Quiz 3 Material Flashcards

1
Q

Azithromycin (Zpak, Zithromax)

A

Macrolides/Ketolides

MOA: Binds to 50s ribosomal subunit and block peptidyltransferase center to prevent AA elongation (also inhibit 50s subunit formation)

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2
Q

Demeclocycline

A

Tetracyclines

MOA: Reversibly bind to the 30s ribosomal subunit preventing binding of tRNA = prevent protein synthesis

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3
Q

Neomycin

A

Aminoglycosides

MOA: Bind to specific 30s ribosomal proteins and interfere with the initiation of protein synthesis

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4
Q

Tigecycline

A

Tetracyclines

MOA: Reversibly bind to the 30s ribosomal subunit preventing binding of tRNA = prevent protein synthesis

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5
Q

Streptomycin

A

Aminoglycosides

MOA: Bind to specific 30s ribosomal proteins and interfere with the initiation of protein synthesis

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6
Q

Telithromycin

A

Macrolides/Ketolides

MOA: Binds to 50s ribosomal subunit and block peptidyltransferase center to prevent AA elongation (also inhibit 50s subunit formation)

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7
Q

Minocycline

A

Tetracyclines

MOA: Reversibly bind to the 30s ribosomal subunit preventing binding of tRNA = prevent protein synthesis

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8
Q

Gentamicin

A

Aminoglycosides

MOA: Bind to specific 30s ribosomal proteins and interfere with the initiation of protein synthesis

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9
Q

Amikacin

A

Aminoglycosides

MOA: Bind to specific 30s ribosomal proteins and interfere with the initiation of protein synthesis

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10
Q

Chloramphenicol

A

Other Protein Synthesis Inhibitors

MOA: Binds to the 50s subunit and inhibits peptide bond formation, Also has a high affinity to mammalian mitochondrial ribosomes

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11
Q

Clindamycin

A

Other Protein Synthesis Inhibitors

MOA: Same as erythromycin: Bind to the 50s ribosomal subunit and block the peptidyltransferase center to prevent AA chain elongation, Can also inhibit formation of the 50s subunit

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12
Q

Linezolid

A

Other Protein Synthesis Inhibitors

MOA: Inhibits formation of ribosomal complex, which binds to the 50s subunit near interface with the 30s subunit

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13
Q

Doxycycline

A

Tetracyclines

MOA: Reversibly bind to the 30s ribosomal subunit preventing binding of tRNA = prevent protein synthesis

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14
Q

Fidaxomicin

A

Macrolides/Ketolides

MOA: Binds to 50s ribosomal subunit and block peptidyltransferase center to prevent AA elongation (also inhibit 50s subunit formation)

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15
Q

Cotrimoxazole (Trimethoprim + Sulfamethoxazole)

A

Antifolate Drugs (Sulfa-Drugs)

MOA: Combination of trimethoprim and sulfamethoxazole – greater activity and broader spectrum than either drug used alone

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16
Q

Ciprofloxacin (Cipro)

A

2nd Generation Fluoroquinolones

MOA: Dual mechanism: Inhibit replication of DNA by interfering with DNA gyrase and topoisomerase IV

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18
Q

Ofloxacin

A

2nd Generation Fluoroquinolones

MOA: Dual mechanism: Inhibit replication of DNA by interfering with DNA gyrase and topoisomerase IV

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19
Q

Moxifloxacin

A

4th Generation Fluoroquinolones

MOA: Dual mechanism: Inhibit replication of DNA by interfering with DNA gyrase and topoisomerase IV

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21
Q

Clarithromycin

A

Macrolides/Ketolides

MOA: Binds to 50s ribosomal subunit and block peptidyltransferase center to prevent AA elongation (also inhibit 50s subunit formation)

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22
Q

Posaconazole

A

Azoles

MOA: Inhibits the P450 enzyme responsible for converting lanosterol to ergosterol (disrupts fungal membrane structure and function), also inhibits human and gonadal and adrenal steriod synthesis

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23
Q

Levofloxacin (Levaquin)

A

3rd Generation Fluoroquinolones

MOA: Dual mechanism: Inhibit replication of DNA by interfering with DNA gyrase and topoisomerase IV

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24
Q

Erythromycin

A

Macrolides/Ketolides

MOA: Binds to 50s ribosomal subunit and block peptidyltransferase center to prevent AA elongation (also inhibit 50s subunit formation)

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24
Q

Norfloxacin

A

2nd Generation Fluoroquinolones

MOA: Dual mechanism: Inhibit replication of DNA by interfering with DNA gyrase and topoisomerase IV

