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Chapter_06:_Antibiotics
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Published
07/07/2024
Antiseptics kill and inhibit organisms on {{c1::the body}}
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Disinfectants kill and inhibit organisms on {{c1::inanimate objects}}
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A commonly used antiseptic in surgery that is not very effective against fungi is {{c1::iodophors}}
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A commonly used antiseptic in surgery that is effective against fungi is {{c1::chlorhexidine gluconate}}
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Antibiotics like penicillins and cephalosporins work by inhibiting bacterial {{c1::cell wall synthesis}}
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Antibiotics like tetracycline and aminoglycosides work by inhibiting bacterial {{c1::30s ribosomal subunits}}
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Antibiotics like macrolides, clindamycin, linezolid, and Synercid work by inhibiting bacterial {{c1::50s ribosomal subunits}}
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The class of antibiotics that inhibit topoisomerase enzymes is the {{c1::quinolones}}
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An antibiotic that inhibits RNA polymerase is {{c1::rifampin}}
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An antibiotic that produces oxygen radicals that breaks up DNA is {{c1::metronidazole}}
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A class of antibiotic that acts as a PABA analog and inhibits folate synthesis is {{c1::sulfonamides}}
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An antibiotic that inhibits bacterial dihydrofolate reductase is {{c1::trimethoprim}}
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The only class of antibiotic protein synthesis inhibitor that is considered bactericidal is {{c1::aminoglycosides}}
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Most strains of Staphylococcus aureus are resistant to penicillins due to production of {{c1::beta-lactamase}}
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Methicillin-resistant Staphylococcus aureus (MRSA) gains resistance via altered {{c1::penicillin binding proteins (PBP)}}
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Vancomycin-resistant Enterococcus (VRE) gets resistance via altered {{c1::peptidoglycan structure}}
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Resistance to gentamicin occurs due to a decrease in {{c1::active transport}}
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The most common method for bacteria to develop antibiotic resistance is via {{c1::plasmid transfer}}
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The appropriate peak level for vancomycin is {{c1::20}} to {{c1::40}} micrograms per mL
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The appropriate trough level for vancomycin is {{c1::5}} to {{c1::10}} micrograms per mL
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The appropriate peak level for gentamicin is {{c1::6}} to {{c1::10}} micrograms per mL
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The appropriate trough level for gentamicin is {{c1::0}} to {{c1::1}} micrograms per mL
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A drug level that has too high of a peak should have the dose {{c1::amount}} decreased
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A drug level that has too high of a trough should have the dose {{c1::frequency}} decreased
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Is penicillin effective against Staphylococcus?{{c1::No}}
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Is penicillin effective against Enterococcus?{{c1::No}}
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Oxacillin, methicillin, and nafcillin are known as the anti-{{c1::Staph}} pencillins
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Are ampicillin and amoxicillin effective against Enterococcus?{{c1::Yes}}
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Are ampicillin and amoxicillin effective against Staphylococcus?{{c1::No}}
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Unasyn is a combination of {{c1::ampicillin}} and {{c1::sulbactam}}
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Augmentin is a combination of {{c1::amoxicillin}} and {{c1::clavulanic acid}}
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Are Unasyn and Augmentin effective against Pseudomonas, Acinetobacter, and Serratia?{{c1::No}}
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Are ticarcillin and piperacillin effective against Pseudomonas, Acinetobacter, and Serratia?{{c1::Yes}}
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Side effects of ticarcillin and piperacillin include {{c2::platelet}} inhibition and {{c1::high salt}} load
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Timentin is a combination of {{c1::ticarcillin}} and {{c1::clavulanic acid}}
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Zosyn is a combination of {{c1::piperacillin}} and {{c1::tazobactam}}
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Zosyn is dosed by giving it {{c1::4}} time(s) a day
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The 1st-generation cephalosporin with the longest half-life is {{c1::cefazolin}}
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The 2nd-generation cephalosporin with the longest half-life is {{c1::cefotetan}}
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Do 1st-generation cephalosporins penetrate the blood-brain barrier?{{c1::No}}
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Are 1st-generation cephalosporins effective against Pseudomonas, Acinetobacter, and Serratia?{{c1::No}}
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{{c1::2nd-generation}} cephalosporins are not effective against Pseudomonas, Acinetobacter, and Serratia.
