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Central Retinal Artery Occlusion — UKMLA MCQ

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HardOphthalmologyCentral Retinal Artery OcclusionUKMLAMRCP Part 1MRCEM SBA

An adult with newly diagnosed metastatic lung adenocarcinoma has an EGFR exon 19 deletion and has received no systemic treatment. Which dual targeted regimen is now a NICE first-line option?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DUse first-line amivantamab plus lazertinib for the sensitising EGFR mutation

The best answer is “Use first-line amivantamab plus lazertinib for the sensitising EGFR mutation”. TA1122 recommends amivantamab plus lazertinib for untreated advanced NSCLC with an EGFR exon 19 deletion or exon 21 L858R substitution. This differs from the exon-20-insertion chemotherapy pathway and from therapies used after progression. The exact two targeted agents are required.

Reference: NICE TA1122, Amivantamab with lazertinib for untreated EGFR-positive advanced NSCLC: https://www.nice.org.uk/guidance/ta1122/chapter/1-Recommendations