Deck 24: Drugs for Fungal, Viral, and Parasitic Diseases

Question 1

A patient is being admitted to the acute care unit with trichomonas vaginalis. What medication does the pharmacist anticipate will be prescribed for this patient?

A) Pyrimethamine
B) Praziquantel
C) Curamin
D) Metronidazole

Answer 1

Metronidazole

Question 2

Severe systemic opportunistic fungal disease are seen in the following patients (select all that apply):

A) Patients with AIDs
B) Recent transplant patients
C) Patients with bacterial meningitis
D) Patients with extensive burns
E) Patients on chemotherapy

Answer 2

Patients with AIDs
Recent transplant patients
Patients with extensive burns
Patients on chemotherapy

Question 3

The pharmacist is caring for a patient who has been diagnosed with a virus. The patient states that the healthcare provider referred to the illness by a different name. What term does the pharmacist anticipate that the healthcare provider used?

A) Intracellular parasites
B) Fungi
C) Capsid
D) Symbiotic

Answer 3

Intracellular parasites

Question 4

Which of the following is not true about a virus?

A) Viruses contain none of the vital organelles that are present in cells of living organisms.
B) Viruses are nonliving agents that infect bacteria, plants, and animals.
C) Viruses are surrounded by a protective cell wall
D) Viruses infect a host by entering a target call and using the host enzymes to replicate

Question 5

What is the goal of HAART?

A) To totally eradicate HIV
B) To reduce the amount of HIV in plasma to its lowest possible level.
C) To increase WBC count
D) To increase mortality

Question 6

Current clinical guidelines recommend that the initial treatment of patients infected with HIV include one of the following therapies: (select all that apply) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) A protease inhibitor (boosted with small amounts of ritonavir) plus two NRTIs
B) An antiviral such as acyclovir along with oseltamivir
C) An NNRTI plus two NRTIs
D) Combination of two antibiotics such as vancomycin and gentamicin

Question 7

The Centers for Disease Control and Prevention (CDC) recommends that travelers to malaria-infested areas receive prophylactic antimalarial drugs prior to and during their visit, and for 1 week after leaving. The patient asks the pharmacist which medication will be prescribed for this. What is the best reply by the pharmacist?

A) "Albendazole."
B) "Mebendazole."
C) "Chloroquine."
D) "Praziquantel."

Question 8

The pharmacy technician is educating a group of parents regarding helminths. Which topics should the pharmacy technician include in the teaching session? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Hookworms
B) Tapeworms
C) Flukes
D) Protozoans
E) Pinworms

Question 9

A patient with herpes lesions on the face asks the pharmacist which medication has been prescribed. Because a topical cream has been ordered, what is the best response by the pharmacist?

A) Docosanol
B) Cidofovir
C) Famciclovir
D) Acyclovir

Question 10

A patient has been prescribed amphotericin B. Which side effects will the pharmacist monitor this patient for while receiving this medication? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Hepatotoxicity
B) Phlebitis
C) BUN
D) Fever and chill
E) Creatinine

Question 11

The pharmacist is preparing to discharge a patient who will be taking an antiretroviral agent. Which symptoms will the pharmacist educate the patient to discontinue the medication and inform the health care provider? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Sore throat
B) Rash
C) Shortness of breath
D) Wheezing
E) Diarrhea

Question 12

The pharmacist is preparing to discuss an antifungal medication nystatin with an adult patient. The pharmacist also has a PO medication to dispense to this patient. How should the patient take these medications?

A) Give the PO medication first.
B) Give the PO medicine to the patient, and allow the patient to swallow the medication with the nystatin.
C) Give the nystatin first.
D) It does not matter which medication is given first.

Question 13

The pharmacist is caring for a patient who is taking an antiviral medication. Which assessment might alert the pharmacist to possible bone marrow suppression? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Bruising
B) Hematuria
C) Temperature of 102°F
D) Decreased appetite
E) Decreased urination

Question 14

Superficial mycoses typically affect the scalp, skin, nails, and mucous membranes such as the oral cavity and vagina and are commonly treated by topical agents.

Question 15

Amphotericin B and fluconazole are the most frequently prescribed drugs for serious systemic fungal infections.

Question 16

Virus are tiny organisms that are larger than bacteria.

Question 17

Herpes simplex type 2 virus causes mouth cold sores.

Question 18

The virus that causes AIDS does not cause death but makes the host too weak to fight off infection.

Question 19

HAART stands for highly acquired antiviral therapy.

Question 20

Malaria is the second most common fatal infectious disease in the world.

Question 21

The best approach to influenza infection is immediate treatment with an antiviral medication.

Question 22

Although herpes lesions are often mild and require no drug therapy, patients who experience frequent recurrences may benefit from low doses of prophylactic antiviral therapy.

Question 23

A women comes into your pharmacy looking for something to treat a possible vaginal yeast infection. Her friend has recommended she see someone at the after-hours clinic but she is embarrassed and would like to treat it herself with over-the-counter medications. Proceed as you would in practice.

Question 24

Mr. Walker attends the local health department clinic for treatment of a chronic disorder. While examining Mr. Walker's medical records, you note that he is taking saquinavir, abacavir, and efavirenz. Mr. Walker is most likely suffering from what type of infection and what type of drugs would be taken by Mr Walker?

Question 25

What type of patients suffer from superficial fungal infections and how are they treated?