Questão 1
Questão
Which of the following is a correct description of Ludwig's Angina?
Responda
-
Caused by anaerobe infection
-
It occurs in children with concomitant dental infections
-
It is not life-threatneing
-
Caused by infection from bacteroids, staphylococci, and streptococci
Questão 2
Questão
Choose all the following that are mechanisms of select toxicity?
Responda
-
Inhibition of cell wall synthesis
-
Selective Inhibition
-
Suppression of DNA synthesis
-
Common targets
-
Unique drug targets
-
Alteration of cell membrane permeability
Questão 3
Questão
Which of the following is the correct definition of Anti-infective agents?
Responda
-
Natural or synthetic substances used to suppress growth or kill bacteria/ single cell organisms
-
Substances that act against or destroy infections (Fungal/Viral/Bacteria)
-
Substances that destroy or supress the growth or multiplcation of bacteria
-
Substances produced by bacteria that can destroy or suppress the growth or multiplication of bacteria or prevent the action of bacteria
Questão 4
Questão
What antibacterial is given for emergency treatment of Ludwig's Angina?
Responda
-
Penicillin V
-
Ampicillin
-
Penicillin G
-
Augmentin
Questão 5
Questão
Which of the following is the correct mechanism for how Polymyxins act as antibiotics?
Responda
-
Binds to ribosome 30s to prohibit protein synthesis
-
Disrupts the integrity of the baceterial cell wall by displacing calcium and magnesium
-
Inhibits the cross-linkages between the peptidoglycan polymer strands
-
Disrupts the integrity of the cell membrane by displacing calcium and magnesium
Questão 6
Questão
Antibiotics that bind to bacterial ribosomes inhibit what enzyme?
Responda
-
Transpeptidase
-
Peptidyl transferase
-
Beta lactamase
-
Transcriptase
Questão 7
Questão
How do sulfonamides prevent the further growth of bacteria?
Responda
-
They block conversion of PABA into dihydrofolic acid
-
They inhibit DNA gyrase and Topoismerase enzymes, preventing supercoiling
-
They inhibit peptidyl transferase, inhibiting binding of tRNA to mRNA
-
They bind to the dihydroflate reductase (DHFR) enzyme, thus preventing production of folic acid
Questão 8
Questão
Acquired resistance is when the bacteria has always been resistant due to inherent properties of the bacteria
Questão 9
Questão
Which bacteria are susceptible to enzyme inactivation by beta lactamases?
Responda
-
Cephalosporins
-
Macrolides
-
Metronidazole
-
Tetracyclines
Questão 10
Questão
Which of the following is defines as a mobile genetic element which may be transferred from one organism to the other?
Responda
-
Bacteriophages
-
Integrons
-
Transposons
-
Plasmid
Questão 11
Questão
An integron is a genetic element that captures and disseminates genes through a gene cassette
Questão 12
Questão
Which of the following is NOT an example of microbial resistance?
Responda
-
Enzymatic inactvation
-
Antibiotic antagonism or interactions
-
Insensitivity to apoptosis
-
Overproduction of target sites
Questão 13
Questão
Which of the following cancers do NOT have a high incidence of p53 mutations
Responda
-
Ovarian
-
Lung
-
Colon
-
Pancreatic
Questão 14
Questão
Which of the following is correct regarding superinfections?
Responda
-
More likely to occur with narrow spectrum antibiotics
-
Occurs with transfer of plasmids and transposons
-
They are easy to treat
-
May be opportunistic infections with viruses such as Candidda albicans and Histoplasmosis
Questão 15
Questão
When would chemoprophylaxis be used?
