Pharmacology Anti-Cancer Lec 11 Quiz
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Questions and Answers

How do anthracyclines induce cytotoxicity?

  • By inducing DNA strand scission (correct)
  • By enhancing blood-brain barrier penetration
  • By promoting biliary excretion
  • By increasing plasma protein levels

Why must anthracycline antibiotics be administered intravenously?

  • To reduce plasma protein binding
  • To minimize tissue necrosis
  • Because they are inactivated in the GI tract (correct)
  • To enhance biliary excretion

Which major route of elimination is followed by anthracycline antibiotics?

  • Biliary excretion (correct)
  • Renal excretion
  • Fecal excretion
  • Pulmonary excretion

What issue can extravasation of anthracycline antibiotics lead to?

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

Which organs do anthracycline antibiotics not penetrate?

<p>Blood-brain barrier and testes (B)</p> Signup and view all the answers

Which anthracycline antibiotic is associated with more serious dose-dependent cardiotoxicity?

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

Which type of cancer is bleomycin primarily used in the treatment of?

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

What is the most serious adverse effect associated with bleomycin?

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

What is the mechanism of action of bleomycin on DNA?

<p>Inducing oxidative process leading to strand breakage (D)</p> Signup and view all the answers

How does dexrazoxane protect against the cardiotoxicity of doxorubicin?

<p>By acting as an iron chelator (D)</p> Signup and view all the answers

Where is the bleomycin-inactivating enzyme high, leading to potential toxicity?

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

What happens when a DNA–bleomycin–Fe2+ complex undergoes oxidation?

<p>Formation of bleomycin–Fe3+ (D)</p> Signup and view all the answers

What is the primary mechanism of action of antitumor antibiotics like anthracyclines?

<p>Inhibition of topoisomerases (D)</p> Signup and view all the answers

Which of the following is NOT classified as an anthracycline antibiotic?

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

In contrast to other antitumor antibiotics, which anthracycline antibiotic is cell cycle specific?

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

Which type of cancer is Doxorubicin commonly used to treat?

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

Apart from intercalation with DNA, which other mechanism contributes to the cytotoxic effect of antitumor antibiotics?

<p>Inhibition of microtubule assembly (C)</p> Signup and view all the answers

Which anthracycline antibiotic is the hydroxylated analog of Daunorubicin?

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

What is the mechanism of action of Vinca alkaloids in anti-cancer pharmacology?

<p>Freezing the spindle apparatus in metaphase (C)</p> Signup and view all the answers

Which adverse effects are more common with VBL compared to VX in anti-cancer pharmacology?

<p>Peripheral neuropathy and constipation (C)</p> Signup and view all the answers

How are Vinca alkaloids metabolized and eliminated in the body?

<p>Metabolized in the liver via CYP450 pathway and eliminated in bile and feces (C)</p> Signup and view all the answers

What can result from IV injection of anti-cancer agents according to the text?

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

Why is it crucial not to administer Vinca alkaloids intrathecally?

<p>Risk of central nervous system toxicity (C)</p> Signup and view all the answers

What distinguishes docetaxel from paclitaxel in anti-cancer pharmacology?

<p>Presence of a side chain substitution (A)</p> Signup and view all the answers

What is the mechanism of action of paclitaxel and docetaxel in treating cancer?

<p>Promote polymerization and stabilization of microtubules (B)</p> Signup and view all the answers

Which phase of the cell cycle are paclitaxel and docetaxel active in?

<p>G2/M (C)</p> Signup and view all the answers

How are paclitaxel and docetaxel metabolized in the body?

<p>Metabolized by the CYP450 system (C)</p> Signup and view all the answers

What is the common adverse effect associated with paclitaxel and docetaxel?

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

How should patients be premedicated before receiving paclitaxel to prevent hypersensitivity reactions?

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

What are the dose-limiting toxicities of paclitaxel and docetaxel?

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

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