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ONCO-LYMPIC QUIZ

Total questions: 25

Worksheet time: 51mins

Name
Class
Date
1.

Lenvatinib is dosed based on based on actual body weight: what is the right initial dose for patients greater than or equal to 60 kg?

a)

12 mg once daily

b)

8 mg once daily

c)

4 mg twice daily

d)

4 mg three times daily

e)

24 mg once daily

2.

Lenvatinib mean dose intensity of REFLECT Study is:

a)

7.0 mg (for 8mg/day dose)

b)

12 mg (for 12mg/day dose)

c)

8.5 mg (for 12mg/day dose)

d)

9.5 mg (for 12mg/day dose)

e)

6.5 mg (for 8mg/day dose)

3.

In REFLECT study, estimate of time to progression for Sorafenib is:

a)

8.9 month

b)

9.8 month

c)

3.7 month

d)

5.4 month

e)

4.3 month

4.

In the REFLECT Trial, the primary endpoint of OS was first tested for non-inferiority then for the superiority. The result shows Lenvatinib has demonstrated non-inferiority versus sorafenib in OS in patients with unresectable HCC. This statement is:

a)

True

b)

False

5.

In REFLECT Study, efficacy outcomes in patients with HBV from the Asia-Pacific region were consistent with

those observed in patients with HBV in the overall study population. It shows significant data, this statement is:

a)

Correct

b)

False

c)

I have no idea

d)

Maybe

6.

REFLECT study by investigator assestment (mRECIST) shows patient who use Lenvatinib achieved ..................... as high as 24,1%, and Sorafenib only 9,2%.

a)

Objective Response Rate

b)

Overall Survival

c)

Overall Response Rate

d)

Ondemande Survival Rate

e)

Omaigat lupa

7.

Avoid the following practices when selling prescription drugs, except:

a)

Always mention a package insert / product information approved by local authority

b)

Create your own promotional materials or use materials you find in internet

c)

Start a discussion about off-label use to encourage the health provider

d)

Discuss off-label information, in response to an unsolicited questions to responding because you understand the protocols

e)

Using the most updated international package insert to show unapproved indication

8.

On what information should pharmaceutical sales representatives educate physicians?

a)

Efficacy information contained within the PI

b)

Safety information contained within the PI

c)

Both answers correct

d)

Both answers wrong

9.

Which of the following best describes off-label information?

a)

It covers a use or uses of a product that are not included on the drug’s approved label

b)

The most updated published study in international journals contained unapproved indication by local authority

c)

Incorrect dosage and misleading use by daily practice

d)

All of the above

10.

Mutation in Tumor Suppressor Genes cause loss of function effects meaning they lose the ability to prevent the development of cancer cells. In some cases it is not defective but other mechanisms interfere with its expression or function. This statement is:

a)

True

b)

False

11.

The abbreviation BRCA stands for BReast CAncer susceptibility gene. These tumor suppressor genes are human genes responsible for keeping mutating breast cells in check. The statement is:

a)

true

b)

False

12.

Pathogenesis of breast cancer involves which of the following?

a)

Genetic abnormalities

b)

Hormonal influencers

c)

Angiogenesis

d)

All of the above

13.

Which of the following is NOT a tumor characteristic used in TNM breast cancer staging?

a)

Tumor size

b)

HER2/neu status

c)

Nodal involvement

d)

Metastatis

14.

If breast cancer spreads to the liver, the cancer is considered:

a)

Primary liver cancer

b)

Breast cancer with liver metastatic

c)

Liver cancer with breast metastatic

d)

A recurrent cancer

15.

Which of the following is NOT a common site of breast cancer metastasis?

a)

Brain

b)

Bone

c)

Liver

d)

Heart

16.

Which of the following factors is both prognostic and predictive for breast cancer?

a)

ER/PR status

b)

Tumor size

c)

Nyerah dok

17.

Cancer that returns after a period of time when it could not be detected is referred to as:

a)

Locally advanced

b)

Recurrent

c)

Metastatic

18.

What is TNBC?

a)

Breast cancer that does not overexpress HER2, estrogen receptors, or progesterone

receptors

b)

Surgical procedure in which the breast is removed but the axillary lymph nodes

and muscle tissue are left in place

c)

Hypothalamic hormone that regulates the production of HER-2

d)

Breast cancer that overexpress HER-2 receptors

19.

The most common lenvatinib treatment-related adverse events (TRAEs; any grade) in SELECT study:

a)

Hypertension

b)

Hypotension

c)

Diarrhea

d)

Weight loss

e)

Hand and foot syndrome

20.

Recommended Doses for Specific Populations in SELECT study for patient with severe hepatic impairment (Child-Pugh C) is:

a)

20 mg once daily

b)

14 mg once daily

c)

8 mg once daily

d)

4 mg once daily

e)

4 mg twice daily

21.

History of previous thyroid cancer treatment in inclusion criteria of SELECT study consist:

a)

Sorafenib, sunitinib, pazopanib and other

b)

Only sorafenib

c)

Only sunitinib

d)

Sorafenib and Pazopanib

22.

On study 303 (SELECT study), patient characteristic that show prior using VEGF-targeted therapy, minimal 1, in Lenvatinib treatment arm are:

a)

25%

b)

75%

c)

79%

d)

21%

23.

In SELECT Study, PFS by patient that have NO previous VEGF-targeted therapy before, shows: ..... months by using Lenvatinib vs 3,6 month by using Placebo.

a)

18,7 month

b)

15,1 month

c)

12,7 month

d)

17,2 month

24.

In SELECT study, which age group shows more significant result in PFS subgrup analysis by using Lenvatinib?

a)

Less than 65 years

b)

More than 65 years

25.

In SELECT Study, no significant difference was observed in the Overall Survival. Why?

a)

83% of patients in placebo group entered optional open label with lenvatinib

b)

This is a cross-over study

c)

placebo arm is ITT population

d)

All of the answers above correct