Chapter 12 Flashcards

1
Q

Characteristics of the ideal antimicrobial drug

A

microbicidal vs. microbistatic, doesn’t become resistant, etc.

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2
Q

Antibiotic

A

Substances produced by natural metabolic processes of some microbe that can inhibit or destroy other microbes

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3
Q

Semisynthetic drug

A

Drugs that are chemically modified in the lab after being isolated from natural sources

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4
Q

Synthetic drug

A

Antimicrobial compounds synthesized in the lab through chemical reactions

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5
Q

Narrow spectrum (limited spectrum)

A

Antimicrobials effective against a limited array of microbial types (i.e. against only gram negative microbes)

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6
Q

Broad spectrum (extended spectrum)

A

Antimicrobials effective against a wide variety of microbial types (i.e. against gram positive and gram negative microbes)

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7
Q

Which antibacterial drugs block synthesis of peptidoglycan, causing the cell wall to lyse

A

Penicillins and cephalosporins

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8
Q

What works by interfering with mycolic acid synthesis; used to treat infections with Mycobacterium tuberculosis

A

Isoniazid (INH)

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9
Q

A narrow-spectrum antibacterial drug, most effective in treatment of Staphylococcal infections in cases of penicillin and methicillin resistance or if patient is allergic to penicillin; toxic and hard to administer; restricted use

A

Vancomycin

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10
Q

Which group of antibacterial drugs all contain a highly reactive 3 carbon, 1 nitrogen ring and interfere with the cell wall

A

beta-lactams

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11
Q

Which group of antibacterial drugs interact with phospholipids and cause leakage, particularly in gram-negative bacteria? Where does it cause leakage?

A

Polymyxins; in the cell membrane

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12
Q

What is used to treat drug resistant Pseudomonas aeruginosa and severe UTIs, narrow spectrum

A

Polymyxins

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13
Q

Chloroquine

A

binds and cross-links the double helix

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14
Q

Which drugs block synthesis of nucleotides, inhibit replication, or stop transcription, broad spectrum

A

Chloroquine, Fluoroquinolones, and quinolones

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15
Q

Quinolones

A

inhibit DNA helicases, broad spectrum

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16
Q

Fluoroquinolones

A

work by binding to DNA gyrase and topoisomerase IV, broad spectrum

17
Q

Aminoglycosides

A

insert on sites on the 30S subunit and cause misreading of mRNA, block translation, broad spectrum

18
Q

Tetracyclines

A

block attachment of tRNA on the A acceptor site and stop further synthesis, broad spectrum

19
Q

Chloramphenicol

A

blocks peptide bond formation, broad spectrum

20
Q

Eyrthromycin (macrolides)

A

attaches to 50S ribosome, moderate spectrum

21
Q

Which antibacterial drugs interfere with translation (block protein synthesis)?

A

Eyrthromycin, Chloramphenicol, Tetracyclines, and Aminoglycosides

22
Q

Which antibacterial drugs block metabolism? spectrum?

A

Sulfonamides and trimethoprim; narrow

23
Q

Which agents treat fungal infections?

A

Macrolide polyene, Griseofulvin, Synthetic azoles, Flucytosine, and Echinocandins

24
Q

Groups of antiparasitic chemotherapy drugs

A

Antimalarial, antiprotozoan, antihelminthic

25
Antiviral Chemotherapeutic Agents include
Nucleotide analogs (Acyclovir, AZT) and protease inhibitors
26
Human-based glycoprotein produced primarily by fibroblasts and leukocytes for viral infections (used to treat?)
Interferons, cancers
27
What are some mechanisms of drug resistance?
1. Drug inactivation, 2. Decreased permeability, 3. Activation of drug pumps, 4. Change in drug binding site, 5. Use of alternate metabolic pathways
28
Therapeutic index
the ratio of the dose of the drug that is toxic to humans as compared to its minimum effective dose
29
MIC stands for?
Minimum inhibitory concentration
30
How would you interpret an MIC result?
smallest concentration of drug that visibly inhibits growth
31
Which of the following is a human-based glycoprotein that is used to treat hepatitis C, Karposi’s sarcoma, and genital warts?
Interferon