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WorksheetsBugs and Drugs 1
Total questions: 114
Worksheet time: 1hrs 5mins
Which of the following consists of a thick peptidoglycan layer and lacks a cell membrane
Gram positive bacteria
Gram negative bacteria
Which of the following are beta hemolytic streptococcus?
S. Canis
S. equi
S. Suis
S. Uberis
Which of the following is a spore forming aerobic bacteria?
Bacillus sp.
Clostridium sp.
Listeria
Mycobacterium spp.
Which of the following is a spore forming anaerobic bacteria?
Rhodococcus equi
Nocardia
Bacillus sp
Clostridium sp
What body site are campylobacter and enterobacteriales commonly found?
GI
Respiratory
Urogential
What body site are campylobacter, brucellosa spp and leptospira spp commonly found?
Urogenital
Respiratory
GI
Which of the following are examples of environmental gram negative bacteria?
F. Tularensis
P. Aeruginosa
Acinetobacter spp
Anaplasma spp
Ehrlichia spp
What are acceptable cultures for the lower respiratory tract?
BAL
TTW
Tissues
Swab
The upper respiratory tract is lowly populated with bacteria:
True
False
When do you need to take special consideration when sampling feces?
Suspect campylobacter or anaerobes
Suspect aerobes
Every time
Never
When you suspect ____ in the urogenital system you must make special considerations:
Campylobacteriosis
Trichomoniasis
Leptospirosis
Taylor Ella equigenitalis
E. Coli
Swabs are okay for superficial pyoderma (pustule) and ears but nothing else for the integumentary system:
True
F
When is it okay to swab internal organs or sterile body sites?
Abscesses or when sample is very small
Abscesses only
Only when sample is small
Any time
What type of dilution does macro-broth dilution run?
Single
Triple
Double
No dilution
What do you read on the gradient method AST test to determine MIC
Apex of teardrop
Base of teardrop
What shape are prokaryotes?
Round (cocci)
Rod (bacilli)
Spiral (spirilla)
Hyphae
Fungi are non-motile:
True
False
Superficial Fungal infections are caused mostly by:
Yeasts and dermatophytes
dimorphic fungi
aspergillosis
mycetoma and candidiasis
most systemic fungal infections originate from the:
Lungs
Skin
GI tract
oral
What fungal infection are you likely to get in the tropics when walking barefoot?
Dermatophytes
Candidiasis
Dimorphic fungi
mycetoma
Which of the following cause superficial fungal infections?
Malassezia
Dermatophytosis
aspergillosis
histoplasmosis
coccidiomycosis
Fungal pathogens are able to switch from hyphal cells to yeast cells in human hosts for survival:
True
False
What pathogen can patients get due to ingested/inhaling soil contaminated by bird or bat droppings?
Histoplasmosis
Blastomycosis
What fungal disease would you see most likely in the Midwest?
histoplasmosis
blastomycosis
coccidioidomycosis
what fungal disease would you likely see east of the mississippi river (Ohio river valley)
histoplasmosis
blastomycosis
coccidioidomycosis
what fungal disease would you likely see in the southwestern united states?
Blastomycosis
histoplasmosis
coccidioidomycosis
what are signs of acute coccidioidomycosis?
Cough
difficulty breathing
weight loss
seizures
enlarged lymph nodes
what are signs of chronic coccidioidomycosis?
Enlarged lymph nodes
seizures
diarrhea
skin lesions
what are signs of histoplasmosis in a canine?
Diarrhea
bloody stool
weight loss
respiratory signs
____ cell wall is made of predominately ergosterol
Animals
Fungi
What are animal cell walls predominately made of?
cholesterol
Ergosterol
Both
what class of drugs are polyenes?
Ergosterol inhibition
beta gluten synthase inhibitor
DNA/RNA synthesis inhibition
Mitosis inhibition
Which of the following are examples of ergosterol inhibitor classes?
polyenes
azoles
imidazole azoles
Triaozles azoles
Allylamines
What is the first class of anti fungal agents?
Ergosterol inhibition - polyenes
Ergosterol inhibition - azoles
DNA/RNA synthesis inhibition - polyenes
DNA/RNA synthesis inhibition - fluoropyrimidines
What are example of polyene drugs?
Amphotericin B
Nystatin
Imidazole
triazole
terbinafine
what is the drug of choice for life-threatening systemic fungal infections and disseminated fungal infections?
Amphotericin B
Nystatin
Itraconazole
ketoconazole
Azoles are fungicidal:
True
False
what class of antifungals blocks ergosterol biosynthesis -> increased 14-alpha-dedmethylase -> increase in toxic sterols -> disrupt cell membrane -> cell lysis
Azoles
polyenes
allylamines
Echinocandins
Which of the following are triazoles?
Itraconazole
Fluconazle
Voriconazole
Ketoconazole
What is the preferred treatment for aspergillosis?
