14.1, 14.3 Flashcards

1
Q

What are the prominent drugs in B-lactams

A

Penicillin, cephalosporin, monobactam, carbapenem

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2
Q

Presence of lactam ring and is similar to peptidoglycan subunit makes it a _____

A

B-lactams

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3
Q

Which B-lactams derives from fungi; mostly against G+, some G- ?

A

Penicillins

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4
Q

Which B-lactams are similar to penicillins; resistance to B-lactamases

A

Cephalosporins

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5
Q

Which B-lactams is broad spectrum against G+/G- ?

A

Carbapenems

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6
Q

Which B-lactams is narrow spectrum, G- only

A

Monobactams

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7
Q

What is the MOA of B-lactams?

A

inhibitors of cell wall synthesis; blocks cross-linking of peptide chains in new peptidoglycan

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8
Q

What cell wall drugs binds to end of peptide chain to block subunits from adding to peptidoglycan backbone; G+ only

A

Vancomycin

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9
Q

What cell wall drugs is derived from B. Subtilis; blocks transport of peptidoglycan precursors ?

A

Bacitracin

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10
Q

What inhibitors of protein synthesis bind to 30S subunit of ribosome and impair “proofreading” ability

A

Aminioglycosides

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11
Q

What is streptoycin, gentamicin, and neomycin examples of?

A

Aminoglycosides

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12
Q

What inhibitor of protein synthesis bind to 30S; blocks association of tRNA with ribosome

A

Tetracyclines

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13
Q

What 3 inhibitors of protein synthesis binds to 50S subunit and inhibit peptide bond formation in specific combos of amino acids?

A

Macrolides, Lincosamides, Chloramphenicol

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14
Q

Macrolides’ spectrum? Cidal or static?

A

Broad spectrum, -static

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15
Q

What inhibitor of protein synthesis has a narrow spectrum; -static; particularly active against streptococcal and staphylococcal infections?

A

Lincosamides

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16
Q

Which inhibitor of protein synthesis is broad spectrum; static; rarely used now because of serious side effects

A

Chloramphenicol

17
Q

What inhibitor of Protein synthesis binds to the 50S ribosomal subunit and interferes with association of 30S and other factors? What spectrum and is it static or cidal?

A

Oxazolidinones; broad spectrum, -static

18
Q

What inhibitor of membrane function is lipophilic and interacts with LPS to disrupt outer and inner membrane of Gram (-) and targets host membranes?

A

Polymyxins

19
Q

Which inhibitor of membrane function is a cyclic lipopeptide that inserts and disrupts Gram + membrane?

A

Daptomycin

20
Q

Which inhibitor of nucleic acid synthesis interferes w/ DNA replication; not very selective in toxicity? What spectrum and is it cidal or static?

A

metronidazole; broad spectrum, -cidal

21
Q

What inhibitor of nucleic acid synthesis blocks RNA polymerase activity; can treat semi-dormant M. Tuberculosis; BUT can be antagonistic and hepatotoxic? What spectrum (effect on G+/G-); cidal or static

A

Rifampin; narrow spectrum, cidal

22
Q

Which inhibitor of nucleic acid synthesis inhibits DNA gyrase enzyme; selective toxicity but many side effects? What type of spectrum; cidal or static?

A

Fluoroquinolones; broad spectrum; cidal

23
Q

What inhibitor of metabolic pathways halts folic acid synthesis and production of pyrimidines and purines; often used trimethoprim? What spectrum; static or cidal?

A

Sulfonamides (sulfa drugs); Broad spectrum; static alone

24
Q

Which inhibitor of metabolic pathways inhibits later stage of folic acid synthesis? What is combined with this to make it cidal?

A

Trimethoprim; sulfamethoxalzale

25
Q

Which inhibitor of metabolic pathways involves specific toxicity for mycobacteria to block synthesis of mycolic acid

A

Isoniazid

26
Q

Which inhibitor of ATP Synthase inhibits mycobacterial growth; exact mechanisms is unknown but evidence shows interference with ATP synthase and reducing available ATP

A

Diarylquinolines

27
Q

When did ancestors use antimicrobials

A

350 AD

28
Q

When were the first drugs developed by science?

A

Early 1900s

29
Q

What is it called when theres drugs that target living cells and tissues? Are antimicrobial drugs are categorized in this term?

A

Chemotherapy; yes, they target microbes

30
Q

Who scanned through 600 arsenic compounds to find cure for syphilis w/o killing host and found a compound that targeted treponema pallidum and established modern drug discovery methods?

A

Paul Ehrlich

31
Q

Who used synthetic dye, prontosil, to treat strep infections and what did this 1st synthetic antimicrobial open the door for?

A

Josef, Klarer, Fritz Mietzch, and Gerhard Domagk; sulfa drugs and other synthetic antimicrobials

32
Q

Who accidentally discovered antibiotic from Penicillium notatum growing on bacterial agar plate w/ Staphylococci (1928)?

A

Alexander Flemming

33
Q

What was the first natural antibiotic?

A

Penicillin

34
Q

Who used X-rays to analyze the structure of penicillin and what was it used for?

A

Dorthy Hodgkins; used to create modified penicillins (semisynthetic antimicrobial)

35
Q

Who studied soil microbes and discovered several antimicrobials and what are the source of >50% of natural antibiotics?

A

Selman Waksman; actinomycetes