| Term 
 
        | Antimetabolites act during the ___ phase |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Podophyllotoxins act during which cell cycle phases? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Bleomycin acts during the ____ phase |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Vinca alkaloids act during the __ phase |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which drugs act during the S phase? |  | Definition 
 
        | antimetabolites and podophyllotoxins |  | 
        |  | 
        
        | Term 
 
        | which drugs act during the G2 phase? |  | Definition 
 
        | podophyllotoxins and bleomycin |  | 
        |  | 
        
        | Term 
 
        | which drug acts only during G2? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | which drugs act during M phase? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Increased DNA repair can be responsible for resistance, especially for which drugs? |  | Definition 
 
        | alkylating agents and cisplatin |  | 
        |  | 
        
        | Term 
 
        | alkylating agents and cisplatin -- method of resistance? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Formation of thiol trapping agents - resistance to which drugs? |  | Definition 
 
        | bleomycin, cisplatin, anthracyclines |  | 
        |  | 
        
        | Term 
 
        | bleomycin, cisplatin, anthracyclines -- resistance mechanism? |  | Definition 
 
        | formation of thiol trapping agents |  | 
        |  | 
        
        | Term 
 
        | changes in dihydrofolate reductase and increased synthesis of the enzyme are methods of resistance to which drug? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | method of resistance to methotrexate? |  | Definition 
 
        | increased synthesis of or change in dihydrofolate reducatase |  | 
        |  | 
        
        | Term 
 
        | resistance to purine and pyrimidine antimetabolites can result from... |  | Definition 
 
        | decrease in activity of enzymes needed to convert them to cytotoxic metabolites |  | 
        |  | 
        
        | Term 
 
        | Decreasing the activity of enzymes needed to convert prodrugs to active cytotoxic metabolites is a method of resistance against which drugs? |  | Definition 
 
        | purine and pyrimidine antimetabolites |  | 
        |  | 
        
        | Term 
 
        | increased activity of enzymes capable of inactivating cancer drugs is a method of resistance to most of the... |  | Definition 
 
        | purine and pyrimidine antimetabolites |  | 
        |  | 
        
        | Term 
 
        | How do cancer cells produce an accelerated efflux of many drugs? |  | Definition 
 
        | increased expression of a normal gene (MDR1) for a cell surface glycoprotein |  | 
        |  | 
        
        | Term 
 
        | increased expression of a normal gene (MDR1) for a cell surface glycoprotein results in... |  | Definition 
 
        | accelerated efflux of many drugs |  | 
        |  | 
        
        | Term 
 
        | the alkylating agents include which broad groups? |  | Definition 
 
        | nitrogen mustards, nitrosoureas, alkylsulfonates |  | 
        |  | 
        
        | Term 
 
        | nitrogen mustards, nitrosoureas, alkylsulfonates - what type of drugs are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which drugs act in PART as alkylating agents? |  | Definition 
 
        | cisplatin, dacarbazine, procarbazine |  | 
        |  | 
        
        | Term 
 
        | cisplatin, dacarbazine, procarbazine - these act in PART as ... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | name the nitrogen mustards |  | Definition 
 
        | chlorambucil, cyclophosphamide, mechlorethamine |  | 
        |  | 
        
        | Term 
 
        | chlorambucil, cyclophosphamide, mechlorethamine - what are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | carmustine, lomustine - what are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Are the alkylating agents CCS or CCNS? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Alkylating agents act on nucleophilic groups on DNA bases, particularly... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which drugs act on N-7 of guanine and other nucleophilic groups on DNA bases? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What does alkylating bases do? |  | Definition 
 
        | leads to cross-linking, abn base-pairing, DNA strand breakage |  | 
        |  | 
        
        | Term 
 
        | What enzyme is needed for antitumor activity of cyclophosphamide? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | p450 enzymes are needed for antitumor activity of... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | one of the breakdown products of the biotransformation of cyclophosphamide is... |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | a breakdown product of the biotransformation of cyclophosphamide |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | GI distress, myelosuppression, alopecia, hemorrhagic cystitis (acrolein), cardiac dysfunct, pulm tox, SIADH |  | 
        |  | 
        
