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</p> Signup and view all the answers

    Which test is appropriate for detecting VRSA?

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

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

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

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

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

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

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

    Which antimicrobial resistance testing method utilizes a modified Hodge test?

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

    What is the mechanism of action for Fluoroquinolones?

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

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

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

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

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

    What is the primary action of Azoles in antifungal treatment?

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

    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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