Vinca Alkaloids/ Mitotic Inhibitors/ DRUGS Flashcards

1
Q

Inhibit polymerization of microtubules
OR
Enhancement of microtubule polymerization and prevention of their degradation BOTH lead to ….

A

MITOSIS INHIBITED

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2
Q

Vinca Alkaloids arrests the cell in _______________ & leads to cell death.

A

METAPHASE

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3
Q

The mechanism of _________________ drug is to bind to tubulin to prevent polymerization and inhibit microtubule production & mitotic spindle assembly.

A

VINCRISTINE

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4
Q

The mechanism of ______________ drug is to bind to Beta tubulin and inhibit the polymerization into microtubules.

A

VINBLASTINE

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5
Q

What is the main dose-limiting toxicity of VINCRISTINE?

A

NEUROTOXICITY (e.g. peripheral sensory neuropathy) “stocking-glove distribution”

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6
Q

Which vinca alkaloid treats breast cancer and germ cell cancer?

A

VINBLASTINE

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7
Q

VINBLASTINE treats ___________ & _______________ cancer

A

BREAST & GERM CELL CANCER

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8
Q

Which vinca alkaloid treats ALL, multiple myeloma, Hodgkin’s/ NON-Hodgkin’s?

A

VINCRISTINE

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9
Q

Which vinca alkaloid treats the following pediatric tumors:

  • Rhabdomyosarcoma
  • Neuroblastoma
  • Ewing sarcoma
  • Wilm’s tumor
A

VINCRISTINE

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10
Q

VINCRISTINE & VINBLASTINE both have the toxicity of ______________?

A

ALOPECIA

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11
Q

Which vinca alkaloid contains the following toxicities?

  • areflexia
  • peripheral neuritis
  • PARALYTIC ILEUS (constipation)
  • orthostatic hypertension
  • urinary retention
A

VINCRISTINE

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12
Q

What is the toxicity of VINBLASTINE?

A

MYELOSUPPRESSION

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13
Q

Which drugs bind directly to microtubules and are known as the “cytotoxic plant alkaloids” ?

A

TAXANES

  • Paclitaxel
    -Docetaxel
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14
Q

What is the mechanism of action of the TAXANES?

A

TAXANES enhance microtubule production and prevent their degradation → improper mitotic spindle function

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15
Q

Which drug inhibits cellular proliferation by stabilizing existing microtubule assembly (enhancing microtubule polymerization) & prevents their degradation?

A

TAXANES

  • Paclitaxel
    -Docetaxel
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16
Q

In contrast to vinca alkaloids, taxane chemotherapeutics ___ microtubule assembly and ___ their degradation.

A. Destabilize, prevent

B. Destabilize, promote

C. Stabilize, prevent

D. Stabilize, promote

A

C. Stabilize, prevent

17
Q

“Foot drop” or slapping gait is characteristic of which drug?

A

Vinca alkaloids (VINCRISTINE)