Protein synthesis inhibitors Flashcards

1
Q

action on 30s ribosomal subunit ?

A

aminoglycosides
tetracycline

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2
Q

action on 50s ribosomal subunit ?

A

chloramphenicol
macrolides
clindamycin

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3
Q

systemic aminoglycosides name ?

A

STK-GA
Streptyomycin
tobramycin
kanamycin
amikacin
gentamiciin

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4
Q

oral aminoglycoside ?

A

neomycin

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5
Q

common properties of aminoglycosides ?

A

777

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6
Q

M/A of aminoglycoside one line ?

A

protein synthesis I

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7
Q

Physical properties ?

A

hexose ring
& amino sugar
attched by glycosidic linkage

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8
Q

M/A of Aminoglycosides ?

A

778

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9
Q

aminoglycoside + penicillin ?

A

synergistic effect

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10
Q

A/E of aminoglycosides ?

A

ototoxicity
nephrotoxicity
neuromuscular bloackade
hypersensitivity

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11
Q

ototoxicity by which drug ? vestibular ?

A

GS
streptomycin
gentamicin

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12
Q

auditory damage by which drug a?

A

NAK
neomycin
kanamycin
amikacin

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13
Q

A + Frusemide >

A

pharmacological potentiation
+++++++ ototoxicity

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14
Q

A + neuromuscular blockade ?

A

PP
enhance paralysis

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14
Q

selective activity of aminoglycoside >

A

782

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15
Q

A + cephalosporins = ?

A

PP
nephrotoxicity ++++++++++

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16
Q

A + vancomycin ???

A

PP
+++++++++++=nephrotoxicity

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17
Q

contraindications of tetracycline ? children ?

A

fetal teeth - fluroscence + discoloration + enamal dysplasia
fetal bone = defromity / growth inhibition

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18
Q

natural tetracycline ?

A

chlor-oxy T
T

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18
Q

semisynthetic T ?

A

Doxycycline
minocyclinne
demeclocycline

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19
Q

A/E of tetracycline ?

A

N-V-D
Fetal teeth + bone
hepatotoxicity
nephrotoxicity
photosensitization
IM- local irritation
IV - venous thrombi

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20
Q

indication of chloramphenicol >

A

eye infection - tropical use
rickettsial infection
meningococcal meningitis
bacterial meningitis

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20
Q

why cholamphenicol used in eye infection <

A

broad spectrum
penetration of ocular tissues and aqueous humor

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21
Q

oxyT vs Doxycycline ?

22
A/E of chloramphenicol?
N-V-D Superinfection oral and vaginal candiditis gray baby syndrome
23
when gray baby syndrome occur >
chloramphenicol >50 mg/kg
24
common macrolides ?
ACE\ azithromycin clarithromycin erythromycin
25
alternative of penicillin allergic patient >
M,acrolides
26
macrolides use ?
Upper RTI community acquire P atypical P acne cholera triple therapy in PUD diptheria SSTI WHOOPING COUGH
27
Use of aminoglysides ?
779 12-2-2025 3.55PM
28
aminoglycoside soubiliuty ?
WATER SOLUBLE
29
Old ekjon pt ke drug deyar age ki ki dekhba ?
renal & hepatic function
30
how to assess renal function ?
Creatinine dekhbo
31
RTI e P drug hiseve kon fluroquinolone ?
levofloxacillin
32
RTI e P drug huseve kon penicillin ?
ampicillin corrected 16-2-2025 12.16AM
33
which macrolides in PUD >
clarithromycin
34
why clarithromycin in PUD ?
acid stable macrolides with broad spectrum of anti-bacterial activity
35
others macrolides PUD te na keno ????
higher resistance by H pylori lower gastric penetration less synergy with PPI shorter intracellular effect 16.2.2025 12.19AM
36
why doxycycline in=s better than tetracycline ?
more potent less frerquncy of dosing longer duration of action less incidence of diarrhea' can be used in renal failure
37
treatment of abscess anf boil e ??
cefuroxime clavulanic acid
38
why aminoglycoside not given orally >? // why streptomycin is given IV ???? Munni mam
**Aminoglycosides are not given orally** because they are poorly absorbed from the gastrointestinal tract and must be administered parenterally (IV/IM) to achieve effective systemic concentrations.
39
M/A of chloramphenicol ?
50s ribosomal subunit bind inhibit peptidyl transferases' inhibit peptide bond formation protein synthesis inhibites
40
indication of neomycin ?
preparation for elective bowel surgery hepatic encephalopathy pre-operartive gut sterilization
41
dosing schedule of azithromycin ?
daily dosing
42
indication of carbapenam ?
pneumococcal infection enterobacter infection mixed aerobic and anerobic choice of drug - serious infections caused by extended sprectrum of extended beta lactamase producing gram - bacteria
43
oculotoxic drug name ?
ethambutol chloroquine
44
use of nalidixic acid ?
bacillary dysentry UTI
45
Drugs - ENteric fever + Pregnancy 811
amoxicillin cephalosporins cefuroxime cefixime ceftriaxone
46
name beta lactum drugs ?>
756
47
1st G cephalosporins indication ?
cellulitis SSTI Sinusitis UTI Skin infection 768
48
long acting tetracycline name >
doxyxycline minocylcine
49
short actiing T ?
Oxy T t
50
auditory damage what happening ?
tinnitus hearing loss
51
vestibular damage what happening >
vertigo ataxia loss of balance 12-2-2025 5.45PM
52
oto-toxicity what type of damage ?
sensory
53
oto-toxicity which nerve ?
vestibulocochelar nerve / 8th nerve
54
tetracycline is contraindicated upto which age ?
8 yrs
55
INFECTIVE diarrheas which drugs 813 ??
ciprofloxacillin ampicillin 3 + 4 cephalosporins co-trimoxazole 12.51AM 16.2.25