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Pharm 2 Test 2
Cancer Flashcards
47
Pharmacology
Graduate
03/07/2011

Additional Pharmacology Flashcards

 


 

Cards

Term
drug used to treat acute lymphoblastic leukemia that blocks DNA and RNA synthesis, and causes oxygen radicals which can damage cardiac tissue when given at high doses. You will carefully monitor to avoid cardiac toxicity.
Definition
Anthracyclines (doxorubicin, daunorubicin, idarubicin)
Term
agent used to treat solid tumors and hematologic malignancies
Definition
doxorubicin
Term
agent used to treat acute leukemia and neuroblastoma
Definition
daunorubicin
Term
agent used to treat acute myeloid leukemia
Definition
idarubicin
Term
2 yo boy with Wilms' tumor, one drug used in treatment will inhibit RNA synthesis and can cause bone marrow suppression, platelets and leukocytes will be monitored closely.
Definition
dactinomycin
Term
SE of dactinomycin
Definition
"radiation recall" = skin abnormalities at sites that have previously received radiation.
Term
agent used to treat testicular cancers and Paget disease of the bone
Definition
Plicamycin
Term
agent used to treat hypoxic tumor cells in certain solid malignancies
Definition
mitomycin
Term
pt with testicular cancer persents with SOB, you suspect pulmonary fibrosis secondary to a treatment med...
Definition
bleomycin
Term
in what two medication is myelosuppression rare?
Definition
bleomycin, vincristine
Term
agent used to treat CML and polycythemia vera
Definition
busulfan
Term
pt with breast cancer currently under treatment presents with copious blood and RBCs on UA. You wonder if the sypmtoms are related to her chemotherapeutic regimen
Definition
cyclophosphamide
Term
SE of cyclophosphamide
Definition
hemorrhagic cystitis, bone marrow suppression
Term
chemotherapy agents that act to cross-link DNA strands and thereby inhibit DNA synthesis.
Definition
nitrosoureas
Term
what drugs are included in the nitrosoureas
Definition
carmustine, lomustine, semustine, streptozocin
Term
agent used to treat brain tumors
Definition
nitrosoureas
Term
agent used to treat insulinomas
Definition
streptozocin
Term
unique characteristic of nitrosoureas
Definition
highly lipid soluble and cross the BBB, thus they are useful in treating CNS malignancies.
Term
Pt with bladder cancer presents with gross sensorinueral hearing loss bilaterally
Definition
cisplatin
Term
SE of cisplatin
Definition
nephrotoxicity, ototoxicity
Term
agent used treat genitourinary tumors
Definition
cisplatin
Term
medication used for RA that inhibits dihydrofolate reductase and will thereby decreas her body's supply of the active form of folic acid
Definition
methotrexate
Term
SE of methotrexate
Definition
teratogen, pulmonary toxicity
Term
what is often given with methotrexate to minimize bone marrow suppression
Definition
leucovorin
Term
medication whose dosage must be reduced when used in combination with allopurinol
Definition
6 - mercaptopurine
Term
drug works by inhibiting purine synthesis
Definition
6 - mercaptopurine
Term
pt being treated for colon cancer, noticed increased sensitivity of his eyes to light and painful ulcers on his lips and in his mouth.
Definition
5 - flourouracil
Term
agent used to treat a variety of adenocarcinoma
Definition
5 - flourouracil
Term
Pt on follow up for AML, cell cycle specific agent that competitively inhibits DNA polymerase and produces pancytopenia.
Definition
Cytarabine
Term
SE of cytarabine
Definition
pancytopenia
Term
Pt on follow up of small cell carcinoma of the lung. Pt is loosing her hair and is increasingly nauseous. Her med inhibiting DNA topoisomerase II
Definition
Etoposide
Term
Pt with Hodgkin Lymphoma currently receiving treatment. Pt has an unsteady gait, hyporeflexia, and right foot drop. Platelets, WBC's and RBC's are normal.
Definition
Vincristine, Vinblastine
Term
agent used to treat testicular cancer and lymphoma
Definition
vinblastine
Term
agent used to treat ALL and lymphomas
Definition
vincristine
Term
SE of vincristine
Definition
peripheral neuropathy
Term
medication for breast cancer that acts by interfering with the ability of the mitotic spindle to break down
Definition
Paclitaxel
Term
what is a unique indication for paclitaxel?
Definition
coat coronary artery stents
Term
Pt was on alendronate, she developed ulcers, you want to switch her to a new medication to treat her osteoperosis that acts as a mixed estrogen agonist and antagonist.
Definition
Tamoxifen
Term
SE of tamoxifen
Definition
increased risk of endometrial cancer and thromboembolism, hot flashes.
Term
Se of raloxifene
Definition
does NOT increase the patient's risk for endometrial cancer, but still increases the risk for thromboembolism
Term
Pt has CML presents with blood counts on the low end of normal and asks how his chemotherapy drug works, you tell him it acts by inhibiting ribonucleotide reductase, an enzyme involved in making deoxyribonucleotides, the bluiding blocks for DNA.
Definition
Hydroxyurea
Term
What is a unique indication for hydroxyurea?
Definition
sickle cell disease
Term
what is the unique indication for pentostatin?
Definition
hairy cell leukemia
Term
chemotherapy agent that targets HER-2/neu receptors within cancer cells.
Definition
Trastuzumab
Term
SE of trastuzumab
Definition
cardaic toxicity
Term
Pt with CML being treated with alpha-interferon and cytarabine with no improvement. You want to try a new first line treatment that acts by inhibiting tyrosine kinaswe on a mutated gene product, bcr-able associated with his disease.
Definition
Imatinib
Term
cinical use for imatinib (2)
Definition
CML, GISTs
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