NURSING 2005_Neoplasia_1 Slide PP Flashcards
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<h1>Page 01</h1>
<br></br>What is hyperplasia?
B) Increase in number
Explanation: Hyperplasia refers to the proliferation of cells and an increase in their number, which is a characteristic feature of this type of plastic change.
<h1>Page 01</h1>
<br></br>What is metaplasia?
C) Conversion of cell type
Explanation: Metaplasia involves the conversion of cell type, representing a change in the nature of cells, which distinguishes it as a type of plastic change.
<h1>Page 01</h1>
<br></br>What is dysplasia?
E) Change in cell/tissue phenotype
Explanation: Dysplasia is characterized by a change in cell/tissue phenotype and a loss of uniformity, making it a distinct type of plastic change.
<h1>Page 01</h1>
<br></br>What is neoplasia?
A) Abnormal proliferation of cells
Explanation: Neoplasia involves abnormal proliferation of cells, which sets it apart as a specific type of plastic change associated with the development of tumors.
<h1>Page 02</h1>
<br></br>What is neoplasia?
A) A decrease in cell growth
B) A normal response to cellular signals
C) An increase in cell growth
D) A reversible change in cellular proliferation
E) A temporary alteration in the cellular genome
C) An increase in cell growth
Explanation: Neoplasia refers to new growth or tumour formation, characterized by an increase in cell growth that is poorly regulated and does not respond to normal signals controlling cell growth.
<h1>Page 02</h1>
<br></br>What causes neoplasms (tumours)?
A) Normal cellular signals
B) Abnormal cellular genome
C) Controlled cellular proliferation
D) Reversible cellular changes
E) Temporary cellular maturation
B) Abnormal cellular genome
Explanation: Neoplasms, or tumours, are caused by alterations in the cellular genome, leading to uncontrolled cellular proliferation and the formation of tissue masses.
<h1>Page 02</h1>
<br></br>How do neoplasms respond to normal signals controlling cell growth?
A) They respond normally
B) They do not respond
C) They respond reversibly
D) They respond temporarily
E) They respond excessively
B) They do not respond
Explanation: Neoplasms do not respond to normal signals controlling cell growth, indicating a failure of the normal mechanism that controls cellular proliferation and maturation.
<h1>Page 02</h1>
<br></br>What happens when cells proliferate excessively in a poorly regulated manner?
A) They form reversible changes
B) They respond to normal signals
C) They form a lump or tissue mass
D) They undergo controlled maturation
E) They decrease in number
C) They form a lump or tissue mass
Explanation: Excessive and poorly regulated cellular proliferation leads to the formation of a lump or tissue mass, characteristic of neoplasms or tumours.
<h1>Page 02</h1>
<br></br>What is the nature of the changes in neoplasia?
A) Temporary and reversible
B) Controlled and reversible
C) Permanent and irreversible
D) Excessive and reversible
E) Poorly regulated and reversible
C) Permanent and irreversible
Explanation: The changes associated with neoplasia are permanent and irreversible, indicating a fundamental alteration in cellular proliferation and maturation.
<h1>Page 03</h1>
<br></br>What are the THREE P’s used to describe neoplasms?
A) Painless, Purposeful, Parasitic
B) Progressive, Painful, Purposeful
C) Progressive, Purposeless, Parasitic
D) Progressive, Purposeful, Painful
E) Progressive, Purposeless, Painless
C) Progressive, Purposeless, Parasitic
Explanation: Neoplasms are characterized by the THREE P’s: Progressive (independent of normal growth control), Purposeless (serving no direct purpose), and Parasitic (drawing nourishment from the body while contributing nothing to the body’s function). These characteristics distinguish neoplasms from normal tissue growth.
<h1>Page 04</h1>
<br></br>What is the balance between in normal cell growth?
A) Cell growth and division only
B) Cell growth and division resulting in three daughter cells
C) Cell growth and division resulting in two daughter cells
D) Cell growth and division resulting in one daughter cell
E) Cell growth and division resulting in four daughter cells
C) Cell growth and division resulting in two daughter cells
Explanation: Normal cell growth involves a fine balance between cell proliferation, which results in two daughter cells, and apoptosis, or programmed cell death. This equilibrium is essential for maintaining healthy tissue and organ function.
<h1>Page 04</h1>
<br></br>What is apoptosis in the context of normal cell growth?
A) Uncontrolled cell division
B) Programmed cell death
C) Rapid cell growth
D) Cell mutation
E) Cell differentiation
B) Programmed cell death
Explanation: Apoptosis refers to programmed cell death, which is a crucial process in normal cell growth. It helps to maintain tissue homeostasis and eliminate damaged or unnecessary cells.
