Medical Pharmacology:
Antiviral Drugs Practice Questions
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Prophylaxis against influenze A:
zalcitabine (Hivid, ddc)
amantidine (Symmetrel)
acyclovir (Zovirax)
idoxuridine (Herplex)
Development of resistance to acyclovir (Zovirax) in varicella-zoster virus:
increased acyclovir (Zovirax) metabolism
alteration in viral DNA polymerase
increased acyclovir (Zovirax) transport out of the cell
A, B & C
First-pass metabolism of this drug results in the active form, penciclovir (Denavir):
acyclovir (Zovirax)
famciclovir (Famvir)
valacyclovir (Valtrex)
cidofovir (Vistide)
Monophosphorylation of this antiviral drug is catalyzed by virus-specified protein kinase phophotransferase in CMV-infected cells and by viral thymidine kinase in HSV-infected cells.
ganciclovir (DHPG, Cytovene)
foscarnet (Foscavir)
cidofovir (Vistide)
valacyclovir (Valtrex)
Nephrotoxicity, the major dose-limiting toxicity associated with i.v. use of this drug can be prevented by probenecid (Benemid) (a blocker of tubular secretion)
foscarnet (Foscavir)
famciclovir (Famvir)
cidofovir (Vistide)
vidarabine (Vira-A)
Mainly eliminated by renal mechanisms as the hypoxanthine metabolite, this antiviral agent is effective for treating acute keratoconjunctivitis (ointment) and HSV encephalitis (i.v.)
vidarabine (Vira-A)
ganciclovir (DHPG, Cytovene)
foscarnet (Foscavir)
zidovudine (Retrovir, AZT, azidothymidine)
Inhibition of viral replication by: (1) Competitive inhibition of HIV reverse transcriptase and (2) by chain termination.
interferon
amantidine (Symmetrel)
didanosine (Videx, ddI)
saquinavir (Invirase)
Drug-drug interactions:
indinavir (Crixivan)
ritonavir (Norvir)
both
neither
Effective in prevention of influenza A viral infection in high risk individuals: