Antifungal Agents Quiz

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Questions and Answers

Which antifungal agent is derived from Capreomycin isolated from Streptomyces capreolus?

  • Lavendulus (correct)
  • Zinc Propionate
  • Sodium Caprylate
  • Propionic Acid

Which of the following fungal infections is categorized as a superficial mycosis?

  • Cryptococcosis
  • Histoplasmosis
  • Sporotrichosis
  • Tinea cruris (correct)

What function does Sebum serve in the context of dermatophytoses?

  • Antiviral agent
  • Antibiotic
  • Disinfectant
  • Antifungal agent (correct)

Who reported the yeastlike microorganism responsible for oral thrush (Candida albicans)?

<p>Langenbeck (D)</p>
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Which of the following is an opportunistic fungal infection?

<p>Cryptococcosis (A)</p>
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What is the primary function of Sodium Caprylate in dermatomycoses treatment?

<p>Antifungal agent (C)</p>
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What is the mechanism of action of Atovaquone (Mepron®)?

<p>Acts as an antimetabolite and interferes with electron transport enzymes (D)</p>
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Which drug is indicated for the meningoencephalitic stage of West African sleeping sickness?

<p>Eflornithine (B)</p>
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What side effect is commonly associated with Nifurtimox (Lampit®) use?

<p>Myelosuppression (anemia, leukopenia, thrombocytopenia) (A)</p>
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What is the primary use of Sodium Stibogluconate (Pentostam)?

<p>Treatment of various forms of leishmaniasis (B)</p>
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Which compound is used specifically to control the mite Sarcoptes scabei?

<p>Crotamiton (Eurax®) (B)</p>
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Which synthetic antibacterial agents are patterned after nalidixic acid and have a fluorine atom to enhance antibacterial activity?

<p>Fluoroquinolones (A)</p>
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Which enzyme is inhibited by fluoroquinolones to prevent DNA synthesis?

<p>Topoisomerase II (B)</p>
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What is the contraindication for pregnant women in relation to fluoroquinolones?

<p>They inhibit cartilage formation. (B)</p>
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Which first-generation quinolone is specifically mentioned as useful in treating UTIs caused by Gram-negative bacteria?

<p>Nalidixic Acid (NegGram®) (C)</p>
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Which of the following is NOT listed as an adverse effect of fluoroquinolones?

<p>Hepatotoxicity (B)</p>
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What is the broad-spectrum activity of Norfloxacin (Noroxin) against?

<p>Both Gram-negative and Gram-positive bacteria (D)</p>
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What is the mechanism of action of nalidixic acid, the first-generation quinolone?

<p>Inhibition of DNA synthesis (C)</p>
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Which antifungal agent lacks the endocrinologic effects of ketoconazole?

<p>Itraconazole (D)</p>
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What is the drug of choice for Cryptococcal meningitis?

<p>Fluconazole (B)</p>
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Which antifungal agent acts as a tight-binding noncompetitive inhibitor of inositol phosphorylceramide synthase?

<p>Caspofungin (A)</p>
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What is the most useful nitroimidazole derivative for Amoebiasis, Trichominiasis, and Giardiasis?

<p>Diloxanide (C)</p>
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Which drug is recommended for acute and chronic intestinal amebiasis but not effective in extraintestinal disease?

<p>Iodoquinol (D)</p>
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What is the common pathogenic protozoa that Metronidazole is useful against?

<p>Giardia lamblia (D)</p>
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Which fluoroquinolone is the most potent and considered the drug of choice for bacterial gastroenteritis caused by Gram-negative bacilli?

<p>Ciprofloxacin (B)</p>
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What combination is the drug of choice for disseminated gonorrhea?

<p>Ciprofloxacin + Ceftriaxone (A)</p>
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For which condition is Enoxacin approved as a treatment?

<p>Chancroid caused by Haemophilus ducreyi (D)</p>
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Which fluoroquinolone has a short-elimination half-life that dictates twice-a-day dosing for urinary tract infections?

<p>Ciprofloxacin (D)</p>
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What type of infections is Ofloxacin approved for treating?

<p>Lower respiratory tract infections (A)</p>
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Flashcards

Superficial Mycosis

Fungal infection affecting outer skin, hair, and nails.

Sebum

Slightly acidic substance that prevents dermatophytoses.

Candida albicans

Yeast responsible for oral thrush

Opportunistic Fungal Infections

Infections in individuals with weakened immune systems.

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Atovaquone (Mepron®)

Inhibits mitochondrial electron transport in protozoa.

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Melarsoprol

Used to treat the meningoencephalitic stage of West African Sleeping Sickness.

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Nifurtimox (Lampit®)

Used to treat Chagas disease, may cause gastrointestinal disorders.

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Sodium Stibogluconate (Pentostam)

Used to treat Leishmaniasis.

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Sarcoptes scabei

Treated with Permethrin for scabies (itch mite) infection.

