The document discusses various types of antibiotics and antifungal drugs. It defines antibiotics as substances produced by microorganisms that inhibit or kill other microorganisms. General principles of anti-infective therapy include clinical judgment of microbiological factors, identification of the infecting microorganism and its susceptibility, optimal administration of the drug, and duration of treatment. Antibiotics can have bactericidal or bacteriostatic effects, targeting bacterial cell walls, membranes, or protein/RNA synthesis. Common side effects include nephrotoxicity, ototoxicity and pseudomembranous colitis.
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Antibiotics
The document discusses various types of antibiotics and antifungal drugs. It defines antibiotics as substances produced by microorganisms that inhibit or kill other microorganisms. General principles of anti-infective therapy include clinical judgment of microbiological factors, identification of the infecting microorganism and its susceptibility, optimal administration of the drug, and duration of treatment. Antibiotics can have bactericidal or bacteriostatic effects, targeting bacterial cell walls, membranes, or protein/RNA synthesis. Common side effects include nephrotoxicity, ototoxicity and pseudomembranous colitis.
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ANTIBIOTICS
001. What does the term “antibiotics” mean:
a) Non-organic or synthetic substances that selectively kill or inhibit the growth of other microorganisms b) Substances produced by some microorganisms and their synthetic analogues that selectively kill or inhibit the growth of another microorganisms c) Substances produced by some microorganisms and their synthetic analogues that inhibit the growth of organism cells d) Synthetic analogues of natural substances that kill protozoa and helminthes 002. General principles of anti-infective therapy are: a) Clinical judgment of microbiological factors b) Definitive identification of a bacterial infection and the microorganism’s susceptibility c) Optimal route of administration, dose, dosing frequency and duration of treatment d) All of the above 003. Minimal duration of antibacterial treatment usually is: a) Not less than 1 day b) Not less than 5 days c) Not less than 10-14 days d) Not less than 3 weeks 004. Rational anti-microbial combination is used to: a) Provide synergism when microorganisms are not effectively eradicated with a single agent alone b) Provide broad coverage c) Prevent the emergence of resistance d) All of the above 125 005. Mechanisms of bacterial resistance to anti-microbial agents are the following, EXCEPT: a) Active transport out of a microorganism or/and hydrolysis of an agent via enzymes produced by a microorganism b) Enlarged uptake of the drug by a microorganism c) Modification of a drug’s target d) Reduced uptake by a microorganism 006. The statement, that some microorganisms can develop alternative metabolic pathways for rendering reactions inhibited by the drug, is: a) True b) False 007. All of the following drugs are antibiotics, EXCEPT: a) Streptomycin b) Penicillin c) Co-trimoxazole d) Chloramphenicol 008. Bactericidal effect is: a) Inhibition of bacterial cell division b) Inhibition of young bacterial cell growth c) Destroying of bacterial cells d) Formation of bacterial L-form 009. Which of the following groups of antibiotics demonstrates a bactericidal effect? a) Tetracyclines b) Macrolides c) Penicillins d) All of the above 010. Bacteristatic effect is: a) Inhibition of bacterial cell division b) Inhibition of young bacterial cells growth c) Destroying of bacterial cells d) Formation of bacterial L-form 011. Which of the following groups of antibiotics demonstrates a