Pharmacogenomics COPY Flashcards

1
Q

Do not use abacavir if the pt has + what?

A. KRAS
B. 2C19*2 or *3 
C. HLA-B5701+
D. HLA-B5801+ 
E.  2D6
A

do NOT use abacavir if the pt is HLA-B5701+

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2
Q

do Not use allopurinol if the patient has + what?

A. KRAS
B. 2C19*2 or *3 
C. HLA-B5701+
D. HLA-B5801+ 
E.  2D6
A

do NOT use allopurinol if the pt is HLA-B5801+

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3
Q

If the patient is HLA-B1502 positive what 3 medications do you NOT use?

A. Warfarin 
B. Trastuzumab
C. Flurouracil
D. Cetuximab 
E. Emtasine
F.  Azathioprine
G. Carbamazepine 
H.  Pertuzumab 
I. Phenytoin
J. Fosphenytoin
A

carbamazepine, phenytoin, fosphenytoin

G, I, J

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4
Q

consider a different therapy instead of clopidogrel if the patient has?

A. KRAS
B. 2C19*2 or *3 
C. HLA-B5701+
D. HLA-B5801+ 
E.  2D6
A

consider a different therapy instead of clopidogrel if the patient has 2C19 *2 or *3

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5
Q

If the patient is ultra fast or a poor metaboliizer of this, do NOT use codeine

A. KRAS
B. 2C19*2 or *3 
C. HLA-B5701+
D. HLA-B5801+ 
E.  2D6
A

If the patient is ultra fast or a poor metaboliizer 2D6 do NOT use codeine

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6
Q

If 2C9*2 and *3, or VKORC1 start this medication at a lower dose.

A. Warfarin 
B. Trastuzumab
C. Flurouracil
D. Cetuximab 
E. Emtasine
F.  Azathioprine
G. Carbamazepine 
H.  Pertuzumab 
I. Phenytoin
J. Fosphenytoin
A

Warfarin

A.

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7
Q

If the tumor is HER2 negative do NOT use these 2 medications.

A. Warfarin 
B. Trastuzumab
C. Flurouracil
D. Cetuximab 
E. Capecitabine
F.  Azathioprine
G. Carbamazepine 
H.  Pertuzumab 
I. Phenytoin
J. Fosphenytoin
A

Trastuzumab emtansine, pertuzumab –> If HER2 negative do NOT use

B, H

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8
Q

do NOT use this drug if the patient is KRAS positive?

A. Warfarin 
B. Trastuzumab
C. Flurouracil
D. Cetuximab 
E. Capecitabine
F.  Azathioprine
G. Carbamazepine 
H.  Pertuzumab 
I. Phenytoin
J. Fosphenytoin
A

Cetuximab –> KRAS, if positive do NOT use

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9
Q

If the patient has low TPMT (thiopurine methyltransferase) activity, start this medication at a low dose or use an alternative.

A. Warfarin 
B. Trastuzumab
C. Flurouracil
D. Cetuximab 
E. Capecitabine
F.  Azathioprine
G. Carbamazepine 
H.  Pertuzumab 
I. Phenytoin
J. Fosphenytoin
A

Azathioprine

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10
Q

If the patient is deficient id DPD (dihydropyrimidine dehydrogenase) what 2 medications should you NOT use?

A. Warfarin 
B. Trastuzumab
C. Flurouracil
D. Cetuximab 
E. Capecitabine
F.  Azathioprine
G. Carbamazepine 
H.  Pertuzumab 
I. Phenytoin
J. Fosphenytoin
A

Capecitabine, fluorouracil do NOT use if the patient is deficient in DPD
E, C,

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