PQs Flashcards
AMEG A
only for SAM
Glycopeptides (not Food Producing)
AMEG B
CIA - FQ(Enrofloxacin, Marbofloxacin), 3rd/4th Gen.Cephalosporins (Ceftiofur, Cefquinome), Colistin
AMEG C
Amoxicillin-clavulinic acid
Gentamycin (Aminoglycosides) Florfenicol (Phenicols)
Lincomycin (Lincosamides) Tiamlulin, Valnemulin (Pleuromutilins)
Tylosin phosphate + tartarate, tylvalosin, tilmicosin, tulathromycin, Gamithromycin, Tildipirosin (Macrolides)
1st/2nd Gen.Cephalosporins
AMEG D
Penicillin Amoxicillin Pot SA Tetracyclines : Oxy, Chlor, Doxy cycline
For how long shall be valid a vet prescription for veterinary medicinal products from the date of its issue, according to the new EU regulation ?
For 5 days
Gentamicin belongs to ?
AMEG C
How did change the vet AM comsumtion during the last 5 years in the EU ?
Decreased
How would you describe the pharmacokinetic properties of colistin and gentamicin ?
Absorption of colistin and gentamycin are very low from GI
Ornithobacterium rhinotracheale is frequent resistant to his AB ?
Tylosin + difloxacin
Systemic treatment needed in this case of otitis ?
Suppurative otitis externa
This agent is effective against Actinobacillus suis and mycoplasma hyopneumoniae in swine ?
Enrofloxacin IM, Tulathromycin IM, Lincomycin-spectinomycin IM
This drug can be effectively used in cystitis in dogs if it is caused by enterococci or lactamase producing E.Coli ?
Amox clavulinic acid + amox alone
This drug is authorised for poultry and can be effective against fowl cholera ?
Amoxicillin
Drug authorised for poultry and can be effective against ulcerative enteritis ?
Phenoxymethylpeniccilin
What is the route of administration for gamythromycin in swine ?
IM
First line choice for chronic pharyngitis in dogs ?
Azithromycin/Clarithromycin
Systemic treatment of MRSP pyoderma in dogs ?
Rifampicin (+ Mupirocin, Fusidic acid, Amikacin, Florphenicol, Chloramphenicol)
Parameter pharmacokinetic ?
Cmax
Zinc sulphate topically ?
Interdigital dermatitis
Single shot AB can be against ?
BRDC
It is inevitable to remember the phamacodynamic properties of certain antimicrobilas to be able to reduce the spreading of resistance. Based on this knowledge macrolide antibiotics are adviced to use in high dosages for short period of time
False
Tulathromycin can reach e!ective concentration in lung and this concentration persist in lung until one week.
True
Enrofloxacin is excellent in the treatment of pneumonia caused by gram negative fastidious pathogens in swine and it is outstanding activity against Mycoplasma species.
True
Amoxicillin is authorized only for intramuscular administration in both swine and cattle
False
As of February 2022, the prophylactic use of antimicrobials will be limited to the individual treatment of animals.
False
The most common form of antibiotics used by veterinarians is a solution and premix
True
The spread of antimicrobial resistance can be slowed down?
True
From 2022, when antibiotics are added to feed, the duration of prophylactic treatment must not exceed two weeks
False
The efficacy of oral chlortetracycline against mycoplasmas in poultry species is uncertain due to poor absorption
True
In poultry species, tilmicosin may be most effective in treating diseases caused by Spirochaeta spp.
False (penicillins)
Oral sulfonamide-trimetroprim combinations are particularly effective against mycoplasmas in poultry species.
False
The PK/PD analysis (AUC/MIC modell) helps estimate the degree of spreading antimicrobial resistance. The higher the ratio the higher the chance is for selection of mutant bacteria resistant to the given antimicrobial agent.
False
Acquired resistance to fluoroquinolones in pathogenic bacteria develops gradually and in several stages only after several weeks of treatment.
