pharmacology 1st quiz TS Flashcards
which antimicrobial drugs interfere with bacterial cell wall synthesis?
beta lactams
bacitracin
vancomycin
cycloserine
which antimicrobial drugs act on bacterial cell membrane?
polymyxin b
colistin
which antimicrobial drugs interfere protein synthesis at 30s subunit?
tetracyclines
aminoglycosides
which antimicrobial drugs act on 50s subunit?
chloramphenicol
macrolides
lincosamides
which antimicrobials interfere with nucleic acid synthesis?
fluoroquinones
rifampin
metronidazole
which antimicrobials interfere with folic acid synthesis?
sulfonamides
diaminopyrimidines
which antimicrobials are narrow spectrum?
beta lactams
aminoglycosides
polymyxin b and colistin
which antimicrobials are bacteriostatic?
sulfonamides
tetracyclines
chloramphenicol
macrolides and lincosamides
what are the 3 efficacy predictors of antimicrobials?
type 1 - conc dependent
type. 2 time dependent
type 3 time dependent with pae (persistant suppression of bacteria)
what combo of antimicrobials produces additive effect?
bacteriostatic
what combo of drugs produces synergistic effect?
bactericidal drugs
what combo of drugs produces antagonistic effect?
bactericidal with bacteriostatic
what is transduction (antibiotic resistance)?
bacteria virus transfers genes
how do bacteria get antibiotic resistant from uptake of genes in environment?
transformation
what ways can bacteria decrease accumulation of drugs inside them?
decrease permeability thru cell membrane of gram negatives
energy dependent active efflux of drug
what is the prerequisite of folic acid in bacteria?
PABA
what are the 5 enteric sulfonamides?
succinylsulfathiazole sulfasalazine sulfquinoxaline sulfaguanidine phthalylsulfathiazole
what does a triple sulfa bolus consist of?
sulfinilamide, sulfathiazole, sulfamethazine
which sulfonamide is hydrolzyed in the bowl?
phthalylsulfqthiazole
which sulfonamide is split into 2 parts in intestine and treats dog coilitis?
sulfasalazine
ehat are the 2 moa of sulfonamides?
structural analog of PABA, gets substituted
act as antimetabolites and interfere with rna and dna
which. 2 sulfonamides can be used topically?
silver sulfadiazine
mafenide
which sulfonamide should be used for opthalmic apps because of neutral ph?
sulfacetamide
how are sulfonamides metabolized?
acetylation in liver
what effect does alkaline urine have on the excretion of sulfonamides?
increases fraction of dose eliminated in urine
what are the 2 immunological based toxicities of sulfonamides?
kcs ( dry eye)
hepatic necrosis
what is the non immunological effects of sulfonamide toxicity on kidney?
crystalluria
hematuria
renal tubular blockage
because of dehydration, keep well hydrated and aciduria protects
does a combination of sulpha drugs increase or decrease their solubility?
increase ( law of independent solubility)
which sulpha drug causes hypoprothrombinemia in dogs and chickens?
sulfaquinoxaline
what sulfa drug can cause aplastic anemia?
trimethoprim sulfadiazine ( potentiated sulfa)
which species can have hypoglycemia from taking sulfa drugs?
ducks and dogs
which breed of dog can get polyarthritis and hepatitis from sulfa drugs?
doberman pinschers
what gland may sulfonamides interfere with but is reversible?
thyroid gland
What group is sulfonamides in efficacy predictors?
type 2 antimicrobials, therefore ideal dosing maximizes duration of exposure
What type of molecule are diaminopyramidines?
lipid soluble organic bases
Are diaminopyramidines bacteriocidal or bacteriostatic?
bacteriostatic
How do diaminopyramidines block bacterial folate synthesis?
reversibly binds and inhibits dihydrofolate reductase
Which diaminopyramidine inhibits folate synthesis in protozoa?
pyrimethamine
Which diaminopyramidine can be given orally to ruminants?
ormetoprim
What are the 3 different diaminopyramidines?
Pyrimethamine, trimethoprim, and ormetoprim
Are potentiated sulfonamides bacteriostatic or bacteriocidal?
bacteriocidal (each one alone is bacteriostatic)
How do beta lactam antibiotics exert bactericidal activity?
interfere with transpeptidase enzyme that is responsible for formation of cross links (penicillin binding proteins - PBP)
What type of bacterial cell wall can beta lactams NOT penetrate?
gram negative
What 2 beta lactam drugs are “natural penicillins”?
Penicillin G
Penicillin V
Which natural penicilllin can be given orally?