Clotrimazole
Miconazole
Ketoconazole
Itraconazole
What is the preferred treatment for malassezia dermatitis?
Miconazole
Clotrimazole
Voriconazole
Fluconazole
Ketoconazole requires a(n) _____ pH for absorption?
Acidic
Basic
Which of the following have minimal side effects due to lack of systemic absorption?
Clotrimazole
Miconazole
Ketoconazole
Fluconazole
Which of the following has high CYP-enzyme inhibition:
Fluconazole
Itraconazole
Voriconazole
Ketoconazole
Which class of antifungals has the following MOA: blocks ergosterol biosynthesis -> inhibits squalene epoxidase -> increase in squalene -> toxicity, disrupts cell membrane -> cell lysis
allylamines
azoles
polyenes
Echinocandins
Anything less than __ isolates in an antibiogram is inaccurate?
30
50
70
90
Which of the following are classes of beta-lactams
Penicillins
Cephalosporins
carbapenems
monobactams
Which class of beta lactams has the narrowest spectrum of activity? (gram - only)
Cephalosporins
penicillins
monobactams
carbapenems
Beta lactams are time dependent:
True
False
Which of the following are first generation cephalosporins?
Cephalexin
cefadroxil
cefazolin
cefpodoxime
cefovecin
Enterococci are intrinsically resistant to cephalosporins
True
False
Cefpodoxime is a _ generation cephalosporin
1
2
3
4
Cefovecin is a _ generation cephalosporin
1
2
3
4
What is the first (oral) choice treatment for streptococcus and staphylococcus
Cephalexin + cefadroxil
Cefazolin
Cefpodixime + cephalexin
Cefazolin + cefadroxil
what is the first choice treatment (parental) of 1st generation cephalosporins?
Cefazolin
cephalexin
cefpodoxime
cephapirin
what is the first treatment choice for mastitis?
Cephapirin
Cephalexin
cefpodoxime
cefadroxil
what is the 3rd generation cephalosporin drug of choice for skin/soft tissue infection
Cefpodoxime
cefovecin
ceftiofur
cefoxitin
What is the 3rd generation drug of choice for UTIs, skin and soft tissue infections
Cefovecin
Cefpodoxime
Ceftiofur
Cefepime
what is the 3rd generation drug of choice for cattle, pigs, and horses (especially respiratory tract infections)
Ceftiofur
Cefovecin
Cefpodoxime
Cefepime
Imipenem and meropenem are examples of:
Last resort antimicrobials
First choice antimicrobials
carbapenems
1st generation cephalosporins
MR staph is resistant to carbapenems:
True
False
What are challenges of carbapenems:
IV administration only
carbapenamase-producing bacteria reported
Nephrotoxic
Short-shelf life
What can you combine carbapenamase with to prevent renal toxicity?
Cilastatin
Nothing will prevent it
Does not cause renal toxicity
meropenem
Beta hemolytic strep is susceptible to all beta lactase
True
False
MR staph is resistant to all beta lactams except:
5th generation cephalosporins
3rd generation cephalosporins
They are not resistant to beta lactams
they are resistant to all beta lactams
What drug class' MOA is to inhibit beta (1,3) gluten synthase. Leads to depletion of beta (1,3) gluten in cell wall. Cell lysis and death.
Beta gluten synthase inhibitions
Allylamines
Ergosterol inhibition
azoles
Beta-glucan synthase inhibitors are commonly used in vet med
True
False
DNA/RNA synthesis inhibition only inhibits DNA synthesis:
True
False
Fluoropyrimidines has little activity against:
Clinically important yeast
Molds
dimorphic fungi
Neoformans
Which drug causes severe dose dependent bone marrow depression and cutaneous eruption:
Flucytosine
Griseofulvin
Echinocandins
Terbinafine
What drug blocks cell division in metaphase
Griseofulvin
Flucytosine
Ketoconazole
Echinocandins
What are possible effects of viral infections?
Oncogenic mutation
cell destruction
budding viruses
dormant infection
where do most drugs target viruses?
Host attachment
Viral translation
viral transcription
post translation modifications
Amantadine and Oseltamivir are used to treat:
Influenza
Herpes
Fungal infections
Bacterial infections
What was the first useful herpes drug?
Acyclovir
Valacyclovir
Famciclover
ganciclover
Which of the following are deoxygeuanosine derivatives?
