ALL BCOP QUESTIONS AND ANSWERS.
melanoma - Stage I or II correct answers surgery
melanoma - Stage III correct answers nivolumab, ipilumumab
melanoma - BRAF positive Stage III correct answers dabrafenib + trametinib
melanoma - BRAF positive Stage IV, aggressive, bulky, symptomatic correct answers dabrafenib
+ trametinib, vemurafenib + cobimetinib
melanoma - Unresectable stage III with in-transit lesions correct answers Talimogene
Laherparepvec (T-VEC)
melanoma - Stage IV correct answers nivolumab, pembrolizumab
melanoma - BRAF positive Stage IV minimally symptomatic correct answers nivolumab,
pembrolizumab, nivolumab + ipilimumab (Stage IV immunotherapy)
metastatic basal cell carcinoma correct answers vismodegib, sonidegib
CLL - Age < 65 without significant comorbidies without del 17p/TP53 correct answers FCR,
ibrutinib, bendamustine with or without cd20 MoAb
CLL - Age < 65 without significant comorbidities without del 17p/TP53 relapse/refractory
correct answers ibrutinib, idelalisib + R, venetoclax with or without R
CLL - Age < 65 without significant comorbidies without del 17p/TP53 maintenance correct
answers consider lenalidomide for high risk
CLL - Age > 65 or younger patients with significant comorbidities without del 17p/TP53 correct
answers Obinutuzumab + chlorambucil, ibrutinib, ofatumumab + chlorambucil, rituxan +
chlorambucil, bendamustine with or without R
CLL - Age > 65 or younger patients with significant comorbidities without del 17p/TP53
maintenance correct answers consider lenalidomide for high risk
CLL - Age > 65 or younger patients with significant comorbidities without del 17p/TP53
relapse/refractory correct answers ibrutinib, idelalisib + R, venetoclax with or without R
CLL - Frail patients with significant comorbidities without del 17p/TP53 correct answers
Obinutuzumab + chlorambucil, ibrutinib, ofatumumab + chlorambucil, rituxan + chlorambucil
CLL - Frail patients with significant comorbidities without del 17p/TP53 maintenance correct
answers consider lenalidomide for high risk
,Frail patients with significant comorbidities without del 17p/TP53 relapsed/refractory correct
answers ibrutinib, idelalisib + R, venetoclax with or without R
CLL - With del 17p/TP53 correct answers ibrutinib**, HDMP + rituxan, obinutuzumab,
alemtuzumab with or without rituxan
CLL - With del 17p/TP53 relapsed/refractory correct answers ibrutinib, idelalisib + R,
venetoclax with or without R
CLL - With del 17p/TP53 maintenance correct answers consider lenalidomide for high risk
NSCLC stage IA correct answers surgery
NSCLC stage IB correct answers surgery
NSCLC stage IIA correct answers surgery followed by cisplatin doublet
NSCLC stage IIB correct answers surgery followed by cisplatin doublet
NSCLC stage IIIA correct answers surgery followed by cisplatin doublet
NSCLC stage IIIB correct answers surgery followed by cisplatin doublet + XRT
NSCLC stage III consolidation correct answers durvalumab
NSCLC stage IV PD-LI >50% correct answers pembrolizumab
NSCLC stage IV SCC correct answers cisplatin/gemcitabine
NSCLC stage IV adenocarcinoma no driver mutation, no PD-L1 expression correct answers
platinum based doublet or carbo/pem/pem
NSCLC stage IV nonsquamous EGFR positive correct answers erlotinib, afatinib, gefitinib,
osimertinib (2a rec)
NSCLC stage IV nonsquamous T790M mutation correct answers osimertinib
NSCLC stage IV nonsquamous EML4-ALK positive correct answers alectinib (preferred),
crizotinib, ceritinib
NSCLC stage IV nonsquamous ROS-1 positive correct answers crizotinib, ceritinib
NSCLC stage IV nonsquamous BRAF V600E positive correct answers dabrafenib+trametinib
NSCLC continuation maintenance correct answers pemetrexed (nonsquamous),
pemetrexed/avastin, gemzar
, NSCLC switch maintenance correct answers pemetrexed (nonsquamous), docetaxel
NSCLC stage IV nonsquamous EGFR positive second line correct answers erlotinib, gefitinib,
afatanib
NSCLC stage IV nonsquamous EGFR positive third line correct answers chemo preferred over
immunotherapy
NSCLC stage IV nonsquamous ALK positive second line correct answers ceritinib, alectinib,
brigatinib
NSCLC stage IV nonsquamous ALK positive third line correct answers chemo preferred over
immunotherapy
NSCLC stage IV second line after progression on platinum based chemo (immunotherapy)
correct answers nivolumab, pembrolizumab (PD-L1 >1%), atezolizumab
NSCLC stage IV second line after progression on platinum based chemo (chemo) correct
answers docetaxel, pemetrexed, ramucirumab+docetaxel
Stage IV mesothelioma correct answers Pemetrexed/cisplatin (category 1),
pemetrexed/cisplatin/avastin (category 2)
Stage 1A or stage 1B (grade 1 and 2) ovarian correct answers surgical staging + observation.
