Hematology/ Oncology Flashcards

1
Q

median age for breast cancer

A

54 years old

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2
Q

Risk factors for breast cancer

A
early menarche
late menopause
family hx
late age of first pregnancy
nulliparity
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3
Q

most common compliant in patient w/ breast cancer

A

asymptomatic breast mass

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4
Q

how many patients w/ intraductal cancer peresent

A

unilateral nipple discharge

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5
Q

does a normal mammo rule out malignancy?

A

No

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6
Q

for patients younger than 35 what is the best form of imaging for a breast complaint?

A

US

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7
Q

when should women start getting mammograms annually?

A

40

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8
Q

what is an antiestrogen used in women w/ steroid receptor-positive tumors?

A

tamoxifen

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9
Q

what drugs are another hormonal treatment for postmenopausal women w/ steroid receptor-positive breast cancer. they block the conversion of androgens to estrogens.

A

aromatase inhibitiors (anastrozole, letrozole, exemestane)

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10
Q

what are 2 main ADRs of tamoxifen?

A

uterine cancer

thromboembolism

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11
Q

what chemo drugs can cause hemorrhagic cystitis

A

cyclophosphamide

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12
Q

what chemo drugs can cause cardiomyopathy?

A

doxorubicin

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13
Q

what ADR can taxanes cause (paclitaxel or docetaxel)?

A

peripheral neuropathy

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14
Q

what is a monocloncal antibody against HER-2/neu?

A

trastuzumab (Herceptin)

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15
Q

where are common sites of metastasis of breast cancer?

A

bone (back pain, hypercalcemia)
brain (seizures, HA)
lung (dyspnea, cough)
liver (abdominal complaints)

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16
Q

median age for prostate cancer?

17
Q

how is most prostate cancer detected?

A

screening PSA tests

18
Q

what is the cut-off for a normal PSA?

A

10 is highly suspicious

19
Q

what is the definitive diagnosis for prostate cancer?

A

transrectal prostate biopsy

20
Q

what score system is prostate cancer graded on?

A

Gleason

the higher the score (2-10) the more poorly differentiated

21
Q

Tx for prostate cancer

A

Surgery
radiation therapy
androgen deprivation therapy

22
Q

complications of prostatectomy

A

impotence

urinary incontinence

23
Q

hormonal therapy for prostate cancer

A

orchiectomy (removes sourced or testosterone)

24
Q

what are some lutenizing hormone-rlease hormone agonists that supress LH release by providing continuous stimulation

A

goserelin
leuprolide
triptorelin

25
What drug class should be given with LH releasing hormone agonists to prevent a flare in the disease and induce a complete androgen blockage
nonsteroidal antiandrogens | flutamide, bicalutamide, nilutamide
26
What type of leukemia is the philadelphia chromosome associated with?
CML (translocation of chromosome 9 and 22)
27
what can myelodysplastic syndrome lead to?
AML
28
symptoms of acute leukemia
Constitutional- fever, malaise bleeding (thrombocytopenia) infection, bone pain, HA, CN palsies
29
HOw many CLL present?
painless adenopathy or splenomegaly
30
what is a pathognomic cell seen with AML
Auer rod (bluish red rod seen in the blast cell)
31
Definitive diagnosis for leukemia
bone marrow biopsy
32
what is the most common type of leukemia?
CLL
33
how will CML often present?
elevated WBC and splenomegaly
34
what trug is a BRC-ABL tyrosine kinase inhibitor that can treat CML
imatinib