Pharmacology: Antibiotics and Antifungals Quiz

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Questions and Answers

Which of the following anticancer drugs does not act as a kinase inhibitor?

  • Axitinib
  • Trastuzumab (correct)
  • Ceritinib
  • Imatinib

What is considered the most effective drug combination for eradicating H. pylori infestation when there are no antibiotic contraindications?

  • Esomeprazole + Clarithromycin + Metronidazole
  • Esomeprazole + Cimetidine + Clarithromycin
  • Clarithromycin + Esomeprazole
  • Esomeprazole + Clarithromycin + Amoxicillin (correct)

Which of the following NSAIDs is recognized as the most selective COX-2 inhibitor?

  • Diclofenac
  • Celecoxib (correct)
  • Ibuprofen
  • Indomethacin

The HAART regimen is primarily used to treat which infection?

<p>Human immunodeficiency virus infection (C)</p> Signup and view all the answers

What is the maximum recommended daily dose of paracetamol for adults?

<p>4000 mg (A)</p> Signup and view all the answers

Under which INR values is the Tranexamic acid mouthwash protocol recommended?

<p>All indicated INR values (D)</p> Signup and view all the answers

Barbiturates and benzodiazepines increase the opening of the GABAA - Cl- channel by which mechanisms?

<p>Increasing the duration and frequency (A)</p> Signup and view all the answers

How does Cefalexin act as an antibacterial drug?

<p>Inhibiting peptidoglycan cross-linking (D)</p> Signup and view all the answers

Which antiarrhythmic drug exhibits mechanisms most similar to that of sotalol?

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

Which anxiolytic medication is considered safe for patients with a history of drug dependence?

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

Which drug is NOT a DNA polymerase inhibitor?

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

Which penicillin is resistant to penicillinase?

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

Which of the following approaches does NOT help reduce the development of antibiotic resistance?

<p>Employing broad-spectrum antibiotics (B)</p> Signup and view all the answers

Which of the following is NOT a third-generation cephalosporin?

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

Which drug is typically administered with folinic acid after high doses of methotrexate?

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

Which of these is a triazole antifungal medication?

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

Ibuprofen is classified as which type of NSAID?

<p>Propionic acid derivative (B)</p> Signup and view all the answers

Which antibiotic is contraindicated for use with neuromuscular junction blockers?

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

Which dosage schedule is recommended for oral sedation in dentistry?

<p>Diazepam 5 mg - 10 mg orally; 1 hour before the procedure (C)</p> Signup and view all the answers

Carbidopa is used with levodopa primarily because it:

<p>Potentiates the central effects of levodopa (B)</p> Signup and view all the answers

Which of the following is classified as a Lincosamide?

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

Which antibacterial drug binds to the 50S ribosomal subunit but is not classified as a macrolide?

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

Which chemotherapeutic agent is most likely to cause hemorrhagic cystitis due to hematoma formation in the urinary bladder?

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

Which of the following analgesics is considered a very weak anesthetic with a B coefficient of 0.5?

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

Which property combination is characteristic of most NSAIDs?

<p>Antipyretic, anti-inflammatory, analgesic (A)</p> Signup and view all the answers

Which cancer chemotherapeutic agents are classified as antimetabolites?

<p>Mercaptopurine, Fluorouracil, and Cytarabine (B)</p> Signup and view all the answers

Which combination of drugs would be effective in treating erythematous candidiasis?

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

Which antibacterial drug is known for inhibiting cell wall synthesis?

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

Which option includes all agents known to act as antimetabolites in chemotherapy?

<p>Mercaptopurine, Fluorouracil, and Cytarabine (D)</p> Signup and view all the answers

Which drug, when taken in toxic doses, is most likely to cause respiratory alkalosis and systemic acidosis?

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

Which cytoprotective drug can be effectively combined with high-dose NSAIDs to minimize the risk of peptic ulcer disease?

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

Which topical corticosteroid is LEAST appropriate for treating severe lichen planus?

<p>Hydrocortisone 1% (A)</p> Signup and view all the answers

Which condition is LEAST LIKELY to require antibiotic prophylaxis to prevent infective endocarditis?

<p>Prosthetic joint implant (B)</p> Signup and view all the answers

What is the primary concern when sildenafil is administered with organic nitrates?