Famciclover
Valacyvlovir
Acyclovir
Ganciclover
Which of the following are examples of deoxythymidine derivatives
Trifluridine
Idoxuridine
acyclovir
famciclovir
Topical toxicities ocur in:
Deoxythymididine derivatives
deoxyguanosine derivatives
Famciclovir is given to treat:
Feline herpes
Influenza
Blastomycosis
FIP
Treatment of feline herpes is limited to the actively replicating phase:
True
False
Interferon can be used to treat:
FeLV
FIV
FIP
Influenza
Although there is no evidence of efficacy ____ is used to treat FIP
Interferon
famciclovir
Ketoconazole
Penciclovir
which of the following is true of L-Lysine:
May be effective in suppressing FHV-1
May lessen viral shedding
Shown effective in reducing upper respiratory tract infections caused by FHV-1
Treatment used in acute infections
Treatment used in chronic infections
Which of the following is true regarding chlorampenicol:
Highly lipid soluble - crosses BBB
Long half lives
Poor protein binding - more availablity
pH does not influence distribution
distributes well to extracellular fluids
True or false: chloramphenicol is a good choice for brain or eye infections
True
False
Phenicols:
Bind 50s subunit and inhibit peptidyl transferase
Binds 30s subunit and inhibit peptidyl transferase
only inhibits peptidyl transferase
only binds 50s subunit
Chloramphenicol has activity against:
Gram +
Gram -
Anaerobes
some intracellular
True or False: resistance to one chloramphenicol derivative predicts resistance to the others
True
False
Which is the drug of choice for food animal medicine
Chloramphenicol
Florfenicol
You should not use florfenicol in ___ due to it causing high bilirubin and diarrhea
Horses
Cattle
Swine
Sheep
Chloramphenicol and florfenicol cause dose dependent bone marrow suppression
True
False
A side effect of ___ is aplastic anemia
chloramphenicol
florfenicol
Beta lactams
Polyenes
True or False: Clindimycin does not penetrate the BBB
False
True
True or false: clinidmycin is resistant to all aerobes
True
False
Cross resistance commonly occurs between:
Lincosamides
Streptogramin group B
Macrolids
Beta lactams
Lincosamides have an additive effect when used with:
Aminoglycoside
Fluoroquinoline
Metronidazole
Itraconazole
Lincosamides have an antagonist effect when used with:
Chloramphenicol
Macrolides
Fluoroquinolones
Metronidazole
Licosamide causes fatal diarrhea in:
Horses
Rabbits
other herbivores
Cats
dogs
True or false: lincosamides cause esophageal strictures in cats:
True
False
Pirlimycin is used to commonly treat
Mastitis
Skin infections
dental infections
osteomyelitis
Lincomycin is commonly used to treat:
Dysentery
Mycoplasma
Erysipelas
Streptococcal infections
Controlling necrotic enteritis
Clindamycin is commonly used to treat:
Skin infections
Prostate
Dental infections
Anaerobic infections
osteomyelitis
The minimum inhibitory concentration (MIC) is defined as:
The highest concentration of antimicrobial drug that kills the inoculum of bacteria
The lowest concentration of antimicrobial drug that inhibits visible growth of bacteria
The lowest concentration of antimicrobial drug that is used in a two fold dilution series
the highest concentration of antimicrobial drug that is used I a dilution series to treat a patient
True or False: It is recommended to perform antimicrobial susceptibility testing if topical antimicrobials are going to be used in a patient
True
False
A cat is presented to you with a history of non healing abscess. The owner said it has been more than one month, but cannot remember the antibiotics the previous vet described. At the exam, you find that the abscess is caseous. How would you proceed?
I will collect a surgical biopsy and request histopathology, aerobic, anaerobic, mycobacterium and fungal culture
I would clean and rinse, and I will use a new round of antimicrobials using clindamycin
At this point these is no reason to perform culture, I will use a broad spectrum antimicrobial
I will collect a surgical biopsy for histopathology and a swab for aerobic culture
Which of the following anti fungal drugs would be the first choice in treating disseminated blastomycosis?
Ketoconazole
Itraconazole
Fluconazole
Flucytosine
Which of the following mechanisms contributes to the adverse effects of amphotericin B?
It inhibits mammalian P450 enzymes
It binds cholesterol in the membranes of renal tubular epithelial cells
It concentrates in keratin
It increased gastric acid secretion
Which of the following drugs' mechanisms of action does not target ergosterol or ergosterol synthesis?
Fluconazole
Itraconazole
Amphotericin B
Griseofulvin
Antiviral drugs such as idoxuridine alter the structure of viral DNA, but do not affect host cell DNA
True
False
Which of the following has protection status at OSU VMC?
Vancomycin
amoxicillin
Cloramphenicol
Pradoflaxacin
Which of the following is the best definition of antibiogram
a technique to masure the diameter of disk diffusion test
a periodic summary of antimicrobial susceptibilities of local bacterial isolates submitted to the hospitals clinical microbiology laboratory
a periodic summary of antimicrobial resistance of local bacterial isolates submitted to the hospitals clinical microbiology laboratory
a periodic summary of antimicrobial prescriptions submitted to the hospitals pharmacy
Which of the following is illegal to use in cattle
Chloramphenicol
Florfenicol
Cephapirin
Which of the following is not an important side effect of chloramphenicol
aplastic anemia in humans
peripheral neuropathy
retinopathy in cats
severe GI disturbances
The mechanism of action of chloramphenicol and florfenicol is inhibition of the bacteria cell wall
True
False
