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USMLE Pharmacology Set 1

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Block cell wall synthesis by inhibition of peptidoglycan cross-linking
Penicillins
Name three antibiotics that inhibit peptidoglycan synthesis?
Bacitracin, vancomycin, cycloserine
Blocks mRNA synthesis?
Rifampin
Bactericidal antibiotics?
Penicillin,cephalosporins,vancomycin, aminoglycosides, fluoroquinolones, metronidazole
Disrupt bacterial/fungal cell membranes
polymyxins
Disrupt fungal cell membranes
Amphotericin B, nystatin, fluconazole/azoles
Block DNA topoisomerases
Quinolones
Block nucleotide synthesis
sulfonamides, trimethoprim
Blocks protein synthesis at 30S ribosomal subunit?
Aminoglycosides and tetracyclines
Blocks protein synthesis at 50S ribosomal subunit?
Chloramphenicol, erythromycin/macrolides, linomycin, clindamycin, streptogramins, linezolid
Which penicillin if delivered IV? and Oral?
Penicillin G (IV)
Penicillin V (Oral)
Toxicity of penicillin?
Hypersensitivity and hemolytic anemia
Three penicillins resistant to penicillinase due to bulkier R group?
Methicillin, nafcillin, dicloxacillin (oxacillin group)
This penicillin (resistant to penicillinase) has been known for causing interstitial nephritis?
Methicillin
Three mechanisms of penicillin?
1. Binds penicillin binding proteins
2. Blocks transpeptidase enzyme
3. Activates autolytic enzymes

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