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cancer chemotherapy

Total questions: 9

Worksheet time: 5mins

Name
Class
Date
1.

Anticancer drug that is also used to treat psoriasis and rheumatoid arthritis:

a)

Mercaptopurine (6-MP)

b)

Methotrexate

c)

Procarbazine

d)

Alllopurinol

2.

Combination of allopurinol with this anticancer drug can cause an increase in toxicity:

a)

6-thioguanine

b)

Flurouracil (5-fu)

c)

6-mercaptopurine

d)

Azatadine

3.

Most common mechanism of resistance to both 6-MP (6-mercaptopurine) and 6-TG (6-thioguanine)

a)

Increased levels of dihydrofolate reductase (dHFR)

b)

Increased drug efflux from the cells by increased active transport

c)

Decreased HGPRT activity

d)

Decreased polyglutamate formation

4.

Cellular mechanism(s) of resistance to the action of methotrexate:

a)

Reduce drug transport

b)

Increased polyglutamate formation

c)

Increased levels of dihydrofolate reductase

d)

A & c

5.

This pyrimidine analog is used systemically to treat adenocarcinomas, topically for skin cancer and works through inhibition of DNA synthesis

a)

Cytarabine (ara-c)

b)

Vinblastine

c)

Fluorouracil (5-fu)

d)

Cladribine (leustatin)

6.

Leucovorin "rescue"

a)

Busulfan

b)

Mercaptopurine

c)

Methotrexate

d)

Daunorubicin

7.

A patient with fluorouracil-nonresponsive colon cancer is given this prodrug which following activation is a topoisomerase I inhibitor. Following administration, the patient experiences very severe diarrhea which causes hypovolemia. This drug probably was:

a)

vincristine

b)

irinotecan

c)

paclitaxel

d)

docetaxel

8.

Anthracycline analog useful in treating acute myeloid leukemia; In combination with cytarabine (ARA-C), it can produce complete remissions in patients with acute myelogenous leukemia.

a)

Plicamycin

b)

Idarubicin

c)

Bleomycin

d)

Paclitaxel

9.

Which is an antimetabolite ?

a)

Cyclosporine

b)

Methotrexate

c)

Etoposide

d)

Vinblastine