Classification Of Antibiotics Flashcards

(50 cards)

1
Q

What is the major difference between bactericidal and bacteriostatic antibiotics?

A

Bactericidal antibiotics kill bacteria, while bacteriostatic antibiotics inhibit bacterial growth.

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2
Q

Which antibiotics are considered beta-lactams?

A

Penicillins, cephalosporins, carbapenems, and monobactams.

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3
Q

What is the mechanism of action of beta-lactam antibiotics?

A

Inhibition of transpeptidases, which are involved in peptidoglycan synthesis.

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4
Q

Name an antibiotic that inhibits cell membrane function.

A

Polymyxin B or colistin (Polymyxin E).

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5
Q

Which antibiotics inhibit protein synthesis by targeting the 30S ribosomal subunit?

A

Aminoglycosides, tetracyclines, spectinomycin.

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6
Q

What does the term ‘broad-spectrum antibiotic’ mean?

A

An antibiotic that is effective against a wide range of Gram-positive and Gram-negative bacteria.

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7
Q

Which class of antibiotics inhibits DNA synthesis by targeting DNA gyrase?

A

Quinolones and fluoroquinolones.

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8
Q

What is the main adverse effect associated with tetracyclines?

A

Staining of teeth and impairment of bone structure.

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9
Q

Which antibiotics are classified as glycopeptides?

A

Vancomycin and teicoplanin.

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10
Q

What is the mechanism of action of macrolides?

A

Inhibit RNA-dependent protein synthesis at the chain elongation step.

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11
Q

Which class of antibiotics works by inhibiting folic acid synthesis?

A

Sulfonamides and trimethoprim.

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12
Q

What is the primary target of aminoglycosides?

A

The 30S ribosomal subunit, leading to misreading of mRNA.

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13
Q

What is the main adverse effect associated with aminoglycosides?

A

Nephrotoxicity and ototoxicity.

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14
Q

Name a fifth-generation cephalosporin that is active against MRSA.

A

Ceftaroline or ceftobiprole.

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15
Q

Which antibiotic is often used in combination with beta-lactamase inhibitors?

A

Amoxicillin (combined with clavulanic acid).

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16
Q

What are beta-lactamase inhibitors?

A

Compounds that prevent bacterial beta-lactamases from hydrolyzing beta-lactam antibiotics.

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17
Q

Which antibiotic is used primarily against anaerobic bacteria?

A

Metronidazole.

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18
Q

Which antibiotics are classified as nucleic acid synthesis inhibitors?

A

Quinolones, fluoroquinolones, and rifamycins.

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19
Q

What is the clinical significance of clavulanic acid?

A

It is a beta-lactamase inhibitor that protects antibiotics like amoxicillin from degradation.

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20
Q

What is the mechanism of action of rifampicin?

A

Inhibits DNA-dependent RNA polymerase, blocking RNA synthesis.

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21
Q

Which antibiotic is a first-line treatment for tuberculosis?

A

Isoniazid or rifampicin.

22
Q

What is the primary adverse effect of fluoroquinolones?

A

Tendon rupture, particularly of the Achilles tendon.

23
Q

Which generation of cephalosporins has the broadest activity?

A

Fourth generation, such as cefepime.

24
Q

What is the spectrum of activity of monobactams like aztreonam?

A

Limited to aerobic Gram-negative bacteria.

25
What is the mechanism of action of vancomycin?
Inhibits cell wall synthesis by preventing peptidoglycan cross-linking.
26
Which antibiotic is known for causing 'red man syndrome'?
Vancomycin.
27
What is the primary mechanism of action of chloramphenicol?
Inhibits protein synthesis by binding to the 50S ribosomal subunit.
28
Which antibiotic class is most commonly associated with photosensitivity?
Tetracyclines.
29
What is the clinical use of fosfomycin?
Used to treat uncomplicated urinary tract infections.
30
Which antibiotic inhibits protein synthesis by preventing the formation of the 70S initiation complex?
Linezolid.
31
What is the mechanism of action of streptogramins?
Inhibit protein synthesis by binding to the 50S ribosomal subunit.
32
Which antibiotic inhibits protein synthesis by blocking the binding of aminoacyl-tRNA to the ribosomal A-site?
Tetracyclines.
33
What is the classification of beta-lactam antibiotics based on their chemical structure?
Penicillins, cephalosporins, carbapenems, and monobactams.
34
Which antibiotics are considered 'time-dependent' in their killing activity?
Penicillins and cephalosporins.
35
What is the mode of action of daptomycin?
Disrupts bacterial cell membrane function, leading to cell death.
36
Which antibiotic is used as a topical treatment due to its toxicity when used systemically?
Bacitracin.
37
What is the spectrum of activity of polymyxins?
Effective against Gram-negative bacteria, including Pseudomonas aeruginosa.
38
Which antibiotic is commonly used for surgical prophylaxis?
Cefazolin (first-generation cephalosporin).
39
What is the mechanism of action of sulfonamides?
Inhibit folic acid synthesis by competing with para-aminobenzoic acid (PABA).
40
Which antibiotics are primarily used to treat urinary tract infections?
Trimethoprim-sulfamethoxazole and nitrofurantoin.
41
What are the common adverse effects of chloramphenicol?
Bone marrow suppression and aplastic anemia.
42
Which class of antibiotics includes erythromycin, azithromycin, and clarithromycin?
Macrolides.
43
Which antibiotics are active against intracellular bacteria like Chlamydia and Mycoplasma?
Tetracyclines and macrolides.
44
What is the mode of action of fluoroquinolones?
Inhibit DNA gyrase and topoisomerase IV, preventing bacterial DNA replication.
45
What is the classification of fluoroquinolones based on generations?
First-generation: Norfloxacin; Second-generation: Ciprofloxacin; Third-generation: Levofloxacin; Fourth-generation: Moxifloxacin.
46
What is the mode of action of metronidazole?
Causes DNA strand breakage by generating reactive free radicals in anaerobic bacteria.
47
Which antibiotic is primarily effective against Gram-positive organisms resistant to other treatments?
Linezolid.
48
Which antibiotics inhibit bacterial topoisomerase enzymes?
Fluoroquinolones.
49
What is the significance of aminocyclitol in aminoglycosides?
Aminoglycosides contain an aminocyclitol ring that is essential for their activity.
50
What is the mechanism of action of oxazolidinones like linezolid?
Inhibits protein synthesis by preventing the formation of the 70S initiation complex.