Chemotherapy Drug: Oxaliplatin
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Questions and Answers

Which type of cancer shows a cure rate of 10%-90% due to clinical trials?

  • Colon cancer
  • Acute Lymphoblastic Leukemia (correct)
  • Breast cancer
  • Prostate cancer

What is the primary reason for the mortality drop by ~70% in Hodgkins lymphoma?

  • Cell cycle non-specific drugs
  • Screening
  • Targeted therapy
  • Cytotoxic chemotherapy (correct)

Which phase of the cell cycle is analogous to preparing for DNA replication?

  • G1 phase (correct)
  • G2 phase
  • M phase
  • S phase

What is the main feature of cytotoxic chemotherapy?

<p>Indiscriminate killing (C)</p> Signup and view all the answers

Which type of therapy is characterized by on-target and off-target toxicity?

<p>Targeted therapy (D)</p> Signup and view all the answers

What happens when the Rb gene is active during the cell cycle?

<p>It prevents the cell cycle from progressing (D)</p> Signup and view all the answers

Which gene inactivation is associated with an increased likelihood of developing cancer?

<p>TP53 (C)</p> Signup and view all the answers

What is the function of PTEN in the cell?

<p>Inhibits the PI3K/AKT/mTOR pathway (A)</p> Signup and view all the answers

Which hallmark of cancer involves resistance to programmed cell death?

<p>Resisting cell death (B)</p> Signup and view all the answers

Which protein binds to the messenger proteins that cause apoptosis and prevents them from carrying the message?

<p>Bcl-2 (A)</p> Signup and view all the answers

Which process involves the upregulation of the vascular endothelial growth factor (VEGF) in many cancer cells?

<p>Inducing angiogenesis (D)</p> Signup and view all the answers

What characteristic allows cancer cells to resist apoptosis and have a limitless number of copies made of themselves?

<p>Enabling replicative immortality (D)</p> Signup and view all the answers

Which hallmark characteristic may develop without mutational changes?

<p>Nonmutational epigenetic reprogramming (A)</p> Signup and view all the answers

What is the process that allows cancer cells to invade surrounding tissue and later invade far away tissues?

<p>Activating invasion &amp; metastasis (B)</p> Signup and view all the answers

Which process involves the inability to repair DNA and makes cancer cells more likely to develop and keep genetic mutations?

<p>Enabling replicative immortality (A)</p> Signup and view all the answers

Which chemotherapeutic agent causes peripheral neuropathy that is exacerbated by cold temperatures, including cold beverages?

<p>Oxaliplatin (A)</p> Signup and view all the answers

What is the chemoprotectant used to prevent ifosfamide-induced hemorrhagic cystitis?

<p>Mesna (B)</p> Signup and view all the answers

Which alkylating agent forms covalent bonds with DNA base pairs, leading to DNA cross-links and impairing DNA synthesis?

<p>Ifosfamide (D)</p> Signup and view all the answers

Which antimetabolite causes stronger inhibition of thymidylate synthetase when given with leucovorin?

<p>5-FU (B)</p> Signup and view all the answers

Which pyrimidine prodrug is converted to deoxyribonucleotide form and creates a highly electrophilic false substrate for thymidylate synthase?

<p>5-FU (D)</p> Signup and view all the answers

Which of the following is NOT a mechanism by which tumor cells can evade growth suppressors?

<p>DNA replication in the S phase (B)</p> Signup and view all the answers

Which compound forms a covalent bond on one side of the DNA helix and leads to cross-linking of DNA, impairing DNA synthesis?

<p>Melphalan (D)</p> Signup and view all the answers

Which alkylating agent is historically used for treating multiple myeloma and contains a substituent that improves cellular transport?

<p>Melphalan (C)</p> Signup and view all the answers

Which toxic metabolite, produced along with acrolein, is associated with neurotoxic and nephrotoxic effects in patients treated with ifosfamide?

<p>Chloroacetaldehyde (A)</p> Signup and view all the answers

Which alkylating agent is more stable to intramolecular attack due to the absence of a chlorine leaving group off the vulnerable nitrogen and can be administered orally?

<p>Lomustine (B)</p> Signup and view all the answers

What is the mechanism of action of cyclophosphamide and ifosfamide?

<p>Production of active metabolites affecting DNA (C)</p> Signup and view all the answers

What is the primary reason for encouraging patients receiving cyclophosphamide to drink 2-3L of fluids the day of an infusion?

<p>To promote excretion of toxic metabolites (D)</p> Signup and view all the answers

Which chemoprotectant is used to prevent ifosfamide-induced hemorrhagic cystitis?

<p>Mesna (D)</p> Signup and view all the answers

What is the mechanism of action of cisplatin in causing DNA damage and cell death?

<p>Formation of DNA adducts and cross-links (A)</p> Signup and view all the answers

What is the primary method for preventing cisplatin-induced nephrotoxicity?

<p>Saturating the environment with chlorine ions (B)</p> Signup and view all the answers

Which drug is a pro-drug of 5-fluorouracil and mimics infusional 5-FU?

<p>Capecitabine (Xeloda) (D)</p> Signup and view all the answers

Which enzyme is the rate limiting step in 5-FU metabolism and deficiency of it can lead to life-threatening toxicity?

<p>Dihydropyrimidine dehydrogenase (DPD) (B)</p> Signup and view all the answers

Which drug competes with FUTP for RNA incorporation and is used to rescue patients with dihydropyrimidine dehydrogenase (DPD) deficiency or accidental overdose?

<p>Uridine triacetate (Vistogard) (B)</p> Signup and view all the answers

Which antimetabolite inhibits DNA polymerase & ribonucleotide reductase and is associated with profound lymphopenia and opportunistic infections?

<p>Fludarabine (B)</p> Signup and view all the answers

Which purine antimetabolite requires testing for thiopurine methyltransferase (TPMT) deficiency before initiation and may require dose reduction in case of homozygous TPMT deficiency?

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

Which alkylating agent contains a substituent that improves cellular transport and has historically been used for treating multiple myeloma?

<p>Melphalan (C)</p> Signup and view all the answers

Which compound competes with 7,8-dihydrofolate for the dihydrofolate reductase (DHFR enzyme) and impairs DNA synthesis?

<p>Methotrexate (MTX) (A)</p> Signup and view all the answers

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