MOA n PK
Bugs and Drugs of Choice
Da class effect
Monitoring and Stewardship
Viva la Resistance
100

Binds ergosterol to form pores

What is Amphotericin B?

100

1st generation cephalosporins are good for treating these most common bacteria colonized on the skin

What are Staph and Strep?

100

Associated with tendon rupture

What are fluoroquinolones?

100

Switching to targeted therapy based on cultures and susceptibilities

What is de-escalation?

or What is tailoring therapy?

100

Candida species that is resistant to fluconazole

What is C. glabrata

200

Drug class with ~ 100% bioavailability that is known to accumulate in bone and teeth, causing teeth staining in children

What are tetracyclines?

200

Luminal antiparasitic agent safe in pregnancy

What is paromycin?

200

Chloroquine, mefloquine, primaquine, quinidine have this class adverse effect

What is QT-prolongation?

200

Antibiotic that strongly induces CYP enzymes

What is rifampin?

200

We pair antibiotics with this to prevent breakdown of the B-lactam ring

What is a beta-lactamase inhibitor combo

300

Inhibits cell wall synthesis but effective concentrations are only in the urine

What is fosfomycin?

300

Best penicillin for treatment of MSSA?

What is dicloxacillin, oxacillin, and nafcillin?

300

Reaction you get when mixing metronidazole and alcohol

What is a disulfiram-like reaction?

300

High serum troughs of these agents are associated with nephrotoxicity and ototoxicity

What are aminoglycosides?

and also

What is/are glycopeptides (or just vancomycin)?

300

Cefepime and ceftazidime are the two cephalosporins (aside from 5th generation) that cover which resistant organism?

What is Pseudomonas aeruginosa?

400

Inhibits beta 1,3 glucan synthase in cell membrane preventing cell wall synthesis

What are echinocandins?

or

What is micafungin, caspofungin or anidulafungin?

400

First-line for invasive Aspergillus

What is voriconazole?
400

Azole antifungals

What is hepatotoxicity?

400

­The lowest antimicrobial concentration that prevents growth of an organism

What is the MIC?

Or 

What is the minimum inhibitor concentration?

400

Document of cultures and sensitivities that provides information to your institution/community about local resistance patterns

What is an antibiogram?
500

Inhibits microtubules in worms

What is albendazole or mebendazole?
500

Fluoroquinolones, macrolides and tetracyclines cover these type of organisms: Mycoplasma, Chlamydia and Legionella

What are atypicals?

500

Specific infection that occurs from overuse of antibiotics, especially clindamycin, fluoroquinolones and cephalosporins

What is C.diff?

or What is C. difficile?

500

We monitor weekly CPK levels due to risk of myopathy

What is daptomycin?

500

Carbapenems cover this major CDC threat organism:

What is an ESBL?

or

What is an Extended Spectrum Beta-lactamase Producing Organism?