Chapter·PharmacologyAntivirals

HIV protease inhibitorsDownloads

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Sample Questions

1

A 37-year-old man comes to the physician because of a 6-month history of progressive breast enlargement. Two years ago, he was diagnosed with HIV infection and started treatment with antiretroviral medications. Examination shows a soft, non-tender, ill-defined swelling at the nape of the neck. The cheeks appear hollowed. Serum studies show increased total cholesterol and LDL concentration. Which of the following medications is the most likely cause of these findings?

ANevirapine

BIndinavir

CEnfuvirtide

DAbacavir

ERaltegravir

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

An investigator is studying a drug that acts on the thyroid hormone pathway. Levels of serum free T3 and T4 in healthy participants are measured before and after administration of the drug. After administration, there is a decrease in the average serum free T3 level, while the average serum free T4 level is increased compared to initial serum studies. Inhibition of which of the following is the most likely mechanism of action of this drug?

AThyroid-stimulating hormone

BFollicular iodotyrosine deiodinase

CFollicular thyroid peroxidase

DPeripheral 5'-deiodinase

EFollicular thyroid proteases

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