bacteristatic effect: a) Carbapenems b) Macrolides c) Aminoglycosides d) Cephalosporins 012. Which of the following antibiotics contains a beta-lactam ring in their chemical structure : a) Penicillins b) Cephalosporins c) Carbapenems and monobactams d) All groups 013. Tick the drug belonging to antibiotics-macrolides: a) Neomycin b) Doxycycline c) Erythromycin d) Cefotaxime 014. Tick the drug belonging to antibiotics-carbapenems: a) Aztreonam b) Amoxacillin c) Imipinem d) Clarithromycin 015. Tick the drug belonging to antibiotics-monobactams: a) Ampicillin b) Bicillin-5 c) Aztreonam d) Imipinem 016. Tick the drug belongs to antibiotics-cephalosporins: a) Streptomycin b) Cefaclor c) Phenoxymethilpenicillin d) Erythromycin 017. Tick the drug belonging to lincozamides: a) Erythromycin 126 b) Lincomycin c) Azithromycin d) Aztreonam 018. Tick the drug belonging to antibiotics-tetracyclines: a) Doxycycline b) Streptomycin c) Clarithromycin d) Amoxacillin 019. All of antibiotics are aminoglycosides, EXCEPT: a) Gentamycin b) Streptomycin c) Clindamycin d) Neomycin 020. Tick the drug belonging to nitrobenzene derivative: a) Clindamycin b) Streptomycin c) Azithromycin d) Chloramphenicol 021. Tick the drug belonging to glycopeptides: a) Vancomycin b) Lincomycin c) Neomycin d) Carbenicillin 022. Antibiotics inhibiting the bacterial cell wall synthesis are: a) Beta-lactam antibiotics b) Tetracyclines c) Aminoglycosides d) Macrolides 023. Antibiotic inhibiting bacterial RNA synthesis is: a) Erythromycin b) Rifampin c) Chloramphenicol d) Imipinem 024. Antibiotics altering permeability of cell membranes are: a) Glycopeptides b) Polymyxins c) Tetracyclines d) Cephalosporins 025. All of the following antibiotics inhibit the protein synthesis in bacterial cells, EXCEPT: a) Macrolides b) Aminoglycosides c) Glycopeptides d) Tetracyclines 026. Biosynthetic penicillins are effective against: a) Gram-positive and gram-negative cocci, Corynebacterium diphtheria, spirochetes, Clostridium gangrene b) Corynebacterium diphtheria, mycobacteries c) Gram positive cocci, viruses d) Gram negative cocci, Rickettsia, mycotic infections 027. Which of the following drugs is a gastric acid resistant: a) Penicillin G b) Penicillin V c) Carbenicillin d) Procain penicillin 028. Which of the following drugs is penicillinase resistant: a) Oxacillin b) Amoxacillin c) Bicillin-5 d) Penicillin G 029. All of the following drugs demonstrate a prolonged effect, EXCEPT: a) Penicillin G b) Procain penicillin 127 c) Bicillin-1 d) Bicillin-5 030. Mechanism of penicillins’ antibacterial effect is: a) Inhibition of transpeptidation in the bacterial cell wall b) Inhibition of beta-lactamase in the bacterial cell c) Activation of endogenous proteases, that destroy bacterial cell wall d) Activation of endogenous phospholipases, which leads to alteration of cell membrane permeability 031. Pick out the beta-lactamase inhibitor for co-administration with penicillins: a) Clavulanic acid b) Sulbactam c) Tazobactam d) All of the above 032. Cephalosporines are drugs of choice for treatment of: a) Gram-positive microorganism infections b) Gram-negative microorganism infections c) Gram-negative and gram-positive microorganism infections, if penicillins have no effect d) Only bacteroide infections 033. Carbapenems are effective against: a) Gram-positive microorganisms b) Gram-negative microorganisms c) Only bacteroide infections d) Broad-spectum 034. All of the following antibiotics are macrolides, EXCEPT: a) Erythromycin b) Clarithromycin c) Lincomycin d) Roxythromycin 035. Tetracyclins have following unwanted effects: a) Irritation of gastrointestinal mucosa, phototoxicity b) Hepatotoxicity, anti-anabolic effect c) Dental hypoplasia, bone deformities d) All of the above 