CHEMOTHERAPY CERTIFICATION
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
Doxorubicin - ANS Cardiotoxic
TISSUE VESICANT
Baseline MUGA and total dose (CONCERN at 550 mg/m2)
URINE=RED
IF EXTRAVASATION OCCURS= cool/ice + Totect
Idamycin - ANS Cardiotoxic (cardiomyopathy)
Bleomycin - ANS AVOID oxygen supplementation
Methotrexate - ANS *Leukovorin decreases cytotoxicity*
Pemetrexed - ANS Vitamin B12 & folic acid supplements to decrease toxicity
Fludarabine - ANS Immunosuppression
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Thioguanine - ANS Bone Marrow Suppression
Stomatitis/Mucositis
5-FU - ANS *Stomatitis
Bone marrow depression
*Diarrhea
Mucositis
Capeticibine - ANS ***Pro-drug that converts 5FU in liver
Stomatitis & mucositis
Palmar-plantar erythrodysthesias (hand foot syndrome)
Cytarabine or Cytosine Arabinoside - ANS Cerebellar neurotoxicity
Gemcitabine - ANS Radiosensitizer DO NOT GIVE W/ RADIATION, except at very low doses
Carmustine - ANS ***Solvent is alcohol
Alcohol sensivity is an issue
Mix ONLY in 0.9% NaCl
Carboplatin - ANS Dose by CALVERT formula
Allergic reaction increased from 1-27% in pts receiving >6-7 courses
Cisplatin - ANS Renal toxicity
Kidney protection w/ fluids & sometimes AMIFOSTINE
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
Doxorubicin - ANS Cardiotoxic
TISSUE VESICANT
Baseline MUGA and total dose (CONCERN at 550 mg/m2)
URINE=RED
IF EXTRAVASATION OCCURS= cool/ice + Totect
Idamycin - ANS Cardiotoxic (cardiomyopathy)
Bleomycin - ANS AVOID oxygen supplementation
Methotrexate - ANS *Leukovorin decreases cytotoxicity*
Pemetrexed - ANS Vitamin B12 & folic acid supplements to decrease toxicity
Fludarabine - ANS Immunosuppression
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Thioguanine - ANS Bone Marrow Suppression
Stomatitis/Mucositis
5-FU - ANS *Stomatitis
Bone marrow depression
*Diarrhea
Mucositis
Capeticibine - ANS ***Pro-drug that converts 5FU in liver
Stomatitis & mucositis
Palmar-plantar erythrodysthesias (hand foot syndrome)
Cytarabine or Cytosine Arabinoside - ANS Cerebellar neurotoxicity
Gemcitabine - ANS Radiosensitizer DO NOT GIVE W/ RADIATION, except at very low doses
Carmustine - ANS ***Solvent is alcohol
Alcohol sensivity is an issue
Mix ONLY in 0.9% NaCl
Carboplatin - ANS Dose by CALVERT formula
Allergic reaction increased from 1-27% in pts receiving >6-7 courses
Cisplatin - ANS Renal toxicity
Kidney protection w/ fluids & sometimes AMIFOSTINE
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
