Exam 2: Chapter 13: Standard Cancer Therapy Flashcards

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1
Q

Describe Radiation Therapy.

A

Uses ionizing radiation (radioactive isotopes) to activate p53 pathway of apoptosis

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2
Q

What are the three types of Radiation therapy

A
  1. Systemic Therapy
  2. Brachytherapy
  3. External Beam Radiotherapy
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3
Q

Describe Systemic Therapy. Give an example

A

Radioisotopes are given orally or infused

Ex. Iodine-131 to treat thyroid cancer

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4
Q

Describe Brachytherapy.

A

Radioactive pellet is implanted into the tumor in the body

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5
Q

Describe External Beam Radiation.

A

Directs a beam of ionizing radiation from outside the body at cancerous tissue in the body

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6
Q

What form of External Bean Radiotherapy is the cheapest and is less focused?

A

Gamma Rays that use Cobalt-60

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7
Q

What form of External Bean Radiotherapy is the most expensive and the most focused?

A

Proton. Use very focused beams to enable control of does distribution to the patient

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8
Q

When is chemotherapy used?

A

When a cancer become metastatic and is no longer localized

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9
Q

What is the concept of Chemotherapy?

A

Chemotherapy functions as a drug that can circulate the bloodstream and reach all part of the body

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10
Q

What is Fractionation?

A

Delivery in small doses over a period of time

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11
Q

Why are chemotherapy drugs cytotoxic?

A

they non-specifically block cell division and will kill healthy dividing cells of the body

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12
Q

List some of the side effect of chemotherapy.

A
  1. Nausea and diarrhea
  2. anemia
  3. prone to infections
  4. hair loss
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13
Q

What does targeted therapy refer to?

A

a new generation of drugs that specifically target cancer cells and are less cytotoxic

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14
Q

What is Cyclophosphamide?

A
  1. A DNA cross-linking agent

2. Alkylating agent

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15
Q

What is Cisplatin?

A
  1. A DNA Cross-linking agent

2. platinating agent

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16
Q

What is Methotrexate?

A
  1. DNA synthesis inhibitor

2. Folic acid Analog

17
Q

What is Fluorouracil?

A
  1. DNA synthesis inhibitor

2. Pyrimidine analog

18
Q

What is Vincristine?

A

Mitotic inhibitor (inhibits ASSEMBLY of mitotic spindle)

19
Q

What is Taxol?

A

Mitotic inhibitor

Inhibits DISASSEMBLY of mitotic spindle

20
Q

Outline the discovery of Chemotherapy timeline.

A
  1. Scientist @ Yale discovered survivors of Mustard Gas had decimated white blood cells
  2. Hypothesized that it could be used to treat lymphomas and leukemias
  3. Derivatives were made that were safe for general population
21
Q

What is Nitrogen Mustard?

A
  1. DNA cross-linking agent

2. Alkylating agent

22
Q

What are DNA cross linking agents?

A

Alkylating or platinating agents

23
Q

What are DNA Synthesis Inhibitors?

A

bind and inhibit the enzymes needed for DNA synthesis and repair

24
Q

What are Mitotic Inhibitors

A

Bind tubulin and prevent assembly or disassembly of the mitotic spindle