Oncogenes and Cancer Quiz

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Questions and Answers

Which of the following oncogenes is associated with the development of melanoma?

  • ERB-B1
  • HGF
  • N-RAS (correct)
  • FMS

What is the mode of activation for the ERB-B2 oncogene?

  • Translocation
  • Point mutation
  • Amplification (correct)
  • Overexpression

Which of the following oncogenes is associated with the activation of the WNT signal transduction pathway?

  • K-RAS
  • ABL
  • β-catenin (correct)
  • H-RAS

Which of the following is NOT a category of proto-oncogenes?

<p>Cellular Membrane Receptors (C)</p> Signup and view all the answers

Which of the following oncogenes is associated with the development of chronic myeloid leukemia?

<p>ABL (D)</p> Signup and view all the answers

What type of mutation is associated with the activation of the FMS oncogene?

<p>Point mutation (B)</p> Signup and view all the answers

The PDGF-β chain SIS oncogene can lead to which of the following cancers?

<p>Osteosarcoma (D)</p> Signup and view all the answers

Which oncogene is associated with the development of gastrointestinal stromal tumors (GISTs)?

<p>KIT (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of translocations and inversions in cancer?

<p>They only occur in the early stages of cancer development. (B)</p> Signup and view all the answers

The 'Gatekeeper/Caretaker' concept in carcinogenesis refers to:

<p>The two main types of genes that are involved in cancer development. (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of a tumor suppressor gene?

<p>They are often overexpressed in cancer cells. (A)</p> Signup and view all the answers

What is the role of 'promoters' in carcinogenesis?

<p>They promote the proliferation of cells that have already been initiated. (B)</p> Signup and view all the answers

Which of the following is NOT a known translocation associated with cancer?

<p>(1;22)(q32;q11) in Hodgkin's Lymphoma. (B)</p> Signup and view all the answers

Which of the following genes, when affected by a translocation, has been linked to Burkitt lymphoma?

<p>c-myc (C)</p> Signup and view all the answers

The 'MULTISTEP' nature of carcinogenesis implies that:

<p>Cancer develops gradually over time with the accumulation of genetic changes. (A)</p> Signup and view all the answers

Which of the following is a key factor involved in tumor 'PROGRESSION'?

<p>The development of new blood vessels to supply the tumor with nutrients. (B)</p> Signup and view all the answers

Which type of carcinogen is associated with Burkitt Lymphoma?

<p>Viral (B)</p> Signup and view all the answers

Which of the following is NOT a direct 'Pro'carcinogen?

<p>Aflatoxin B1 (C)</p> Signup and view all the answers

The immune surveillance concept primarily involves which cells?

<p>CD8+ T-cells and NK cells (D)</p> Signup and view all the answers

Which of the following can be considered a Chemical Initiator?

<p>Acylating Agents (D)</p> Signup and view all the answers

What is the relationship between 'Initiated' cells and promoters?

<p>Initiated cells are more susceptible to promoters than normal cells. (D)</p> Signup and view all the answers

What is the mechanism by which Phorbol Esters (TPA) promote tumor growth?

<p>By activating Kinase C (B)</p> Signup and view all the answers

Which of the following conditions is associated with H. pylori infection?

<p>Gastric lymphoma (M.A.L.T.-oma) (B)</p> Signup and view all the answers

Which of the following is NOT a hallmark of tumor effects on the host?

<p>Suppression of the immune system (D)</p> Signup and view all the answers

Which of the following conditions is NOT associated with hypercalcemia?

<p>Melanoma (D)</p> Signup and view all the answers

A patient presents with symptoms of Cushing syndrome. Which of the following cancers is MOST likely to be the underlying cause?

<p>Small cell carcinoma of lung (B)</p> Signup and view all the answers

Which of the following is a potential paraneoplastic syndrome associated with renal cell carcinoma?

<p>Polycythemia (D)</p> Signup and view all the answers

A patient presents with symptoms of acanthosis nigricans. Which of the following is a possible underlying malignancy?

<p>Breast carcinoma (B)</p> Signup and view all the answers

In the context of tumor grading, which of the following statements is TRUE?

<p>Grading is more important than staging in determining prognosis. (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of the tumor suppressor gene, p53?

<p>Encodes for transcription factors (B)</p> Signup and view all the answers

What is the primary role of telomerase in cancer development?

<p>Telomerase lengthens telomeres, granting cancer cells limitless replicative potential. (B)</p> Signup and view all the answers

Which gene is associated with the development of Wilms tumor?

<p>WT-1 (D)</p> Signup and view all the answers

In the context of cancer development, what is the significance of the "1-2 mm" distance mentioned in relation to tumor angiogenesis?

