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what are the drugs for nitrogen mustards ?
Mechlorethamine
Chorambucil
Melphalan
Cyclophosphamide
Ifosfamide
What are the drugs for DNA Methylators?
Temozolamide
Dacarbazine
Procarbazine
What are the drugs for Nitrosureas?
carmustine
lomustine
what is the drug for alkylsulfonates
busulan
the nucleophilic groups on DNA bases such as N7 of guanine readily attack the electrophilic drug
DNA cross linking agents
is DNA cross linking reversible or irreversible alkylation?
irreversible alkylation
alkylating agents form covalent bond to what in DNA
nucleophilic groups
alkylation of nucleic acid bases can result in what
miscoding
in nitrogen mustards and aziridine mediated alkylators the two chlorine atoms decrease the basic strength of amino acids nitrogen through a negative effect (t/f)
true
nitrogen mustards and aziridine mediated alkylators are
unionized conjugate
different classes of nitrogen mustards can be what
aliphatic or aromatic
aliphatic nitrogen mustards contain aliphatic nitrogen substituent (t/f)
true
what is the drug for aliphatic. nitrogen mustard that is IV administration
mechlorethamine
mechlorethamine is inactivated by what
sodium thiosulfate
non-toxic prodrug
lowered GI toxicity and less nonspecific toxicity
produced acrolein
what drug?
cyclophosphamide
sulfhydryl alkylation by acrolein and using mesna to reduce toxicity is what drug
Mesna
when is mesna used
to reduce risk of hemorrhagic cystitis associated with high dose ifosfamide or cyclophosphamide
what is oral administration and attenuate the severity of side effects
slows the rate of intramolecular nucleophilic attack
aromatic nitrogen mustards
what are the 3 drugs for aromatic mustard
chlorambucil
melphalan
uracil mustard
less reactive alkylating agent
less side reactions and less toxic
what class?
(Chlroambucil) aromatic mustard
teriary aziridine Is what drug
thiotepa
alykating agents causes interstrand cross linking in what
nitrosoureas
decompose in the body to form an alkylating agent and carbomulating agent is what class
nitrosourea
prodrug activated by demethylation in the liver is what drug
darcarbazine
prodrug activated In the body to form an alkylating agent is what drug
mitomycin C
alkyl sulfonate is what drug
busulfan
before reacting with DNA, the electron donating ligands (chloride) are displace through nucleophilic attack by cellular water is MOA of what
organoplatinum complexes
cisplatin forms intra-strand adduct that interferes with DNA functions and may not be adequately repaired (t/f)
true
hydrated platinum analogs are readily attacked by DNA nucleophiles (N7 of adjacent guanine residues)
true
prodrug that is neutral inactive molecule
high nephrotoxic
cisplatin
prodrug is covered by membrane bound AP to active thiol with free SH group is what drug
amifostine
what are the cisplatin analogues
carboplatin
oxaliplatin
Picoplatin
carboplatin is advantageous in the lack of renal toxicity evident with cisplatin (t/f)
true
oxaliplatin loses oxalate dianion in vivo to form the mono- and dehydrated diaminocyclohexane platinum analogs (t/f)
true
name of this is derived from the 2-methylpuridine (pico line) ring associated with the platinum atom
picoplatin
what reacts with DNA forming an intrstand cross link
oxaliplatin
which class involves formation of covalent DNA crosslinking
alkylating
Which one of these nitorgen mustards is more reactive?
Mechlorethamine
Chlorambucil
Cyclophosphamide
Melphalan
A
Which one of these compounds is a nitrosourea anticancer agent?

A
B
C
D
B
antineoplastic effect through the O6 methylation of guanine nucleotide is what
DNA methylators
prodrug activated by demethylation in the liver is what drug
dacarbazine
decomposes to form a methylidiazonium ion is what drug
dacarbazine
prodrug activated in the body to form an alkylating agent is what drug
mitomycin C
classified as an alkyl sulfonate
one of both of the methylsulfonate ester moieties can be displaced by the nucleophilic guanine, leading to monoalkylatted and cross linked DNA
busulfan
before reacting with DNA, the electron donating ligands (chloride) are displaced through nucleophilic attack by cellular water is what
organoplatinum complexes
intrastrand cross linking happens where ?
organoplatinum complexes
what forms intra strand adduct that interferes with DNA function and may not be adequately repaired
cisplatin
Please select the alkylating agent among the following structures.
You can respond once

Compound A
Compound B
Compound C
Compound D
C
hydrated platinum platinum analogs are readily attacked by DNA nucleophiles (N7 of adjacent guanine residues) due to net positive charge that has been regained on the Pt atom
organoplatinum complexes
highly nephrotoxic is what drug
cisplatin
electron deficient metal
two DNA nucleophiles
oragnoplatinum complexes
carboplatin is advantageous in the lack of renal toxicity evident with cisplatin (t/f)
true
what loses oxalate dianion in vivo to form the mono-and dehydrated diaminocyclohexane platinum analogs
oxaliplatin
the name of the antineoplatic is derived from the 2 methyl pyridine (pico line) ring associated with platinum atom
picoplatin
what forms the cytotoxic hydrated intermediate as cisplatin but does so at 10 fold slower rate, making it 20 to 40 fold less potent chemotherapeutic agents
carboplatin
what is less mutagenic, nephrotoxic, hematotoxic, and ototoxic than cisplatin
oxaliplatin
Te mechanism of action of ----------involves the formation of covalent DNA crosslinks.
Carboplatin
Cytarabine
Methotrexate
6-Mercaptopurine
A
Which statement is true?
Cisplatin loses oxalate in vivo to form the mono- and dihydrate platinum analogs.
Carboplatin loses oxalate in vivo to form the mono- and dihydrate platinum analogs.
Oxaliplatin loses oxalate in vivo to form the mono- and dihydrate platinum analogs.
Picoplatin loses oxalate in vivo to form the mono- and dihydrate platinum analogs.
C
what is associated with a higher risk of nephrotoxicity
Cisplatin