Responda
-
Used after surgery to prevent wound infections
-
Used after a potential expsoure
-
To prevent an oral infection after having a dental procedure
-
In immunocompromised patients to prevent reactivation of latent reactions
Questão 16
Questão
Penicillins are narrow spectrum drugs
Questão 17
Questão
Select all of the bactericidal antibiotics
Responda
-
Macrolides
-
Pencillin
-
Metronidazole
-
Tetracycline
-
Cefadroxil
-
Cephalexin
-
Aminoglycosides
-
Ciprofloxacin
-
Clindamycin
Questão 18
Questão
Which of the following is NOT a cause for antibiotic failure?
Responda
-
Limited vascularity or blood flow to tissue
-
Blood concentration too low
-
Impaired host to immune system
-
Failure to activate the antibiotics
Questão 19
Questão
Which of the following antibacterials can cause a long QT syndrome?
Responda
-
Fluroquinolones
-
Sulfonamides
-
Penicillins
-
Cephalsporins
Questão 20
Questão
Which of the following antibacterials cause agranulocytosis?
Responda
-
Fluroquinolones
-
C. diff
-
Macrolides
-
Penicillins
Questão 21
Questão
Which of the following is NOT a concern of antibiotic use?
Questão 22
Questão
Which of the following is incorrect regarding Penicillin G/Penicillin V?
Responda
-
One of these two can be used for treatment of Ludwig's Angina
-
Used for mixed aerobic-anerobic infections
-
Used for head, neck, and dental infections
-
These are all correct
Questão 23
Questão
Which of the following is the correct use of antistaphylococcal penicillins?
Responda
-
Skin and soft tissue infections
-
Broad spectrum Enterobacter
-
Klebsiella and enterocci
-
Ear, nose and throat, H. pylori
Questão 24
Questão
Which of the following is not an antistaphylococcal penicillin?
Questão 25
Questão
Augmentin contains an antistaphylococcal penicillin
Questão 26
Questão
Penicillins work by inhibiting which enzyme?
Responda
-
Integrase
-
Peptidyl transferase
-
Transpeptidase
-
Transcriptase
Questão 27
Questão
Penicillin V is administered IV only?
Questão 28
Questão
Which of the following is NOT a possible adverse effect from peniciilins?
Questão 29
Questão
Which of the following is a known drug reaction with use of penicillin?
Responda
-
Increase renal tubular secretion with use of probenecid
-
Inactivation with use of aminoglycosides
-
Disulfram-like reaction
-
Inhibits metabolism of anticoagulants, increasing risk of bleeding
Questão 30
Questão
Which of the following is true regarding aminopenicillins?
Responda
-
Resistant to beta lactamases
-
Narrow spectrum
-
Ampicillin has less side effects than amoxicillin
-
Effective against Neissseria gonorrhea and meningitidis
Questão 31
Questão
Select the following that are ineffective against beta lactamases:
Responda
-
Penicillin V
-
Penicillin G
-
Cloxacillin
-
Amoxicillin
Questão 32
Questão
Which of the following can be used to overcome resistant bacteria?
Responda
-
Cloxacillin
-
Amoxacillin
-
Clavulanic acid
-
Ampicillin
Questão 33
Questão
Which of the following is true regarding penicillins and beta-lactamase inhibitors?
Responda
-
Amoxicillin has a molecular structure similar to beta lactam, thus prevents inactivation by beta lactamase
-
They are ineffective against Salmonella related infections
-
They are used in immunocompromised patients with mixed infections
-
They are effective against Klebsiella bacteria
Questão 34
Questão
Which of the following best represents first generation cephalosporins?
Responda
-
Includes Cefotaxime and Ceftriaxone
-
Used for UTI and soft tissue abscesses
-
Effective against Klebsiella and H influenza
-
Used for treatment of community-acquired pneumonia
Questão 35
Questão
Which of the following best describes generation 2 cephalosporins
Responda
-
Drug of choice for surgical prophylaxis
-
Used to treat Meningitis
-
Includes the drug Cefuroxime
-
Includes the drug Cefepime
Questão 36
Questão
Which of the following best describes generation 3 cephalosporins?
