{"id":113710,"date":"2023-08-16T03:23:34","date_gmt":"2023-08-16T03:23:34","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113710"},"modified":"2023-08-16T03:23:36","modified_gmt":"2023-08-16T03:23:36","slug":"ons-oncc-chemotherapy-immunotherapy-certificate-exam-latest-2023-2024-questions-and-answers-verified-answers-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/16\/ons-oncc-chemotherapy-immunotherapy-certificate-exam-latest-2023-2024-questions-and-answers-verified-answers-2\/","title":{"rendered":"ONS\/ONCC Chemotherapy Immunotherapy Certificate Exam Latest 2023-2024 Questions And Answers (Verified Answers)"},"content":{"rendered":"\n<p>ONS\/ONCC Chemotherapy Immunotherapy<br>Certificate Exam Latest 2023-2024<br>Questions And Answers (Verified Answers)<br>Define mutations &#8211; ANSWER- Variations in the nucleotide sequence of a gene<br>3 main goals of treatment: &#8211; ANSWER- Cure<br>Control<br>Palliation<br>Define neoadjuvant therapy &#8211; ANSWER- Treatment is given prior to surgery to<br>shrink the tumor<br>Define adjuvant therapy &#8211; ANSWER- Additional cancer treatment given after the<br>primary treatment to lower the risk that the cancer reoccur<br>Define conditioning\/preparative therapy &#8211; ANSWER- Treatments used to prepare a<br>patient for stem cell transplantation<br>2 types of conditioning therapies: &#8211; ANSWER- Myeloablative<br>Nonmyeloablative<br>Define dose density &#8211; ANSWER- Drug dose per unit of time<br>Define dose intensity &#8211; ANSWER- Amount of drug delivered over time<br>How is relative dose intensity (RDI) calculated? &#8211; ANSWER- By comparing the<br>dose that the patient ACTUALLY received to the planned dose of the standard<br>regimen<br>How do alkylating agents work? &#8211; ANSWER- By causing a break in the DNA<br>helix strand, interfering with DNA replication and causing cell death<br>3 subcategories of alkylating agents: &#8211; ANSWER- 1. Nitrogen mustards<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Platinum-based agents (do not possess an alkyl group but still termed alkylating<br>agents as they work similarly)<\/li>\n\n\n\n<li>Nitrosoureas<br>Most common subcategory of alkylating agents: &#8211; ANSWER- Nitrogen mustards<br>Common alkylating agents: &#8211; ANSWER- Cyclophosphamide (Cytoxan)<br>Ifosfamide (Ifex)<br>Bendamustine (Treanda)<br>Common platinum-based agents: &#8211; ANSWER- Cisplatin (Platinol)<br>Carboplatin (Paraplatin)<br>What is unique about nitrosoureas agents? &#8211; ANSWER- Able to cross the bloodbrain barrier; can be effective in treating some brain tumors<br>Common nitrosoureas agents: &#8211; ANSWER- Carmustine (BiCNU)<br>Lomustine (CeeNu)<br>Streptozocin (Zanosar)<br>Hypersensitivity can occur with late doses of: &#8211; ANSWER- Carboplatin<br>These agents are typically categorized as highly emetogenic: &#8211; ANSWER- 1.<br>Alkylating agents<\/li>\n\n\n\n<li>Nitrosoureas<br>Pre-administration labs for alkylating agents and nitrosoureas: &#8211; ANSWER- BUN<br>Creatinine<br>CBC w\/ diff<br>What is the medication Mesna used for? &#8211; ANSWER- Bladder protectant with<br>administration of cyclophosphamide or ifosfamide<br>Instruct pts receiving <strong>to avoid exposure to cold air and consuming cold<br>fluids for 3-4 days following treatment &#8211; ANSWER- Oxaliplatin<br>How do antimetabolites function? &#8211; ANSWER- By