Antiviral Basics & Mechanisms
Influenza & RSV Drugs
HIV & Antiretrovirals
Adverse Effects & Monitoring
CLINICAL JUDGMENT
100

Do antivirals kill viruses or slow them?

What is virustatic (they do NOT kill viruses)?

100

Route of zanamivir

What is inhalation?

100

What antiretrovirals do

What is interfere with viral replication?

100

Major risk of ribavirin

What is teratogenicity?

100

Pregnant nurse assigned to ribavirin patient—action

What is refuse assignment (teratogenic risk)?

200

Three main ways antivirals work

What are block entry, inhibit replication, support immune response?

200

Three neuraminidase inhibitors

What are oseltamivir, zanamivir, peramivir?

200

What happens if ART is not taken consistently

What is drug resistance and disease progression?

200

Key assessment before adefovir

What is check liver function (jaundice, enzymes)?

200

Patient taking acyclovir reports milk allergy—action

What is hold drug and notify provider?

300

Difference between viruses and retroviruses

What is retroviruses insert genetic material into host DNA?

300

How neuraminidase inhibitors work

What is prevent virus release from infected cells?

300

Why ART is given during pregnancy

What is reduce fetal transmission (30% → ~8%)?

300

Serious reaction to efavirenz

What is rash, fever, blisters → STOP drug?

300

HIV patient skipping doses because “too many pills”—response

What is educate on strict adherence to prevent resistance?

400

Purpose of antiretroviral therapy (ART)

What is slow HIV progression and replication?

400

Only drug used for RSV

What is ribavirin?

400

Protease inhibitors mechanism

What is prevent viral protein activation → no viral release?

400

What severe abdominal pain radiating to the back may indicate in ART

What is pancreatitis (medical emergency)?

400

Patient on enfuvirtide reports numb fingers—action

What is expected neuropathy → implement safety precautions?

500

Why HIV cannot be cured

What is virus integrates into host DNA permanently?

500

When flu antivirals are MOST effective

What is within 48 hours of symptom onset?

500

Definition of opportunistic infection

What is infection due to weakened immune system?

500

Why liver enzymes are monitored in ART

What is risk of hepatotoxicity?

500

Patient on atazanavir has low pulse—action

What is report to provider (risk of heart block)?