Gram-Negative Bacterial Beta-Lactamases Quiz
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Questions and Answers

What is the main difference between cephamycins and other cephalosporins?

  • Cephamycins are classified by generation (1–4).
  • Cephamycins contain a 7-alpha-methoxy group, imparting resistance to extended-spectrum beta-lactamases. (correct)
  • Cephamycins are more effective against gram-negative bacteria.
  • Cephamycins have a broader spectrum of activity.

How are cephalosporins classified?

  • By their generation (1–4). (correct)
  • By their pharmacokinetic characteristics.
  • By their resistance to beta-lactam destruction.
  • By their source (natural vs semisynthetic) and spectra.

Which of the following bacteria are cephalosporins in the first-generation usually quite active against?

  • Gram-positive bacteria (correct)
  • Enterococcus spp
  • Anaerobic bacteria
  • Gram-negative bacteria

Why are cephalosporins generally less susceptible to beta-lactamase destruction than penicillins?

<p>Because they contain a 7-alpha-methoxy group. (D)</p> Signup and view all the answers

Which of the following best describes the potential nephrotoxicity of cephalosporins?

<p>Both A and B (C)</p> Signup and view all the answers

In terms of in vitro incompatibilities, what is an exception when mixing cephalosporins with other drugs?

<p>Mixing with weak bases such as aminoglycosides (D)</p> Signup and view all the answers

What potential interactions of cephalosporins are similar to those of the penicillin group?

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

Which laboratory determinations may be altered by the cephalosporins?

<p>ALP and BUN concentrations (A)</p> Signup and view all the answers

In the US, under what circumstances is extralabel drug use (ELDU) of cephalosporins prohibited?

<p>When deviations from the approved dose and treatment duration are made (D)</p> Signup and view all the answers

What should veterinarians do regarding withdrawal times for cephalosporin products used in animals?

<p>Consult FARAD for withdrawal recommendations (D)</p> Signup and view all the answers

Which type of elimination is appreciable for the newer cephalosporins?

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

What may lead to drug accumulation for newer cephalosporins?

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

Which cephalosporins have exceptions in maintaining effective blood concentrations for 6–8 hours?

<p>Ceftiofur, cefpodoxime, and cefovecin (C)</p> Signup and view all the answers

For which type of infections are first-generation cephalosporins particularly useful?

<p>Soft tissue and bone infections (B)</p> Signup and view all the answers

What is ceftiofur approved for in production animals?

<p>Bovine respiratory disease (A)</p> Signup and view all the answers

For what type of infections is ceftiofur not recommended for use in dogs?

<p>Soft-tissue infections (D)</p> Signup and view all the answers

What infections are cephalosporins particularly useful for treating?

<p>Infections involving bacteria resistant to other antimicrobials (D)</p> Signup and view all the answers

What may arise with the use of cephalosporins?

<p>Both allergic reactions and superinfection (A)</p> Signup and view all the answers

What has been reported due to antimicrobial-induced perturbations in GI flora?

<p>Antimicrobial-induced colitis (D)</p> Signup and view all the answers

Which of the following bacterial species is NOT effectively targeted by second-generation cephalosporins?

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

What is the main difference between third-generation and fourth-generation cephalosporins?

<p>Extended spectrum against gram-positive bacteria (A)</p> Signup and view all the answers

Which of the following is a characteristic of cephamycins in comparison to other second-generation cephalosporins?

<p>Efficacy against Pseudomonas aeruginosa (D)</p> Signup and view all the answers

Why are third- and fourth-generation cephalosporins designed to be increasingly resistant to beta-lactamases?

<p>To extend the spectrum of activity against gram-negative bacteria (D)</p> Signup and view all the answers

What is the primary target of plasmid-mediated beta-lactamases produced by gram-positive bacteria such as Staphylococcus aureus?

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

What distinguishes ceftiofur, a third-generation cephalosporin, from other cephalosporins?

<p>Similarity in gram-negative spectrum to first-generation cephalosporins (B)</p> Signup and view all the answers

What bacterial strain is specifically mentioned as a target for ceftiofur, a third-generation cephalosporin?

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

True or False: Second-generation cephalosporins are generally more resistant to beta-lactamases compared with first-generation drugs.

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

True or False: Third- and fourth-generation cephalosporins have a spectrum that includes Pseudomonas and other problematic coliforms.

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

What role does the 7-aminocephalosporanic acid nucleus play in the structure of cephalosporins?

<p>It determines the spectrum of antibacterial activity (D)</p> Signup and view all the answers

Why are extended-spectrum beta-lactamases considered a challenge for third- and fourth-generation cephalosporins?

<p>They can hydrolyze third- and fourth-generation drugs (C)</p> Signup and view all the answers

What is the mechanism of action of extended-spectrum beta-lactamases (ESBLs)?

<p>They hydrolyze the oxyimino side chain on extended-spectrum cephalosporins. (D)</p> Signup and view all the answers

What is a notable feature of the standard cephalosporins in terms of their penetration into the central nervous system?

<p>They poorly penetrate the ocular humor. (B)</p> Signup and view all the answers

How are ESBLs detected on susceptibility testing?

<p>Resistance to these drugs but susceptibility to clavulanic acid, tazobactam, or sulbactam. (D)</p> Signup and view all the answers

What is a common route of administration for most cephalosporins in animals?

<p>Intravenous (IV) or intramuscular (IM) injection. (C)</p> Signup and view all the answers

What is a notable feature of cefovecin in terms of its elimination half-life in cats?

<p>It has a long elimination half-life of 5.5-6.9 days. (B)</p> Signup and view all the answers

What does it mean that third- or fourth-generation cephalosporins are often able to penetrate the blood-brain barrier?

<p>They achieve good penetration into the CSF. (D)</p> Signup and view all the answers

What can be inferred about the pharmacokinetics of cephalosporins from the given text?

<p>They have high volume of distribution indicating extensive tissue distribution. (D)</p> Signup and view all the answers

What is a unique feature of ceftiofur compared to other cephalosporins?

<p>It is metabolized to several active metabolites, contributing substantially to efficacy. (C)</p> Signup and view all the answers

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