Antiviral Drugs Quiz

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Questions and Answers

What is a characteristic of viruses?

  • They are obligate intracellular parasites (correct)
  • They have a cell membrane
  • They have a cell wall
  • They have organelles

When do clinical symptoms typically appear in viral diseases?

  • At the beginning of the disease
  • Midway through the disease
  • Symptoms do not appear in viral diseases
  • Late in the course of the disease (correct)

What is the nature of antiviral drugs?

  • Virustatic (correct)
  • Virucidal
  • Prophylactic
  • Antibiotic

Which virus infects only people?

<p>Influenza B virus (D)</p> Signup and view all the answers

What are the surface proteins of Influenza A virus used for?

<p>Attachment and viral release (B)</p> Signup and view all the answers

What is the preferred approach for dealing with viral respiratory tract infections according to the text?

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

What is the mechanism of action of neuraminidase inhibitors?

<p>Inhibiting the release of new virions (A)</p> Signup and view all the answers

How are Oseltamivir and Zanamivir mainly excreted from the body?

<p>Excretion through the urine (A)</p> Signup and view all the answers

What is the preferred route of administration for Zanamivir?

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

What are the adverse effects of Oseltamivir?

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

What adverse effect is associated with Zanamivir?

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

What leads to resistance to neuraminidase inhibitors?

<p>Mutations of the neuraminidase enzyme (B)</p> Signup and view all the answers

Nausea and vomiting associated with Oseltamivir can be minimized by taking it on an empty stomach.

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

Zanamivir may cause respiratory discomfort, especially in patients with airway diseases.

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

Mutations in the neuraminidase enzyme can lead to resistance to both Oseltamivir and Zanamivir.

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

What is the mechanism of action of adamantane antivirals?

<p>Block M2 proton ion channel to prevent viral uncoating (A)</p> Signup and view all the answers

When is the administration of adamantane antivirals most effective against Influenza A viruses?

<p>A+C (D)</p> Signup and view all the answers

How is Amantadine excreted from the body?

<p>Excreted unchanged in the urine (D)</p> Signup and view all the answers

What is the primary use of Ribavirin?

<p>Treatment of severe RSV bronchiolitis or pneumonia in children and infants (C)</p> Signup and view all the answers

Which type of viruses is Ribavirin active against?

<p>Both RNA and DNA viruses (D)</p> Signup and view all the answers

In addition to RSV infections, what other virus can Ribavirin be effective against when combined with other medications?

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

Ribavirin is active against both RNA and DNA viruses.

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

Ribavirin can be used for the treatment of severe RSV bronchiolitis or pneumonia in children and infants.

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

What is the primary route of excretion for ribavirin and its metabolites?

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

How does ribavirin inhibit the replication of RNA and DNA viruses?

<p>A+B (D)</p> Signup and view all the answers

What is the preferred route of administration for ribavirin in the treatment of RSV infection?

<p>Aerosolized via nebulizer (B)</p> Signup and view all the answers

What is a contraindication for the use of ribavirin?

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

What adverse effect may aerosolized ribavirin cause?

<p>Conjunctival or bronchial irritation (A)</p> Signup and view all the answers

What adverse effect is dose dependent and transient when using ribavirin?

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

Which hepatitis virus is an RNA virus?

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

Which is the following correct goal of chronic HBV therapy expect?

<p>Suppression of HBV DNA to undetectable levels (B)</p> Signup and view all the answers

What is the primary use of interferon alpha as mentioned in the text?

<p>Treatment of HBV and HCV infections (A)</p> Signup and view all the answers

What is the result of interferon alpha's binding to specific cell membrane receptors?

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

Why is the use of interferon alpha uncommon, according to the text?

<p>More effective and better tolerability agents available (A)</p> Signup and view all the answers

How is Lamivudine activated within the host cell?

<p>Via phosphorylation by host cell kinases (A)</p> Signup and view all the answers

What limits the chronic therapy of Lamivudine?

<p>Emergence of Lamivudine resistant HBV (D)</p> Signup and view all the answers

Ribavirin is primarily used for the treatment of HIV infections.

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

Chronic therapy with Lamivudine is limited due to the emergence of Lamivudine resistant HBV.

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

What is the primary use of adefovir?

<p>Inhibition of HBV DNA polymerase (A)</p> Signup and view all the answers

Adefovir dipivoxil is a prodrug of Adefovir.