036. Tick the drug belonging to antibiotics-aminoglycosides: a) Erythromycin b) Gentamycin c) Vancomycin d) Polymyxin 037. Aminoglycosides are effective against: a) Gram positive microorganisms, anaerobic microorganisms, spirochetes b) Broad-spectum, except Pseudomonas aeruginosa c) Gram negative microorganisms, anaerobic microorganisms d) Broad-spectum, except anaerobic microorganisms and viruses 038. Aminoglycosides have the following unwanted effects: a) Pancytopenia b) Hepatotoxicity c) Ototoxicity, nephrotoxicity d) Irritation of gastrointestinal mucosa 039. Choose the characteristics of chloramphenicol: a) Broad-spectum. Demonstrates a bactericidal effect. b) Influences the Gram-positive microorganisms. Demonstrates a bactericidal effect. c) Influences the Gram-negative microorganisms. Demonstrates a bactericidal effect. d) Broad-spectum. Demonstrates a bacteristatic effect. 040. Chloramphenicol has the following unwanted effects: a) Nephrotoxicity b) Pancytopenia c) Hepatotoxicity d) Ototoxicity 041. Choose the characteristics of lincozamides: a) Broad-spectum. Demonstrates a bactericidal effect. b) Influence mainly the anaerobic organisms, Gram negative cocci. c) Broad-spectum. Demonstrates a bacteristatic effect. 128 d) Influence mainly the anaerobic organisms, Gram positive cocci. 042. Lincozamides have the following unwanted effect: a) Nephrotoxicity b) Cancerogenity c) Pseudomembranous colitis d) Irritation of respiratory organs 043. Choose the characteristics of vancomicin: a) It is a glycopeptide, inhibits cell wall synthesis active only against Gram-negative bacteria b) It is a glycopeptide, that alters permeability of cell membrane and is active against anaerobic bacteria c) It is a beta-lactam antibiotic, inhibits cell wall synthesis active only against Pseudomonas aeruginosa d) It is a glycopeptide, inhibits cell wall synthesis and is active only against Gram-positive bacteria. 044. Vancomicin has the following unwanted effects: a) Pseudomembranous colitis b) Hepatotoxicity c) “Red neck” syndrome, phlebitis d) All of the above 045. Which of the following drugs is used for systemic and deep mycotic infections treatment: a) Co-trimoxazol b) Griseofulvin c) Amphotericin B d) Nitrofungin 046. Which of the following drugs is used for dermatomycosis treatment: a) Nystatin b) Griseofulvin c) Amphotericin B d) Vancomycin 047. Which of the following drugs is used for candidiasis treatment: a) Griseofulvin b) Nitrofungin c) Myconazol d) Streptomycin 048. All of the following antifungal drugs are antibiotics, EXCEPT: a) Amphotericin B b) Nystatin c) Myconazol d) Griseofulvin 049. Mechanism of Amphotericin B action is: a) Inhibition of cell wall synthesis b) Inhibition of fungal protein synthesis c) Inhibition of DNA synthesis d) Alteration of cell membrane permeability 050. Azoles have an antifungal effect because of: a) Inhibition of cell wall synthesis b) Inhibition of fungal protein synthesis c) Reduction of ergosterol synthesis d) Inhibition of DNA synthesis 051. Which of the following drugs alters permeability of Candida cell membranes: a) Amphotericin B b) Ketoconazole c) Nystatin d) Terbinafine 052. Amfotericin B has the following unwanted effects: a) Psychosis b) Renal impairment, anemia c) Hypertension, cardiac arrhythmia d) Bone marrow toxicity 053. Tick the drug belonging to antibiotics having a polyene structure: a) Nystatin b) Ketoconazole c) Griseofulvin d) All of the above 129 054. All of the following drugs demonstrate a fungicidal effect, EXCEPT: a) Terbinafin b) Amfotericin B c) Ketoconazole d) Myconazol 055. Characteristics of polyenes are following, except: a) Alter the structure and functions of cell membranes b) Broad-spectrum c) Fungicidal effect d) Nephrotoxicity, hepatotoxicity 