        | Term 
 
        | What can be used to decrease hemorrhagic cystitis from cyclophosphamide? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | decreasing hemorrhagic cystitis from cyclophosphamide |  | 
        |  | 
        
        | Term 
 
        | Name the drug - Tox: GI distress, myelosuppression, alopecia, hemorrhagic cystitis (acrolein), cardiac dysfunct, pulm tox, SIADH |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | spontaneously converts to cytotoxic product |  | 
        |  | 
        
        | Term 
 
        | which drug spontaneously converts to cytotoxic product? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | mechlorethamine - used for what? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | which drug is best known for use in Hodgkin's lymphoma? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | GI distress, myelosuppression, alopecia, sterility. Marked vesicant actions. |  | 
        |  | 
        
        | Term 
 
        | Name the drug - Tox: GI distress, myelosuppression, alopecia, sterility. Marked vesicant actions. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | cisplatin, carboplatin, oxaliplatin are what? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Cisplatin is used IV, distributes to most tissues and is cleared... |  | Definition 
 
        | in unchanged form by kidney |  | 
        |  | 
        
        | Term 
 
        | what is oxaliplatin used for? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | GI, mild hematotoxicity, neurotoxic, nephrotoxic (can be reduced with mannitol and forced hydration). |  | 
        |  | 
        
        | Term 
 
        | Name the drug - Tox: GI, mild hematotoxicity, neurotoxic, nephrotoxic (can be reduced with mannitol and forced hydration). |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | How does toxicity of carboplatin compare to cisplatin? |  | Definition 
 
        | less nephrotoxic, less likely to cause tinnitus and hearing loss, more likely to cause myelosuppression |  | 
        |  | 
        
        | Term 
 
        | Compares to cisplatin, which drug is less nephrotoxic, less likely to cause tinnitus and hearing loss, but more likely to cause myelosuppression? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Oxaliplatin causes dose-limiting... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | which platinum analog causes dose-limiting neurotoxicity? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | forms hydrogen peroxide, generates free radicals, causes DNA strand scisson |  | 
        |  | 
        
        | Term 
 
        | Which drug forms hydrogen peroxide, generates free radicals, causes DNA strand scisson? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | procarbazine is orally active, penetrates into most tissues, including CSF, and is eliminates via... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is the primary use of procarbazine? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | myelosuppressant, GI, CNS dysfunct, peripheral neuropathy, skin rxns, inhibits MAO and hepatic enzymes, causes disulfiram-like rxns with ethanol, it's leukemogenic |  | 
        |  | 
        
        | Term 
 
        | Name the drug - tox: myelosuppressant, GI, CNS dysfunct, peripheral neuropathy, skin rxns, inhibits MAO and hepatic enzymes, causes disulfiram-like rxns with ethanol, it's leukemogenic |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Busulfan is sometimes used in... |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | adrenal insufficiency, pulm fibrosis, skin pigmentation |  | 
        |  | 
        
        | Term 
 
        | Which drug causes adrenal insufficiency, pulm fibrosis, skin pigmentation? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Carmustine and lomustine are highly ___-soluble drugs used in _____ tumors. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which drugs are highly lipid-soluble drugs used in management of brain tumors? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | dacarbazine is used in regimens for... |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | alopecia, rash, GI, myelosuppression, phototoxicity, flulike syndrome |  | 
        |  | 
        
        | Term 
 
        | Name the drug - tox: alopecia, rash, GI, myelosuppression, phototoxicity, flulike syndrome |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Name 2 antagonists of purines |  | Definition 
 
        | mercaptopurine, thioguanine |  | 
        |  | 
        
        | Term 
 
        | mercaptopurine and thioguanine are... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Name 3 pyrimidine antagonists |  | Definition 
 
