Chapter·PharmacologyAntifungals

EchinocandinsDownloads

10Questions
10Flashcards

Study Materials

Practice

Sample Questions

1

A 45-year-old HIV-positive male presents to his primary care physician complaining of decreased libido. He reports that he has been unable to maintain an erection for the past two weeks. He has never encountered this problem before. He was hospitalized four weeks ago for cryptococcal meningitis and has been on long-term antifungal therapy since then. His CD4 count is 400 cells/mm^3 and viral load is 5,000 copies/ml. He was previously non-compliant with HAART but since his recent infection, he has been more consistent with its use. His past medical history is also notable for hypertension, major depressive disorder, and alcohol abuse. He takes lisinopril and sertraline. His temperature is 98.6°F (37°C), blood pressure is 120/85 mmHg, pulse is 80/min, and respirations are 18/min. The physician advises the patient that side effects like decreased libido may manifest due to a drug with which of the following mechanisms of action?

AInhibition of beta-glucan synthesis

BFormation of pores in cell membrane

CInhibition of ergosterol synthesis

DDisruption of microtubule formation

EInhibition of pyrimidine synthesis

2

A 64-year-old female with type 2 diabetes mellitus comes to the physician because of a 1-week history of painful red swelling on her left thigh. Examination shows a 3- x 4-cm, tender, fluctuant mass. Incision and drainage of the abscess are performed. Culture of the abscess fluid grows gram-positive, coagulase-positive cocci that are resistant to oxacillin. Which of the following best describes the mechanism of resistance of the causal organism to oxacillin?

ADegradation of the antibiotic

BDecreased uptake of the antibiotic

CDecreased activation of the antibiotic

DAltered target of the antibiotic

EAcetylation of the antibiotic

3

A 74-year-old man is admitted to the medical ward after he developed a fungal infection. He has aplastic anemia. The most recent absolute neutrophil count was 450/µL. An anti-fungal agent is administered that inhibits the fungal enzyme, (1→3)-β-D-glucan synthase, and thereby disrupts the integrity of the fungal cell wall. He responds well to the treatment. Although amphotericin B is more efficacious for his condition, it was not used because of the side effect profile. What was the most likely infection?

AInvasive aspergillosis

BMucormycosis

CHistoplasmosis

DParacoccidioidomycosis

ECandidemia

+ 7 more in the PDF

More Antifungals downloads

Browse all chapters

View all