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SB82 ABSITE Oncology - loosely taken from Fiser's ABSITE Review

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Most common cancer in women   Breast cancer  
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Most common cause of cancer-related death in women   Lung cancer  
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Most common cause of cancer-related death in men   Lung cancer  
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PET detects areas of high-metabolic rate, as illustrated by uptake of ___________________   Fluorodeoxyglucose  
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T cells need this to be able to attack tumor cells ____________   MHC complex  
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These immune cells can attack cancer cells independently ______________   Natural killer cells  
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Tissue abnormality causing increased NUMBER of cells __________   Hyperplasia  
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Tissue abnormality causing replacement of one tissue with another (as in GERD causing esophageal squamous epithelium to be replaced with gastric columnar cells) ____________   Metaplasia  
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Tissue abnormality causing altered size, shape, and organization of cells (as in Barrett’s esophagus) _______________   Dysplasia  
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Cancer associated with CEA ___________   Colon  
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Cancer(s) associated with AFP ___________   Liver, non-seminomatous germ cell tumors  
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Cancer(s) associated with Ca 19-9 ___________   pancreas, biliary cancer  
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Cancer associated with CA 125 ________________   Ovarian  
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Cancer(s) associated with beta HCG _____________   testicular cancer and choriocarcinoma  
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Cancer associated with elevated PSA _____________   Prostate  
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Cancer(s) associated with neuron-specific enolase (NSE) ______________   small cell lung cancer, neuroblastoma, merkel cell carcinoma  
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The time between the development of the cancer and when it becomes clinically detectable is the _____________   Latency period  
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EBV retrovirus is associated with which cancers?   Burkitt’s lymphoma and nasopharyngeal carcinoma  
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Cancer associated with HPV ___________   Cervical  
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Cancer associated with H. pylori _____________   Gastric  
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Cancer associated with Hep B ____________   Hepatocellular carcinoma  
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Cancer(s) associated with HHV-8 (human herpes virus 8) _____________   Kaposi sarcoma and primary effusion lymphoma  
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Cancer(s) associated with Hep C ______________   Splenic lymphoma and HCC  
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Definition of “proto-oncogenes”   Human genes with malignant potential  
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The phase of the cell cycle where the cell is most vulnerable to radiation ___________   M phase  
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Damage to a cell through radiation is due to what process?   Formation of oxygen radicals  
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High-energy radiation preserves what body structure? _________   Skin  
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Fractionated radiation has what benefits (three "R"s)?   Allows Repair of normal cells, allows Re-oxygenation of the tumor, and allows Redistribution of the cells in the cell cycle  
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Examples of very radiosensitive tumors (2)   Seminomas, lymphomas  
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Examples of very radio-resistant tumors (2)   Epithelial cancers, sarcomas  
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Placement of a source of radiation in or next to a tumor to provide high, concentrated doses of radiation is called ____________   Brachytherapy  
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Cell-cycle non-specific agents exhibit a ___________ response to cell killing   Linear  
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Mechanism of taxol   Promotes microtubule formation and stabilization so cells cannot divide; cells rupture  
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Side effects of bleomycin and busulfan __________   Pulmonary fibrosis  
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Examples of microtubule-inhibiting chemotherapeutic agents _____________   Vincristine, vinblastine  
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Active metabolite in of cyclophosphamide ________   Acrolein  
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Side effects of cyclophosphamide use (3)   Gonadal dysfunction, SIADH, hemorrhagic cystitis  
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Medication that can alleviate hemorrhagic cystitis due to cyclophosphamide ____________   Mesna  
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An antihelminthic drug thought to stimulate the immune response against cancer _________   Levamisole  
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Methotrexate inhibits purine synthesis, and ultimately DNA synthesis, by inhibiting this enzyme ______________   Dihydrofolate reductase  
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What is the effect of leukovorin on the effect of 5-FU?   Increases the toxicity of 5-FU  
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What chemotherapeutic agent inhibits topoisomerase (which normally unwinds DNA)? __________   Etoposide  
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Agent that causes cardiotoxicity due to formation of oxygen radicals ____________   Doxorubicin  
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Purpose of GCSF in cancer treatment   Helps neutrophil recovery after chemotherapy  
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Side effect of granulocyte-colony-stimulating factor   Sweet’s syndrome (acute febrile neutropenic dermatitis)  
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Proto-oncogenes and their associated defect: ras _____________   G protein  
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Proto-oncogenes and their associated defect: src _____________   Tyrosine kinase  
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Proto-oncogenes and their associated defect: sis _____________   platelet-derived growth factor  
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Proto-oncogenes and their associated defect: erb B _____________   Epidermal growth factor  
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Types of cancer associated with Li-Fraumeni syndrome   Childhood sarcomas, breast cancer, brain tumors, leukemia, adrenal cancer  
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Cancer associated with the Ret proto-oncogene _____________   Medullary thyroid cancer  
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Patients with Ret mutation plus positive family history of MEN syndrome should have this intervention __________   Prophylactic total thyroidectomy (90% get medullary thyroid cancer)  
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The gene thought to comprise the “first hit” in development of colon cancer _________   APC  
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The primary cancer associated with palpable axillary lymph node ______________   Lymphoma  
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Cancer associated with suspicious periumbilical node ____________   Pancreatic  
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Primary cause of bone metastases ________   Breast cancer  
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Primary cause of metastases to the small bowel ________   Melanoma  
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Survival rate from fully-resected colon cancer liver mets ___________   25% after 5 years  
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