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Self-Assessment Questions

Internal Medicine

Prevention and Treatment of Influenza: Review Questions

Kenneth J. Smith, MD, FACP

Dr. Smith is an Assistant Professor of Medicine, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA; and a member of the Hospital Physician Editorial Board.


Choose the single best answer for each question.

1. Which of the following antiviral medications is effective against influenza B virus?
  1. Acyclovir
  2. Amantadine
  3. Famciclovir
  4. Oseltamivir
  5. Rimantadine
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2. Which of the following statements regarding the use of antiviral medications for the treatment of patients with influenza is true?

  1. Antiviral medications can decrease complications of influenza
  2. Antiviral medications decrease the duration of influenza by 4 to 5 days
  3. Antiviral medications must be given within 24 hours of illness onset to be effective
  4. Rimantadine causes significantly fewer side effects than does amantadine
  5. Zanamivir is less effective than is oseltamivir for treatment of patients with influenza
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3. Which of the following statements accurately describes recently released rapid influenza virus testing?

  1. It can differentiate between influenza A and influenza B virus
  2. It costs approximately $5 per test
  3. It detects only influenza A virus
  4. It is moderately sensitive and highly specific
  5. It should be performed in all patients suspected of having influenza
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  4. Which of the following antiviral medications is NOT recommended for patients with bronchospasm?
  1. Amantadine
  2. Oseltamivir
  3. Rimantadine
  4. Valacyclovir
  5. Zanamivir
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5. Which of the following statements is true regarding appropriate drug regimens for influenza treatment in elderly nursing home patients?

  1. Amantadine is contraindicated in these patients because of neurologic side effects
  2. Rimantadine 100 mg should be given once daily, rather than the usual dosage of 100 mg twice daily
  3. The same dosage of oseltamivir should be given for influenza prophylaxis as for treatment of acute influenza
  4. Zanamivir is not effective for influenza prophylaxis in these patients
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