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Pharm II- Test # 1- Anti-retrovirals & Anti-virals
Winter Semester - 2011
49
Medical
Graduate
02/05/2011

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Term
Which drugs are considered NRTIs (Nucleoside Reverse Transcriptase Inhibitors)?
Definition
Zidovudine (AZT)
Didanosine (ddI)
Zalcitabine (ddC)
Lamivudine (3TC)
Stavudine (d4T)
Emtrictabine (FTC)
Abacavir
Term
What are NRTIs used in the treatment of?
Definition
HIV
Term
What is Lamivudine (an NRTI) used in the treatment of?
Definition
Chronic Hep B
Term
Which drug used to treat HIV has a SE of megaloblastic anemia?
Definition
Zidovudine (AZT)
Term
Which drug used to treat HIV has a SE of pancreatitis?
Definition
Didanosine (ddI)
Term
Which drug when used in the treatment of HIV pos pregnant women and in neonates with HIV + mothers, has been shown to significantly reduce the risk of vertical transmission (from mother to child)?
Definition
Zidovudine (AZT)
Term
Which drug used to treat HIV, can cause lactic acidosis?
Definition
abacavir
Term
Which drugs used to treat HIV can cause peripheral neuropathies?
Definition
Zalcitabine (ddC)
Stavudine (d4T)
Term
Which drugs are considered Nucleotide Analog Reverse Transcriptase Inhibitors?
Definition
Tenofovir and Adefovir
Term
What do Tenofovir and Adefovir treat?
Definition
HIV Infections
Adefovir treats Hep B infections as well
Term
A 36y/o HIV + male presents to the clinic with epigastric pain that is sharp and radiates to his back. He states that he has been compliant with his meds. His labs indicate a markedly elevated level of lipase. What condition do you suspect and which drug do you believe is the underlying cause?
Definition
Drug Induced Pancreatitis; Didanosine (ddI)
Term
Which drugs are considered NNRTI's?
Definition
Nevirapine, Efavirenz, Delaviridine
Term
Which retroviral drug causes SE including CNS disturbances including insomnia, dizziness, delusions, and nightmares?
Definition
Efavirenz
Term
Which anti-retroviral has SE including induction of the CYP 450 system (OCs, Warfarin, Metronidazole, Ketoconazole), SJS, and fulminant hepatitis?
Definition
NNRTIs
Term
What are NNRTIs used in the treatment of?
Definition
HIV Infection
Term
A 36 y/o HIV male pt presents with c/o having vivid nightmares and delusional thoughts during the day. His CD4 count in WNL and his viral load is nearly undetectable. Which anti-retroviral can cause these complaints that the pt presented with as a SE?
Definition
Efavirenz
Term
What are Protease Inhibitors used to treat?
Definition
HIV infection
Term
Which drug class causes an altered distribution of body fat (buffalo hump or increased truncal obesity), insulin resistance, and hyperlipidemia?
Definition
Protease Inhibitors
Term
Which protease inhibitor has been shown to inhibit the cytochrome P-450 system leading to increased levels of certain drugs? Which drugs would this action affect?
Definition
Ritonavir
Ketoconazole, Rifampin, Erythromycin, anti-arrhythmic agents, benzos, clozapine, fluoxetine and haloperidol
Term
An HIV + female presents with complaint of increasing waistline, despite dieting. On physical exam you notice a collection of fat above her C7 - T4 area When you run tests her triglyceride levels and cholesterol levels are elevated. What HIV med can cause these cushing-like SE?
Definition
Protease Inhibitors
Term
Which drug is used to HSV 1 and 2?
Definition
Acyclovir (Valciclovir, Famciclovir, or Penciclovir)
Term
Which drugs are similar to Acyclovir?
Definition
Valciclovir, Famciclovir, or Penciclovir
Term
Which drug is effective against VZV?
Definition
Acyclovir (Valciclovir, Famciclovir, or Penciclovir)
Term
Which drug is effective against EBV
Definition
Acyclovir (Valciclovir, Famciclovir, or Penciclovir)
Term
Which drug is used to treat genital herpes?
