Module 04: Common Prescription Drugs

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Questions and Answers

What is the primary mechanism of action for tetracyclines?

  • They inhibit the formation of the cell wall.
  • They bind to the 30S subunit of the mRNA-ribosome complex. (correct)
  • They prevent DNA replication.
  • They disrupt the bacterial cell membrane.

Which of the following is NOT a common adverse effect of tetracyclines?

  • Vomiting
  • Skin rashes (correct)
  • Discoloration of teeth
  • Nausea

What is a significant risk associated with the use of tetracyclines during pregnancy?

  • Inhibition of calcium absorption
  • Deterioration of the drug's effectiveness
  • Risk of bacterial resistance
  • Diminished bone growth in the fetus (correct)

How do macrolides inhibit bacterial protein synthesis?

<p>By binding to the 50S ribosomal subunit (D)</p> Signup and view all the answers

What potential effect of macrolides could lead to treatment discontinuation?

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

Which statement about antibiotic resistance in tetracyclines is true?

<p>Many bacteria have developed resistance due to widespread use. (C)</p> Signup and view all the answers

What should be done with outdated supplies of tetracyclines?

<p>They must be discarded to avoid toxicity. (B)</p> Signup and view all the answers

Which group of antibiotics can be used as an alternative for patients allergic to penicillin?

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

What is the mechanism of action of Tetracycline?

<p>Inhibit protein synthesis by binding to the 30S ribosomal subunit (B)</p> Signup and view all the answers

Which of the following is a common adverse effect associated with the use of antibiotics?

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

How do Macrolides exert their antimicrobial effect?

<p>Inhibit protein synthesis by binding to the 50S ribosomal subunit (A)</p> Signup and view all the answers

Which antibiotic mechanism involves preventing the incorporation of PABA into dihydropteroic acid?

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

Resistance to which type of antibiotics is often attributed to the mutations during bacterial replication?

<p>All of the above (D)</p> Signup and view all the answers

Which antibiotic class inhibits the transpeptidase enzyme involved in cell wall formation?

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

What is a primary concern regarding the use of antibiotics?

<p>They can lead to antimicrobial resistance (C)</p> Signup and view all the answers

Which mechanism of action involves the inhibition of dihydrofolic acid reductase?

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

What is the primary mechanism of action for tetracyclines in bacterial protein synthesis?

<p>They inhibit the binding of the charged transfer RNA. (A)</p> Signup and view all the answers

Which statement is true regarding the effects of macrolides on protein synthesis?

<p>They prevent the formation of peptide bonds. (D)</p> Signup and view all the answers

What makes sulfonamides selectively toxic to bacteria and not to human cells?

<p>Bacteria do not utilize preformed tetrahydrofolic acid. (B)</p> Signup and view all the answers

What is the role of trimethoprim in the combination antibiotic sulfamethoxazole-trimethoprim?

<p>It inhibits dihydrofolic acid reductase, reducing tetrahydrofolic acid production. (A)</p> Signup and view all the answers

Which of the following best describes the effect of the combination of sulfamethoxazole and trimethoprim?

<p>They act synergistically to inhibit folate metabolism. (C)</p> Signup and view all the answers

What is a potential consequence of tetracyclines binding to the 30S ribosomal subunit?

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

Which adverse effect is commonly associated with the use of macrolides?

<p>Gastrointestinal disturbances. (D)</p> Signup and view all the answers

What is the significance of the binding site of tetracyclines on the ribosomal subunit?

<p>It prevents the binding of charged transfer RNA. (D)</p> Signup and view all the answers

Flashcards

Tetracyclines mechanism

Tetracyclines bind to the 30S ribosomal subunit, preventing amino acid addition to the protein chain.

Tetracycline use caution

Tetracyclines' strong calcium affinity makes them used cautiously in pregnant women and children under 12.

Macrolides mechanism

Macrolides bind to the 50S ribosomal subunit, stopping peptide bond formation.

Tetracycline storage

Tetracyclines can degrade into harmful substances over time, so proper storage is critical.

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Tetracycline adverse effects

Tetracyclines can cause nausea, vomiting, diarrhea, discoloration of teeth, and stunted bone growth.

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Macrolides adverse effects

Macrolides, especially erythromycin, can cause nausea, vomiting, and diarrhea.

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Protein synthesis inhibitors

Substances that stop the creation of proteins in bacteria.

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Antibiotic Resistance

Bacteria developing resistance to an antibiotic's effects over time.

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Trimethoprim mechanism

Inhibits dihydrofolic acid reductase, blocking folate metabolism.

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Fluoroquinolones mechanism

Inhibits bacterial DNA synthesis.

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Penicillin/Cephalosporins mechanism

Inhibits bacterial cell wall formation by inhibiting transpeptidase.

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Sulfonamides mechanism

Blocks folate metabolism by inhibiting PABA incorporation into dihydropteroic acid.

