Chemotherapy and Toxicology · USMLE Step 1

Which toxic effect is most characteristic of platinum-based agents like cisplatin or carboplatin?

  1. Pulmonary fibrosis (lung scarring)
  2. Cumulative cardiotoxicity
  3. Nephrotoxicity and neurotoxicity
  4. Hemorrhagic cystitis of bladder
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Correct answer: Nephrotoxicity and neurotoxicity

Platinum-based agents are associated with nephrotoxicity and cumulative neurotoxicity (especially peripheral neuropathy) because of their platinum–DNA binding and uptake in kidney and neural tissues.

Difficulty: Medium Question 2 of 20

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