Definition
Acyclovir
Term
What drug is used to treat herpes encephalitis?
Definition
Acyclovir (Valciclovir, Famciclovir, or Penciclovir)
Term
What drug is used to treat an acute VZV infection?
Definition
Acyclovir (Valciclovir, Famciclovir, or Penciclovir)
Term
What drug is used to treat oral hairy leukoplakia (associated with an EBV infection)?
Definition
Acyclovir (Valciclovir, Famciclovir, or Penciclovir)
Term
Which anti-viral causes SE including neurotoxicity that can cause tremor or delirium, nephrotoxicity (forming crystals in the urinary tract) and GI upset?
Definition
Acyclovir (Valciclovir, Famciclovir, or Penciclovir)
Term
A pt presents with painful lesions on their genitalia and admits to a hx of unprotected sex with several different partners over the past several months. On physical exam you observe a vesicular lesion on the pts genitalia. What med should you use to treat this pt?
Definition
Acyclovir (Valciclovir, Famciclovir, or Penciclovir)
Term
Which med is used to treat CMV infections, especially CMV retinitis seen in AIDS pts?
Definition
Ganciclovir
Term
Which anti-viral can cause Pancytopenia, seizures, HA and nephrotoxicity?
Definition
Ganciclovir
Term
Which drug can be used as a second-line treatment for CMV retinitis and other CMV infections?
Definition
Foscarnet
Term
What drug can be used in the treatment of acyclovir-resistant HSV and VSV infections?
Definition
Foscarnet
Term
What is the major SE of Foscarnet?
Definition
Nephrotoxicity
Term
A 46 y/o pt presents with a c/o progressive decreased visual acuity and loss of peripheral vision. The pt has a hx of AIDS. The serum studies demonstrate the presence of CMV. What drug should you use as a first-line tx for this condition?
Definition
Ganciclovir
Term
What drug is similar to Amantadine?
Definition
Rimantidine
Term
Which drug has been shown to stimulate the release of Dopamine from the neurons of the nigra striatum?
Definition
Amantadine
Term
Which drug is used to reduce the duration of influenza A symptoms, as well as an influenza prophylaxis in elderly and immunocompromised pts?
Definition
Amantadine
Term
Which drug is used in the treatment and prophylaxis of both Influenza A and B?
Definition
Zanamivir
Term
Which anti-viral can be used in the treatment of Parkinson's disease?
Definition
Amantadine
Term
Which anti-viral drugs can cause CNS SE including ataxia, slurred speech, dizziness and GI upset?
Definition
Amantadine
Term
A elderly man presents with c/o malaise, HA, congestion, and weakness that began 24 hrs ago. He reports that his grandson came to visit him several days ago, but his mother had to pick him up early, as he became sick. The boy was taken to the clinic and was diagnosed with the flu. On physical exam cervical lymphadenopathy is present as well as a fever of 101.7F. Which med would you prescribe to this pt to help reduce the symptoms and duration of this condition?
Definition
Amantadine, (DOC)
Rimantadine or Zanamivir OR Ribavirin
Term
What drug is used to treat RSV bronchiolitis and other RSV infections?
Definition
Ribavirin
Term
Which anti-viral can be used to treat a Hep C infection?
Definition
Ribavirin
Term
Which anti-viral has SE including Hemolytic anemia, elevated bilirubin levels and is teratogenic?
Definition
Ribavirin
Term
In which pts is Ribavirin contraindicated in?
Definition
Prego pts and those with renal insufficiency
Term
Which anti-viral can be used to treat hep B?
Definition
Entecavir
Term
A 6-month old infant presents to the ER with a 3-day hx of rhinitis, non-productive cough, tachypnea, and fever. On physical exam his RR is 42 bpm, and his O2 sat is 90% on Room air. Subcostal retractions and coarse breath sounds are present bilaterally. Lab studies reveal a pos RSV test. What med should you start this pt on?
Definition
Rinavirin
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