Protein Synthesis Inhibitors
39 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which tetracyclines achieve therapeutic levels in the cerebrospinal fluid?

  • Tetracycline and doxycycline
  • Minocycline and tetracycline
  • All tetracyclines
  • Doxycycline and minocycline (correct)

What is the primary route of elimination for doxycycline?

  • Bile into the feces (correct)
  • Hepatic metabolism
  • Sweat
  • Urine

Which of the following body fluids has inadequate penetration of tetracyclines?

  • Most body fluids
  • Cerebrospinal fluid (correct)
  • Tears
  • Saliva

What is the reason for noncompliance with tetracyclines?

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

Which of the following is a unique characteristic of minocycline?

<p>High concentrations in saliva and tears (C)</p> Signup and view all the answers

Why is doxycycline preferred in patients with renal dysfunction?

<p>It is primarily eliminated via the bile into the feces (A)</p> Signup and view all the answers

What is the reason behind the toxic effects of high concentrations of chloramphenicol or tetracyclines?

<p>Interaction with mitochondrial mammalian ribosomes (B)</p> Signup and view all the answers

What is the unique feature of the transport mechanism of tetracyclines in susceptible organisms?

<p>Energy-dependent transport protein mechanism (A)</p> Signup and view all the answers

Where do tetracyclines concentrate in susceptible organisms?

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

What is the mechanism of action of tetracyclines in inhibiting protein synthesis?

<p>Preventing binding of tRNA to the mRNA-ribosome complex (A)</p> Signup and view all the answers

What is the characteristic feature of the structure of tetracyclines?

<p>Four fused rings with a system of conjugated double bonds (B)</p> Signup and view all the answers

What is the effect of substitutions on the rings of tetracyclines?

<p>Alters the individual pharmacokinetics and spectrum of antimicrobial activity (A)</p> Signup and view all the answers

What percentage of parenteral aminoglycosides are excreted unchanged in the urine?

<p>More than 90% (D)</p> Signup and view all the answers

In which bodily fluids do aminoglycosides penetrate variably?

<p>Most body fluids (D)</p> Signup and view all the answers

What is the primary route of excretion for neomycin?

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

Why is therapeutic drug monitoring necessary for aminoglycosides?

<p>To minimize dose-related toxicities (B)</p> Signup and view all the answers

What is the primary risk factor for ototoxicity and nephrotoxicity?

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

Where do aminoglycosides accumulate in the inner ear?

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

Where are erythromycin and its metabolites excreted?

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

What is the most common adverse effect of macrolides?

<p>Gastric distress and motility (D)</p> Signup and view all the answers

Why should the dosage of clarithromycin be adjusted in some patients?

<p>In patients with renal impairment (B)</p> Signup and view all the answers

What is a rare effect of high doses of erythromycin?

<p>Smooth muscle contractions (A)</p> Signup and view all the answers

Which macrolide is associated with irreversible sensorineural hearing loss?

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

What is the excretion pathway of clarithromycin and its metabolites?

<p>Urine through the kidneys (A)</p> Signup and view all the answers

What is the mechanism of anemia associated with glucose-6-phosphate dehydrogenase deficiency?

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

Why are neonates more susceptible to the adverse effects of chloramphenicol?

<p>They have underdeveloped renal function (D)</p> Signup and view all the answers

What is the effect of chloramphenicol on the metabolism of warfarin and phenytoin?

<p>It decreases their metabolism (A)</p> Signup and view all the answers

What is the mechanism of action of clindamycin?

<p>Similar to that of macrolides (C)</p> Signup and view all the answers

What type of organisms is clindamycin primarily used to treat?

<p>Gram-positive bacteria (D)</p> Signup and view all the answers

What is the relationship between clindamycin and erythromycin resistance?

<p>Cross-resistance has been described (D)</p> Signup and view all the answers

What is the primary site of metabolism for quinupristin and dalfopristin?

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

What is the result of quinupristin/dalfopristin's competition with the antibiotic for excretion?

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

What is the mechanism of action of oxazolidinones?

<p>Binding to the bacterial 23S ribosomal RNA (A)</p> Signup and view all the answers

What is the antibacterial spectrum of oxazolidinones primarily directed against?

<p>Gram-positive organisms (C)</p> Signup and view all the answers

What is the effect of quinupristin/dalfopristin on cytochrome P450 CYP3A4 isoenzyme?

<p>Inhibits cytochrome P450 CYP3A4 isoenzyme (D)</p> Signup and view all the answers

What is the primary excretion pathway of quinupristin and dalfopristin?

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

What is the result of administering quinupristin/dalfopristin through a peripheral rather than a central line?

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

What is the effect of higher doses of quinupristin/dalfopristin?

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

What is the antibacterial activity of oxazolidinones against Mycobacterium tuberculosis?

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

More Like This

Use Quizgecko on...
Browser
Browser