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16 Cards in this Set
- Front
- Back
Antibiotics that inhibit DNA/RNA synthesis are considered (bacteriostatic/ bacteriocidal)
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bacteriocidal
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Fluorquinolones- Mechanism?
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Inhibit DNA/RNA synthesis by either inhibiting DNA gyrase or topisomerase
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Norfloxacin is a member of which type of antibiotic?
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Fluoroquinolones (DNA/RNA synthesis inhibitors)
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Ciprofloxacin is a member of which type of antibiotic ?
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Fluoroquinolones (DNA/RNA synthesis inhibitors)
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which drug can be used to treat anthrax?
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Cipro
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What must be remembered when prescribing cipro?
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Limited use among children, adolescents, and pregnant women due to possible cartilage damage and tendon rupture
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Sulfonamides- mechanism?
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folic acid synthesis inhibitor
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why is inhibiting folic acid synthesis and effective bacteriocidal effect?
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Folic acid needed for synthesis of DNA/RNA
-bacteria synthesize their own folic acid (cannot utliize what they obtain from the environment) |
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Give an example of competitive inhibition
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Sulfonamides compete with PABA (p-aminobenzoic acid) at the first step of folic acid synthesis
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What was the first "magic bullet" ? What is the mechanism?
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Sulfonamides
inhibit folic acid synthesis |
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what is the spectrum for sulfonamides? Give two examples
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Broad spectrum (usually used for UTI, conjunctivitis, and toxoplasmosis)
sulfamethoxazole silver sulfadiazine |
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What is a major counseling point for sulfonamides?
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Drink LOTS of water!!! can crystalize in the kidney
May have cross-sensitivty to sunscreens with PABA |
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What are some adverse effects of sulfonamides?
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skin rashes, especially in combo with trimethoprim (bactrim)
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Mechanism of trimethoprim?
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competition inhibition- inhibits the synthesis of tetrahydrophilic acid (a later step in folic acid synthesis)
RARELY used alone |
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Give an example of two synergistic medications
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Sulfamethoxazole and trimethoprim
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What adverse effects would you expect for bactrim?
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skin rashes (esp in HIV)
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