ID HPV, Warts, and Cervical Cancer Flashcards

1
Q

What percent of cancers are due to infectious agents?

A

20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

HPV causes how many deaths annually?

A

500,000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the structure of HPV.

A

Non-enveloped, dsDNA virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

About _______ percent of cervical cancers and _______ percent of head and neck cancers are caused by HPV.

A

100; 25

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Explain the difference between early and late genes.

A

Early genes –so named because they are transcribed early after infection –deal with replication, transformation, and transcription, while late genes –transcribed later –include capsids.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the life cycle of HPV.

A

HPV is dependent on the proliferation of epithelial cells. It infects the undifferentiated basal layer and is secreted by the mature skin layers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How many new cases of HPV occur per year?

A

6.2 million –the most common STD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Persistence of ____________ is associated with development of cancer.

A

high-risk HPV genotypes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which strains are high risk?

A

16, 18, 31, 33, and 45

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

HPV 6 and 11 can cause what worrisome complication?

A

Laryngeal papillomatosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where does HPV infect women?

A

In the transformation zone (between the squamous epithelium of the outer cervix and the inner columnar epithelium of the inner cervix); 99% infect here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

True or false: most people infected with HPV will develop persistent infections.

A

False. Only about 10% do.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which two viral genes are highly expressed in cervical carcinoma?

A

E6 and E7 (these are oncogenes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do E6 and E7 do to cause cancer?

A

They inhibit RB and p53.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which kind of proteins does E2F promote?

A

Proteins that stimulate progression from G1 to S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The best way to treat premalignant and malignant cervical lesions is ___________.

A

surgery (can be cryosurgery or loop-electrosurgical excision procedure)

17
Q

Which strains of HPV can be prevented with vaccines?

A

Nine strains: 6, 11, 16, 18, 31, 33, 45, 52, and 58

18
Q

About ______ percent of all cancers are due to HPV.

A

5

19
Q

Which HPV protein causes the disruption of E6 and E7?

A

E2 (thus, disrupting this gene causes increased levels of E6 and E7)

20
Q

Which HPV gene encodes a helicase?

A

E1

21
Q

L1 and L2 encode _____________.

A

capsid proteins

22
Q

True or false: HPV can be transmitted on fomites.

A

It is hypothesized but not well documented.

23
Q

HPV7 commonly causes ________.

A

verruca vulgaris –the common wart

24
Q

Briefly describe the screening recommendations.

A

Younger than 21: do not screen
21 - 29: cytologic screening every 3 years
30 - 65: cytologic and HPV test every 5 years
Older than 65: screening can stop

25
Q

As of 2013, what was the vaccination rate in girls and boys?

A

Girls: 40%
Boys: 15%