shockry -anti fungals Flashcards

1
Q

all of the following are effective against candida except?

a. griseofulvin
b. ketoconazole
c. nystatin
d. amphotericin B
e. flycytosine

A

griseofulvin

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2
Q

which of the following should not be used in severe, acute, systemic fungal infections?

a. griseofulvin
b. ketoconazole
c. nystatin
d. amphotericin B
e. flycytosine

A

nystatin

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3
Q

a systemic antifungal which penetrates into the CNS and is DOC for treating cryptococcal meningitits is?

a. nystatin
b. amphotericin B
c. fluconazole
d. griseofulvin
e. ketoconazole

A

fluconazole

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4
Q

griseofulvin :

a. exerts a detergent like effect on hyphae membranes
b. must be given parenterally since oral is poor
c. if frequently combo with ab to pevent yeast infections in gut
d. particularly effective against dermatophyte infections
e. b and d

A

particularly effective against dermatophyte infections

GIVEN ONLY ORALLY*

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5
Q

what is the main disadvantage of amphotericin B in therapy of systemic mycosis?

A

nephrotoxicity

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6
Q

nystain:

a. is given orally for generalized ringworm infections as alternate to griseofulvin
b. combo with fluocytosine for systemic mycosis
c. primarily used in mucosal yeast infections caused by candida
d. a fungistatic imidazole related to ketoconazole

A

primarily used in mucosal yeast infections caused by candida

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7
Q

which is LEAST accurate about griseofulvin?

a. effective against microsporum, tricho and candida
b. has to be given orally
c. given daly for 3-6 weeks to be effective
d. slow fungistatic action
e. enzyme inducer

A

effective against microsporum, tricho and candida

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8
Q

all of the following are true about ketoconazole EXCEPT

a. at high doses cause suppression of the adrenal cortex in dogs and cats
b. absorbed orally and is widely distributed to CNS
c. may cause GI irritation
d. inhibits synthesis of ergosterol of fungal cell membrane
e. used to treat systemic mycoses and several yeast infx

A

absorbed orally and is widely distributed to CNS

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9
Q

what is the DOC for controlling severe, fulminating, systemic mycosis?

A

amphotericin B

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10
Q

which is the most effective against aspergillus?

a. amphotericin B
b. ketoconazole
c. itraconazole
d. fluconazole
e. griseofulvin

A

itraconazole

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11
Q

when used amphotericin B, what is the most important thing to do?

A

monitor kidney function because its nephrotoxic

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12
Q

how does nystatin work?

A

binds to sterols in the membrane of fungi

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13
Q

T/F ketoconazole achieves therapeutic levels in the brain?

A

FALSE

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14
Q

the following are used topically or locally because they are too toxic for systemic use except?

a. bacitracin
b. polymixin B
c. neomycin
d. thiabendazole
e. nystin

A

thiabendazole

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