Pharmacology Chapter on Drug Mechanisms

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Questions and Answers

Which mechanism of action involves the inhibition of RNA polymerase?

  • RNA polymerase inhibitor (DNA-dependent) (correct)
  • Inhibition of arabinosyl transferases
  • Inhibition of DNA integrase
  • Prodrug and inhibition of the enoic reductase

What is a common adverse effect associated with certain antibiotics that causes discoloration in bodily fluids?

  • Orange coloration of fluids (urine, saliva, tears) (correct)
  • Hepatotoxicity
  • Increased uric acid levels in plasma
  • Reversible optic neuritis

Which drug mechanism involves directly binding to reverse transcriptase?

  • Maraviroc
  • Raltegravir
  • Zidovudine (correct)
  • Ethambutol

Which drug is recognized for causing reversible optic neuritis and color blindness to red and green?

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

What mechanism describes a nucleoside analog that competitively blocks reverse transcriptase effects?

<p>Nucleoside analog mechanism (B)</p> Signup and view all the answers

Flashcards

Mechanism of Action (Prodrugs)

Mechanism in which a drug is inactive and needs biotransformation/alteration in order to fully exhibit its effect.

Reverse Transcriptase Inhibition

A class of drugs that stop the conversion of RNA to DNA, inhibiting viral replication. This is achieved by competing with the enzyme reverse transcriptase.

RNA Polymerase Inhibition (DNA-dependent)

Targeting of the enzyme that builds DNA from a DNA template, halting viral replication.

Adverse Effect (Orange Coloration)

Certain drugs can cause a change in bodily fluids (urine, saliva, tears) turning them an orange or yellowish-orange color.

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Hepatotoxicity (Drug Side Effect)

Harmful effects of a drug on the liver, potentially leading to liver damage or illness.

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Study Notes

Mechanisms of Action

  • Enzymatic Inhibition: A prodrug inhibiting enoic reductase is listed.
  • RNA Polymerase Inhibition: An inhibitor of RNA polymerase is mentioned.
  • DNA-Dependent Inhibition: Inhibition of DNA-dependent processes is noted.
  • Translational Alteration: An inhibitor of protein translation and membrane potential alteration is included.

Adverse Effects

  • Fluid Color Changes: Orange coloration of fluids (urine, saliva, tears) is a potential side effect.
  • Visual Disturbances: Reversible optic neuritis, leading to color blindness (red-green), is noted.
  • Uric Acid Elevation: Increased blood uric acid levels are mentioned.
  • Hepatotoxicity and Hemolytic Anemia: Hepatic damage and hemolytic anemia are potential side effects, especially in susceptible individuals.

Further Drug Actions

  • Nucleoside Analog: A nucleoside analog that competitively inhibits reverse transcriptase.
  • CCR5 Receptor Binding: A drug that binds to the CCR5 receptor.
  • Direct Reverse Transcriptase Inhibition: A drug that directly blocks reverse transcriptase.
  • DNA Integrase Inhibition: Inhibition of DNA integrase is a mechanism of action of some drugs.

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