Sulfa Drugs and βlactam Antibiotics: CHMI3427EL Winter 2024 Dr. S. Montaut
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Questions and Answers

What is the main function of the bacterial cell wall?

  • To prevent the attachment of host enzymes
  • To provide nutrients for the bacterial cell
  • To aid in DNA replication
  • To protect from changes in osmotic pressure (correct)

Where does the final assembly of the bacterial cell wall take place?

  • At the inner membrane
  • Outside of the inner membrane (correct)
  • At the cell nucleus
  • Within the cell cytoplasm

Which syndrome is a serious adverse effect mentioned in the text?

  • Stevens-Johnson syndrome (correct)
  • Erythema multiforme
  • Mouth mucous membrane ulceration
  • Urethra ulceration

What makes the enzymes involved in late steps of cell wall synthesis more vulnerable to inhibition?

<p>Their proximity to the cell surface (A)</p> Signup and view all the answers

What is the purpose of the antigenic determinants on the outside of gram-positive bacterial cells?

<p>Allow for attachment to specific target cells (A)</p> Signup and view all the answers

Which of the following is NOT a function of the bacterial cell wall?

<p>Facilitate DNA replication (B)</p> Signup and view all the answers

What characteristic makes Stevens-Johnson syndrome a rare adverse effect?

<p>Its comparative rarity (A)</p> Signup and view all the answers

Why does the final assembly of the bacterial cell wall take place outside of the inner membrane?

<p>To facilitate extrusion and growth (C)</p> Signup and view all the answers

What is the main reason sulfonamides are disqualified for use in late-term pregnancy?

<p>They cause neonatal jaundice (A)</p> Signup and view all the answers

Which process partly deactivates sulfonamides in the liver?

<p>Acetylation at N-4 (A)</p> Signup and view all the answers

What is a common form of plasmid-mediated resistance development among gram-negative microorganisms?

<p>Decreased sensitivity of dihydropteroate synthase (D)</p> Signup and view all the answers

Which sulfonamide is used in combination with erythromycin due to its broad antimicrobial spectrum?

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

What is the adverse effect most commonly associated with sulfonamides?

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

Which organisms may be susceptible to sulfisoxazole according to the text?

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

What limits the clinical use of sulfisoxazole, despite its broad antimicrobial spectrum?

<p>Development of bacterial resistance (A)</p> Signup and view all the answers

What is a less common problem associated with sulfonamides mentioned in the text?

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

What is the primary role of penicillin binding proteins in bacteria?

<p>Construction of the cell wall (B)</p> Signup and view all the answers

How do β-lactam antibiotics kill bacteria?

<p>Preventing the biosynthesis of a functional cell wall (A)</p> Signup and view all the answers

Why is selective interference by β-lactam antibiotics problematic for bacteria?

<p>It prevents normal growth and repair processes (D)</p> Signup and view all the answers

What distinguishes the outer lipid membrane of gram-negative bacteria from the inner membrane?

<p>Containment of lipopolysaccharides (D)</p> Signup and view all the answers

What role do porins play in gram-negative bacteria?

<p>Regulating the passage of molecules through the membrane (D)</p> Signup and view all the answers

What is the function of the center of the transmembranal pore in porins?

<p>Allowing passage of small molecules (C)</p> Signup and view all the answers

How do complex lipopolysaccharides in the outer lipid membrane influence gram-negative bacteria?

<p>Cause septic shock (A)</p> Signup and view all the answers

Why are penicillin binding proteins essential for bacterial cells?

<p>To facilitate controlled cell growth and repair processes (C)</p> Signup and view all the answers

What is a key consideration controlling porin passage for drugs?

<p>Shape of drugs (C)</p> Signup and view all the answers

What is the key concept associated with antibiotics?

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

Why do antibiotics have greater difficulty penetrating into gram-negative bacterial cells?

<p>Presence of thicker peptidoglycan layer (D)</p> Signup and view all the answers

Where are the β-lactam targets found in bacterial cells?

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

Who discovered bacteria in 1676?

<p>van Leeuwenhoek (B)</p> Signup and view all the answers

What led to the appreciation of antibiosis in microorganisms?

<p>Interaction of anthrax bacilli with common bacteria (B)</p> Signup and view all the answers

What role do inner membrane proteins play in bacterial cells?

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

In what year did Louis Pasteur report the interaction between 'common bacteria' and anthrax bacilli?

<p>1877 (A)</p> Signup and view all the answers

What is the contemporary name for the ring system of a β-lactam?

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

Which subclass of β-lactam antibiotics is characterized by a substituted five-membered thiazolidine ring fused to the β-lactam ring?

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

Who observed a clear zone of inhibition surrounding a Penicillium mold colony?

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

What shape does the molecule of a β-lactam antibiotic roughly possess due to the fusion and chirality of the β-lactam ring?

<p>&quot;V&quot; shape (B)</p> Signup and view all the answers

What discovery is attributed to France and Germany in 1936?

<p>Discovery of sulfonamides (A)</p> Signup and view all the answers

Which scientist is known for isolating microorganisms from infected patients and reproducing disease symptoms in healthy individuals?

<p>Robert Koch (B)</p> Signup and view all the answers

What is a common function of proteins that actively pump out antibiotics from bacterial cells?

<p>Maintain electrostatic balance (D)</p> Signup and view all the answers

What is the term used to describe substances that inhibit or kill microorganisms but are unrelated to natural products?

