Mechanism of Action of β-Lactams
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Questions and Answers

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

  • Inhibit protein synthesis in bacteria
  • Inhibit DNA synthesis in bacteria
  • Prevent cross-linking of the cell wall by binding to PBPs (correct)
  • Prevent mRNA transcription in bacteria

How do bacteria develop resistance to β-lactam antibiotics?

  • Increasing mRNA stability
  • Enhancing DNA replication
  • Overproduction of β-lactamases (correct)
  • Reducing cell wall thickness

Which type of bacteria are β-lactam antibiotics most effective against?

  • Stationary phase bacteria
  • Mature biofilm bacteria
  • Non-dividing bacteria
  • Multiplying (growing) cells (correct)

What is the main adverse effect associated with monobactams?

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

How do bacteria reduce the intracellular concentration of β-lactam antibiotics in Gram-negative organisms?

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

Which bacterial resistance mechanism involves the formation of new types of PBPs like PBP2a in S.aureus?

<p>Formation of new PBPs (D)</p> Signup and view all the answers

Which type of bacteria is Piperacillin most active against?

<p>Gram-negative bacteria (A)</p> Signup and view all the answers

What is a unique feature of Ceftaroline among cephalosporins?

<p>Activity against MRSA (A)</p> Signup and view all the answers

Which generation of cephalosporins can penetrate the blood-brain barrier?

<p>3rd generation (D)</p> Signup and view all the answers

What is the advantage of Aztreonam among monobactams?

<p>Low allergic reactions (C)</p> Signup and view all the answers

Which bacteria are cephalosporins generally not active against?

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

Why is Piperacillin considered a prodrug?

<p>It is inactive until metabolized in the body (D)</p> Signup and view all the answers

Which type of inhibitor is Avibactam?

<p>β-lactamase stable inhibitor (B)</p> Signup and view all the answers

What is the mechanism of action of isoxazolylpenicillins regarding β lactamase?

<p>They form reversible complexes with β lactamase (B)</p> Signup and view all the answers

Which compound is used in combination with Amoxicillin as co-amoxiclav?

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

Which inhibitor forms an unstable complex with β lactamase that dissociates into broken inhibitor & broken enzyme?

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

Which combination is used for treating complicated urinary tract infections and pyelonephritis?

<p>Avibactam with meropenem (D)</p> Signup and view all the answers

Which of the following inhibitors is not absorbed orally and is only available in injection form?

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

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