Antimicrobial Therapy Essentials

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Questions and Answers

What is the main consideration for selective toxicity of an antimicrobial drug?

  • Antibiotic Resistance
  • Molecule size
  • Tissue penetration
  • Safety profile (correct)

What does the term 'spectrum' refer to in relation to antimicrobial drugs?

  • Tissue penetration of the drug
  • Microbes targeted by the drug (correct)
  • Molecule size of the drug
  • Mechanisms of antibiotic resistance

In the context of antimicrobial therapy, what does 'empiric treatment' involve?

  • Treatment before the specific microbe is identified (correct)
  • Treatment based on safety profile
  • Treatment based on tissue penetration
  • Treatment based on resistance patterns

What can antibiotic resistance occur via in bacteria?

<p>Vertical gene transfer (C)</p> Signup and view all the answers

What is one of the factors influencing tissue penetration of an antibiotic?

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

What contributes to the limited options for severe, life-threatening infections in the context of antimicrobial therapy?

<p>Overprescribing leading to surge in resistance (B)</p> Signup and view all the answers

What is the minimal inhibitory concentration (MIC)?

<p>The drug concentration that inhibits a microbe's growth (A)</p> Signup and view all the answers

Which type of drugs rely on the host defenses to kill the bacteria?

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

What is the mechanism of action of natural penicillins?

<p>Inhibition of cell wall synthesis (A)</p> Signup and view all the answers

Which drug is considered the treatment of choice in syphilis?

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

What is the activity of antipseudomonal penicillins?

<p>Activity against Pseudomonas (C)</p> Signup and view all the answers

What is the most common adverse effect of penicillins?

<p>Gastrointestinal side effects (D)</p> Signup and view all the answers

Which drug is known as an extended-spectrum penicillin?

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

What do beta-lactamase inhibitors do when combined with penicillins?

<p>Inhibit the action of penicillins (A)</p> Signup and view all the answers

Among patients with a positive skin test to penicillin, what percentage are at risk for cross-reactivity with cephalosporins according to more recent observational studies?

<p>0.17% (A)</p> Signup and view all the answers

What is the main consideration for tissue penetration of an antibiotic?

<p>Molecule size and presence of blood supply (B)</p> Signup and view all the answers

How can antibiotic resistance occur in bacteria?

<p>Via acquired resistance and vertical gene transfer (B)</p> Signup and view all the answers

What aspect does the term 'spectrum' refer to in relation to antimicrobial drugs?

<p>The microbes the antibiotic will target (A)</p> Signup and view all the answers

In the context of antimicrobial therapy, what does 'empiric treatment' involve?

<p>Treatment based on the presumption of likely pathogen and cost consideration (A)</p> Signup and view all the answers

What contributes to the limited options for severe, life-threatening infections in the context of antimicrobial therapy?

<p>Overprescribing and acquired resistance (C)</p> Signup and view all the answers

What is one of the factors influencing selective toxicity of an antimicrobial drug?

<p>Changes in enzymes (D)</p> Signup and view all the answers

What is the minimal inhibitory concentration (MIC)?

<p>The lowest drug concentration that inhibits a microbe's growth (D)</p> Signup and view all the answers

How do bacteriostatic drugs differ from bactericidal drugs?

<p>Bacteriostatic drugs inhibit bacterial growth, while bactericidal drugs rely on host defenses to kill the bacteria (C)</p> Signup and view all the answers

What is the mechanism of action of natural penicillins?

<p>Inhibition of cell wall synthesis (C)</p> Signup and view all the answers

What is the main consideration for selective toxicity of an antimicrobial drug?

<p>Alteration of cell membrane function (D)</p> Signup and view all the answers

What contributes to the limited options for severe, life-threatening infections in the context of antimicrobial therapy?

<p>Antimicrobial resistance and drug reactions/allergies (A)</p> Signup and view all the answers

Which drug is known as an extended-spectrum penicillin?

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

What does the term 'spectrum' refer to in relation to antimicrobial drugs?

<p>The range of bacteria against which an antimicrobial agent is effective (B)</p> Signup and view all the answers

In the context of antimicrobial therapy, what does 'empiric treatment' involve?

<p>Administering antimicrobials without performing susceptibility testing (B)</p> Signup and view all the answers

What can antibiotic resistance occur via in bacteria?

<p>Altered Binding Sites (e.g., MRSA) (B)</p> Signup and view all the answers

What is one of the factors influencing tissue penetration of an antibiotic?

<p>Alteration of cell membrane function (C)</p> Signup and view all the answers

What is the most common adverse effect of penicillins?

<p>Gastrointestinal side effects (D)</p> Signup and view all the answers

Which of the following antibiotics is most active against Pseudomonas?

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

Which antibiotic is taken orally as a bowel decontaminant and used topically?

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

Which antibiotic is most commonly used for meningitis in infants?

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

Which antibiotic is less resistant and used to monitor increased plasma levels of toxins?

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

What is the adverse effect of isoniazid (vitamin B6 deficiency)?

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

Which anti-tuberculous drug is contraindicated in pregnancy due to its vestibular and otoxic effects?

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

What is the main adverse effect of pyrazinamide?

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

Which anti-tuberculous drug is the only bacteriostatic first-line drug?

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

What is the mechanism of action of polyene antifungal agents?

<p>Causes depolarization of the fungal cell membrane (D)</p> Signup and view all the answers

Which antifungal agent penetrates the central nervous system (CNS)?

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

What is a common adverse effect of azole antifungal agents?

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

Which antifungal agent is used for dermatophytosis of the skin, hair, and nails?

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

What is the most significant side effect associated with itraconazole and fluconazole (Triazoles)?

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

Which antifungal agent is used for oral thrush and candida esophagitis?

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

What is the common adverse effect of Streptomycin?

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

What is the primary mechanism of action of Ethambutol?

<p>Crosses BBB causing ocular toxicity (A)</p> Signup and view all the answers

What are the adverse effects associated with minocycline?

<p>Dental discoloration and enamel hypoplasia (B)</p> Signup and view all the answers

Which antibiotic should not be taken with dairy products?

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

Which antibiotic is used in combination regimens for H. pylori?

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

What is the spectrum of activity of macrolides such as erythromycin, azithromycin, and clarithromycin?

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

Which antibiotic is unrelated to other antibiotics and is used topically for acne and bacterial vaginosis?

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

Which antibiotic inhibits bacterial DNA synthesis via inhibition of DNA topoisomerases?

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

What are the uses of daptomycin?

<p>Uncomplicated skin and soft tissue infections caused by MRSA (A)</p> Signup and view all the answers

What are the adverse effects associated with antifolate drugs like trimethoprim-sulfamethoxazole (Bactrim, Septra)?

<p>Crystalluria and hemolytic anemia in patients with G6PD deficiency (D)</p> Signup and view all the answers

Which antibiotic is used to treat urinary tract infections, sinusitis, bronchitis, and MRSA?

<p>Trimethoprim-sulfamethoxazole (A)</p> Signup and view all the answers

What is the mechanism of action of mupirocin (Bactroban)?

<p>Inhibition of protein synthesis in Staphylococcus aureus (D)</p> Signup and view all the answers

What antibiotic is known to cause prolongation of the QT interval and has been associated with a small increase in cardiovascular deaths in those with pre-existing cardiac disease?

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

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