RCSI CAN5: Anti-cancer Agents I Course Quiz

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Questions and Answers

Which stage of tumor growth is characterized by cells that are no longer capable of cell division?

  • Stage C (correct)
  • Stage D
  • Stage B
  • Stage A

Which class of cytotoxic drugs acts by interfering with the biosynthesis of DNA and RNA?

  • Alkylating agents
  • Antimetabolites (correct)
  • Cytotoxic antibiotics
  • Plant alkaloids/microtubule inhibitors

Which enzyme does Methotrexate (MTX) inhibit in the folate metabolism pathway?

  • Purine biosynthesis enzyme
  • Tetrahydrofolate (THF) synthase
  • Dihydrofolate reductase (DHFR) (correct)
  • Methylene-THF reductase

What is the primary mechanism of action of Folate Antagonists like Methotrexate (MTX)?

<p>Inhibiting folic acid metabolism (D)</p> Signup and view all the answers

Which cytotoxic drug class is structurally related to endogenous compounds in nucleic acid synthesis?

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

Which stage of tumor growth involves cells that are resting but capable of division?

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

What are the main classes of classical anticancer drugs described in the text?

<p>Antimetabolites, Alkylating agents, Cytotoxic antibiotics, Plant alkaloids/microtubule inhibitors (B)</p> Signup and view all the answers

What is the primary goal of ideal chemotherapy drugs according to the text?

<p>To target the malignant cells specifically and spare host cells (B)</p> Signup and view all the answers

What is the rationale for targeting the cell cycle/proliferation in classical chemotherapy?

<p>The cell cycle in cancer cells is often de-regulated (A)</p> Signup and view all the answers

Which approach to eliminating cancer involves the systemic or targeted use of drugs?

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

What is the key feature that makes ideal chemotherapy drugs different from classical cytotoxics?

<p>They spare normal, rapidly proliferating cells (B)</p> Signup and view all the answers

Why is chemotherapy increasingly used in combination with surgery or radiation?

<p>To target different aspects of cancer treatment simultaneously (D)</p> Signup and view all the answers

What is the mechanism of action of 5-Fluorouracil (5-FU) in exerting its anticancer effects?

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

Which enzyme is responsible for converting 5-Fluorouracil (5-FU) into its active metabolites?

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

What is the primary function of thymidylate synthase in DNA synthesis and repair?

<p>Convert deoxyuridine monophosphate (dUMP) into deoxythymidine monophosphate (dTMP) (D)</p> Signup and view all the answers

Which of the following is NOT a purine analogue used as a nucleic acid synthesis inhibitor?

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

What is the consequence of inhibiting thymidylate synthase in cells treated with 5-Fluorouracil (5-FU)?

<p>Impaired DNA synthesis and repair (B)</p> Signup and view all the answers

Why are purine and pyrimidine analogues used as nucleic acid synthesis inhibitors?

<p>To form false RNA or DNA that hinders replication (B)</p> Signup and view all the answers

How do Vinca alkaloids vincristine and vinblastine act to inhibit cell division?

<p>Prevent spindle formation during mitosis (C)</p> Signup and view all the answers

Which of the following represents a common cause of failed therapy when using cytotoxic drugs?

<p>Primary drug resistance during the initial treatment (C)</p> Signup and view all the answers

What is the role of Taxanes like Paclitaxel in interfering with cell division?

<p>Prevent spindle formation during metaphase (D)</p> Signup and view all the answers

How do resistant cells gain a selective advantage over sensitive cells during drug treatment?

<p>By increasing the target enzyme concentration (C)</p> Signup and view all the answers

Which is a mechanism of acquired drug resistance due to mutation in tumour cells?

<p>Increased utilization of alternative metabolic pathways (A)</p> Signup and view all the answers

In what way does Docetaxel interfere with mitosis to inhibit cell division?

<p>By increasing the concentration of a specific target enzyme (B)</p> Signup and view all the answers

Which class of cytotoxic drugs includes 5-fluorouracil (5-FU) and cytarabine (ara-C)?

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

What is the mechanism of action of methotrexate?

<p>Inhibition of thymidylate synthase (B)</p> Signup and view all the answers

Which drug is considered an alkylating-like agent?

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

Which class of cytotoxic drugs includes anthracyclines like doxorubicin?

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

What is the primary target of vinca alkaloids such as vincristine?

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

Which drug inhibits DNA synthesis by acting as a folate antagonist?

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

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