CHEMOTHERAPEUTIC DRUGS - SYNTHETIC ANTIBACTERIAL DRUGS Flashcards

1
Q

Sulfonamides are effective against

A
  • Bacteria and Chlamidia
  • Actinomyces
  • Protozoa
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2
Q

Mechanism of sulfonamides’ antibacterial effect is

A

Inhibition of dihydropteroate synthase

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3
Q

Combination of sulfonamides with trimethoprim

A

Increases the antimicrobial activity

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4
Q

Sulfonamide potency is decreased in case of co-administration with

A

Local anesthetics – derivatives of paraaminobenzoic acid

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5
Q

The following measures are necessary for prevention of sulfonamide precipitation and crystalluria

A

Taking of drinks with alkaline pH

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6
Q

Resorptive sulfonamides have the following unwanted effects on blood system

A
  • Hemolytic anemia
  • Thrombocytopenia
  • Granulocytopenia
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7
Q

Mechanism of Trimethoprim’ action is

A

Inhibition of dihydropteroate reductase

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8
Q

Sulfonamides have the following unwanted effects

A
  • Hematopoietic disturbances
  • Crystalluria
  • Nausea, vomiting and diarrhea
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9
Q

The drug, which is effective against mycobacteria only

A

Isoniazid

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10
Q

The antimycobacterial drug belonging to first-line agents

A

Isoniazid

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11
Q

The antimycobacterial drug, belonging to second-line agents

A

PAS

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12
Q

The antimycobacterial drug, belonging to antibiotics

A

Rifampin

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13
Q

Mechanism of Izoniazid action is

A

Inhibition of mycolic acids synthesis

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14
Q

Mechanism of Rifampin action is

A

Inhibition of DNA dependent RNA polymerase

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15
Q

Mechanism of Cycloserine action is

A

Inhibition of cell wall synthesis

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16
Q

Mechanism of Streptomycin action is

A

Inhibition of protein synthesis

17
Q

Rifampin has the following unwanted effect

A

Flu-like syndrome, tubular necrosis

18
Q

Isoniazid has following unwanted effect

A

Hepatotoxicity, peripheral neuropathy

19
Q

Ethambutol has the following unwanted effect

A

Retrobulbar neuritis with red-green color blindness

20
Q

Streptomycin has the following unwanted effect

A

Ototoxicity, nephrotoxicity

21
Q

Mechanism of aminosalicylic acid action is

A

Inhibition of folate synthesis

22
Q

The following agents are the first-line antimycobacterial drugs

A
  • Rifampin
  • Isoniazid
  • Streptomycin
23
Q

The following antimycobacterial drugs have a bactericidal effect

A
  • Streptomycin
  • Rifampin
  • Isoniazid
24
Q

Combined chemotherapy of tuberculosis is used to

A

Decrease mycobacterium drug-resistance

25
Antibacterial drug – a nitrofurane derivative
Nitrofurantoin
26
Antibacterial drug – a nitroimidazole derivative
Metronidazole
27
Antibacterial drug – a quinolone derivative
Nalidixic acid
28
Antibacterial drug – a fluoroquinolone derivative
Ciprofloxacin
29
The indications for nitrofuranes
Infections of urinary and gastro-intestinal tracts
30
The unwanted effects of nitrofuranes
- Nausea, vomiting - Allergic reactions - Hemolytic anemia
31
The indications for Metronidazole
Intra-abdominal infections, vaginitis, enterocolitis
32
The unwanted effects of Metronidazole
Nausea, vomiting, diarrhea, stomatitis
33
The mechanism of fluoroquinolones’ action is
Inhibition of DNA gyrase
34
Fluoroquinolones are active against
Variety of Gram-negative and positive microorganisms, including Mycoplasmas and Chlamidiae
35
The unwanted effects of fluoroquinolones
Headache, dizziness, insomnia
36
The indications for fluoroquinolones
Infections of the urinary and respiratory tract, bacterial diarrhea
37
The drug of choice for syphilis treatment is
Penicillin