Anti TB and Anti Hansens Flashcards

1
Q

Mechanism of resistance to isoniazod

A

Overexpression of inhA
Mutation or deletion of KatG
Mutation of kasA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Mechanism of action of rifampicin

A

Inhibits initiation of RNA synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Rifampicin is mainly excreted in

A

Bile and feces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The active form of pyrazinamide

A

Pyrazinoic acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What converts isoniazid to active form

A

KatG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which three anti TB drugs cause hepatotoxicity

A

Isoniazid
Rifampicin
Pyrazinamide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Major side effects of PZN

A

Hepatotoxicity
Ototoxicity
Hyperuricemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The only antiTB drug administered parenterally

A

Streptomycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Major adverse effect of streptomycin

A

Ototoxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mode of action of ethambutol

A

Tuberculostatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

AntiTB drugs contraindicated in pregnancy

A

Streptomycin and pyrazinamide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

TB treatment in HIV when rifampicin is contraindicated

A

Rifabutine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Chief secondary drug for sulfone resistant hansenites

A

Clofazimine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

WHO standard for chemotherapy of leprosy for paucibacillary form

A

Dapsone and rifampicin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

WHO chemotherapy for multibacillary form of leprosy

A

Rifampicin dapsone and clofazimine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Most frequent major side effect of isoniazid

A

Hepatitoxicity

17
Q

MOA of isoniazid

A

Inhibits DNA synthesis by inhibitung mycolase synthetase

18
Q

Isoniazid is activates by

19
Q

Isoniazid is acetylates in the lover by

A

Acetyl hydrazine

20
Q

ADRs of isoniazid

A

Peripheral neuritis
Hepatotoxicity
Pyridoxine deficiency

21
Q

Rifampicin is mainly excreted in

A

Bile and feces

22
Q

Side effect of rifampicin

A

Hepatotoxicity

Urine and tears discoloration

23
Q

Difference of isoniazid and rifampicin when considering microsomal enzyme

A

Isoniazid is a hepatic microsomal enzyme inhibitor

Rifampicin is a hepatic microsomal enzyme inducer

24
Q

Adverse effect or pyrazinamide

A

Hepatic injury

Hyperuricemia

25
Clinical use of pyrazinamide
Residual intracellular organisms that may cause relapse
26
ADRs of streptomycin
Nephro Oto Facial paresthesias
27
MOA of ethambutol
Inhibitis mycobacterial arabinosul transferase | Tuberculostatic
28
ADRs of ethambutol
Optic neuritis | Hyperuricemia
29
Contraindicated drugs during pregnanxy
Pyrazynamide | Streptomycin
30
For TB treatment in HIV when rifampicin is contraindicated
Rifabutine
31
MOA of dapsone
Inhibit folic acid synthesis
32
Chief secondary drug for sulfone resistant patient
Clofazimine
33
Type of hypersensitivity present in tupe II leprosy reaction
Hypersensitivity type III or immune complex mediated
34
What drug prevents erythema nudosum
Clofazimine