HY USMLE Q #788 – Oncology / Pharm

A 26-year-old man comes to the physician following an episode of bleeding while brushing his teeth. Physical examination shows petechiae on the chest and arms. Laboratory studies show:

Hemoglobin                                                                   9.0 g/dL
WBCs                                                                                85,000/μL
Platelets                                                                          10,000/μL
Blasts                                                                                30%

Prior to commencement of a chemotherapeutic regimen, in order to decrease this patient’s risk of renal failure, it is most appropriate to administer a drug that inhibits which of the following?

  Bcr/abl tyrosine kinase
  Dihydrofolate reductase
 Ergosterol
  Thymidylate synthase
  Xanthine oxidase