Antiprotozoal Drugs Overview Quiz
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Questions and Answers

Which types of diseases are antiprotozoal drugs used for?

  • Bacterial infections
  • Viral infections
  • Fungal infections
  • Protozoal infections (correct)

What is the causative agent of amebiasis?

  • Entamoeba histolytica (correct)
  • Leishmania donovani
  • Trypanosoma cruzi
  • Plasmodium falciparum

How is the diagnosis of amebiasis established?

  • By blood culture for Plasmodium falciparum
  • By isolating Entamoeba histolytica from feces (correct)
  • By assessing liver function tests
  • By skin biopsy for Trypanosoma cruzi

What is the significance of therapy for asymptomatic carriers of E. histolytica?

<p>It may prevent future infections in the carrier and potential infection of others (A)</p> Signup and view all the answers

How are therapeutic agents for amebiasis classified according to their site of action?

<p>Systemic amebicides are effective against amebas in the intestinal wall and liver (C)</p> Signup and view all the answers

Why are antiprotozoal drugs less easily treated than bacterial infections?

<p>They have serious toxic effects in the host, particularly on cells showing high metabolic activity (C)</p> Signup and view all the answers

What is the drug of choice for treating amebic infections?

<p>Metronidazole (D)</p> Signup and view all the answers

Which drug is used for the treatment of infections caused by Giardia lamblia, Trichomonas vaginalis, anaerobic cocci, and anaerobic gram-negative bacilli?

<p>Metronidazole (B)</p> Signup and view all the answers

Which drug is a prodrug that is reduced intracellularly by anaerobic bacteria to its active form?

<p>Metronidazole (B)</p> Signup and view all the answers

Which drug is as effective as metronidazole for the treatment of amebiasis, with a shorter course of treatment but is more expensive?

<p>Tinidazole (D)</p> Signup and view all the answers

Which luminal agent is effective against the luminal trophozoite and cyst forms of E. histolytica?

<p>Iodoquinol (D)</p> Signup and view all the answers

Which drug should be avoided during therapy due to the risk of a disulfiram-like reaction if taken with alcohol?

<p>Metronidazole (C)</p> Signup and view all the answers

Which drug can lead to dose-related peripheral neuropathy, including a rare optic neuritis as an adverse effect?

<p>Iodoquinol (D)</p> Signup and view all the answers

Which drug is completely and rapidly absorbed after oral administration and can be found in various bodily fluids such as vaginal and seminal fluids, saliva, breast milk, and cerebrospinal fluid?

<p>Metronidazole (C)</p> Signup and view all the answers

Flashcards

Antiprotozoal Drugs

Used to treat infections caused by protozoa.

Amebiasis Cause

Infected by the parasite Entamoeba histolytica (E. histolytica).

Amebiasis Diagnosis

Diagnosed by finding E. histolytica in stool or blood tests.

Asymptomatic Carriers

People infected but without symptoms, but can spread the disease.

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Luminal Agents (Amebiasis)

Treats ameba in the intestines.

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Tissue Agents (Amebiasis)

Targets ameba in the tissues.

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Metronidazole

Common amebiasis drug, treats other protozoans too.

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Tinidazole

Effective ameba treatment, shorter course than metronidazole.

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Giardia lamblia

Protozoa that causes giardiasis, often treated by metronidazole.

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Trichomonas vaginalis

Protozoa causing vaginal infection, possibly treated by metronidazole.

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Disulfiram-like reaction

Negative reaction to alcohol while taking metronidazole.

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Peripheral Neuropathy

Side effect of long-term or high-dose metronidazole.

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Ornidazole

Prodrug needs activation by anaerobic bacteria to work.

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Protozoal Treatment Challenges

Treating protozoan infections more complex than bacterial ones.

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Study Notes

Antiprotozoal Drugs and Their Uses

  • Antiprotozoal drugs are used to treat protozoal infections such as amebiasis, giardiasis, and trichomoniasis.

Amebiasis

  • Amebiasis is caused by the protozoan parasite Entamoeba histolytica (E. histolytica).
  • Diagnosis of amebiasis is established by detection of E. histolytica cysts or trophozoites in stool samples, or by serological tests.

Significance of Therapy for Asymptomatic Carriers

  • Therapy for asymptomatic carriers of E. histolytica is significant as these individuals can act as reservoirs of infection and transmit the parasite to others.

Classification of Therapeutic Agents for Amebiasis

  • Therapeutic agents for amebiasis are classified according to their site of action: luminal agents (active against luminal trophozoites and cysts) and tissue agents (active against tissue trophozoites).

Challenges in Treating Protozoal Infections

  • Protozoal infections are often more difficult to treat than bacterial infections due to the unique biology of protozoa.

Treatment of Amebic Infections

  • Metronidazole is the drug of choice for treating amebic infections.
  • Tinidazole is as effective as metronidazole for the treatment of amebiasis, with a shorter course of treatment, but is more expensive.

Treatment of Other Protozoal Infections

  • Metronidazole is also used for the treatment of infections caused by Giardia lamblia, Trichomonas vaginalis, anaerobic cocci, and anaerobic gram-negative bacilli.
  • Ornidazole is a prodrug that is reduced intracellularly by anaerobic bacteria to its active form.

Important Safety Considerations

  • Metronidazole should be avoided during therapy due to the risk of a disulfiram-like reaction if taken with alcohol.
  • Prolonged or high-dose treatment with metronidazole can lead to dose-related peripheral neuropathy, including a rare optic neuritis as an adverse effect.
  • Tinidazole is completely and rapidly absorbed after oral administration and can be found in various bodily fluids such as vaginal and seminal fluids, saliva, breast milk, and cerebrospinal fluid.

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Description

Test your knowledge of antiprotozoal drugs with this quiz covering an overview of drugs used to treat protozoal diseases, their toxic effects, and the treatment of specific conditions like amebiasis, malaria, trypanosomiasis, leishmaniasis, toxoplasmosis, and giardiasis.

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