Antibacterials 5 Flashcards

0
Q

Sulfonamides structurally similar to

A

PABA

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1
Q

Sulfonamides moa

A

Inhibitors of folate metabolism

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2
Q

Sulfonamides are more soluble in alkaline pH?

A

Yes

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3
Q

Prevents conversion of PABA and pteridine to dihydropteroic acid

A

Sulfonamides

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4
Q

Prevents conversion of dihydrofolic acid to tetrahydrofolic acid

A

Trimethoprim

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5
Q

Drug of choice for
Pneumocystis jiroveci pneumonia
Toxoplasmosis
Nocardosis

A

Cotrimoxazole

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6
Q

Cotrimoxazole components

A

Trimethoprim

Sulfamethoxazole

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7
Q

Bacteriostatic whentaken ind but bactericidal when taken together

A

Trimethoprim and sulfamethoxazole

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8
Q

First line drug for typhoid fever

A

Cotrimoxazole

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9
Q

Gram pos S aureus inc MRSA, S pyogenes, S pneumonia

Gram neg Haemophilus spp, E coli, Proteus mirabilis, Salmonella spp

A

Cotrimoxazole

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10
Q

30S inhibitors

A

Aminoglycosides

Tetracyclines

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11
Q

Reversible 30 S inhibitor

A

Tetracycline

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12
Q

Irreversible 30S inhibitor

A

Aminoglycosides

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13
Q

Aminoglycosides more active in what pH?

A

Alkaline

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14
Q

Mycins?

A

Aminoglycosides

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15
Q

Aminoglycosides synergistic with

A

Beta lactams

16
Q

Moa of Aminoglycosides

A

Interference with initiation complex
Breakup of polysome
Misreading mrna

17
Q

Ototoxic and nephrotoxic when continued at high doses for long periods

A

Aminoglycosides

18
Q

Most ototoxic agents, Aminoglycosides

A

Neomycin
Kanamycin
Amikacin

19
Q

Most nephrotoxic aminoglycosides

A

Neomycin
Tobramycin
Gentamicin

20
Q

Aminoglycoside, no activity for anaerobes

A

Gentamicin

21
Q

Can be administered intrathecally, aminogly

A

Gentamicin

22
Q

Acid stable 30s inhibitor

A

Tetracyclines

23
Q

Moa of tetracyclines

A

Blocks binding of aminoacyl-tRNA to acceptor site

24
30S inhibitor with anaerobe activity
Tetracyclines
25
Tetracycline resistance moa
Impaired influx, increased efflux Tet-AE Ribosome protection, interfere binding Tet-M Inactivation
26
Absorption of tetracycline impaired by
Food Divalent cations Dairy products and antacids Alkaline pH
27
Chelate with metals, dont administer with milk, antacids, ferrous sulfate
Tetracyclines
28
Who should avoid tetracyclines?
Pregnant women | Children less than 8
29
Drug of choice against rickettsiae
Tetracyclines
30
Used in combination regimens to treat ulcers caused by H pylori
Tetracyclines
31
IV injection can cause venous thrombosis
Tetracyclines
32
Preferred for atypical microbes, Chlamydia, Mycoplasma
Doxycycline
33
Elimination of doxy
Non renal
34
Doxycycline admin
iV | Oral
35
Chlamydia, mycoplasma pneumoniae, cholera, leptospirosis, malaria
Doxycycline
36
50S inhibitors
Chloramphenicol Macrolides Clindamycin