False
There is a UTI infection in a German shepherd dog. From the urine sample E. coli could be cultured, which has 32 μg/ml MIC value to amoxicillin. Regarding to the table, the substance will be effective during the treatment.
Amoxicillin 200ug/ml
32x8 = 256 > 200
True
There is a UTI infection in a shih-tzu dog. From the urine sample MRSA could be cultured, which has 64 μg/ml MIC value to amikacin. Regarding to the table and PK/PD analysis, the substance will NOT be effective during the treatment
Amikacin 342 ug/ml
64x8=512 >342
True
There is a UTI infection in a ten-year-old Persian cat. From the urine sample E. coli could be cultured, which has 4 μg/ml MIC value to cefovecin. Regarding to the table and PK/PD analysis, the substance will be effective during the treatment.
Cefovecin 9ug/ml
4x8 = 32 > 9
False (??)
There is a UTI infection in a four-year-old pug. From the urine sample Enterococcus fecalis could be cultured, which has 8 μg/ml MIC value to doxycycline. Regarding to the table and PK/PD analysis, the substance will NOT be e!ective during the treatment
Doxycycline: 53ug/ml
8x8 =64>53
False
It is proven, that animal products can transfer antimicrobial resistance to people, the most important and versatile vector of it is the E. coli.
True
In case of time dependent bactericidal antibiotics their maximum concentration should be at least six times higher in the treated compartment then the MIC volume of the given antibiotic agent for the given infectious bacterium isolate
False
Multiple causes can be present in the background of BRDS, while the treatment of which the bacterial resistance is rare. Most of the empirically suitable antibiotics can
treat the disease in case of P. multocida, M. haemolytica and M. bovis infectious
background as well
False
In case of bovine P. multocida respiratory disease the MIC value for ceftiofur is 0,004 mg/μl. The concentration reached in the PELF, in the blood and in the pulmonary interstitial fluid is higher than the MIC value for more than 8 days. This means a correct drug choice for the treatment of the infectious disease.
True
In case of ruminant Porphyromonas levii interdigital dermatitis, although the substance can be present at the site of infection in high concentrations, using tetracyclin locally is not advised due to the bacterial resistance against the substance.
False
Target receptor of amitraz
Octopamine rcpt
Topically for canine pyoderma
Neomycin, Gentamycin, Silver Sulfadiazine, Erythromycin, Azithromycin
Mupirocin/Fusidic acid (MRSP/MRSA)
Chlorhexidine
SE of florfenicol
Anemia
Which statement is true about the following sentence? Usually systemic treatment is not needed in case of intertrigo, because bacteria cannot reach deeper part of the skin in this disease
Whole sentence true
What is general indication for AB ?
The product is indicated for several bacteria which are listed in the indication.
This drug is not authorized for poultry in the European Union ?
Chloramphenicol
Gentamycin
Amoxicillin + Clavulanic acid
Which statement is true about the following sentence? Susceptibility testing should always be performed before treating folliculitis, because bacterial susceptibility is difficult to estimate in case of deep pyodermas
2nd part is true ?
This drug is very effective against fastidious bacteria and mycoplasmae as well and has excellent distribution.
Enrofloxacin (?)
Tulathromycin
Which statement is true about foot diseases in ruminants ?
Interdigital dermatitis can be treated with tetracycline spray, because high, effective concentration can be reached with topical treatment at the site of infection
This drug can be used for the treatment of foot rot, as it is active against anaerobic bacteria and its penetration is good.
Tulathromycin
“In PK/PD analysis for the treatment of respiratory infections,bacteria’s MIC value should be compared to the drug’s concentration in the…
Blood plasma, urine, PELF = pulmonary epithelial lining fluid
Administration colistin swine
PO + IM = parenteral
In poultry, E coli can cause
CRD + Septicaemia
granulomatosis + arthritis
Which statement is true about BRDC?
Fastidious organisms are the most frequent bacteria present. Luckily, resistance is usually low in them to most antibiotics.