056. Characteristics of Amfotericin B are following, EXCEPT: a) Used for systemic mycosis treatment b) Poor absorption from the gastro-intestinal tract c) Does not demonstrate nephrotoxicity d) Influences the permeability of fungus cell membrane PART II SYNTHETIC ANTIBACTERIAL DRUGS 001. Sulfonamides are effective against: a) Bacteria and Chlamidia b) Actinomyces c) Protozoa d) All of the above 002. Mechanism of sulfonamides’ antibacterial effect is: a) Inhibition of dihydropteroate reductase b) Inhibition of dihydropteroate synthase c) Inhibition of cyclooxygenase d) Activation of DNA gyrase 003. Combination of sulfonamides with trimethoprim: a) Decreases the unwanted effects of sulfonamides b) Increases the antimicrobial activity c) Decreases the antimicrobial activity d) Increases the elimination of sulfonamides 004. Sulfonamide potency is decreased in case of co-administration with: a) Oral hypoglycemic agents b) Local anesthetics – derivatives of paraaminobenzoic acid c) Local anesthetics – derivatives of benzoic acid d) Non-narcotic analgesics 005. The following measures are necessary for prevention of sulfonamide precipitation and crystalluria: a) Taking of drinks with acid pH b) Taking of drinks with alkaline pH c) Taking of saline drinks d) Restriction of drinking 006. Resorptive sulfonamides have the following unwanted effects on blood system: a) Hemolytic anemia b) Thrombocytopenia c) Granulocytopenia d) All of the above 007. Mechanism of Trimethoprim’ action is: a) Inhibition of cyclooxygenase b) Inhibition of dihydropteroate reductase c) Inhibition of dihydropteroate synthase d) Inhibition of DNA gyrase 008. Sulfonamides have the following unwanted effects: a) Hematopoietic disturbances b) Crystalluria c) Nausea, vomiting and diarrhea d) All of the above 009. Tick the drug, which is effective against mycobacteria only: a) Isoniazid b) Streptomycin c) Rifampin 130 d) Kanamycin 010. Tick the antimycobacterial drug belonging to first-line agents: a) PAS b) Isoniazid c) Kanamycin d) Pyrazinamide 011. Tick the antimycobacterial drug, belonging to second-line agents: a) Isoniazid b) PAS c) Rifampin d) Streptomycin 012. Tick the antimycobacterial drug, belonging to antibiotics: a) Isoniazid b) PAS c) Ethambutol d) Rifampin 013. Tick the antimycobacterial drug – hydrazide of isonicotinic acid: a) Rifampin b) Isoniazid c) Ethambutol d) Pyrazinamide 014. Mechanism of Izoniazid action is: a) Inhibition of protein synthesis b) Inhibition of mycolic acids synthesis c) Inhibition of RNA synthesis d) Inhibition of ADP synthesis 015. Mechanism of Rifampin action is: a) Inhibition of mycolic acids synthesis b) Inhibition of DNA dependent RNA polymerase c) Inhibition of topoisomerase II d) Inhibition of cAMP synthesis 016. Mechanism of Cycloserine action is: a) Inhibition of mycolic acids synthesis b) Inhibition of RNA synthesis c) Inhibition of cell wall synthesis d) Inhibition of pyridoxalphosphate synthesis 017. Mechanism of Streptomycin action is: a) Inhibition of cell wall synthesis b) Inhibition of protein synthesis c) Inhibition of RNA and DNA synthesis d) Inhibition of cell membranes permeability 018. Rifampin has the following unwanted effect: a) Dizziness, headache b) Loss of hair c) Flu-like syndrome, tubular necrosis d) Hepatotoxicity 019. Isoniazid has following unwanted effect: a) Cardiotoxicity b) Hepatotoxicity, peripheral neuropathy c) Loss of hair d) Immunotoxicity 020. Ethambutol has the following unwanted effect: a) Cardiotoxicity b) Immunetoxicity c) Retrobulbar neuritis with red-green color blindness d) Hepatotoxicity 021. Streptomycin has the following unwanted effect: a) Cardiotoxicity b) Hepatotoxicity c) Retrobulbar neuritis with red-green color blindness d) Ototoxicity, nephrotoxicity 