Responda
-
They have resistance to beta lacmases
-
Hightly active against P aeruginosa
-
Not approved for treatment of meningitis
-
Best for any H influenza infection
Questão 37
Questão
Which of the following best describes fourth generation cephalosporins?
Responda
-
It is used for meningitis
-
It includes the drug ceftaroline
-
It is active against Neisseria
-
Can be used for MRSA
Questão 38
Questão
Ceftaroline is active against MDR staph aureus, MRSA, and VRSA
Questão 39
Questão
Protein synthesis inhibitors are considered narrow spectrum antibiotics
Questão 40
Questão
Tetracyclines are broad spectrum antibiotics
Questão 41
Questão
Which of the following best matches the mechanism of tetracyclines?
Responda
-
Inhibition of beta 1-3 glycan of bacterial cell wall, preventing cross-linkages
-
Becomes mechanically reduced to a toxic metabolite, interacting with DNA
-
Binds to 50s subunit, preventing binding of tRNA to mRNA
-
Binds to 30s subunit, preventing binding of tRNA to mRNA
Questão 42
Questão
Which of the following are targeted by tetracyclines
Questão 43
Questão
Which of the following is NOT a concern of tetracyclines?
Questão 44
Questão
Which of the following is incorrect regarding macrolides?
Responda
-
Broad spectrum
-
Kills Treponema pallidum
-
Used as an alternative for patients allergic penicillins
-
Can be bacteriostatic or bacteriocidal, depending on dose
Questão 45
Questão
What makes Telithromycin so special?
Responda
-
It can be used for MRSA
-
It can cause Fanconi's syndrome if taken when it is expired
-
It can bind to ribosome 23s, which makes it unique
-
Can be used in cases when other macrolides cause fulminant hepatic necrosis
Questão 46
Questão
Which of the following is incorrect regarding Chloramphenicol?
Questão 47
Questão
Chloramphenicol can cause gray baby syndrome
Questão 48
Questão
Which of the following is NOT a use for Clindamycin?
Questão 49
Questão
Which of the following is NOT a concern for use of Clindamycin?
Questão 50
Questão
Which of the following is NOT a risk factor for pseudomembranous colitis?
Responda
-
Elderly
-
Sulfonamides
-
Ampicillin
-
Erhythromycin
Questão 51
Questão
Choose all of the following that are part of treatment of pseudomembranous colitis?
Responda
-
Start on Vancomycin IV
-
Hydration
-
Start on clotrimazole
-
Start of Metronidazole
-
Stop all antibiotics
-
Start on Vancomycin oral
Questão 52
Questão
What is the clinical use of sulfonamides?
Questão 53
Questão
Sulfonamide is a structural analog of DFHR
Questão 54
Questão
Which of the following causes Steven-Johnson syndrome?
Responda
-
Sulfonamides
-
Penicillins
-
Macrolides
-
Tetracyclines
Questão 55
Questão
Sulfonamides can cause which of the following adverse effects?
Questão 56
Questão
Which of the following is NOT another name for trimethoprim?
Responda
-
Co-trimoxazole
-
Bactrim
-
Clotrimazole
-
Septra
Questão 57
Questão
Which best describes the mechanism of trimethoprim?
Questão 58
Questão
Which of the following antibiotics are best known to be used for acne?
Responda
-
Tetracyclines
-
Sulfonamides
-
Macrolides
-
Penicillins
Questão 59
Questão
Clotrimazole can be used for UTI?
Questão 60
Questão
Metronidazole is used for the treatment of amoebic liver abscesss
Questão 61
Questão
How do fluoroquinolones kill bacteria?
Responda
-
They are chemically reduced to a toxic metabolite which interacts with DNA, resulting in loss of helical structure and essentially cell death
-
They bind to bacterial ribosomes 30s
-
They inhibit transpeptidases
-
They compromise the integrity of the bacterial cell membrane
Questão 62
Questão
Which of the following do metronidazoles NOT attack?
