Tumors Flashcards

1
Q

True or false- cardiac tumors are common

A

False

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2
Q

What is the most common primary cardiac tumor in adults?

A

Myxoma

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3
Q

Are myxomas cancerous ?

A

No. They’re benign

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4
Q

Are myxomas cancerous ?

A

No. They’re benign

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5
Q

True or false- most myxomas are idiopathic

A

True

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6
Q

What percentage of myxomas are genetic ?

A

10%

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7
Q

What percentage of myxomas are in the LA?

A

75%

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8
Q

Are most myxomas predunculated? If so, where?

A

Yes. Mostly in the IAS

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9
Q

If a myxoma is mobile what secondary condition is most likely?

A

Secondary stenosis

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10
Q

Myxomas often hinder ____filling.

A

Diastolic

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11
Q

What is the Carney complex?

A

A familial link to myxomas and a pattern of high reoccurrence. Around 20 years old.

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12
Q

A familial link to myxomas and a pattern of high reoccurrence. Around 20 years old is what?

A

Carney complex

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13
Q

True or false- myxomas are never asymptomatic

A

False. Some are asymptomatic.

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14
Q

Is tachycardia a symptom of myxoma?

A

No

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15
Q

Is Arthralgia a symptom of myxomas?

A

Yes

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16
Q

What is Arthralgia?

A

Joint pain

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17
Q

True or false- clubbing of the fingertips is not a symptom of myxomas

A

False

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18
Q

True or false- myxomas can procedure a fever-flu like symptoms?

A

True

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19
Q

Hemolytic anemia is not a symptom a myxoma

A

False

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20
Q

Which of these is a symptom of myxomas ?
1.rash
2.Raynuads
3.chest pain
4. All of the above
5. Only chest pain and rash

A

All of the above

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21
Q

What is the treatment for a myxoma?

A

Removal and follow up studies

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22
Q

True or false- reoccurrence of myxomas are common

A

False

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23
Q

Myxomas are common in males or females?

A

Females

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24
Q

True or false- myxomas are usually a solitary tumor

A

True

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25
What is the most common benign valvular tumor?
Papillary fibroelastoma (papilloma)
26
What’s another name for papillary fibroelastoma?
Papilloma
27
A papilloma is also known as a?
Papillary fibroelastoma
28
In adults, what are the 3 most common places for a papillary fibroelastoma?
AV, LVOT, AMVL
29
A papillary fibroelastoma is rarely > ___cm and closely resembles the ____
1cm Chordae Tendineae
30
Papillomas are often believed to come from?
A small thrombus <1cm that attaches & grows into a mobile, dense mass
31
Are papillary fibroelastomas highly mobile ?
Yes
32
True or false- Papillomas are highly mobile and life threatening
True
33
Papillary fibroelastomas may cause which of the following: 1. Valve dysfunction 2. Embolisms 3.stoke 4. Arrhythmia 5. Fever 6. All of the above 7. All
1-4 apply
34
What is the treatment for a papillary fibroelastoma?
Surgical removal to hopefully save the valve.
35
Which tumor is a bulky tumor that frequently embeds itself into the myocardial wall of the ventricles or IVS
Fibroma
36
True or false- Fibroma typically presents itself during childhood
True
37
True or false- A Fibroma is associated with sudden death?
True
38
True or false- a Fibroma is not associated with heart failure.
False
39
True or false- A Fibroma is associated with arrhythmias?
True
40
What may be indicated as a treatment for children with a Fibroma?
Heart transplant or removal
41
Can a Fibroma cause a LVOTO?
Yes
42
What is a Lipoma?
A encapsulated tumor made of mature fat cells that are soft and become large
43
Are Limpomas usually symptomatic or asymptomatic?
Asymptomatic and found on accident
44
Lipomas appear as a ____ mass due to its high _____
Echogenic, fat content
45
What does LHIS stand for ?
Lipomatous hypertrophy of the IAS
46
A lipoma presents as: 1. ASH 2.LHIS 3. EPSS 4. PE
LHIS
47
LHIS is a ____ infiltration of the ___ sparring the fossa ovalis making it look like a ____
Fatty, IAS, dumbbell
48
True or false- most lipomas do not require treatment
True
49
Which tumor can be associated with coronary artery compression?
Lipoma
50
True or false- Bradycardia is associated with a Lipoma
False
51
True or false- syncope is a symptom of a lipoma?
True
52
True or false- Papillary fibroelastoma and lipomas are at risk for causing an embolus?
True
53
What is the most common fetal cardiac tumor?
Rhabdomyoma
54
Rhabdomyoma is frequently found where? 1. Papillary muscle 2 LA 3. Ventricular walls/cavity 4.RA
3.
55
What are Yellowish-gray tumors that can be found anywhere in the heart?
Rhabdomyoma
56
Most Rhabdomyoma’s are diagnosed within the first ____ and >90% are found by the age ____
Year, 15
57
What percentage of rhabdomyomas are found by the age of 15?
>90%
58
What tumor is usually diagnosed within the first year of life?
Rhabdomyoma
59
Tuberous Sclerosis is well associated with what tumor ?
Rhabdomyoma
60
True or false- A majority of Rhabdomyoma are asymptomatic
True
61
True or false A LVOTO can occur with Rhabdomyomas?
True
62
True or false- A Rhabdomyoma may regress on its own within the first few years of life?
True
63
True or false- although surgical removal of a Rhabdomyoma can be an option. Sometimes they are impossible to remove?
True
64
Are primary malignant cardiac tumors common?
No
65
Which of these is the most common primary cardiac malignant tumor? 1. Papillary fibroelastoma 2. Fibroma 3.Myxoma 4.Angiosarcoma 5.sarcoma
4.
66
Angiosarcomas usually begin in the?
RA or pericardium