Cancer Chemotherapy
40 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the purpose of adjuvant chemotherapy?

  • To maintain remission in cancer patients
  • To attack micro metastases after surgery or radiation (correct)
  • To provide supplemental treatment during radiation therapy
  • To shrink the cancer prior to surgery

What is a common resistance mechanism developed by tumor cells against chemotherapy drugs?

  • Increased activation of the drug
  • Enhanced drug uptake
  • Reduced target enzyme concentration
  • Decreased accumulation of drug (correct)

How is drug dosage usually calculated for chemotherapy treatment?

  • On the basis of body surface area (correct)
  • By patient's age
  • According to the patient's weight
  • Based on the type of cancer

Which process contributes to the toxicity of chemotherapy in normal rapidly dividing cells?

<p>Chemotherapy-induced cell cycle arrest (D)</p> Signup and view all the answers

What type of kinetics is followed in the destruction of cancer cells by chemotherapeutic agents?

<p>First-order kinetics (C)</p> Signup and view all the answers

How does resistance to chemotherapy commonly develop?

<p>Long-term, continuous use (B)</p> Signup and view all the answers

Why is combination chemotherapy more successful than single-drug treatment?

<p>It targets different molecular sites and mechanisms of action simultaneously (A)</p> Signup and view all the answers

What is a characteristic of most chemotherapeutic agents' therapeutic index?

<p>Narrow therapeutic index (C)</p> Signup and view all the answers

Which of the following is an adverse effect commonly associated with chemotherapy?

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

When are agents with similar dose-limiting toxicities combined safely during chemotherapy treatment?

<p>By reducing the doses of each agent (A)</p> Signup and view all the answers

In which cells does chemotherapy toxicity often manifest due to their rapid proliferation?

<p>Bone marrow cells (B)</p> Signup and view all the answers

In which type of cancers is neo-adjuvant chemotherapy typically given?

<p>Breast and colorectal cancers (D)</p> Signup and view all the answers

What is the primary mechanism of action of methotrexate (MTX) in cancer chemotherapy?

<p>Acts as an antagonist of folic acid by inhibiting dihydrofolate reductase (DHFR) (D)</p> Signup and view all the answers

What is the enzyme that converts folic acid to its active, coenzyme form, tetrahydrofolic acid (FH4)?

<p>Dihydrofolate reductase (DHFR) (B)</p> Signup and view all the answers

Apart from inhibiting DHFR, what other enzyme does pemetrexed inhibit?

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

Which drug is primarily utilized in non-small cell lung cancer?

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

What is the role of leucovorin in relation to MTX inhibition?

<p>Replenishes THF pool and bypasses MTX inhibition sites (B)</p> Signup and view all the answers

Which type of lymphoma is pralatrexate primarily used to treat?

<p>T-cell lymphoma (C)</p> Signup and view all the answers

What is the mechanism of action of 5-FU in inhibiting DNA synthesis?

<p>Competing with thymidylate synthase (B)</p> Signup and view all the answers

How does 5-FU produce its anticancer effect?

<p>Acting during the S phase of the cell cycle (C)</p> Signup and view all the answers

What is the main reason behind administering 5-FU intravenously?

<p>Avoiding severe gastrointestinal toxicity (D)</p> Signup and view all the answers

Which enzyme's elevated levels can lead to increased 5-FU catabolism?

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

What can be a severe side effect in patients with DPD deficiency upon 5-FU administration?

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

How is 5-FU eventually removed from the body following metabolism?

<p>Converted to fluoro-β-alanine and excreted in urine (B)</p> Signup and view all the answers

What is the mechanism of action of Ara-CTP?

<p>Inhibits DNA polymerase and terminates chain elongation (D)</p> Signup and view all the answers

Why is Cytarabine not effective when given orally?

<p>It undergoes deamination to a noncytotoxic metabolite by cytidine deaminase (B)</p> Signup and view all the answers

What is the main mechanism of action of Azacitidine?

<p>Activation to azacitidine triphosphate and inhibition of RNA processing (D)</p> Signup and view all the answers

Which cancer type is Gemcitabine commonly used for?

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

What is the fate of both cytarabine and ara-U in the body after metabolism?

<p>Excretion in urine (C)</p> Signup and view all the answers

Why is Ara-CTP considered S-phase specific in its action?

<p>It inhibits DNA polymerase and terminates chain elongation (D)</p> Signup and view all the answers

What enzyme catalyzes the hydrolysis of capecitabine to 5-FU?

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

Which enzyme is primarily inhibited by 5-FU, and subsequently by capecitabine?

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

Which enzyme is responsible for the sequential phosphorylation of cytarabine in cells?

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

Which cancer type is Gemcitabine primarily used for?

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

What is the major clinical use of cytarabine?

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

What is the nucleotide form of cytarabine that exerts cytotoxic effects?

<p>Cytosine arabinoside triphosphate (A)</p> Signup and view all the answers

Which enzyme is concentrated primarily in tumors and catalyzes the final step in converting capecitabine to 5-FU?

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

What is the mechanism of action for cytarabine in treating acute nonlymphocytic leukemia?

<p>Sequential phosphorylation by deoxycytidine kinase (C)</p> Signup and view all the answers

Which enzyme is NOT directly involved in the enzymatic reactions converting capecitabine to 5-FU?

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

What is the cytotoxic form of cytarabine needed to exert its pharmacological effects?

<p>Cytosine arabinoside triphosphate (C)</p> Signup and view all the answers

More Like This

Drug Regimens for Cancer Treatment
18 questions
Breast Cancer Chemotherapy Regimens
40 questions
Chemotherapy Treatment Options and History
5 questions
Use Quizgecko on...
Browser
Browser