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

Ribavirin is primarily used for the treatment of HCV infections.

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

Zanamivir may cause respiratory discomfort, especially in patients with airway diseases.

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

Adefovir is primarily excreted in the urine. True or False?

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

Ribavirin is effective against both RNA and DNA viruses. True or False?

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

Lamivudine is limited in chronic therapy due to the emergence of Lamivudine resistant HBV. True or False?

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

What is the primary reason for the limited chronic therapy of Lamivudine?

<p>Emergence of Lamivudine resistant HBV (C)</p> Signup and view all the answers

What effect does Entecavir have on HIV?

<p>B+D (A)</p> Signup and view all the answers

Entecavir is activated by host cell kinases into triphosphate form. True or False?

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

Adefovir is primarily excreted in the urine. True or False?

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

Ribavirin is effective against both RNA and DNA viruses. True or False?

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

Entecavir is excreted primarily in the urine. True or False?

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

Adverse effects of Entecavir include headache, fatigue, and dizziness. True or False?

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

Ribavirin is effective against both RNA and DNA viruses. True or False?

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

Which adverse effect is commonly associated with Tenofovir?

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

What is the primary route of excretion for Tenofovir and its metabolites?

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

What is the mechanism of action of Tenofovir against HBV?

<p>Inhibition of HBV DNA polymerase (B)</p> Signup and view all the answers

Tenofovir is activated by host cell kinases to diphosphate form. True or False?

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

Entecavir is primarily excreted in the urine. True or False?

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

Ribavirin is effective against both RNA and DNA viruses. True or False?

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

What is the primary route of administration for Telbivudine in the treatment of HBV?

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

What is the mechanism of action of Telbivudine against HBV?

<p>Inhibits HBV DNA polymerase (D)</p> Signup and view all the answers

What is the primary route of administration for Telbivudine in the treatment of HBV?

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

What is the primary adverse effect associated with Telbivudine?

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

What is the primary target of drugs used to treat Hepatitis C?

<p>HCV RNA protease (A)</p> Signup and view all the answers

What is the mechanism of action of antiviral drugs targeting HCV RNA polymerase?

<p>Cleavage of polyprotein by proteases (D)</p> Signup and view all the answers

How is Sofosbuvir activated within the host cell?

<p>By host cell kinases to triphosphate form (C)</p> Signup and view all the answers

Which medication is often combined with Sofosbuvir in the treatment of Hepatitis C?

<p>Ribavirin and peginterferon alfa (C)</p> Signup and view all the answers

What is the route of elimination for Sofosbuvir from the body?

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

What is the mechanism of action of Dasa buvir?

<p>Inhibits HCV NS 5 B RNA dependent RNA polymerase (C)</p> Signup and view all the answers

What is the primary route of excretion for Entecavir and its metabolites?

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

What is the characteristic of Adefovir's excretion from the body?

<p>Primarily excreted in the urine (B)</p> Signup and view all the answers

How are NS34A serine protease inhibitors administered in the treatment of Hepatitis C?

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

NS34A serine protease inhibitors prevent HCV RNA replication. True or False?

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

Ribavirin is administered with NS34A protease inhibitors. True or False?

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

NS5A replication complex inhibitors are metabolized by CYP 450 isoenzymes. True or False?

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

Ribavirin is primarily used for the treatment of HIV infections. True or False?

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

Which phase of viral infections are HSV and VZV antiviral drugs effective against?

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

What diseases are caused by HSV and VZV infections?

<p>Cold sores and shingles (B)</p> Signup and view all the answers

Which condition is NOT treated using antiviral drugs according to the text?

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

Which virus infections are Acyclovir active against?

<p>Herpes Simplex Virus (HSV) and Varicella Zoster Virus (VZV) (D)</p> Signup and view all the answers

What is the primary route of excretion for Entecavir and its metabolites?

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

What is the mechanism of action of NS34A serine protease inhibitors used in the treatment of Hepatitis C?

<p>Prevent HCV RNA replication (A)</p> Signup and view all the answers

Which viruses are Acyclovir active against?

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

How does Acyclovir act in infected cells?

<p>It selectively acts only in infected cells (C)</p> Signup and view all the answers

What is the primary route of administration for Acyclovir?

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

Acyclovir is active against HSV 1, HSV 2, and VZV?

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

Acyclovir is primarily excreted in the urine?