<p>Marked potentiation of vasodilatory action (B)</p> Signup and view all the answers

Which of the following concerns should be prioritized in a patient undergoing extraction of a 3rd molar who is on cyclosporine A?

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

What potential effect does long-term use of NSAIDs have on a patient with a history of PUD?

<p>Heightened risk of gastric ulcers (D)</p> Signup and view all the answers

In the context of managing arthritic pain and a history of PUD, which NSAID carries the highest risk?

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

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Study Notes

Antibiotics

  • Erythromycin is a macrolide antibiotic
  • Cefuroxime is not a 3rd generation cephalosporin
  • Ceftazidime, Ceftriaxone, Ceftaroline, and Cefotaxime are all 3rd generation cephalosporins
  • Clindamycin is a Lincosamide antibiotic
  • Gentamicin should not be used with NMJ blockers like tubocurarine
  • Doxycycline binds to the 30S ribosomal subunit and inhibits protein synthesis
  • Amoxicillin, Doxycycline and Ciprofloxacin can be used with NMJ blockers
  • Flucloxacillin is a penicillinase-resistant penicillin
  • Benzylpenicillin, Piperacillin, Amoxicillin, and Phenoxymethylpenicillin are all penicillins susceptible to penicillinase
  • Broad-spectrum drugs can reduce the development of resistance

Antifungal Drugs

  • Ketoconazole is a triazole antifungal drug
  • Itraconazole is a triazole antifungal drug
  • Amphotericin B, Clotrimazole and Miconazole are not triazole antifungals

Other Drugs

  • Folinic acid is frequently administered shortly after a high dose of methotrexate
  • Ibuprofen is a propionic acid derivative
  • Carbidopa potentiates the central effects of levodopa
  • Mercaptoethansulfonate is usually given with cyclophosphamide to ameliorate hemorrhagic cystitis
  • Sildenafil is contraindicated in patients taking organic nitrates
  • Cyclosporine A and Warfarin are drugs of concern when considering a dental procedure
  • Clindamycin binds to the 50S ribosomal subunit and inhibits protein synthesis
  • Cyclophosphamide causes hematoma in the urinary bladder leading to hemorrhagic cystitis
  • Nitrous oxide is a potent analgesic but a very weak anaesthetic
  • Most NSAIDs are antipyretic, anti-inflammatory and analgesic
  • Mercaptopurine, Fluorouracil, and Cytarabine are antimetabolites
  • Nystatin and Miconazole are suitable treatments for erythematous candidiasis
  • Vancomycin acts by inhibiting cell wall synthesis
  • Trastuzumab is not a kinase inhibitor
  • Ceritinib, Imatinib, and Axitinib are all kinase inhibitors
  • Esomeprazole + Clarithromycin + Amoxicillin is the most effective combination for H. pylori eradication
  • Celecoxib is the most selective COX-2 inhibitor
  • The HAART regimen is used to treat Human Immunodeficiency Virus infection
  • The maximum recommended dose of paracetamol in a day is 4000mg
  • Misoprostol is a cytoprotective drug that can be used with NSAIDs to reduce the risk of peptic ulcer disease
  • Hydrocortisone is the least potent topical corticosteroid therefore inappropriate for severe lichen planus
  • Prosthetic heart valve, valvular heart disease, previous infective endocarditis, and cyanotic congenital heart defects are all indications for antibiotic prophylaxis to prevent infective endocarditis
  • Aspirin causes respiratory alkalosis and systemic acidosis in toxic doses
  • Beta-lactam antibiotics inhibit cell wall synthesis by inhibiting peptidoglycan cross-linking
  • Sotalol is most similar in action to Amiodarone in the treatment of cardiac arrhythmias
  • Buspirone is a safe anxiolytic for patients with a history of drug dependence
  • Abacavir is not a DNA Polymerase inhibitor
  • Aciclovir, Valaciclovir, Valganciclovir, and Ganciclovir are all DNA polymerase inhibitors
  • Cefalexin inhibits cell wall synthesis by inhibiting peptidoglycan cross-linking
  • Barbiturates increase the frequency of opening and benzodiazepines increase the duration of opening of the GABAA-Cl- channel
  • Tranexamic acid mouthwash protocol should be recommended when INR value is 2.5, 2.8 or 3.5

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