Shared Flashcard Set

Details

NBDE Flash! - Pharmacology
NBDE Flash! Part 1 Review Series. Home Page: http://www.flashcardmachine.com/p/nbdeflash
103
Dentistry
Professional
02/10/2012

Additional Dentistry Flashcards

 


 

Cards

Term
These drugs block the 30s ribosomal subunit
Definition
Aminoglycosides and tetracyclines
Buy AT 30 CELL at 50
Term
These specific drugs disrupt fungal cell membranes
Definition
amphotericin B, nystatin, fluconazole/azoles (FAN the fungal cell membranes)
Term
What is the mechanism for penicillin type drugs?
Definition
Blocks bacterial cell wall synthesis by inhibition of peptidoglycan synthesis.
Term
This drug is used to suppress organ rejection, but may predispose patient to viral infections and lymphoma
Definition
cyclosporine
Term
Signs of Lead poisoning include:
Definition
Lead Lines on gingivae and epiphyses of Long bones, Encephalopathy and Erythrocyte Basophilic stippling, Abdominal colic and sideroblastic Anemia
Term
-azole
Definition
antifungal. Ketoconazole
Term
-olol
Definition
beta antagonist. Propranolol
Term
-tropin
Definition
pituitary hormone. Somatotropin
Term
How does a noncompetitive inhibitor affect Vm?
Definition
Decreases
Term
How does a noncompetitive inhibitor shifts the dose response curve?
Definition
Shifts the curve down
Term
Azaothioprine is used to in what setting? (This is a cyclosporine)
Definition
Kidney transplants, autoimmune disorders (glomerulonephritis, hemolytic anemia)
Term
-barbital
Definition
barbiturate. Phenobarbital
Term
-operidol
Definition
butyrophenone (neuroleptic). Haloperidol
Term
Which drug blocks mRNA synthesis?
Definition
Rifampin blocks transcription
Term
Which drugs are the bacteriacidal antibiotics?
Definition
Penicillin, cephalosporin, vancomycin, aminoglycosides, fluoroquinolones, metronidazole
Term
-oxin
Definition
cardiac glycoside (inotropic agent). Digoxin
Term
When would you use aminoglycosides?
Definition
Against severe gram-negative rod infections.
Term
What is the mechanism of action of Cephalosporins?
Definition
inhibit cell wall synthesis
Term
-cillin
Definition
penicillin. Methicillin
Term
-phylline
Definition
methylxanthine. Theophylline
Term
How does a competitive inhibitor affect Km?
Definition
Increases
Term
These drugs block DNA topoisomerases
Definition
Quinolones (e.g. Cipro)
Term
-cycline
Definition
antibiotic, protein synthesis inhibitor. Tetracycline
Term
How does a competitive antagonist shifts the dose response curve?
Definition
Shifts the curve to the right
Term
In 1st order elimination what is rate of elimination is proportional to?
Definition
Drug Concentration
Term
-ipramine
Definition
tricyclic antidepressant. Imipramine
Term
These drugs block nucleotide synthesis by interfering with the folate pathway
Definition
Sulfonamides (e.g. Bactrim), trimethoprim
Term
These drugs disrupt the bacterial/fungal cell membranes
Definition
Polymyxins
Term
What's the main difference between a partial agonist and a full agonist?
Definition
A partial agonist has a lower maximal efficacy
Term
What are the main similarities/difference between 1st and 2nd generation cephalosporins?
Definition
2nd gen has extensive gram neg coverage but weaker gram + coverage
Term
What should you watch out for when giving penicillin?
Definition
Hypersensitivity reaction (urticaria,severe pruritus) and hemolytic anemia
Term
Bacitracin, vancomycin and cycloserine block the synthesis of this molecule, preventing cell wall synthesis.
Definition
Peptidoglycans
Term
What order of elimination is EtOH from the body?
Definition
Zero
Term
These drugs block the 50s ribosomal subunit
Definition
clindamycin, chloramphenicol, erythromycin, lincomycin, linezolid, streptogramins Buy AT 30 CELL at 50
Term
How does a noncompetitive inhibitor affect Km?
Definition
No affect
Term
How does a competitive inhibitor affect Vm
Definition
No affect
Term
Which antifungal drug binds ergosterol?
Definition
Nystatin
Term
Which drug can cause Pseudomembranous Colitis?
Definition
Clindamycin
Term
Most common drug used before dental procedures as prophylaxis
Definition
Penicillin VK (oral)
Term
Prophylaxis for penicillin allergic patient
Definition
Clindamycin, Azithromycin, Erythromycin NOT Ampicllin
Term
Which patients SHOULD you pre-medicate before dental procedures
Definition
History of Endocardidits, valve replacement, congenital heart defects
Term
Folic acid analog that inhibits dihydrofolate reductase
Definition
Methotrexate
Term
Pyrimidine analog that inhibits thymidylate synthase
Definition
5-fluorouracil
Term
Inhibitor of de novo purine synthesis
Definition
6-mercaptopurine
Term
Inhibits DNA polymerase
Definition
cytarabine
Term
Alkylating agents used to treat Non-Hodgkin lymphoma, breast and ovarian carcinoma.
Definition
Cyclophosphamide, ifosfamide
Term
Free radical generator and also intercalates DNA to from strand breaks ("A" in ABVD treatment for Hodgkins)
Definition
Doxorubicin (Adriamycin), daunorubicin
Term
Standard premedication guidelines for Amoxicillin
Definition
2 grams orally one hour before
Term
Standard premedication guidelines for Clindamycin
Definition
