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WorksheetsAntiviral and Antimalarials
Total questions: 45
Worksheet time: 6hrs 33mins
are obligate parasites composed of a nucleic acid core surrounded by a proteinaceous outer shell.
Virus
Malaria
As cellular parasites, they are dependent on the host cell for energy and the biochemical substrates required for replication and protein synthesis.
Malaria
Virus
possess only one type of nucleic acid (DNA or RNA) and their organized structure is lost during replication of the genome in the host cell.
Virus
Malaria
do not grow through cell division, because they are acellular; instead, they use the machinery and metabolism of a host cell to produce multiple copies of themselves.
Malaria
Virus
It is an effect that virus can still cause degenerative effects within a cell without causing its death.
Cytopathic effect
Cytochtome effect
Cytochrome effect
is a basic antibody that is present on B cells.
Lymphocytes
IgM
IgM-1
is a biochemical technique used mainly in immunology to detect the presence of an antibody or an antigen in a sample.
ELISA
ELIZA
ELLISA
is a technique widely used in molecular biology. It derives its name from one of its key components, a DNA polymerase used to multiply (i.e., replicate) a piece of DNA by in enzymatic multiplication.
Polymerase chain reaction
Polycyclic chain reaction
Enzyme lingking isosorbent assay
is a specific binding between viral capsid proteins and specific receptors on the host cellular surface. This specificity determines the host range of a virus.
Attachment
Uncoating
Release
Penetration: following attachment, virus,enter the host cell through receptor medicated endocytosis or membrane fusion.
Entry
Attachment
Transcription
a process that viral capsid is removed is degraded by viral enzymes or host enzymes thus releasing the viral genomic nucleic acid.
Uncoating
Entry
Transcription
involves synthesis of iral messenger RNA ( mRNA) for viruses except positive sense RNA viruses, viral protein synthesis and assembly of vital proteins and vital genome replication. The vital RNA is ready to enter the host cell and ecome integrated into the DNA.
Transcription
Assembly
Uncoating
this modification occurs aft ether virus has been released from the host cell. The viral RNA carries information that codes for viral proteins and enzymes. Therefore it is also called messenger RNA. The codes on the viral RNA are translated into proteins and enzymes in form of a chain called polypeptide chain
Assembly
Release
Entry
During this process the virus acquires its phospholipid enevelope which containes embedded viral glycoproteins.: Budding
Release
Assembly
Entry
Useful in the prevention and treatment of influenza caused by influenza A virus. It is not effective against influenza B virus.; tx for Parkinson's disease
Amantadine
Rimantadine
Ixurobine
is an orally administered antiviral drug used to treat and in rare cases prevent, Influenzaavirus A infection.
Rimantadine
Amantadine
Amantanidine
can produce gastrointestinal and central nervous system adverse effects Studies have shown it produces fewer side effects than other anti-viral influenza treatments. Approximately 6% of patients reported side effects.
Rimantadine
Amantadine
Acyclovir
Active only against DNA Viruses (Herpes & vaccinia) Phosphorylated by viral DNA thymidylate kinase to the monophosphate to triphosphate ; 0.1% ophthalmic solution; 0.5% ophthalmic ointment.
Idoxuridine
Rimantadine
Amantadinr
Similar to idoxuridine Having trifluoromethyl group in place of iodine atom at the 5 position. 1% sterile opthalime solution ( Keratoconjunctivits –HSV 1 & 2) Heat sensitive, requiring refrigeration before and after dispensing. Lose 10% potency in 1 month 25C Less than 10% in 3 years at 4-8C
Trifluridine
Vidarabine
Idoxuridine
Originally as anticancer agent Active against DNA viruses Alternative to idoxuridine (herpes simplex keratitis encephalitis) Streptomyces antibioticus ; 3% ointment (keratitis caused by HSV)
Vidarabine
Trifluridine
Rimantadine
chemical name acycloguanosine, is a guanine analogue antiviral drug, marketed under trade names such as Zovirax and Zovir
Acyclovir
Vidanavir
Idoxurobine
was seen as the start of a new era in antiviral therapy, as it is extremely selective and low in cytotoxicity.
Acyclovir
Iduxorobicin
Vidarabine
Adverse effect : GI upset, headache, dizziness, lethargy, joint pain Thrombophlebitis from IV administration
Acyclovir
Valacyclovir
is a basic antibody that is present on B cells.
