Antibiotics: Penicillins and Cephalosporins

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Questions and Answers

Which of the following antibiotics have activities against Pseudomonas?

  • Piperacillin, Ticarcillin, Carbenicillin and Azlocillin (correct)
  • Cephalosporins and Penicillins
  • Cephalexine, cefadroxil, cefazolin, cephaprin
  • Mezlocilin, Carbenicillin, Azlocillin, Ticarcillin

What is a common adverse effect of broad-spectrum penicillins?

  • Hypersensitivity reactions
  • Antibiotic-associated colitis (correct)
  • Neurotoxicity with low doses
  • All of the above

What is the mechanism of action of Cephalosporins?

  • Inhibition of cell wall synthesis by blocking transpeptidation of peptidoglycan (correct)
  • Inhibition of DNA replication
  • Inhibition of protein synthesis
  • Activation of lytic enzymes in the cell wall

What is a characteristic of Cephalosporins?

<p>Broader spectrum of antibacterial activities (A)</p> Signup and view all the answers

Which of the following is NOT classified as a first-generation Cephalosporin?

<p>Ceftriaxone (C)</p> Signup and view all the answers

What is a characteristic of First-Generation Cephalosporins?

<p>Inactive against enterococci (D)</p> Signup and view all the answers

What is the primary route of administration for faecalis?

<p>IV (D)</p> Signup and view all the answers

What is a common adverse effect of faecalis?

<p>Ototoxicity (A)</p> Signup and view all the answers

What is the mechanism of action of daptomycin?

<p>Creating artificial pores on the membrane (B)</p> Signup and view all the answers

What is a contraindication for the use of daptomycin?

<p>Pneumonia (C)</p> Signup and view all the answers

What is a rare but severe allergic reaction to faecalis?

<p>Anaphylaxis (D)</p> Signup and view all the answers

What is a characteristic of Second-Generation Cephalosporins?

<p>They have extended activity against Gram -ve bacteria while retaining activity against Gram +ve organisms (B)</p> Signup and view all the answers

Which of the following Cephalosporins has good activity against Pseudomonas spp?

<p>Ceftazidime (C)</p> Signup and view all the answers

What is a characteristic of Fourth-Generation Cephalosporins?

<p>They have good activity against Pseudomonas, enterobacteria, as well as Staph, Strept, haemophilus, and Neisseria (B)</p> Signup and view all the answers

What is a use of Third-Generation Cephalosporins?

<p>Gram -ve infections (B)</p> Signup and view all the answers

What is a common side effect of Cephalosporins?

<p>Local irritation after intramuscular injection (A)</p> Signup and view all the answers

What is a characteristic of Fifth-Generation Cephalosporins?

<p>They are active against MRSA, enterococci, and G- organisms (B)</p> Signup and view all the answers

What is the mechanism of action of macrolides?

<p>Binding to bacterial 50S ribosomes and inhibiting protein synthesis (C)</p> Signup and view all the answers

Which of the following is a common adverse effect of aminoglycosides?

<p>Nephrotoxicity (A)</p> Signup and view all the answers

What is the clinical use of beta lactams with penicillins?

<p>Treatment of enterococcal endocarditis (D)</p> Signup and view all the answers

What is the common feature of the antibacterial spectrum of macrolides and penicillins?

<p>Similar but not identical spectrum (B)</p> Signup and view all the answers

Which of the following is an example of a macrolide antibiotic?

<p>Erythromycin (B)</p> Signup and view all the answers

What is the effect of bacteriostatic antibiotics on bacterial growth?

<p>They stop bacterial growth (C)</p> Signup and view all the answers

Which of the following organisms is NOT typically targeted by the antibiotics mentioned?

<p>Candida (D)</p> Signup and view all the answers

What is the mechanism of action of chloramphenicol?

<p>Inhibiting 50S ribosomal subunit (B)</p> Signup and view all the answers

What is a common adverse effect of chloramphenicol?

<p>Nausea and vomiting (C)</p> Signup and view all the answers

What is a clinical use of linzolid?

<p>Treating bacterial infections caused by Staph, Strept, and Enterococci (C)</p> Signup and view all the answers

What is the effect of chloramphenicol on certain infections?

<p>It predisposes to them (A)</p> Signup and view all the answers

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