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{{c1::3rd-generation::Drug type}} cephalosporins are effective against Pseudomonas, Acinetobacter, and Serratia.
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Is aztreonam effective against Pseudomonas, Acinetobacter, and Serratia?{{c1::Yes}}
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Carbapenems are NOT effective against MEPM{{c3::RSA}}E{{c2::nterococcus}}P{{c1::roteus}}
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To prolong half-life, carbapenems are given with {{c1::cilastatin}}
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A notable neurologic side effect of carbapenems is {{c1::seizures}}
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Bactrim is a combination of {{c1::trimethoprim}} and {{c1::sulfamethoxazole}}
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Is Bactrim effective against Enterococcus?{{c1::No}}
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Is Bactrim effective against Pseudomonas, Acinetobacter, and Serratia?{{c1::No}}
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Are quinolones effective against Enterococcus?{{c1::No}}
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Are quinolones effective against Pseudomonas, Acinetobacter, and Serratia?{{c1::Yes}}
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Ciprofloxacin is dosed by giving it {{c1::2}} time(s) a day
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Levofloxacin is dosed by giving it {{c1::1}} time(s) a day
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Tendon ruptures are a unique side effect of the {{c1::quinolone}} antibiotic class
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Are aminoglycosides effective against Pseudomonas, Acinetobacter, and Serratia?{{c1::Yes}}
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Are aminoglycosides effective against anaerobes?{{c1::No}}
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Resistance to aminoglycosides occurs due to modifying enzymes leading to decreased {{c1::active transport}}
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Beta-lactams like ampicillin and amoxicillin increase the effectiveness of the {{c1::aminoglycoside}} antibiotic class
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The nephrotoxicity caused by aminoglycosides is {{c1::reversible}}(reversible or irreversible)
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The ototoxicity caused by aminoglycosides is {{c1::irreversible}}(reversible or irreversible)
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Erythromycin is prokinetic for bowel because it binds to the {{c1::motilin}} receptor
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Vancomycin can be used to treat C. difficile infection when given {{c1::orally}}
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Resistance to vancomycin occurs due to a cell wall-binding protein change from D-ala-D-{{c1::ala}} to D-ala-D-{{c1::lac}}
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Red man syndrome from vancomycin is due to {{c1::histamine}} release
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Vancomycin is an example of a(n) {{c1::glycopeptide}} antibiotic
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Synercid is a combination of {{c1::quinupristin}} and {{c1::dalfopristin}}
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Linezolid is an example of a(n) {{c1::oxazolidinones}} antibiotic
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An antibiotic class that can produce tooth discoloration in children is {{c1::tetracyclines}}
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Can tetracyclines treat syphilis?{{c1::Yes}}
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The classic antibiotic used for aspiration pneumonia is {{c1::clindamycin}}
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The antibiotic most notorious for causing pseudomembranous colitis is {{c1::clindamycin}}
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Metronidazole can cause a {{c1::disulfram}}-like reaction
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Long-term use of metronidazole can cause a side effect of {{c1::peripheral neuropathy}}
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The antifungal drug amphotericin is known for its significant {{c1::nephro}}-toxicity
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Amphotericin works by binding {{c1::ergosterol}} in fungal cell walls
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Azole antifungals work by inhibiting inhibiting {{c1::ergosterol}} synthesis
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Echinocandin antifungals work by inhibiting {{c1::beta glucan}} synthesis
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A patient with persistent fever despite a prolonged use of broad-spectrum antibiotics should be started on a(n) {{c1::echinocandin}}
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Invasive aspergillosis is treated with {{c1::voriconazole}}
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Candidemia is treated with a(n) {{c1::echinocandin}}
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Fungal sepsis NOT caused by candida or aspergillus is treated with {{c1::liposomal amphotericin}}
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The anti-tuberculosis drug associated with vitamin B6 deficiency is {{c1::isoniazid}}
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The anti-tuberculosis drug that can cause a retrobulbar neuritis is {{c1::ethambutol}}
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HSV infections are typically treated with {{c1::acyclovir}}
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CMV infections are typically treated with {{c1::ganciclovir}}
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Bone marrow and CNS toxicity are side effects of the anti-viral drug {{c1::ganciclovir}}
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{{c1::Carbapenems::Drug type}} are effective against Pseudomonas, Acinetobacter, and Serratia
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