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24
Q

Gemifloxacin

A

4th Generation Fluoroquinolones

MOA: Dual mechanism: Inhibit replication of DNA by interfering with DNA gyrase and topoisomerase IV

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25
Tobramycin
Aminoglycosides MOA: Bind to specific 30s ribosomal proteins and interfere with the initiation of protein synthesis
26
Sulfacetamide
Antifolate Drugs (Sulfa-Drugs) MOA: Compete with dihydropteroate synthetase and inhibit folate production in bacteria (thus inhibit division and growth), Structural analogues of PABA
28
Nitrofurantoin
Urinary Tract Antiseptics MOA: Bacteria that are sensitive reduce the drug to a toxic intermediate (damages bacterial DNA)
29
Fluconazole
Azoles MOA: Inhibits the P450 enzyme responsible for converting lanosterol to ergosterol (disrupts fungal membrane structure and function), also inhibits human and gonadal and adrenal steriod synthesis
30
Sulfamethoxazole
Antifolate Drugs (Sulfa-Drugs) MOA: Compete with dihydropteroate synthetase and inhibit folate production in bacteria (thus inhibit division and growth), Structural analogues of PABA
32
Micafungin
Echinocandins MOA: interfere with the synthesis of B-glucan, which disrupts cell wall and causes lysis and cell death
33
Trimethoprim
Antifolate Drugs (Sulfa-Drugs) MOA: Inhibits dihydrogolate reductase – prevents conversion of dihydrofolic acid to tetrahydrofolic acid (thus interfere with folate production in bacteria), higher affinity to bacterial enzyme than mammalian
33
Methenamine
Urinary Tract Antiseptics MOA: Decomposed at acidic pH of 5.5 or less, Produces formaldehyde which is toxic to bacteria
34
Amphotericin B
Polyene Antibiotics MOA: Binds to ergosterol in the plasma membrane and forms a pore
35
Tetracycline
Tetracyclines MOA: Reversibly bind to the 30s ribosomal subunit preventing binding of tRNA = prevent protein synthesis
36
Capreomycin
Second-Line Antimycobacterial Drugs MOA: Inhibits protein synthesis
37
Ketoconazole
Azoles MOA: Inhibits the P450 enzyme responsible for converting lanosterol to ergosterol (disrupts fungal membrane structure and function), also inhibits human and gonadal and adrenal steriod synthesis
38
Voriconazole
Azoles MOA: Inhibits the P450 enzyme responsible for converting lanosterol to ergosterol (disrupts fungal membrane structure and function), also inhibits human and gonadal and adrenal steriod synthesis
39
Anidulafungin
Echinocandins MOA: interfere with the synthesis of B-glucan, which disrupts cell wall and causes lysis and cell death
39
Caspofungin
Echinocandins MOA: interfere with the synthesis of B-glucan, which disrupts cell wall and causes lysis and cell death
40
Nystatin
Polyene Antibiotics MOA: Binds to ergosterol in the plasma membrane and forms a pore
41
Flucytosine
Other Antifungal Drugs MOA: Enters fungal cell and disrupts DNA/protein synthesis (similar to anti-metabolites)
42
Griseofulvin
Other Antifungal Drugs MOA: Inhibits fungal mitosis, deposited in newly forming skin protecting it from new infection
43
Terbinafin
Other Antifungal Drugs MOA: Inhibits squalene epoxidase - Causes: block biosynthesis of ergosterol AND squalene builds up and becomes toxic
44
Ethambutol
First-Line Antimycobacterial Drugs MOA: interfere with cell wall synthesis
45
Sulfadiazine
Antifolate Drugs (Sulfa-Drugs) MOA: Compete with dihydropteroate synthetase and inhibit folate production in bacteria (thus inhibit division and growth), Structural analogues of PABA
46
Isoniazid
First-Line Antimycobacterial Drugs MOA: Prodrug (activated by mycobacterial enzyme), active molecule targets enzymes responsible for synthesis of mycolic acid and blocks its production (mycolic acid = essential for cell wall integrity)
47
Pyrazinamide
First-Line Antimycobacterial Drugs MOA: Lowers intracellular pH and inhibits growth
48
Rifampin
First-Line Antimycobacterial Drugs MOA: Interacts with bacterial RNA polymerase (block transcription)
49
Rifabutin
First-Line Antimycobacterial Drugs MOA: Interacts with bacterial RNA polymerase (block transcription)
50
Oseltamivir (Tamiflu)