<h1>Page 04</h1>
<br></br>In a healthy adult, what is the relationship between cell proliferation and apoptosis?
A) Cell proliferation is greater than apoptosis
B) Cell proliferation is equal to apoptosis
C) Cell proliferation is less than apoptosis
D) Cell proliferation is unrelated to apoptosis
E) Cell proliferation is inhibited by apoptosis
B) Cell proliferation is equal to apoptosis
Explanation: In a healthy adult, the rate of cell proliferation is balanced by the rate of apoptosis, resulting in no net gain of new cells. This equilibrium is essential for maintaining tissue homeostasis and preventing abnormal cell growth.
<h1>Page 05</h1>
<br></br>What is the imbalance that occurs in neoplasia?
A) Increase in cell size & decrease in cell division
B) Decrease in cell proliferation & increase in cell apoptosis
C) Increase in cell proliferation & decrease in cell apoptosis
D) Decrease in cell size & increase in cell division
E) No change in cell activity
C) Increase in cell proliferation & decrease in cell apoptosis
Explanation: Neoplasia is characterized by an imbalance leading to an increase in cell proliferation and a decrease in cell apoptosis, resulting in a net gain of cells and the development of a mass or tumor.
<h1>Page 06</h1>
<br></br>What are the two types of genes responsible for maintaining the balance of cell proliferation?
A) Tumor-causing genes and suppressor genes
B) Proto-oncogenes and tumor-causing genes
C) Tumor-suppressor genes and proto-oncogenes
D) Oncogenes and suppressor genes
E) Proto-suppressor genes and tumor-causing genes
C) Tumor-suppressor genes and proto-oncogenes
Explanation: The balance of cell proliferation is maintained by two types of genes: proto-oncogenes and tumor-suppressor genes. These genes play crucial roles in regulating the growth and division of cells, and any imbalance in their function can lead to uncontrolled cell growth and cancer development.
<h1>Page 07</h1>
<br></br>What is the role of proto-oncogenes in normal cells?
A) Inhibit cell growth and proliferation
B) Regulate normal cell growth and proliferation
C) Cause cell apoptosis
D) Prevent genetic alterations
E) Induce cell mutation
B) Regulate normal cell growth and proliferation
Explanation: Proto-oncogenes are responsible for regulating normal cell growth and proliferation, highlighting their essential role in maintaining cellular homeostasis.
<h1>Page 07</h1>
<br></br>What happens when a genetic alteration occurs in a proto-oncogene?
A) Both alleles must be affected for an effect
B) No effect on cell behavior
C) Cells undergo apoptosis
D) Dominant genes are suppressed
E) Dominant genes are activated
E) Dominant genes are activated
Explanation: Genetic alterations in proto-oncogenes only need to occur in one of the two alleles to have an effect, leading to the activation of dominant genes and potentially contributing to the transformation of the proto-oncogene into an oncogene.
<h1>Page 07</h1>
<br></br>What is the consequence of a proto-oncogene transforming into an oncogene?
A) Cells undergo apoptosis
B) Normal cell growth is inhibited
C) Cells designated for apoptosis survive and proliferate
D) Genetic alterations are repaired
E) Cell proliferation is halted
C) Cells designated for apoptosis survive and proliferate
Explanation: The transformation of a proto-oncogene into an oncogene causes cells designated for apoptosis to survive and proliferate instead, leading to uncontrolled cell growth and potential tumorigenesis.
<h1>Page 08</h1>
<br></br>What is the function of tumor suppressor genes in normal cells?
A) Promote cell proliferation
B) Inhibit cell proliferation
C) Control cellular respiration
D) Enhance DNA repair
E) Increase mutation rate
B) Inhibit cell proliferation
Explanation: Tumor suppressor genes act as the ‘brakes’ for normal cell proliferation, exerting control over the rate of cell division and preventing uncontrolled growth, which is a crucial function in maintaining cellular homeostasis.
<h1>Page 08</h1>
<br></br>What needs to occur for mutations in tumor suppressor genes to have an effect?
A) Mutations in one copy of the gene
B) Mutations in both copies of the gene
C) No mutations required
D) Mutations in the promoter region only
E) Mutations in the enhancer region only
B) Mutations in both copies of the gene
Explanation: Mutations in both copies of the tumor suppressor gene or allele are required for the gene to lose its inhibitory function, leading to the potential for uncontrolled cell proliferation, which is a characteristic of recessive genes.
<h1>Page 08</h1>
<br></br>What is the consequence of mutations in tumor suppressor genes?
A) Enhanced inhibition of cell proliferation
B) Decreased mutation rate
C) Increased apoptosis
D) Loss of inhibition and increased mutation rate
E) Enhanced DNA repair
D) Loss of inhibition and increased mutation rate
Explanation: Mutations in tumor suppressor genes result in a loss of inhibition of cell proliferation and an increase in the mutation rate, which can contribute to the development of cancerous cells and the progression of tumors.
