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Microbiology · Antimicrobial resistance
Sample itemWhat is an extended-spectrum beta-lactamase?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Enzyme that hydrolyses expanded-spectrum beta-lactams
ESBL-producing bacteria hydrolyse many cephalosporins and related beta-lactams, complicating treatment and requiring susceptibility-guided therapy.
Option by option
A. Enzyme that hydrolyses expanded-spectrum beta-lactams (correct)
Correct: ESBLs inactivate many beta-lactams.
B. Protein that blocks viral entry
Viral entry is unrelated.
C. Pump removing antifungals only
Efflux alone is not the ESBL mechanism.
D. Host antibody against penicillin
Host antibodies do not define ESBL.
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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