ABSITE - oncology Flashcards

(60 cards)

1
Q

mechanism of cisplatin

A
cell-cycle non-specific
alkylate DNA (covalent bond)
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2
Q

mechanism of carboplatin

A
cell-cycle non-specific
alkylate DNA (covalent bond)
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3
Q

mechanism of oxaliplatin

A
cell-cycle non-specific
alkylate DNA (covalent bond)
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4
Q

mechanism of cyclophosphamide

A

cell-cycle non-specific
alkylate DNA (covalent bond)
acrolein is active metabolite

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5
Q

mechanism of busulfan

A
cell-cycle non-specific
alkylate DNA (covalent bond)
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6
Q

mechanism of bleomycin

A
cell-cycle non-specific
alkylate DNA (covalent bond)
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7
Q

mechanism of streptozocin

A

cell-cycle non-specific
alkylate DNA (covalent bond)
glucose mimic to islet cells -> kills islet cells

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8
Q

mechanism of methotrexate

A

S-phase specific

inhibits dihydrofolate reductase -> inhibits purine/DNA synthesis

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9
Q

mechanism of 5-fluorouracil

A

S-phase specific

inhibits thymidylate synthase -> inhibits purine/DNA synthesis

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10
Q

mechanism of etoposide

A

S-phase specific

inhibits topoisomerase

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11
Q

mechanism of doxorubicin (Adriamycin)

A

S-phase specific

DNA intercalator

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12
Q

mechanism of alkaloids (vincristine, vinblastine)

A

M-phase specific

inhibits microtubules

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13
Q

mechanism of taxanes (docetaxel, paclitaxel)

A

M-phase specific

promote irreversible microtubule formation/stabilization

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14
Q

mechanism of irinotecan

A

S-phase specific

inhibits topoisomerase

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15
Q

mechanism of gemcitabine

A

S-phase specific

nucleoside analog

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16
Q

mechanism of anastrozole

A

aromatase inhibitor

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17
Q

mechanism of leuprolide

A

GnRH analog

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18
Q

mechanism of flutamide

A

anti-androgen

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19
Q

mechanism of trastuzumab (Herceptin)

A

monoclonal antibody

blocks HER/neu receptor

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20
Q

mechanism of bevacizumab (Avastin)

A

monoclonal antibody
blocks VEGF receptor
inhibits angiogenesis

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21
Q

mechanism of imatinib (Gleevec)

A

receptor tyrosine kinase inhibitor

binds c-kit (stem cell growth factor receptor)

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22
Q

mechanism of cetuximab (Erbitux)

A

monoclonal antibody

blocks EGF receptor

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23
Q

adverse effects of cisplatin

A
nephrotoxicity
neurotoxicity
ototoxicity
hypocalcemia/hypomagnesemia
severe peripheral neuropathy
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24
Q

adverse effects of carboplatin

A
(bone-)myelosuppression
nephrotoxicity
neurotoxicity
ototoxicity
hypocalcemia/hypomagnesemia
peripheral neuropathy
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25
adverse effects of oxaliplatin
``` cold sensitivity nephrotoxicity neurotoxicity ototoxicity hypocalcemia/hypomagnesemia peripheral neuropathy ```
26
adverse effects of busulfan
pulmonary fibrosis
27
adverse effects of bleomycin
pulmonary fibrosis
28
adverse effects of doxorubicin
heart failure cardiomyopathy hepatotoxicity
29
adverse effects of cyclophosphamide
``` severe pancytopenia pulmonary fibrosis second malignancy hemorrhagic cystitis gonadal dysfunction SIADH ```
30
adverse effects of methotrexate
``` oral ulceration diarrhea Stevens-Johnson hepatitis encephalopathy nephrotoxicity ```
31
mechanism of capecitabine
S-phase specific | converts to 5-fluorouracil in tumor
32
adverse effects of 5-fluorouracil
``` oral ulceration diarrhea Stevens-Johnson hepatitis encephalopathy nephrotoxicity ```
33
adverse effects of vincristine
peripheral neuropathy neurotoxic paralytic ileus
34
adverse effects of vinblastine
(bone-)myelosuppression | paralytic ileus
35
adverse effects of taxanes (docetaxel, paclitaxel)
``` pancytopenia cardiotoxicity when used with adriamycin peripheral neuropathy allergic reactions peripheral edema ```
36
adverse effects of tamoxifen
DVT | endometrial CA
37
adverse effects of anastrozole
fractures
38
adverse effects of bevacizumab (Avastin)
bowel perforation | inhibit wound healing
39
adverse effects of imatinib (Gleevec)
CHF
40
clinical use of doxorubicin
breast CA | sarcoma
41
clinical use of cyclophosphamide
lymphoma sarcoma non-GI adenocarcinoma
42
clinical use of cisplatin
lung CA squamous cell Ca ovarian CA germ cell tumors
43
clinical use of carboplatin
lung CA squamous cell Ca ovarian CA germ cell tumors
44
clinical use of oxaliplatin
colon CA
45
clinical use of taxanes (docetaxel, paclitaxel)
breast CA ovarian CA lung CA
46
clinical use of tamoxifen
pre-menopausal prevention of breast CA | treatment of pre-menopausal receptor-positive or unknown status breast CA
47
clinical use of raloxifene
post-menopausal prevention of breast CA
48
clinical use of anastrozole
treatment of post-menopausal receptor-positive or unknown status breast CA
49
clinical use of leuprolide
hormone-sensitive prostate CA
50
clinical use of flutamide
prostate CA
51
clinical use of bevacizumab (Avastin)
metastatic colorectal CA | metastatic non-small cell lung CA
52
clinical use of imatinib (Gleevec)
malignant GIST tumors
53
clinical use of IL-2
metastatic melanoma | metastatic renal cell CA
54
clinical use of mitotane
unresectable/metastatic adrenocortical CA
55
clinical use of octreotide
pancreatic islet cell tumors | carcinoid syndrome
56
clinical use of cetuximab (Erbitux)
colorectal CA | head/neck CA
57
radio-resistant tumors
epithelial | sarcoma
58
radio-sensitive tumors
seminoma | lymphoma
59
mechanism of cytarabine
S-phase specific antimetabolite interferes with DNA/RNA polymerase
60
adverse effect of cytarabine
neutropenic enterocolitis