Podcast
Questions and Answers
A child inherits cystic fibrosis. What is the probability that both parents are carriers of the disease, assuming it is an autosomal recessive trait?
A child inherits cystic fibrosis. What is the probability that both parents are carriers of the disease, assuming it is an autosomal recessive trait?
- 75%
- 50%
- 25%
- 100% (correct)
Which of the following best describes the primary mechanism by which mutations in the CFTR protein cause organ obstruction in cystic fibrosis patients?
Which of the following best describes the primary mechanism by which mutations in the CFTR protein cause organ obstruction in cystic fibrosis patients?
- Increased mucus viscosity due to impaired chloride ion transport. (correct)
- Inflammation caused by an overactive immune response.
- Overproduction of mucus-secreting cells in affected organs.
- Formation of insoluble protein aggregates within the cells.
Dornase alfa is prescribed for a cystic fibrosis patient. What describes its mechanism of action in managing this condition?
Dornase alfa is prescribed for a cystic fibrosis patient. What describes its mechanism of action in managing this condition?
- It directly combats bacterial infections in the lungs.
- It breaks down DNA in the mucus, thinning it. (correct)
- It reduces inflammation in the airways.
- It decreases the production of thick mucus.
A young adult with cystic fibrosis is prescribed ivacaftor. How does this medication improve lung function in patients with specific CFTR mutations?
A young adult with cystic fibrosis is prescribed ivacaftor. How does this medication improve lung function in patients with specific CFTR mutations?
Which of the following signs or symptoms is LEAST likely to be associated with bacterial pneumonia?
Which of the following signs or symptoms is LEAST likely to be associated with bacterial pneumonia?
What accounts for the primary treatment approach for bacterial pneumonia?
What accounts for the primary treatment approach for bacterial pneumonia?
What is the key distinction between latent and active tuberculosis (TB) regarding transmissibility?
What is the key distinction between latent and active tuberculosis (TB) regarding transmissibility?
An individual with latent tuberculosis is not treated. In what time frame will they most likely develop active tuberculosis?
An individual with latent tuberculosis is not treated. In what time frame will they most likely develop active tuberculosis?
A patient is prescribed isoniazid, rifampin, pyrazinamide, and ethambutol (RIPE) for active tuberculosis. Which adverse effect is most closely associated with ethambutol?
A patient is prescribed isoniazid, rifampin, pyrazinamide, and ethambutol (RIPE) for active tuberculosis. Which adverse effect is most closely associated with ethambutol?
A patient is diagnosed with active tuberculosis and started on the RIPE drug regimen. After an initial intensive phase, how long is the typical continuation phase of treatment, involving fewer medications?
A patient is diagnosed with active tuberculosis and started on the RIPE drug regimen. After an initial intensive phase, how long is the typical continuation phase of treatment, involving fewer medications?
Which of the following mechanisms is primarily targeted by treatments aimed at reducing organ obstruction in cystic fibrosis?
Which of the following mechanisms is primarily targeted by treatments aimed at reducing organ obstruction in cystic fibrosis?
A patient with cystic fibrosis experiences frequent respiratory infections. How does the altered CFTR protein contribute to increased susceptibility to these infections?
A patient with cystic fibrosis experiences frequent respiratory infections. How does the altered CFTR protein contribute to increased susceptibility to these infections?
Which of the following best describes the rationale for prescribing multiple antibiotics for the treatment of active tuberculosis?
Which of the following best describes the rationale for prescribing multiple antibiotics for the treatment of active tuberculosis?
A patient being treated for active tuberculosis develops jaundice and complains of abdominal pain. Which of the RIPE drugs is most likely contributing to these symptoms?
A patient being treated for active tuberculosis develops jaundice and complains of abdominal pain. Which of the RIPE drugs is most likely contributing to these symptoms?
A patient presents with a persistent cough, night sweats, and unexplained weight loss. Which diagnostic test is most appropriate to initially screen for active tuberculosis?
A patient presents with a persistent cough, night sweats, and unexplained weight loss. Which diagnostic test is most appropriate to initially screen for active tuberculosis?
How does dornase alfa improve respiratory function in patients with cystic fibrosis?
How does dornase alfa improve respiratory function in patients with cystic fibrosis?
A patient with a confirmed diagnosis of latent tuberculosis is otherwise healthy and asymptomatic. What is the primary goal of treating this patient with isoniazid?
A patient with a confirmed diagnosis of latent tuberculosis is otherwise healthy and asymptomatic. What is the primary goal of treating this patient with isoniazid?
A patient with cystic fibrosis is started on ivacaftor. What is the most likely mechanism by which this drug improves the patient's condition?
A patient with cystic fibrosis is started on ivacaftor. What is the most likely mechanism by which this drug improves the patient's condition?
