Penicillin Flashcards

1
Q

How does penicillin interfere with bacterial cell wall synthesis?

A

It interferes with the transpeptidation or cross-linkage essential for cell wall integrity, causing cell lysis

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2
Q

Penicillin G’s spectrum and resistance to penicillinase, method of administration

A

Narrow spectrum, gram +, isn’t resistant, parenteral

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3
Q

True or False Penicillin G holds up well in the stomach

A

False

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4
Q

Pincillin V spectrum, route of administration resistant to pinicillinase?

A

Narrow spectrum, gram +, oral, no

More stable in acidic environment due to R group

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5
Q

Oxacillin spectrum, route, resistance to penicillinase?

A

Narrow spectrum, gram +, oral, yes

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6
Q

Amoxicillin spectrum, route of administration, resistant to penicillinase?

A

extended spectrum, hits additional gram -, oral, well absorbed

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7
Q

Where does the term MRSA come from?

A

Methicillin is a toxic prototype drug formin the group in which oxacillin comes from.

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8
Q

Is oral pen v or oral pen G better absorbed?

A

Pen V is better absorbed and thus reaches a higher peak in the plasma level.

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9
Q

Depot Benzathine Pen G is very useful due to its’ slow leak into the PM as a treatment for

A

The early stages of Syphilis

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10
Q

What class does the hospital drug imipenem fall into?

A

Carbapenem

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11
Q

What kind of spectrum does imipenem have?

A

Very broad spectrum, parenteral

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12
Q

True/False Clavulanic Acid is an antibiotic? What does it do?

A

False. It blocks penicillinase.

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13
Q

How is clavulanic acid administered?

A

Oral or parenteral with a penicilin (Augmentin)

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14
Q

Which drug has a narrow spectrum (gram +) and is resistant to penicillinase and is used for very specific, multi-microbial cases?

A

Vancomycin

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15
Q

What is the name of a drug that is toxic internally but is used as an OTC ointment.

A

Bacitracin

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16
Q

True/False Penicillin’s link to Transpeptidase is reversible.

A

False. The permanent link causes a post abx. effect even after the dose has disappeared. The therapeutic range is reached 50% of time.

17
Q

What drug (This drug is not an abx) is categorized into the Beta-Lactamase blocker class?

A

Clavulanic acid

18
Q

Name a drug that we have studied that is used in the treatment of serious infections cause by B-lactamase resistant, gram + microorganisms.

A

Vancomycin

19
Q

True/False Use penicillin to treat a Gonococcal Infection.

A

False, most gonococcal infections are now resistant to penicillin.

20
Q

Some cardiac-related risk factors put patients at risk for developing endocarditis after having multiple tooth extractions. What is the present American Heart Association guideline for abx. administration before a procedure like this?

A

Amoxicillin, 2 g given 1 hr before procedure