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Fluoroquinolones

Synthetic antibacterial agents patterned after nalidixic acid with a fluorine atom for increased potency.

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DNA Gyrase

Inhibited by fluoroquinolones to prevent DNA synthesis.

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Fluoroquinolones in pregnancy

Contraindicated in pregnant women due to potential cartilage damage in the fetus.

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Ciprofloxacin

First-generation quinolone effective against UTIs caused by Gram-negative bacteria.

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Adverse Effects of Fluoroquinolones

Common side effects include nausea, diarrhea, and headache.

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Norfloxacin (Noroxin)

Has a broad-spectrum activity against Gram-negative bacteria (e.g., E. coli).

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Nalidixic Acid

Interferes with DNA replication by inhibiting DNA gyrase.

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Fluconazole

Substitute for ketoconazole, lacking endocrinologic effects.

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Fluconazole

Drug of choice to treat Cryptococcal meningitis.

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Metronidazole

Highly effective against Amoeba, Trichomonas, and Giardia infections.

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Metronidazole

Recommended for intestinal amebiasis but ineffective against extraintestinal disease.

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Metronidazole

Used to treat Entamoeba histolytica, a pathogenic protozoan.

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Ciprofloxacin

Drug of choice for bacterial gastroenteritis.

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Ceftriaxone and Azithromycin

Drug of choice for disseminated gonorrhea.

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Enoxacin

Approved to treat uncomplicated UTI.

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Ciprofloxacin Dosing

Short-elimination half-life requiring twice-a-day dosing.

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Ofloxacin

Approved for treating a variety of infections, including UTIs, respiratory infections, and skin infections.

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Nistatin

A tight-binding, noncompetitive inhibitor of inositol phosphorylceramide synthase.

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Capreomycin

Derived from Streptomyces capreolus, used to treat tuberculosis.

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Sodium Caprylate

A fatty acid salt used in anti-fungal medications

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Study Notes

Antifungal Agents and Fungal Infections

  • Capreomycin: Derived from Streptomyces capreolus, used to treat tuberculosis.
  • Superficial Mycosis: A fungal infection affecting the outer layers of skin, hair, and nails.
  • Sebum: Prevents dermatophytoses by creating a slightly acidic environment that inhibits fungal growth.
  • Candida albicans: The yeast responsible for oral thrush, discovered by Dr. Christian Gottfried Ehrenberg.
  • Opportunistic Fungal Infections: Occur in individuals with weakened immune systems, like those with HIV/AIDS.
  • Sodium Caprylate: A fatty acid salt used in anti-fungal medications.
  • Atovaquone (Mepron®): Inhibits mitochondrial electron transport in protozoa.

Protozoal Infections

  • West African Sleeping Sickness: Treated with Melarsoprol for the meningoencephalitic stage.
  • Nifurtimox (Lampit®): Used to treat Chagas disease. Can cause gastrointestinal disorders.
  • Sodium Stibogluconate (Pentostam): Used to treat Leishmaniasis.
  • Sarcoptes scabei: Treated with Permethrin for scabies (itch mite) infection.

Antibacterial Agents

  • Fluoroquinolones: Synthetic antibacterial agents patterned after nalidixic acid with a fluorine atom for increased potency.
  • DNA Gyrase: Inhibited by fluoroquinolones to prevent DNA synthesis.
  • Pregnancy: Fluoroquinolones contraindicated in pregnant women due to potential for cartilage damage in the fetus.
  • Ciprofloxacin: First-generation quinolone effective against UTIs caused by Gram-negative bacteria.
  • Adverse Effects of Fluoroquinolones: Common side effects include nausea, diarrhea, and headache.
  • Norfloxacin (Noroxin): Has a broad-spectrum activity against Gram-negative bacteria (e.g., E. coli).
  • Nalidixic Acid: Interferes with DNA replication by inhibiting DNA gyrase.

Specific Antifungal Treatments

  • Fluconazole: Substitute for ketoconazole, lacking endocrinologic effects.
  • Fluconazole: Drug of choice to treat Cryptococcal meningitis.
  • Nistatin: A tight-binding, noncompetitive inhibitor of inositol phosphorylceramide synthase.

Antiprotozoal Medications

  • Metronidazole: Highly effective against Amoeba, Trichomonas, and Giardia infections.
  • Metronidazole: Recommended for intestinal amebiasis but ineffective against extraintestinal disease.
  • Metronidazole: Used to treat Entamoeba histolytica, a pathogenic protozoan.
  • Ciprofloxacin: Most potent fluoroquinolone, drug of choice for bacterial gastroenteritis.

Additional Antibacterial Treatments and Conditions

  • Ceftriaxone and Azithromycin: Drug of choice for disseminated gonorrhea.
  • Enoxacin: Approved to treat uncomplicated UTI.
  • Ciprofloxacin: Short-elimination half-life requiring twice-a-day dosing.
  • Ofloxacin: Approved for treating a variety of infections, including UTIs, respiratory infections, and skin infections.

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