer RNA (tRNA) to the ribosome
  • Limited value against many Gram-positive and Gram-negative bacteria (correct)
  • Decreased ability to cause misreading of mRNA
  • Reduced effectiveness against chlamydia and rickettsia

Which antibiotic acts by interfering with the action of bacterial dihydrofolate reductase?

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

What is the enzyme that catalyzes the last step of bacterial folic acid synthesis?

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

Which bacterial species are usually susceptible to tetracyclines despite resistance seen in others?

<p>Chlamydia, rickettsia, and mycoplasmas (D)</p> Signup and view all the answers

Which antibiotic is a structural analog of para aminobenzoic acid (PABA) and competes with it to bind to dihydropterote synthetase?

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

What is a notable side effect associated with aminoglycosides?

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

Which antibiotics exhibit potent antipseudomonal activity but have limited usefulness due to toxicity?

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

What type of effect arises between sulphonamides and trimethoprim when used in combination?

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

Which antibiotic has a role in the treatment of infections caused by multidrug-resistant organisms?

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

How do macrolide antibiotics act?

<p>By interfering with the translocation of mRNA on the bacterial ribosome (binding to the 50S ribosome) (D)</p> Signup and view all the answers

What is the mechanism of action of chloramphenicol?

<p>Blocking the growth of peptide chain (B)</p> Signup and view all the answers

Which antibiotic has been limited in use due to the occurrence of rare but fatal side effects like aplastic anemia?

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

What is the primary target of fusidic acid in bacterial cells?

<p>Factor G involved in peptide elongation (A)</p> Signup and view all the answers

Which organism is NOT sensitive to macrolide antibiotics?

<p>Enteric Gram-negative bacilli (C)</p> Signup and view all the answers

Resistance to antibiotics can arise from alterations in:

<p>mRNA translocation on the bacterial ribosome (B)</p> Signup and view all the answers

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