        | FU, cytarabine, gemcitabine |  | 
        |  | 
        
        | Term 
 
        | FU, cytarabine, gemcitabine- what are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Two agents act in the pathway from ribonucleotides to deoxynucleotides. What are they? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | 4 agents act in the pathway from deoxynucleotides to DNA. What are they? |  | Definition 
 
        | methotrexate, gemcitabine, FU, cytarabine |  | 
        |  | 
        
        | Term 
 
        | methotrexate causes a decrease in the synthesis of... |  | Definition 
 
        | thymidylate, purine nucleotides and amino acids |  | 
        |  | 
        
        | Term 
 
        | which drug causes a decrease in the synthesis of thymidylate, purine nucleotides and amino acids? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | the formation of _____ derivates of methotrexate are important for cytotoxic action |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Methotrexate is given orally and IV and has good tissue distribution except to.. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Describe the metabolism/clearance of methotrexate |  | Definition 
 
        | not metabolized, clearance is dependent on renal function |  | 
        |  | 
        
        | Term 
 
        | why do you need adequate hydration with methotrexate? |  | Definition 
 
        | to prevent crystallization in renal tubules |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | bone marrow spupression, mucositis, hepatotoxicity, pulm infiltrates and fibrosis - enhanced by salicylates, NSAIDs, sulfonamides, sulfonylureas |  | 
        |  | 
        
        | Term 
 
        | Name the drug- tox: bone marrow spupression, mucositis, hepatotoxicity, pulm infiltrates and fibrosis - enhanced by salicylates, NSAIDs, sulfonamides, sulfonylureas |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | the toxic effects of methotrexate on normal cells may be reduced by administration of... |  | Definition 
 
        | leucovorin (folinic acid) |  | 
        |  | 
        
        | Term 
 
        | 6-MP and 6-TG are activated by... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | HGPRTases activate which drugs? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | how can tumor cells be resistant to 6-MP or 6-TG? |  | Definition 
 
        | decreased HGPRTases, increased alkaline phosphatases that inactivate the toxic nucleotides |  | 
        |  | 
        
        | Term 
 
        | describe the oral bioavailability of 6-MP and 6-TG |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The metabolism of ______ by xanthine oxidase is inhibited by allopurinol |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | allopurinol inhibits the metabolism of... |  | Definition 
 
        | 6-MP, by xanthine oxidase |  | 
        |  | 
        
        | Term 
 
        | purine antimetabolites are used mainly in the ... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | which drugs are used mainly in the acute leukemias and CML? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | converted to 5-FdUMP -> inhibits thymidylate synthase, leads to thymineless death of cells |  | 
        |  | 
        
        | Term 
 
        | which drug inhibits thymidylate synthase? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Does 5-FU get into the CSF? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | elimination of 5-FU is mainly via... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Name a drug used for cancers of bladder, breast, colon, head and neck, liver, ovarian, topically for keratoses and BCC |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | GI distress, myelosuppression, alopecia |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | a pyrimidine antimetabolite |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | it's activated by kinases to AraCTP, an inhibitor of DNA polymerases. |  | 
        |  | 
        
        | Term 
 
        | which drug is activated by kinases to AraCTP, an inhibitor of DNA polymerases? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Cytarabine is the drug most specific for the ___ phase |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which drug is MOST specific for the S phase? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | which drug is a deoxycytadine analog? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | it is converted into active diphosphate and triphosphate nucleotide forms and inhibits ribonucleotide reductase. It can also be incorporated into DNA and cause chain termination. |  | 
        |  | 
        
        | Term 
 
        | Which drug is converted into active di-and triphosphate nucleotide forms, inhibits ribonucleotide reductase and is incorporated into DNA, causing chain termination? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | elimination of gemcitabine is mainly by ______ |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | primarily myelosuppression, mainly as neutropenia. pulm tox has been observed |  | 
        |  | 
        
        | Term 
 
        | Name the drug - tox: primarily myelosuppression, mainly as neutropenia. pulm tox has been observed |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | plant alkaloids include which groups of drugs? |  | Definition 
 
