Treatment of Cancer Flashcards

(35 cards)

1
Q

Cure rates for mastectomy and lumpectomy in breast cancer

A

mastectomy equals lumpectomy plus radiation

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2
Q

Common debilitating complication of axillary nodal dissection

A

lymphedema of the arm

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3
Q

Location of pancreatic cancer that is more difficult to resect and produces symptoms earlier in the course of the disease

A

mass in the head of the pancreas.

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4
Q

Treatment for ovarian carcinoma that improves response to chemo

A

Debulking surgical intervention

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5
Q

Oncologic emergency of the spinal cord

A

any mass on spinal cord. can lead to paralysis within hours. needs emergent decompressive surgery

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6
Q

Important step in evaluating a patient with polycthemia vera

A

ultrasound to look for renal carcincoma

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7
Q

Surgical treatment for bladder cancer

A

radical cystectomy

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8
Q

treatment modality that delivers energy to kill malignant cells in the area specifically targeted

A

radiation therapy

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9
Q

Used for preparatory therapy prior to bone marrow transplant

A

total body irradiation

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10
Q

type of cells most affected by radiation

A

cells with rapid turnover

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11
Q

Limitation of chemo

A

toxicity to normal tissue

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12
Q

treatment given before definitive surgery to shrink mass and allow for less invasive surgical intervention

A

neoadjuvant therapy

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13
Q

What do the following have in common: alkylating agents, antimetabolites, antibiotics, antimitotics, topoisomerase inhibitors?

A

they are all cytotoxic chemotherapy agents

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14
Q

chemo agent class that bridge the strands of DNA and prevent DNA division

A

alkylating agents

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15
Q

Chemo agent that can cause renal tubular damage (kidney failure) and hearling loss

A

Cisplatin

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16
Q

Chemo agent class whose molecules are chemically similar to cellular building blocks. Substitute parts of DNA or RNA

A

antimetabolites

17
Q

Increased toxicity if ascites or pleural effusion present. Also interacts with proton pump inhibitors

18
Q

Antitumor antibiotic that turns urine ruby red and causes cardiac toxicity

19
Q

Class of chemo agents that impair mitosis by inhibiting microtubule formation

A

antimitotic agents

20
Q

Type of therapy that activates the immune system to fight cancer cells and can cause fluid retention/pleural effusion

A

immunetherapies

21
Q

Biologic response modifier. Is an anti-CD20 antibody. Can cause cardiac toxicity, reactivates hepatitis. Used primarily for lymphoma and CLL

22
Q

protein present on 90% of B-cell NHL

23
Q

Rare deadly side effect of rituximab

A

Progressive multifocal leukoecephelopathy

24
Q

VEGF-blocking humanized monoclonal antibody that has revolutionized treatment of colon cancer. Side effects includes impaired healing, bleeding, thrombosis

25
Development of what class of agents has markedly improved the clinical course of CML
TKIs (Tyrosine Kinase Inhibitors)
26
Used for metastatic Her2 positive breast cancer and metastatic gastric and gastroesophageal cancer
Herceptin
27
Cancer that responds to immune modulation
melanoma
28
Immune modulator that can cause full endocrine failure (hypopituitarism, hypoadrenalism, hypothyroidism).
Ipilimumab
29
Immune modulator that can cause photosensitivity, rash, and hyperglycemia
BRAF inhibitors
30
Group of patients who gain weight during treatment
breast cancer patients
31
Benefit of second generation (palonosetron) 5-HT3 receptor agonist over 1st generation (ondansantron)
second generation have longer half lives (40 hrs) and no documented QT prolongation
32
Medication that is good for anticipatory nausea
Lorazepam
33
Drugs that help increase appetite or weight gain in cancer patients
megace or corticosteroids
34
Complications of intrathecal methorexate
aseptic meningitis, transverse myelopathy, Leukoencephalopathy
35
Quantification of neutropenia
absolute neutrophril count <500