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2024 SKETCHY PHARMACOLOGY FOR STEP 1 EXAM QUESTIONS AND ANSWERS $13.49   Add to cart

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2024 SKETCHY PHARMACOLOGY FOR STEP 1 EXAM QUESTIONS AND ANSWERS

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SKETCHY PHARMACOLOGY FOR STEP 1 EXAM QUESTIONS AND ANSWERS

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  • March 27, 2024
  • 126
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • SKETCHY PHARMACOLOGY FOR STEP 1
  • SKETCHY PHARMACOLOGY FOR STEP 1
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Estudyr
EN



SKETCHY PHARMACOLOGY FOR STEP 1 EXAM
QUESTIONS AND ANSWERS

Ethosuximide MoA



ANSWER IS - block T-type Ca2+ channels in thalamic neurons



Methotrexate MoA



ANSWER IS - inhibit DHFR, reducing the amount of DHF reduced to THF, which reduces the amount of
thymine synthesized, which halts cells in S phase of mitosis



Methotrexate AE



ANSWER IS - Folate deficiency (megaloblastic anemia), myelosuppression, pancytopenia

Pulmonary fibrosis (dyspnea, bilateral diffuse opacities, honeycomb bronchioles)

Hepatotoxicity

Alopecia

Stomatitis, soreness of the mouth



5-FU MoA



ANSWER IS - metabolized to active form (F-dUMP), complexes with THF to inhibit thymidylate synthase,
which halts cells in S phase of mitosis

,EN


5-FU AE



ANSWER IS - diarrhea, photosensitivity, hyperpigmentation, myelosuppression (increased infxn risk)



Hydroxyurea MoA



ANSWER IS - blocks ribonucleotide reductase, preventing de novo thymidine synthesis, which halts cells
in S phase of mitosis



Hydroxyurea AE



ANSWER IS - myelosuppression/pancytopenia (increased risk of infxn)



Azathioprine MoA



ANSWER IS - prodrug of 6-mercaptopurine, a cytotoxic purine analog that decreases IMP, decreasing
DNA and RNA synthesis, halting cells in S phase



6-MP MoA



ANSWER IS - activated by HGPRT, active metabolites inhibit IMP synthesis, decreasing DNA and RNA
synthesis, halting cells in S phase



6-MP AE



ANSWER IS - myelosuppression (leukopenia, thrombocytopenia), reactivation of HZV, pancreatitis,
hepatotoxicity (liver enzyme monitoring required)

,EN




Mycophenolate mofetil AE



ANSWER IS - GI upset, myelosuppression, immunodeficiency



Mycophenolate mofetil MoA



ANSWER IS - IMP dehydrogenase inhibitor, decreasing AMP and GMP synthesis, decreased lymphocyte
production



Cladribine MoA



ANSWER IS - purine analog incorporated into DNA and inhibiting DNA Polymerase alpha and beta,
arresting cells in S phase



Cladribine use



ANSWER IS - myelosuppression



Cladribine AE



ANSWER IS - myelosuppression



Cyclophosphamide MoA



ANSWER IS - prodrug metabolized to active form by P450 to a DNA alkylating agent; cell-cycle phase
NON-specific

, EN




Cyclophosphamide AE



ANSWER IS - myelosuppression, hemorrhagic cystitis (dysuria, hematuria), increased risk for bladder
cancer, hyponatremia (SIADH-induction), infertility, premature menopause, irreversible aspermia



Cyclophosphamide rescue drug



ANSWER IS - Mesna



Busulfan MoA



ANSWER IS - alkylating agent that forms DNA intrastrand cross-links, preventing DNA replication and
causing apoptosis; cell phase NON-specific



Busulfan AE



ANSWER IS - lung toxicity (interstitial fibrosis), hyperpigmentation, myelosuppression



Nitrosoureas MoA



ANSWER IS - alkylating agents that require biotransformation in liver, cross BBB, and inhibit DNA
replication; non-cell cycle specific



Nitrosoureas AE



ANSWER IS - neurotoxicity (dizziness, convulsions, ataxia, etc)

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