WorksheetsMicrobiology Chapters 13 to 16
Total questions: 31
Worksheet time: 1hrs 2mins
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.
Resistance
Horizontal transmission
Vertical transmission
Mutation
Transmission of genes from one cell to another without reproduction or increase in cell numbers is termed.
Horizontal transmission
Vertical transmission
Resistance Creep
Minimum inhibitory concentration
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.
innate
acquired
phenotypic
genotypic
________ 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.
genotypic
phenotypic
acquired
intrinsic
Mutation is a clinically important source of antibiotic resistance.
true
false
Which of the following is NOT one of the three ways in which new genes may be obtained by a bacterial cell?
transformation
transduction
conjugation
resistance
_____________ 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.
transformation
transduction
conjugation
resistance
__________ 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.
transduction
transformation
conjugation
resistance
____________ is the most important mechanism of horizontal gene transfer.
conjugation
transformation
transduction
lysogeny
Transposons are also called:
jumping genes
vectors
plasmids
chromosomes
__________ is the effort to measure and improve how antibiotics are prescribed by clinicians and used by patients.
antibiotic stewardship
antibiotic resistance
phenotypic resistance
genotypic resistance
Alexander Fleming discovered the first antibiotic, __________, in 1928.
penicillin
tetracycline
cephalexin
ciprofloxacin
What is true about the ‘ESKAPE’ pathogens?
They developed the ability to evade commonly used antibiotics and are resistant to most antibiotics
New and effective antibiotics have been created to fight these pathogens over the past few years
They are easily treated using common antibiotics
These are antibiotic policies that are part of antibiotic stewardship
Which of the following are reasons why major pharmaceutical companies abandoned research and development in antibiotics?
increasing difficulty and spiraling cost of developing new antibiotics
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
bacteria will become progressively less sensitive to an antibiotic, so its therapeutic value (and sales) will lessen with time
difficulty of constructing criteria-satisfying clinical trials
Which of the following are part of the antibiotic policies that were put into place in hospitals in the 1970s and 1980s:
Restricting the use of antibiotics in agriculture
Promoting more widespread use of vaccines
Better diagnosis by better laboratory testing
Decreasing cost of antibiotics
Which of the following is NOT one of the aims of antibiotic stewardship?
seek to improve patient outcomes
reduce the risk of adverse effects
help reduce the spread of antibiotic resistant organisms in hospital
Increase antibiotic resistance development
___________ is the number and type of microorganisms present in or on a pharmaceutical raw material, medicine or medical device.
bioburden
pour-plate method
surface-spread method
membrane filter method
Another term for quantitative bioburden is:
total viable count (TVC)
minimum inhibitory concentration (MIC)
colony forming units (CFU)
Miles– Misra surface drop method
____________ is subjected to bioburden testing more commonly than any other material.
water
sodium chloride
Iodine
chlorine
Counts are expressed using which of the following units?
colony forming units (CFU)
cells per mL
cells per gram
cells per colony
The most common method for determining the TVC is the:
Pour-plate method
Surface-spread method
Miles– Misra surface drop method
Membrane Filter Method
____________ 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.
Miles– Misra surface drop method
Surface-spread method
Pour-plate method
Most Probable Number Method
When the sample contains insoluble material that would interfere with plate counts, the best counting method to use is:
Most Probable Number Method
Spread-plate method
Miles-Misra drop method
Membrane filter method
Identification of bacteria is based on which of the following? (select all that apply)
appearance
growth characteristics
microscopic appearance
biochemical tests
Chemical biocides are used as antiseptics, preservatives or disinfectants and are NOT used systemically for therapeutic purposes
True
False
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
Antiseptics
Disinfectants
Preservatives
Antibiotics
Agents that possess broad antimicrobial activity but will have toxicity issues limiting their use to inanimate surfaces such as worktops, floors, sinks and drains
disinfectants
preservatives
antiseptics
antibiotics
Broad spectrum antimicrobial agents incorporated into pharmaceutical and other products to prevent the growth of contaminant microorganisms which might arise during use
Preservatives
Disnfectants
Antiseptics
Antibiotics
What does a virucidal agent do?
Kills viruses
Prevents the growth of viruses
Kills and prevents growth of bacteria
Kills fungi
What is the minimum inhibitory concentration or MIC?
the lowest concentration of biocide which just inhibits the growth of a population of cells
the highest concentration of biocide required for disinfection
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
a count of the organisms present
Which type of quantitative test simulates in-use tests and and includes surface disinfection testing?
Phase 2 step 2
Phase 2 step 1
Phase 1
Surface test
