Lecture 22: HPV Vaccine Flashcards

1
Q

Cervical Cancer is __ most frequent diagnosed cancer in women worldwide.
Cervical Cancer is most commonly diagnosed cancer among women in ____ &____ _____
___ out of 10 cervical cancer deaths occurs in less _____countries

A

4th
Eastern & Middle Africa
9; developed

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2
Q

What is “Malignant Neoplasm?”

A

a tumor that tends to grow, invade, and metastasize

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3
Q

What is “HPV?”

A
  • Human Papillomavirus
  • Double stranded circular DNA episome
  • Surrounded by 72 pentametic (5-sided) capsules
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4
Q

In HPV, these genes encode for capsid proteins?

A

L1 and L2

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5
Q

individual capsids will assemble into ___-____ ____ (___) when expressed in microbial organisms

A

Virus-like particles (VLPs)

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6
Q

VLPs lack:

A

Viral DNA

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7
Q

What is an “Oncogene?”

A

Gene that causes transformation of normal cells into cancerous tumor cells, especially viral gene that transforms host cell into tumor cells

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8
Q

HPV 16 accounts for nearly 50-60% of all:

A

Cervical Cancer

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9
Q

HPV 18 accounts for 10-20% of all:

A

Cervical Cancer

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10
Q

HPV 6 and 11 are associated with 90% of:

A

genital warts

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11
Q

The ____ separates the uterus from the vagina.

The cervix has flat ______ cells in region near vagina

A

cervix

squamous

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12
Q

What are “Squamous cells?”

A

Plate-like (thin and flat)

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13
Q

What is “Dysplasia?”

A

Alteration in size, shape and organization of adult cells

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14
Q

What is “Carcinoma?”

A

malignant new growth made up of epithelial cells tending to infiltrate surrounding tissues

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15
Q

HPV doesn’t always lead to cervical cancer.

T/F

A

True

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16
Q

__% are transient, asymptomatic, and resolve without treatment and HPV is no longer detectable in _____

A

80%

cervix

17
Q

In women with intact immune system, HPV infection generally resolves without intervention within:

A

18-24 months

18
Q

What is “LSIL?”

A

Low grade Squamous Intraepithelial Lesion

aka Mild Dysplasia

19
Q

What is “HSIL?”

A

High grade Squamous Intraepithelial Lesion

aka moderate to severe dysplasia

20
Q

__% of women <25 are positive for HPV.
Up to __% of sexually active college-age students are HPV infected.
__% of women >45 are positive for HPV

21
Q

What is a PAP Test

A

screening test to detect premalignant and malignant cells in the cervix

22
Q

How does a PAP test work?

A
  • Cells are collected from outer opening of cervix

- cell are placed on glass slide and checked for abnormalities under microscope

23
Q

How does a flashlight- vinegar test work?

A

1) health worker looks at cervix with flashlight and swabs with vinegar
2) spots that run white may be precancerous legions

24
Q

Do young women who have LSIL require treatment?

A

no, because it usually goes away by itself

25
If LSIL persists or progresses to HSIL then how is it treated?
- Loop Electrosurgical Excision Procedure (LEEP) | - Cryotherapy
26
What is LEEP?
A procedure where a thin wire loop carrying electric current is used to remove abnormal areas of cervix
27
What is Cryotherapy?
A procedure where abnormal tissue is frozen and later shed by the body
28
How does the HPV Vaccine work? | HPV Capsid proteins can assemble into ___-___ ______ (___)
Virus-like particles (VLPs)
29
How does the HPV Vaccine work? | Specific HPV VLPs elicit robust _____ response
Antibody
30
Gardasil includes VLPs from HPV: | how many valences is it?
16, 18, 31, 33, 45, 52, 6 and 11 | 9-valent
31
In June 2006, FDA approved Gardasil for females ages:
9-26
32
___% of US youths have intercourse by age 13. | ___% have intercourse by Grade 12
7. 4% | 46. 7%
33
Is it recommended after onset of sexual activity, even if there has been abnormal Pap or HPV DNA test or genital warts?
Yes, because the vaccine can protect against HPV types not already acquired
34
What is another reasons it is recommended for? | When is it not recommended?
- for immuno-suppressed women due to high risk for persistent HPV infection - For newborn immunization because duration of protection is unclear
35
In October 2009, FDA approved Gardasil for males ages:
9-26
36
Which HPV in males gives them genital warts?
HPV 6 and 11
37
Boys are prone to HPV-related cancers as girls. | T/F
False, they are not prone
38
Boys are involved with the transmission of HPV. | T/F
True