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Which therapeutic index value would be the drug of choice?


A) 20
B) 10
C) 1
D) 0.1
E) Any value would be equally effective.

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

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Antiviral drugs that target reverse transcriptase would be used to treat


A) influenza A virus.
B) HIV.
C) herpes zoster virus.
D) respiratory syncytial virus.
E) hepatitis C virus.

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

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Mebendazole is a drug used to treat _____ infections.


A) bacterial
B) fungal
C) protozoan
D) helminthic
E) viral

F) A) and B)
G) B) and E)

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Antimicrobials that are macrolides


A) disrupt cell membrane function.
B) include tetracyclines.
C) include azithromycin,clarithromycin and erythromycin.
D) are very-narrow-spectrum drugs.
E) are hepatotoxic.

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

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What cell wall inhibiting drug is used in cases of penicillin and methicillin resistance?


A) penicillin G
B) vancomycin
C) tetracycline
D) erythromycin
E) isoniazid

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

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B

An antimicrobial 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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Microbial resistance resulting from mutation occurs because


A) bacterial genomes undergo mutation rapidly.
B) bacterial genomes undergo mutation often.
C) short generation times accumulate mutations in populations.
D) mutations are passed between organisms.
E) All of the choices are correct.

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

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Which antimicrobial does not interfere with protein synthesis?


A) aminoglycosides
B) tetracyclines
C) erythromycin
D) trimethroprim
E) gentamicin

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

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Drug toxicity occurs when an antimicrobial drug acts as antigen and stimulates an allergic response.

A) True
B) False

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Nutrients that encourage the growth of beneficial microbes in the intestines are known as


A) prebiotics.
B) probiotics.
C) lantibiotics.
D) phytobiotics.
E) riboswitches.

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

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A clinical microbiologist makes serial dilutions of several antimicrobials in broth,and then incubates each drug dilution series with a standard amount of a patient's isolated pathogen.What is this microbiologist setting up?


A) Kirby-Bauer
B) antibiogram
C) E-test
D) MIC
E) therapeutic index (TI)

F) B) and C)
G) None of the above

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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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True

The use of vaginal inserts of Lactobacillus to restore healthy vaginal biota is an example of


A) prebiotics.
B) probiotics.
C) lantibiotics.
D) phytobiotics.
E) riboswitches.

F) A) and E)
G) A) and B)

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


A) block penetration
B) block transcription and translation
C) inhibit DNA synthesis
D) block maturation
E) bond to ergosterol in the cell membrane

F) None of the above
G) A) and B)

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Important characteristics of antimicrobial drugs include


A) low toxicity for human tissues.
B) high toxicity against microbial cells.
C) do not cause serious side effects in humans.
D) stable and soluble in body tissues and fluids.
E) All of the choices are correct.

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

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E

Substances that are naturally produced by certain microorganisms that can inhibit or destroy other microorganisms are called


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

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

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Selective toxicity refers to


A) damage to pathogenic organisms.
B) damage to prokaryotic cell membranes.
C) damage to the target organisms but not host cells.
D) damage to nucleic acids.
E) None of the choices is correct.

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

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Which newer synthetic drug is used to treat MRSA and VRE infections?


A) synercid
B) clindamycin
C) linezolid
D) azithromycin
E) clarithromycin

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

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Penicillins and cephalosporins


A) block folic acid synthesis.
B) attach to the 30S ribosomal subunit and disrupt protein synthesis.
C) damage cell membranes.
D) block peptidases that cross-link glycan molecules.

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

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A 76-year-old male visits his primary care physician with complaints of burning with urination and a frequent urge to void. As the RN, you aid the patient in collecting a urine specimen to be sent for analysis. While awaiting the final results of drug susceptibility testing in the lab, the patient is prescribed oral sulfasoxazole. -In the lab,the urine specimen is spread on an agar plate with antibiotic discs placed to determine antimicrobial susceptibility.Following incubation,the clear area around each disc is measured.What term describes the observed area of antimicrobial action around each disc?


A) zone of inhibition
B) zone of susceptibility
C) zone of resistance
D) antibiogram

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

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