Macrolides: Mechanism of Action and Resistance

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Questions and Answers

What is the mechanism of action of macrolides?

  • Inhibition of DNA replication
  • Blocking of cell membrane transport
  • Reversible binding to the 50S ribosomal subunit, leading to inhibition of protein synthesis (correct)
  • Inhibition of cell wall synthesis

Which of the following is a characteristic of macrolides' gastrointestinal absorption?

  • Rapid and complete absorption
  • Variable absorption (correct)
  • Poor absorption in acidic environment
  • Consistent and complete absorption

What is the mechanism of resistance to macrolides?

  • Alteration in cell membrane permeability (correct)
  • Enhanced efflux pumps
  • Increased production of beta-lactamase
  • Mutation in the 30S ribosomal subunit

What is a unique characteristic of azithromycin compared to other macrolides?

<p>Better activity against Haemophilus (D)</p> Signup and view all the answers

What is a common adverse effect of macrolides?

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

What is a unique feature of clarithromycin?

<p>It has a hydroxy metabolite (D)</p> Signup and view all the answers

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