<h1>Page 09</h1>
<br></br>What is the function of proto-oncogenes in normal cells?
A) To encode proteins that inhibit cell growth
B) To encode proteins that promote cell growth
C) To regulate blood pressure
D) To regulate bone density
E) To regulate body temperature
B) To encode proteins that promote cell growth
Explanation: Proto-oncogenes encode proteins that help to regulate normal cell growth and proliferation, promoting the normal functioning of cells. When mutated, they can become activated oncogenes, leading to uncontrolled cell growth.
<h1>Page 09</h1>
<br></br>What is the effect of mutation in tumour-suppressor genes?
A) Mutations cause activation of genes
B) Mutations cause inactivation of genes, leading to loss of suppression characteristics
C) Mutations cause increased gene expression
D) Mutations cause the genes to become recessive
E) Mutations cause the genes to become dominant
B) Mutations cause inactivation of genes, leading to loss of suppression characteristics
Explanation: Mutations in tumour-suppressor genes lead to the inactivation of these genes, resulting in the loss of their ability to suppress abnormal cell growth. This can contribute to the development of cancer.
<h1>Page 09</h1>
<br></br>How many alleles need to be affected for a mutation to occur in proto-oncogenes?
A) Only one (dominant)
B) Both must be affected (recessive)
C) At least three
D) At least four
E) None, mutations occur randomly
A) Only one (dominant)
Explanation: Only one allele needs to be affected (dominant) for a mutation to occur in proto-oncogenes, highlighting the potential impact of a single mutation on cell regulation and growth.
<h1>Page 09</h1>
<br></br>Which genes ‘apply the breaks’ to normal cell proliferation?
A) Proto-oncogenes
B) Tumour-suppressor genes
C) Homeobox genes
D) Ribosomal genes
E) Polymerase genes
B) Tumour-suppressor genes
Explanation: Tumour-suppressor genes ‘apply the breaks’ to normal cell proliferation, playing a crucial role in regulating cell growth and preventing the development of cancer. Their inactivation due to mutations can lead to uncontrolled cell proliferation.
<h1>Page 09</h1>
<br></br>Which genes encode proteins that help to regulate normal cell growth and proliferation?
A) Proto-oncogenes
B) Tumour-suppressor genes
C) Homeobox genes
D) Ribosomal genes
E) Polymerase genes
A) Proto-oncogenes
Explanation: Proto-oncogenes encode proteins that help to regulate normal cell growth and proliferation, contributing to the balanced and controlled growth of cells. When mutated, they can become activated oncogenes, leading to uncontrolled cell growth.
<h1>Page 10</h1>
<br></br>What encodes our genetic code to form gene sequences?
A) RNA
B) DNA
C) Proteins
D) Carbohydrates
E) Lipids
B) DNA
Explanation: Our genetic code is encoded by DNA to form gene sequences, highlighting the fundamental role of DNA in storing and transmitting genetic information.
<h1>Page 10</h1>
<br></br>What can mutations alter in the cell?
A) Cell size
B) Cell shape
C) Cell function
D) Cell color
E) Cell location
C) Cell function
Explanation: Mutations can alter the way certain proteins are produced, leading to changes in the function of the cell, which can have significant implications for cellular processes.
<h1>Page 10</h1>
<br></br>What can cause genetic mutations?
A) Normal DNA replication
B) Exposure to non-carcinogenic agents
C) Lack of inherited mutations
D) Reduced cell proliferation
E) Decreased risk of mutagenesis
A) Normal DNA replication
Explanation: Mistakes made in normal DNA replication can lead to changes in genotype, which is one of the causes of genetic mutations, highlighting the significance of DNA replication in maintaining genetic integrity.
<h1>Page 10</h1>
<br></br>What can increase the risk of mutagenesis?
A) Decreased cell proliferation
B) Chronic inflammation
C) Reduced exposure to carcinogenic agents
D) Inherited mutations
E) Normal DNA replication
B) Chronic inflammation
Explanation: Sustained proliferation from any cause, such as chronic inflammation, can increase the risk of mutagenesis, underscoring the link between prolonged cellular activity and genetic mutation.
<h1>Page 11</h1>
<br></br>Where are hereditary genetic mutations present?
A) In somatic cells
B) In all cells of the body
C) Only in the brain cells
D) In acquired cells
E) In the cells of the immune system
B) In all cells of the body
Explanation: Hereditary genetic mutations are present in germ cells, which give rise to gametes, and therefore in all the cells of the body. This characteristic distinguishes them from acquired genetic mutations.
