This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Other topics and Adverse effects, Subject name: Pharmacology
[{'content': 'The following is true of vancomycin EXCEPT: \nSelect and explain. \nA. It is a bactericidal antibiotic active primarily against gram positive bacteria, B. It acts by inhibiting bacterial protein synthesis, C. It is an alternative to penicillin for enterococcal endocarditis, D. It can cause deafness as a dose related toxicity', 'role': 'user'}, {'content': 'Answer: B \nExplanation: (Ref: KDT 6/e p732) Vancomycin is a glycopeptide that acts by inhibiting bacterial cell wall synthesis. It is a bactericidal drug (like other cell was synthesis inhibitors). It is the drug of choice for MRSA and enterococci resistant to penicillins Nephrotoxicity, ototoxicity and red man syndrome are prominent adverse effects of vancomycin.', 'role': 'assistant'}]