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Microbiology durgs 4
Step 1 review: Viruses
43
Biology
Graduate
12/27/2007

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Cards

Term
What is the mode of action of Interferons
Definition
Binds to receptors of infected cells and induces synthesis of proteins that aid in cellular immunity
Term
Inferferson induces oligoisoadenylate synthese that increases ____ activity degrading viral ____
Definition
RNAse & RNA
Term

When would you use inferons?

HINT 5 

Definition

1.  Genital warts

2.  Chronic hep B & C

3. AIDS related Karposi's sarcoma

4.  Malignant melanoma

5.  Laryngeal papillomatosis 

Term
Amantadine & rimantadine interfer w/ fusion of lysosome to membrane by increasing it's pH, this inhibits _______ preventing transfer of _____ _____
Definition

uncoating

viral genetics 

Term
When would you give Amantadien & Rimantadine
Definition
Influenza A
Term
Amantadine & Rimantadine cause _____ & _____ in the elderly
Definition
Hallucinations and Seizures
Term
Zanamivir and Oseltamir are _________ inhibitors that act to reduce viral ________ from cells
Definition

Neuraminidasee

release

Term
What would you to prevent influenzae A & B
Definition
Zanamivir & Oseltamir
Term
An adverse effect of Oseltamir is
Definition
GI upset
Term
this drug is phosphorylate to triphosphates that inhibits DNA synthesis being incorporated into viral DNA
Definition
Trifluridine
Term
Trifluridine is used for
Definition
Herpes keratitis
Term
Photosensitivity is a side of effect of this herpes medication
Definition
Trifluridine
Term
Acyclovir is phosphorylated by viral ______ ______ and inhibits DNA polymerase & _________ into DNA
Definition

thymidine kinase

incorporated 

Term
Acyclovir is used in ___ & _____
Definition
HSV & Varicella zoster
Term
Valacyclovir is hyrolyzed to ______ in the liver & intestinal wall
Definition
Valacyclovir
Term
Acyclovir is used as a topical agent for ______ & oral for
Definition

genital herpes

HSV & VSV 

Term
what's Ganciclovir MOA
Definition
inhibits DNA polymerase & incorporates in DNA
Term
What are some adverse effects of ganciclovir
Definition

1.  Bone marrow suppression

2.  thrombocytopenia 

Term
Foscarnet is a non-nucleoside inhibit or
Definition
DNA polymerase
Term
When would you use Foscarnett?
Definition

1.  Acyclovir resistance HSV and VZV

2.  CMV & HSV in AIDS 

Term
Give the adverse effects of Foscarnett
Definition

1.  Hypocalcemia

2.  Neurologic, cardio & renal toxicity 

Term
Ribavirin is converted to _________ which inhibits ______ _______ blocking GMP formation & ______ ____ synthesis
Definition

Monophosphates

Inosine dehydrogenase

Nucleic acid 

Term
Foscarnett in aerosol form is used to treat
Definition
RSV
Term
You combine Foscarnett w/ interferon alpha to treat
Definition
Hepatitis C
Term
You give IV foscarnett for
Definition
Lassa fever
Term
When should you start HIV theapy
Definition

1.  CD < 350

2.  Viral load > 100,000

3.  Patient symptomatic 

Term
Name the 5 NRTI drugs
Definition

1.  Zidovudine (AZT)

2.  Lamivudine (3TC)

3.  Emtricitabine (FTC)

4.  Abacavir (ABC)

5.  Tenofovir (TDF) 

Term
What's the mechanism of action of the NRTI drugs
Definition

1.  Competetive inhibitor of reverse transcriptase by blocking the incorporation of dNTP

2.  dNTP cannot be incorporated into growing viral DNA chain 

Term
zidovudine, Lamivudien, Emtricitabine and Abacavir has to be _______ to active _______
Definition

1.  Phosphorylated

2.  Triphosphate 

Term
What's the mechanism of action of the NRTI drugs
Definition
Term
What are the Adverse effects NRTI
Definition

1.  Potent cytochrome p450

2.  Elevates triglycerides, cholesterol & glucose 

Term
Abacavir produces __________ reaction in 2-4% of patients
Definition
Hypersensitivity
Term
What's the major adverse reaction of Tenofovir
Definition
Renal failure
Term
Name the two NNRTI
Definition
Efavirenz & Nevirapine
Term
NNRTI changes the conformation of
Definition
Reverse transcriptase
Term
You would not give Efavirnez to ___
Definition
Pregnant women
Term
Which NNRTI can give you a rash?
Definition
Nevirapine
Term
Name the 5 Protease inhibitors
Definition

1.  Fosamprenavir

2.  Atazanavir

3.  Ritonavir

4.  Lopinavir/Ritonavir

5.  Tipranavir 

Term
Ritonavir is a potent inhibitor of
Definition
Cyp 450 3A4
Term
What are some adverse effects of the HIV protease inhibitors
Definition

1.  Mitochondrial toxicity

2.  Peripheral neuropathy when taken w/ ddl, ddC & D4t 

Term
Atazanavir gives you jaundince by?
Definition
Inhibiting conjugated bilirubin
Term
This protease inhibit adverse effects include intercranial bleeding
Definition
Tipranavir
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