Pharmacology · single question
What is the mechanism of action of Penicillin VK?
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Correct answer: B. Inhibits bacterial cell wall synthesis by blocking peptidoglycan cross-linking
Penicillin VK (phenoxymethylpenicillin) is a beta-lactam antibiotic that works by binding covalently to penicillin-binding proteins (PBPs) - bacterial enzymes called transpeptidases that catalyze the cross-linking of peptidoglycan strands in the bacterial cell wall. By inhibiting transpeptidase, penicillin prevents cell wall synthesis, causing cell wall weakening and eventual lysis (bactericidal). Beta-lactam antibiotics are most effective against actively dividing bacteria. Bacterial resistance occurs through beta-lactamase production, modified PBPs (MRSA), and reduced membrane permeability.