        | vinca alkaloids, podophyllotoxins, camptothecins, taxanes |  | 
        |  | 
        
        | Term 
 
        | vinca alkaloids, podophyllotoxins, camptothecins, taxanes -- these are all under which classification? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | vinblastine, vincristine, vinorelbine |  | 
        |  | 
        
        | Term 
 
        | vinblastine, vincristine, vinorelbine - what type of drug are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | etoposide, teniposide - what type of drug are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | topotecan, irinotecan - what are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | paclitaxel, docetaxel - what are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | block formation of mitotic spindle by preventing assembly of tubulin dimers into microtubules. |  | 
        |  | 
        
        | Term 
 
        | Which drugs block formation of mitotic spindle by preventing assembly of tubulin dimers into microtubules? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Vinca alkaloids act primary during the __ phase |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Vinca alkaloids must be given _____ |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Do vinca alkaloids penetrate the CSF? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | How are vinca alkaloids cleared? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is vinorelbine used for? |  | Definition 
 
        | non-small cell lung CA, breast CA |  | 
        |  | 
        
        | Term 
 
        | Toxicity of vinblastine and vinorelbine? |  | Definition 
 
        | GI distress, alopecia, BM suppression |  | 
        |  | 
        
        | Term 
 
        | Vincristine does not cause serious ______ but has ______ actions |  | Definition 
 
        | myelosuppression, neurotoxic actions |  | 
        |  | 
        
        | Term 
 
        | What are the neurotoxic actions of vincristine? |  | Definition 
 
        | areflexia, peripheral neuritis, paralytic ileus |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | increase degradation of DNA, possibly via interaction with topisomerase II, also inhibits mitochondrial electron transport |  | 
        |  | 
        
        | Term 
 
        | Name the drug- MOA: increase degradation of DNA, possibly via interaction with topisomerase II, also inhibits mitochondrial electron transport |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | In which phases is etopiside most active? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which drug is most active in late S and early G2? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Which drug is an analog of etopiside with similar characteristics? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | analog of etoposide with similar characteristics |  | 
        |  | 
        
        | Term 
 
        | Is etoposide absorbed after oral admin? How is it eliminated? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | GI irritant, alopecia, BM suppression |  | 
        |  | 
        
        | Term 
 
        | topotecan and irinotecan - MOA? |  | Definition 
 
        | inhibit topoisomerase I: they damage DNA by inhibiting an enzyme that cuts and relegates single DNA strands during normal DNA repair processes |  | 
        |  | 
        
        | Term 
 
        | Name the drugs - MOA: inhibit topoisomerase I: they damage DNA by inhibiting an enzyme that cuts and relegates single DNA strands during normal DNA repair processes |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | irinotecan is a prodrug that is converted into its active metabolite in the... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | elimination of topotecan and irinotecan? |  | Definition 
 
        | topo - renally, irino - bile and feces |  | 
        |  | 
        
        | Term 
 
        | what is topotecan used for? |  | Definition 
 
        | second line therapy for advanced ovarian CA, small cell lung CA |  | 
        |  | 
        
        | Term 
 
        | what is irinotecan used for? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | what are the 2 most common toxicities of topotecan and irinotecan? |  | Definition 
 
        | myelosuppression and diarrhea |  | 
        |  | 
        
        | Term 
 
        | paclitaxel and docetaxel - MOA? |  | Definition 
 
        | interfere with the mitotic spindle, prevent microtubule DISASSEMBLY into tubulin monomers |  | 
        |  | 
        
        | Term 
 
        | Name the drug: MOA- interfere with the mitotic spindle, prevent microtubule DISASSEMBLY into tubulin monomers |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | How are paclitaxel and docetaxel given? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | the taxanes are used in... |  | Definition 
 
        | advanced breast and ovarian CA |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | neutropenia, thrombocytopenia, peripheral neuropathy, hypersensitivity rxns during infusion |  | 
        |  | 
        
