Pharmacology Quiz: Fluoroquinolones and Aminoglycoside Antibiotics
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Questions and Answers

What is the mechanism of action of fluoroquinolones?

  • Inhibition of protein synthesis
  • Inhibition of cell wall synthesis
  • Inhibition of bacterial DNA synthesis by blocking topoisomerase II and IV (correct)
  • Activation of beta-lactamase

What type of organisms are fluoroquinolones effective against?

  • Gram-negative, atypical, gram-positive, and some mycobacteria (correct)
  • Only mycobacteria
  • Only gram-positive organisms
  • Only gram-negative organisms

Why are fluoroquinolones often prescribed?

  • For patients with a documented severe allergy to β-lactam antibiotics (correct)
  • For patients with a documented allergy to aminoglycosides
  • For patients with a severe allergy to macrolides
  • For patients with a severe allergy to tetracyclines

What is the effect of inhibition of topoisomerase IV?

<p>Interference with separation of replicated chromosomal DNA (D)</p> Signup and view all the answers

What is the effect of inhibition of DNA gyrase?

<p>Prevention of relaxation of positively supercoiled DNA (B)</p> Signup and view all the answers

What is the structure of fluoroquinolones?

<p>Synthetic fluorinated analogs of nalidixic acid (C)</p> Signup and view all the answers

What is the reason why levofloxacin and moxifloxacin are referred to as “respiratory fluoroquinolones”?

<p>They have excellent activity against S.pneumoniae (B)</p> Signup and view all the answers

What is the mechanism of resistance to fluoroquinolones?

<p>Altered target and decreased accumulation (B)</p> Signup and view all the answers

What is the effect of divalent and trivalent cations on the oral absorption of fluoroquinolones?

<p>It impairs the oral absorption (B)</p> Signup and view all the answers

What is the range of serum half-lives of fluoroquinolones?

<p>3-10 hours (A)</p> Signup and view all the answers

What is the mechanism of elimination of most fluoroquinolones?

<p>Renal mechanisms (B)</p> Signup and view all the answers

What is the bioavailability of fluoroquinolones after oral administration?

<p>80-95% (B)</p> Signup and view all the answers

What is the typical time frame for absorption from an injection site in muscles to reach peak concentrations in blood?

<p>30-90 minutes (B)</p> Signup and view all the answers

What is the normal half-life of aminoglycosides in serum?

<p>2-3 hours (A)</p> Signup and view all the answers

What percentage of parenteral aminoglycosides are excreted unchanged in the urine?

<p>More than 90% (C)</p> Signup and view all the answers

What is streptomycin mainly used for in mycobacterial infections?

<p>As a second-line drug for tuberculosis (B)</p> Signup and view all the answers

What is the recommended dosage of streptomycin for children in the treatment of mycobacterial infections?

<p>7.5-15 mg/kg/d (C)</p> Signup and view all the answers

What is gentamicin often used in combination with for the treatment of endocarditis caused by gram-positive bacteria?

<p>A β-lactam antibiotic (C)</p> Signup and view all the answers

What is a common use of fluoroquinolones in urinary tract infections (UTIs)?

<p>When the infection is caused by P.aeruginosa and resistant to cotrimoxazole (D)</p> Signup and view all the answers

What is a single dose of 500 mg of fluoroquinolone nearly 100% curative for?

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

What type of bacterial infections are fluoroquinolones used in, especially in soft tissues and joints?

<p>Resistant Staph. and gram negative bacteria (B)</p> Signup and view all the answers

What is ciprofloxacin used for in regards to anthrax?

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

What is a common adverse effect of fluoroquinolones?

<p>Nausea, vomiting, or diarrhea (C)</p> Signup and view all the answers

In what type of infections are fluoroquinolones occasionally used as an alternative?

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

What is the concentration of gentamicin in creams, ointments, and solutions used for topical application?

<p>0.1-0.3% (C)</p> Signup and view all the answers

What is the usual route of administration of gentamicin for treating meningitis caused by gram-negative bacteria?

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

What is the reason behind the nephrotoxicity of gentamicin?

<p>All of the above (D)</p> Signup and view all the answers

What is the mechanism by which aminoglycosides reduce ACh release from the motor nerve endings?

<p>Ca2+ antagonizing action (D)</p> Signup and view all the answers

What is a common reaction to topically applied neomycin?

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

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