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NR 548 Midterm Exam: (Latest Update 2025 / 2026) | Questions & Answers | Grade A 100% Correct.

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1. Azoles: itraconazole (Sporanox) - Mechanism of Action: Inhibits the synthesis of ergosterol (sterol), resulting in increased membrane permeability and leakage of cellular components. 2. Azoles: itraconazole (Sporanox) - Adverse Effects: GI upset, Cardiac suppression, Hepatic injury 3. Azoles: itraconazole (Sporanox) - Precautions: Hepatic dysfunction, Heart failure 4. Azoles: itraconazole (Sporanox) - Interactions: PPIs, CYP3A4 inhibitors 5. Azoles: itraconazole (Sporanox) - Education: Take with food/cola 6. Azoles: itraconazole (Sporanox) - Labs: BMP, Coagulation, Serum Drug Levels 7. Echinocandins: caspofungin (Cancidas): Antifungal: aspergillus and candida infections

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NR 548 Midterm Exam: (Latest Update 2025 /
2026) | Questions & Answers | Grade A 100%
Correct.

1. Azoles: itraconazole (Sporanox) - Mechanism of Action: Inhibits the

synthesis of ergosterol (sterol), resulting in increased membrane

permeability and leakage of cellular components.

2. Azoles: itraconazole (Sporanox) - Adverse Effects: GI upset, Cardiac

suppression, Hepatic injury

3. Azoles: itraconazole (Sporanox) - Precautions: Hepatic dysfunction, Heart

failure

4. Azoles: itraconazole (Sporanox) - Interactions: PPIs, CYP3A4 inhibitors

5. Azoles: itraconazole (Sporanox) - Education: Take with food/cola

6. Azoles: itraconazole (Sporanox) - Labs: BMP, Coagulation, Serum Drug Levels

7. Echinocandins: caspofungin (Cancidas): Antifungal: aspergillus and candida

infections




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8. Echinocandins: caspofungin (Cancidas) - Mechanism of Action: Inhibits the

biosynthesis of beta-1,3-d-glucan, an essential fungal cell wall component.

9. Echinocandins: caspofungin (Cancidas) - Adverse Effects: Histamine-

mediated reactions, Injection site reactions

10. Echinocandins: caspofungin (Cancidas) - Precautions: Embryotoxic,

Hepatic impairment

11. Echinocandins: caspofungin (Cancidas) - Interactions: Drugs that induce

CYP450 enzymes, tacrolimus, cyclosporine

12. Echinocandins: caspofungin (Cancidas) - Education: IV administration

13. Echinocandins: caspofungin (Cancidas) - Labs: LFTs, Serum Drug Levels

14. Pyrimidines: flucytosine (Ancobon): Antifungal: Candida and C.

neoformans

15. Pyrimidines: flucytosine (Ancobon) - Mechanism of Action: Taken

up by fungal cells

and converted to the powerful antimetabolite 5-fluorouracil (5-FU). These

metabolites disrupt fungal DNA and RNA synthesis.




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16. Pyrimidines: flucytosine (Ancobon) - Adverse Effects: Hematologic effects,

Hepatotoxicity

17. Pyrimidines: flucytosine (Ancobon) - Precautions: Renal Impairment,

Hematologic disorders, Bone Marrow suppression

18. Pyrimidines: flucytosine (Ancobon) - Interactions: amphotericin b,

cisapride, pimozide, dofetilide, quinidine

26. Pyrimidines: flucytosine (Ancobon) - Dose: 50 - 150 mg/kg/day

administered in four divided doses at 6-hour intervals.

27. Pyrimidines: flucytosine (Ancobon) - Labs: BMP, CBC, LFTs, Serum Drug

Levels

28. Allylamines: terbinafine (Lamisil): Antifungal: tinea and onycho-mycosis

29. Allylamines: terbinafine (Lamisil) - Mechanism of Action: Inhibits

squalene epoxidase with resultant inhibition of ergosterol synthesis.

30. Allylamines: terbinafine (Lamisil) - Adverse Effects: GI upset, Skin

reactions, Altered taste, Hepatotoxicity

31. Allylamines: terbinafine (Lamisil) - Precautions: Hepatic disease




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