Cancer Biology and Pathophysiology Quiz
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Questions and Answers

What can mutated proto-oncogenes produce?

  • Only normal proteins
  • Too little protein
  • Proteins that cannot be synthesized
  • Too much of the protein (correct)
  • The loss of the p53 gene function increases the risk of tumor metastasis.

    True

    What is the role of the immune system in relation to cancer?

    To resist development and progression of cancer

    The _____ gene is often referred to as the guardian of the genome.

    <p>p53</p> Signup and view all the answers

    Which of the following manifestations is NOT associated with cancer?

    <p>Increased organ function</p> Signup and view all the answers

    Benign tumors can cause decreased production of normal organ secretions.

    <p>False</p> Signup and view all the answers

    Match the following terms with their descriptions:

    <p>Oncogenes = Promote autonomous cell growth in cancer cells Tumor-suppressor genes = Inhibit cell proliferation Immune system = Resists cancer development Hormonal factors = Involved in cancers of the reproductive system</p> Signup and view all the answers

    Which of the following is NOT a function that can be lost with mutated oncogenes?

    <p>Inhibition of cell growth</p> Signup and view all the answers

    What is the primary pathophysiological cause of cancer anorexia-cachexia syndrome?

    <p>Weakness</p> Signup and view all the answers

    Ectopic hormones secreted by tumor cells can lead to __________ disorders.

    <p>paraneoplastic</p> Signup and view all the answers

    Heredity is a factor in only a few types of cancer.

    <p>False</p> Signup and view all the answers

    Match the following paraneoplastic syndromes with their associated symptoms:

    <p>ADH production = Inappropriate ADH syndrome (SIADH) ACTH production = Cushing syndrome PTH-related protein = Hypercalcemia Neurologic disorders = Peripheral nerve effects</p> Signup and view all the answers

    What role do hormones play in cancer of the reproductive system?

    <p>They may promote reproduction of malignant cells</p> Signup and view all the answers

    When tumor-suppressor genes are not activated, it leads to unregulated _____ growth.

    <p>cell</p> Signup and view all the answers

    What is a potential consequence of impaired immune function in relation to cancer?

    <p>Increased risk of development and progression of cancer</p> Signup and view all the answers

    What role do growth factors play in cell division?

    <p>They signal cells to enter the cell cycle and divide.</p> Signup and view all the answers

    Tumor suppressor proteins help prevent the division of mutated cells.

    <p>True</p> Signup and view all the answers

    What is apoptosis?

    <p>Apoptosis is the process of programmed cell death.</p> Signup and view all the answers

    During the cell cycle, if DNA damage is irreparable, the cell undergoes ______.

    <p>apoptosis</p> Signup and view all the answers

    Match the following cell types with their descriptions:

    <p>Permanent cells = Cells that do not divide once mature Stable cells = Cells that can divide when stimulated Labile cells = Cells that continuously divide and regenerate Cancer cells = Cells that divide uncontrollably</p> Signup and view all the answers

    What typically happens to the number of cells in the body?

    <p>The number of cells produced equals the number of cells that die.</p> Signup and view all the answers

    The telomere is fully duplicated at the end of cell division.

    <p>False</p> Signup and view all the answers

    What are tumor antigens?

    <p>Proteins recognized by immune T-cells or antibodies on tumor cells</p> Signup and view all the answers

    Chemical carcinogens can only have a direct effect on metabolism.

    <p>False</p> Signup and view all the answers

    Name two types of radiation linked to cancer development.

    <p>Ionizing radiation and Ultraviolet radiation</p> Signup and view all the answers

    Examples of _____ can induce cancer by inserting their DNA into host cells.

    <p>oncogenic viruses</p> Signup and view all the answers

    Match the following environmental factors with their effects:

    <p>Ionizing Radiation = Cancer development linked to exposure Ultraviolet Radiation = Cumulative effect from sun exposure Chemical Carcinogen = Causes mutation in DNA Oncogenic Virus = Inserts DNA into host cells</p> Signup and view all the answers

    Which of the following describes procarcinogens?

    <p>Substances that require metabolic conversion to become carcinogenic</p> Signup and view all the answers

    The onset of cancer is determined only by the dose of radiation exposure.

    <p>False</p> Signup and view all the answers

    What is one method of preventing cancer linked to oncogenic viruses?

    <p>Developing vaccines</p> Signup and view all the answers

    Exposure to _____ radiation typically has a cumulative effect.

    <p>Ultraviolet</p> Signup and view all the answers

    Which of the following statements is true about promoters?

    <p>Promoters can make non-carcinogenic substances carcinogenic.</p> Signup and view all the answers

    Which of the following characteristics are associated with tumor cells? (Select all that apply)

    <p>Differentiation</p> Signup and view all the answers

    Tumor suppressor genes promote cell growth and division.

    <p>False</p> Signup and view all the answers

    What are the genes called that regulate the repair of damaged DNA?