A patient is diagnosed with bacterial pneumonia. Which of these findings would be most indicative of the need for hospitalization rather than outpatient treatment?
A patient is diagnosed with bacterial pneumonia. Which of these findings would be most indicative of the need for hospitalization rather than outpatient treatment?
A patient with latent tuberculosis is prescribed isoniazid as a preventative measure. Which supplement is commonly co-administered with isoniazid to prevent a potential adverse effect?
A patient with latent tuberculosis is prescribed isoniazid as a preventative measure. Which supplement is commonly co-administered with isoniazid to prevent a potential adverse effect?
Flashcards
Cystic Fibrosis (CF)
Cystic Fibrosis (CF)
Cystic fibrosis is an inherited disorder caused by a mutation in the CFTR gene, leading to thick mucus buildup and organ damage.
Respiratory Changes in CF
Respiratory Changes in CF
CF affects the lungs by causing mucus plugging, chronic infections, inflammation, bronchiectasis, and respiratory failure.
Dornase Alfa
Dornase Alfa
Dornase alfa is a mucolytic enzyme that breaks down extracellular DNA in the respiratory secretions of CF patients, reducing mucus viscosity and improving lung function.
Ivacaftor MOA
Ivacaftor MOA
Signup and view all the flashcards
Pneumonia
Pneumonia
Signup and view all the flashcards
Treatment of Bacterial Pneumonia
Treatment of Bacterial Pneumonia
Signup and view all the flashcards
Latent vs. Active TB
Latent vs. Active TB
Signup and view all the flashcards
% of latent => active TB
% of latent => active TB
Signup and view all the flashcards
Treatment of Latent TB
Treatment of Latent TB
Signup and view all the flashcards
Treatment of Active TB
Treatment of Active TB
Signup and view all the flashcards
CF inheritance
CF inheritance
Signup and view all the flashcards
CFTR Gene
CFTR Gene
Signup and view all the flashcards
Organ Obstruction in CF
Organ Obstruction in CF
Signup and view all the flashcards
Isoniazid Adverse Effect
Isoniazid Adverse Effect
Signup and view all the flashcards
RIPE Drugs
RIPE Drugs
Signup and view all the flashcards
Pneumonia Symptoms
Pneumonia Symptoms
Signup and view all the flashcards
Active TB Symptoms
Active TB Symptoms
Signup and view all the flashcards
TB diagnostic tests
TB diagnostic tests
Signup and view all the flashcards
Study Notes
- Cystic fibrosis is an inherited autosomal recessive trait.
- Cystic fibrosis is caused by a mutation in the CFTR gene/protein.
- Obstruction to organs in patients with CF is caused by thick, sticky mucus.
- Respiratory changes that can occur in CF include chronic coughing, wheezing, and shortness of breath, and frequent lung infections.
- Dornase alfa is a mucolytic that selectively cleaves DNA, thus reducing mucous viscosity in CF patients.
- Other treatments that can be used to manage CF include:
- Airway clearance techniques
- Inhaled antibiotics
- Anti-inflammatory medications
- Pancreatic enzyme replacement therapy
- CFTR modulators
Ivacaftor
- Mechanism of action: CFTR potentiator that improves chloride transport.
- Adverse effects: headache, upper respiratory tract infection, nasal congestion, nausea, rash, and changes in liver enzymes.
- Drug interactions: strong CYP3A inhibitors and inducers.
- Clinical considerations: Liver function tests, pregnancy status, and other medications.
Pneumonia
- Presentation of signs/symptoms: cough, fever, chest pain, shortness of breath, and fatigue.
- Bacterial pneumonia is usually treated with antibiotics.
Tuberculosis
- Latent TB: TB lives but doesn't grow in the body, and does not make you sick or contagious.
- Active TB: TB is active and grows in the body, and makes you sick and contagious.
- 5-10% of patients with latent TB will develop active TB in their lifetime if untreated, some will develop active TB in one year if untreated.
- Patient presentation of signs and symptoms include:
- A bad cough that lasts 3 weeks or longer
- Pain in the chest
- Coughing up blood or sputum
- Weakness or fatigue
- Weight loss
- No appetite
- Chills
- Fever
- Sweating at night
- Diagnostic Tests include a tuberculin skin test (TST) or a TB blood test and a chest x-ray.
- Patients with latent TB are usually treated with one antibiotic.
- Patients with active TB are treated with four antibiotics for two months and then the treatment is altered for an 18-week continuation phase.
RIPE Drugs
- Rifampin: Hepatotoxicity, orange discoloration of bodily fluids, and drug interactions.
- Isoniazid: Hepatotoxicity and peripheral neuropathy (treat with pyridoxine - Vitamin B6).
- Pyrazinamide: Hepatotoxicity and hyperuricemia.
- Ethambutol: Optic neuritis (blurred vision and color blindness).
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.