Autoimmune Drugs
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Questions and Answers

Which are the mechanism of action for cyclosporine? Select all that apply

  • Calcineurin inhibitor (correct)
  • Inhibits IL-2 to prevent T cell activation (correct)
  • Cytochrome P450 3A4 inhibitor (correct)
  • P-glycoprotein inhibitor (correct)

Which are adverse effects associated with cyclosporine? Select all that apply

  • Gingival hyperplasia (correct)
  • Increased risk of infection (correct)
  • HTN &/or Arrythmia (correct)
  • Decreased GFR (correct)

Why do we avoid giving aspirin to pediatric patients?

  • Because it increases the chance of Reye's syndrome (correct)
  • Because it causes an increased chance of infection
  • Because it leads to internal GI bleeding
  • Because it causes fatal hypoglycemia

What is colchicine used for?

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

What is a consequence of cyclosporine toxicity?

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

Prednisone, methylprednisolone and dexamethasone are examples of

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

Steroids can be used to treat asthma, uticaria (hives)

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

Which drug inhibits the synthesis of arachidonic acid ?

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

Osteoporosis, cushing syndrome (excess cortisol lvls), DM, myopathy, HTN, gastritis, growth suppression, adrenal suppression and increased risk of infection is associated with being adverse effects of which drug?

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

Which drug is used to treat lupus, rheumatoid arthritis, malaria and chronic hives

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

Which drug 's MOA inhibits dendritic immune cells to prevent cell signaling needed for inflammation and immune response?

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

Which drug is associated with adverse effects that mimic heart failure and could produce thoughts of suicide and hallucinations?

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

Which drug is associated with adverse effects including folate deficiency, myelosuppression and renal dysfunction?

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

Which drug is a transition analogue of folic acid; working to inhibit the enzyme dihydrofolate reductase (MOA)

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

Study Notes

Cyclosporine

  • Inhibits arachidonic acid
  • Can cause hyperglycemia
  • Mechanism: blocks dendritic cells, inhibits IL-2, and T cell activation
  • Side effects: gingival hyperplasia, myelosuppression, and renal dysfunction
  • Important to remember for high-yield board Q

Colchicine

  • Potent drug
  • Toxicity: can lead to folate deficiency
  • Important to remember for high-yield board Q

Aspirin

  • Not recommended for kids due to the risk of Reye's syndrome (increased chance of infection)

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