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

Which group of bacteria does benzylpenicillin primarily target?

<p>Gram-positive cocci (B)</p> Signup and view all the answers

What is a key advantage of phenoxymethylpenicillin compared to benzylpenicillin?

<p>More acid stability (D)</p> Signup and view all the answers

Where are β-lactamases secreted in gram-negative bacteria?

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

Which reaction is occasionally immediate and profound due to allergy?

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

What is the main reason benzylpenicillin remains a useful agent for treatment?

<p>Lack of toxicity except for allergic patients (D)</p> Signup and view all the answers

How is penicillin V primarily produced?

<p>Fermentation in enriched medium (A)</p> Signup and view all the answers

What distinguishes the secretion of β-lactamases in gram-negative bacteria?

<p>Secretion into the periplasmic space between membranes (D)</p> Signup and view all the answers

Which type of bacteria are more susceptible to phenoxymethylpenicillin?

<p>Gram-positive cocci (B)</p> Signup and view all the answers

What is the primary reason for coadministering tazobactam with piperacillin?

<p>Inhibiting β-lactamases (A)</p> Signup and view all the answers

Which compound was described as the broadest spectrum penicillin currently available in the text?

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

Why was cephalosporin C not considered a useful antibiotic?

<p>It lacked antibacterial activity (D)</p> Signup and view all the answers

What distinguishes the chemical structure of 7-aminocephalosporanic acid from cephalosporin C?

<p>Additional side chains (C)</p> Signup and view all the answers

Why is resistance due to β-lactamases highlighted as a prominent feature of using piperacillin and tazobactam?

<p>To enhance antibacterial properties (B)</p> Signup and view all the answers

What motivated the chemical alteration of cephalosporin C to produce 7-aminocephalosporanic acid?

<p>Improved potency against gram-negative bacteria (D)</p> Signup and view all the answers

What is the role of tazobactam in the piperacillin and tazobactam combination?

<p>Inhibiting β-lactamases (C)</p> Signup and view all the answers

What is a distinguishing characteristic of cefotetan and cefoxitin?

<p>Possession of antianaerobic activity (A)</p> Signup and view all the answers

Which organisms are often sensitive to third-generation cephalosporins as per the text?

<p>Klebsiella and Pseudomonas aeruginosa (A)</p> Signup and view all the answers

What is a notable feature of fourth-generation cephalosporins compared to third-generation drugs?

<p>Higher activity against gram-positive organisms (B)</p> Signup and view all the answers

What is the most commonly experienced toxicity of cephalosporins besides allergic reactions?

<p>Temporary nausea, vomiting, and diarrhea (B)</p> Signup and view all the answers

What is the activating leaving group present at C-3 in cefazolin according to the text?

<p>Thiadiazole ring (B)</p> Signup and view all the answers

Which statement regarding the third-generation cephalosporins is accurate based on the text?

<p>Useful against Morganella sp. and Staphylococcus aureus (D)</p> Signup and view all the answers

What improvement has been made to newer third-generation cephalosporins to enhance their spectrum against β-lactamase–producing strains?

<p>Combined with β-lactamase inhibitors (B)</p> Signup and view all the answers

'The moiety is not subject to the inactivating host hydrolysis reaction.' - This statement directly refers to which part of cefazolin?

<p>$C-3$ (D)</p> Signup and view all the answers

What characteristic of ertapenem makes it different from imipenem and meropenem?

<p>It is inactive against Pseudomonas species (D)</p> Signup and view all the answers

Which enzyme does the 4-β-methyl group in carbapenems confer stability toward?

<p>Dehydropeptidase-1 (B)</p> Signup and view all the answers

What makes aztreonam primarily effective against gram-negative microorganisms?

<p>Strong affinity for PBP-3 (A)</p> Signup and view all the answers

What is a key feature of the monobactams that differentiates them from other β-lactam antibiotics?

<p>Presence of a fused ring (C)</p> Signup and view all the answers

Which type of infections is aztreonam primarily used to treat?

<p>Gram-negative bacterial infections (B)</p> Signup and view all the answers

Why should ertapenem not be substituted for other carbapenems in the treatment of Pseudomonas or Acinetobacter infections?

<p>It is inactive against these organisms (C)</p> Signup and view all the answers

What does the α-oriented methyl group at C-2 contribute to in aztreonam?

<p>Stability toward β-lactamases (B)</p> Signup and view all the answers

What is the main indication for Ceftaroline Fosamil as mentioned in the text?

<p>Treatment of pneumonia (A)</p> Signup and view all the answers

Which group at C-3 of Cefepime assists in the penetration into gram-negative bacteria?

<p>Quaternary N-methylpyrrolidine group (C)</p> Signup and view all the answers

What differentiates Carbapenems structurally from penicillins and cephalosporins?

<p>Absence of a β-lactam ring (C)</p> Signup and view all the answers

What enhances the spectrum and β-lactamase stability of Cefepime?

<p>Aminothiazolyl group at C-7 (C)</p> Signup and view all the answers

What is the mechanism of action of Ceftaroline Fosamil against methicillin-resistant Staphylococcus aureus?

<p>Affinity for PBP-2a (C)</p> Signup and view all the answers

Which type of bacteria does Cefepime have enhanced antistaphylococcal activity against?

<p><strong>Streptococcus</strong> sp. (C)</p> Signup and view all the answers

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