Medication Side Effects and Anti-TNF Therapy Quiz

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Questions and Answers

Which of the following statements about Budesonide is true?

  • It is more effective than prednisolone in producing clinical remission in IBD
  • It is a synthetic analog of hydrocortisone
  • It is released entirely in the colon (correct)
  • It has high oral bioavailability due to significant hepatic metabolism

What is the goal of using hydrocortisone enemas in the treatment of inflammatory bowel disease (IBD)?

  • To maintain disease remission by acting on the intestine
  • To improve quality of life by reducing fatigue and depression
  • To induce remission by suppressing inflammation
  • To prevent flare-ups by targeting specific areas of inflammation (correct)

Why should glucocorticoids not be used for maintaining remission in IBD?

  • They should not be used due to their risk of significant side effects increasing with prolonged use (correct)
  • They have low risk of significant side effects with prolonged use
  • They have proven efficacy in maintaining remission
  • They are more effective than immunomodulators or biologics

What role do glucocorticoids like hydrocortisone play in the treatment of IBD?

<p>Suppressing inflammation to induce remission in active disease (A)</p> Signup and view all the answers

What is a common adverse effect associated with the long-term use of glucocorticoids in IBD treatment?

<p>Bone marrow depression and increased risk of infections (D)</p> Signup and view all the answers

How does Budesonide differ from traditional corticosteroids in the treatment of IBD?

<p>Budesonide targets specific areas of inflammation in the intestine (B)</p> Signup and view all the answers

Which alternative treatment for IBD involves a combination with anti-TNF therapy and has synergistic anti-inflammatory activity?

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

Which of the following is a common side effect associated with glucocorticoid use in IBD treatment?

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

What role do purine analogs play in the treatment of IBD?

<p>They are used to reduce or eliminate the need for corticosteroids (C)</p> Signup and view all the answers

In cases where patients do not respond well to traditional IBD treatments, which alternative therapy might be considered?

<p>Tofacitinib (Janus Kinase Inhibitor) (D)</p> Signup and view all the answers

What is the median time to clinical response with chronic administration of infliximab for moderate to severe Crohn disease?

<p>2 weeks (B)</p> Signup and view all the answers

What is the main purpose of anti-integrin agents in the treatment of inflammatory bowel disease (IBD)?

<p>Prevent influx of inflammatory cells into intestinal lesions (B)</p> Signup and view all the answers

Which statement about the side effects of glucocorticoids in IBD treatment is true?

<p>They can lead to leukopenia (B)</p> Signup and view all the answers

What is the approved dosing regimen for infliximab in the maintenance of remission for Crohn’s disease?

<p>Every 8 weeks (B)</p> Signup and view all the answers

What is the main goal of using hydrocortisone enemas in the treatment of IBD?

<p>To reduce inflammation in the colon (C)</p> Signup and view all the answers

What is the FDA-approved glucocorticoid for the treatment of moderate to severe IBD?

<p>Budesonide (A)</p> Signup and view all the answers

How long does it generally take for improvement to occur in most patients with Crohn’s disease after initiating glucocorticoid treatment?

<p>5 days (A)</p> Signup and view all the answers

What is the preferred route of administration for active cases of IBD in the rectum and sigmoid colon?

<p>Hydrocortisone enemas, foam, suppositories (B)</p> Signup and view all the answers

What are some serious side effects associated with glucocorticoids in the treatment of IBD?

<p>Osteoporosis, hyperglycemia, gastric ulcers (D)</p> Signup and view all the answers

Why is maintenance treatment with systemic glucocorticoids not recommended?

<p>Increased susceptibility to infections (C)</p> Signup and view all the answers

What is the mechanism of action of Vedolizumab (VDZ) in treating intestinal lesions?

<p>Suppresses inflammatory cell recruitment selectively in the intestine (C)</p> Signup and view all the answers

Which therapy is considered a second-line treatment for patients with moderate to severe Crohn’s Disease who have failed other therapies?

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

What is a common adverse effect associated with Vedolizumab (VDZ) treatment?

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

Which statement is true regarding the administration of Ustekinumab?

<p>Initial dose as IV infusion (D)</p> Signup and view all the answers

What is the primary goal of using anti-Integrin agents in the treatment of inflammatory bowel disease (IBD)?

<p>Preventing leukocyte migration to intestinal lesions (B)</p> Signup and view all the answers

What is the mechanism of action of anti-integrin agents in the treatment of inflammatory bowel disease (IBD)?

