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The passages discuss different generations of cephalosporins and penicillins, their characteristics, mechanisms of action, and factors affecting dosing such as renal function.

First generation cephalosporins are cefazolin and cephalexin. Second generation include cefaclor and cefuroxime. Third generation are ceftriaxone, cefotaxime and others. Fourth generation is cefepime. Later generations have broader spectra but greater resistance. Each generation has differences in spectrum, dosing, and side effects.

Penicillin G is administered via injection and has the narrowest spectrum. It is acid labile. Other penicillins include amoxicillin, ampicillin and others which are administered orally and some are acid stable/resistant. Duration of action also varies between different penicillins.

32. Which of the following statement about Penicillin G is true?

a. It is commonly administered orally


b. It has a broad spectrum of antibacterial activity
c. It can be used for the treatment rate bite fever
d. Concomitant probenecid decreases its duration of action

23. A bactericidal drug would be preferred over a bacteriostatic


drug in a patient with:

a. Neutropenia
b. Cirrhosis
c. Pneumonia
d. Heart disease

10. All of the following antibacterial agents act by inhibiting cell


wall synthesis EXCEPT: (AI

a. Carbapenams
b. Monobactams
c. Cephalosporins
d. Nitrofurantoin

Which one of the following drugs is an antipseudomonal


penicillin?

a. Cephalexin
b. Cloxacillin
c. Piperacillin
d. Dicloxacillin

34. Which of the following beta-lactam antibiotics can be safely


used in a patient with a history of allergy to penicillins?

a. Aztreonam
b. Cefipime
c. Loracarbef
d. Ceftriaxone

36. All are true about cephalosporins, except :

a. Ceftazidime is a 3rd generation cephalosporin.


b. Cefoperazone has got antipseudomonal effect.
c. Cefoxitin has got no activity against anaerobes.
d. Cephalosporins act by inhibiting cell wall synthesis.

37. Cephalosporin that does not require dose reduction in patient


with any degree of renal impairment is:

a. Cefuroxime
b. Cefoperazone
c. Ceftazidime
d. Cefotaxime
39. All of the following statements about penicillin G are true
EXCEPT:

a. It is actively secreted in tubules


b. It is never administered orally
c. It is effective against gram positive as well as some gram negative
bacteria
d. It acts by inhibiting cell wall synthesis

42. One of the following is not penicillinase susceptible?

a. Amoxicillin
b. Penicillin G
c. Piperacillin
d. Cloxacillin

44. Which of the following is a fourth generation cephalosporin?

a. Ceftriaxone
b. Cefaclor
c. Cefipime
d. Cefuroxime

46. Which of the following statements are true regarding


Cefipime:

a. It is a fourth generation cephalosporin


b. Once a day dose is sufficient
c. It possess antipseudomonal action
d. Its dose should not be reduced in renal pathology
e. It is a prodrug

51. The penicillin G preparation with the longest duration of


action is:

a. Benzathine penicillin
b. Sodium penicillin
c. Potassium penicillin
d. Procaine penicillin

59. Cilastatin is given along with:

a. Imipenem
b. Amoxicillin
c. Erythromycin
d. Ampicillin

61. Which of the following is not true about penicillins?

a. Penicillin V is absorbed orally


b. Benzathine penicillin is short acting penicillin
c. Cloxacillin is b-lactamase and acid resistant
d. Ampicillin is not resistant to b-lactamases
66. Amoxycillin is better than ampicillin due to:

a. Better bioavailability if taken with food


b. Lesser bioavailability if taken with food
c. Incidence of diarrhea is higher
d. More active against Shigella and H. influenza

74. Third generation cephalosporin that can be given orally is:

a. Cefipime
b. Cefpirome
c. Cefaclor
d. Cefadroxil

69. Ceftriaxone is:

a. 2nd generation short acting cephalosporin


b. Has activity against beta lactamase producing bacteria
c. 4th generation long acting cephalosporin
d. 3rd generation long acting cephalosporin

70. Acid susceptible penicillin is:

a. Methicillin
b. Ampicillin
c. Amoxicillin
d. Cloxacillin

71. All are first generation cephalosporins except:

a. Cefadroxil
b. Cefazolin
c. Cephalexin
d. Cefaclor

72. Which is not a beta lactam antibiotic?

a. Penicillin
b. Carbapenam
c. Monobactam
d. Azithromycin

73. Second generation cephalosporin that can be used orally is:


(MH 2003)

a. Cefepime
b. Cefalothin
c. Cefaclor
d. Cefadroxil

76. Which among the following is not a beta lactamase inhibitor?

a. Sulbactam
b. Clavulanic acid
c. Piperacillin
d. None

77. Oral cephalosporin among these is:

a. Cefotaxime
b. Ceftriaxone
c. Cefaclor
d. Ceftazidime

78. Beta lactam antibiotics act by inhibiting

a. Cell wall synthesis


b. Protein synthesis
c. RNA synthesis
d. DNA synthesis

79. Which one of the following is a fourth generation


cephalosporin?

a. Cefuroxime
b. Ceftazidime
c. Cefepime
d. Cefamandole

80. Neutropenia is associated with:

a. Nafcillin
b. Methicillin
c. Carbenicillin
d. Ampicillin

81. Third-generation cephalosporins include all of the following


EXCEPT:

a. Ceftizoxime
b. Cefoperazone
c. Cefoxitin
d. Cefixime

82. Which one of the following statement about imipenem is most


accurate?

a. The drug has a narrow spectrum of anti-bacterial action


b. It is used in fixed combination with Sulbactam
c. Imipenem is highly susceptible to beta lactamase produced by
enterobacteriaciae
d. In renal dysfunction, dosage reduction are necessary to avoid
seizures

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