Difficulty: Easy
Correct Answer: Broad-spectrum antibacterial agents
Explanation:
Introduction / Context:
Quinolones (and fluoroquinolones) are widely used systemic antibiotics. Recognizing their class features aids in predicting activity, indications, and resistance mechanisms.
Given Data / Assumptions:
Concept / Approach:
Quinolones inhibit bacterial DNA gyrase and/or topoisomerase IV, producing bactericidal effects. They have broad-spectrum activity against many Gram-negatives and, for newer agents, improved Gram-positive and atypical coverage. They are not antimetabolites or beta-lactams, and they are chiefly bactericidal rather than purely bacteriostatic.
Step-by-Step Solution:
Match mechanism (DNA gyrase/topo IV) with clinical effect: broad coverage.
Exclude unrelated classes: antimetabolites and penicillins.
Exclude “bacteriostatic only” since fluoroquinolones are bactericidal.
Select broad-spectrum.
Verification / Alternative check:
Package inserts and guidelines list extensive spectra for fluoroquinolones, including Enterobacterales and certain respiratory pathogens.
Why Other Options Are Wrong:
Common Pitfalls:
Confusing “broad-spectrum” with “covers everything”; resistance and gaps (e.g., some anaerobes) remain.
Final Answer:
Broad-spectrum antibacterial agents
Discussion & Comments