Full 2L QBank
Pharmacology Protein Synthesis Inhibitors b17d02a0

Which of the following statements about the clinical uses of the aminoglycosides is FALSE?

A
Owing to their polar nature, aminoglycosides are not absorbed following oral administration
B
Aminoglycosides are often used in combination with cephalosporins in the empirical treatment of life-threatening bacterial infections
C
The spectrum of antimicrobial activity of aminoglycosides includes Bacteroides fragilis
D
Gentamicin is used with ampicillin for synergistic effects in the treatment of enterococcal endocarditis
High-Yield Explanation
Aminoglycosides: The aminoglycosides are polar in nautre and therefore are poorly absorbed from the GI tract generally less than 1% is absorbed. Their action depends upon oxygen dependent system on cell membrane of bacteria that helps to transpo the drug into the cell. So they are effective only for aerobic organisms only. Not for anaerobic organisms. Since Bacteroides fragilis is a anaerobic bacteria, aminoglycosides are not effective in this case. Aminoglycosides are bactericidal drugs. The bactericidal effect of aminoglycosides is concentration dependent; that is, efficacy is dependent on the maximum concentration (Cmax) of drug above the minimum inhibitory concentration (MIC) of the organisms. Aminoglycosides frequently are used in combination with a cell wall active agent (b-lactam or glycopeptide) to provide synergistic bacterial killing and to prevent the emergence of resistance to the individual agents. This clinical response is most well established for the treatment of endocarditis due to gram-positive organisms, most impoantly Enterococcus

Related Pharmacology MCQs

Practice 2,00,000+ NEET PG Questions Free

Timed mock tests, mistake queue analytics, audio lectures & zero attempt limits on i❤️Exams.

Start Free Mock Test Now