T1 L20: Pharmacological aspects of immunology 2: biological therapies (AMG)
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Questions and Answers

Which of the following biologics is a monoclonal antibody against B cells?

  • Infliximab
  • Etanercept
  • Adalimumab
  • Rituximab (correct)

Which of the following biologics is a T cell co-stimulation inhibitor?

  • Abatacept (correct)
  • Rituximab
  • Etanercept
  • Infliximab

Which of the following biologics is an IL-1R antagonist?

  • Anakinra (correct)
  • Infliximab
  • Etanercept
  • Rituximab

Which of the following biologics is a fully human anti-TNF-a monoclonal antibody?

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

Which of the following biologics is a PEGylated anti-TNF-a monoclonal antibody fragment?

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

Which of the following biologics is administered as an intravenous infusion?

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

Which of the following biologics is administered by subcutaneous injection twice a week or weekly?

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

Which of the following is a synthetic DMARD used in the treatment of rheumatoid arthritis?

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

Which of the following adverse effects is associated with methotrexate?

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

Which of the following JAK inhibitors selectively inhibits JAK1 and JAK3?

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

Which of the following adverse effects is associated with tofacitinib?

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

Which of the following biologic agents is recommended if a patient has failed to respond to treatment with at least two standard DMARDs?

<p>Anti-TNF drugs (A)</p> Signup and view all the answers

Which of the following is a common adverse effect of anti-TNF drugs?

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

Which of the following is a requirement for initiating biological therapy in rheumatoid arthritis?

<p>Patient's DAS28 score is measured as 5.1 or over (B)</p> Signup and view all the answers

Which biologic agent is a monoclonal antibody against B cells?

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

Which biologic agent is a T-cell co-stimulation inhibitor?

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

Which biologic agents target IL-6R?

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

Which biologic agent is an IL-1R antagonist?

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

Which mechanism is responsible for the depletion of B cells by rituximab?

<p>Antibody-dependent cell mediated cytotoxicity (A)</p> Signup and view all the answers

Which biologic agent is a competitive inhibitor of CD28?

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

Which biologic agent is used in the treatment of systemic juvenile idiopathic arthritis?

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

Which biologic agent is administered as a subcutaneous injection?

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

Which adverse effect is associated with biological therapies?

<p>Increased risk of infections (C)</p> Signup and view all the answers

Which type of drugs slow the clinical and radiographic progression of rheumatoid arthritis?

<p>Synthetic DMARDs: MTX, sulfasalazine, hydroxychloroquine, leflunomide (D)</p> Signup and view all the answers

Which drug is considered the first choice DMARD for rheumatoid arthritis?

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

What is the function of Methotrexate (MTX) in the treatment of rheumatoid arthritis?

<p>All of the above (D)</p> Signup and view all the answers

What is the recommended dosage range for Methotrexate (MTX) in the treatment of rheumatoid arthritis?

<p>Between 7.5 and 25 mg weekly (C)</p> Signup and view all the answers

What is the role of Methotrexate (MTX) in combination therapies for rheumatoid arthritis?

<p>All of the above (D)</p> Signup and view all the answers

What can be taken as a supplement to reduce the side-effects caused by folic acid depletion when taking Methotrexate (MTX)?

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

What is the email address of Dr. Annamaria Gal?

<p><a href="mailto:[email protected]">[email protected]</a> (C)</p> Signup and view all the answers

Which of the following is a potential side effect of anti-inflammatory immunosuppressive drugs?

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

Which molecule is a central player in the pathogenesis of rheumatoid arthritis?

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

Which drug is considered an anchor drug in the treatment of rheumatoid arthritis?

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

Which biologic agent is a selective inhibitor of JAK1 and JAK3?

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

Which of the following is the main cause of rheumatoid arthritis?

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

What is the role of anti-inflammatory drugs in the treatment of rheumatoid arthritis?

<p>To reduce joint pain (C)</p> Signup and view all the answers

Which type of drugs are used to slow down the progression of rheumatoid arthritis?

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

What is the recommended dosage range for Methotrexate (MTX) in the treatment of rheumatoid arthritis?

<p>1-10 mg per week (D)</p> Signup and view all the answers

Which part of the chimeric antibody is mouse-derived?

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

Which part of the chimeric antibody is human-derived?

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

What is the mechanism by which the chimeric antibody eliminates TNF from the body?

<p>Antibody-dependent cell-mediated cytotoxicity (C)</p> Signup and view all the answers

Which biologic therapy is recommended by the National Institute for Clinical Excellence (NICE) only when combined with Ms. Fixate Etanercept?

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

Which pro-inflammatory cytokine is targeted by anti-TNF therapy in the treatment of rheumatoid arthritis?

<p>IL-1 (B)</p> Signup and view all the answers

What is the trade name of the anti-TNF antibody adalimumab?

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

Which drug has recently surpassed anti-TNF medications in terms of drug sales?

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

Which pro-inflammatory cytokine has an important role in the mechanism of rheumatoid arthritis and is a potential target for therapy?

<p>IL-1 (A)</p> Signup and view all the answers

Which of the following is a biologic drug used in the treatment of rheumatoid arthritis?

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

What is the normal range for erythrocyte sedimentation rate (ESR) in men?

<p>1 to 50 millimeters per hour (D)</p> Signup and view all the answers

Which of the following biologics is a monoclonal antibody against B cells?

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

Which biologic agent is a T-cell co-stimulation inhibitor?

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

Which of the following drugs is a non-steroidal anti-inflammatory drug (NSAID)?

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

What is the mechanism of action of non-steroidal anti-inflammatory drugs (NSAIDs)?

<p>Blocking cyclooxygenase enzymes (D)</p> Signup and view all the answers

Which drug is considered the gold standard for treating rheumatoid arthritis?

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

Which category of drugs brought a dramatic increase in the quality of life for people with rheumatoid arthritis?

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

Which of the following vaccines can be administered to patients without posing a risk for increased risk of infections?

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

What is the approach for administering anthrax vaccine to patients?

<p>Administer for a prolonged time (A)</p> Signup and view all the answers

What percentage of patients report that their symptoms are not improved with anti-TNF therapy?

<p>Up to 30% (B)</p> Signup and view all the answers

What is the main reason for patients not experiencing a biological effect from TNF antibodies?

<p>Lack of responsiveness (B)</p> Signup and view all the answers

What are the other options that can be considered if patients can't tolerate anti-TNF therapy?

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

What is the role of other biologics in the treatment of patients who don't respond to anti-TNF therapy?

<p>To prolong the response to therapy (A)</p> Signup and view all the answers

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