Sulfonamides Flashcards

1
Q

_____________ cofactor in synthesis of thymidine, purines, DNA

A

Tetrahydrofolic acid

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2
Q

Bacteria permeable or impermeable to folic acid?

A

impermeable

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3
Q

Bacteria must synthesis folic acid from _______

A

PABA

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4
Q

Sulfonamides compete with PABA for __________

A

enzyme dihydropteroate synthetase

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5
Q

Sulfonamides have _________ affinity for dihydropteroate synthetase

A

increased (more than PABA)

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6
Q

Static or cidal?

A

Static

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7
Q

Host cells not affected because they require __________ folic acid

A

preformed

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8
Q

Dihydrofolate reducatase inhibited by

A

trimethoprim

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9
Q

Excretion?

A

Renally

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10
Q

Can cause morbilliform rash, steven johnson syndrome, erythema multiforme, and photosensitivity rash

A

sulfonamides

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11
Q

Can cause _________ with less soluble compounds like sulfadiazine and sulfathiazole

A

crystalluria

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12
Q

Administer with or without fluids?

A

With

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13
Q

Can cause _______ when given in last months of pregnancy because it competes for _________ binding sites on plasma albumin

Causes increased or decreased fetal blood levels of unconjugated bilirubin?

A

Kernicterus
bilirubin
increased

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14
Q

__________ can have structural change in dihydropteroate synthetase

A

E. coli

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15
Q

Neisseria and staph overproduce _______

A

PABA

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16
Q

Bacteria require ________ derivative of folic acid

A

Tetrahydrofolic acid