Medical Pharmacology: Antibacterial Drug Practice Questions
Click on the correct answer.
In patients receiving class 1A antiarrhythmic drugs such as procainamide or quinidine or are receiving class 3 antiarrhythmic drugs such as sotalol, amiodarone, or ibutilide, which one(s) of the following agents should not be used or used only cautiously due to potential exacerbation of QTc interval
prolongation.
Levofloxacin
Gemifloxacin
Both
Neither
Gatifloxacin and moxifloxacin should likely be avoided are used only cautiously in patients with known QTc interval prolongation.
True
False
In patients receiving drugs which may increase QTc
interval, certain fluoroquinolones, which themselves may prolong the QTc, should be avoided or administered only cautiously.
True
False
Which one/ones of the following adverse effects are considered
in the "most prominent" category of adverse effects due to quinolones:
Diarrhea
Nausea
Vomiting
A & B
B & C
A & C
A, B & C
All fluoroquinolones except delafloxacin, are likely to lengthen the QT interval.
True
False
Tendinitis, as well as tendon rupture, may occur associated with quinolone antibiotic administration.
True
False
Patients who report musculoskeletal-related symptoms while on fluoroquinolones should discontinue treatment, due to the tendinopathy adverse effect noted with quinolone agents.
True
False
Fluoroquinolones neuropathy:
Fluroquinolone administration, either by the intravenous oral route of administration have been associated with central and peripheral neuropathologies.
Neurotoxicities associated with fluroquinolone treatment may continue following
drug discontinuation and in certain circumstances may be permanent in nature.
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Source Material:
MacDougall C Chapter
56: Sulfonamides, Trimethoprim-Sulfamethoxazole,
Quinolones and Agents for Urinary Tract Infections in Goodman & Gilman's: The Pharmcological
Basis of Therapeutics, 13e, (Brunto LL Hilal-Dandan R Knollmann
BC, eds) McGraw-Hill Education, 2018.
Gruenberg K
Guglielmo BJ e1-13: Sulfonamides & Antifolate Medications in Current Medical Diagnosis & Treatment (Papadakis
MA McPhee SJ Rabow MW McQuaid KR, eds) 61e McGraw Hill 2022.
Beauduy; CE Winston
LG Chapter 46: Sulfonamides, Trimethoprim, & Quinolones
in Basic & Clinical Pharmacology (Katzung BG, Editor; Vanderah
TW, Associate editor) 15e McGraw Hill 2021.
Drugs (Access
Medicine)
Gupta K Trautner BW
Chapter 135: Urinary Tract Infections, Pyelonephritis and
Prostatitis in Harrison's Principles of Internal Medicine 21st
Editions, Loscalzo J Fauci A Kasper D Hauser S Longo D Jameson
JL,eds) McGraw Hill LLC, 2022.