Deck 25: Drugs for Neoplasia

Question 1

This term means new swelling, abnormal enlargement, or mass:

A) Malignant
B) Neoplasm
C) Benign
D) Metastasis

Answer 1

Neoplasm

Question 2

An 8-year-old patient is diagnosed with cancer. What is the best assumption by the pharmacist?

A) Because of the patient's age, there is no medicine available.
B) This is the leading cause of death in children younger than 15 years old.
C) Because of the patient's age, there will be no pain involved.
D) Because of the patient's age, the prognosis is positive.

Answer 2

This is the leading cause of death in children younger than 15 years old.

Question 3

Known carcinogens include (select all that apply):
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Chemicals in tobacco smoke
B) Chemicals such as asbestos and benzene
C) Exposure to large amounts of x-rays or prolonged exposure to UV light
D) Viruses such as herpes simplex, Epstein-Barr and HPV

Answer 3

Chemicals in tobacco smoke
Chemicals such as asbestos and benzene
Exposure to large amounts of x-rays or prolonged exposure to UV light
Viruses such as herpes simplex, Epstein-Barr and HPV

Question 4

The pharmacist educates patients that certain foods provide protective effects against cancer. Which food would the pharmacist include in this teaching?

A) Cod
B) Beef jerky
C) Grits
D) Chicken

Question 5

Antioxidants are thought to offer a protective effect against cancer. The pharmacist teaches patients that which beverage also increases longevity and mental alertness, and provides a mild diuretic effect?

A) Orange pekoe
B) Echinacea
C) Black tea
D) Green tea

Question 6

To increase the changes of achieving a cure from cancer, which of the following must occur with chemotherapy (select all that apply):
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Every cancer cell needs to be destroyed by the drug.
B) The immune system must eliminate any cancer cells that remain after chemotherapy.
C) The patient needs to undergo 5 years of chemotherapy.
D) The patient must not have any adverse effects from the chemotherapy.

Question 7

Why is cycling done with chemotherapy?

A) To increase the success of therapy by catching cells at different stages of replication
B) To decrease the number of adverse effects experienced by the patient
C) To increase the tumor size
D) To reduce the number of drugs needed to treat the cancer.

Question 8

The pharmacist is reviewing methotrexate. Which types of tumors or cancers is this medication an effective part of the treatment regimen? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Bone cancers
B) Head and neck cancers
C) Benign
D) Lung carcinoma
E) Breast cancer

Question 9

The pharmacist is caring for a patient who is receiving doxorubicin. Which serious side effects will the pharmacist monitor this patient for during the assessment?

A) Delayed cardiac toxicity
B) Leaking from injection site
C) Vomiting
D) Decreased white blood cells

Question 10

Cancer is a disease characterized by normal, controlled cell division.

Question 11

Viruses are associated with about 15% of all human cancers.

Question 12

To prevent the development of cancer, maintain a healthy diet high in fat and low in fresh vegetables and fruit.

Question 13

Malignant tumors are those that do not metastasize and rarely require drug treatment.

Question 14

Cancer can be treated using surgery, radiation therapy and drugs.

Question 15

It is difficult to kill cancer cells selectively without profoundly affecting normal cells.

Question 16

Use of a single drug therapy and rigid dosing schedules are strategies to improve the success of chemotherapy.

Question 17

Blood cells in bone marrow may be destroyed by chemotherapy, causing a reduction in the number of red blood cells (RBCs), white blood cells (WBCs), and platelets, often necessitating discontinuation of chemotherapy.

Question 18

Antimetabolites act by disrupting critical cell pathways in cancer cells such as interfering with aspects of nucleic acid metabolism.

Question 19

Interferon, a biologic response modifier, is effective as chemotherapy alone or with other antineoplastics due to its stimulation of the body's immune system.

Question 20

Jessie Johnson is a 34 year old women battling stage 4 breast cancer. She is suffering from a lot of nausea and vomiting post chemotherapy. The pharmacist has asked you to come up with a list of non-pharmacological and pharmacological ways to reduce her nausea and vomiting.

Question 21

List the typical adverse effects patients may see with using antineoplastics.

Question 22

Explain how each type of antineoplastic works and give an example of each type.