taxane/carbo for 3-6 cycles if grade 2
Stage 1A or 1B (grade 3) and Stage 1C (grade 1, 2, 3) ovarian correct answers surgical staging +
taxane/carbo 3-6 cycles
Stage 2 ovarian correct answers surgical staging + taxane plus platinum IV or IP (in <1cm
optimally debulked, category 2a) for 6 cycles
Stage 3 ovarian correct answers surgical staging + taxane/carbo, carbo/doxil, cisplatin/taxol, IP
chemo (category 1)
Stage 4 ovarian correct answers surgical staging + taxane/carbo, carbo/doxil, cisplatin/taxol
Platinum sensitive recurrent disease ovarian correct answers disease free for >6 months -
platinum based chemo (carbo/taxol, doxil/carbo category 1)
Platinum sensitive recurrent disease ovarian w/ neuropathy correct answers gemzar/carbo or
gemzar/cisplatin reverses platinum resistance
Platinum sensitive recurrent disease ovarian but cannot tolerate combination chemo correct
answers cisplatin, carboplatin
melanoma - Stage I or II correct answers surgery
melanoma - Stage III correct answers nivolumab, ipilumumab
melanoma - BRAF positive Stage III correct answers dabrafenib + trametinib
melanoma - BRAF positive Stage IV, aggressive, bulky, symptomatic correct answers dabrafenib
+ trametinib, vemurafenib + cobimetinib
melanoma - Unresectable stage III with in-transit lesions correct answers Talimogene
Laherparepvec (T-VEC)
melanoma - Stage IV correct answers nivolumab, pembrolizumab
melanoma - BRAF positive Stage IV minimally symptomatic correct answers nivolumab,
pembrolizumab, nivolumab + ipilimumab (Stage IV immunotherapy)
metastatic basal cell carcinoma correct answers vismodegib, sonidegib
CLL - Age < 65 without significant comorbidies without del 17p/TP53 correct answers FCR,
ibrutinib, bendamustine with or without cd20 MoAb
CLL - Age < 65 without significant comorbidities without del 17p/TP53 relapse/refractory
correct answers ibrutinib, idelalisib + R, venetoclax with or without R
CLL - Age < 65 without significant comorbidies without del 17p/TP53 maintenance correct
answers consider lenalidomide for high risk
CLL - Age > 65 or younger patients with significant comorbidities without del 17p/TP53 correct
answers Obinutuzumab + chlorambucil, ibrutinib, ofatumumab + chlorambucil, rituxan +
chlorambucil, bendamustine with or without R
CLL - Age > 65 or younger patients with significant comorbidities without del 17p/TP53
maintenance correct answers consider lenalidomide for high risk
CLL - Age > 65 or younger patients with significant comorbidities without del 17p/TP53
relapse/refractory correct answers ibrutinib, idelalisib + R, venetoclax with or without R
CLL - Frail patients with significant comorbidities without del 17p/TP53 correct answers
Obinutuzumab + chlorambucil, ibrutinib, ofatumumab + chlorambucil, rituxan + chlorambucil
CLL - Frail patients with significant comorbidities without del 17p/TP53 maintenance correct
answers consider lenalidomide for high risk
,Frail patients with significant comorbidities without del 17p/TP53 relapsed/refractory correct
answers ibrutinib, idelalisib + R, venetoclax with or without R
CLL - With del 17p/TP53 correct answers ibrutinib**, HDMP + rituxan, obinutuzumab,
alemtuzumab with or without rituxan
CLL - With del 17p/TP53 relapsed/refractory correct answers ibrutinib, idelalisib + R,
