Principles of Antimicrobial Therapy Beta-Lactams I Lecture Objectives
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Which of the following is a key factor in the selection of an antimicrobial agent?

  • Ability to alter the natural flora and cause superinfection
  • Ability to penetrate the blood-brain barrier
  • Severity of the patient's infection (correct)
  • Effectiveness against a wide variety of microorganisms

What is the primary purpose of narrow spectrum antibiotics?

  • To alter the nature of the natural flora and cause superinfection
  • To act on a single or limited group of microorganisms (correct)
  • To be effective against both gram-positive and gram-negative bacteria
  • To affect a wide variety of microbial species

Which of the following is a key host factor that can influence the selection of an antimicrobial agent?

  • Ability to penetrate the blood-brain barrier
  • Renal dysfunction (correct)
  • Effectiveness against a wide variety of microorganisms
  • Severity of the patient's infection

What is the primary purpose of broad spectrum antibiotics?

<p>To affect a wide variety of microbial species (B)</p> Signup and view all the answers

Which of the following is a key factor that can limit the penetration of an antibiotic to the site of infection?

<p>Lipid solubility and pKa of the antibiotic (C)</p> Signup and view all the answers

Which of the following is a key principle in the selection of the most appropriate antibiotic for a given infection?

<p>Selecting the most narrow spectrum agent that is still effective (C)</p> Signup and view all the answers

Which of the following is NOT one of the main cellular targets of antibiotics?

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

When selecting an antimicrobial agent, which factor should be given the LEAST consideration?

<p>Cost of the drug (A)</p> Signup and view all the answers

Which of the following statements about chemotherapeutic spectra is INCORRECT?

<p>Broad-spectrum agents are always preferred over narrow-spectrum agents (D)</p> Signup and view all the answers

What is the primary advantage of using combination antimicrobial therapy?

<p>Synergistic or additive effects against pathogens (C)</p> Signup and view all the answers

Which of the following is NOT a mechanism of antimicrobial resistance?

<p>Increased host immune response (C)</p> Signup and view all the answers

What is the primary mechanism by which genetic alterations can lead to drug resistance in microorganisms?

<p>Spontaneous mutations in DNA that are passed on to daughter cells (C)</p> Signup and view all the answers

Which of the following mechanisms of antibiotic resistance involves the modification of the target site of the antibiotic?

<p>Alteration of penicillin-binding proteins in methicillin-resistant Staphylococcus aureus (D)</p> Signup and view all the answers

Which of the following is an example of a mechanism that leads to decreased accumulation of an antibiotic within a resistant microorganism?

<p>Presence of a lipopolysaccharide layer and efflux pumps (D)</p> Signup and view all the answers

What is the primary mechanism by which $eta$-lactamases confer antibiotic resistance?

<p>Enzymatic inactivation of the antibiotic through hydrolysis (D)</p> Signup and view all the answers

Which of the following is a potential adverse effect that may develop during antimicrobial therapy, even though antibiotics exhibit selective toxicity?

<p>Development of adverse effects in the host (A)</p> Signup and view all the answers

How can drug resistance be transferred between microorganisms?

<p>By the transfer of resistance properties encoded in plasmids between cells (D)</p> Signup and view all the answers

Which of the following is NOT part of the spectrum of activity for Penicillin G?

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

Which of the following is the broadest spectrum penicillin?

<p>Piperacillin/tazobactam sodium (B)</p> Signup and view all the answers

Which of the following penicillins has increased activity against gram-negative bacteria compared to Penicillin G?

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

Which of the following adverse effects is NOT associated with penicillin use?

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

Which of the following penicillins is used to treat oropharyngeal infections caused by streptococci and pneumococci?

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

Which of the following penicillins is used to treat Pseudomonas aeruginosa infections?

<p>Piperacillin/tazobactam sodium (D)</p> Signup and view all the answers

What is the primary target site of b-Lactam antibiotics?

<p>Penicillin-Binding Proteins (PBPs) (B)</p> Signup and view all the answers

Which type of killing is associated with b-Lactam antibiotics?

<p>Time-dependent killing (A)</p> Signup and view all the answers

Which antibiotic is often used in combination with aminoglycosides due to its synergistic effects?

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

Which group of antibiotics includes Monobactam?

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

Which type of penicillin is administered via intravenous or intramuscular routes?

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

What is the main mechanism of action of b-Lactam antibiotics on bacterial cells?

<p>Prevention of cell wall synthesis (D)</p> Signup and view all the answers

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