<p>Tumors larger than 1-2 mm require angiogenesis to obtain adequate oxygen and nutrients. (D)</p> Signup and view all the answers

Which of the following is NOT a mechanism by which tumors evade apoptosis?

<p>Activation of the RAS pathway (B)</p> Signup and view all the answers

Which of the following genes is directly associated with both colon cancer and melanoma?

<p>APC/β-cadherin (C)</p> Signup and view all the answers

What is the primary function of the ATM gene, commonly mutated in Ataxia Telangiectasia?

<p>ATM is involved in DNA repair, specifically responding to double-strand breaks. (A)</p> Signup and view all the answers

Which of the following describes the correct order of events in metastatic spread of cancer?

<p>Growth, Invasion, Angiogenesis, Intravasation, Embolisation, Extravasation, Adhesion, Metastatic Growth (D)</p> Signup and view all the answers

Flashcards

Oncogenes

Mutated forms of normal genes (proto-oncogenes) that promote cancer.

Proto-oncogenes

Normal genes that can become oncogenes through mutation.

Overexpression

Increased production of proteins from oncogenes that leads to cancer.

RAS Protein

A signal transduction protein involved in cell growth, often mutated in cancers.

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EGF receptor

A protein receptor that, when overexpressed, is linked to several cancers, including squamous cell carcinoma.

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Point mutation

A single nucleotide change in DNA that can activate oncogenes like RAS proteins.

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Translocation

A segment of DNA is moved from one location to another, causing oncogene activation.

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Amplification

A process resulting in multiple copies of a gene, leading to increased protein production.

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Translocations in Cancer

Genetic rearrangements involving chromosome segments exchanged between different chromosomes, linked to malignancies.

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Chronic Myeloid Leukemia (CML) Translocation

Chromosomal translocation (9;22) that results in the fusion of BCR and ABL genes, commonly associated with CML.

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Acute Leukemias Translocation

In acute leukemias (AML and ALL), translocations involve chromosomes like (4;11) and (6;11), affecting the MLL gene.

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Burkitt Lymphoma Translocation

Translocation (8;14) involving c-myc and IgH genes, contributing to Burkitt lymphoma.

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Tumor Suppressor Genes

Genes that help regulate cell growth and promote apoptosis, acting as gatekeepers in cancer prevention.

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Gatekeeper/Caretaker Concept

Gatekeepers are oncogenes and tumor suppressor genes; caretakers are DNA repair genes preventing mutations.

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Initiation/Promotion Concept

Both initiators (carcinogens) and promoters are needed for carcinogenesis; initiators cause mutations while promoters enhance proliferation.

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Carcinogenesis Multi-step Process

Cancer development involves multiple steps, with no single oncogene causing cancer; many genes are involved in tumor progression.

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C-MYC translocation

A genetic alteration linked to Burkitt lymphoma.

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p53 function

Activates DNA repair proteins and initiates apoptosis, critical for cell cycle regulation.

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MYC oncogenes

A family of genes that encode for transcription factors involved in cell proliferation and apoptosis.

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Telomerase

An enzyme that extends telomeres, allowing unlimited cell replication in many cancers.

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Angiogenesis

The process by which new blood vessels form, crucial for tumor growth.

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Metastasis

The spread of cancer cells from the primary site to distant body parts.

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DNA repair gene defects

Mutations in genes responsible for repairing DNA, increasing cancer risk.

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Chemical Carcinogens

Chemicals that cause cancer, categorized as initiators and promoters.

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Initiators

Substances that can cause the first cellular changes leading to cancer.

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Promoters

Agents that further encourage the growth of initiated cancer cells.

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Radiation Carcinogens

Types of radiation that can lead to cancer, such as UV and ionizing radiation.

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Viral Carcinogenesis

The process by which certain viruses induce cancer in host cells.

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H. pylori Carcinogenesis

Association of H. pylori infection with gastric cancers and lymphomas.

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Immune Surveillance

The immune system's ability to identify and destroy cancer cells.

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Cachexia

A syndrome involving significant weight loss and muscle wasting due to cancer.

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Acanthosis nigricans

A skin condition characterized by dark, velvety patches, often linked to insulin resistance or malignancy.

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Cushing syndrome

A condition caused by excess cortisol, often from adrenal tumors or small cell lung carcinoma.

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Hypercalcemia

High calcium levels in the blood, commonly caused by certain cancers like squamous cell carcinoma.

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Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

A condition where excess ADH causes water retention and hyponatremia, often seen in lung tumors.

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Grading in cancer

Refers to how differentiated cancer cells are, indicating their aggressiveness.

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