Chapter 7: Carcinogenesis Flashcards

1
Q

The process of normal cells becoming cancer cells

A

Carcinogenesis

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2
Q

Cellular alterations from environmental factors required throughout a persons lifetime. Not inherited.

A

Somatic pathogenic variants

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3
Q

Cellular alterations acquired from parent to offspring

A

Germline or inherited pathogenic variants

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4
Q

How many known cancer syndrome are there?

A

50 and increasing

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5
Q

Genes that code for proteins involved in normal cell growth. When altered, they enable it cancer cell to be self-sufficient and growth. RAS is a common example.

A

Proto-Oncogenes

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6
Q

RAS is a common proto-onco gene that especially affects which types of cancers?

A

Pancreatic and colorectal

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7
Q

Genes that control cell proliferation rate. When they stop functioning, they can drive cancer cell growth.

A

Tumor suppressor genes

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8
Q

RB Gene- a tumor suppressor gene, is commonly associated with which cancers?

A

Childhood retinoblastoma, and an adults many lung breast and bone cancers

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9
Q

Genes that instruct DNA to repair mistakes in normal cells caused by carcinogens during replication.

A

Caretaker genes

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10
Q

Ask as a caretaker, genes. When pathogen altered, it loses its ability to activate the caretaker genes leading to increase pathogenic alterations and development of cancer.

A

Tp53

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11
Q

When a piece of one chromosome moves to another chromosome during cell division. This type of genetic alteration can create oncogenes

A

Chromosome translocation

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12
Q

Normally located on chromosome 8, when shifted to chromosome 14 results in: over expression of this gene, increase cell proliferation, and blocks the differentiation of B lymphocytes. Commonly associated with Birkett lymphoma.

A

MYC proto-oncogene

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13
Q

In chronic myeloid leukemia, the BCR gene on chromosome 22 is fused with the a BL gene on chromosome nine this fusion increases tyrosine kindness increasing proliferation of milo cells. What is the common name for this translocation?

A

Philadelphia chromosome

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14
Q

This drug was created to target the trans location of the Philadelphia chromosome. It targets, tyrosine kindness inhibitors what is the name of this drug?

A

Imatinib

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15
Q

Name some of the micro environmental factors that are associated with cancer

A

Tobacco,alcohol, air pollution, processed and red meats, lack of fiber, lack of fruits, and vegetables, diabetes, and hyperglycemia, overweight, lack of exercise, postmenopausal, infection, ionizing, radiation, occupational hazards, reproduction, sun exposure

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16
Q

A change in the chemical structure of DNA that does not change the DNA coding sequence

A

Epigenetic variant 

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17
Q

A type of epigenetic variant in which a methyl group is added or removed from DNA affecting the transcription of genes

A

DNA methylation

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18
Q

Inflammatory conditions associated with cancer

A

Asbestos, bronchitis, cystitis, gingivitis, IBS, Crohn’s disease, ulcerative colitis, lichen, sclerosis, chronic pancreatitis, Gerd, Barrett’s esophagus, Hashimoto thyroiditis, skin inflammation, sialadentitis

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19
Q

Non-viral infectious agents associated with inflammation and cancer formation

A

H pylori , chronic bacterial cholecystitis, liver flukes, schostosomiasis.

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20
Q

Viral infectious agents associated with neoplasms

A

HIV, hepatitis B and hepatitis C, Epstein-Barr, Kaposi’s sarcoma, PV, HTLV –1

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21
Q

Asbestos is associated with which neoplasm

A

Mesothelioma, lung carcinoma

22
Q

Chronic Bronchitis is associated with which neoplasm

A

Lung carcinoma

23
Q

Chronic cystitis is associated with which neoplasm?

24
Q

IBS, Crohn’s disease, and chronic ulcerative colitis are associated with what type of cancer?

A

Colorectal

25
Chronic gingivitis is associated with which type of cancer?
Oral squamous cell carcinoma
26
Lichen sclerosus is associated with which type of cancer?
Vulvar squamous cell carcinoma
27
Chronic and hereditary pancreatitis are associated with which neoplasm?
Pancreatic
28
Reflex esophagitis, and Barrett’s esophagus are associated with which cancer?
Esophageal carcinoma
29
SIALADENITIS is associated with which type of cancer?
Salivary gland carcinoma
30
Hashimoto’s and Sjogren syndrome are associated with which neoplasm?
MALT lymphoma
31
H pylori is associated with which 2 types of neoplasms?
Gastric adenocarcinoma and MALT lymphoma
32
Chronic bacterial cholecystis is associated with which neoplasm
 gallbladder cancer
33
Schistomiasis is associated with which neoplasm? (4 answers)
Bladder, liver, and rectal carcinoma. And follicular lymphoma of the spleen.
34
Liver flutes are associated with which type of neoplasm?
Cholangiocatcinoma
35
HIV is associated with which three types of neoplasm?
Non-Hodgkin lymphoma, squamous, cell carcinoma, and Kaposi’s sarcoma
36
Hepatitis B and C are associated with which neoplasm?
Hepatocellular carcinoma
37
Epstein-Barr is associated with which 3 neoplasms?
B-cell non-Hodgkin’s lymphoma, Burkitt lymphoma, nasopharyngeal carcinoma
38
HPV is associated with which 2 neoplasm?
Cervical and anogenital warts
39
HTLV –1 is associated with which two types of neoplasms?
Adult T cell leukemia and adult T cell lymphoma
40
A process that allows normal cells to be broken down during cellular stress so that other organelles and cell contents can be reused and other cells
Autophagy
41
Necrotic cells_________. cancer cells use these to recruit inflammatory cells and enhance tumor growth
Pro inflammatory signals
42
True or false: cancer cells contain low amount of telomerase which add protective telomerase and prevent segments from shortening
False: contains high amounts
43
What is the term for the creation of new blood vessels from existing ones that provides nutrients and removes waste product
Angiogenesis 
44
What are the main triggers for angiogenesis?
Tumor hypoxia and acidosis
45
Normal cells, metabolize glucose to pyruvate and then carbon dioxide. Cancer cells different from this by using mostly what?
Glycolysis
46
Epidermal growth, factor receptors are associated with which type of neoplasm?
Colorectal
47
Vascular and Ophelia growth factors can cause spread to where?
Regional lymph nodes
48
This type of growth factor is involved with targeted neurons that transmit pain, temperature and touch sensation
Nerve Growth Factor
49
A new oncology nurse is reviewing a patient’s medical record and request help and understanding the process of carcinogenesis. A season nurse explains that the process is due to which of the following. A. Clonal evolution. B convergent C. Convolution D. Perseverance.
A. Clonal evolution is the process of which a tumor accumulates genetic changes overtime 
50
What is the most common tumor metastasized to the brain?
Non- Small cell lung cancer