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Pharmacology · Antimicrobials
Sample itemWhich mechanism confers methicillin resistance in Staphylococcus aureus?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Altered penicillin-binding protein
MRSA carries an altered penicillin-binding protein with reduced affinity for beta-lactams, allowing cell-wall synthesis despite methicillin exposure.
Option by option
A. Loss of ribosomal RNA
Ribosomal changes affect other antibiotic classes.
B. Inhibition of DNA gyrase
DNA gyrase is targeted by fluoroquinolones.
C. Increased folate synthesis
Folate synthesis is targeted by sulfonamides.
D. Altered penicillin-binding protein (correct)
Correct: modified target PBP drives methicillin resistance.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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