Fluoroquinolone Antibiotics Quiz

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Questions and Answers

Which bacteria is especially susceptible to ciprofloxacin?

  • Pseudomonas
  • Shigella (correct)
  • Salmonella
  • Chlamydia

What is a reason for not giving fluoroquinolones to children under 18 years old?

  • They can result in cartilage erosions of weight bearing joints (correct)
  • They can lead to nervous system reactions
  • They can cause gastrointestinal symptoms
  • They can cause tendon rupture

Infections often treated with fluoroquinolones include which of the following?

  • Urinary tract infections (UTIs) (correct)
  • Tuberculosis
  • Malaria
  • Hepatitis

How do bacteria develop resistance to fluoroquinolones?

<p>By mutating in chromosomal genes for DNA gyrase and/or topoisomerase IV (B)</p> Signup and view all the answers

Which enzyme do fluoroquinolones target and interfere with?

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

Which generation of fluoroquinolones has additional activity against gram positive bacteria and anaerobes?

<p>4th generation (C)</p> Signup and view all the answers

What is the mechanism of action of fluoroquinolones?

<p>Inhibition of DNA synthesis (D)</p> Signup and view all the answers

Which bacteria are especially susceptible to ciprofloxacin?

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

Where are fluoroquinolones well distributed in the body?

<p>Kidneys, lungs, bones, stool, and white blood cells (B)</p> Signup and view all the answers

Which generation of fluoroquinolones has good activity against gram negatives and aerobes?

<p>2nd generation (C)</p> Signup and view all the answers

What is the main effect of fluoroquinolones on bacteria?

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

Which enzyme is involved in the winding and unwinding of DNA targeted by fluoroquinolones?

<p>DNA gyrase and topoisomerase IV (C)</p> Signup and view all the answers

Which enzyme do fluoroquinolones target to interfere with bacterial DNA synthesis?

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

What is the mechanism of action of fluoroquinolones?

<p>Interfering with bacterial DNA synthesis (B)</p> Signup and view all the answers

Which generation of fluoroquinolones has additional activity against gram positive bacteria and anaerobes?

<p>4th generation (D)</p> Signup and view all the answers

What are some examples of fluoroquinolones?

<p>Ciprofloxacin, Levofloxacin, Moxifloxacin (B)</p> Signup and view all the answers

Where are fluoroquinolones well distributed in the body?

<p>Kidneys, Lungs, Bones, White blood cells (C)</p> Signup and view all the answers

Which bacteria are fluoroquinolones very good in treating?

<p>Gram-negative bacilli such as Enterobacteria (B)</p> Signup and view all the answers

What is the bactericidal effect of fluoroquinolones?

<p>They lead to bacterial cell death (D)</p> Signup and view all the answers

Which enzyme aids in the unwinding of DNA targeted by fluoroquinolones?

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

Flashcards

What are fluoroquinolones?

Fluoroquinolones are a class of antibiotics that inhibit bacterial DNA synthesis. They work by targeting the enzymes DNA gyrase and topoisomerase IV, which are essential for bacterial DNA replication and repair.

What is the main effect of fluoroquinolones on bacteria?

Fluoroquinolones have a bactericidal effect, meaning they kill bacteria directly.

What enzymes do fluoroquinolones target?

Fluoroquinolones target two specific enzymes: DNA gyrase and topoisomerase IV. These enzymes are involved in the winding and unwinding of DNA, which is essential for bacterial replication.

Which bacteria are especially susceptible to ciprofloxacin?

Ciprofloxacin is particularly effective against Enterobacteria, a family of gram-negative bacteria that includes common pathogens like Escherichia coli and Salmonella.

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What is the mechanism of action of fluoroquinolones?

Fluoroquinolones work by interfering with bacterial DNA synthesis. They bind to and inhibit the activity of DNA gyrase and topoisomerase IV, preventing bacteria from replicating their DNA.

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Why are fluoroquinolones not given to children under 18?

Fluoroquinolones can cause cartilage erosion in weight-bearing joints, which can lead to long-term problems in growing children.

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What are some common infections treated with fluoroquinolones?

Fluoroquinolones are often used to treat urinary tract infections (UTIs), respiratory infections, and some types of skin infections.

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How do bacteria develop resistance to fluoroquinolones?

Bacteria can develop resistance to fluoroquinolones through mutations in the genes that code for DNA gyrase and topoisomerase IV. These mutations can alter the structure of these enzymes, making them less susceptible to the antibiotic.

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Where are fluoroquinolones well distributed in the body?

Fluoroquinolones are widely distributed throughout the body, including the kidneys, lungs, bones, stool, and white blood cells.

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What are some examples of fluoroquinolones?

Common examples of fluoroquinolones include Ciprofloxacin, Levofloxacin, and Moxifloxacin.

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Which generation of fluoroquinolones has additional activity against gram-positive bacteria and anaerobes?

The 4th generation of fluoroquinolones, like Moxifloxacin, has expanded activity against gram-positive bacteria and anaerobes, making them more versatile.

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What are the benefits of 2nd generation fluoroquinolones?

The 2nd generation of fluoroquinolones, like Levofloxacin, are known for their good activity against gram-negative bacteria and aerobes.

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What is the reason for not giving fluoroquinolones to children under 18 years old?

Fluoroquinolones can lead to cartilage erosion in weight-bearing joints, which can cause long-term damage to growing children.

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Why are fluoroquinolones good for treating gram-negative bacilli?

Fluoroquinolones are effective against a wide range of gram-negative bacilli, including Enterobacteriaceae, which are common causes of infections.

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What are some examples of fluoroquinolones?

Some common examples of fluoroquinolones include ciprofloxacin, levofloxacin, and moxifloxacin.

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What are fluoroquinolones good for treating?

Fluoroquinolones are used to treat a variety of infections including urinary tract infections, respiratory infections, and some skin infections.

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Study Notes

Susceptible Bacteria

  • Pseudomonas aeruginosa is especially susceptible to ciprofloxacin.

Fluoroquinolones in Children

  • Fluoroquinolones should not be given to children under 18 years old because they can cause cartilage damage and other serious side effects.

Infections Treated with Fluoroquinolones

  • Infections often treated with fluoroquinolones include respiratory tract infections, skin and soft tissue infections, and urinary tract infections.

Resistance to Fluoroquinolones

  • Bacteria develop resistance to fluoroquinolones through mutations in the DNA gyrase gene, which codes for the enzyme targeted by fluoroquinolones.

Mechanism of Action

  • Fluoroquinolones target and interfere with the enzyme DNA gyrase, which is involved in the winding and unwinding of DNA.
  • The mechanism of action of fluoroquinolones is through inhibition of bacterial DNA synthesis.

Distribution of Fluoroquinolones

  • Fluoroquinolones are well distributed in the body, with good penetration into tissues and organs.

Generations of Fluoroquinolones

  • First-generation fluoroquinolones have good activity against gram-negative bacteria and aerobes.
  • Second-generation fluoroquinolones have additional activity against gram-positive bacteria and anaerobes.

Bactericidal Effect

  • The bactericidal effect of fluoroquinolones is through inhibition of DNA synthesis, which leads to bacterial cell death.

Examples of Fluoroquinolones

  • Examples of fluoroquinolones include ciprofloxacin, levofloxacin, and moxifloxacin.

Target Enzymes

  • DNA gyrase is the enzyme targeted by fluoroquinolones to interfere with bacterial DNA synthesis.
  • Topoisomerase IV is the enzyme involved in the unwinding of DNA targeted by fluoroquinolones.

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