    <p>DNA repair genes</p> Signup and view all the answers

    ___ genes control programmed cell death in organisms.

    <p>Apoptosis</p> Signup and view all the answers

    Match the following types of genes with their functions:

    <p>Proto-oncogenes = Promote normal cell growth Tumor suppressor genes = Inhibit cell growth Apoptosis genes = Control programmed cell death DNA repair genes = Regulate repair of damaged DNA</p> Signup and view all the answers

    Which type of genes can become oncogenes when mutated?

    <p>Proto-oncogenes</p> Signup and view all the answers

    Oncogenes are underactive genes associated with cancer.

    <p>False</p> Signup and view all the answers

    Name one type of environmental factor that can contribute to cancer.

    <p>Chemical carcinogens</p> Signup and view all the answers

    Altered proliferation is a growth property characterized by ___ growth.

    <p>uncontrolled</p> Signup and view all the answers

    Which of the following is NOT a type of gene involved in cancer development?

    <p>Normal genes</p> Signup and view all the answers

    Study Notes

    Neoplasia Overview

    • Neoplasia is the study of new growth, specifically tumors
    • The outline covers cell cycle review, oncogenesis, differentiation, benign vs malignant tumors, metastasis, cancer manifestations, diagnosis, and treatment.
    • Defining terms like proliferation, differentiation, and apoptosis is important for understanding the topic.

    Cell Cycle

    • The cell cycle is crucial to understanding neoplasia
    • Cells divide when told to by growth factors
    • Stable cells enter the cell cycle and divide when signaled
    • The number of cells produced equals the number of cells that die. The overall number of cells in the body remains constant.
    • Cells have checkpoints regulating cell division and DNA repair or apoptosis if necessary
    • Tumor suppressor proteins regulate these checkpoints.
    • Telomeres are DNA sequences at the ends of chromosomes. The enzymes that copy the DNA attach to the telomeres. The end of the telomere does not get copied.

    Oncogenesis & Cell Mutation

    • Oncogenesis is the development of cancer.
    • Initiation: initial mutation occurs
    • Promotion: mutated cells are stimulated to divide
    • Progression: tumor cells compete and develop more mutations, becoming more aggressive

    Differentiation

    • Differentiation is a key concept. "Grown-up" cells are called differentiated because they look different.
    • Differentiated cells are derived from stem cells via progenitor cells
    • This differentiation can be influenced by mutations
    • Malignant tumors are undifferentiated and rapidly dividing. Benign tumors are differentiated and not rapidly dividing.

    Tumor Types

    • Benign tumors: tissue name + "-oma" (e.g., osteoma)
    • Malignant tumors (cancers):
      • Epithelial tissue: tissue name + "carcinoma"
      • Mesenchymal tissue: tissue name + "sarcoma"
    • Benign tumors are typically encapsulated local growths. They maintain some semblance of normal tissue function
    • Malignant tumors are typically not encapsulated, rapidly divide, have clear boundaries and send legs out into the tissues (metastasis) They often don't perform normal tissue functions.

    Metastasis

    • Metastasis is the spread of cancer cells from the primary tumor to other parts of the body.
    • Cancer cells that metastasize have the ability to escape the original tumor and invade other areas of the body.
    • This spread can cause complications.

    Manifestations of Cancer

    • Manifestations of cancer can result from organ failure, localized tumor effects (compression, bleeding), hormone production (paraneoplastic), and tissue breakdown (e.g. cachexia).
    • Specific manifestations depend on the location of metastasis
    • Paraneoplastic syndromes are associated with cancer (typically malignant) that produce hormones or hormone-like substances.
    • Examples include SIADH, Cushing syndrome, hypercalcemia

    Diagnostics

    • Diagnosis involves collecting specimens (e.g., urine/stool, tissue biopsies) and using various methods (e.g., cytology, histology, blood tests, radiology such as x-rays CT & MRI).
    • Tumor markers are proteins or antigens found on the surface of cancer cells.
    • Some are typically produced throughout life and can be indicative of neoplasm.
    • Biopsy is a method to further characterize a tumor

    Staging and Grading of Tumors

    • Grading: based on microscopic analysis of histological characteristics of the tumor, including cell differentiation and mitosis count (as I, II, III, IV)
    • Staging: determining the extent and spread of cancer within the body (using TMN and AJC classification systems.)

    Treatments

    • Treatments for cancer include surgery, radiation therapy, chemotherapy, and others.
    • Surgery aims to remove the tumor, used for diagnosis as well as treatment.
    • Radiation therapy uses high-energy radiation to damage cancer cells.
    • Chemotherapy uses drugs to kill cancer cells, and this type of treatment is effective at certain phases of cell growth.
    • Other treatments like hormonal therapy, stem cell transplants, and gene therapy are also used in the treatment of cancers.

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    Description

    Test your knowledge on cancer biology, including the roles of proto-oncogenes, tumor-suppressor genes, and the immune system in cancer development. This quiz covers various manifestations, syndromes, and the impact of hormonal factors in the context of cancer. Perfect for students and professionals looking to reinforce their understanding of cancer-related concepts.

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