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Antimicrobial Resistance

Total questions: 25

Worksheet time: 19mins

Name
Class
Date
1.

1. Antibiotics are effective in killing the following

a)

A. Virus

b)

B. Bacteria

c)

C. Fungus

d)

D. All of the above

2.

2. Alexander Fleming discovered the first antimicrobial from which type of organism?

a)

A. Bacteria

b)

B. Protozoa

c)

C. Fungus

d)

D. Virus

3.

3. The bioavailability of the drug that is given intravenously is

a)

70%

b)

80%

c)

90%

d)

100%

4.

4. An initial higher dose of a drug given at the beginning of a course of treatment is called as

a)

A. Therapeutic dose

b)

B. Loading dose

c)

C. Maintenance dose

d)

D. Rapid dose

5.

5. Antibiotic resistance is considered when the

a)

A. Organism develop mechanism to defeat the drugs and survive

b)

B. Patient’s immunity is weak to respond to the drugs

c)

C. Patient is very strong and does not respond to the treatment

d)

D. Infection becomes severe leading to resistance to drugs

6.

6. A microbe acquires antibiotic resistance by which means?

a)

A. Development of medication resistance in the host

b)

B. Inhibition of cell wall synthesis

c)

C. Incorrect dosing, which contributes to ribosome mutations

d)

D. Direct gene transfer between bacteria

7.

7. The characteristic feature of selective toxicity of antimicrobial medication is the ability to?

a)

A. Transfer DNA coding

b)

B. Suppress bacterial resistance

c)

C. Avoid injuring host cells

d)

D. Act against a specific microbe

8.

8. Which of the following is the most important criteria for selecting an antibiotic for use?

a)

A. The drug has to be bacteriostatic

b)

B. The drug has to kill the bacteria

c)

C. The patient can afford to buy the drug

d)

D. The pathogen is susceptible to the drug

9.

9. The term, “Minimum Bactericidal Concentration (MBC)” is the lowest concentration of an antibiotic needed to reduce the number of bacterial colonies by

a)

A. 69.9%

b)

B. 79.9%

c)

C. 89.9%

d)

D. 99.9%

10.

10. Which is not the risk factors of antibiotic resistance?

a)

A. Self-medication

b)

B. Poor adherence to medication regimen

c)

C. Treating cold and fever with antibiotics

d)

D. Surgical Prophylaxis

11.

11. The development of a new infection as a result of the elimination of normal flora by an antibiotic is referred to as?

a)

A. Resistant infection

b)

B. Superinfection

c)

C. Nosocomial infection

d)

D. Allergic reaction

12.

12. Impact of antibiotic resistance on management of patients are the following EXCEPT

a)

A. Increased mortality

b)

B. Increased length of hospitalization

c)

C. Added burden on healthcare costs

d)

D. Fast recovery of patient with infections

13.

13. You are started on antibiotics for 2 weeks for streptococcal sore throat. You feel better after a week. What would you do with leftover antibiotics?

a)

A. Save them for future illness

b)

B. Give them to a friend or family member

c)

C. Dispose of them properly

d)

D. Complete course of antibiotics as advised

14.

14. Which of the following can happen after taking antibiotics?

a)

A. Yeast infection

b)

B. Difficile infection

c)

C. Allergic reaction

d)

D. All of the above

15.

15. You visit the doctor for the management of severe cold and cough expecting your doctor to start you on antibiotics. Your best action when the doctor did not start you on antibiotics.

a)

A. Buy the antibiotics on your own from a medical shop

b)

B. If you believe that an antibiotic would help your illness, you should demand for it

c)

C. Take the left over antibiotics that was given to you when you had cold and cough last time

d)

D. Follow the instructions of the doctor and avoid antibiotics

16.

16. The recommended practice for preventing the spread of resistant bacterial infection is hand hygiene with

a)

A. Plain soap and water

b)

B. Antibacterial soap and water

c)

C. Antibacterial hand rub

d)

D. Antibacterial soap solution

17.

17. Removal of intravenous line access device once the patient no longer requires intravenous (IV) antibiotics is carried out for

a)

A. Preventing transmission

b)

B. Promoting comfort

c)

C. Preventing infection

d)

D. Reducing the cost

18.

18. A nurse should recognize that antibiotic prophylaxis is appropriate in patients with which medical condition?

a)

A. Ruptured appendix

b)

B. Rhinitis

c)

C. Neutropenia

d)

D. Chickenpox

19.

19. A young man is admitted to the hospital with a medical diagnosis of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). When taking the patient's history, a nurse recognizes which information as the most important?

a)

A. Plays a contact sport and is an athlete

b)

B. Currently resides in a hostel

c)

C. Did not complete the last course of antibiotics

d)

D. Had gallbladder surgery in the previous month

20.

20. A patient who has a Vancomycin-Resistant Enterococci (VRE) infection is receiving linezolid. Which laboratory result indicates that the patient is having an adverse effect?

a)

A. White blood cell (WBC) count of 1200 units/L

b)

B. Hemoglobin (Hb) level of 18 g/dL

c)

C. RBCs level of 4.2 to 5.4 million mcL.

d)

D. Platelets level of 1.5-4.0/ ml

21.

21. Which of the following is an appropriate reason to delay antibiotic administration in a stable patient?

a)

A. The patient is nauseated

b)

B. A complete blood count has not been drawn today

c)

C. A blood type and screen is not up to date

d)

D. Blood cultures must be obtained first

22.

22. The food that interferes with the absorption of antibiotic is

a)

A. Milk

b)

B. Apple

c)

C. Soya

d)

D. Garlic

23.

23. A term commonly used to describe MRSA is

a)

A. Super bug

b)

B. Smart bug

c)

C. Resistant bug

d)

D. Dangerous bug

24.

24. MRSA is commonly found in

a)

A. Mouth

b)

B. Nose

c)

C. Throat

d)

D. Eye

25.

25. What is the best defense against resistant microorganism

a)

A. Vaccines

b)

B. Good Hygiene

c)

C. Avoiding antibiotics

d)

D. Sterilization