Oncology Flashcards
How do alkylating agents work?
Bind to DNA, forming crosslinks and preventing replication
Give 2 examples of alykylating agents
cisplatin
cyclophosphamide
Give an example of an antimetabolite
Methotrexate
How do antimetabolites work?
Interrupting normal metabolism of nucleic acids
CA-125 is the tumour marker for?
Ocarian cancer
What is the tumour marker for pancreatic cancer?
CA 19-9
What is the tumour marker for breast cancer?
CA 15-3
CEA is a tumour marker for?
Colorectal cancer
Raised AFP and beta hCG indicates?
Non-seminomatous testicular cancer
Raised AFP in an older woman indicates?
Liver cancer
What cancer would you worry about in a patient with painless jaundice?
Pancreatic
What is the breakthrough pain dosage?
1/6th of the daily dosage
How would you treat metastatic bone pain?
Analgesia, bisphosphonates and radiotherapy
How should opioid dosage be increased?
By 30-50%
Which type of cancer has the strongest association with smoking?
Squamous cell lung carcinoma
Oral morphine to subcut diamorphine conversion:
Divide by 3
Oral morphine to subcut morphine conversion:
Divide by 2
Oral morphine to oral oxycodone conversion:
Divide by 1.5-2
Oral codeine or tramadol to oral morphine conversion rate:
Divide by 10
What would you put in the syringe driver for respiratory secretions?
Hyoscine hydrobromide
What would you put in the syringe driver for bowel colic?
Hyoscine butylbromide
What would you put in the syringe driver for nausea and vomitinG?
Cyclizine
What would you put in the syringe driver for agitation?
Midazolam, haloperifol
What would you put in the syringe driver for pain?
Diamorphine
What is the first line treatment for chemotherapy induced nausea?
Metoclopramide
What is the 2nd line treatment for chemotherapy induced nausea?
Ondansetron and dexamethasone
What type of drug is ondansetron?
5HT3 antagonist
What kind of lung cancer do non smokers get?
Adenocarcinoma
What would you prescribe for headaches and nausea caused by raiced ICP due to mets?
Dexamethasone
What’s a tumour marker for medullary thyroid cancer?
Calcitonin
What type of cancer is thyroglobulin a tumour marker for?
Follicular or papillary thyroid cancer
Which chemotherapy drugs cause peripheral neuropathy?
Vincristine, cisplatin
Which chemo drugs cause cardiomyopathy?
Doxorubacin
Which drug may cause lung fibrosis?
Bleomycin