Biology
Antibiotics and Immunity
859 Questions
Prepare for your science sections with these questions on antibiotics and immunity. The hub covers various classes of antibiotics, their sources, and mechanisms of microbial resistance. It also addresses the human antiviral response.
Antibiotic classes and sourcesMicrobial resistance mechanismsAntiviral proteinsDisease treatments
Antibiotics and Immunity Questions
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Tetracycline-resistant vibrio cholerae
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Salmonella typhi
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Enterococcus faecium
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Pseudomonas aeruginosa
D
Correct answer
Explanation
Chloramphenicol is not effective against Pseudomonas aeruginosa. Chloramphenicol resistance may be carried on a plasmid that also codes for resistance to other drugs or it is effectively pumped out by efflux pumps.
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Mupirocin is a bactericidal drug at low concentrations.
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Mupirocin binds to t-RNA synthetase.
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Mupirocin is very effective on Propionibacterium acne.
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Mupirocin binds to 50S sub-unit of ribosomes.
B
Correct answer
Explanation
This is the correct answer. Mupirocin reversibly binds to the isoleucyl t-RNA synthetase in Staphylococcus aureus and Streptococcus, resulting in inhibition of protein synthesis.
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MRSA (methicillin Resistant Staphylococcus aureus)
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Mycobacteria
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Pseudomonas
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VRE (vancomycin resistant enterococci)
C
Correct answer
Explanation
Fourth generation cephalosporins covers Pseudomonas infection.
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Metranidazole
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Erythromycin
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Penicillin G
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Cefalexin
B
Correct answer
Explanation
Whooping cough is caused by a Gram-negative, aerobic, pathogenic and encapsulated coccobacillus of the genus Bordetella called Bordetella pertussis. It affects the respiratory tract. Erythromycin is likely to treat whooping cough as it is effective on aerobic respiratory pathogens.
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The combination is used to treat infections by Staphylococci and by vancomycin-resistant Enterococcus faecium.
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Quinupristin/dalfopristin combination produces bacteriostatic activity.
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Quinupristin binds to 50S ribosomal subunit.
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Dalfopristin binds to 23S ribosomal subunit.
B
Correct answer
Explanation
This statement is false. Both drugs are bacteriostatic, when used alone, but the combination shows bactericidal activity.
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It is a competitive inhibitor of dihydropteroate synthase.
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It has an affinity for bacterial dihydrofolate reductase (DHFR).
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It blocks the synthesis of dihydrofolic acid.
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It is a non-competitive inhibitor of dihydrofolic acid and reduces its activity.
B
Correct answer
Explanation
Trimethoprim has a very high affinity for bacterial dihydrofolate reductase. It competitively inhibits the activity of DHFR and inhibits the reduction of dihydrofolic acid (DHF) to tetrahydrofolic acid (THF). THF is an essential precursor in the thymidine synthesis pathway and interference with this pathway inhibits bacterial DNA synthesis.
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Piperacillin
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Clindamycin
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Pristinamycin
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Cefepime
C
Correct answer
Explanation
Pristinamycin belongs to the streptogramin family. It is used to treat VRE (vancomycin resistant enterococci) infections. It is effective against VRE because it inhibits protein synthesis and vancomycin acts on the cell wall. Thus, its mechanism of action is altogether different than vancomycin. It also enters the bacterial cell easily, whereas other protein inhibitors fail to do so.
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Gram-negative organisms + GRE (glycopeptide resistant enterococcus) + MRSA (methicillin resistant Staphylococcus aureus)
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Gram-positive organisms + GRE (glycopeptide resistant enterococcus) + MRSA (methicillin resistant Staphylococcus aureus)
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Mycobacteria + GRE (glycopeptide eesistant enterococcus) + MRSA (methicillin resistant Staphylococcus aureus)
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Resistant Gram-negative organisms
B
Correct answer
Explanation
Daptomycin is active against all Gram-positive organisms. They include glycopeptide resistant enterococci (GRE), Staphylococci (including methicillin resistant Staphylococcus aureus), Streptococci, corynebacteria and stationary-phase Borrelia burgdorferi persisters.
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Doxycycline
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Radezolid
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Rifampicin
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Mupirocin
B
Correct answer
Explanation
Radezolid inhibits the initiation step of protein synthesis. It targets an early step involving the binding of N-formylmethionyl-tRNA to the ribosome.
