The antiviral actions of this drug include inhibition of both RNA and DNA synthesis. The drug is used for the treatment of severe respiratory syncytial virus infections in neonates.

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Chemotherapy drugs Questions

Question 1 of 5

The antiviral actions of this drug include inhibition of both RNA and DNA synthesis. The drug is used for the treatment of severe respiratory syncytial virus infections in neonates.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Ribavirin. Ribavirin is an antiviral drug that inhibits both RNA and DNA synthesis, making it effective against a wide range of viruses including respiratory syncytial virus (RSV) which commonly infects neonates and can cause severe respiratory infections. Amantadine (option A) is an antiviral drug primarily used to treat influenza A virus infections, but it does not have the broad-spectrum antiviral activity exhibited by Ribavirin. Amprenavir (option B) is a protease inhibitor used in the treatment of HIV infection, and it does not target RNA and DNA synthesis like Ribavirin. Foscarnet (option C) is an antiviral agent used to treat cytomegalovirus (CMV) infections by inhibiting viral DNA polymerase, but it does not have the same mechanism of action as Ribavirin. In an educational context, understanding the mechanisms of action of different chemotherapy drugs is crucial for healthcare professionals involved in the treatment of viral infections. Knowing the specific indications, mechanisms of action, and side effects of antiviral drugs helps in making informed decisions regarding treatment plans for patients. This knowledge is essential for pharmacists, nurses, physicians, and other healthcare providers involved in patient care.

Question 2 of 5

Which one of the following compounds is used topically to treat scabies and pediculosis?

Correct Answer: A

Rationale: In this question, the correct answer is A) Lindane. Lindane is a type of chemotherapy drug that is used topically to treat scabies and pediculosis. Scabies is a skin infestation by the human itch mite, and pediculosis is an infestation of lice. Lindane works by killing the parasites that cause these conditions. Option B) Mupirocin is an antibiotic that is used to treat certain skin infections but is not typically used for scabies or pediculosis. Option C) Nitrofurazone is a topical antibiotic used to prevent infections in minor burns, cuts, and scrapes. It is not used to treat scabies or pediculosis. Option D) Polymyxin B is an antibiotic that is used to treat bacterial skin infections and is not indicated for scabies or pediculosis. Educationally, understanding the specific uses of different chemotherapy drugs is crucial for healthcare providers to accurately prescribe medications and provide effective treatment for patients. Knowing the indications and contraindications of each drug helps in ensuring patient safety and optimal outcomes. In this case, recognizing that Lindane is the appropriate treatment for scabies and pediculosis is essential for effective patient care.

Question 3 of 5

A patient with AIDS has an extremely high viral RNA titer. While blood is being drawn from this patient, the syringe is accidentally dropped, contaminating the floor, which is made of porous material. The best way to deal with this is to

Correct Answer: D

Rationale: In this scenario, the best way to deal with the contamination of the floor after a syringe, potentially carrying chemotherapy drugs, is dropped is to clean the floor with a 10% solution of household bleach (Option D). This is the correct answer because bleach is an effective disinfectant that can inactivate a wide range of pathogens, including viruses like HIV. Option A is incorrect because replacing the contaminated part of the floor is not necessary if proper decontamination can effectively eliminate the risk. Option B, cleaning the floor with soap and water, may not be sufficient to kill the potentially dangerous pathogens present in this situation. Option C, sealing the room and decontaminating with ethylene oxide, is excessive and unnecessary for this type of contamination. Educationally, this question emphasizes the importance of proper decontamination procedures in healthcare settings to prevent the spread of infectious diseases. Understanding the appropriate use of disinfectants like bleach is crucial for healthcare workers to maintain a safe and sterile environment for both themselves and patients.

Question 4 of 5

One chemotherapeutic strategy used to eradicate the blood-stream form of African trypanosomes is based on the absolute dependence of the organism on

Correct Answer: C

Rationale: In the context of chemotherapy drugs and the eradication of the blood-stream form of African trypanosomes, the correct answer is C) Glycolysis. African trypanosomes are parasitic protozoa that rely heavily on glycolysis for their energy production. By targeting glycolysis, specifically the unique aspects of this pathway found in the parasite, chemotherapeutic agents can disrupt the energy metabolism of the trypanosomes, leading to their eradication. Option A) Cytochrome-dependent electron transfer is incorrect because this process is not a primary target for anti-trypanosomal chemotherapy. Option B) Dihydropteroate synthesis is also incorrect as it is a pathway targeted by antibacterial drugs like sulfonamides, not typically used in anti-trypanosomal therapy. Option D) Lactate dehydrogenase is not the primary target for eradicating trypanosomes; although this enzyme plays a role in their metabolism, it is not the most effective point of intervention. Understanding the unique metabolic pathways of pathogens is crucial in developing targeted chemotherapy strategies. By focusing on the vulnerabilities specific to the parasite, such as their reliance on glycolysis, we can design more effective and less harmful treatments. This rationale emphasizes the importance of understanding the biology of pathogens to develop successful therapeutic interventions.

Question 5 of 5

Which one of the following enzymes is not unique to parasites?

Correct Answer: B

Rationale: In the context of chemotherapy drugs and their mechanisms of action, understanding the unique enzymes found in parasites is crucial for developing targeted treatments. In this question, the correct answer is B) Hypoxanthine-guanine phosphoribosyltransferase. Hypoxanthine-guanine phosphoribosyltransferase is not unique to parasites. This enzyme is also found in humans and plays a role in the salvage pathway of purine nucleotide synthesis. Therefore, it is not a suitable target for developing drugs that specifically target parasite enzymes without affecting human cells. Option A) Dihydropteridine pyrophosphokinase is unique to parasites and is involved in the folate synthesis pathway, making it a potential target for antiparasitic drugs. Option C) Lanosterol demethylase is also unique to parasites and is involved in the synthesis of ergosterol, a crucial component of the parasite cell membrane. Inhibiting this enzyme can disrupt the parasite's membrane structure and function. Option D) Purine nucleoside phosphotransferase is unique to parasites and plays a role in the purine salvage pathway, making it a potential target for antiparasitic drugs. Understanding the unique enzymes in parasites not only aids in developing more effective chemotherapy drugs but also highlights the importance of drug specificity to minimize side effects on human cells. This knowledge is essential for pharmacologists, researchers, and healthcare professionals involved in combating parasitic infections.

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