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Microbiology Chapters 13 to 16

Total questions: 31

Worksheet time: 1hrs 2mins

Name
Class
Date
1.

Refers to when an antibiotic fails to kill or inhibit the growth of a microorganism at concentrations that can safely be achieved at the site of infection in the body.

a)

Resistance

b)

Horizontal transmission

c)

Vertical transmission

d)

Mutation

2.

Transmission of genes from one cell to another without reproduction or increase in cell numbers is termed.

a)

Horizontal transmission

b)

Vertical transmission

c)

Resistance Creep

d)

Minimum inhibitory concentration

3.

If the antibiotic cannot reach the potential target because of permeability barriers or if the organism does not possess the antibiotic target, this is known as ________ resistance.

a)

innate

b)

acquired

c)

phenotypic

d)

genotypic

4.

________ resistance may either result from mutations in the genes the organism already has, or by the organism receiving new, additional genetic information from other cells.

a)

genotypic

b)

phenotypic

c)

acquired

d)

intrinsic

5.

Mutation is a clinically important source of antibiotic resistance.

a)

true

b)

false

6.

Which of the following is NOT one of the three ways in which new genes may be obtained by a bacterial cell?

a)

transformation

b)

transduction

c)

conjugation

d)

resistance

7.

_____________ is when a cell dies, disintegrates and releases its genetic information (DNA), which is picked up by another healthy cell that then transports it through its cell membrane and incorporates it into its own chromosome.

a)

transformation

b)

transduction

c)

conjugation

d)

resistance

8.

__________ is when a bacterial cell is infected by a bacteriophage (phage) which does not immediately kill it but becomes dormant inside the bacterial host and its nucleic acid becomes incorporated into that of the host.

a)

transduction

b)

transformation

c)

conjugation

d)

resistance

9.

____________ is the most important mechanism of horizontal gene transfer.

a)

conjugation

b)

transformation

c)

transduction

d)

lysogeny

10.

Transposons are also called:

a)

jumping genes

b)

vectors

c)

plasmids

d)

chromosomes

11.

__________ is the effort to measure and improve how antibiotics are prescribed by clinicians and used by patients.

a)

antibiotic stewardship

b)

antibiotic resistance

c)

phenotypic resistance

d)

genotypic resistance

12.

Alexander Fleming discovered the first antibiotic, __________, in 1928.

a)

penicillin

b)

tetracycline

c)

cephalexin

d)

ciprofloxacin

13.

What is true about the ‘ESKAPE’ pathogens?

a)

They developed the ability to evade commonly used antibiotics and are resistant to most antibiotics

b)

New and effective antibiotics have been created to fight these pathogens over the past few years

c)

They are easily treated using common antibiotics

d)

These are antibiotic policies that are part of antibiotic stewardship

14.

Which of the following are reasons why major pharmaceutical companies abandoned research and development in antibiotics?

a)

increasing difficulty and spiraling cost of developing new antibiotics

b)

a course of treatment with a successful antibiotic is such short duration – often just five days or less – that the financial return is far less than with lifetime drugs

c)

bacteria will become progressively less sensitive to an antibiotic, so its therapeutic value (and sales) will lessen with time

d)

difficulty of constructing criteria-satisfying clinical trials

15.

Which of the following are part of the antibiotic policies that were put into place in hospitals in the 1970s and 1980s:

a)

Restricting the use of antibiotics in agriculture

b)

Promoting more widespread use of vaccines

c)

Better diagnosis by better laboratory testing

d)

Decreasing cost of antibiotics

16.

Which of the following is NOT one of the aims of antibiotic stewardship?

a)

seek to improve patient outcomes

b)

reduce the risk of adverse effects

c)

help reduce the spread of antibiotic resistant organisms in hospital

d)

Increase antibiotic resistance development

17.

___________ is the number and type of microorganisms present in or on a pharmaceutical raw material, medicine or medical device.

a)

bioburden

b)

pour-plate method

c)

surface-spread method

d)

membrane filter method

18.

Another term for quantitative bioburden is:

a)

total viable count (TVC)

b)

minimum inhibitory concentration (MIC)

c)

colony forming units (CFU)

d)

Miles– Misra surface drop method

19.

____________ is subjected to bioburden testing more commonly than any other material.

a)

water

b)

sodium chloride

c)

Iodine

d)

chlorine

20.

Counts are expressed using which of the following units?

a)

colony forming units (CFU)

b)

cells per mL

c)

cells per gram

d)

cells per colony

21.

The most common method for determining the TVC is the:

a)

Pour-plate method

b)

Surface-spread method

c)

Miles– Misra surface drop method

d)

Membrane Filter Method

22.

____________ is when discrete drops of suspension are placed on the surface to give clusters of colonies in the locations where the drops soaked into the gel.

a)

Miles– Misra surface drop method

b)

Surface-spread method

c)

Pour-plate method

d)

Most Probable Number Method

23.

When the sample contains insoluble material that would interfere with plate counts, the best counting method to use is:

a)

Most Probable Number Method

b)

Spread-plate method

c)

Miles-Misra drop method

d)

Membrane filter method

24.

Identification of bacteria is based on which of the following? (select all that apply)

a)

appearance

b)

growth characteristics

c)

microscopic appearance

d)

biochemical tests

25.

Chemical biocides are used as antiseptics, preservatives or disinfectants and are NOT used systemically for therapeutic purposes

a)

True

b)

False

26.

Agents that have a broad spectrum of antimicrobial activity and are nontoxic enough to allow them to be used on broken skin or mucosal surfaces

a)

Antiseptics

b)

Disinfectants

c)

Preservatives

d)

Antibiotics

27.

Agents that possess broad antimicrobial activity but will have toxicity issues limiting their use to inanimate surfaces such as worktops, floors, sinks and drains

a)

disinfectants

b)

preservatives

c)

antiseptics

d)

antibiotics

28.

Broad spectrum antimicrobial agents incorporated into pharmaceutical and other products to prevent the growth of contaminant microorganisms which might arise during use

a)

Preservatives

b)

Disnfectants

c)

Antiseptics

d)

Antibiotics

29.

What does a virucidal agent do?

a)

Kills viruses

b)

Prevents the growth of viruses

c)

Kills and prevents growth of bacteria

d)

Kills fungi

30.

What is the minimum inhibitory concentration or MIC?

a)

the lowest concentration of biocide which just inhibits the growth of a population of cells

b)

the highest concentration of biocide required for disinfection

c)

when a known volume is simply placed in the base of the Petri dish and 10–25 ml of molten culture medium is poured onto it and quickly mixed

d)

a count of the organisms present

31.

Which type of quantitative test simulates in-use tests and and includes surface disinfection testing?

a)

Phase 2 step 2

b)

Phase 2 step 1

c)

Phase 1

d)

Surface test