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Antiamoebic and antihelmenthic drugs

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

A 34-year-old woman complained of itching and burning around her vagina and a foulsmelling vaginal discharge. A wet mount examination of the discharge showed pear-shaped trophozoites that exhibited jerky motility. Which of the following drugs would be appropriate for this patient?

a)

Sulfadoxine

b)

Terbinafine

c)

Metronidazole

d)

Fluconazole

2.

Amoebiasis is caused by

a)

TOxoplasma Gondii

b)

Entamoeba Histolytics

c)

Ascaris Lumbricoidis

d)

None of these

3.

Amoebiaisis causes

a)

Headache and cold

b)

Dysentery

c)

Fever

d)

Weight Gain

4.

Metronidazole is acts as

a)

Luminal amoebicidal

b)

Extraintestinal amoebicidal

c)

intestinal and extraintestinal amoebicidal

d)

none of the above

5.

Which of the following antiprotozoal agent used in the treatment of malaria as well as amoebiasis

a)

pyrimethamine

b)

Proguanil

c)

prontosil

d)

Chloroquine

6.

For optimum antiamoebic activity, ______ numbered carbon alkyl chain at N-1 position of imidazole moiety

a)

2

b)

1

c)

3

d)

4

7.

Mechanism of Metronidazole

a)

Nitro group reduced to highly reactive radical that damages DNA

b)

Disrupts energy metabolism

c)

both

d)

None of the above

8.

NitroImidazoles (Metronidazole) are contraindicated in

a)

First trimester of pregnancy

b)

Blood dyscarsia

c)

Chronic alcoholism

d)

Neurological Diseases

e)

all of the above

9.

Mechanism of emetine

a)

directly kill trophozoites

b)

inhibit protein synthesis in amoeba

c)

both

d)

none of the above

10.

Diloxanide furoate mechanism

a)

directly kills cysts

b)

directly kills trophozoites responsible for production of cysts

c)

targets heamoglobin

d)

none of the above

11.

The site of

action of mebendazole

a)

mitochondria of the parasite

b)

microtubular protein ‘β-tubulin’ of the parasite

c)

cell wall

d)

lysosome

12.

Pyrantel pamoate causes

a)

hyperpolarization of Ascaris muscle by a

GABA agonistic action opening Cl¯ channels

b)

alteration of Mf membranes

c)

activation of nicotinic

cholinergic receptors in the worms resulting in

persistent depolarization

d)

None of the above

13.

Muscular

activity of the Microfilaria and adult worms is also affected causing hyperpolarization due to the piperazine

moiety of DECC, so that they are dislodged.

a)

true

b)

false

14.

how to treat febrile reaction with rash, pruritus, enlargement of lymph nodes and fall in BP produced after DiEthyl Carbamazine Citrate administration

a)

DEC should be

temporarily withheld

b)

antihistaminics given

c)

corticosteroids given

d)

all of the above

15.

Nematodes develop tonic paralysis when

exposed to ivermectin

a)

through a special

type of glutamate gated Cl¯ channel

b)

GABA gated Cl channel

c)

NMDA gated ca channel

d)

none of the above

16.

drug of

choice for single dose treatment of onchocerciasis

and strongyloidosis

a)

Ivermectin

b)

DECC

c)

Mebendazole

d)

metronidazole

17.

Drug of choice for Wuchereria Bancrofti and Brugia Malayi

a)

Diethyl carbamazine, Ivermectin

b)

Praziquantel, Pyrental

c)

Praziquantel, Niclosamide

d)

None of the above

18.

Incidents of expulsion of Ascaris

from mouth or nose have occurred with

a)

Ivermectin

b)

DECC

c)

Praziquantel

d)

mebendazole

19.

antibiotics useful in amoebiasis

a)

Penicillin

b)

tetracyclin

c)

cephalosporin

d)

polymixin

20.

factors in the spread of the Amoebiasis

a)

Air contamination

b)

faecal contamination of food and

water.

c)

both

d)

none of the above