Responda
-
Gram positive
-
Anaerobes
-
Gram negative
-
Aerobes
Questão 63
Questão
Which of the following is not a drug interaction of metronidazole?
Questão 64
Questão
Sharp metallic taste is one of many adverse effects of sulfonamides
Questão 65
Questão
Which best describes the mechanism of action of fluroquinolones?
Responda
-
Binding to bacterial ribosome 50s
-
Inhibits DNA gyrase, preventing supercoiling and stopping DNA replication
-
Inhibits transcriptase, preventing supercoiling and stopping DNA replication
-
Chemically reduced to a toxic metabolite, interacting with DNA and essentially causing cell death
Questão 66
Questão
The causes of resistance in fluoroquinolones are alteration in DNA gyrase and decreased permeability
Questão 67
Questão
Which of the following bacteria could cause cartilage damage in children?
Responda
-
Ciprofloxacin
-
Clindamycin
-
Cefepime
-
Aminoglycosides
Questão 68
Questão
Ciprofloxacin is an extended spectrum drug
Questão 69
Questão
Which of the following is true about vancomycin?
Responda
-
Given by quick infusion for serious systemic infections
-
May be used where resistance to macrolides has developed in bacterial strains
-
Inhibits transpeptidase
-
It is not absorbed by the GI
Questão 70
Questão
Which of the following can cause Red Man Syndrome?
Responda
-
Penicillin
-
Erythromycin
-
Vancomycin
-
Sulfamethoxazole
Questão 71
Questão
Which of the following is NOT true regarding aminoglycosides?
Responda
-
Can be used for the treatment of sepsis
-
Same spectrum as fluroquinolones
-
Given only PO
-
Drug monitoring is required
Questão 72
Questão
Which of the following is NOT side effect of drugs such as gentamicin, tobramycin, and amikacin?
Responda
-
Reversible renal toxicity
-
Irreversible vestibular toxicity
-
Neuromuscular blockade
-
Adding furoseminde can decrease risk of renal damage
Questão 73
Questão
Which of the following would you want to avoid giving prior to a surgical procedure?
Responda
-
Cephalexin
-
Clindamycin
-
Tobramycin
Questão 74
Questão
You would want to give Vancomycin PO q12h for MRSA
Questão 75
Questão
VRE infects immunocompromised patients
Questão 76
Questão
Which of the following cannot be used for treatment of MRSA?
Responda
-
Linezolid
-
Ceftaroline
-
Streptogramins
-
Vancomycin
Questão 77
Questão
MRSA is resistant to ALL penicillins and cephalosporins
Questão 78
Questão
What are mechanisms of genetic transfer that are related to superinfections?
Responda
-
Bacteriophages
-
Integrons
-
Transposon
-
Plasmid
Questão 79
Questão
Which of the following best describes amphotericin B?
Responda
-
Used only as topical therapy
-
Dose adjustment required and dose limited to 6 months
-
A polyene antifungal that binds to ergosterol in fungal cell membranes
-
Binds to bacterial RNA polymerase enzyme and inhibits RNA synthesis
Questão 80
Questão
Amphotericin B is used to only treat progressive and potentially fatal systemic infections due to its severe adverse effects
Questão 81
Questão
Which of the following is NOT an adverse effect of Amphotericin B?
Questão 82
Questão
Which of the following does NOT increase risk of nephrotoxicity
Responda
-
Aminoglycosides
-
Amphoterecin B
-
Cisplatin
-
Macrolides
Questão 83
Questão
Nystatin is not related to Amphoterecin B and can therefore be used systemically
Questão 84
Questão
What type of fungal infection does nystatin treat?
Responda
-
Cryptococcal meningitis
-
Candida infections
-
Histoplasmosis
-
Asperillosis
Questão 85
Questão
What do you want to avoid taking with azole antifungals?
