Question

The following are antibiotics / antimicrobial mechanism of actions except: A) Inhibition of bacterial cell wall synthesis B) Inhibition of folate synthesis C) Inhibition of protein synthesis D) Inhibition of cortisol E) inhibition of synthesis of bacterial RNA and DNA Walter, a teenage patient is admitted to the hospital because of acetaminophen (Tylenol) overdose Overdoses of acetaminophen can precipitate life-threatening! abnormalities in which of the following organs? A) Lungs B) Liver c) Kidney D) Adrenal Glands A 13-month-old child recently arrived in the United States from a foreign country with his parents and needs childhood immunizations. His mother reports that he is allergic to eggs. Upon further questioning, you determine that the allergy to eggs is anaphylaxis. Which of the following vaccines should he not receive? A). Hepatitis B B). inactivated polio C). diphtheria, acellular pertussis, tetanus (DTP). D) mumps, measles, rubella (MMR) The nurse is aware that the following solution is routinely used during the administration of blood to a patient: A) 5 percent dextrose in water solution B) 0.9 percent sodium chloride (normal saline) 29. 30.

Answer 1

27. D: Inhibition of cortisol : All other mechanisms are possible antimicrobial mechanisms through which antibiotics act, however inhibition of cortisol has no antimicrobial action.

28. B Liver : Paracetamol is metabolized in liver. When taken in large quantities(overdose) paracetamol produces excess of a toxic metabolite which damages liver cells and may lead to liver failure

29. D Measles mumps rubella(MMR) : Vaccines produced in eggs are contraindicated in patients with egg allergy. This includes 3 vaccines : MMR, Influenza, Yellow fever. However recently it has been found MMR and even Influenza vaccine can be safely administered to egg allergic people.

30. Inadequate information: only 2 options available