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Antimicrobial resistance implication

Some infections may become untreatable if antibiotic resistance continues to emerge.

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What do antifolates inhibit?

Antifolates inhibit folate metabolism in bacteria, specifically the synthesis of tetrahydrofolic acid.

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Why are sulfonamides selectively toxic?

Sulfonamides are selectively toxic because they target an enzyme bacteria need to synthesize tetrahydrofolic acid, while humans obtain it preformed.

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Trimethoprim's target

Trimethoprim inhibits the enzyme dihydrofolic acid reductase, which is key for tetrahydrofolic acid formation.

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Why is trimethoprim selectively toxic?

Though both humans and bacteria have this enzyme, trimethoprim has a stronger effect on the bacterial version.

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What is co-trimoxazole?

Co-trimoxazole is a combination of sulfamethoxazole and trimethoprim, targeting sequential steps in the metabolic pathway.

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How does co-trimoxazole work?

It creates a synergistic antibacterial effect by inhibiting two consecutive steps in the folate metabolism pathway.

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What's the benefit of antibiotic combinations?

Combining antibiotics can lead to enhanced effectiveness and a broader spectrum of activity.

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What are some uses for co-trimoxazole?

Co-trimoxazole is used to treat urinary tract infections, respiratory tract infections, and gastrointestinal tract infections.

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Study Notes

Module 04: Common Prescription Drugs

  • This module focuses on common prescription drugs, including antibiotics, antifungals, antivirals, and hormonal contraceptives.
  • The information is presented through online modules, and a companion guide.
  • Discrepancies between the guide and module content should be addressed in the module.
  • The guide is not to be distributed to students not enrolled in the course, as this is a violation of Queen's University's Academic Integrity Policy.

Module 04 Table of Contents

  • Introduction
  • Section 01: Antibiotics, Antifungals, and Antivirals
  • Section 02: Regulation of Fertility
  • Conclusion

Module 04 Introduction

  • Module 04 covers the mechanisms of action, therapeutic effects, and adverse effects of common prescription drugs (antibiotics, antifungals, antivirals, and hormonal contraceptives).
  • The information in this module is valuable for completing Assessment 2.
  • Watch the provided video for introduction from Jeanne Mulder, PhD.
  • The video covers the topics of antibiotic, antivirals, antifungals, and hormonal contraceptives.
  • Each drug type has a mechanism of action, therapeutic effects, and adverse effects explained.
  • The module also covers hormonal contraceptives, including oral contraceptives, depo-provera, IUDs, and transdermal patches.
  • The module provides valuable information on prescription drugs with potential first-hand knowledge.
  • Module learning outcomes include understanding antibiotic, antifungal, and antiviral drug mechanisms and the different types of hormonal contraceptives, their mechanisms and drawbacks.

Module 04 Assessment 2

  • Assessment 2 is an individual written report.
  • The assessment requires applying information from Modules 01-04 by answering posed questions.
  • Specific details can be found on the assessment page in the online learning environment.
  • Student responses and quiz interactions are recorded, not graded, and visible to the instructor.
  • The questions on the quizzes are examples of the types that may appear on the midterm and final exams.

Section 01: Antibiotics, Antifungals, and Antiviral Agents

  • Introduction to antibiotics, antifungals, and antivirals, with focus on antibiotic agents, given higher focus than antifungals and antivirals.
  • Antibiotics definition as a chemical substance that inhibits bacterial growth or destroys them.
  • Discussion on the structure of bacterial cells and the difference between Gram-Positive and Gram-Negative bacteria.
  • Classification of antibiotics by spectrum (narrow and broad spectrum).
  • Antibiotics classification by biochemical pathways (cell wall synthesis, DNA synthesis, protein synthesis, and metabolic inhibitors).
  • Discussion about cell wall synthesis inhibitors, including penicillin, and cephalosporins, their mechanisms of action, and adverse effects.

Section 02: Regulation of Fertility

  • Introduction to medical science contributing to precise reproductive control via developments in contraception.
  • Focus on hormonal contraception (oral contraceptives, injectable contraceptives, intrauterine devices, transdermal patches).
  • Explanation of the monthly ovarian cycle, hormones, and factors involved.
  • Mechanisms of action of hormonal contraceptives are described, including the inhibiting of hormone release, sperm migration, and ovum implantation.
  • Types of oral contraceptives (fixed combination, multiphasic, and progestin-only pills).
  • Discusses pros and cons of different hormonal contraceptive routes of administration
  • Adverse effects of combination oral contraceptives (mild to serious).

Module 04 Conclusion

  • Summary of the module's key topics (antibiotics, antifungals, antivirals, and hormonal contraceptives) and their mechanisms of action, therapeutic effects, and adverse effects.
  • Importance of the content for Assessment 2.
  • All course materials are protected by copyright and should not be distributed without permission for external usage.

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