Trimethoprim is combined with sulfamethoxazole in a ration of 1:5 to yield a steady state plasma concentration ratio of

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NCLEX questions on chemotherapy drugs Questions

Question 1 of 5

Trimethoprim is combined with sulfamethoxazole in a ration of 1:5 to yield a steady state plasma concentration ratio of

Correct Answer: C

Rationale: The 1:5 ratio of trimethoprim to sulfamethoxazole achieves a 1:20 plasma concentration ratio, optimizing synergistic folate inhibition.

Question 2 of 5

Which of the following is not a first line antitubercular drug?

Correct Answer: A

Rationale: Ciprofloxacin is not a first-line TB drug; first-line drugs include isoniazid, rifampin, pyrazinamide, ethambutol, and streptomycin.

Question 3 of 5

Which of the following chemotherapy agents acts by intercalation?

Correct Answer: C

Rationale: Doxorubicin intercalates DNA, inhibiting nucleic acid synthesis.

Question 4 of 5

The most important reason for using a combination of chemotherapeutic agents in the treatment of tuberculosis is

Correct Answer: B

Rationale: Preventing resistance is the primary reason for TB combination therapy, targeting different bacterial populations.

Question 5 of 5

According to the currect WHO guidelines new (untreated) sputum smear positive cases of pulmonary tuberculosis are to be treated with the following regimen

Correct Answer: C

Rationale: WHO guidelines recommend 2 months of isoniazid, rifampin, pyrazinamide, and ethambutol/streptomycin, followed by 4 months of isoniazid and rifampin.

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