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Example Questions
Example Question #1 : Antimicrobial Pharmacology
Polymyxin antibiotics target what part of the bacterial cellular anatomy?
Cell wall
Ribosomes
Nucleic acids
Cell membrane
Cell membrane
Polymyxin antibiotics function by interfering with phospholipid function in bacterial cell membranes. After binding to lipopolysaccharide (LPS) in the outer membrane, polymyxins' hydrophobic tail causes damage to both the inner and outer membranes of Gram-negative bacteria.
Example Question #132 : Nclex
What is the mechanism of action of amoxicillin?
Interference with the 50S subunit of bacterial ribosomes
Inhibition of bacterial cell wall synthesis
Interference with the 30S subunit of bacterial ribosomes
Suppression of folate synthesis
Inhibition of bacterial cell wall synthesis
Amoxicillin inhibits bacterial cell wall synthesis by interfering with the formation of cross-links between peptidoglycan polymer chains.
Example Question #1 : Antimicrobial Pharmacology
Which of the following class of antibiotics is associated with ototoxicity and hearing loss?
Glycopeptides
Beta-lactam antibiotics
Quinolones
Aminoglycosides
Aminoglycosides
Aminoglycoside antibiotics such as streptomycin and gentamicin have been associated with vestibular toxicity and hearing loss. Aminoglycosides remain in inner ear fluids longer than serum and can have a latent ototoxic effect, causing hearing loss even after the antibiotic has been discontinued. None of the other antibiotics listed are associated with ototoxicity.
Example Question #134 : Nclex
Ciprofloxacin belongs to what class of antibiotic?
Beta lactams
Tetracyclines
Macrolides
Fluoroquinolones
Fluoroquinolones
Ciprofloxacin belongs to the fluoroquinolone class of antibiotics. Other antibiotics in this class include norfloxacin, levofloxacin, and nadifloxacin.
Example Question #2 : Antimicrobial Pharmacology
What is rifampin's mechanism of action?
Disruption of cell membranes
Inhibition of the 30S subunit of bacterial ribosomes
Inhibition of RNA polymerase
Inhibition of DNA gyrase
Inhibition of RNA polymerase
Rifampin inhibits bacterial RNA synthesis by inhibiting RNA polymerase. This prevents the transcription of proteins within the bacterial cell, leading to cell death.
Example Question #51 : Drug Identification
What is the most serious potential adverse effect of rifampin use?
Seizures
Nephrotoxicity
Gastric ulceration or bleeding
Liver failure
Liver failure
Hepatotoxicity and potential liver failure are the most serious potential adverse effects of rifampin use. Patients on this medication must establish baseline liver function tests and be monitored for liver damage. None of the other conditions listed are associated with rifampin use.
Example Question #51 : Drug Identification
Aminoglycosides are primarily used for infections by what type of pathogen?
Both Gram negative and Gram positive bacteria
Gram negative bacteria only
Gram positive bacteria only
Yeast and fungi
Gram negative bacteria only
Aminoglycoside antibiotics are used to treat Gram negative bacteria. They have not been shown to be effective against Gram positive bacteria and are not antifungal. Recall the major difference between the Gram negative and positive bacteria are their cell wall composition; Gram negative have a small proportion of peptidoglycan and a high proportion of lipopolysaccharide, while Gram negative bacteria have a large proportion of peptidoglycan.
Example Question #1 : Antimicrobial Pharmacology
Which of the following is an example of an aminoglycoside antibiotic?
Clindamycin
Azithromycin
Streptomycin
Erythromycin
Streptomycin
The only aminoglycoside antibiotic among those listed is streptomycin. Other examples of aminoglycosides include tobramycin and gentamicin. All aminoglycosides either end in -mycin or -micin. However, this suffix is not exclusive to aminoglycosides. It is also seen in the macrolides: erythromycin and azithromycin and both macrolides, and in lincosamides such as clindamycin.
Example Question #1 : Antimicrobial Pharmacology
Fluoroquinolones such as ciprofloxacin may cause which of the following serious side effects?
Irreversible peripheral neuropathy
All of these
Liver failure
Seizures
Sudden tendon rupture
All of these
Fluoroquinolones (the most commonly prescribed of which is ciprofloxacin) carry a risk of all of the following adverse effects: sudden tendon rupture or tendonitis, hepatotoxicity or liver failure, seizures, and permanent peripheral neuropathy. Other adverse effects include Clostridium difficile associated diarrhea, bone marrow suppression, Steven-Johnson's Syndrome, tremors, and psychosis. The majority of these adverse effects are seen in higher numbers in children and the elderly.
Example Question #141 : Nclex
Which of the following antibiotics is least likely to cause C. difficile overgrowth and C. difficile associated diarrhea?
Ampicillin
Clindamycin
Vancomycin
Amoxicillin
Vancomycin
All of the drugs listed frequently cause C. difficile overgrowth and C. difficile associated diarrhea except vancomycin, which is often used as a treatment for persistent C. difficile infections.
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