Single shot AB good for
Resp infections
Lincomycin in swine
PO and IM
Amox + clavulinic acid in swine ?
oral + parenterally
Resistance rates are the worst in this species:
Poultry
Most typical mechanism of action of decreased susceptibility to macrocyclic lactones
Increased transport
This drug is very effective against fastidious bacteria and mycoplasma as well and has excellent distribution
Gamithromycin
Which statement is true about the following sentence?
In case of furunculosis, usually 3 weeks of systemic antibacterial treatment needed, because gram-negative rods are frequent in this disease
2nd part is true (?)
Which of the following bacteria cannot produce beta-lactamase enzymes?
Streptococcus suis
Which statement is true about the following sentence? It is prohibited to combined lasalocide with macrolides, because toxic interactions can occur between monovalent ionophore and macrolide antibiotics
The whole sentence is true
What is the recommended treatment duration in feline rhinotracheitis?
7-10 days acute, 4-6 weeks chronic
An in vivo test method for determining resistance to anthelmintics
Faecal egg count reduction test
Florfenicol can have this side effect in dogs
none ? (chloramphenicol has)
Which statement is true about the following sentence? Usually there’s a background disease behind pyoderma, which is most commonly allergy or parasitic infection
The whole sentence is true
Most typical mechanism of action of real resistance to fipronil
Ligand-mediated chloride ion channel intracellular domain alteration
Which of the following drugs can be cross-resistant?
Dieldrin and fipronil
Most typical mechanism of action of decreased susceptibility to organophosphates
Increased activity of esterase enzymes
Mechanism of resistance to…. Is ligand-mediated chloride ion channel intracellular domain alteration
Isooxazolines
Most typical mechanism of action of real resistance to benzimidazoles
Beta-tubulin binding site change
Mechanism of resistance is to…. is changes in nicotinic acetylcholine receptor
Imidazothiazoles
Most typical mechanism of action of decreased susceptibility to pyrethroids
Increased efflux
Which statement is true about BRDC?
Fastidious organisms, resistance is low
Which anti liver fluke agent is characteristic to be active against young flukes under 6 weeks of age?
Closantel
Which statement is true about the following sentence? Tris-EDTA is a recommended agent it otitis externa, because it has good antibiofilm effect
The whole sentence is true
Which statement is true about the following sentence? it is enough to treat superficial pyoderma only topically, because bacteria are only present on the skin’s surface in this case
The whole sentence is false
Which statement is true about the following sentence? Poultry feed cannot contain narazin if the animals are treated with tiamulin, because the CYP inhibitory activity of narazin can lead to severe toxic interaction
The whole sentence is true
Which statement is true
Consumption of colistin should be decreased in veterinary practice
Which statement is true
Ceftiofur-HCl is turned to desfuroyl-ceftiofur quickly in the body
What is the route of administration for colistin in swine
PO (toxic as an inj)
Which statement is true about the following sentence? Florfenicol and tiamulin combination in synergistic against ornithobacterium rhinotracheale, because they inhibit protein synthesis on different targets
The whole sentence is false
What is the route of administration for cefquinome in swine
IM
Resistance rates are the worse in this species
Swine
Which statement is true
Consumption of fluoroquinolones should be decreased in veterinary practice
Which antibiotic group reached high concentration intracellularly e.g. macrophages
Macrolides
What is the route of administration for lincomycin in swine
PO/parenteral
Which antiparasitic became inactive because of the change of Skdr gene in voltage gated sodium ion channel
Cypermethrin
This method is NOT applied to prevent the development of resistance against antiparasitic
Dilution
It causes delayed repolarization of Na+ ion channels in parasites
Flumethrin
This antiparasitic agent is an antagonist of GABA mediated Cl- ion channels
Afoxolaner
Which antiparasitic became inactive because of the change of RDI gene in GABA(A)
Dieldrin
Lincomycin belongs to
AMEGC
Phenicol’s are
Bacteriostatic agents
Rifampicin belongs to the
Rifamycin’s
Nalidixic acid belongs to the
I generation fluoroquinolones
Tiamulin
Pleuromutilin’s
Erythromycin
Macrolides
