Epidemiology Flashcards

1
Q

What is epidemiology?

A

The study of identifying common factors which contribute to the spread, growth, or development of a disease, and the evaluation of these factors in the context of current biological understanding

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2
Q

What is a carcinogen?

A

A cancer-causing agent

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3
Q

Lung cancer is 2 times greater in U.S. than…

A

Japan

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4
Q

Lung cancer deaths are 6 times greater in New Zealand than in…

A

Iceland

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5
Q

Nasopharyngeal/esophageal cancer is prevalent in…

A

Asia, Iran

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6
Q

Carcinomas present more frequently in what age group?

A

Over 55 years

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7
Q

Acute leukemia and brain neoplasm present more commonly in what age group?

A

Young

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8
Q

What are the three most common cancers in US men?

A
  • Prostate
  • Lung and bronchus
  • Colon and rectum
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9
Q

What are the three most common cancers in US women?

A
  • Breast
  • Lung and bronchus
  • Colon and rectum
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10
Q

What are the three most common cancer deaths in US men?

A
  • Lung and bronchus
  • Prostate
  • Colon and rectum
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11
Q

What are the three most common cancer deaths in US women?

A
  • Lung and bronchus
  • Breast
  • Colon and rectum
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12
Q

Lungs aren’t well innervated, so once symptomatic and screened, ___% have metastasized

A

50%

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13
Q

Generally, older age means ___ risk of cancer

A

increased

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14
Q

Which age groups tend to get Hodgkin’s and leukemia?

A

The young and the old

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15
Q

Nearly every malignancy is ___
There is ___% recovery without treatment

A

Nearly every malignancy is fatal
There is 0% recovery without treatment

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16
Q

What are inherited cancer syndromes?

A

Well-defined malignancies in which the inheritance of a single mutant gene (identified) greatly increases the risk of developing a neoplasm

17
Q

Childhood retinoblastoma is a mutation of…

18
Q

Familial adenomatous polyposis coli is a mutation of…

A

APC
Carrying the gene causes colon cancer

19
Q

Li-Fraumeni syndrome is a mutation of…

A

p53
Spontaneous tumors are made throughout life

20
Q

With familial forms of cancer, incidence is increased in…

A

genetic relatives

21
Q

Are familial forms of cancer specific for one type of malignancy or non-specific?

A

May be either

22
Q

Unlike inherited cancer syndromes, familial forms of cancer have no…

A

no consistent link to a specific genetic mutation

23
Q

How is tobacco smoke typically measured as a suspected carcinogen?

A

Pack/years + tar concentration

24
Q

What are some viruses and bacteria that are known/suspected carcinogens?

A

Viruses: HPV, EBV, HBV
Bacteria: H. pylori

25
Which demographic is most prone to alcoholism?
College students
26
List some known/suspected carcinogens
* **Tobacco smoke** * **Dietary carcinogens/insufficiencies** * **Alcohol** * Radiation * Chemicals * Therapeutic drugs * Viruses * Bacteria
27
Low risk strains of HPV include...
papilloma (warts)
28
High risk strains of HPV include...
cervical carcinoma and oral carcinoma
29
How do high risk strains of HPV compare to low risk strains of HPV?
High risk strains: contain different DNA sequences; viral protein products degrade p53 gene product Low risk strains: do not degrade p53 gene product
30
What is EBV? What cells are infected?
Epstein-Barr virus Infects epithelial cells and B lymphocytes
31
In healthy individuals, what is the effect of EBV?
Mononucleosis; flu/cold symptoms
32
In immunocompromised individuals, what is the effect of EBV?
B cell apoptosis is lost
33
What is Burkitt's lymphoma?
Increased expression of bcl-2 caused by EBV
34
HBV has a strong association with...
hepatocellular carcinoma
35
What is the proposed mechanism of the association between HBV and hepatocellular carcinoma?
Chronic liver damage --> regenerative hyperplasia --> increased spontaneous mutations
36
H. pylori is linked to...
gastric carcinomas and B cell lymphomas of stomach (arising in mucosa associated lymphoid tissue)
37
What is the role of H. pylori for T cells and B cells?
Role of T cell stimulation of B cell proliferation