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

Ribavirin is primarily used for the treatment of HIV infections?

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

What is the primary route of administration for topical Acyclovir in the treatment of cold sores?

<p>Topical application to affected area (A)</p> Signup and view all the answers

Which type of infections is Acyclovir most effective against?

<p>Herpes simplex and varicella-zoster virus infections (C)</p> Signup and view all the answers

What is the primary route of excretion for Acyclovir and its metabolites?

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

What adverse effects are associated with the intravenous route of Acyclovir administration?

<p>Reversible renal toxicity and neurologic effects (D)</p> Signup and view all the answers

What is the primary cause of resistance to Acyclovir in HSV or VZV infections?

<p>Alterations in viral thymidine kinase (A)</p> Signup and view all the answers

Which of the following is True adverse effect is commonly associated with the oral administration of Acyclovir ecxept?

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

How is Valacyclovir primarily converted in the body after oral administration?

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

What type of infections are Ganciclovir/Valganciclovir primarily used for?

<p>Cytomegalovirus (CMV) infections (B)</p> Signup and view all the answers

What is the primary route of administration for Ganciclovir and Valganciclovir?

<p>Intravenous (IV) and intravitreal (A)</p> Signup and view all the answers

Valacyclovir is rapidly converted into acyclovir after oral administration.

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

Ganciclovir/Valganciclovir have a similar mechanism of action as acyclovir/valacyclovir.

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

Ribavirin is primarily used for the treatment of HIV infections.

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

What is the primary target of antiretroviral agents in the treatment of HIV infection?

<p>A + B (D)</p> Signup and view all the answers

What is the main cause of immunosuppression in patients with HIV infection?

<p>Decreased CD4 cell count (C)</p> Signup and view all the answers

Which of the following is a nucleoside reverse transcriptase inhibitor (NRTI) used in the initial therapy for HIV infection?

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

How are NRTIs activated within the host cell?

<p>Activated to the triphosphate form by host cell kinases (C)</p> Signup and view all the answers

Tenofovir is activated to the triphosphate form by host cell kinases. True or False?

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

NRTIs have low affinity to host cell DNA polymerase. True or False?

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

NRTIs are primarily excreted renally, except for abacavir which is hepatically eliminated. True or False?

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

Abacavir hypersensitivity can present with fever, fatigue, rash, GI disturbances, and respiratory distress. True or False?

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

Toxicities due to inhibition of mitochondrial DNA polymerase gamma include lactic acidosis with hepatic steatosis and lipodystrophy. True or False?

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

What is the primary route of administration for Abacavir?

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

Which adverse effect is associated with NRTIs due to inhibition of mitochondrial DNA polymerase gamma?

<p>Lactic acidosis with hepatic steatosis (A)</p> Signup and view all the answers

What is the primary route of excretion for zidovudine and most NRTIs?

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

Which of the following is a common adverse effect associated with Abacavir?

<p>A+B (D)</p> Signup and view all the answers

What is the primary route of administration for Tenofovir in its treatment of HIV infection?

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

NRTIs can cause lactic acidosis with hepatic steatosis and lipodystrophy. True or False?

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

Which of the following is NOT a recommended NNRTI in initial antiretroviral regimens?

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

What is the 2nd generation NNRTI active against HIV strains resistant to 1st generation NNRTIs?

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

Which NNRTI is specifically recommended for patients with swallowing difficulty due to its small tablet form?

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

What is the primary mechanism of action of NNRTIs and PIs in the treatment of HIV infection?

<p>Reversible inhibition of HIV aspartyl protease retropepsin (A)</p> Signup and view all the answers

What is the main requirement for boosting the bioavailability of PIs in combination therapy?

<p>Potent inhibitors of CYP 3A isoenzymes (A)</p> Signup and view all the answers

Which antiretroviral drug blocks the CCR5 coreceptor to prevent HIV entry?

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

What adverse effect is associated with the SC injection of Enfuvirtide?

<p>Pain, erythema, and induration (D)</p> Signup and view all the answers

Which antiretroviral drug binds to the viral gp41 and is required for entry into CD4 cells?

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

Which class of antiretroviral drugs inhibits the insertion of proviral DNA into the host cell genome?

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

Which adverse effects are commonly associated with the use of Integrase inhibitors?

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

How is Tenofovir primarily excreted from the body?

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

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