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Pharmacology · USMLE Step 1 · Healthcare and Nursing

USMLE Pharmacology: Antimicrobial Drugs

Antibacterial, antifungal, antiviral, and antiparasitic drug classes with mechanism and one signature toxicity per card.

About this set

44 mixed cards for USMLE Step 1 Pharmacology. Set 3 of 19 in USMLE Pharmacology. It opens with "What is the mechanism of action of penicillins and other beta-lactams?" and "Penicillin's classic hypersensitivity reaction is ____". Study it alongside the other USMLE Step 1 sets below.

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What is the mechanism of action of penicillins and other beta-lactams?
Show answerThey bind penicillin-binding proteins and inhibit transpeptidase cross-linking of peptidoglycan in the bacterial cell wall.
Penicillin's classic hypersensitivity reaction is ____.
Show answerIgE-mediated anaphylaxis
Why do some penicillin-allergic patients also react to cephalosporins?
Show answerCephalosporins share the same beta-lactam ring structure, causing partial cross-reactivity.
What is the mechanism of action of vancomycin?
Show answerIt binds the D-ala-D-ala terminus of cell wall precursors, blocking transglycosylation and peptidoglycan elongation.
Rapid IV infusion of vancomycin can cause ____, a non-allergic histamine-release reaction.
Show answerred man syndrome
What is the mechanism of action of aminoglycosides (e.g., gentamicin)?
Show answerThey bind the 30S ribosomal subunit and cause misreading of mRNA, blocking initiation.
What is the signature toxicity of aminoglycosides?
Show answerNephrotoxicity and ototoxicity
What is the mechanism of action of tetracyclines?
Show answerThey bind the 30S ribosomal subunit and block aminoacyl-tRNA attachment.
Tetracyclines are avoided in children and pregnancy because they cause ____.
Show answertooth discoloration and bone growth inhibition
What is the mechanism of action of macrolides (e.g., azithromycin)?
Show answerThey bind the 50S ribosomal subunit and block translocation.
What is the signature toxicity of macrolides?
Show answerQT interval prolongation
What is the mechanism of action of fluoroquinolones?
Show answerThey inhibit bacterial DNA gyrase (topoisomerase II) and topoisomerase IV.
Fluoroquinolones carry a warning for ____.
Show answertendinitis and tendon rupture
What is the mechanism of action of sulfonamides?
Show answerThey inhibit dihydropteroate synthase, blocking bacterial folate synthesis.
What is the signature toxicity of sulfonamides?
Show answerStevens-Johnson syndrome

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