1. Which of the following was observed from the Keynote-048 trial in patients with HNSCC?

2. In the Keynote-048 trial, what was the incidence of grade 3-4 adverse events associated with the pembrolizumab + chemotherapy arm?

3. The NCCN guidelines give which of the following recommendations to pembrolizumab/platinum/5-FU for patients with metastatic HNSCC?

4. Which of the following was observed in patients with recurrent HNSCC treated with nivolumab?

5. Which of the following is the most appropriate in terms of adverse events in patients with recurrent HNSCC treated with nivolumab vs standard-of-care therapies?

6. Which of the following was observed in patients with recurrent HNSCC treated with pembrolizumab in Keynote-040?

7. The NCCN guidelines give which of the following recommendations to pembrolizumab and nivolumab for patients with metastatic, recurrent HNSCC following platinum-based chemotherapy?

8. MJ was recently initiated on pembrolizumab for HNSCC. She presents to your clinic for follow-up and initiation of cycle 2, and it is noted that she is experiencing a mild skin reaction that does not bother her (< 10% of body surface; grade 1). She denies pruritus or any other symptoms. Which of the following is the most appropriate management?

9. JG, a 61-year-old male, presents to the clinic for cycle 3 nivolumab therapy for metastatic, recurrent HNSCC. As the oncology pharmacist, you receive a call from the infusion nurse stating that JG has reported 2 to 3 episodes of diarrhea per day over the past 3 days (grade 1) and asks if his infusion should be held. Which of the following is the most appropriate recommendation?

10. BK has recently initiated therapy with nivolumab for advanced HNSCC. After 3 cycles of therapy, he reports more fatigue and lethargy than normal, dry skin, and hair thinning. Which of the following would be the most appropriate intervention at this time?

Evaluation Questions

11. How confident are in your treatment choices for BK in the question above?

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