Chapter·MicrobiologyOncogenic viruses

Therapeutic approaches targeting oncogenic virusesDownloads

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1

A research team develops a new monoclonal antibody checkpoint inhibitor for advanced melanoma that has shown promise in animal studies as well as high efficacy and low toxicity in early phase human clinical trials. The research team would now like to compare this drug to existing standard of care immunotherapy for advanced melanoma. The research team decides to conduct a non-randomized study where the novel drug will be offered to patients who are deemed to be at risk for toxicity with the current standard of care immunotherapy, while patients without such risk factors will receive the standard treatment. Which of the following best describes the level of evidence that this study can offer?

ALevel 1

BLevel 3

CLevel 5

DLevel 4

ELevel 2

2

A 60-year-old man comes to the physician’s office with jaundice. Liver ultrasound reveals a shrunken liver and biopsy reveals cirrhosis. Hepatitis serologies are below: Anti-HAV: negative HBsAg: negative HBsAb: positive HBeAg: negative Anti-HBe: negative Anti-HBc: negative Anti-HCV: positive The hepatitis C viral load is 1,000,000 copies/mL. The patient is started on an antiviral regimen including sofosbuvir. What is the mechanism of action of this drug?

AInhibits reverse transcriptase

BInhibits integrase

CInhibits synthesis of DNA-dependent DNA polymerase

DInhibits RNA-dependent RNA polymerase

EInhibits hepatitis C protease

3

During an experiment, the immunophenotypes of different cells in a sample are determined. The cells are labeled with fluorescent antibodies specific to surface proteins, and a laser is then focused on the samples. The intensity of fluorescence created by the laser beam is then plotted on a scatter plot. The result shows most of the cells in the sample to be positive for CD8 surface protein. Which of the following cell types is most likely represented in this sample?

AMature cytotoxic T lymphocytes

BActivated regulatory T lymphocytes

CInactive B lymphocytes

DDendritic cells

EMature helper T lymphocytes

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