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