Drug Resistance Mechanisms · Pharmacology

Resistance to sulfonamides occurs due to:

  1. Increased penicillin-binding protein levels
  2. Altered dihydropteroate synthase
  3. Overexpression of efflux pumps
  4. Production of beta-lactamase enzymes
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Correct answer: Altered dihydropteroate synthase

Sulfonamides inhibit dihydropteroate synthase in folate synthesis. Mutation or acquisition of altered forms of this enzyme reduces drug binding.

Difficulty: Medium Question 12 of 20

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