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Nutrients that encourage the growth of beneficial microbes in the intestines are called ________.

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A chemical that inhibits beta-lactamase enzymes is


A) synercid.
B) penicillinase.
C) aztreonam.
D) clavulanic acid.
E) imipenem.

F) A) and E)
G) A) and C)

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Which of the following is not a mode of action of an antiviral?


A) Block viral entry into a host cell
B) Block transcription and translation
C) Inhibit DNA synthesis
D) Block maturation
E) Bond to ergosterol in the cell membrane

F) A) and C)
G) A) and E)

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The development of successful antiviral drugs has been relatively easy because viral structure is so different from the structure of eukaryotic cells.

A) True
B) False

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If pathogen A is more resistant to an erythromycin disc on a Kirby-Bauer plate compared to pathogen B, then pathogen A will have a _____ zone of inhibition compared to pathogen B.

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A ratio of the dose of the drug that is toxic to humans versus the minimum effective dose for that pathogen is assessed to predict the potential for toxic drug reactions. This is called the


A) Kirby-Bauer technique.
B) antibiogram.
C) E-test.
D) minimum inhibitory concentration MIC) .
E) therapeutic index TI) .

F) D) and E)
G) A) and E)

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An antimicrobic with a low therapeutic index is a safer choice compared to a drug with a high therapeutic index.

A) True
B) False

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Antimicrobics effective against a wide variety of microbial types are termed


A) antibiotics.
B) narrow-spectrum drugs.
C) semisynthetic drugs.
D) synthetic drugs.
E) broad-spectrum drugs.

F) D) and E)
G) None of the above

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Polyene drugs bind to fungal _____ and cause loss of selective permeability.

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cell membr...

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Discuss 5 factors that have influenced the increasing development of resistant microbial strains.

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1. Overuse and misuse of antibiotics: Th...

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Which of the following will influence a physician's decision to prescribe an antimicrobial?


A) patient age
B) pregnancy
C) liver function
D) alcohol use
E) All of these choices are correct.

F) B) and D)
G) All of the above

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One of the greatest challenges in development of antivirals is finding drugs that are


A) administered orally.
B) absorbed by the GI tract.
C) not likely to disrupt the normal microbiota of the patient.
D) selectively toxic for viruses.

E) B) and D)
F) B) and C)

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Drug susceptibility testing


A) determines the patient's response to various antimicrobics.
B) determines the pathogen's response to various antimicrobics.
C) determines if normal flora will be affected by antimicrobics.
D) determines if the drug is increasing to toxic levels in a patient.
E) determines the pathogen's identity.

F) A) and D)
G) C) and D)

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Discuss the problems with development of antifungal, antiprotozoan, antihelminth, and antiviral drugs compared to the antibacterial drugs. Discuss at least 3 different modes of action that have been developed for these drugs.

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The development of antifungal, antiproto...

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Antibiotics are derived from all the following except


A) Penicillium.
B) Bacillus.
C) Staphylococcus.
D) Streptomyces.
E) Cephalosporium.

F) A) and D)
G) B) and C)

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Acyclovir is used to treat


A) influenza A virus.
B) HIV.
C) shingles, chickenpox, and genital herpes.
D) respiratory syncytial virus.
E) hepatitis C virus.

F) C) and D)
G) B) and C)

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The Kirby-Bauer test uses an agar surface, seeded with the test bacterium, to which small discs containing a specific concentration of several drugs are placed on the surface.

A) True
B) False

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An antiviral that is a guanine analog would have an antiviral mode of action that


A) blocks penetration.
B) blocks DNA replication.
C) inhibits peptidoglycan cross-linking.
D) blocks maturation.
E) bonds to ergosterol in the cell membrane.

F) A) and B)
G) A) and C)

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A semisynthetic antibiotic is a drug which is chemically modified in the laboratory after being isolated from natural sources.

A) True
B) False

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Which organ is responsible for metabolizing and detoxifying foreign chemicals in the blood, including drugs?


A) liver
B) kidneys
C) gallbladder
D) spleen
E) stomach

F) A) and C)
G) C) and D)

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