Lymphocytes
IgM
IgM-1
is an antiviral drug used in the management of herpes simplex and herpes zoster. It is a prodrug, being converted invivo to acyclovir. It is marketed by GSK under the trade name Valtrex or Zelitrex.
Valacyclovir
Acyclovir
Fancyclovir
prodrug that is converted by esterases to active drug acyclovir via hepatic first pass metabolism. Same mechanism as acyclovir
Valacyclovir
Acyclovir
Rimantadine
is an antiviral medication used to treat or prevent cytomegalovirus or CMV infections ;is marketed under the trade name Cytovene, Cymevene and Vitrasert.
Gancyclovir
Valacyclovir
Acyclovir
a synthetic analogue of 2’-deoxy-guanosine. It is first phosphorylated to a deoxyguanosine triphosphate analog. This competitively inhibits the incorporation of dGTP by viral DNA polymerase, resulting in the termination of elongation of viral DNA.
Gancyclovir
Acyclovir
Valacyclovir
is a guanine analogue antiviral drug used for the treatment of various herpesvirus infections; It is a nucleoside analogue which exhibits low toxicity and good selectivity. Because it is absorbed poorly when given orally it is used more as a topical treatment and is the active ingredient in the cold sore medications Denavir and Fenistil
Peciclovir
Acyclovir
Gancyclovir
Against several DNA viruses Phosphorylated by cellular kinases to diphosphate; Antimetabolite for dexoycytosine triphosphate ; Copetitive inhibitor of viral DNA polymerase Slow IV infution CMV retinitis in AIDS patient TOXICITY: RENAL IMPAIRMENT ADMINISTER TOGETHER WITH PROBENECID; NEPHROTOXICITY
Cidofovir
Foscarnet Na
Valacyclovir
is the conjugate base of the chemical compound with the formula HO2CPO3H2 ;This phosphoric acid derivative is marketed by AstraZeneca as under the Trade name Foscavir. It is an antiviral medication used to treat herpes viruses including CMV and herpes simplex types 1 and 2 ; It is particularly used to treat CMV retinitis. It can be used to treat highly experience patients with HIV.
Foscarnet
Valacyclovi
Cedinavir
Are a class of antiretroviral drug used to treat HIV infection, tumors and cancer: inhibit activity of rerese transcriptase, a viral DNA polymerase enzyme that HIV needs to reproduce.
Reverse Transcriptase inhibitor
Nucleoside transcriptase inhibitor
Common infectious diseases & an enormous public-health problem.
Caused by PROTOZOAN PARASITES of the genus PLASMODIUM.
Malaria
Virus
identified that the carrier of malaria is the female anopheles mosquito; won a nobel prize in medicine 1902
Dr. Ronald Ross
Dr. Roland Ross
Dr. Ronald Rose
uses still water (nocturnal feeder)
Anopheles gambiae
Plasmodium vivax
Aedes egyti
In the human host, the sporozoites rapidly (within 20mins) penetrate parenchymal cells of the liver, here they transform into large TISSUE SCHIZONTS that reproduce asexually to generate large numbers of _________
Merozoites
Spermozoites
Mesozoites
After this asexual propogation, some merozoites develop into _____________ which are ingested by the next mosquito sucking blood.
Gametocytes
Spermatocytes
Mesozocytes
they produce OOCYSTS each of which generates around _____ SPOROZOITES.
1000
2000
100
(MALIGNANT TERTIAN SUBTERIAN)
;Caused approx. 50% of all malaria Most severe from debilitating form of disease (pts. feel ill bet. acute attacks) Infects 65% of the patients of erythrocytes
P. Falciparum
P. Ovale
P. Vivax
P. Malariae
(BENIGN TERTIAN MALARIA)
2nd most common species 40% of all malaria cases Chronic, it can reinfect the liver
P. Falciparum
P. Vivax
P. Ovale
P. Malariae
QUARTAN MALARIA)
10% malarial cases Relapses are very common
P. Falciparun
P. Ovale
P. Malariae
(MILD TERTIAN MALARIA)
Least common among the species
P. Ovale
P.vivax
P. Malariae
No drug is effective
Sprozoitocides
Primary ESS
Secondary ESS
Chloroguanidine HCL Cycloguanil Pamoate Pyrimethamine
Primary ESS
Secondary ESS
Sporozoitocides
therapy & prophylaxis; usefulness now reduced due to reistance
Chloroquine
Priquantel
Cinchinine