131 022. Mechanism of aminosalicylic acid action is: a) Inhibition of mycolic acids synthesis b) Inhibition of folate synthesis c) Inhibition of DNA dependent RNA polymerase d) Inhibition of DNA gyrase 023. All of the following agents are the first-line antimycobacterial drugs, EXCEPT: a) Rifampin b) Pyrazinamide c) Isoniazid d) Streptomycin 024. All of the following antimycobacterial drugs have a bactericidal effect, EXCEPT: a) Pyrazinamide b) Streptomycin c) Rifampin d) Isoniazid 025. Combined chemotherapy of tuberculosis is used to: a) Decrease mycobacterium drug-resistance b) Increase mycobacterium drug-resistance c) Decrease the antimicrobal activity d) Decrease the onset of antimycobacterial drugs biotransformation: 026. Tick the antibacterial drug – a nitrofurane derivative: a) Nitrofurantoin b) Trimethoprim c) Ciprofloxacin d) Nystatin 027. Tick the antibacterial drug – a nitroimidazole derivative: a) Clavulanic acid b) Metronidazole c) Nitrofurantoin d) Doxycycline 028. Tick the antibacterial drug – a quinolone derivative: a) Nitrofurantoin b) Nalidixic acid c) Streptomycin d) Metronidazole 029. Tick the antibacterial drug – a fluoroquinolone derivative: a) Chloramphenicol b) Nitrofurantoin c) Nalidixic acid d) Ciprofloxacin 030. Tick the indications for nitrofuranes: a) Infections of respiratory tract b) Infections of urinary and gastro-intestinal tracts c) Syphilis d) Tuberculosis 031. Tick the unwanted effects of nitrofuranes: a) Nausea, vomiting b) Allergic reactions c) Hemolytic anemia d) All of the above 032. Tick the indications for Metronidazole: a) Intra-abdominal infections, vaginitis, enterocolitis b) Pneumonia c) As a disinfectant d) Influenza 033. Tick the unwanted effects of Metronidazole: a) Nausea, vomiting, diarrhea, stomatitis b) Hypertension c) Disturbances of peripheral blood circulation d) All of the above 034. The mechanism of fluoroquinolones’ action is: 132 a) Inhibition of phospholipase C b) Inhibition of DNA gyrase c) Inhibition of bacterial cell synthesis d) Alteration of cell membrane permeability 035. Fluoroquinolones are active against: a) Gram negative microorganisms only b) Mycoplasmas and Chlamidiae only c) Gram positive microorganisms only d) Variety of Gram-negative and positive microorganisms, including Mycoplasmas and Chlamidiae 036. Tick the unwanted effects of fluoroquinolones: a) Hallucinations b) Headache, dizziness, insomnia c) Hypertension d) Immunetoxicity 037. Tick the indications for fluoroquinolones: a) Infections of the urinary tract b) Bacterial diarrhea c) Infections of the urinary and respiratory tract, bacterial diarrhea d) Respiratory tract infections 038. The drug of choice for syphilis treatment is: a) Gentamycin b) Penicillin c) Chloramphenicol d) Doxycycline PART III ANTIPROTOZOAL AND ANTHELMINTIC DRUGS 001. Tick the drug used for malaria chemoprophylaxis and treatment: a) Chloroquine b) Quinidine c) Quinine d) Sulfonamides 002. Tick the drug used for amoebiasis treatment: a) Nitrofurantoin b) Iodoquinol c) Pyrazinamide d) Mefloquine 003. Tick the drug used for trichomoniasis treatment: a) Metronidazole b) Suramin c) Pyrimethamine d) Tetracycline 004. Tick the drug used for toxoplasmosis treatment: a) Chloroquine b) Tetracyclin c) Suramin d) Pyrimethamine 005. Tick the drug used for balantidiasis treatment:: a) Azitromycin b) Tetracycline c) Quinine d) Trimethoprim 006. Tick the drug used for leishmaniasis treatment: a) Pyrimethamine b) Albendazole c) Sodium stibogluconate d) Tinidazole 007. Tick the antimalarial drug belonging to 8-aminoquinoline derivatives: a) Doxycycline b) Quinidine c) Primaquine d) Chloroquine 133 008. All of the following antimalarial drugs are 4-quinoline derivatives, EXCEPT: a) Chloroquine b) Mefloquine c) Primaquine