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Lantibiotics are produced by Gram-negative bacteria and act against other Gram-negative bacteria.
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Lantibiotics are broad spectrum glycopeptides.
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Lantibiotics are similar to bacteriocins.
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Nisin and epidermin are members of class lantibiotics that bind phosphoethanolamine in the membranes of their target cells.
C
Correct answer
Explanation
Lantibiotics are similar to bacteriocins. In fact, the lantibiotics are a class of more extensively modified bacteriocins, also called Class I bacteriocins (toxins produced by bacteria).
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Telavancin/Resistant to Gram-negative organisms and Pseudomonas
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Ceftolozane and tazobactam combination/MRSA (methicillin resistant Staphylococcus aureus) and VRE (vancomycin resistant enterococci)
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Ceftolozane and tazobactam combination/Resistant to Gram-negative organisms and Pseudomonas
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Telavancin/MRSA (methicillin resistant Staphylococcus aureus) and Gram-positive organisms
C
Correct answer
Explanation
Ceftolozane/tazobactam combination was marketed in 2015. The combination has activity against many Gram-positive and is resistant to Gram-negative pathogens and Pseudomonas aeruginosa. Thus, ceftolozane and tazobactam combination antibiotic is the latest antibiotic in the market.
Match the antibiotics with their mechanism of action.
| |
|
| Antibiotic |
MOA |
| 1. Polymyxin B |
a. Cross linking of DNA |
| 2. Enoxacin |
b. Disrupts cell membrane function |
| 3. Furazolidone |
c. Alters bacterial outer membrane permeability |
| 4. Daptomycin |
d. Inhibits bacterial gyrase |
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|
|
| 1. Polymyxin B |
b. Disrupts cell membrane function |
| 2. Enoxacin |
a. Cross linking of DNA |
| 3. Furazolidone |
c. Alters bacterial outer membrane permeability |
| 4. Daptomycin |
d. Inhibits bacterial gyrase |
-
|
|
| 1. Polymyxin B |
c. Alters bacterial outer membrane permeability |
| 2. Enoxacin |
d. Inhibits bacterial gyrase |
| 3. Furazolidone |
a. Cross linking of DNA |
| 4. Daptomycin |
b. Disrupts cell membrane function |
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|
|
| 1. Polymyxin B |
d. Inhibits bacterial gyrase |
| 2. Enoxacin |
b. Disrupts cell membrane function |
| 3. Furazolidone |
c. Alters bacterial outer membrane permeability |
| 4. Daptomycin |
a. Cross linking of DNA |
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|
|
| 1. Polymyxin B |
d. Inhibits bacterial gyrase |
| 2. Enoxacin |
a. Cross linking of DNA |
| 3. Furazolidone |
b. Disrupts cell membrane function |
| 4. Daptomycin |
c. Alters bacterial outer membrane permeability |
B
Correct answer
Explanation
This is the correct match.
Polymyxin B alters bacterial outer membrane permeability by binding to a negatively charged site in the lipopolysaccharide layer and destabilises the outer membrane.
Enoxacin functions by inhibiting bacterial DNA gyrase and topoisomerase IV and prevents bacterial DNA replication, transcription, repair and recombination.
Furazolidone works by crosslinking of DNA.
Daptomycin disrupts multiple aspects of bacterial cell membrane function which results in bacterial cell death.
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Pneumonia
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Typhoid
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Syphilis
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Tuberculosis
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Common cold
E
Correct answer
Explanation
Common cold is a viral disease and cannot be treated using antibiotics.
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It absorbs and holds gram stain.
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It protects the bacterium against certain antibiotics.
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It does not contain phospholipids.
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It allows the bacterium to attach to solid objects.
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It assists in the process of cell division.
B
Correct answer
Explanation
A bacterium with an outer membrane is gram negative and protected against certain antibiotics such as penicillin.
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bacteria
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virus
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fungi
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protozoa
B
Correct answer
Explanation
Viruses replicate inside host cells using the host's own machinery, making it extremely difficult to develop drugs that target the virus without harming human cells. Bacteria, fungi, and protozoa have their own cellular structures and metabolic pathways that can be selectively targeted with fewer side effects.