Doxycycline belongs to the
Tetracyclines
Lincosamides are
Bacteriostatic agents
Cefadroxil belongs to the
I generation cephalosporins
Metronidazole belongs to the
Nitroimidazoles
Aminoglycosides are
Concentration dependent bactericidal agents
Cephalosporins are
Time dependent bactericidal agents
Which agent is most effective in shampoos for cellulitis
Benzoyl peroxide
How should amikacin be used to treat canine pyoderma
IM injection
Which drug combination would be recommended to treat aspiration pneumonia in dogs
Amoxicillin + marbofloxacin + metronidazole
These pathogens can be involved in CIRDC
Bordetella bronchiseptica and Parainfluenza virus
How should antibiotics be administered in case of pneumonia in dogs
IV injections
In poultry, staphylococcus aureus can cause
Arthritis and Dermatitis
Which of the following can cause polyserositis of swine
Streptococcus suis
In poultry, staphylococcus aureus can cause
Septicaemia
Which of the following antibiotic combination would be recommended in pneumonia in dogs
Amoxicillin clavulanic acid + enrofloxacin
Amoxicillin clavulanic acid + cefuroxime
Amoxicillin + clavulanic acid + gentamycin
This can be a first choice antibiotic in CIRDC
Doxycycline and Potentiated sulphonamides
This drug can be used for the treatment of foot rot, as it is active against anaerobic bacteria and its penetration is good
Lincomycin and Florfenicol
Colistin belongs to
AMEGB
This can be a first choice antibiotic in CIRDC
Doxycycline and Clarithromycin
Amoxicillin and clavulanic acid combination belongs to
AMEGC
Which statement is true about foot diseases in ruminants
In interdigital dermatitis, topical antibiotic therapy is enough while interdigital phlegmon required systemic antibiotic therapy
Fowl cholera causes high mortality in this species
Duck
Which agent could be a first-line choice in chronic rhinitis in dogs or cats
doxycycline, azithromycin, clarithromycin, fluoroquinolones (except pradofloxacin), penicillin’s, cephalosporins
What is the route of administration for amoxicillin and clavulanic acid in swine
PO
In poultry, Escherichia coli can cause
CRD
Granulomatosis
pericarditis and salpingitis
Which agent would be a first-line choice in acute pharyngitis in dogs
Penicillin
Which drug belongs to the first-line systemic treatments for canine pyoderma
Cefovecin
Which of the following antibiotic combination would be recommended in pneumonia in dogs
Cefuroxime + marbofloxacin
Amoxicillin clavulanic acid + enrofloxacin
Minocycline belongs to the
Tetracyclines
Tulathromycin belongs to the
Macrolides
Imipenem belongs to the
Carbapenems
Clindamycin belongs to the
Lincosamides
Potentiated sulphonamides are
Time dependent bactericidal agents
Rifampin belongs to the
Rifamycin
Gamithromycin belongs to the
Macrolides
Polymyxins are
polypeptide antibiotics (bacitracin, polymyxin B, polymyxin E= colistin)
Polymyxins are
Concentration dependent bactericidal agents
Neomycin belongs to the
Aminoglycosides
Enrofloxacin belongs to the
II generation fluoroquinolones
Dicloxacillin belongs to the
Penicillinase-resistant (stable) penicillin’s
Pleuromutilin’s are
Bacteriostatic agents
How should time dependent bactericidal antibiotics be given
At least 3-5 days, in the recommended dose (which reach higher concentration in the animals than the
MIC value of the pathogen)
Which generation cephalosporin belongs to ceftiofur
3rd
Marbofloxacin belongs to
AMEG B - restrict
Is it allowed to use veterinary antibiotics for the purpose of preventing infectious diseases according to the law in force
It is allowed
What is the route of administration for marbofloxacin in swine
IM
What is the route of administration for ceftiofur in swine
IM
How can we prevent antibiotic resistance
Perform a PK/PD analysis
How would you define the MIC
The lowest concentration of the antibiotic, where bacteria cant grow
Is it legal to give an antibiotic authorized for dogs to cats
Yes it is, if no authorized product is available and it is not contradicted by the SPC of that product
Which susceptibility testing method can be used for PK/PD analysis
Both of them- disk diffusion and microdilution
What is metaphylaxis
The administration of a medicinal product to a group of animals after a diagnosis of clinical disease in part
of the group has been established
Cefquinome belongs to
AMEGB
Which statement is true about the following sentence? Pseudomonas aeruginosa is a frequent cause of suppurative otitis externa, which is sensitive to alkalic environment
The whole sentence is true (?)