        | Term 
 
        | Name the drug - tox: interfere with the mitotic spindle, prevent microtubule DISASSEMBLY into tubulin monomers |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | neurotoxicity and BM suppression |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | neurotoxicity and BM suppression |  | 
        |  | 
        
        | Term 
 
        | doxorubicin, daunorubicin, bleomycin, dactinomycin, mitomycin - what class are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | doxorubicin and daunorubicin are_____ |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | doxorubicin and daunorubicin |  | 
        |  | 
        
        | Term 
 
        | doxorubicin and daunorubicin - MOA? |  | Definition 
 
        | intercalate btw base pairs, inhibit topisomerase II, generate free radicals, block synthesis of DNA and RNA, cause DNA strand scission, cause membrane disruption |  | 
        |  | 
        
        | Term 
 
        | name the drugs: MOA- intercalate btw base pairs, inhibit topisomerase II, generate free radicals, block synthesis of DNA and RNA, cause DNA strand scission, cause membrane disruption |  | Definition 
 
        | doxorubicin and daunorubicin |  | 
        |  | 
        
        | Term 
 
        | anthracyclines are CCNS or CCS? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | doxorubicin and daunorubicin must be given... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | how are the anthracyclines metabolized/excreted? |  | Definition 
 
        | metab in liver, products excreted in bile and urine |  | 
        |  | 
        
        | Term 
 
        | The main use of daunorubicin is in the treatment of... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | idarubicin is approved for use in... |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | BM suppression, GI distress, severe alopecia, CARDIOTOXICITY |  | 
        |  | 
        
        | Term 
 
        | What may protect against cardiotoxicity from anthracyclines? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What does dexrazoxane do? |  | Definition 
 
        | it's an inhibitor of iron-mediated free radical formation, may protect against cardiotoxicity of anthracyclines |  | 
        |  | 
        
        | Term 
 
        | ______ formulations of doxorubicin may be less cardiotoxic |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | generates free radicals, bind to DNA and cause strand breaks, inhibit DNA syn |  | 
        |  | 
        
        | Term 
 
        | Name the drug - MOA: generates free radicals, bind to DNA and cause strand breaks, inhibit DNA syn |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Is bleomycin CCS or CCNS? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Bleomycin is inactivated by tissue ______, but some renal clearance of intact drug also occurs |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | pulm dysfunction, hypersensitivity reactions, mucocutaneous rxns |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | binds dsDNA and inhibits DNA-dep RNA synthesis |  | 
        |  | 
        
        | Term 
 
        | name the drug - MOA: generates free radicals, bind to DNA and cause strand breaks, inhibit DNA syn |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | dactinomycin must be given _____, and intact drug and metabolites are excreted in ____ |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | dactinomycin is used in... |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | BM suppression, skin rxns, GI irritation |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | metabolized by liver enzymes to form alkylating agent that cross-links DNA |  | 
        |  | 
        
        | Term 
 
        | Mitomycin is given ____ and is rapidly cleared via _____ |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Clinical use of mitomycin? |  | Definition 
 
        | acts against hypoxic tumor cells, used for adenocarcinoma of cervix, stomach, pancreas, lung |  | 
        |  | 
        
        | Term 
 
        | Name the drug - acts against hypoxic tumor cells, used for adenocarcinoma of cervix, stomach, pancreas, lung |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | causes severe myelosuppression, toxic to heart, liver, lung, kidney |  | 
        |  | 
        
        | Term 
 
        | What is the most commonly used glucocorticoid in cancer chemotherapy? What is it used for? |  | Definition 
 
        | prednisone, leukemias and lymphomas |  | 
        |  | 
        
        | Term 
 
        | What is tamoxifen? What is the effect on endometrium? |  | Definition 
 
        | SERM, agonist -> ^ risk of cancer |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | N/V, hot flashes, vaginal bleeding, venous thrombosis, ^risk endometrial hyperplasia/neoplasia |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | a newer estrogen recep antagonist used in advanced breast cancer |  | 
        |  | 
        
