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41 Cards in this Set
- Front
- Back
Give an example of a choristoma
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hair and skin on the cornea;growth of normal tissue not indigenous to the site
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give an example of a hamartoma
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cartilage in the lung; disorganized mass of mature tissue indigenous to the site
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What is the definition of neoplasia?
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process of new growth; it can reult in a neoplasm
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Is anaplasia defined by over differentiation or lack of differentiation?
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lack of differentiation
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Anaplasia is often seen with pleomorphism of cells and nuclei. what does this mean?
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there is variation in the size and shape
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define dysplasia
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a loss of uniformity of individual cells, as well as a loss in their polarity
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name a benign neoplasm with glands and cysts
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cystadenoma
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name a malignant neoplasm of chondrocytes
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chondrosarcoma
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name a tumor that is malignant with an anaplastic epithelium, has cysts, has glands, and papillomas! o my goodness!
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papillary cystadenocarcinoma
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if you see a neoplasm with a capsule, is it most likely malignant or benign?
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benign
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an activating somatic mutation must be present on how many alleles of an oncogene in order to confer a selective growth advantage on the cell? (fancy way of saying cancer)
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only one allele
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Mutations in what signal transducer are very common (20-30% of human tumors)?
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Ras
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What mutation in Ras renders the GTPase domain insensitive to inactivation by GAP and thus stuck in the "on" state?
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glycine to valine mutation at residue 12
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What are the two features that most reliably differentiate malignant from benign tumors?
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metastasis and invasiveness
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approximately 80% of the p53 point mutations present in human cancers are located at what part of the protein?
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the DNA binding domain
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what is quiescene? senescence?
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temporary cell cycle arrest; permanent cell cycle arrest
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What type of UV light causes the formation of pyrimidine dimers in DNA? What wavelength is this?
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UVB; 280-320 nm
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What type of tumor is associated with intense intermittent UV exposure like tanning beds?
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malignant melanoma
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What is the most frequent radiation induced cancer in adults? in children? Are thyroid carcimonas seen in both these age groups?
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leukemia; leukemia; only children
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Where geographically do you find human T-cell leukemia type 1?
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japan, caribbean
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What is the only retrovirus known to be oncogenic in humans?
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HTLV-1
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Where is the HPV genome inserted into the DNA?
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between E1 and E2
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How does HPV cause increase risk of cancer?
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messes up E2, which blocks E6 adn E7, overexpression of E6 adn E7 means supression of p53, p21, and Rb which in turn allows over growth of cells
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What cancer does Epstein-Barr virus cause?
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Burkitts lymphoma
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whats the mutation that causes burkitt lymphoma? what will you see histologically?
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t8:14; starry sky
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How does a kaposi sarcoma herpesvirus work with HIV? (postulated)
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cytokines produced by HIV infected T cells promote survival of KSHV infected mesenchymal spindle cells
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What are two hypothesis on how helicobacter pylori causes gastric carcinoma?
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chronic gastritis; cytoxin associated A (CagA) gene within the H. pylori genome enters epithelial cells and signals unregulated GF stimulation
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what does it mean when you see blood coming out of the ear?
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basal skull fracture
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What will you see histologically with lead poisoning?
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renal tubular damage of kidneys with intranuclear lead inclusions
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What can you see with chronic vinyl chloride poisoning?
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hepatic angiosarcoma
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How do parathion and malathion cause their effect? How would you treat an overdose?
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irreversible cholinesterase inhibitors; pralidoxime
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How do the carbamates cause their effect?
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reversible cholinesterase inhibitors
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40 yr old farmer comes into office having tried to commit suicide with paraquat. What will you see histologically?
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acute lung injury, may look like malignancy, eventually pulmonary fibrosis
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What is the mechanism for acetaminophen toxicity and how do you treat it?
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NAPQI usually it conjugates with glutathione, but when you run out of that it creates reactives that cause lipid peroxidation. N-acetylcysteine acts to augment the glutathione reserves in the body, this is what you treat with
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86 year old comes in with central lobular hepatonecrosis. whats going on?
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hes old and senile and taking his acetaminophen too much
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What do you see with acute salicylate toxicity?
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metabolic acidosis and respiratory alkalosis, tinnitus!
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T/F Tumors that are highly oxygenated will be more affected by radiation treatments
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true
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What is the normal birth weight at term?
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3333 grams
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What ages are the boundaries for normal gestational age? ie, whats considered preterm and whats considered post term.
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37 weeks-42weeks
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What bug is harbored by 80% of cystic fibrosis patients by age 18?
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Psedudomonas aeruginosa
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How does cystic fibrosis get its name?
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extra mucin plugs exocrine ducts, usually in the pancreas, which causes cystic dilation. After a while there is progressive fibrosis
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