5-Fluorouracil (5-FU) Pyrimidine Analog Mechanism and Clinical Applications
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Questions and Answers

How does 5-Fluorouracil interfere with cellular processes?

  • By promoting DNA synthesis
  • By enhancing thymidine production
  • By inhibiting the conversion of deoxyuridylic acid to thymidylic acid (correct)
  • By increasing the rate of cell division
  • What is the role of thymidine in cellular processes?

  • Acting as a precursor for DNA synthesis (correct)
  • Serving as a signaling molecule
  • Promoting cell division
  • Enhancing protein synthesis
  • In which type of tumors is 5-Fluorouracil primarily used for treatment?

  • Slow-growing solid tumors (correct)
  • Lung carcinomas
  • Blood cancers
  • Fast-growing solid tumors
  • What is the effect of topically applied 5-Fluorouracil on superficial basal cell carcinomas?

    <p>It is effective for treatment</p> Signup and view all the answers

    Why is the fluorine atom in 5-Fluorouracil significant?

    <p>It interferes with the conversion of deoxyuridylic acid to thymidylic acid</p> Signup and view all the answers

    Why is it important to keep the urine alkaline and the patient well hydrated when administering methotrexate?

    <p>To reduce the risk of renal toxicity due to 7-hydroxymethotrexate</p> Signup and view all the answers

    Which route of administration can be used for methotrexate besides the oral route?

    <p>Subcutaneous</p> Signup and view all the answers

    Why should pemetrexed and pralatrexate be given with folic acid and vitamin B12 supplements?

    <p>To reduce hematologic and GI toxicities</p> Signup and view all the answers

    What adverse effect is associated with pemetrexed that necessitates pretreatment with corticosteroids?

    <p>Ocular toxicity</p> Signup and view all the answers

    Which category do drugs like 6-mercaptopurine and fludarabine belong to?

    <p>Antimetabolites</p> Signup and view all the answers

    Why are some drugs in the purine analogs category used as immunosuppressants and antivirals instead of for cancer chemotherapy?

    <p>As they have immunosuppressive and antiviral actions</p> Signup and view all the answers

    Which chemotherapeutic agent is a pyrimidine analog with a stable fluorine atom at position 5 of the uracil ring?

    <p>Capecitabine</p> Signup and view all the answers

    What is the primary mechanism of action of 6-Mercaptopurine (6-MP) in the treatment of neoplastic diseases?

    <p>Inhibiting purine nucleotide synthesis</p> Signup and view all the answers

    Which enzyme initially phosphorylates Fludarabine to its active form in cells?

    <p>Deoxycytidine kinase</p> Signup and view all the answers

    What is the main target of thymidine inhibitors among chemotherapeutic agents?

    <p>Pyrimidine nucleotide synthesis</p> Signup and view all the answers

    Why is Fludarabine administered intravenously rather than orally?

    <p>To avoid toxic metabolite formation in the intestine</p> Signup and view all the answers

    Which chemotherapeutic agent is used in the maintenance of remission in acute lymphoblastic leukemia?

    <p>6-Mercaptopurine (6-MP)</p> Signup and view all the answers

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