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Questions and Answers
Describe the mechanism for Class 1 antibiotics.
Describe the mechanism for Class 1 antibiotics.
Antibiotics which block specific metabolic steps that are essential to the microorganism (Trimethoprim, Sulfonamides). Agents that affect the nucleic acid metabolism (rifampin and quinolones).
Describe the mechanism for Class 2 antibiotics.
Describe the mechanism for Class 2 antibiotics.
Agents that inhibit synthesis of microbial cell walls. Includes Penicillins and Cephalosporins which are structurally similar (Beta-lactams).
Describe the mechanism for Class 3 antibiotics.
Describe the mechanism for Class 3 antibiotics.
Bacteriocidal agents that bind to the 30 S ribosomal subunit and alter protein synthesis, which eventually leads to cell death. Includes aminoglycosides.
Describe the mechanism for Class 4 antibiotics.
Describe the mechanism for Class 4 antibiotics.
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Give examples of Class 1 antibiotics.
Give examples of Class 1 antibiotics.
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Give examples of Class 2 antibiotics.
Give examples of Class 2 antibiotics.
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Give examples of Class 3 antibiotics.
Give examples of Class 3 antibiotics.
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Give examples of Class 4 antibiotics.
Give examples of Class 4 antibiotics.
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Give examples of Class 5 antibiotics.
Give examples of Class 5 antibiotics.
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Describe the purpose of Class 5 antibiotics.
Describe the purpose of Class 5 antibiotics.
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What is the structure and function of Sulfonamides?
What is the structure and function of Sulfonamides?
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What is the inhibitory mechanism of Sulfonamides?
What is the inhibitory mechanism of Sulfonamides?
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What works synergistically with Sulfonamides?
What works synergistically with Sulfonamides?
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What range of antimicrobial activity do Sulfonamides possess?
What range of antimicrobial activity do Sulfonamides possess?
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What antimicrobial(s) is/are used in Nocardiosis (Nocardia spp.)?
What antimicrobial(s) is/are used in Nocardiosis (Nocardia spp.)?
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What antimicrobial(s) are/is used in Toxoplasmosis?
What antimicrobial(s) are/is used in Toxoplasmosis?
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What is co-trimoxazole and what is it commonly used to treat?
What is co-trimoxazole and what is it commonly used to treat?
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What are some of the adverse reactions associated with Sulfonamides?
What are some of the adverse reactions associated with Sulfonamides?
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What specific drug interactions are associated with Sulfonamides?
What specific drug interactions are associated with Sulfonamides?
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What is the structure and function of fluoroquinolones?
What is the structure and function of fluoroquinolones?
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Describe the mechanism of action of fluoroquinolones.
Describe the mechanism of action of fluoroquinolones.
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What is the significance of inhibition of gyrase?
What is the significance of inhibition of gyrase?
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What is the significance of topoisomerase IV inhibition?
What is the significance of topoisomerase IV inhibition?
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Describe and list the newer fluoroquinolones and their bacterial spectrum.
Describe and list the newer fluoroquinolones and their bacterial spectrum.
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Study Notes
Class 1 Antibiotics
- Block specific metabolic steps essential to microorganisms.
- Include Trimethoprim, Sulfonamides, Rifampin, and Quinolones.
- Affect nucleic acid metabolism.
Class 2 Antibiotics
- Inhibit synthesis of microbial cell walls.
- Include Penicillins and Cephalosporins (structurally similar Beta-lactams).
Class 3 Antibiotics
- Bactericidal agents targeting the 30S ribosomal subunit.
- Alter protein synthesis leading to cell death.
- Include Aminoglycosides.
Class 4 Antibiotics
- Bacteriostatic agents affecting the 30S or 50S ribosomal subunit.
- Cause reversible inhibition of protein synthesis.
- Include Chloramphenicol, Tetracyclines, Macrolides, and Clindamycin.
Class 5 Antibiotics
- Target Mycobacterial diseases such as tuberculosis and leprosy.
- Include Isoniazid, Rifampin, Ethambutol, Streptomycin, Pyrazinamide, Dapsone, and Clofazimine.
Sulfonamides
- Bacteriostatic and structurally similar to PABA (p-aminobenzoic acid).
- Inhibit dihydropteroate synthesis, blocking folic acid production.
- Wide antimicrobial activity against gram-positive and gram-negative bacteria.
Synergistic Agents for Sulfonamides
- Trimethoprim works synergistically with Sulfonamides to enhance efficacy.
Clinical Uses of Sulfonamides
- Effective against Nocardiosis (Nocardia spp.).
- Used in combination with pyrethamine and sulfadiazine for Toxoplasmosis.
Co-trimoxazole
- Combination of sulfamethoxazole and trimethoprim.
- Commonly used to treat urinary tract infections and GI infections.
Adverse Reactions of Sulfonamides
- Urinary tract disturbances, acute hemolytic anemia, granulocytosis, aplastic anemia.
- Sulfa allergies and gastrointestinal issues such as nausea and vomiting.
Drug Interactions for Sulfonamides
- Interact with oral anticoagulants, sulfonylureas, hypoglycemic drugs, and hydantoin anticonvulsants.
Fluoroquinolones
- Synthetic fluoroquinolones are DNA gyrase inhibitors.
- Broad antimicrobial activity with minimal side effects.
Mechanism of Action of Fluoroquinolones
- Block bacterial DNA synthesis by inhibiting topoisomerase II (gyrase) primarily and topoisomerase IV secondarily.
Importance of Inhibition of Gyrase
- Prevents relaxation of supercoiled DNA necessary for transcription and replication.
Significance of Topoisomerase IV Inhibition
- Interferes with separation of replicated DNA during cell division.
Newer Fluoroquinolones
- Include Ciprofloxacin, Enoxacin, Lomefloxacin, Levofloxacin, Ofloxacin, and Pefloxacin.
- Exhibit broad-spectrum activity particularly against gram-negative bacteria.
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Description
Explore the mechanisms and classifications of antibiotics in pharmacology. This quiz covers Class 1 and Class 2 antibiotics, detailing their actions on microbial metabolism and cellular structures. Perfect for students studying pharmacology or medicine.