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Mechanism of Action of β-Lactams
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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</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</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</p> Signup and view all the answers

    Which type of bacteria is Piperacillin most active against?

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

    What is a unique feature of Ceftaroline among cephalosporins?

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

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

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

    What is the advantage of Aztreonam among monobactams?

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

    Which bacteria are cephalosporins generally not active against?

    <p>Bacteroides</p> Signup and view all the answers

    Why is Piperacillin considered a prodrug?

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

    Which type of inhibitor is Avibactam?

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

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

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

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

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

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