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23 Cards in this Set

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  • Back
Types of tumor antigen: Given an example of products of mutated genes
Mutated tumor supressor genes (p53, present in 50% of human tumors)
Types of tumor antigen: Overexpressed or aberrantly expressed cellular (self) proteins
Overexpressed: tyrosinase in melanoma
Aberrantly expressed: MAGE antigens, expressed on variety of tumor types
Types of tumor antigen: Types of tumor antigen: Given an example of proteins produced by oncogenic viruses
HPV and EBV viral proteins
Types of tumor antigen: Given an example of altered cell surface glycolipidsglycoproteins (overexpressed or abnormal forms)
Overexpressed: i.e. certain gangliosides in melanoma
Abnormal forms: hyperglycosylated mucin, MUC-I, in many breast, colon and pancreatic cancers
Types of tumor antigen: Given an example of differentiation antigens
CD20 or Ig idiotypes in B-cell lymphoma; prostate-specific antigen (PSA)
Significance of carcinoembryonic antigen (CEA)
Elevated in cancers of colon, pancreas, stomach and breast (reactivated)
Significance of alphoa-fetoprotein (AFP)
Indicator of advanced liver cancer or recurrence after treatment
Significance of prostate specific antigen)
Serum PSA elevated in prostate cancer
Which three nematode organisms infect by ingestion
Enterobius, Ascaris, Trichinella

You'll get sick if you EAT these
Which three nematode organisms infect cutaneously
Strongyloides, Ancylostoma, Necator

These get into your feet from the SANd
What is the most common human worm infection?
Ascaris lumbricoides; eggs are visible in feces; causes intestinal infection
Toxacara Life Cycle
Eggs in feces from cats/dogs, infect soil, eggs ingested by cats, dogs, or small mammals or passed on to humans where larvae migrate through tissue and life cycle ends
What is notable about toxacara cati or canis develoopment in humans?
Larvae do not develop into adults in humans; stool examination would not detect toxocara eggs (this is why the life cycle ends at humans)
The finding of ascaris or trichuris eggs in feces increases the probability of what organism in the tissues?
Toxacara
Which worm is distinguished by "shoulders around the operculum and a tiny knob at one end"
Opistharcis Sinesis
a veterinarian from new zealand who works with sheep and dogs develops high fever, chills, jaundice, RUQ. what is the chief suspected organism?
Echinococcus Granulosus

Causes liver cysts
What will be found in "hydatid sand" aspirated from a liver cyst?
Multiple protoscolices, each of which has hooklets; if such a cyst ruptures it can cause a dysseminated infection and anaphylaxis
Four sites of portacaval anastamosis?
1. esophageal (varcies)
2. Umbilical (caput medusa)
3. Rectal (hemorrhoids)
4. various retroperitoneal (ascites)
How do metastases travel to the liver?
Portal veins
How do metastases invade the lympho nodes?
Metastatic tumor cells from the colon enter the lymphatics = lymph nodes involvement
A patient has an enlarged, hard node within the supraclavicular fossa. What is this an strong indicator of?
virchow's node: strong indicator for gastric cancer that has spread through the lymph system
What is Mecekel's diverticulum relationship to the umbilicus pertinent?
Some midgut GI loop herniates into the umbilical cord but returns to the abdominal cavity by the 10th week. In MD, some of the duct does not regress.
Taenia Solium; scolex