Cytotoxic Drugs Flashcards

1
Q

what kind of leukaemia has the worst prognosis

A

acute non-lymphoblastic leukaemia

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2
Q

in what phase of the cell cycle does DNA replicate?

A

S phase

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3
Q

in what phase of the cell cycle does mitosis occur?

A

M phase

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4
Q

what do antimetabolites do?

A

impair nucleoside synthesis

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5
Q

give an example of an antimetabolite

A

methotrexate

hydroxyurea

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6
Q

main targets of chemotherapeutic drugs

A

ENZYMES involved in DNA synthesis

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7
Q

how do alkylating agents target cancer?

A

bind to DNA bases

produce free radicals which mutates cancer DNA strands

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8
Q

give an example of a cytotoxic antibiotic class

A

anthracyclines

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9
Q

how do cytotoxic antibiotics attack cells?

A

impair RNA transcription

make free radicals

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10
Q

side effect of anthracyclines

A

cardiotoxicity

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11
Q

general side effects of cytotoxic drugs

A

bone marrow suppression
gut mucosal damage
hair loss

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12
Q

what cytotoxic drug can cause infertility

A

alkylating agents

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13
Q

what cytotoxic drug can cause cardiomyopathy?

A

anthracyclines

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14
Q

what happens to the cell with a large chemo dose

A

necrosis NB NOT apoptosis

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15
Q

what blood cancers respond best to chemo

A

lymphoma
CLL
acute leukaemia

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16
Q

Tx neutropenic sepsis

A

piperacillin/tazobactam IV