venetoclax with or without R
CLL - With del 17p/TP53 maintenance correct answers consider lenalidomide for high risk
NSCLC stage IA correct answers surgery
NSCLC stage IB correct answers surgery
NSCLC stage IIA correct answers surgery followed by cisplatin doublet
NSCLC stage IIB correct answers surgery followed by cisplatin doublet
NSCLC stage IIIA correct answers surgery followed by cisplatin doublet
NSCLC stage IIIB correct answers surgery followed by cisplatin doublet + XRT
NSCLC stage III consolidation correct answers durvalumab
NSCLC stage IV PD-LI >50% correct answers pembrolizumab
NSCLC stage IV SCC correct answers cisplatin/gemcitabine
NSCLC stage IV adenocarcinoma no driver mutation, no PD-L1 expression correct answers
platinum based doublet or carbo/pem/pem
NSCLC stage IV nonsquamous EGFR positive correct answers erlotinib, afatinib, gefitinib,
osimertinib (2a rec)
NSCLC stage IV nonsquamous T790M mutation correct answers osimertinib
NSCLC stage IV nonsquamous EML4-ALK positive correct answers alectinib (preferred),
crizotinib, ceritinib
NSCLC stage IV nonsquamous ROS-1 positive correct answers crizotinib, ceritinib
NSCLC stage IV nonsquamous BRAF V600E positive correct answers dabrafenib+trametinib
NSCLC continuation maintenance correct answers pemetrexed (nonsquamous),
pemetrexed/avastin, gemzar
, NSCLC switch maintenance correct answers pemetrexed (nonsquamous), docetaxel
NSCLC stage IV nonsquamous EGFR positive second line correct answers erlotinib, gefitinib,
afatanib
NSCLC stage IV nonsquamous EGFR positive third line correct answers chemo preferred over
immunotherapy
NSCLC stage IV nonsquamous ALK positive second line correct answers ceritinib, alectinib,
brigatinib
NSCLC stage IV nonsquamous ALK positive third line correct answers chemo preferred over
immunotherapy
NSCLC stage IV second line after progression on platinum based chemo (immunotherapy)
correct answers nivolumab, pembrolizumab (PD-L1 >1%), atezolizumab
NSCLC stage IV second line after progression on platinum based chemo (chemo) correct
answers docetaxel, pemetrexed, ramucirumab+docetaxel
Stage IV mesothelioma correct answers Pemetrexed/cisplatin (category 1),
pemetrexed/cisplatin/avastin (category 2)
Stage 1A or stage 1B (grade 1 and 2) ovarian correct answers surgical staging + observation.
taxane/carbo for 3-6 cycles if grade 2
Stage 1A or 1B (grade 3) and Stage 1C (grade 1, 2, 3) ovarian correct answers surgical staging +
taxane/carbo 3-6 cycles
Stage 2 ovarian correct answers surgical staging + taxane plus platinum IV or IP (in <1cm
optimally debulked, category 2a) for 6 cycles
Stage 3 ovarian correct answers surgical staging + taxane/carbo, carbo/doxil, cisplatin/taxol, IP
chemo (category 1)
Stage 4 ovarian correct answers surgical staging + taxane/carbo, carbo/doxil, cisplatin/taxol
Platinum sensitive recurrent disease ovarian correct answers disease free for >6 months -
platinum based chemo (carbo/taxol, doxil/carbo category 1)
Platinum sensitive recurrent disease ovarian w/ neuropathy correct answers gemzar/carbo or
gemzar/cisplatin reverses platinum resistance
Platinum sensitive recurrent disease ovarian but cannot tolerate combination chemo correct
answers cisplatin, carboplatin