27.12.13 Flashcards

1
Q

Drug that should not be combined with zidovudine

A

ganciclovir

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2
Q

Contraindication to zidovudine

A

Hb< 8 g%

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3
Q

Effect of rifampicin on AZT

A

increases the clearance of AZT

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4
Q

Chronic admn of AZT is associated with

A

Lipodystrophy
Lipoatrophy
Nail hyperpigmentation

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5
Q

Max chances of _________ and _________ are with didanosine

A

pancreatitis

diarrhoea

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6
Q

hematological side effect of didanosine

A

neutropenia

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7
Q

adverse effects of didanosine

A

hyperuricemia
optic neuritis
painful sensory peripheral neuropathy
fulminant hepatic failure

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8
Q

most common cause of lipodystrophy amongst ART

A

stavudine

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9
Q

stavudine has the maximum chance of causing

A

lactic acidosis

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10
Q

similar adverse effects of stavudine and didanosine

A

pancreatitis

peripheral neuropathy

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11
Q

Best tolerated NRTI

A

lamivudine

emtricitabine

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12
Q

advantage of emtricitabine over lamivudine

A

once a day dosing

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13
Q

Least effective NRTI

A

zalcitabine

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14
Q

side effect of zalcitabine

A

oral ulceration

stomatitis

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15
Q

Testing of which allele should be done before starting abacavir

A

HLA B*5701

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16
Q

abacavir increases the risk of

A

MI

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17
Q

all NRTI are excreted by kidney except

A

ABC

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18
Q

abacavir is metabolised by

A

alcohol dehydrogenase

19
Q

Interaction of NRTI with food

A

food decreases oral bioavailability

20
Q

adverse effect of tenofovir

A

fanconi like syndrome with hypophosphatemia

21
Q

oral bioavailability of tenofovir is ____________ with meals

22
Q

side effect of tenofovir

A

flatulence

23
Q

ARTs active against hepatitis B

A

lamivudine
emtricitabine
tenofovir

24
Q

which drugs are selective for HIV 1

A

NNRTI(no effect against HIV 2)

25
adverse effect of NNRTI
skin rash
26
NNRTI avoided in pregnancy
efavirenz | delaviridine
27
side effects of efavirenz
delusions mania vivid dreams
28
2nd gen NNRTI
etravirine | rilpivirine
29
ART that donot cause lipodystrophy
NNRTI
30
effect of NNRTI on cyp450
nevirapine and efavirenz are inducers | delaviridine is an inhibitor
31
adverse effects of indinavir
crystalluria | asymptomatic hyperbilirubinemia
32
PI for which ritonavir boosting is not recommended
nelfinavir
33
concentration of amprenavir and fosamprenavir decrease when co admn with
ethynyl estradiol
34
PI effective against HIV resistant to other PI
tipranavir
35
adverse effects of tipranavir
hepatotoxicty | ICH
36
PI that does not cause lipodystrophy
atazanavir
37
PIs causing asymptomatic hyperbilirubinemia
indinavir | atazanavir
38
cardiac effect of atazanavir
PR prolongation
39
atazanavir should not be given along with
proton pump inhibitors
40
Atazanavir must be boosted with ritonavir when coadministered with
tenofovir and efavirenz
41
ARTs that cause SJS
nevirapine | amprenavir
42
drug that can be used to treat HIV associated lipodystrophy
tesamorelin
43
mech of action of enfuviritide
binds to gp41 subunit of HIV
44
drug used to boost the effect of elvitegravir
cobicistat