Antimicrobials, Cholinergic & Adrenergic Drugs

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Questions and Answers

Which of the following antibiotics inhibits cell wall synthesis and is typically used to treat MRSA infections?

  • Vancomycin (correct)
  • Floxacin
  • Penicillin
  • Erythromycin

A patient is prescribed an antibiotic that targets the 30S ribosomal subunit. Which of the following drugs is most likely being used?

  • Erythromycin
  • Tetracycline (correct)
  • Chloramphenicol
  • Metronidazole

Which of the following drug combinations inhibits folate synthesis and reduction, thus disrupting bacterial DNA synthesis?

  • Floxacin
  • Co-trimoxazole (Sulfonamides + Trimethoprim) (correct)
  • Sulfonamides only
  • Trimethoprim only

A patient with a severe anaerobic bacterial infection is prescribed an antibiotic. Which of the following is most likely being administered?

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

Which of the following anti-TB drugs inhibits RNA polymerase?

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

Which of the following medications is a cholinergic agonist primarily used to increase GI motility and promote urination?

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

A patient is experiencing severe muscle weakness due to Myasthenia Gravis. Which type of medication would be most appropriate to improve neuromuscular junction function?

<p>Medium-acting anticholinesterase (D)</p> Signup and view all the answers

Which of the following medications is a non-selective alpha adrenergic antagonist?

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

A patient experiencing bronchoconstriction needs a beta-2 adrenergic agonist. Which of the following medications would be most appropriate?

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

Which of the following medications is a mixed alpha and beta adrenergic antagonist?

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

Flashcards

Penicillin

Inhibits cell wall synthesis in bacteria.

Tetracyclines

Inhibits protein synthesis by binding to the 30S ribosomal subunit.

Vancomycin

A glycopeptide antibiotic, inhibits cell wall synthesis by binding to the D-alanyl-D-alanine.

Sulfonamides

Targets folate synthesis by inhibiting dihydropteroate synthetase.

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Trimethoprim

Targets folate pathway by inhibiting dihydrofolate reductase.

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Floxacin

Inhibits DNA supercoiling in bacteria.

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Metronidazole

An anaerobic antibiotic that targets anaerobic bacteria and protozoa

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Bethanecol

A cholinergic agonist that increases parasympathetic activity, stimulating the bladder and GI tract.

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Pralidoxime

Cholinesterase reactivator.

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Rifampicin

Used to treat TB; inhibits bacterial RNA polymerase.

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Study Notes

  • Study notes on antimicrobials, cholinergic drugs, and adrenergic drugs are provided

Antimicrobials

  • Antimicrobials target different bacterial components and pathways
  • These include the cell wall, protein synthesis, DNA supercoiling, and folate pathway

Cell Wall Inhibitors

  • Penicillin
  • Cephalosporin
  • Carbapenem (-penem)
  • Monobactam (Aztreonam)

MRSA Treatment

  • Vancomycin is used to treat Methicillin-resistant Staphylococcus aureus (MRSA) infections

Protein Synthesis Inhibitors

  • Tetracyclines target the 30S ribosomal subunit
  • Aminoglycosides target the 30S ribosomal subunit
  • Erythromycin targets the 50S ribosomal subunit
  • Chloramphenicol targets the 50S ribosomal subunit

Supercoiling Inhibitors

  • Fluoroquinolones (e.g., Floxacin) inhibit DNA supercoiling

Folate Pathway Inhibitors

  • Sulfonamides inhibit the synthetase enzyme in the folate pathway
  • Trimethoprim inhibits the reductase enzyme in the folate pathway
  • Co-trimoxazole is a combination of Sulfonamides and Trimethoprim

Anaerobic Infection Treatment

  • Metronidazole is used to treat anaerobic infections

Tuberculosis (TB) Treatment

  • Rifampicin inhibits RNA polymerase
  • Isoniazid
  • Ethambutol
  • Pyrazinamide

Cholinergic Drugs

  • Act on the cholinergic system, influencing parasympathetic activity and neurotransmission

Cholinergic Agonists (increase parasympathetic activity)

  • Bethanechol is used for GI and urinary stimulation
  • Pilocarpine is used to treat glaucoma and Sjogren's syndrome
  • Cevimeline
  • Carbachol

Anticholinesterases

  • Edrophonium has a short duration and is used to diagnose Myasthenia Gravis (MG)
  • Stigmine has a medium duration and is used to improve neuromuscular junction (NMJ) function

Anticholinergics (decrease parasympathetic activity)

  • Atropine
  • Scopolamine
  • Benztropine
  • Ipratropium

Cholinesterase Activators

  • Pralidoxime

Adrenergic Drugs

Adrenergic Agonists

  • Affect adrenergic receptors, mimicking the effects of catecholamines

Non-selective α-Agonists

  • Oxy/line

α1 Agonists (RINE)

  • Phenylephrine
  • Midodrine

β1 Agonists (MINE)

  • Dobutamine

β2 Agonists (-OL)

  • Salbutamol
  • Salmeterol
  • Clenbuterol
  • Terbutaline

β3 Agonists

  • Mirabegron

Adrenergic Antagonists

  • Block adrenergic receptors, inhibiting the effects of catecholamines

Non-selective α-Antagonists

  • Phenoxybenzamine

α1 Antagonists (-SIN)

  • Prazosin
  • Terazosin
  • Tamsulosin
  • Doxazocin

Non-selective β-Antagonists (-OLOL)

  • Propanolol
  • Timolol

β1 Antagonists (-OLOL)

  • Metoprolol
  • Atenolol
  • Nebivolol

Mixed α/β Antagonists (-LOL)

  • Labetalol
  • Carvedilol

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