Pharmacology Antibiotics Review: Tetracycline
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Questions and Answers

Which drug showed the highest effectiveness against methicillin resistant Staphylococcus aureus (MRSA) in the study?

  • Penicillin
  • Azithromycin
  • Trimethoprim (correct)
  • Ciprofloxacin
  • What percentage of fluoroquinolones were effective against methicillin susceptible Staphylococcus aureus (MSSA)?

  • 15%
  • 40%
  • 5%
  • 80% (correct)
  • Which drug showed resistance in 59.7% of Staphylococcus aureus isolates in the study?

  • Azithromycin (correct)
  • Vancomycin
  • Chloramphenicol
  • Penicillin
  • Based on the information provided, which drug is NOT mentioned as having resistance observed in the study?

    <p>Vancomycin</p> Signup and view all the answers

    Among the listed drugs, which one is NOT recommended for treating MRSA based on the study results?

    <p>Besifloxacin</p> Signup and view all the answers

    What is the main advantage of 4th generation fluoroquinolones over other fluoroquinolones?

    <p>Greater efficacy against gram-positive bacteria</p> Signup and view all the answers

    Why do bacteria need two mutations to become resistant to 4th generation fluoroquinolones?

    <p>To affect topoisomerase and efflux pumps</p> Signup and view all the answers

    What is the mechanism of action of Besifloxacin in treating bacterial conjunctivitis?

    <p>Disrupting bacterial DNA replication</p> Signup and view all the answers

    How does the 4th generation of fluoroquinolones circumvent antibiotic resistance?

    <p>By targeting a different enzyme than 2nd generation fluoroquinolones</p> Signup and view all the answers

    What is the significance of needing two mutations in bacteria to be destroyed by 4th generation fluoroquinolones?

    <p>It emphasizes the dual target approach of these antibiotics</p> Signup and view all the answers

    Which class of antibiotics is known to inhibit bacterial DNA synthesis?

    <p>Tetracyclines</p> Signup and view all the answers

    In the context of antibiotics, what is the main function of fluoroquinolones?

    <p>Affect DNA synthesis</p> Signup and view all the answers

    Besifloxacin is commonly used to treat which eye condition?

    <p>Bacterial conjunctivitis</p> Signup and view all the answers

    Which antibiotic class is most associated with resistance due to modification of the drug target?

    <p>Aminoglycosides</p> Signup and view all the answers

    What is a common characteristic of bacterial strains that show resistance to antibiotics like besifloxacin?

    <p>Reduced membrane permeability</p> Signup and view all the answers

    Which of the following fluoroquinolones showed the lowest MIC90s in the study?

    <p>Besifloxacin</p> Signup and view all the answers

    In the study, which drug had a resistance greater than 70% for fluoroquinolones?

    <p>Azithromycin</p> Signup and view all the answers

    Which drug had the highest resistance observed among the listed antibiotics in the ARMOR study?

    <p>Oxacillin</p> Signup and view all the answers

    Compared to earlier-generation fluoroquinolones, which group had lower MIC90s overall?

    <p>Besifloxacin, Gatifloxacin, Moxifloxacin</p> Signup and view all the answers

    Which antibiotic showed the highest resistance among presumed keratitis isolates during the period 2009-2019?

    <p>Ciprofloxacin</p> Signup and view all the answers

    Which antibiotic class binds to the 50S ribosomal subunit and inhibits bacterial protein synthesis?

    <p>Macrolides</p> Signup and view all the answers

    Which antibiotic is specifically mentioned for use in chlamydia and corneal ulcers?

    <p>Ciprofloxacin</p> Signup and view all the answers

    Why is the use of a sulfa + anesthetic combination not recommended?

    <p>The anesthetic contains PABA which can antagonize the sulfa component.</p> Signup and view all the answers

    Which generation of fluoroquinolones includes Levofloxacin and Moxifloxacin with superior effectiveness compared to Ciprofloxacin?

    <p>3rd Generation</p> Signup and view all the answers

    Besifloxacin is formulated in which specific vehicle for ophthalmic use?

    <p>DuraSite vehicle</p> Signup and view all the answers

    Which of the following is NOT a mechanism of antibiotic resistance mentioned in the text?

    <p>Increased antibiotic permeability</p> Signup and view all the answers

    Which class of antibiotics is mentioned in the text as being effective for ocular conditions due to their ability to affect bacterial DNA synthesis?

    <p>Fluoroquinolones</p> Signup and view all the answers

    Besifloxacin is specifically mentioned in the text as an antibiotic recommended for treating which ocular condition?

    <p>Bacterial conjunctivitis</p> Signup and view all the answers

    What is highlighted in the text as the reason for the high and stable antibiotic resistance among ocular microbes?

    <p>Inappropriate use of antibiotics</p> Signup and view all the answers

    What is one guideline highlighted for effective antimicrobial treatment of ocular conditions?

    <p>Ensuring accurate diagnosis before treatment</p> Signup and view all the answers

    Why is Besifloxacin considered effective against bacteria?

    <p>It has lower Minimum Inhibitory Concentration (MIC) for staphylococcal isolates.</p> Signup and view all the answers

    What is the significance of using a loading dose with great frequency in treating corneal ulcers?

    <p>To bombard the infection with troops initially.</p> Signup and view all the answers

    How do practitioners justify the off-label use of 4th generation fluoroquinolones to treat corneal ulcers?

    <p>By recognizing their effectiveness in treating corneal ulcers.</p> Signup and view all the answers

    What distinguishes Moxifloxacin from Gatifloxacin in terms of potency?

    <p>Moxifloxacin has greater potency against Gram-positive bacteria.</p> Signup and view all the answers

    What is the role of Polymyxin B/Neomycin/Gramicidin Solutions in ocular treatment?

    <p>To treat inflammation and bacteria simultaneously.</p> Signup and view all the answers

    What differentiates Tobradex ST from generic Tobradex?

    <p>Tobradex ST has increased staying time on the ocular surface.</p> Signup and view all the answers

    Why is it important to be cautious when using Dexamethasone in patients with glaucoma?

    <p>It has a higher correlation with increasing IOP in glaucoma patients.</p> Signup and view all the answers

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