d) Amodiaquine 009. Tick the antimalarial drug belonging to pyrimidine derivatives: a) Mefloquine b) Pyrimethamine c) Quinidine d) Chloroquine 010. Tick the drug used for trypanosomosis treatment: a) Melarsoprol b) Metronidazole c) Tetracyclin d) Quinidine 011. Tick the antimalarial drug having a gametocidal effect: a) Mefloquine b) Primaquine c) Doxycycline d) Sulfonamides 012. All of the following antimalarial drugs influence blood schizonts, EXCEPT: a) Mefloquine b) Chloroquine c) Primaquine d) Quinidine 013. Tick the antimalarial drug influencing tissue schisonts: a) Mefloquine b) Chloroquine c) Quinidine d) Primaquine 014. Tick the group of antibiotics having an antimalarial effect: a) Aminoglycosides b) Tetracyclins c) Carbapenems d) Penicillins 015. Tick the amebecide drug for the treatment of an asymptomatic intestinal form of amebiasis: a) Chloroquine b) Diloxanide c) Emetine d) Doxycycline 016. Tick the drugs for the treatment of an intestinal form of amebiasis: a) Metronidazole and diloxanide b) Diloxanide and streptomycin c) Diloxanide and Iodoquinol d) Emetine and metronidazole 017. Tick the drug for the treatment of a hepatic form of amebiasis: a) Diloxanide or iodoquinol b) Tetracycline or doxycycline c) Metronidazole or emetine d) Erythromycin or azitromycin 018. Tick the luminal amebecide drug: a) Metronidazole b) Emetine c) Doxycycline d) Diloxanide 019. Tick the drug of choice for the treatment of extraluminal amebiasis: a) Iodoquinol b) Metronidazole c) Diloxanide d) Tetracycline 020. Tick the drug, blocking acetylcholine transmission at the myoneural junction of helminthes: 134 a) Levamisole b) Mebendazole c) Piperazine d) Niclosamide 021. Tick niclosamide mechanism of action: a) Increasing cell membrane permeability for calcium, resulting in paralysis, dislodgement and death of helminthes b) Blocking acetylcholine transmission at the myoneural junction and paralysis of helminthes c) Inhibiting microtubule synthesis in helminthes and irreversible impairment of glucose uptake d) Inhibiting oxidative phosphorylation in some species of helminthes 022. Tick praziquantel mechanism of action: a) Blocking acetylcholine transmission at the myoneural junction and paralysis of helminthes b) Inhibiting microtubule synthesis in helminthes and irreversible impairment of glucose uptake c) Increasing cell membrane permeability for calcium, resulting in paralysis, dislodgement and death of helminthes d) Inhibiting oxidative phosphorylation in some species of helminthes 023. Tick piperazine mechanism of action: a) Inhibiting microtubule synthesis in helminthes and irreversible impairment of glucose uptake b) Blocking acetylcholine transmission at the myoneural junction and paralysis of helminthes c) Inhibiting oxidative phosphorylation in some species of helminthes d) Increasing cell membrane permeability for calcium, resulting in paralysis, dislodgement and death of helminthes 024. Tick the drug, a salicylamide derivative: a) Praziquantel b) Piperazine c) Mebendazole d) Niclosamide 025. Tick mebendazole mechanism of action: a) Inhibiting oxidative phosphorylation in some species of helminthes b) Increasing cell membrane permeability for calcium, resulting in paralysis, dislodgement and death of helminthes c) Inhibiting microtubule synthesis in helminthes and irreversible impairment of glucose uptake d) Blocking acetylcholine transmission at the myoneural junction and paralysis of helminthes 026. Tick the drug, inhibiting oxidative phosphorylation in some species of helminthes: a) Niclosamide b) Piperazine c) Praziquantel d) Mebendazole 027. Tick the drug for neurocysticercosis treatment: a) Praziquantel b) Pyrantel c) Piperazine d) Bithionol 028. Tick the drug for nematodosis (roundworm invasion) treatment: