Chemotherapy Biotherapy Certification Exam Questions with Correct Verified Answers | Latest Update () Guaranteed Pass

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Chemotherapy




Chemotherapy Biotherapy
Certification Exam Questions
with Correct Verified Answers
Latest Update (2024/2025)
Guaranteed Pass
1. Lesson 4 A cautionary tale about routes - ANS ✔intrathecal
x x x x x x x x x x


chemo- injects chemo directly into the subarachnoid space so it
x x x x x x x x x x


reaches the CNA x x




-leukemia and lymphoma spreading to CNS since most chemo does not
x x x x x x x x x x x


cross blood brain barrier x x x




2. intrathecal chemo - ANS ✔ONLY methotrexate and cytarabine
x x x x x x x x


can be given IT
x x x




-IT hydrocorisone given at same time to reduce inflammation
x x x x x x x x




3. vincristine - ANS ✔dilute in 20mL minibag and infuse over short
x x x x x x x x x x x


time- IVP not reommended
x x x




vinblastine -dilute in 25-50 ns x x x x




4. Lesson 5 Antitumor Antibiotics - ANS ✔-anthracyclines:
x x x x x x x


interfere with enzymes for DNA to replicate, work phases of the
x x x x x x x x x x x


cell cycle
x




lifetime dose limites because they are cardiotoxic
x x x x x x




-daunorubicin, doxorubicin, epirubicin, idarubicin
x x x




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Chemotherapy



nonanthracycline: actinomycin, mitomycin, bleomycin x x x




5. doxorubicin - ANS ✔vesicant x x x




extravasation possible- must eval cardiac funciton, ongoing cardiac
x x x x x x x x


monitoring, hypersensitivity risk x x




-nausea/ vomiting, mucositis, diarrhea, myelosupression, hepatic
x x x x x x


impairment, secondary cancer x x




-cardiac: SOB< skipped beats, weight gain
x x x x x




-myelosuppress: oral temp daily, report >100.5 x x x x x




GI: nausea vomiting diarrhea, inspect mucosa
x x x x x




neuro: numbness/ tingling, burning
x x x




GU: change in color of urine
x x x x x




6. dexrazoxane - ANS ✔cardiac protectant given before
x x x x x x




7. bleomycin - ANS ✔antitumor antibiotic - lifetime dose warning
x x x x x x x x




-can cause hypersensitivity, skin reaction
x x x x




-report SOB< skin issues, protect from sun
x x x x x x




8. Lesson 6 symptoms that can be dose limiting - ANS ✔chemo
x x x x x x x x x x x


induced nausea and vomiting
x x x




-lead to dehydration, dec functional status, increased costs and
x x x x x x x x x


withdrawal from treatment x x




-70% patient will experience.
x x x




Chemotherapy x Biotherapy x Certification

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RISK Factors: younger, history of low alcohol consumption, female,
x x x x x x x x x


morning/ motion sickness x x




HEC: highly emetogenic - carmustine, cisplatin, cyclophosphamide,
x x x x x x x


daarbazine, mechlorethamine, streptozocin x x




9. CINV - ANS ✔chemo infuced nausea vomiting- vomiting center is
x x x x x x x x x x


central area responsible for CINV
x x x x




-patient are at risk for 2-3 days after last dose of cheom
x x x x x x x x x x x




10. Antiemetics - ANS ✔serotonin antagonists x x x x




-dolasetron, granisetron, ondansetron, palonosetron
x x x




neurokinin antagonists- aprepitant, fosaprepitant
x x x




steroids: dexamethasone x




11. Cutaneous Side effects of chemo - ANS ✔5FU and x x x x x x x x x


capecitabine has been noted to cause the worst skin resactions
x x x x x x x x x




-hand foot syndrome x x




-palmar plantar erythrodysesthesia - painful- flaking swelling blisters
x x x x x x x x


and sores x




avoid hot water, impacton feet and rubbing
x x x x x x




12. myelosuppression - ANS ✔suppression of bone marroe, x x x x x x x


red blood and platelets
x x x




NADIR: point at which blood cell counts are at the lowest after
x x x x x x x x x x x x


treatemtn. usually 7-1 days after cyce x x x x x




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