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Kaplan Qbank USMLE



Author5 Posts
  #1

A 19-year-old man with a genital herpes simplex virus (HSV-2) infection is treated with acyclovir but fails to respond to the drug. This therapy is stopped, and foscarnet treatment is begun. Within 1 week, the patient’s condition improves. The most likely explanation for the patient’s failure to respond to acyclovir was that the infecting HSV was a mutant strain that lacked

A. cytosine deaminase. B. DNA polymerase. C. reverse transcriptase. D. thymidine kinase. E. thymidylate synthase.

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  #2

D

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  #3

ditto

  #4

D

  #5

Acyclovir needs to be Phosphorylated 3 times in order to be activated. The first time it's done by the viral thymidine Kinase. The other 2 times it's done be host kinases.

So mutation in the viral thymidine kinase would prevent Acyclovir from being activated.

D!

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