Bladder Cancer and Hemorrhagic Cystitis Quiz

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18 Questions

Which phase of the cell cycle are most antimetabolites targeted at?

S phase

How do antimetabolites mainly interfere with DNA and RNA synthesis?

Acting as false metabolites

Which enzyme do antimetabolites like Methotrexate inhibit?

Thymidylate synthetase

What is the main mechanism of action for antimetabolites acting as Folic Acid analogues?

Acting as a substitute for folate in DNA synthesis

Which of the following is NOT an antimetabolite?

Cyclophosphamide

What is the primary target of antimetabolites like 5-Fluorouracil?

$DNA replication$

How do antimetabolites prevent cancer cells from dividing and spreading?

By inhibiting DNA replication

What is the specific target of antimetabolites in cancer cells?

DNA and RNA synthesis

Which of the following mechanisms do antimetabolites primarily disrupt in cancer cells?

Nucleic acid metabolism

What is the role of antimetabolites in preventing DNA replication in cancer cells?

Acting as structural analogs in DNA synthesis

How do antimetabolites affect the ability of cancer cells to divide?

Inhibiting mitotic spindle formation

Which cellular process is primarily disrupted by antimetabolites to inhibit cancer cell proliferation?

Nucleotide synthesis

Which adverse effect is associated with Methotrexate?

Neutropenia

What is the mechanism of resistance to Methotrexate?

Production of altered forms of DHFR that decrease MTX affinity

Which drug is an analog of THF used as a rescue therapy for high-dose intrathecally administered MTX?

Leucovorin

What is the main adverse effect associated with Doxorubicin?

Myelosuppression

How does Doxorubicin cause cell death?

Induces DNA topoisomerase activity

What resistance mechanism is associated with Doxorubicin?

Chromosomal abnormalities consistent with gene amplification

Test your knowledge on bladder cancer, hemorrhagic cystitis, and key concepts related to platinum-containing agents such as Cisplatin. Explore topics like MESNA, resistance mechanisms, and the broad clinical spectrum of these conditions.

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