Cancer 4 (02.27) Flashcards

1
Q

There is a correlation b/t the size and extent of spread of cancer and severity of

A

Cachexia

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2
Q

1 symptom of hypercalcemia of malignancy

A

Nausea

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3
Q

2nd and 3rd most common symptoms of lung cancer

A

Hemoptysis, Dyspnea

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4
Q

2nd most common cause of new lung cancers

A

Radon

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5
Q

2nd most common source of ACTH causing Cushing Syndrome

A

Small Cell Carcinoma of Lung

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6
Q

3 most common paraneoplastic syndromes

A

Hypercalcemia, Cushing (ACTH), Carcinoid Syndrome (Serotonin)

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7
Q

3 most common symptoms of Colon Cancer

A

Abdominal pain, Change in bowel habits, Hematochezia or melena

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8
Q

3rd most common cause of new lung cancers

A

Passive Smoking

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9
Q

Basement membrane about 10x normal size is a feature of

A

Chronic smoking

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10
Q

BCR-ABL is seen in

A

Chronic Myeloid Leukemia

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11
Q

Bronchiole with necrotizing inflammation, infiltration of lymphoctyes and PMNs, accumulation of mac’s with brown/black pigment

A

Respiratory Bronchiolitis

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12
Q

Buffalo Hymp is seen in

A

Cushing Syndrome

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13
Q

Carcinoid Syndrome symptom

A

Attacks of cutaneous flushing (deep red erythema of face and neck)

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14
Q

Cushing syndrome arising as paraneoplastic phenomenon is usually related to

A

ectopic production of ACTH or ACTH-like polypeptides by cancer cells

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15
Q

Dx of Prostate Cancer usually follows

A

screening for PSA or rectal exam

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16
Q

Function of Proteolysis-Inducing Factor

A

Breakdown of skeletal muscle proteins by ubiquitin-proteosome pathway

17
Q

Incidence of Paraneoplastic Syndromes

A

10-15% of patients with cancer

18
Q

Keratin Pearl

A

Seen in squamous cell carcinoma of lung

19
Q

Kertin Pearl indicates

A

Squamous Cell Carcinoma

20
Q

Marker for HCC

A

AFP

21
Q

Most common lung cancer type to cause hypercalcemia

A

Squamous cell carcinoma

22
Q

Most common Paraneoplastic Syndromes

A

Hypercalcemia, Cushing, Nonbacterial Thrombotic Endocarditis

23
Q

Most common source of ACTH causing Cushing Syndrome

A

Pituitary Adenoma

24
Q

Most common symptom of lung cancer

A

cough

25
Q

Most important mechanisms of hypercalcemia in paraneoplastic syndrome

A

Synthesis of Parathyroid Hormone-related protein by tumor cells

26
Q

Neoplasms most associated with Paraneoplastic Syndromes

A

Lung, breast, and hematologic malignancies

27
Q

Non-paraneoplastic syndrome cause of hypercalcemia

A

Widespread osteolytic metastatic disease of bone

28
Q

Paraneoplastic syndromes occur in what percent of cancer patients

A

10%

29
Q

PCR-based detection of T cell receptor or Ig allows

A

distinction between monoclonal (neoplastic) and polyclonal (reactive) proliferations

30
Q

Percent of lung cancer patients with symptoms at Dx

A

90%

31
Q

Percent of women with no symptoms at time of dx of breast cancer

A

55%

32
Q

Regenerative nodules of hepatocytes completely surrounded by fibrous tissue with numerous lymphocytes

A

Cirrhosis

33
Q

Respiratory Bronchiolitis =

A

Smoking

34
Q

Role of TNF in Cachexia

A

Suppresses appetite and inhibits action of lipoprotein lipase, inhibiting release of FFA’s from lipoproteins

35
Q

T/F: The vast majority of prostate cancer patients have no symptoms at Dx

A

TRUE

36
Q

Type of cancer most likely to cause paraneoplastic syndrome

A

Small Cell Carcinoma (neuroendocrine tumor)

37
Q

When is PSA test most valuable

A

for detecting residual diseae or recurrent following treatment