Question Bank Flashcards
Max dose zofran I’m hepatic impairment
8 mg/day
Busulfan
-Alkylating agent
-pulmonary damage/ lung fibrosis
-commonly used for HCT in CML
Marker of choice for choriocarcinoma
HCG
Which enzyme metabolizes 5FU
Dihydropyimidine dehydrogenase
Nabilone moa
Binds CB1 and CB2
CB1 causes the psychoactive effects
CNS and non-competitive binding
Cancer pain tips
-avoid opioids in elderly
-avoid opioids in asthma
-nsaids can be used for moderate pain
Interferon alpha adr
Thyroid
Denosumab fx
Atypical femoral fx from reduced osteoclast activity- prevents bone remodeling and result in fxs
Note: bone meta fx are d/t inc osteoclast and Dec osteoblast activity
Familial adenomatousus polyposis
Polys on colon, can become cancerous
Give celecoxib
Vincristine contraindication
Charcot Marie tooth disease
Acquired angioedema
-from B-cell lymphoproloferative disorders
-Tx with C1 inhibitor concentrate or bradykinin blocker icatibant if resistant to c1 inhibitor
Carcinoid syndrome
-large releases of 5HT3 and other peptides
-can happen with Neuroendocrine tumors
-flushing, diarrhea, heart dx
-tx with octreotide
-dx with 5-HIAA elevation
Burkitts
Translocation if C-MYC gene and most common variant is t(8;14)
Megestrol adr
Hyper cortisol
Initial increase in tumor size with checkpoint inhibitor
This can happen in the first month due to influx of immune cells, just continue therapy
Bisphosphonates moa
Binds hydroxyapatite crystals within eared if remodeling bone
Bisphosphonate weird ADR
Uveitis, conjunctivitis, scleritis
Noisy breathing at death
Give anticholinergics
Doxorubicin weird contraindication
Hyperbaric oxygen therapy
Delayed complication of anthracycline
-co-enzyme Q10 deficiency, can lead to cerebellar ataxia
NTRk
Neurotrophic tyrosine kinase
Imiquimod
-minimal systemic absorption
-excreted in urine
-flu like symptoms, fatigue, headache
Common mechanism of tumor cell resistance
P-glycoprotein
Pancreatic cancer itching
-due to high bilirubin
-use bile acid sequestrant
Contraindication to CBD
-allergy to sea same oil or dronabinol
Note CBD modulated effects of thc
Adrenal crisis
-can be caused by tki
-persistent hypotension, tachy, hyponatremia, hyperkalemia
-aggressive fluids, pressors, and IV hydrocortisone high dose