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ONS/ONCC Chemotherapy Immunotherapy Certificate Exam Guide: Questions, Answers & Key Concepts

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This comprehensive study resource covers essential topics for the ONS/ONCC Chemotherapy Immunotherapy Certificate exam. It includes detailed explanations of cellular structure, the cell cycle, immune system function, chemotherapy agents, immunotherapy, targeted therapies, safe handling practices, and management of treatment-related side effects. Ideal for oncology nurses and healthcare professionals preparing for certification.

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ONS/ONCC CHEMOTHERAPY
IMMUNOTHERAPY CERTIFICATE
QUESTIONS & ANSWERS LATEST
1. Lesson 1: foundations to set the stage - correct answer ✔✔ -

2. Focusing on cellular structure and function - correct answer ✔✔ -

3. The normal cell cycle - correct answer ✔✔ - -the cell cycle refers to the
ordered seres of processes of dna replication and mitosis, or cell division
4. -cell nucleus regulates these processes by gathering and processing
complexes molecular information

5. Interphase and mitotic phase - correct answer ✔✔ - cell division produces
two identical cells through these two major phases

6. During interphase: - correct answer ✔✔ - cell grows and dna is replicated
through the following three steps:
1: first growth phase (g1 or first gap)
2: synthesis phase (s phase)
3:mitotic phse (m phase)

7. First growth phase (g1 or first gap) - correct answer ✔✔ - -cells increase in
size
-reproduce
-"quality assurance" test that the cell will be ready to synthesis dna
-length of time is variable, can be from hours to days

8. Synthesis phase (s phase) - correct answer ✔✔ - -dna replicates
-results in the formation of identical pairs of dna (chromatids)
-which are attached at the centromere
-lasts 2-10 hours

9. Mitotic phase (m phase) - correct answer ✔✔ - -replicated chromosomes
are aligned, separated, and move into 2 new, identical daughter cells
-takes about 30-60 minutes


1

,10.Major points of cell regulation are entry and exit from - correct answer ✔✔
- -g1 checkpoint
-s phase
g2 checkpoint
-m phase

11.Restriction point - correct answer ✔✔ - -the transition from the resting
phase into an actively dividing phase (g0-g1) is a point where cellular
transformation can occur
-during this time, cells pass through a transition phase known as a restriction
point
-extracellular growth factors trigger reentry into g1, and gf are required to
send the cells past the restriction point, or the point of no return

12.G0 phase (resting phase) - correct answer ✔✔ - -after mitosis, cells may
enter back into the g1 phase or go into a resting phase, known as g0
-most cells in the human body reside in g0

13.Exceptions to this are those that are (resting in g0 phase) - correct answer
✔✔ - -exceptions to this are those that are metabollically active, such as
-granulocytes
-and the epithelium of the gi tract

14.Cell cycling time - correct answer ✔✔ - amount of time from mitosis to
mitosis

15.Cell cycle video and image - correct answer ✔✔ -
http://highered.mheducation.com/sites/0072495855/student_view0/chapter2/
animation__how_the_cell_cycle_works.html

16.Check points in the cell cycle: keeping it all under control - correct answer
✔✔ - -the cell cycle is carefully controlled through a series of checkpoints
-variation in duplication or distribution of chromosomes during cell division
can alter the genetic information passed on to daughter cells, leading to
cellular dysfunction and disease, such as cancer
-these checkpoints monitor for dna integrity and control progression through
mitosis



2

, 17.Progression through the cell cycle is controlled through two proteins: -
correct answer ✔✔ - 1. Cyclines (d, e, a, b)
2. Cyclin-dependent kinases (cdks)
-cyclin-cdk complex allows the cell to progress through each phase of the
cell cycle

18.Locations of proteins cyclins (d, e, a, b) and cdks - correct answer ✔✔ - -
(g0-g1) : cyclin d and cdk 4/6
-early s: cyclin e and cdk 1/2
-late s: cyclin a and cdk 1/2
-g2: cdk 1/2 and cyclin a
-before m: cdk 1 and cyclin b

19.Inhibitory proteins - correct answer ✔✔ - -prevent progression of the cycle
when dna damage is detected
-an example of an inhibitory protein is p53 (aka tp53)

20.Dna damage checkpoints - correct answer ✔✔ - -if dna damage is present,
cells are programmed to stop dividing or undergo apoptosis (programmed
cell death)
-the retinoblastoma protein (rb), p53, and p21 are some of the most well-
understood inhibitory proteins (ip)

21.Inhibitory proteins p53 - correct answer ✔✔ - -levels of this ip regulate
several important target genes
-will increase when dna damage is present
-protects against inappropriate signal proliferation
-sometimes called the "suicide gene"

22.M phase checkpoints - correct answer ✔✔ - when the cells prepare to
divide, the chromosomes line up in the mitotic spindle.
If the chromosomes are not properly aligned, division is not allowed to continue

23.Immunity - correct answer ✔✔ -

24.Cells of the immune system - correct answer ✔✔ -

25.Pluripotent stem cell - correct answer ✔✔ - -the cells of the immune system
are created in the bome marrow from what is know as a ___
3

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