a) Niclosamide b) Praziquantel c) Bithionol d) Pyrantel 029. Tick the drug for cestodosis (tapeworm invasion) treatment: a) Piperazine b) Praziquantel c) Pyrantel d) Ivermectin 030. Tick the drug for trematodosis (fluke invasion) treatment: a) Bithionol b) Ivermectin c) Pyrantel d) Metronidazole 031. Tick the drug, a benzimidazole derivative: a) Praziquantel b) Mebendazole c) Suramin d) Pyrantel 032. Tick the broad spectrum drug for cestodosis, trematodosis and cycticercosis treatment: 135 a) Piperazine b) Ivermectine c) Praziquantel d) Pyrantel 033. Tick the drug for ascaridosis and enterobiosis treatment: a) Bithionol b) Pyrantel c) Praziquantel d) Suramin 034. Tick the drug for strongiloidosis treatment: a) Niclosamide b) Praziquantel c) Bithionol d) Ivermectin 035. Tick the drug for echinococcosis treatment: a) Suramin b) Mebendazole or Albendazole c) Piperazine d) Iodoquinol PART IV ANTIVIRAL AGENTS. AGENTS FOR CHEMOTHERAPY OF CANCER 001. All of the following antiviral drugs are the analogs of nucleosides, EXCEPT: a) Acyclovir b) Zidovudine c) Saquinavir d) Didanozine 002. Tick the drug, a derivative of adamantane: a) Didanozine b) Rimantadine c) Gancyclovir d) Foscarnet 003. Tick the drug, a derivative of pyrophosphate: a) Foscarnet b) Zidovudine c) Vidarabine d) Acyclovir 004. Tick the drug, inhibiting viral DNA synthesis: a) Interferon b) Saquinavir c) Amantadine d) Acyclovir 005. Tick the drug, inhibiting uncoating of the viral RNA: a) Vidarabine b) Rimantadine c) Acyclovir d) Didanozine 006. Tick the drug, inhibiting viral reverse transcriptase: a) Zidovudine b) Vidarabine c) Rimantadine d) Gancyclovir 007. Tick the drug, inhibiting viral proteases: a) Rimantadine b) Acyclovir c) Saquinavir d) Zalcitabine 008. Tick the drug of choice for herpes and cytomegalovirus infection treatment: a) Saquinavir b) Interferon alfa c) Didanozine d) Acyclovir 136 009. Tick the drug which belongs to nonnucleoside reverse transcriptase inhibitors: a) Zidovudine b) Vidarabine c) Nevirapine d) Gancyclovir 010. All of the following antiviral drugs are antiretroviral agents, EXCEPT: a) Acyclovir b) Zidovudine c) Zalcitabine d) Didanozine 011. Tick the drug used for influenza A prevention: a) Acyclovir b) Rimantadine c) Saquinavir d) Foscarnet 012. Tick the drug used for HIV infection treatment, a derivative of nucleosides: a) Acyclovir b) Zidovudine c) Gancyclovir d) Trifluridine 013. Tick the antiviral drug which belongs to endogenous proteins: a) Amantadine b) Saquinavir c) Interferon alfa d) Pencyclovir 014. Tick the drug which belongs to nucleoside reverse transcriptase inhibitors: a) Didanosine b) Gancyclovir c) Nevirapine d) Vidarabine 015. All of the following antiviral drugs are anti-influenza agents, EXCEPT: a) Acyclovir b) Amantadine c) Interferons d) Rimantadine 016. Tick the unwanted effects of zidovudine: a) Hallucinations, dizziness b) Anemia, neutropenia, nausea, insomnia c) Hypertension, vomiting d) Peripheral neuropathy 017. Tick the unwanted effects of intravenous acyclovir infusion: a) Renal insufficiency, tremors, delerium b) Rash, diarrhea, nausea c) Neuropathy, abdominal pain d) Anemia, neutropenia, nausea, insomnia 018. Tick the drug that can induce peripheral neuropathy and oral ulceration: a) Acyclovire b) Zalcitabine c) Zidovudine d) Saquinavir 019. Tick the unwanted effects of didanozine: a) Hallucinations, dizziness, insomnia b) Anemia, neutropenia, nausea c) Hypertension, vomiting, diarrhea d) Peripheral neuropathy, pancreatitis, diarrhea, hyperuricemia 020. Tick the unwanted effects of indinavir: a) Hypotension, vomiting, dizziness b) Nephrolithiasis, nausea, hepatotoxicity c) Peripheral neuropathy, pancreatitis, hyperuricemia d) Anemia, neutropenia, nausea 021. Tick the drug that