Pharmacology of Antimicrobials and Cytotoxic drugs

 

 

 

 

1.    Metronidazole:

 

a.    produces a furred tongue on long-term therapy.

b.    sometimes colors urine brownish-red.

c.    is used in the treatment of trichomoniasis.

d.    is converted to the active form in susceptible anaerobes.

 

 

 

 

2.    Sulfonamides:

 

a.    can cause crystalluria.

b.    are secreted into breast milk.

c.    can cross the placenta proper.

d.    can displace bilirubin from plasma protein binding sites.

 

 

 

3.    Sulfamethoxazole:

 

a.    is a precursor of para-aminobenzoic acid.

b.    inhibits the enzyme.

c.    is the sulfonamide present in cotrimoxazole.

d.    is used in place of para-aminobenzoic acid by susceptible bacteria.

 

 

 

4.    Gentamicin:

 

a.    acts on susceptible organisms by inhibiting protein synthesis.

b.    is mostly excreted unchanged by the kidneys.

c.    is extensively mobilized by the liver.

d.    forms a complex with carbenicillin when given in the same infusion fluid.

 

 

 

5.    Adverse effects of chloramphenicol:

 

a.    bone marrow depression.

b.    grey baby syndrome.

c.    suprainfection.

d.    ototoxicity.

 

 

 

6.    Penicillin G:

 

a.    is a benzylpenicillin.

b.    is a bacteriostatic antibiotic.

c.    resistance is usually in the result of the production of penicillase by bacteria.

d.    is given orally.

 

 

 

7.    The mechanisms of the following antibiotics are as indicated:

 

a.    penicillin: inhibition of cell wall synthesis.

b.    chloramphenicol: inhibition of protein synthesis.

c.    amphotericin B: interference with cell membrane activity.

d.    rifampicin: interference with RNA synthesis.

 

 

 

8.    Hypersensitivity reactions to penicillin:

 

a.    can occur with all penicillin.

b.    are dependent on the dosage.

c.    can occur only after previous exposure to the drug.

d.    can be fatal.

 

 

 

 

9.    Rifampicin:

 

a.    is a bacteriocidal antibiotic.

b.    acts by preventing synthesis of RNA polymerase.

c.    well absorbed after oral administration.

d.    undergoes enterohepatic circulation.

 

 

 

10.    Isoniazid:

 

a.    inhibits the hydroxylation of phenytoin.

b.    penetrates the CSF.

c.    can cause pellagra.

d.    causes peripheral neuritis.

 

 

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