2.02 - Antimicrobials Flashcards

1
Q

Drug of choice for shigella

A

Ampicillin q6hours stays longer in the GIT

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2
Q

Clearance of nafcillin is via __

A

Biliary clearance

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3
Q

Specific ADR of nafcillin

A

Neutropenia

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4
Q

Specific ADR of oxacillin

A

Hepatitis

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5
Q

Specific ADR of methicillin

A

Interetitial nephritis

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6
Q

Cephalosporin effective against pseudomonas

A

Ceftazidime

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7
Q

Penicillin binding protein responsible for maintaining the bacterial wall’s constant diameter

A

PB1

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8
Q

Pencillin binding protein responsible for extending the bacterial cell wall in any direction

A

PBP2

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9
Q

Beta lactam that binds to PBPs

A

Carbapenems

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10
Q

Drug of choice for enterobacter

A

Carbapenems

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11
Q

side effect of __ is gray baby syndrome

A

Chloramphenicol

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12
Q

Major side effect of lincosamides

A

Pseudomembranous colitis

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13
Q

Identify antimicrobial group effective against amoeba, amoeba-like organisms and anaerobes; also notorious for disulfiram-like reactions

A

Metronidazole

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14
Q

Drug of choice for campylobacter, mycoplasma, or legionella, and atypical pneumonia

A

Macrolides

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15
Q

__ is adjunct in treatment of gastroparesis

A

Macrolides (erythromycin)

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16
Q

Macrolide that is highly active against chlamydia sp.

A

Azithromycin

17
Q

Given for scalded skin syndrome and other staph infections

A

Penicillinase resistant penicillins

  • nafcillin
  • oxacillin
  • cloxacillin
  • flucloxacillin
18
Q

Mode and mechanism of action of quinolones

A

Bactericidal

Imhibitid DNA gyrase (topoisonerase II and IV).

19
Q

Mode of action of sulfonamides

A

Inhibits folic acid synthesis by competitive inhibitor of dihydropteroate synthetase

20
Q

Mode of action of diaminopyrimidines

A

Inhibit folic acid synthesis by selective inhibituib of bacterial dihydrofolate reductase

21
Q

Drug of choice for mycoplasma, chlamydia, rickettsia, and vibrios

A

Tetracyclines

22
Q

Enamel dysplasia is a side effect of __

A

Tetracycline

23
Q

Spectrum of antimicrobial activity if vancomycin

A

Narrow - effective only against cocci

24
Q

Drug of choice for residtant gram positive cocci (MRSA, penicillin resistant pneumococci, and clostridiun difficile

A

Vancomycin

25
DOC for salmonella
Aminopenicillins
26
DOC for salmonella
Aminopenicillins
27
Drugs for pseudomonas
Aminoglycosides 3rd gen cephaloaporin Extended spectrum penicillins
28
Most important drug interaction with tetracycline
Antacids (magnesium and aluminum) Milk (calcium) Very young (teeth and bones with calcium)
29
Which antimalarial drug cannot be given to pregnant mothers in 3rd trimester
Quinine