Responda
-
Antacids
-
Echinocandins
-
Calcium
-
Milk
Questão 86
Questão
Fluconazole is a prodrug
Questão 87
Questão
Choose all of the traizoles
Responda
-
Ketoconazole
-
Itraconazole
-
Fluconazole
-
Voriconazole
-
Miconazole
-
Clotrimazole
Questão 88
Questão
Which is the correct mechanism of azoles?
Responda
-
Disrupts microtubule function and inhibits dermatophyte growth
-
Binds to membrane Ergosterol
-
Inhibits viral DNA polymerase
-
Inhibits the lanosterol 14 alpha enzyme, preventing the conversion of lanosterol to ergosterol and disrupts the struction of fungal membrane
Questão 89
Questão
Which of the following is NOT an adverse effect of Azoles?
Questão 90
Questão
Which of the following are used in hematopoietic stem cell transplatation patients?
Responda
-
Fluconazole
-
Itraconazole
-
Echinocandins
-
Isoniazid
Questão 91
Questão
Which of the following antifungals are used to disrupt microtubule function?
Responda
-
Terbinafine
-
Griseofulvin
-
Echinocandins
-
Ketoconazole
Questão 92
Questão
Which of the following antifungals is used for onychomychosis and tinea?
Responda
-
Griseofulvin
-
Terbinafine
-
Echinocandins
-
Ketoconazole
Questão 93
Questão
What is the difference between NRTIs and NNRTIs?
Responda
-
NRTIs inhibit viral DNA relication by binding to reverse transcriptase and inhibit DNA polymerase and NNRTIs act as chain terminators and imtate nucleotides
-
NNRTIs inhibit viral DNA relication by binding to reverse transcriptase and inhibit DNA polymerase and NRTIs act as chain terminators and imtate nucleotides
-
NRTIs interact with ohter drugs metabolized by CYP450 enzyme
-
NRTIs cause Stevens Johnson syndrome
Questão 94
Questão
NRTIs have mitochondrial toxicity
Questão 95
Questão
Which of the following is an adverse effect of NRTIs?
Questão 96
Questão
NRTIs cause Steven Johnson syndrome
Questão 97
Questão
Which of the following is not a protease inhibitor?
Responda
-
Saquinavir
-
Retrovir
-
Ritonavir
-
Indinavir
Questão 98
Questão
Which of the following is the correct drug regimen for post-exposure prophylaxis?
Questão 99
Questão
How do enfuvirtides work?
Questão 100
Questão
Which of the following is an integrase inhibitor?
Responda
-
Retrovir
-
Raltegravir
-
Indinavir
-
Lopinavir
Questão 101
Questão
TNX-355 is used to prevent virus maturation
Questão 102
Questão
When should Antiretroviral therapy be started?
Responda
-
When CD4 count is less than 200
-
In HIV patient who is pregnant
-
With Hepatits B virus coinfection
-
These are all reasons to start therapy
Questão 103
Questão
Efavirenz is the recommended drug for HIV therapy in pregnant women
Questão 104
Questão
Choose the drugs that are part of HAART?
Responda
-
2NRTIs
-
NNRTIs
-
Ritonavir
-
Integrase
-
Enfuvirtide
-
Befirimat
-
TNX-355
-
Acyclovir
-
Famciclovir
Questão 105
Questão
Which antiviral drug prevents formation of DNA chain by inhibiting viral DNA synthesis?
Responda
-
Acyclovir
-
Ganciclovir
-
Raltegravir
-
Retrovir
Questão 106
Questão
Ganciclovir causes myelosuppression
Questão 107
Questão
Which of the following is used for prophylaxis of TB
Responda
-
Rifampin
-
Isoniazid
-
Streptomycin
-
Ethambutol
Questão 108
Questão
Which of the following is true about isoniazid?
