Pharmacology Lecture 13+14 Antibiotics

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Questions and Answers

Which of the following is the primary mechanism of resistance to penicillins and other β-lactam antibiotics?

  • Inactivation of the antibiotic by β-lactamase (correct)
  • Antibiotic efflux
  • Impaired penetration of the drug to the target PBPs
  • Modification of target penicillin-binding proteins (PBPs)

Which of the following is a key characteristic of the mechanism of action of penicillins?

  • They are effective against both rapidly growing and slow-growing organisms
  • They are active against mycobacteria and viruses
  • They interfere with bacterial cell wall synthesis by inhibiting transpeptidation or cross-linkage (correct)
  • They are bacteriostatic and work in a concentration-dependent fashion

Which class of penicillins is resistant to staphylococcal β-lactamases?

  • Extended-spectrum penicillins
  • Antistaphylococcal penicillins (correct)
  • Antipseudomonal penicillins
  • Aminopenicillins

What is the primary difference between penicillins and extended-spectrum penicillins?

<p>Extended-spectrum penicillins are more susceptible to hydrolysis by β-lactamases (C)</p> Signup and view all the answers

Which of the following is true about the bactericidal activity of penicillins?

<p>They are concentration-dependent and work in a time-dependent fashion (A)</p> Signup and view all the answers

Which of the following β-lactam antibiotics has improved activity against Gram-negative rods compared to penicillin?

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

How do penicillins exert their bactericidal effect?

<p>By interfering with the last step of bacterial cell wall synthesis (D)</p> Signup and view all the answers

Which of the following is a key characteristic of antistaphylococcal penicillins?

<p>They are active against anaerobic bacteria (B)</p> Signup and view all the answers

What is the primary reason why penicillins are inactive against organisms devoid of a peptidoglycan cell wall?

<p>Penicillins target the peptidoglycan synthesis pathway (B)</p> Signup and view all the answers

Which of the following is a common mechanism of resistance to penicillins and other β-lactam antibiotics?

<p>All of the above (D)</p> Signup and view all the answers

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