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Kaplan Qbank USMLE



Author7 Posts
  #1

High level resistance of Mycobacterium tuberculosis to isoniazid (INH) involves
A. decrease intracellular accumulation of the drug
B. inactivation of the drug via N-acetyltransferase
C. increase synthesis of mycolic acids
D. mutations in gene coding for DNA-dependent RNA polymerase
E. reduced expression of the gene encoding a catalase

  #2

Option E is the right answer (gene is Cat K gene )

  #3

B :roll:

  #4

E. IHN is a pro-drug that must to be oxidazed to activate

  #5

yes i agree with u all
http://www.auburn.edu/~goodwdc/

it is catlase absence ....

to add with this q..what is the mechanism of resitance for rifampicin, ethambutol , pyrizanamide...(as MDR TB is increasing )

  #6

For rifampin its D.

for ethambutol...C ?

PZ..they lack bioactivating enzyme

  #7

ethambutol- mutation of embB gene in TB







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