HLA Testing and Drug Reactions Quiz

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Questions and Answers

What is the significance of HLA-B*5701 testing?

  • It indicates an increased risk of hypersensitivity reaction to certain drugs (correct)
  • It is only relevant for patients with Korean ancestry
  • It is associated with a decreased risk of Stevens-Johnson syndrome (SJS)
  • It is important for patients with renal impairment or with Han Chinese or Thai ancestry

What action should be taken if a patient tests positive for HLA-B*5801?

  • No action is necessary
  • Continue the drug but monitor closely for any allergic reactions
  • Switch to a higher dose of the drug
  • Discontinue the drug at the first sign of allergic reaction (correct)

Who should be tested for HLA-B*5701?

  • Only patients with a family history of drug allergies
  • Patients of European descent
  • All patients prior to starting certain drugs (correct)
  • Patients with a history of autoimmune diseases

What is the significance of HLA-B*1502 testing?

<p>It indicates an increased risk of Stevens-Johnson syndrome (SJS) (C)</p> Signup and view all the answers

What is the population consideration for HLA-B*5801 testing?

<p>High-risk individuals with Korean ancestry, renal impairment, or Han Chinese or Thai ancestry (A)</p> Signup and view all the answers

What action should be taken if a patient tests positive for HLA-B*5701?

<p>Avoid the drug associated with hypersensitivity risk (A)</p> Signup and view all the answers

What is the implication of a positive KRAS mutation for drug response?

<p>Predicts poor response to cetuximab (B)</p> Signup and view all the answers

What action is recommended if a pharmacogenomic test for HER2 is negative?

<p>Avoid HER2 inhibitors as they would not be effective (D)</p> Signup and view all the answers

Which drug strongly requires pharmacogenomic testing according to the text?

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

What is the implication of a positive CYP2C19 test for clopidogrel (Plavix) use?

<p>Decreased effectiveness of clopidogrel (D)</p> Signup and view all the answers

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