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Anti-neoplastics

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Question
Answer
Folic acid analog that inhibits dihydrofolate reductase   Methotrexate  
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Pyrimidine analog that inhibits thymidylate synthase   5-fluorouracil  
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Inhibitor of de novo purine synthesis   6-mercaptopurine  
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Inhibits DNA polymerase   cytarabine  
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Alkylating agents used to treat Non-Hodgkin lymphoma, breast and ovarian carcinoma. Notable side effect of hemorrhagic cystitis   Cyclophosphamide, ifosfamide  
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Alkylating agent capable of crossing blood brain barrier   Nitrosureas (carmustine, lomustine)  
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Similar to alkylating agent, notable toxicities include nephrotoxicity and acoustic nerve damage   Cisplatin, carboplatin  
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Alkylating agent used to treat CML   Busulfan  
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Free radical generator and also intercalates DNA to from strand breaks ("A" in ABVD treatment for Hodgkins)   Doxorubicin (Adriamycin), daunorubicin  
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Used to treat childhood tumors (Wilm's tumor, rhabdomyosarcoma, and Ewing's sarcoma)   Dactinomycin (Actinomycin D; Children ACT out)  
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Free radical generator which can cause life threatening pulmonary fibrosis   Bleomycin  
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Topoisomerase II inhibitor   Etoposide  
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Steroid that triggers apoptosis   Prednisone  
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Estrogen receptor antagonist   Tamoxifen  
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Monoclonal antibody against HER-2   Trastuzumab  
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Philadelphia chromosome bcr-abl tyrosine kinase inhibitor   Imatinib (Gleevec)  
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Binds tubulin blocking polymerization of microtubules and mitotic spindle formation   Vincristine, vinblastine  
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Binds tubulin hyperstabalizing microtubules and blocking mitotic spindle formation   Paclitaxel  
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Toxicity includes Cushing-like symptoms   Prednisone  
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Used for "metastatic" breast cancer   Trastuzumab  
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Increased risk of endometrial carcinoma   Tamoxifen  
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Do not use with allopurinol   6-mercaptopurine (activated by xanthine oxidase; allopurinol is a xanthine oxidase inhibitor used to treat gout)  
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CNS toxicity   Nitrosureas (carmustine, lomustine  
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Reversible myelosuppression with leucovorin rescue   Methotrexate  
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Neurotoxic (areflexia, peripheral neuritis) paralytic ileus   Vincristine (Vinblastine is notable for bone marrow suppression)  
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Antineoplastic used for therapeutic abortion   Methotrexate  
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Androgen receptor antagonist   Flutamide  
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Recombinantly produced cytokine used to treat hairy cell leukemia   Interferon alpha  
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GnRH agonist used for the treatment of metastatic prostate carcinoma   Leuprolide, Goserelin, Nafarelin  
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Monoclonal antibody used for treatment of low grade non-Hodgkin lymphoma   Rituximab  
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Aromatase inhibitor used to treat breast cancer   Anastrozole  
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