Quiz 3 Antibiotics - Handout Flashcards

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1
Q

original penicilin was which spectrum

A

narrow spectrum (G+)

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2
Q

what was original penicillin susceptible to

A

penicillinase (beta-lactamase)

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3
Q

original penicillin name

A

penicillin G and V

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4
Q

penicillin drugs that have been altered to be resistant to penicillinase

A

methicillin, nafcillin

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5
Q

later penicillin drugs that have broad spectrum and are susceptible to penicillinase

A

Ampicillin, amoxicillin

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6
Q

enzymes produced by bacteria that break the lactam ring of penicillins and cephalosporins rendering the drug inactive

A

Beta-lactamase (penicillinase)

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7
Q

chemical added to some penicillins to inhibit the activity of beta-lactamase

A

Clavulanic acid

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8
Q

potential metabolic targets

A

drugs that target cell wall
drugs that target protein synthesis
drugs that target folic acid synthesis
drugs that target DNA or RNA
drugs that target cell membranes

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9
Q

drugs that target cell wall

A

penicillin
cephalosporins
carbapenems
bacitracin
isoniazid
vancomycin

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10
Q

this drug blocks formation of peptidoglycan layer

A

penicillins

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11
Q

active Mycobacterium tuberculosis, used in combination with other drugs

A

Isoniazid

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12
Q

narrow spectrum, gram-positives, MRSA, penicillin allergies

A

Vancomycin

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13
Q

Drugs that target protein synthesis

A

aminoglycosides
tetracyclines
macrolides
clindamycin
linezolid

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14
Q

what aminoglycosides prescribed for

A

Streptomycin: broad spectrum, used to treat infections with gram negative rods

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15
Q

tetracyclines are which spectrum

A

broad spectrum

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16
Q

azithromycin, clarithromycin, and erythromycin belong into which drug category

A

macrolides

17
Q

drugs that target folic acid synthesis

A

sulfonamides
trimethoprim

18
Q

drugs that target DNA and RNA

A

Fluoroquinolones (quinolones)
rifampin

19
Q

drugs that target cell membranes

A

polymyxins
daptomycin

20
Q

agents to treat fungal infections

A

macrolide polyenes
azoles
echinocandins
allylamines

21
Q

macrolide polyenes - drug

A

amphotericin B

22
Q

injectable form of which drug can be used to treat histoplasmosis and Cryptococcus meningitis

A

amphotericin B

23
Q

azoles - drugs

A

ketoconazole, fluconazole, miconazole, clotrimazole

24
Q

azoles (drugs) are which spectrum

A

broad spectrum

25
Q

echinocandins - drugs

A

micafungin, caspofungin

26
Q

agents to treat protozoal infections

A

quinine

27
Q

what is principal treatment for malaria for hundreds of years

A

quinine

28
Q

quininig has been replaced by which drugs

A

chloroquine, primaquine

29
Q

chemotherapy for other protozoan infections

A

metronidazole (flagyl) - widely used amoebicide

30
Q

why is treatment of helminthic infections challenging

A

because helminths have greater similarities to human physiology

31
Q

how does treatment of viral infections using agents work

A

by inhibition of virus entry
inhibition of nucleic acid synthesis
inhibition of viral assembly/release

32
Q

drug that inhibits the virus entry and what is it prescribed for

A

fuzeon
blocks HIV infection by preventing binding of viral proteins to cell receptors

33
Q

drugs that inhibit viral nucleic acid synthesis and what are they prescribed for

A

acyclovir - herpesvirus
AZT - stops action of reverse transcriptase in HIV, blocking viral DNA production