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41 Cards in this Set

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