A 24-year-old sexually active woman presents with vaginal itching and a greenish, frothy vaginal discharge. Her boyfriend is asymptomatic. She is prescribed with metronidazole for Trichomonas infection. Which of the following is involved in metronidazole’s action?

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Chemotherapy drugs Questions

Question 1 of 5

A 24-year-old sexually active woman presents with vaginal itching and a greenish, frothy vaginal discharge. Her boyfriend is asymptomatic. She is prescribed with metronidazole for Trichomonas infection. Which of the following is involved in metronidazole’s action?

Correct Answer: B

Rationale: Metronidazole disrupts DNA in anaerobic organisms like Trichomonas vaginalis by forming reactive intermediates, leading to cell death.

Question 2 of 5

The following precautions about tetracycline use are true EXCEPT:

Correct Answer: D

Rationale: Tetracyclines are contraindicated in pregnancy and early childhood due to effects on teeth and bones, making D the incorrect precaution.

Question 3 of 5

The long-acting penicillin applied for chemoprophylaxis of rheumatic fever as a monthly injection is:

Correct Answer: D

Rationale: Benzathine penicillin is used as a monthly injection for rheumatic fever prophylaxis due to its long-acting depot formulation.

Question 4 of 5

Precautions to reduce crystalluria during sulphonamides use is:

Correct Answer: C

Rationale: Alkalinization of urine enhances sulphonamide solubility, preventing crystal formation in the urinary tract.

Question 5 of 5

The most serious side effect of sulphonamides in neonates is:

Correct Answer: A

Rationale: Sulphonamides displace bilirubin from albumin in neonates, leading to kernicterus, a severe neurological condition.

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