can induce nausea, diarrhea, abdominal pain and rhinitis: 137 a) Acyclovire b) Zalcitabine c) Zidovudine d) Saquinavir 022. All of the following effects are disadvantages of anticancer drugs, EXCEPT: a) Low selectivity to cancer cells b) Depression of bone marrow c) Depression of angiogenesis d) Depression of immune system 023. Rational combination of anticancer drugs is used to: a) Provide synergism resulting from the use of anticancer drugs with different mechanisms combination b) Provide synergism resulting from the use of anticancer drugs with the same mechanisms combination c) Provide stimulation of immune system d) Provide stimulation of cell proliferation 024. Tick the anticancer alkylating drug, a derivative of chloroethylamine: a) Methotrexate b) Cisplatin c) Cyclophosphamide d) Carmustine 025. Tick the anticancer alkylating drug, a derivative of ethylenimine: a) Mercaptopurine b) Thiotepa c) Chlorambucil d) Procarbazine 026. Tick the group of hormonal drugs used for cancer treatment: a) Mineralocorticoids and glucocorticoids b) Glucocorticoids and gonadal hormones c) Gonadal hormones and somatotropin d) Insulin 027. Tick the anticancer alkylating drug, a derivative of alkylsulfonate: a) Fluorouracil b) Carboplatin c) Vinblastine d) Busulfan 028. Tick the anticancer drug of plant origin: a) Dactinomycin b) Vincristine c) Methotrexate d) Procarbazine 029. Action mechanism of alkylating agents is: a) Producing carbonium ions altering protein structure b) Producing carbonium ions altering DNA structure c) Structural antagonism against purine and pyrimidine d) Inhibition of DNA-dependent RNA synthesis 030. Tick the anticancer drug, a pyrimidine antagonist: a) Fluorouracil b) Mercaptopurine c) Thioguanine d) Methotrexate 031. Methotrexate is: a) A purine antagonist b) A folic acid antagonist c) An antibiotic d) An alkylating agent 032. Tick the antibiotic for cancer chemotherapy: a) Cytarabine b) Doxorubicin c) Gentamycin d) Etoposide 033. Fluorouracil belongs to: a) Antibiotics 138 b) Antimetabolites c) Plant alkaloids d) Bone marrow growth factor 034. Tick the action mechanism of anticancer drugs belonging to plant alkaloids: a) Inhibition of DNA-dependent RNA synthesis b) Cross-linking of DNA c) Mitotic arrest at a metaphase d) Nonselective inhibition of aromatases 035. General contraindications for anticancer drugs are: a) Depression of bone marrow b) Acute infections c) Severe hepatic and/or renal insufficiency d) All of the above 036. Action mechanism of methotrexate is: a) Inhibition of dihydrofolate reductase b) Activation of cell differentiation c) Catabolic depletion of serum asparagine d) All of the above 037. Tick the anticancer drug belonging to inorganic metal complexes: a) Dacarbazine b) Cisplatin c) Methotrexate d) Vincristine 038. Tick the indication for estrogens in oncological practice: a) Leukemia b) Cancer of prostate c) Endometrial cancer d) Brain tumors 039. Enzyme drug used for acute leukemia treatment: a) Dihydrofolate reductase b) Asparaginase c) Aromatase d) DNA gyrase 040. All of the following drugs are derivatives of nitrosoureas, EXCEPT: a) Carmustine b) Vincristine c) Lomustine d) Semustine 041. Tick the group of drugs used as subsidiary medicines in cancer treatment: a) Cytoprotectors b) Bone marrow growth factors c) Antimetastatic agents d) All of the above 042. Tick the estrogen inhibitor: a) Leuprolide b) Tamoxifen c) Flutamide d) Anastrozole 043. Tick the antiandrogen drug: a) Flutamide b) Aminoglutethimide c) Tamoxifen d) Testosterone 044. Tick the drug belonging to aromatase inhibitors: a) Octreotide b) Anastrozole c) Flutamide d) Tamoxifen 045. Tick the drug belonging to gonadotropin-releasing hormone agonists: a) Leuprolide b) Tamoxifen c) Flutamide d) Anastrozole