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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.
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1. Which of the following antiviral medications is effective against influenza B virus?
- Acyclovir
- Amantadine
- Famciclovir
- Oseltamivir
- 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?
- Antiviral medications can decrease complications of influenza
- Antiviral medications decrease the duration of influenza by 4 to 5 days
- Antiviral medications must be given within 24 hours of illness onset to be effective
- Rimantadine causes significantly fewer side effects than does amantadine
- 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?
- It can differentiate between influenza A and influenza B virus
- It costs approximately $5 per test
- It detects only influenza A virus
- It is moderately sensitive and highly specific
- 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?
- Amantadine
- Oseltamivir
- Rimantadine
- Valacyclovir
- 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?
- Amantadine is contraindicated in these patients because of neurologic side effects
- Rimantadine 100 mg should be given once daily, rather than the usual dosage of 100 mg twice daily
- The same dosage of oseltamivir should be given for influenza prophylaxis as for treatment of acute influenza
- Zanamivir is not effective for influenza prophylaxis in these patients
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Updated 1/04/08 kkj
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