Which statement is true about the following sentence? in case of damaged eardrum, tobramycin and marbofloxacin ear drop can be used, because only polymyxins are ototoxic
The whole sentence is false
“Single shot” products contain
Concentration dependent bactericidal antibiotics
Fluoroquinolones are
Concentration dependent bactericidal agents
Sulphonamides are
Bacteriostatic agents and combination time dependent bactericidal
Pradofloxacin belongs to the
IV generation fluoroquinolones (4th)
Which drug belongs to the first-line systemic treatments for canine pyoderma
Cefalexin
Valnemulin belongs to the
Pleuromutilin’s
Pleuromutilin’s are
Bacteriostatic agents
Which pathogen is the most frequent in pharyngitis in companion animals
Strepto in dogs, Pasteurella in cats
Which statement is true about pharyngitis and tonsilitis in dogs
Narrow spectrum penicillin’s are usually sufficient for the treatment of acute bacterial pharyngitis and tonsillitis, but in many cases (e.g. acute, mild, only viruses are present) they don’t need to be treated with antibiotics at all
In which respiratory infection is it necessary to use antibiotics
Canine distemper
How did change the veterinary antimicrobial consumption during the last 5 years in the EU
Decreased
MIC value
Minimal inhibitory concentration
Does present law allow mixing antibiotics into the feed of animals
Yes it does
Which drug belongs to the first-line systemic treatments for canine pyoderma
Clindamycin
Cefalexin, Amox + clavulanic acid, Cefovecin, Potentiated SA
What is the route of administration for Tilmicosin in swine
PO (Cardiogenic effect parenteral)
What is the route of administration of enrofloxacin in swine
PO (bitter taste), IM
Which agent would be a first-line choice in chronic pharyngitis in dogs
Macrolides (Azithro, Clarithro)
Streptococci and Pasteurella spp frequently cause the following infections in companion animals
Bronchitis and pneumonia in dogs, Rhinitis and sinusitis in dogs and Pharyngitis and tonsillitis
in dogs
Is it allowed to use veterinary antibiotics off label
It is allowed
How can we prevent antibiotic resistance
Must know pharmacodynamics of antibacterial agents
Use antibiotics for prevention and not for treatment
Perform antibiotic susceptibility test regularly
Which agent could be a first-line choice in chronic rhinitis in dogs or cats
Doxycycline
Cefoperazon belongs to the
III generation cephalosporin
Which statement is true about rhinitis in dogs
Rhinitis is more frequently causes by viruses than bacteria, so in many cases antibiotic treatment is not necessary
Tetracyclines are
Bacteriostatic agents
Amikacin belongs to the
Aminoglycosides
Spectinomycin belongs to the
Aminoglycosides
Which drug can be used topically to treat canine pyoderma
Silver sulfadiazine
Tiamulin belongs to ?
bacteriostatic
Marbofloxacin belons to
Concentration dpdt bactericidal
Combination of Trimethoprim + Sulfamethoxazole
time dpdt bactericidal
Sulfadimidine
bacteriostatic
Metronidazole
concentration dpdt bactericidal
clindamycin
bacteriostatic
Cefazolin
time dependent bactericidal
OxyTTC
bacteriostatic
Polymyxin-B
concentration dependent bactericidal
Amikacin
concentration dpdt bactericidal
oxacillin
time dpdt bactericidal
florphenicol
bacteriostatic