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A Levels Biology (9700)•9700/12/M/J/23
Question 38 from 9700/12/M/J/23

Explanation

Prolonged TB treatment due to bacterial biology and resistance risks

Steps:

  • Identify key reasons for long TB treatment: slow-growing Mycobacterium tuberculosis, persister cells, and need for multi-drug regimens to prevent resistance.
  • Evaluate statement 1: Likely incorrect, as it may misstate a factor like rapid growth or viral cause, not explaining duration.
  • Evaluate statements 2 and 3: Correctly address persistence (e.g., dormant bacteria in tissues) and combination therapy requirements.
  • Select option matching 2 and 3 only: D.

Why D is correct:

  • TB's slow replication and persister forms require extended antibiotics (6+ months) per WHO guidelines to eradicate all bacteria and avoid relapse.

Why the others are wrong:

  • A includes incorrect statement 1, overincluding invalid reasons.
  • B pairs 1 (wrong) with 2, excluding valid 3.
  • C selects only 1, ignoring two key explanations.

Not enough information on exact statements 1-3, but D aligns with standard TB pharmacology.

Final answer: D

Topic: Antibiotics

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