Antimicrobials Flashcards

1
Q

irreversibly inhibits transpeptidase by covalently binding to the serine residue of the active site of the penicillin binding proteins (PBPs) thus inhibiting cell wall synthesis

A

MOA of B-Lactam Antibiotics

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2
Q

Old penicillin

A

Penicillium notatum

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3
Q

clinical trials of penicillin

A

freeze-drying” or “lyophilization”

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4
Q

New penicillin

A

P. chrysogenum or P. rubens

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5
Q

Alternative to penicillin if allergic

A

Erythromycin

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6
Q

major product of acid degradation

A

Penilloic acid

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7
Q

Penicillin SAR in the R or side chain: addition of electron withdrawing group

A

acid stability

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8
Q

Penicillin SAR in the R or side chain:
addition of amino group

A

increases spectrum of activity

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9
Q

may be given with Probenecid to improve bioavailability

A

Penicillin G

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10
Q

“Narrow Spectrum” penicillins

A

Natural Penicillins

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11
Q

T/F. Sulfur atom in thiazolidine ring is nonessential

A

True

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12
Q

depot forms if pen G given IM but is rapidly excreted

A

benzathine penicillin, procaine penicillin

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13
Q

major product of enzymatic degradation of penicillin
by B-lactamase

A

Penicilloic acid:

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14
Q

phenoxymethyl penicillin

A

Penicillin V

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15
Q

A natural penicillin given orally and only for minor infections

A

Penicillin V

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16
Q

benzylpenicillin

A

Penicillin G

17
Q

Penicillin SAR in the R or side chain: addition of bulky group

A

penicillinase resistance

18
Q

Antistaphylococcal Penicillins

A
  • “Penicillinase-resistant” penicillins
19
Q

Wht are the Antistaphylococcal Penicillins

A

Methicillin
Nafcillin
Oxacillin

20
Q
  • “Broad Spectrum” penicillins
A

Aminopenicillins

21
Q

can be given to patients with renal problems

A

Nafcillin

22
Q
  • alternative to methicillin
A

Nafcillin

23
Q

development of bacterial resistance: MRSA—-> vancomycin

A

Methicillin

24
Q

What are the amino penicillins

A

Ampicillin
Amoxicillin

25
Q

Also know as oxacillin

A

“Isoxazolyl” penicillins

26
Q

Prodrugs of ampicillin

A

Bacampicillin, Hetacillin, Ciclacillin

27
Q

commonly used in respiratory infections given in PO

A

Amoxicillin

28
Q

DOC: Listeria monocytogenes

A

Ampicillin

29
Q

What are the Antipseudomonal Penicillins

A

Carboxypenicillins
Ureidopenicillins

30
Q

An acid labile penicillin given IM or IV

A

Antipseudomonal Penicillins

31
Q

What are the 4 classification of penicillin

A

Natural Penicillins
Antistaphylococcal Penicillins
Aminopenicillins
Antipseudomonal Penicillins

32
Q

with urea in the a-position

A

Ureidopenicillins

33
Q

has the broadest spectrum of the penicillins

A

Piperacillin +Tazobactam

34
Q

Which of them is the most potent in ureidopencillins: Azlocillin, Mezlocillin, Piperacillin

A

Piperacillin

35
Q

with Carboxyl group in the a-position

A

Carboxypenicillins

36
Q

Antibiotic: a substance produced by a microbe that
kills (bactericidal) or inhibits (bacteriostatic) another microbe

A

Antibacterials

37
Q

“Extended Spectrum” penicillins

A

Antipseudomonal Penicillins