<p>Preventing the influx of inflammatory cells into intestinal lesions (A)</p> Signup and view all the answers

Which anti-IBD drug is classified as an Anti-IL-12/23 Therapy?

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

What is a significant adverse effect associated with Vedolizumab (VDZ) therapy?

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

Which of the following statements about Ustekinumab is true?

<p>Has a prolonged median time to clinical response (C)</p> Signup and view all the answers

What potential outcome is observed when infliximab therapy is discontinued, even after prolonged remission?

<p>High rate of disease flare (C)</p> Signup and view all the answers

What is the black box warning issued by the FDA in 2019 regarding Tofacitinib (Xeljanz)?

<p>Increased risk of thrombosis, pulmonary embolism, and death with higher doses (B)</p> Signup and view all the answers

What is a recommended precaution before starting treatment with Tofacitinib (Xeljanz) to reduce the risk of herpes zoster reactivation?

<p>Vaccinate with Shingrix 3-4 weeks prior to treatment (B)</p> Signup and view all the answers

Which interleukins involved in mucosal inflammation are influenced by interruption of the signaling pathway by certain medications?

<p>IL-12 and IL-23 (D)</p> Signup and view all the answers

What is a significant reason why Tofacitinib (Xeljanz) should not be taken concurrently with other immunosuppressants?

<p>Higher risk of infections (A)</p> Signup and view all the answers

At what point is it recommended to discontinue Tofacitinib (Xeljanz) if there is no response observed?

<p>By 16 weeks of treatment (A)</p> Signup and view all the answers

Which medication is classified as an anti-IL-12/23 therapy for the treatment of Inflammatory Bowel Disease?

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

What is a potential adverse effect associated with Vedolizumab (VDZ) therapy in the treatment of IBD?

<p>Reactivation of tuberculosis (C)</p> Signup and view all the answers

Which of the following medications is an Alpha-4 integrin inhibitor used in the treatment of Inflammatory Bowel Disease?

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

What is one of the goals of using Anti-Integrin agents in the treatment of Inflammatory Bowel Disease?

<p>Promoting mucosal healing (A)</p> Signup and view all the answers

Which biologic therapy aims for inhibition of interleukins 12 and 23 in patients with Inflammatory Bowel Disease?

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

What is the main reason behind Vedolizumab (VDZ) having little systemic immunosuppression?

<p>It acts selectively in the intestine (B)</p> Signup and view all the answers

Which therapy is considered a second-line treatment for moderate to severe Crohn’s Disease patients who have not responded to other treatments?

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

What is a common adverse effect associated with the Ustekinumab therapy for Crohn’s Disease?

<p>Upper respiratory infection (B)</p> Signup and view all the answers

How does Vedolizumab (VDZ) achieve its therapeutic effects in treating intestinal lesions?

<p>By selectively inhibiting lymphocyte trafficking in the intestine (C)</p> Signup and view all the answers

Which medication acts by blocking cell signaling, cytokine production, and gene activation, resulting in the inhibition of cell-mediated responses important in inflammation of Crohn’s disease?

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

Which of the following is a potential outcome when patients discontinue Vedolizumab therapy for inflammatory bowel disease?

<p>High rate of disease flare (C)</p> Signup and view all the answers

What is a common adverse effect associated with the long-term use of Vedolizumab (VDZ) in the treatment of inflammatory bowel disease?

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

In the treatment of inflammatory bowel disease, which therapy aims to inhibit interleukins 12 and 23?

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

What is one of the notable adverse effects associated with Vedolizumab therapy in the treatment of inflammatory bowel disease?

<p>Progressive multifocal leukoencephalopathy (PML) (B)</p> Signup and view all the answers

Which therapy blocks the action of integrins in the treatment of inflammatory bowel disease?

<p>Anti-Integrin Therapy (D)</p> Signup and view all the answers

What is the mechanism of action of Vedolizumab (VDZ) in the treatment of inflammatory bowel disease?

<p>Interfering with α4β7 integrin-mediated leukocyte migration (A)</p> Signup and view all the answers

Which of the following is a common adverse effect associated with Vedolizumab (VDZ) therapy in the treatment of inflammatory bowel disease?

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

What is one of the goals of using anti-Integrin agents in the treatment of inflammatory bowel disease (IBD)?

<p>Reducing gut-specific inflammation (D)</p> Signup and view all the answers

Which medication is classified as an Anti-IL-12/23 Therapy for the treatment of inflammatory bowel disease?

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

What is a significant adverse effect associated with Vedolizumab (VDZ) therapy in the treatment of inflammatory bowel disease?

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

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