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lecture 9 dowell

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
vincristine's unique properties   NON-emetogenic and NON-myelosuppressive  
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dexamethasone action   directly lympholytic  
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time frame for rescue with leucovorin   < 36 hrs  
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brain is a sanctuary site for mets   many chemotherapy agents don't achieve adequate levels in the CNS  
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dose dense tx   giving the same amt of drug but over a shorter period of time /// advantages: less time for tumor repopulation, disadvantages: much increased risk for toxicity  
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why leucovorin potentiates effect of 5-FU   ternary complex of 5-FdUMP, thymidylate synthase and methylene tetrahydrofolate is needed to stop purine synthesis. with more folate in the cell, more enzyme can be inhibited by 5-FU  
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pt develops acute myocarditis, ventricular tachy and resultant sz after chemo, suspect which drug?   doxorubicin (anthracyclines) has known unique cardiomyopathy side effect  
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secondary leukemia has been described after exposure to?   alkylating agents, epipodophyllotoxins and anthracyclines  
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