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A Patient Comes to See You Complaining of a Spider

Question 47

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A patient comes to see you complaining of a spider bite. He shows you a sore on his wrist—the area around it is red and swollen, and the lesion is leaking pus. The patient tells you he found a spider in his car, which is why he thinks this is a bite. He also tells you that he has been taking penicillin tablets that his wife had left over after being prescribed the drug a few months previously for pneumonia. Even though he has taken the tablets for four days, the lesion is not healing and that he is really feeling terrible, with pain, fever, and chills. You suspect that your patient has a wound infection, so you sample the pus and send it to the lab for analysis.
-Your patient asks whether there is any way for him to get rid of this infection. You tell him that he will be given a different antibiotic such as doxycycline. This antibiotic works by binding to a cell structure called the 30S ribosomal subunit, which stops the bacterial cells from growing by 


A) preventing DNA replication.
B) inhibiting transcription.
C) stopping capsule formation.
D) inhibiting protein synthesis.
E) preventing protein packaging.

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