Nursing Pharmacology: Immunosuppression Practice Questions
Click on the correct answer.
Example of first-class of hormonal agents noted to have lipolytic properties:
cyclosporine
prednisone (Deltasone)
tacrolimus
IFN-alpha
thalidomide
Glucocorticoid effects:
inhibition of leukotriene production
inhibition of prostaglandins
increased chemotaxis
A & B
A, B & C
Effective in lowering incidents of rejection in infectious complications in transplant patients:
azathioprine (Imuran)
prednisone (Deltasone)
antilymphocyte antibodies
cyclosporine (Sandimmune, Neoral)
all the above
Tests of immunocompetency:-- measurements
in vitro IL-2 stimulation of lymphokine activated killer cell production
in vitro lymphocyte profilerative responses to mitogens
erythropoiesis
A & B
A, B & C
About two-thirds of children with early diabetic symptoms can discontinue or reduce insulin treatment within about six weeks after starting treatment with this drug:
tacrolimus
interferon
cyclosporine (Sandimmune, Neoral)
prednisone (Deltasone) and
thalidomide
This immunosuppressant antibiotic commonly approved for use in liver transplantation, is 10 to 100 times more potent than cyclosporine in inhibiting immune responses:
interferon-gamma
prednisone (Deltasone)
tacrolimus (FK 506)
A & B
A, B & C
Autoimmune (Type II) drug reaction:
penicillin
sulfonamides
iodides
phenytoin (Dilantin)
hydralazine (Apresoline)
Implicated in initiation of hypersensitivity vasculitis; a Type III vasculitic reaction:
sulfonamides
penicillin
thiouracil
anticonvulsants
all the above
Blockade of mediator release following exposure of sensitized tissue mast cells or blood basophils to drugs that initiate Type I drug allergic reactions:
isoproterenol (Isuprel)
antihistamines
theophylline
A & C
A, B & C
Example of immunostimulatory cytokine that may be useful in cancer immunotherapy
levamisole
BCG
IFN-alpha
IL-2
none of the above
For synthesized for treating parasitic infections, this drug is now FDA approved for clinical use in the treatment of Dukes class C colorectal cancer after surgery:
inosiplex
thymopoietin
levamisole
BCG
IGIV
Alkylating agent; destroys proliferating lymphoid cells; in low doses -- for effective against autoimmune disorders including systemic lupus erythematosus
azathioprine (Imuran)
methotrexate
cyclophosphamide (Cytoxan)
antilymphocyte globulin (ALG)
all the above
Cytotoxic agents with immunosuppressive properties:
cyclophosphamide (Cytoxan)
vincristine (Oncovin)
methotrexate
cytarabine (ARA-C)
all the above
Type 1 immediate hypersensitivity:
due to elevated levels of antigen-antibody complexes
stems from cross-linking of membrane-bound IgE on blood basophils or tissue mast cells by antigen
follows from formation of antigen- antibody complexes between foreign antigen and IgM or IgG immunoglobulins
tissue damage due to influx of antigen-nonspecific inflammatory cells (macrophages and neutrophils)
Autoimmune disorder: associated with antibodies made against self DNA, red blood cells, histones, platelets