Anti-infectives Flashcards

1
Q

What is the mechanism of action of beta-lactam antibiotics?

A

They inhibit bacterial cell wall synthesis.

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2
Q

True or False: Antivirals can completely eliminate viral infections.

A

False

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3
Q

What is the difference between bactericidal and bacteriostatic antibiotics?

A

Bactericidal antibiotics kill bacteria, while bacteriostatic antibiotics inhibit their growth.

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4
Q

Name one example of a macrolide antibiotic.

A

Erythromycin, azithromycin, clarithromycin.

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5
Q

Fill in the blank: ______ are used to treat infections caused by protozoa.

A

Antiparasitics

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6
Q

Which of the following is a common antifungal medication: A) Amoxicillin B) Fluconazole C) Aciclovir?

A

B) Fluconazole

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7
Q

Name one common side effect of azole antifungal medications.

A

Liver toxicity, rash, headache, dizziness, nausea, vomiting, abdominal pain, diarrhoea, elevated liver enzymes.

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8
Q

What is a narrow-spectrum antibiotic?

A

An antibiotic that is effective against a limited range of bacteria.

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9
Q

Which class of antibiotics drug class is doxycycline?

A

Tetracyclines

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10
Q

Fill in the blank: ______ inhibitors are used to treat HIV infections.

A

Protease

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11
Q

What is the primary mechanism of action for fluoroquinolones?

A

They inhibit bacterial DNA synthesis.

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12
Q

Name one example of a broad-spectrum antibiotic.

A

Amoxicillin, gentimicin, piperacillin - tazobactam.

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13
Q

What does the term ‘empirical therapy’ refer to?

A

Treatment initiated before a definitive diagnosis is made, based on the most likely pathogens.

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14
Q

What is the significance of the minimum inhibitory concentration (MIC)?

A

It is the lowest concentration of an antibiotic that prevents bacterial growth.

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15
Q

True or False: Vaccines are considered a type of anti-infective agent.

A

True

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16
Q

What is the function of aminoglycosides?

A

To inhibit protein synthesis in bacteria.

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17
Q

Name one factor that can contribute to antibiotic resistance.

A

Overuse of antibiotics

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18
Q

Fill in the blank: ______ is a common viral infection treated with antivirals.

A

Influenza

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19
Q

What is the primary use of sulfonamides?

A

To treat bacterial infections by inhibiting folic acid synthesis.

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20
Q

True or False: The use of anti-infectives can disrupt normal flora.

A

True

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21
Q

What is the role of probiotics in relation to antibiotics?

A

To restore normal gut flora after antibiotic treatment.

22
Q

Name one example of an antiviral drug.

A

Oseltamivir, tenofivir, valaciclovir, aciclovir, etc.

23
Q

True or False: Antifungal resistance is a growing concern in clinical practice.

24
Q

Fill in the blank: ______ is a type of infection that requires antifungal treatment.

A

Candidiasis

25
What is the role of the World Health Organization (WHO) in combating infectious diseases?
To coordinate global efforts to control and prevent infectious diseases.
26
Name one strategy to prevent antibiotic resistance.
Using antibiotics only when necessary.
27
True or False: All anti-infective agents are safe for use in pregnant women.
False
28
Which of the following is NOT a common side effect of aminoglycosides? a) Nephrotoxicity b) Ototoxicity c) Hemorrhagic cystitis d) Vestibular toxicity
c) Hemorrhagic cystitis
29
Aminoglycosides bind to the ________ ribosomal subunit, interfering with bacterial protein synthesis.
30S
30
What are aminoglycosides primarily used to treat?
Aminoglycosides are primarily used to treat serious bacterial infections caused by Gram-negative organisms, such as Escherichia coli, Pseudomonas aeruginosa, and Klebsiella species.
31
What is the significance of "post-antibiotic effect" in aminoglycosides?
The "post-antibiotic effect" refers to the continued suppression of bacterial growth after the antibiotic concentration has fallen below the minimum inhibitory concentration (MIC). This means that aminoglycosides can remain effective even after the drug levels decrease.
32
True or False: Carbapenems are effective against both Gram-positive and Gram-negative bacteria, but they are not useful against Pseudomonas aeruginosa.
False (Carbapenems are effective against both Gram-positive and Gram-negative bacteria, including Pseudomonas aeruginosa, though resistance can occur).
33
Which carbapenem is typically preferred for use in patients with a history of seizures, due to its lower risk of causing neurotoxicity? a) Imipenem b) Meropenem c) Doripenem d) Ertapenem
b) meropenem
34
Which of the following bacteria is commonly treated with glycopeptides like vancomycin? a) Escherichia coli b) Staphylococcus aureus (including MRSA) c) Pseudomonas aeruginosa d) Klebsiella pneumoniae
b) Staphylococcus aureus (including MRSA)
35
True or False: Glycopeptides are only effective against Gram-negative bacteria.
False (Glycopeptides are effective against Gram-positive bacteria).
36
Which of the following is a common side effect of vancomycin? a) Nephrotoxicity b) "Red man syndrome" c) Ototoxicity d) Both a and b
d) Both a and b
37
Clindamycin is commonly used to treat infections caused by: a) Anaerobes b) Gram-negative bacilli c) Enterococci d) All of the above
a) Anaerobes (also has some gram-positive coverage).
38
True or False: Lincosamides are not effective against Streptococcus pneumoniae infections.
False.
39
Which of the following is a common side effect of lincosamides? a) Diarrhea b) C. difficile infection c) Hepatotoxicity d) All of the above
d) All of the above
40
Clindamycin is often used for skin and soft tissue infections caused by ____________ species.
Staphylococcus or Streptococcus
41
Which antibiotics are lincosamides?
Clindamycin and lincomycin.
42
Which generation of cephalosporins is most effective against Gram-negative bacteria? a) First generation b) Second generation c) Third generation d) Fourth generation
c) Third generation
43
True or False: First-generation cephalosporins, such as cephalexin, are primarily effective against Gram-negative organisms.
False (First-generation cephalosporins are more effective against Gram-positive organisms, with limited activity against Gram-negative bacteria).
44
Which of the following cephalosporins is most commonly used to treat infections caused by Pseudomonas aeruginosa? a) Cephalexin b) Cefazolin c) Ceftriaxone d) Cefepime
d) Cefepime
45
Which generation are the cephalosporins matched with? a) Ceftaroline b) Cefepime c) Cefazolin d) Cefaclor e) Ceftriaxone
First Generation: Cefazolin Second Generation: Cefaclor Third Generation: Ceftriaxone Fourth Generation: Cefepime Fifth Generation: Ceftaroline
46
Fill in the Blank: Macrolides, such as erythromycin and azithromycin, inhibit bacterial protein synthesis by binding to the ________ ribosomal subunit.
50S
47
Which of the following is a common indication for macrolide antibiotics? a) Treatment of infections caused by Gram-negative bacteria b) Upper respiratory infections caused by Streptococcus pneumoniae c) Skin infections caused by Pseudomonas aeruginosa d) Infections caused by Escherichia coli
b) Upper respiratory infections caused by Streptococcus pneumoniae
48
True or False: Macrolides, such as azithromycin, are often used to treat respiratory tract infections and sexually transmitted diseases (STDs).
True.
49
True or False Quinolones are effective against both Gram-positive and Gram-negative bacteria, but they are ineffective against Pseudomonas aeruginosa.
False (Quinolones are effective against Pseudomonas aeruginosa, particularly ciprofloxacin).
50
Which of the following is a major side effect of quinolones? a) Tendonitis and tendon rupture b) Hepatotoxicity c) Hemolytic anemia d) Ototoxicity
a) Tendonitis and tendon rupture
51
Which of the following infections is rifampin commonly used to treat? a) Tuberculosis b) Upper respiratory infections c) Skin infections caused by Streptococcus pneumoniae d) Urinary tract infections caused by Escherichia coli
a) Tuberculosis