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ONS CHEMOTHERAPY IMMUNOTHERAPY CERTIFICATION EXAM |ACTUAL QUESTIONS AND VERIFIED ANSWERS |GRADED A+ |PASS ON FIRST ATTEMPT|BRAND NEW 2026 UPDATE!!!!!

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ONS CHEMOTHERAPY IMMUNOTHERAPY CERTIFICATION EXAM |ACTUAL QUESTIONS AND VERIFIED ANSWERS |GRADED A+ |PASS ON FIRST ATTEMPT|BRAND NEW 2026 UPDATE!!!!!

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3 major phases of cell division: - ANSWER Interphase

Mitotic phase

Cytokinesis



3 steps of interphase: - ANSWER First growth phase (G1)

Synthesis phase (S phase)

Second growth phase (G2)



4 phases of mitosis: - ANSWER Prophase

Metaphase

Anaphase

Telophase



Innate immunity: - ANSWER Non-specific response, either:

1. Barrier (skin, mucous membranes, flora of skin/gut)

2. Cellular components (phagocytes, natural killer cells, granulocytes, macrophages)



Adaptive immunity: - ANSWER Follows innate immunity if unsuccessful. Memory
immunity, including:

1. Humoral immunity (production of antibodies or immunoglobulins)

2. Cell mediated immunity (dependent upon T cells)

3. Regulatory T -cells (prevent autoimmune reactions and limit inflammatory responses)



Define mutations - ANSWER Variations in the nucleotide sequence of a gene

1

,3 main goals of treatment: - ANSWER Cure

Control

Palliation



Define neoadjuvant therapy - ANSWER Treatment is given prior to surgery to shrink the
tumor



Define adjuvant therapy - ANSWER Additional cancer treatment given after the primary
treatment to lower the risk that the cancer reoccur



Define conditioning/preparative therapy - ANSWER Treatments used to prepare a patient
for stem cell transplantation



2 types of conditioning therapies: - ANSWER Myeloablative

Nonmyeloablative



Define dose density - ANSWER Drug dose per unit of time



Define dose intensity - ANSWER Amount of drug delivered over time



How is relative dose intensity (RDI) calculated? - ANSWER By comparing the dose that
the patient ACTUALLY received to the planned dose of the standard regimen



How do alkylating agents work? - ANSWER By causing a break in the DNA helix strand,
interfering with DNA replication and causing cell death



3 subcategories of alkylating agents: - ANSWER 1. Nitrogen mustards



2

, 2. Platinum-based agents (do not possess an alkyl group but still termed alkylating agents as
they work similarly)

3. Nitrosoureas



Most common subcategory of alkylating agents: - ANSWER Nitrogen mustards



Common alkylating agents: - ANSWER Cyclophosphamide (Cytoxan)

Ifosfamide (Ifex)

Bendamustine (Treanda)



Common platinum-based agents: - ANSWER Cisplatin (Platinol)

Carboplatin (Paraplatin)



What is unique about nitrosoureas agents? - ANSWER Able to cross the blood-brain
barrier; can be effective in treating some brain tumors



Common nitrosoureas agents: - ANSWER Carmustine (BiCNU)

Lomustine (CeeNu)

Streptozocin (Zanosar)



Hypersensitivity can occur with late doses of: - ANSWER Carboplatin



These agents are typically categorized as highly emetogenic: - ANSWER 1. Alkylating
agents

2. Nitrosoureas



Pre-administration labs for alkylating agents and nitrosoureas: - ANSWER BUN

Creatinine


3

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