1. PARP inhibitors have demonstrated considerable activity in ovarian cancer because of mutations in which of the following genes?

2. A 54-year-old woman with recurrent, BRCA-positive, platinum-sensitive ovarian cancer has recently completed six cycles of paclitaxel/carboplatin with a clinical complete response. Which of the following treatment options would be reasonable for the next phase of her treatment?

3. Which of the following is recommended to be monitored while patients are receiving PARP-inhibitor therapy?

4. After completing 9 cycles of liposomal doxorubicin/carboplatin, a 46-year-old patient with BRCA-negative, platinum-sensitive ovarian cancer presents to clinic with chronic renal insufficiency and wants to know about “those PARP inhibitors.” On the basis of Food and Drug Administration (FDA)-approved indications, which of the following PARP agents would you consider?

5. For which diagnosis would it be appropriate to consider continuation of PARP inhibitor therapy for a patient admitted through the emergency room on a Friday evening?

Evaluation Questions

6. How confident are you in your decision about treatment for your 54 year old patient in the question above?

7. How confident are you in your decision about treatment for your 46 year old patient in the question above?

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