Responda
-
It is not readily absorbed by the GIT
-
It is metabolized by CYP450 enzyme, therefore having many drug interactions
-
Inhibits synthesis of Mycolic acid
-
Structurally distinct from pyridoxine, therefore causing peripheral neuropathy
Questão 109
Questão
Choose which of the following drugs are administered with isoniazid for treatment?
Responda
-
Rifampin
-
Ethambutol
-
Retrovir
-
Acyclovir
Questão 110
Questão
Rifampin is a "true" antibiotic
Questão 111
Questão
Which of the following is NOT true regarding Rifampin?
Responda
-
Gives a harmless orange color to all bodilly secretions
-
Can cause cholestatic jaundice
-
Used for prophylaxis
-
Binds to bacterial RNA polymerase enzyme and inhibits RNA synthesis
Questão 112
Questão
Mr. Smith works as an airline pilot and was found to have TB. Which drug would you NOT want to give him, due to its effects on visual acuity and color discrimination?
Responda
-
Isoniazid
-
Rifampin
-
Ethambutol
-
Streptomycin
Questão 113
Questão
Which of the following drugs is given for prophylaxis and cure of malaria?
Responda
-
Fluoroquinolones
-
Quinolones
-
Albendazole
-
Chloroquine
Questão 114
Questão
Which of the following are concerns with the use of Antimalarials?
Questão 115
Questão
Which of the following is NOT a concern of antimalrials with long term drug dosing?
Responda
-
Retinopathy
-
Ototoxicity
-
Irreversible neuropathy
-
Nephrotoxicity
Questão 116
Questão
Epstein-Barr virus can cause nasopharyngeal cancer
Questão 117
Questão
Which of the following cause Hodgkins/Non-Hodgkins?
Responda
-
Hepatitis B
-
HIV
-
HPV
-
Epstein-Barr virus
Questão 118
Questão
Which of the following is part of treatment for advanced disease?
Questão 119
Questão
Which of the following NOT consistent with primary resistance in regards to cancer drugs?
Responda
-
No response with drug therapy
-
Blamed on loss of p53 tumor suppressor gene
-
Common in malignant melanoma
-
Increased expression of MDR1 gene
Questão 120
Questão
How do alkylating agents cause cell death in cancer drugs?
Responda
-
They transfer their alkyl groups to DNA within the nucleus
-
They can inhibit protein chains and DNA strand breakage by carbamoylation
-
React chemically with sulfydryl, amino,hydroxyl and phosphate groups
-
All of the above
Questão 121
Questão
Which of the following causes hemorrhagic cystitis?
Responda
-
Cyclophosphamide
-
Cisplatin
-
Vincristine
-
Mitomycin
Questão 122
Questão
Which of the following causes myelosuppression?
Responda
-
Methotrexate
-
Vinblastine
-
Mitomycin
-
All of the above
Questão 123
Questão
Which of the following cause mucositis?
Responda
-
Chlorambucil
-
Vinorelbine
-
5-flurouracil
-
None of the above
Questão 124
Questão
Which of the following cause neutropenia?
Responda
-
Methotrexate
-
5-flurouracil
-
Mitomycin
-
Cisplatin
Questão 125
Questão
Which of the following causes SIADH?
Responda
-
Methotrexate
-
Vinblastine
-
Cyclophospamide
-
None of the above
Questão 126
Questão
Methotrexate has a similar mechanism to what other drug?
Responda
-
Sulfonamides
-
Trimethoprim
-
Fluoroquinolones
-
Penicillins
Questão 127
Questão
Which of the following drugs does NOT inhibit renal excretion of methotrexate?
Questão 128
Questão
Imatinib prevents phosphorylation of the cell kinase substrates by ATP
Questão 129
Questão
Cetuximab works against which enzyme to suppress cancer growth?
Responda
-
EGFR
-
Transcriptase
-
Transpeptidase
-
DNA polymerase
Questão 130
Questão
Retinoic acid is used to treat childhood ALL