Antibacterial and Antifungals Flashcards

1
Q

Organisms not covered by cephalosporins

A

Listeria monocytogenes
Atypicals (chlamydia, mycoplasma)
MRSA
Enterococci

*LAME

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2
Q

Why you should avoid ceftriaxone in neonates?

A

They have decrease biliary metabolism

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3
Q

Risk when use imipenem or meropenem in a patient with renal dysfunction or if give overdose

A

Seizures

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4
Q

Antibiotic inhibitor of cell wall synthesis that doesn’t have cross allergenicity with penicillins or cephalosporins

A

Aztreonam

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5
Q

Which antibiotics bind to the 30S subunit of bacterial ribosomes?

A

Aminoglycosides

Tetracyclines

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6
Q

Antibiotic used for TBC, drug of choice for bubonic plague and tularemia

A

Streptomycin

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7
Q

Antibiotics of choice in pregnancy

A

Penicillins
Cephalosporins
Macrolides

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8
Q

Most likely cause of pseudomembranous colitis

A

Clindamycin

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9
Q

Why do the anaerobes are resistant to the aminoglycosides?

A

Aminoglycosides ▶️ Require O2 for uptake ▶️ ineffective against anaerobes

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10
Q

Toxoplasmosis treatment and prophylaxis

A

Treatment ▶️ sulfadiazine + pyrimethamine

Prophylaxis ▶️ TMP-SMX

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11
Q

Which antibiotics should not be taken with milk (Ca2+), antacids (Ca2+ or Mg2+), or iron-containing preparations?

A

Tetracyclines

Quinolones

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12
Q

Why quinolones must be avoided in children? Other articular side effect is?

A

Inhibition of chondrogenesis ▶️ In 60 yrs or prednisone

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13
Q

Treatment of Multidrug-resistant P aeruginosa, multidrug-resistant Acinetobacter baumannii

A

Polymyxins B and E (colistin)

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14
Q

Which azole antifungi can penetrate into CSF and used for meningeal infection?

A

Fluconazole

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15
Q

Mechanism of action of terbinafine. Indications.

A

Inhibit squalene epoxidase ▶️ ⬇️ ergosterol

Dermatophytes (onychomycoses)

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16
Q

Most likely mechanism of resistant for methicillin-resistant staphylococcus aureus to antisaph penicillins

A

Alteration of PBP ▶️ drug can’t bind effectively

17
Q

How do you treat a patient with syphilis that is penicillin allergic?

A

Tetracyclines or possibly desensitization

18
Q

In what consist the HAART regimen?

A

2 NRTIs and preferrably an integrase inhibitor