Epidemiology Flashcards

1
Q

what are the 3 most common cancers in men

A

prostate
lung
colon/rectum

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2
Q

most common cancers in women

A

breast
lung
colon/rectum

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3
Q

most lethal cancers for men

A

lung
prostate
colon/rectum

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4
Q

most lethal cancers for women

A

lung
breast
colon/rectum

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5
Q

what is the current epidiomology of cancer

A

decrease death rate

increase incidence

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6
Q

how often will a doctor see a hereditary predisposition

A

rare

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7
Q

non-hereditary predisposing condition: chronic inflammation

A

creates milieu with growth factors

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8
Q

non-hereditary predisposing condition: immunodeficiency

A
AIDS 
kaposi sarcoma ( HHV-8)
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9
Q

what type of tumor is frequent in children

A

soft tissue tumor

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10
Q

Japanese vs. american for non-hereditary predisposing condition

A

stomach carcinoma mortality higher in japan

nitrates ( indirect) in smokes foods

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11
Q

what type of UV does not get filtered through the ozone and causes malignancies

A

UVB

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12
Q

how does ionizing radiation damage

A

fractures double helix

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13
Q

name 2 types of chemical carcinogens

A

direct

indirect

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14
Q

what do direct acting agents need

A

no metabolic conversion needed

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15
Q

what agents are used in indirect agents

A

cytochrome P450 is used to convert to a mutagenic intermediate

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16
Q

Aflatoxin B1

A
chemical carcinogen
aspergillus mold 
africa 
mutates p53 gene
codon 249 
aflatoxin exposure by high protein diet
17
Q

what are 2 direct agents

A

alkylating

acylating

18
Q

Indirect: polycyclic and hetercyclic aromatic hydrocarbons, where is it found

A

fossil fuels

cigarette smoke

19
Q

Lead time bias

A

a false, but apparent, improvement in survival cause by earlier detection of the same inexorable disease