drugs Flashcards

1
Q

example of a beta lactam

A
  • penicillin
  • cephalosporin
  • carbapenems
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2
Q

example of penicillin

A
  • amoxcillin
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3
Q

example of glycopeptides

A

vancomycin

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4
Q

what two classes of antibiotics inhibit cell wall synthesis

A
  • beta lactams
  • glycopeptides
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5
Q

what three classes of antibioitcs inhbit protein synthesis

A
  • aminoglycosids
  • macrolide
  • tetracycline
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6
Q

example of aminoglycosides

A
  • gentamicin
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7
Q

example of macrolide

A
  • erythromycin
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8
Q

how does macrolide inhibit protein synthesis

A
  • prevent peptide bond forming between adjacent amino acids
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9
Q

what are examples of drugs who inhibit nucleic acid synthesis

A
  • quinolones
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10
Q

example of quinolones

A

ciprofloxacin

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11
Q

what antibiotics are anti-folate

A
  • trimethoprim
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12
Q

what drugs intefer with cell membrane of microbes

A
  • azole (flucanazole)- inhibit fungal cell membrane synthesis
  • polymyxin - inhibt bacteria cell membrane synthesis
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13
Q

what is an example of an anti-viral drug

A

aciclovir

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14
Q

how does aciclovir work

A
  • activated when viral protein thymidine kinase is present
  • inhibit dna polymerase
  • it is nucleoside analog
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15
Q

examples of drugs used for anti-retroviral therapy

A
  • lencapavir - capsid inhibitor
  • maravoric- acts as an antagonist and binds to CCR5 receptor (chemokine receptor) on host cell, this prevents entry of HIV into cd4 t cells
  • tenefovir (nucleoside reverse transcriptase inhibitor)
  • protease inhibitor
  • integrase inhibitor
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16
Q

what is HAART

A
  • highly active anti retroviral therapy
17
Q

what is an example of a monoclonal antibody treatment used for b lymphoma

A
  • rituximab
  • monoclonal antibody which binds to cd20/cd19 receptor on b cells
  • this activates the complement (leads to membrane attack complex), t cells, macrophages
18
Q

what is chimeric antigen t cells (CAR)

A
  • another type of treatment for cancers specifically b lymphoma
  • t cells taken out of patient and genetically enginered in lab and a gene is inserted which causes the t cells to express chimeric antigen
  • t cells are put back in patient and the t cells with the antigens bind to cd20 and cd19 proteins on cancer b cells this activates the t cell and leads to cytokine storm
19
Q

what are drugs used for transfusion reactions and how do they work

A
  • tacrolimus
  • rapamycin
  • cyclosporin
  • block IL-2 receptor which prevents t cells activation, differentiation etc
20
Q

what are drugs used for type 1 hypersensitivity

A
  • anti histamines
  • cortiocsteroids
  • omalizumab - immunotherapy- monoclonal antibody that blocks binding of Ige to receptor on mast cell
  • slit- low dose of allergens given
21
Q

what can be given for acute viral infections

A
  • corticosteroids (dexamethasone)
22
Q

what antibiotics are used to treat streptococcus pyogenes

A
  • benzylpenicillin
  • clindamycin (macrolide antibiotic)
23
Q

what antibiotics are given for m.tb

A
  • ripe
  • ripe for 2 months
  • ri- for further 4 months
  • 6 month regime
24
Q

what is used to treat candidias

A
  • flucanazole
  • azole in general
25
Q

what are some treatment for autoimmunity

A
  • anti cytokines antibodies (e.g. anti tnf in rheumatoid arthiritis)
  • therapies that target t cell activation (ctla-4 ig inhibit t cell activation by blocking co stimulation)
  • cellular depletion such as b cell depletion in multiple sclerosis