        | Term 
 
        | What is flutamide and what is it used for? |  | Definition 
 
        | androgen receptor antagonist used in prostatic carcinoma |  | 
        |  | 
        
        | Term 
 
        | Name an androgen receptor antagonist used in prostatic carcinoma |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | gynecomastia, hot flashes, hepatic dysfunction |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | leuprolide, gosrelin, nafarelin |  | 
        |  | 
        
        | Term 
 
        | leuprolide, gosrelin, nafarelin - what are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | bone pain, gynecomastia, hematuria, impotence, testicular atrophy |  | 
        |  | 
        
        | Term 
 
        | Name the drug - tox: bone pain, gynecomastia, hematuria, impotence, testicular atrophy |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Name 2 aromatase inhibitors |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | anastrozole, letrozole - what are these? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | androstenedione -> estrone |  | 
        |  | 
        
        | Term 
 
        | aromatase inhibitors are used in... |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | aromatase inhibitors - tox? |  | Definition 
 
        | N/D, hot flashes, bone and back pain, dyspnea, peripheral edema |  | 
        |  | 
        
        | Term 
 
        | What does asparaginase do? What's it used for? |  | Definition 
 
        | depletes serum asparagine, used in treatment of T cell auxotrophic cancers (leukemia and lymphoma) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | hypersensitivity, acute pancreatitis, bleeding |  | 
        |  | 
        
        | Term 
 
        | Name the drug - tox: hypersensitivity, acute pancreatitis, bleeding |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | inhibits the TKase activity of protein product of Bcr-Abl oncogene expressed in CML |  | 
        |  | 
        
        | Term 
 
        | In addition to CML, imatinib is used for... |  | Definition 
 
        | GIST (c-kit TKase is also inhibited) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | diarrhea, myalgia, fluid retention |  | 
        |  | 
        
        | Term 
 
        | Name the drug- tox: diarrhea, myalgia, fluid retention |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | ____-interferons are effective against hairy cell leukemia, early CML and t-cell lymphomas |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | myelosuppression and neuro dysfunction |  | 
        |  | 
        
        | Term 
 
        | What is rituximab and how does it work? |  | Definition 
 
        | monoclonal Ab that binds a surface protein in non-Hodgkin's lymphoma cells and induces complement-mediated lysis, direct cytotoxicity,induction of apoptosis |  | 
        |  | 
        
        | Term 
 
        | Name the drug - monoclonal Ab that binds a surface protein in non-Hodgkin's lymphoma cells and induces complement-mediated lysis, direct cytotoxicity,induction of apoptosis |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Rituximab use is associated with... |  | Definition 
 
        | hypersensitivity rxns and myelosuppression |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | monoclonal Ab against HER-2/neu receptor for epidermal growth factor |  | 
        |  | 
        
        | Term 
 
        | name a monoclonal Ab against HER-2/neu receptor for epidermal growth factor |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | nausea, vomiting, chills, fevers, HA. May cause cardiac dysfunction, CHF |  | 
        |  | 
        
        | Term 
 
        | Name the drug - tox: nausea, vomiting, chills, fevers, HA. May cause cardiac dysfunction, CHF |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | antibody against extracellular domain of EGFR |  | 
        |  | 
        
        | Term 
 
        | name an antibody against extracellular domain of EGFR |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | what are gefitinib and erlotinib? |  | Definition 
 
        | small molecule inhibitors of the EGFR TK domain |  | 
        |  | 
        
        | Term 
 
        | name the small molecule inhibitors of the EGFR TK domain |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | what are the main toxicities of gefitinib and erlotinib? |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | monoclonal Ab that binds VEGF |  | 
        |  | 
        
        | Term 
 
        | name a monoclonal Ab that binds VEGF |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | adverse effects of bevacizumab? |  | Definition 
 
        | HTN, arterial thrombosis, impaired wound healing, GI perforation, proteinuria |  | 
        |  |