1. Which of the following is true about immuno-oncology (IO) agents?

2. The role of checkpoint inhibitory pathways in the T-cell activation pathway is to:

3. Which of the following describes why combination regimens that include an immuno-oncology (IO) agent can improve responses and the durations of response?

4. In patients with metastatic urothelial cancer, the rate of response for the 5 checkpoint immune inhibitors as a second-line treatment is:

5. RF is a 75-year-old man diagnosed with non-small cell lung cancer. He has a tumor proportion score of 50% or greater and no epidermal growth factor (EGFR)-anaplastic lymphoma kinase (ALK) genomic tumor aberrations. Which of the following treatments would be appropriate as first-line therapy according to its indications?

6. A 16-year-old girl with acute lymphoblastic leukemia is treated with the chimeric antigen receptor (CAR)-T-cell therapy tisagenlecleucel. She has been shown to have a high tumor burden before beginning the treatment. What supportive measures should be considered?

7. JP is a 62-year-old woman with metastatic melanoma. She is being treated with the combination of nivolumab and ipilimumab as first-line therapy. A few weeks after starting treatment, a scan shows that her disease has progressed. She asks what this means about her treatment. What response would you consider?

8. Which of the following is true about the mutational burden found in human cancers?

9. What percentage of patients treated with immune checkpoint inhibitors are likely to experience grade 3 or 4 side effects?

10. What are the general American Society of Clinical Oncology recommendations for treating grade 2 toxicities associated with immune checkpoint inhibitors?

Evaluation Questions

11. In your practice, how often do you currently consider a combination of immuno-oncology (IO) therapies that work on different pathways working through immune checkpoint inhibition to increase response rates?

12. In your practice, how often do you currently review organ-specific recommendations before developing treatment plans?

13. In you practice, how often do you educate patients receiving IO therapies about pseudoprogression and that time is needed to generate an effective immune response?

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