600 mg orally one hour before
Term
Standard premedication guidelines for Azithromycin
Definition
500 mg orally one hour before
Term
Lidocaine, mechanisim of action
Definition
Binds internally to sodium channels blocking the production of an action potential
Term
Toxicity includes Cushing-like symptoms
Definition
Prednisone (Cushing Syndrome can also be Paraneoplastic from a ACTH secreting neoplasm like Oat Cell Lung Cancer)
Term
Increased risk of endometrial carcinoma
Definition
Tamoxifen (Estrogen Receptor Antagonist)
Term
Ppm in 0.2% NaF
Definition
900ppm Molecular Weight Ratio: 1/2.2 = .09%F X 10 = .9 mg/mL X 1000 = 900ppm
Term
Units for ppm
Definition
1ppm = 1mg/liter
Term
Rate of elimination is constant - what order elimination? What happens to target plasma concentration?
Definition
Zero order elimination; Target plasma concentration decreases linearly with time
Term
Rate of elimination is proportional to drug concentration - what order elimination? Target plasma concentration?
Definition
First order elimination Cp decreases exponentially with time
Term
Give examples of drugs with zero order elimination
Definition
Ethanol Phenytoin Aspirin (at high or toxic concentration)
Term
What phase of metabolism associated with cytochrome P450
Definition
Phase I
Term
What phase of metabolism associated with conjugation
Definition
Phase II
Term
Efficacy
Definition
maximal EFFECT
Term
Potency
Definition
amount needed for a given EFFECT
Term
pre and postsynaptic nervous system neurotransmitters: Parasymp
Definition
Ach (nicotinic) Ach (muscarinic)
Term
pre and postsynaptic nervous system neurotransmitters: Somatic
Definition
only one ;ACh (nicotinic)
Term
pre and postsynaptic nervous system neurotransmitters: Sympathetic
Definition
Pre = ACh(nicotinic); Post: NorEpi (Cholenergic) or Ach(Muscarinic)-sweat glands, adrenal medulla
Term
nicotinic receptor mech
Definition
ACh ligand gated Na+/K+ channels
Term
muscarinic receptor mech
Definition
ACh G- protein coupled receptors that act through 2nd messengers
Term
Release of NE from a sympathetic nerve ending is modulated by;;with mech
Definition
by NE itself, acting on presynaptic α2 autoreceptors, and by ACh, ;;angiotensin II, and other substances.
Term
selectivity for Sympathomimetics;;Epinephrine
Definition
α1, α2, β1, β2, low doses selective for β1
Term
selectivity for Sympathomimetics;;NE
Definition
α1, α2 >β1
Term
antidote for Carbon monoxide
Definition
100% O , hyperbaric O
Term
antidote for Warfarin
Definition
Vitamin K, fresh frozen;plasma
Term
Mouthrise with long acting anti-plaque effect
Definition
Chlorhexadine
Term
Where does Chlorhexadine adhere
Definition
Acquired pellicle on the tooth structure.
Term
What drugs cause Cough
Definition
ACE inhibitors
Term
What drugs cause Acute cholestatic hepatitis
Definition
Macrolides
Term
What drugs cause Pseudomembranous
Definition
Clindamycin Treatment: Metronidiazone or Oral Vancomycin
Term
What drugs cause Permanent staining of the developing teeth
Definition
Tetracyclines
Term
What drugs cause Osteonecrosis of the jaw
Definition
Bisphosphonates
Term
What drugs cause Gingival hyperplasia
Definition
Phenytoin
Term
What drugs cause Osteoporosis
Definition
Corticosteroids, heparin
Term
What drugs cause Fanconi’s syndrome
Definition
Expired tetracycline
Term
What drugs cause Tardive dyskinesia
Definition
Antipsychotics
Term
What drugs cause Nephrotoxicity & ototoxicity
Definition
Aminoglycosides, loop diuretics, cisplatin
Term
Too much EtOH can cause what compound to build up?
Definition
Build up of Acetaldehyde
Term
Drug name Ending / Category -cycline
Definition
Antibiotic, protein synthesis inhibitor
Term
Drug name Ending / Category Antibiotic, protein synthesis inhibitor
Definition
-cycline
Term
Drug name Ending / Category -olol
Definition
β-antagonist
Term
Drug name Ending / Category -oxin
Definition
Cardiac glycoside (inotropic agent)
Term
Drug name Ending / Category Pituitary hormone
Definition
-tropin
Term
selectivity for Sympathomimetics - Phenylephrine
Definition
α1 >α2
Term
selectivity for Sympathomimetics - Albuterol
Definition
β2 >β1
Term
Mechanism/selectivity for Sympathomimetics - terbutaline
Definition
β2 >β1
Term
effect on BP and HR of - Norepinephrine
Definition
(α > β), ↑ BP, ↓ HR (reflex bradycardia)
Term
effect on BP and HR of - Epinephrine
Definition
nonselective - NC BP( increases systolic, but decreases diastolic)
Term
effect on BP and HR of - Isoproterenol
Definition
(β > α), ↓ BP, ↑ HR
Term
Applications of Sympathomimetics - Epinephrine
Definition
Anaphylaxis, glaucoma (open;angle), asthma, hypotension
Term
Applications of Sympathomimetics - NE
Definition
Hypotension (but ↓ renal ;perfusion)
Term
Applications of Sympathomimetics - Phenylephrine
Definition
Pupil dilator, vasoconstriction, nasal decongestion
Term
Applications of Sympathomimetics - Albuterol, terbutaline
Definition
Asthma B2 agonist dilates conducting zone
Term
CANNOT cross BBB
Definition
dopamine
Term
able to cross BBB
Definition
L-dopa
Term
tardive dyskinesia
Definition
oral-facial movements due to DA receptor sensitization
Supporting users have an ad free experience!