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Pharmacology · Antivirals: influenza drugs
Sample itemA healthy adult presents on day 1 of influenza with a high fever. Which agent, a neuraminidase inhibitor, is best started within 48 hours of onset?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Oseltamivir
Oseltamivir blocks viral neuraminidase and prevents release of virions, and it works best if started within 48 hours. Baloxavir is a different drug that inhibits cap-dependent endonuclease. Amantadine is not used because of resistance.
Option by option
A. Amantadine
Amantadine has widespread resistance.
B. Oseltamivir (correct)
Correct. Oseltamivir is the neuraminidase inhibitor.
C. Baloxavir marboxil, as a neuraminidase inhibitor
Baloxavir inhibits cap-dependent endonuclease, not neuraminidase.
D. Ribavirin
Ribavirin is not standard for influenza.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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