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69 Cards in this Set
- Front
- Back
Cancer is the number _ cause of death in US, and number _ COD for those under 85
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2, 1
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Top five causes of death in order of occurrence
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heart disease (27%), cancer (23%), cerebrovascular (stroke)(6%). chronic lower respiratory disease (5%), accidents (4.6%)
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Cancer causes over ___ deaths in US/ year
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half million
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Top 4 cancer killers
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lung/bronchus (161,840)
cholorectal (49,960) breast (40,930) prostate (26,660) |
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males have higher/lower incidence of lung/bronchus cancer than females
Cholerectal? |
higher
lower |
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___% of cancer deaths occur after age 65
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67%
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Cancer of pancreas, bladder, and uterus associated with ___
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smoking
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Highest number of deaths per 100,000 occured in what year, now diminishing
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1991
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T/F Cancer persists in the absence of a stimulus
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True
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parenchymal ___ can only occur in tissues that retain the capacity to replicate
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parenchymal regeneration
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__ cells continue to multiply throughout life
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labile
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__ cells retain the capacity to regenerate
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stable
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__ cells cannot generate
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permanent
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1st phase of stromal repair is proliferation of fibroblast and __ __
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capillary buds
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Increase in the number of cells in a tissue or organ, may be physiologic (breasts) or pathologic (BPH)
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hyperplasia
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T/F Cells with hyperplasia are essentially normal
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true
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An adaptive substitution of one cell type for another
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metaplasia
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T/F Metaplasia often involves some loss of specialized function but is usually reversible
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True
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Metaplasia occurs in __ and __ tissue
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epitheleal connective
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Transition between metaplasia and dysplasia
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atypical metaplasia
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Kidney tubules are an example of a:
a. labile cell b. stable cell c. permanent cell |
stable cell
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Smoker's cough is an example of:
a. hyperplasia b. metaplasia c. dysplasia d. anaplasia |
b. metaplasia
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loss in the uniformity and architectural orientation of individual cells
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dysplasia
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dysplasia mainly encountered in
a. epitheleal cells b. duct cells d. connective tissue |
epithelium
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pleomorphism (variation is size and shape) and hyperchromatic nuclei, are 2 characteristics of
a.hyperplasia b.anaplasia c.metaplasia d. dysplasia |
dysplasia
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T/F dysplasia is usually not reversible
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F
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marked ___, found in anaplasia, is a hallmark of cancer
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pleomorphism
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T/F Dysplasia is associated with chronic inflammation
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T
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Failure of differentiation of reserve or stem cells
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anaplasia
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abnormal mass of tissue
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neoplasia
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T/F Neoplasia is usually reversible
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F
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In ___ neoplasm, cells remain localized and tend to become enclosed in a fibrous capsule
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benign
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In __ neoplasm, cells invade and destroy adjacent structures, spread to distant sites to cause death
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malignant
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Component of neoplasia: supporting connective tissue, blood vessels, lymphatics
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stroma
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Component of neoplasia: proliferating neoplasitc cells
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parenchyma
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T/F Malignant tumors do not develop capsules
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T
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Metastatis is a:
a. primary tumor b.secondary tumor c. tertiary tumor |
secondary
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4 pathways of dissemination of metastasis
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1. seeding throughout body cavities
2. direct transplantation 3. lymphatic permeation 4. transport through blood vessels |
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the extent to which cells resemble their normal forebears & achieve fully mature, specialized characteristics
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differentiation
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T/F -OMA suffix is always indicative of benign tumors
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F, can also be malignant
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synovioma is a:
a.benign tumor b. malignant tumor |
malignant
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chondroma is a:
a. benign tumor b. malignant tumor |
benign
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adenoma is a:
a. benign tumor b. malignant tumor |
benign
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T/F Sarcomas arise from epitheleal cells
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F, arise from mesenchymal (connective) tissue
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T/F Carcinomas arise from epitheleal tissue
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T
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Apoptosis is the activation of the __ gene
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p53
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T/F Apoptosis is common in embryonic development
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True
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Which grade of differentiation would be considered very poorly differentiated?
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4
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TNM system of staging (matching)
T0-T3, N0-N3, M0-M2 metastasis, tumor size, lymph node involvement |
T- tumor size
N- lymph node involvement M- metastasis |
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Gap between mitosis and the S phase
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G1
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intermitotic time of DNA synthesis
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S phase
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Gap between end of S phase and mitosis
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G2
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T/F G2 phase usually takes 24-48 hours
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F, brief (1 hour)
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During the __ phase, cells do not respond to signals that normally prompt initiation of DNA synthesis. Serve as reserve and can reenter pool of proliferating cells.
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G0
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M phase takes __ hour(s)
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1
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T/F Malignant cells typically take longer to divide (Tc) than normal cells
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T (2-3 days vs. 1-2 days)
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Tumors arise from a single pluripotent cells and is monoclonal is characteristic of the ___ model
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stem cell
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More differentiated cells have a high/low rate of proliferation
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low
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More anaplastic tumors have higher/lower growth fractions
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higher
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T/F Destroying the proliferating cells (chemo) is effective at eradicating a tumor
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F- critical population is G0, radiation therapy is often more effective
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Time required to reach 10^9 cells for most tumors is __
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< 2 years
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T/F Each dose of chemo kills the same number of cells
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F - kills same proportion
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Term for "wasting"
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cachexia
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___ contributes to wasting in humans
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TNF
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10^6 = _ doublings = _ mm
10^9 = _ doublings = _ cm = __ g 10^12 = _ doublings = _ cm = __ Kg |
10^6 = 20 doublings = 1 mm
10^9 = 30 doublings = 1.24 cm = 1 g 10^12 = 40 doublings = 20 cm = 1 Kg |
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T/F Oncogenes function in the regulation of normal cell growth and/or differentiation
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F, proto-oncogenes do
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T/F Mutations in tumor suppressor genes will inhibit growth of tumor
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F, will enhance growth
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Tumor suppressor genes are a dominant/recessive trait
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recessive
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Referred to as malignant transformation.
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multiple cell accidents
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