<h1>Page 11</h1>
<br></br>How are hereditary genetic mutations passed down?
A) From parent to child
B) From sibling to sibling
C) From grandparent to grandchild
D) From aunt to nephew
E) From cousin to cousin
A) From parent to child
Explanation: Hereditary genetic mutations are passed from generation to generation, typically from parent to child, highlighting their transmission pattern and familial nature.
<h1>Page 11</h1>
<br></br>When do acquired genetic mutations occur?
A) During embryonic development
B) During childhood
C) During adolescence
D) During a person’s life
E) During old age
D) During a person’s life
Explanation: Acquired genetic mutations occur from damage to genes during a person’s life, distinguishing them from hereditary mutations which are present in germ cells and passed down through generations.
<h1>Page 11</h1>
<br></br>Where are acquired genetic mutations present?
A) In all cells of the body
B) Only in the brain cells
C) In somatic cells
D) In the cells of the immune system
E) In the cells of the digestive system
C) In somatic cells
Explanation: Acquired genetic mutations are present in only one or a few cells, occurring from damage to genes during a person’s life. This sets them apart from hereditary mutations which are present in all cells of the body.
<h1>Page 12</h1>
<br></br>How do mutations contribute to cancer development?
A) By increasing the body’s immunity
B) By reducing cell division
C) By promoting healthy cell growth
D) By disrupting normal cell function
E) By preventing DNA damage
D) By disrupting normal cell function
Explanation: Mutations can cause cancer by disrupting normal cell function, leading to uncontrolled growth and division of abnormal cells. This disruption in cellular processes can contribute to the development of cancerous tumors.
<h1>Page 13</h1>
<br></br>What can increase the chances of mistakes in normal DNA replication during separation of chromosomes?
A) Exposure to sunlight
B) Exposure to carcinogenic substances
C) Lack of sleep
D) Regular exercise
E) Consumption of fruits and vegetables
B) Exposure to carcinogenic substances
Explanation: Exposure to carcinogenic substances can increase the chances of mistakes in normal DNA replication during the separation of chromosomes, thereby contributing to the initiation of cancer formation, known as carcinogenesis.
<h1>Page 13</h1>
<br></br>When do mistakes in normal DNA replication occur naturally?
A) During photosynthesis
B) During respiration
C) During mitosis
D) During digestion
E) During excretion
C) During mitosis
Explanation: Mistakes in normal DNA replication occur naturally during the separation of chromosomes, specifically during mitosis, which is a crucial phase in the cell cycle.
<h1>Page 13</h1>
<br></br>What is the initiation of cancer formation known as?
A) Carcinoma
B) Carcinogenesis
C) Carcinogen
D) Carcinoma formation
E) Carcinoma initiation
B) Carcinogenesis
Explanation: The initiation of cancer formation is known as carcinogenesis, which involves the process of mistakes in normal DNA replication and the impact of exposure to carcinogenic substances.
<h1>Page 14</h1>
<br></br>What is the role of an ‘initiator’ in carcinogenesis?
A) It causes cell mutation
B) It repairs DNA damage
C) It slows down cell division
D) It promotes cell growth
E) It enhances DNA stability
A) It causes cell mutation
Explanation: Initiators are responsible for the initial cell mutation, leading to the onset of carcinogenesis. They cause rapid and irreversible damage to DNA, known as mutagenic, and are exemplified by various substances such as alkylating agents, hydrocarbons, aromatic amines, nitrosamines, and tobacco-specific nitrosamines.
<h1>Page 14</h1>
<br></br>What characterizes the damage caused by initiators to DNA?
A) Reversible
B) Slow
C) Mutagenic
D) Non-destructive
E) Protective
C) Mutagenic
Explanation: Initiators cause rapid and irreversible damage to DNA, known as mutagenic, which is a key characteristic of their impact on cellular genetic material. This damage is a crucial step in the process of carcinogenesis.
<h1>Page 14</h1>
<br></br>Which of the following is an example of an initiator in carcinogenesis?
A) Antibiotics
B) Antioxidants
C) Alkylating agents
D) Probiotics
E) Analgesics
C) Alkylating agents
Explanation: Alkylating agents are examples of initiators in carcinogenesis, contributing to the initial cell mutation and the subsequent development of cancer. These agents are known for causing rapid and irreversible damage to DNA.
<h1>Page 14</h1>
<br></br>What is the primary effect of UV irradiation in the context of carcinogenesis?
A) DNA repair
B) Cell regeneration
C) Cell differentiation
D) Cell mutation
E) Apoptosis
D) Cell mutation
Explanation: UV irradiation, such as sunlight, plays a significant role in carcinogenesis by causing cell mutation. This exposure contributes to the initiation of cancer development through its impact on DNA.