Antiviral Drugs for Respiratory Virus Infections (Influenza) MOA: Neuraminidase Inhibitors = selectively inhibits the enzyme neuraminidase (which is essential to live cycle of this virus) and prevent release of new virions (works against Type A and B)
51
Rifapentine
First-Line Antimycobacterial Drugs MOA: Interacts with bacterial RNA polymerase (block transcription)
52
Ethionamide
Second-Line Antimycobacterial Drugs MOA: Structurally similar to Isoniazid - Prodrug (activated by mycobacterial enzyme), active molecule targets enzymes responsible for synthesis of mycolic acid and blocks its production (mycolic acid = essential for cell wall integrity)
53
Cycloserine
Second-Line Antimycobacterial Drugs MOA: Prevents cell wall synthesis
54
Telaprevir
Antiviral Drugs for Hepatitis MOA: bind to active site of HCV protease
55
Streptomycin
Second-Line Antimycobacterial Drugs MOA: Bind to specific 30s ribosomal proteins and interfere with the initiation of protein synthesis
57
Macrolides
Second-Line Antimycobacterial Drugs MOA: Binds to 50s ribosomal subunit and block peptidyltransferase center to prevent AA elongation (also inhibit 50s subunit formation)
58
Dapsone
Drugs Used in Leprosy MOA: Similar to sulfonamides, inhibits folate synthesis
59
Amantadine
Antiviral Drugs for Respiratory Virus Infections (Influenza) MOA: Inhibitors of Viral Uncoating = block viral membrane matrix protein MA (which functions as a channel for H+ ions, required for fusion of viral membrane with host cell membrane)
60
Fluoroquinolones
Second-Line Antimycobacterial Drugs MOA: Dual mechanism: Inhibit replication of DNA by interfering with DNA gyrase and topoisomerase IV
61
Rimantadine
Antiviral Drugs for Respiratory Virus Infections (Influenza) MOA: Inhibitors of Viral Uncoating = block viral membrane matrix protein MA (which functions as a channel for H+ ions, required for fusion of viral membrane with host cell membrane)
62
Zanamivir
Antiviral Drugs for Respiratory Virus Infections (Influenza) MOA: Neuraminidase Inhibitors = selectively inhibits the enzyme neuraminidase (which is essential to live cycle of this virus) and prevent release of new virions (works against Type A and B)
63
Boceprevir
Antiviral Drugs for Hepatitis MOA: bind to active site of HCV protease
64
Interferon
Antiviral Drugs for Hepatitis MOA: Induce host cell enzymes to inhibit viral RNA translation
65
Lamivudine
Antiviral Drugs for Hepatitis MOA: Inhibits hepatitis B DNA polymerase and HIV reverse transcriptase
66
Tenofovir
Antiviral Drugs for Hepatitis MOA: Inhibits viral reverse transcriptase
67
Acyclovir
Antiviral Drugs for Herpesvirus Infections MOA: Converted to active form by viral enzyme (thymidine kinase), competes as a substrate for viral DNA polymerase and is incorporated into the viral DNA
68
Famciclovir
Antiviral Drugs for Herpesvirus Infections MOA: Converted to active form by viral enzyme (thymidine kinase), competes as a substrate for viral DNA polymerase and is incorporated into the viral DNA
69
Valacyclovir
Antiviral Drugs for Herpesvirus Infections MOA: Converted to active form by viral enzyme (thymidine kinase), competes as a substrate for viral DNA polymerase and is incorporated into the viral DNA
70
Ganciclovir
Antiviral Drugs for Cytomegalovirus Infections MOA: must be activated by viral enzyme, inhibits viral DNA polymerase and can be Incorporated into viral DNA
71
Ribavirin
Antiviral Drugs for Hepatitis MOA: activated by kinases that phosphorylate the drug, active metabolites inhibit purine metabolism (block synthesis of viral DNA and RNA)
72
Itraconazole
Azoles MOA: Inhibits the P450 enzyme responsible for converting lanosterol to ergosterol (disrupts fungal membrane structure and function), also inhibits human and gonadal and adrenal steriod synthesis
72
Clofazimine
Drugs Used in Leprosy MOA: Binds to DNA and prevents it from serving as a template for replication
73
Cidofovir
Antiviral Drugs for Cytomegalovirus Infections MOA: inhibits viral DNA synthesis, does NOT depend on vial enzymes
74
Trifluridine
Antiviral Drugs for Herpesvirus Infections MOA: inhibits the incorporation of thymidine triphosphate into viral DNA, can incorporate into viral DNA (and cellular DNA)