Penicillin V
What are the 2 log acting formulations of Penicillin G?
Benzathine
Procaine
What bacteria are resistant to natural penicillins?
Pseudomonas, enterobacteriaceae and penicillinase producing staph
What are the 3 groups of semi synthetic penicillins?
Penicillinase resistant penicillins Broad spectrum (aminopenicillins) extended spectrum (carboxypenicillins)
What 3 penicillinase-resistant penicillins have good oral absorption?
Cloxacillin
Oxacillin
Dicloxacillin
What are penicillinase-resistant penicillins used to treat mostly?
staph infections
-bovine staph mastitis
What penicillinase-resistant penicillin can be formulated as an opthalmic ointment and treat staph and bacillus infections?
cloxacillin
What are the two drugs in the broad spectrum penicillins?
Amoxicillin
ampicillin
What are some related esters of ampicillin? (prodrugs)
bacampicillin
hetacillin
pivampicillin
talampicillin
What 5 penicillins are in the extended spectrum group?
ticarcillin, carbenicillin, piperacillin, mezlocillin, azlocillin
Why can’t procaine penicillin G be administered IV?
affects cardiac conduction system
What can be used to competitively inhibit penicillin excretion?
another organic acid, such as probenecid
Which penicillin is not excreted in urine?
Nafcillin (bile)
What can sodium benzylpenicillin produce in dogs and cats?
ataxia and convulsions (inhibits GABA)
What drug can produce anaphylaxis and CNS disorders in small mammals and reptiles?
procaine
What can procaine and postassium penicillin salts administered IV as a rapid bolus induce?
acute cardiac toxicities
What salt form should you use when administering penicillins IV?
sodium salt
What are the 3 first generation cephalosporins that can be given orally?
cefadroxil
cephalexin
cephradine
What are the 3 first gen cephalosporins that can be given parenteral?
cefazolin
cephalothin
cephapirin
Which first gen cephalosporin has greatest gram negative activity?
cefazolin
What bacteria are 2nd gen cephalosporins better at killing than 1st gen?
gram negative because increased resistance to lactamases
also anaerobes
Which drug is a “new generation” of cephalosporins?
ceftiofur (broader gram + activity)
How does ceftiofur compare to other 3rd gen cephalosporins?
better at strept
less activity against pseudomonas
What cephalosporin is 4th gen?
cefepime
Which 2 cephalosporins have the best oral absorption?
cephalexin
cefaclor
What is the only 2nd gen cephalosporin that can penetrate cerebrospinal fluid?
cefuroxime
What 3rd generation cephalosprins can attain high concentration in cerebrospinal fluid when meninges are inflammed?
ceftriaxone
cefotaxime
ceftazidime
ceftizoxime
What 2 cephalosporins can decrease platelet aggregation?
cephalothin
cefinetazole
How does clavulanic acid and sulbactam potentiate penicillin?
competitive inhibitor of beta lactamases of bacteria
What are the two kinds of Cabapenems?
Imipenems
Meropenems
What must imipenems be administered with?
cilastatin (renal enzyme inhibitor)
What bacteria does imipenems have activity on?
broad spectrum
gram negative aerobic
anaerobic
What is the adverse effect of imipenems?
seizures
How is meropenems different from imipenems?
more soluble
decreased seizures
What can be used against gram negative bacteria or pseudomonas if patient is allergic to penicillin?
monobactams
How do antimicrobials that inhibit protein synthesis target bacterial ribosomes instead of the host?
affinity for 70s size (eukaryotes is 80s)
What 2 parts of protein synthesis can antibiotics interfere with?
initiation
elongation of polypeptide chain
What 2 groups of antibiotics act on the 30 S subunit to inhibit protein synthesis?
aminoglycosides
tetracyclines
What 3 groups of antibiotics act on 50S subunit to inhibit protein synthesis?
macrolides
lincosamides
chloramphenicol and derivatives
Are aminoglycosides bacteriostatic or bacteriocidal?
bactericidal
What are the 6 aminoglycoside drugs?
streptomycin neomycin kanamycin gentamicin amikacin tobramycin
Why is one single dose of aminoglycosides q24 the same as many small ones?
post antibiotic effect (PAE)
What kind of bacteria do aminoglycosides act on?
aerobic gram negative bacteria
What aminoglycoside has the broadest spectrum?
amikacin
Which bacteria has natural permeability barrier to aminoglycosides?
streptococci
How are aminoglycosides administered?
parentally (never orally)
Where do aminoglycoside drugs concentrate in the body?
perilymph of the inner ear and in the renal cortex (attracted to phospholipids)