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
Q

What is the most common benign valvular tumor?

A

Papillary fibroelastoma (papilloma)

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26
Q

What’s another name for papillary fibroelastoma?

A

Papilloma

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27
Q

A papilloma is also known as a?

A

Papillary fibroelastoma

28
Q

In adults, what are the 3 most common places for a papillary fibroelastoma?

A

AV, LVOT, AMVL

29
Q

A papillary fibroelastoma is rarely > ___cm and closely resembles the ____

A

1cm
Chordae Tendineae

30
Q

Papillomas are often believed to come from?

A

A small thrombus <1cm that attaches & grows into a mobile, dense mass

31
Q

Are papillary fibroelastomas highly mobile ?

A

Yes

32
Q

True or false- Papillomas are highly mobile and life threatening

A

True

33
Q

Papillary fibroelastomas may cause which of the following:

  1. Valve dysfunction
  2. Embolisms
    3.stoke
  3. Arrhythmia
  4. Fever
  5. All of the above
  6. All
A

1-4 apply

34
Q

What is the treatment for a papillary fibroelastoma?

A

Surgical removal to hopefully save the valve.

35
Q

Which tumor is a bulky tumor that frequently embeds itself into the myocardial wall of the ventricles or IVS

A

Fibroma

36
Q

True or false- Fibroma typically presents itself during childhood

A

True

37
Q

True or false- A Fibroma is associated with sudden death?

A

True

38
Q

True or false- a Fibroma is not associated with heart failure.

A

False

39
Q

True or false- A Fibroma is associated with arrhythmias?

A

True

40
Q

What may be indicated as a treatment for children with a Fibroma?

A

Heart transplant or removal

41
Q

Can a Fibroma cause a LVOTO?

A

Yes

42
Q

What is a Lipoma?

A

A encapsulated tumor made of mature fat cells that are soft and become large

43
Q

Are Limpomas usually symptomatic or asymptomatic?

A

Asymptomatic and found on accident

44
Q

Lipomas appear as a ____ mass due to its high _____

A

Echogenic, fat content

45
Q

What does LHIS stand for ?

A

Lipomatous hypertrophy of the IAS

46
Q

A lipoma presents as:

  1. ASH
    2.LHIS
  2. EPSS
  3. PE
A

LHIS

47
Q

LHIS is a ____ infiltration of the ___ sparring the fossa ovalis making it look like a ____

A

Fatty, IAS, dumbbell

48
Q

True or false- most lipomas do not require treatment

A

True

49
Q

Which tumor can be associated with coronary artery compression?

A

Lipoma

50
Q

True or false- Bradycardia is associated with a Lipoma

A

False

51
Q

True or false- syncope is a symptom of a lipoma?

A

True

52
Q

True or false- Papillary fibroelastoma and lipomas are at risk for causing an embolus?

A

True

53
Q

What is the most common fetal cardiac tumor?

A

Rhabdomyoma

54
Q

Rhabdomyoma is frequently found where?

  1. Papillary muscle
    2 LA
  2. Ventricular walls/cavity
    4.RA
A

3.

55
Q

What are Yellowish-gray tumors that can be found anywhere in the heart?

A

Rhabdomyoma

56
Q

Most Rhabdomyoma’s are diagnosed within the first ____ and >90% are found by the age ____

A

Year, 15

57
Q

What percentage of rhabdomyomas are found by the age of 15?

A

> 90%

58
Q

What tumor is usually diagnosed within the first year of life?

A

Rhabdomyoma

59
Q

Tuberous Sclerosis is well associated with what tumor ?

A

Rhabdomyoma

60
Q

True or false- A majority of Rhabdomyoma are asymptomatic

A

True

61
Q

True or false A LVOTO can occur with Rhabdomyomas?

A

True

62
Q

True or false- A Rhabdomyoma may regress on its own within the first few years of life?

A

True

63
Q

True or false- although surgical removal of a Rhabdomyoma can be an option. Sometimes they are impossible to remove?

A

True

64
Q

Are primary malignant cardiac tumors common?

A

No

65
Q

Which of these is the most common primary cardiac malignant tumor?
1. Papillary fibroelastoma
2. Fibroma
3.Myxoma
4.Angiosarcoma
5.sarcoma

A

4.

66
Q

Angiosarcomas usually begin in the?

A

RA or pericardium