Antibiotics and Peptidoglycan Inhibition
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Questions and Answers

Which antibiotic inhibits peptidoglycan polymerization by preventing the transglycosylation step?

  • Bacitracin
  • Fosfomycin (correct)
  • Daptomycin
  • Colistin
  • Which of the following antibiotics is known to be nephrotoxic when used systemically?

  • Daptomycin
  • Fosfomycin
  • Bacitracin (correct)
  • Tetracycline
  • What is a common effect of Tetracyclines on the body?

  • Hemolytic anemia
  • Nephrotoxicity
  • GI discomfort (correct)
  • Cardiotoxicity
  • Which antibiotic is effective against Gram-positive and Gram-negative bacteria, as well as certain protozoa?

    <p>Tetracycline</p> Signup and view all the answers

    What occurs during the mechanism of action of Bacitracin?

    <p>Prevents lipid carrier dephosphorylation</p> Signup and view all the answers

    Which of the following is true regarding Daptomycin?

    <p>It disrupts membrane integrity of the bacteria.</p> Signup and view all the answers

    Which of these antibiotics is indicated for the treatment of Clostridium difficile associated diarrhea?

    <p>Fosfomycin</p> Signup and view all the answers

    Which antibiotic binds to the 30S subunit of the ribosome?

    <p>Tetracycline</p> Signup and view all the answers

    What is the primary mechanism of action for natural penicillins?

    <p>Inhibit transpeptidation</p> Signup and view all the answers

    Which of the following bacterial infections is primarily treated with natural penicillin?

    <p>Gas gangrene caused by Clostridium perfringens</p> Signup and view all the answers

    Which antibiotic class is specifically used to treat penicillinase-producing Staphylococci?

    <p>Anti-staphylococcal penicillin</p> Signup and view all the answers

    What spectrum of activity do amoxicillin and ampicillin cover?

    <p>Gram+ and Gram- organisms</p> Signup and view all the answers

    Which of the following is a common adverse reaction associated with antibiotic use?

    <p>Nausea and diarrhea</p> Signup and view all the answers

    Which antibiotic is used as a drug of choice for treating Syphilis?

    <p>Penicillin G</p> Signup and view all the answers

    Extended spectrum penicillins are primarily effective against which type of organisms?

    <p>Both Gram+ and selected Gram- organisms</p> Signup and view all the answers

    What is the role of the MRSA identification test in antibiotic treatment?

    <p>To distinguish between MRSA and MSSA infections</p> Signup and view all the answers

    What type of antibiotic is Tigecycline classified as?

    <p>Bacteriostatic</p> Signup and view all the answers

    Which antibiotics are effective against Chlamydia trachomatis infections?

    <p>Clarithromycin and Azithromycin</p> Signup and view all the answers

    What is a common side effect associated with Erythromycin?

    <p>Ototoxicity</p> Signup and view all the answers

    What mechanism do Macrolides, such as Azithromycin, primarily use to inhibit bacterial growth?

    <p>Bind to the ribosomal 50s subunit</p> Signup and view all the answers

    Enterococcus faecalis is typically treated with which antibiotic class?

    <p>Beta-lactams</p> Signup and view all the answers

    What is a potential side effect of using Amikacin?

    <p>Skin rash</p> Signup and view all the answers

    What is the action of Glycylcyclines against bacteria?

    <p>They inhibit the assembly of ribosomes</p> Signup and view all the answers

    Which antibiotic is known for targeting intracellular pathogens such as Chlamydia?

    <p>Clarithromycin</p> Signup and view all the answers

    Study Notes

    Antibiotics and Mechanisms of Action

    • Fosfomycin: Inhibits peptidoglycan polymerization by preventing the transglycosylation step; effective against enterococci; administered IV as 125mg PO four times daily for 10 days.
    • Bacitracin: Targets Gram+ bacteria; interferes with dephosphorylation in the lipid carrier cycle, which transports peptidoglycan subunits; nephrotoxic when systemic, hence used topically for surface lesions.

    Cell Membrane Targeting Antibiotics

    • Colistin (Polymyxin): Bactericidal action; primarily targets cell membrane of Gram- bacteria.
    • Daptomycin (Cyclic Lipopeptide): Bactericidal; effective against Gram+, Gram-, and protozoa, used for various infections including those caused by resistant strains.

    Tetracyclines

    • Tetracycline, Oxytetracycline, Doxycycline, Minocycline: Bacteriostatic agents; bind to the 30S ribosomal subunit, affecting protein synthesis; side effects include GI discomfort and effects on calcified tissues, particularly in growth.

    Penicillin Class

    • Natural Penicillin (Penicillin G, Penicillin V): Effective against Gram+ cocci, Gram+ bacilli, Gram- cocci, and spirochetes; first-line treatment for syphilis and gas gangrene.
    • Anti-Staphylococcal Penicillins (Methicillin, Nafcillin, Oxacillin, Dicloxacillin): Used against penicillinase-producing Staphylococci; includes MSSA; can help identify MRSA.
    • Extended-Spectrum Penicillin (Ampicillin, Amoxicillin): Covers additional bacteria including Pseudomonas aeruginosa; inhibits bacterial cell wall synthesis by preventing cross-linkage.

    Aminoglycosides

    • Amikacin, Gentamicin, Netilmicin, Verdamicin: Effective against enterococcus faecalis and enterococcus faecium; can be used in combination with β-lactams for infective endocarditis.

    Glycylcyclines

    • Tigecycline: Bacteriostatic; provides broad-spectrum coverage but with limited clinical application.

    Macrolides

    • Erythromycin, Clarithromycin, Azithromycin, Telithromycin: Bacteriostatic; bind to the 50S ribosomal subunit, inhibiting protein synthesis; utilized for respiratory infections and urethritis caused by Chlamydia trachomatis; side effects may include cholestatic jaundice and ototoxicity.

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    Antibiotics Cheat Sheet PDF

    Description

    This quiz covers the role of antibiotics, specifically fosfomycin, in inhibiting peptidoglycan polymerization. It explores its effects on enterococci and associations with conditions such as antibiotic-associated colitis and Clostridium difficile diarrhea. Test your knowledge on these important microbial concepts.

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