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Pharmacology · Immunopharmacology
Sample itemWhat is the principal risk of TNF-alpha inhibitor therapy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Reactivation of latent tuberculosis
TNF-alpha is important for granuloma maintenance, so its inhibition can allow latent tuberculosis and other opportunistic infections to reactivate.
Option by option
A. Immediate bone mineralization
Bone mineralization is unrelated.
B. Prevention of all infections
Immunosuppression increases rather than prevents infection.
C. Reactivation of latent tuberculosis (correct)
Correct: impaired granuloma containment can reactivate TB.
D. Reversal of viral hepatitis
Viral hepatitis is not reversed by TNF blockade.
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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