Pharmacology Chapter on Drug Mechanisms
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Questions and Answers

Which of the following drugs inhibits DNA gyrase and is primarily used to stop replication?

  • Metronidazole
  • Fluoroquinolones (correct)
  • Nalidixic Acid
  • Rifampin

Which agent is known to cause optic neuritis as a side effect?

  • Isoniazid
  • Ethambutol (correct)
  • Amphotericin B
  • Pyrazinamide

Which of the following antimicrobial agents causes GI upset as a side effect?

  • Pyrazinamide (correct)
  • Ethambutol
  • Isoniazid
  • 5-Fluorocytosine

What mechanism does Rifampin use to exert its effects?

<p>Inhibits DNA polymerase (D)</p> Signup and view all the answers

Which test is appropriate for detecting VRSA?

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

What potential side effect is associated with the use of Metronidazole?

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

Which agent is categorized as an antifungal and has a risk of nephrotoxicity?

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

Which drug primarily targets mycobacterial infections by inhibiting mycolic acid synthesis?

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

Which antimicrobial resistance testing method utilizes a modified Hodge test?

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

What is the mechanism of action for Fluoroquinolones?

<p>Inhibits DNA gyrase (C)</p> Signup and view all the answers

What test is specifically recommended for detecting the presence of ESBL?

<p>Etest with clavulanic acid (D)</p> Signup and view all the answers

Which antiviral agent is known to be effective against the respiratory syncytial virus?

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

What is the primary action of Azoles in antifungal treatment?

<p>Inhibit sterol synthesis (B)</p> Signup and view all the answers

Flashcards

Nalidixic Acid

A UTI treatment that inhibits DNA synthesis.

Fluoroquinolones

Antibiotics that inhibit DNA gyrase, preventing bacterial replication.

MRSA Resistance

Staphylococcus aureus resistant to penicillin that produces altered PBP2a, a bacterial enzyme.

Antiviral Acyclovir

Drug used to treat herpes simplex virus infections.

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Antimycobacterial Isoniazid

Drug that inhibits the synthesis of mycolic acids in mycobacteria, important for cell wall synthesis.

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Nalidixic Acid Use

Treats Urinary Tract Infections (UTIs) by inhibiting DNA synthesis.

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Fluoroquinolones Action

Stop bacterial DNA replication by inhibiting DNA gyrase.

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MRSA Resistance Mechanism

MRSA resists penicillin by altering the bacterial enzyme PBP2a.

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Antiviral Acyclovir Use

Treats herpes simplex virus infections.

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Antimycobacterial Isoniazid Function

Inhibits mycolic acid synthesis, crucial for mycobacterial cell walls.

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Amphotericin B Use

First choice for severe fungal infections; risks kidney damage.

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Azoles' Target

Prevent fungal sterol synthesis.

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Penicillin Degradation

Penicillin can be broken down by bacterial enzymes called beta-lactamases.

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Study Notes

DNA Synthesis Inhibitors

  • Nalidixic Acid: Treats UTIs and inhibits DNA synthesis.
  • Fluoroquinolones: Inhibit DNA gyrase, stopping replication.
  • Nitrofurantoin: Treats UTIs, targeting multiple cellular processes.
  • Rifampin: Inhibits DNA polymerase, used for Mycobacterium infections.
  • Metronidazole: Causes DNA breaks under anaerobic conditions; known for metallic taste side effect.

Antimycobacterial Agents

  • Isoniazid: Inhibits mycolic acid synthesis; potential for hepatitis.
  • Ethambutol: Inhibits cell wall formation; potential for optic neuritis.
  • Pyrazinamide: Lowers pH, causing GI upset.

Antifungal Agents

  • Amphotericin B: First-line drug for severe fungal infections; known for nephrotoxicity.
  • Azoles: Inhibit sterol synthesis.
  • 5-Fluorocytosine: Effective against Cryptococcus; can cause bone marrow depression.
  • Caspofungin: Effective against Candida and Aspergillus; ineffective against Cryptococcus.

Antiviral Agents

  • Acyclovir: Effective against Herpes viruses.
  • Ribavirin: Effective against Respiratory Syncytial Virus.
  • M2 Inhibitor: Inhibits Influenza A virus.
  • Neuraminidase Inhibitor: Inhibits Influenza A and B viruses.

Antimicrobial Resistance Testing

  • MRSA: The mecA gene produces an altered penicillin-binding protein 2a (PBP2a).
  • VRSA: Testing with the Etest is used.
  • ESBL: Testing with and without clavulanic acid is used.
  • Clindamycin resistance is often due to the Erm gene.
  • Carbapenemase production is identified through the Modified Hodge Test.
  • Glycopeptide resistance testing involves van A PCR.
  • Oxacillin resistance is diagnosed with the Cefoxitin Disk test.
  • Penicillin resistance can be due to beta-lactamases.

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Description

This quiz covers various drug mechanisms including DNA synthesis inhibitors, antimycobacterial agents, antifungal agents, and antiviral agents. Test your knowledge on how these drugs function and their clinical applications. Great for those studying pharmacology and medicinal chemistry.

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