blocking DNA and RNA<br>growth by interfering with enzymes needed for normal cell metabolism<br>Antimetabolites work in the _<\/strong> phase. &#8211; ANSWER- S<\/li>\n<\/ol>\n\n\n\n<p>What types of cells are best affected by antimetabolites? &#8211; ANSWER- Cells with<br>high division rates<br>Common side effects of antimetabolites: &#8211; ANSWER- Myelosuppression<br>GI toxicities<br>Photosensitivity<br>Hand-foot syndrome<br>Common antimetabolite drugs: &#8211; ANSWER- Azacitidine<br>Capecitabine<br>5-FU<br>Cytarabine<br>Decitabine<br>Methotrexate<br>The institute for Safe Medication Practices recommends what route of<br>administration for vincristine? &#8211; ANSWER- IV piggyback via gravity<br>Anthracycline antitumor abx work by: &#8211; ANSWER- Interfering with enzymes<br>necessary for DNA to replicate in ALL phases of the cell cycle<br>The two major classifications of antitumor antibiotics are: &#8211; ANSWERAnthracyclines<br>Non-anthracyclines<br>Common anthracycline antitumor abx: &#8211; ANSWER- Daunorubicin<br>Doxorubicin<br>Epirubicin<br>Idarubicin<br>The antitumor abx <strong><em><strong>_<\/strong><\/em><\/strong> is not an anthracycline, but has anthracyclinetype properties. &#8211; ANSWER- Mitoxantrone<br>Common non-anthracycline antitumor abx: &#8211; ANSWER- Actinomycin D<br>Mitomycin C<br>Bleomycin<br>Monitoring necessary with doxorubicin: &#8211; ANSWER- Vesicant &#8211;&gt; extravasation<br>Cardiac function<br>Lifetime dose tracking (cardiotoxicity)<\/p>\n\n\n\n<p>Lifetime dose of doxorubicin should not exceed: &#8211; ANSWER- 550 mg\/m^2<br>What cardiac protectant medication can be administered prior to doxorubicin? &#8211;<br>ANSWER- Dexrazoxane<br>Significant side effects of doxorubicin are: &#8211; ANSWER- Cardiotoxicity<br>N\/V<br>Mucositis<br>Diarrhea<br>Severe myelosuppression<br>Hepatic impairment<br>Secondary cancers<br>Monitoring necessary with bleomycin: &#8211; ANSWER- Pulmonary toxicity<br>Hypersensitivity reactions (esp. in lymphoma patients)<br>Cutaneous reactions<br>Lifetime dose tracking (pulmonary toxicity)<br>Pulmonary fibrosis is possible when the lifetime dose of bleomycin exceeds: &#8211;<br>ANSWER- 400 units<br>What 6 patient characteristics make CINV more likely? &#8211; ANSWER- 1. Younger<br>than 50 years<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Hx of low alcohol intake<\/li>\n\n\n\n<li>Female gender<\/li>\n\n\n\n<li>Hx of morning sickness during pregnancy<\/li>\n\n\n\n<li>Prone to motion sickness<\/li>\n\n\n\n<li>Previous chemotherapy<br>Types of CINV: &#8211; ANSWER- Acute<br>Delayed<br>Breakthrough<br>Anticipatory<br>Refractory<br>Define acute CINV &#8211; ANSWER- Occurring within 24 hours of chemotherapy<br>Define delayed CINV &#8211; ANSWER- Occurring from 24 hours to 5 days after<br>treatment<br><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>ONS\/ONCC Chemotherapy ImmunotherapyCertificate Exam Latest 2023-2024Questions And Answers (Verified Answers)Define mutations &#8211; ANSWER- Variations in the nucleotide sequence of a gene3 main goals of treatment: &#8211; ANSWER- CureControlPalliationDefine neoadjuvant therapy &#8211; ANSWER- Treatment is given prior to surgery toshrink the tumorDefine adjuvant therapy &#8211; ANSWER- Additional cancer treatment given after theprimary treatment to lower the 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