**Core Concept**
Chloramphenicol is a broad-spectrum antibiotic that exerts its bacteriostatic effects by inhibiting protein synthesis in bacteria. It achieves this by binding to the bacterial ribosome, specifically the 50S subunit.
**Why the Correct Answer is Right**
Chloramphenicol binds to the 50S subunit of the bacterial ribosome, preventing the peptidyl transferase enzyme from catalyzing peptide bond formation between amino acids. This action inhibits the elongation of peptide chains, thereby disrupting protein synthesis in bacteria. Chloramphenicol does not affect mammalian cells, as they have a different type of ribosome (70S) that is not targeted by this antibiotic.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not applicable, as there is no information provided.
**Option B:** Incorrect, as chloramphenicol does not act by inhibiting cell wall synthesis, which is the mechanism of action of beta-lactam antibiotics like penicillin.
**Option C:** Incorrect, as chloramphenicol does not act by inhibiting DNA replication, which is the mechanism of action of quinolone antibiotics like ciprofloxacin.
**Clinical Pearl / High-Yield Fact**
Chloramphenicol is a narrow therapeutic index antibiotic, meaning that small increases in dosage can lead to toxicity. Its use should be reserved for serious infections where other antibiotics are ineffective.
**Correct Answer:** D.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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