Adverse effects of Chemotherapy

Which of the following is NOT a neurotransmitter receptor present in the GIT, CTZ and vomiting centre?

• dopaminergic

• histaminic

• neurokinin

• thermoreceptor

Acute emesis happens after 24 hours of starting chemotherapy.

• TRUE

• FALSE

Delayed nausea and vomiting happens after 24 hours of starting chemotherapy.

• TRUE

• FALSE

Anticipatory nausea and vomiting occurs before a new cycle of chemotherapy is begun.

• TRUE

• FALSE

How many types of emetic risk of chemotherapy agents are there?

• 4

• 3

• 5

• 6

Cisplatin is a type of high emetic risk chemotherapy agent.

• TRUE

• FALSE

Which of the following is a correct anti-emetic recommendation for high emetic risk chemotherapy agents as per the NCCN guidelines?

• Granisetron + Dexamethasone + Aprepitant

• Granisetron alone

• Granisetron + Dexamethasone + Aprepitant + Olanzapine

• Granisetron + Dexamethasone

Which of the following is a correct anti-emetic recommendation for LOW emetic risk chemotherapy agents as per the NCCN guidelines?

• Granisetron + Dexamethasone

• Granisetron alone

• Dexamethasone alone

• Granisetron + Dexamethasone + Olanzapine

Mr ABC who just completed his chemotherapy for his colorectal cancer was found to have hyperkalemia ( K+ = 5.7 mmol/L). His ECG appears to be normal and he is asymptomatic. Which of the following is an appropriate choice of treatment in this case?

• Lytic cocktail

• Neb Salbutamol

• Oral Kalimate

• Insulin therapy

GEE who just completed his chemotherapy for his lung cancer was found to have hyperkalemia
( K+ = 6.0 mmol/L). His ECG appears to be abnormal. The physician decides to start him on Lytic Cocktail.
Is this approach appropriate?

• Appropriate

• Inappropriate