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Chemo 5
slides 349-end
35
Pharmacology
Graduate
04/19/2010

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Cards

Term
Where are the 3 sites of infection for malaria?
Definition
1 in RBC and 2 hepatic
Term
What malaria medication(s) are used for chemoprophylaxis
Definition
Chloroquine supplemented with primaquine
Term
What malaria medication is used when in an area of chloroquine-resistance?
Definition
Mefloquine
Term
What malaria medication is used for general attacks?
Definition
Chloroquine, quinine/quinidine
Term
Chloroquine is effective against what form of malaria?
Definition
RBC form
Term
What is the mechanism of action for Chloroquine?
Definition
Inhibition of heme processing, leading to an intracellular accumulation of heme that is toxic to parasite
Term
What form of Malaria is primaquine effective against?
Definition
Hepatic
Term
Quinine and Quinidine can disrupt the Na channels, leading to what?
Definition
Cardiac conduction problems
Term
Does mefloquine have a long or short half life?
Definition
Long, 15-33 days
Term
What is the indication for iodoquinol?
Definition
asymptomatic amebiasis
Term
What is the mechanism of action for Metronidazole
Definition
Formation of reactive oxidation products disrupting membrane and nucleic acid structures
Term
Can you drink alcohol with Metronidazole?
Definition
No, there will be a disulfram-like reactions
Term
What are the 2 drugs used to treat Giardia?
Definition
Metronidazole and Paromomycin
Term
Pentamidine is used to treat what?
Definition
Trypanosomiasis
Term
Pentamide binds to DNA and inhibits DNA replication, similar to what class of drugs?
Definition
Fluoroquinolones
Term
Pentamide inhibits dihydrofolate reductase, similar to what other class?
Definition
Trimethoprim
Term
Ivermectin causes paralysis by intensifying GABA-mediated neurotranmission in nematodes. This is similar to what medication?
Definition
Succinycholine
Term
Do corticosteroids increase or decrease the immune system?
Definition
Decrease, there is an increased risk of infections during corticosteroid therapy
Term
Cyclosporine, Tacrolimus, and Sirolimus all have what similar mechanism of action?
Definition
Intere with T cell function
Term
What medication is indicated for inflammation-associated ocular dryness?
Definition
Cyclosporine
Term
Does Azathioprine affect T cell or B cell function more?
Definition
T cell function
Term
Azathioprine has a drug interaction with what medication?
Definition
Allopurinol
Term
When using azathioprine and allopurinol together, which medication needs to be adjusted?
Definition
Azathioprine needs to be reduced by 1/3 to 1/2 when used with allopurinol
Term
True or False: Mycophenolate inhibits both T and B cell activation
Definition
True
Term
Why is it important to keep the patient hydrated when taking cyclophosphamide?
Definition
Cyclophosphamide can cause bladder cystitis that may become hemorrhagic
Term
What medication has a similar mechanism of action to sulfonamides but affects mammalian cells?
Definition
Methotrexate
Term
What medication has an anti-angiogenic action that is teratogenic?
Definition
Thalidomide
Term
What medcation is a recombinant human tumor necrosis factor receptor?
Definition
Entanercept
Term
What are the 2 drugs that can treat early organ rejection processes?
Definition
Muromonab-CD3 and Anti-thymocyte Globulin
Term
What are the 2 immunoenhancers?
Definition
Cytokines and Bacille Calmette-Guerin
Term
Do cytokines stimulate production of T cells or B cells?
Definition
T cells
Term
What can be used to stimulate RBC if that patient is not on chemo?
Definition
Testosterone
Term
What is the name of the cytokine that can be used to stimulate RBC production in a patient on chemotherapy?
Definition
Epoetin alfa
Term
Over-stimulation of WBC production by Sargramostim may cause what?
Definition
Bone pain
Term
What medication is used internationally as a TB vaccine?
Definition
BCG
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