Final Exam By Sam! Flashcards

(78 cards)

1
Q

After which trial stage is a medication eligible for FDA approval

A

Stage 3

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2
Q

The three main ethical principles of the Bellmont Report are…

A

Respect for persons
Benevolence
Justice

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3
Q

The term “placebo” is defined as:

A

A substance with no therapeutic benefit

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4
Q

In which clinical trial stage is a drug tested for safety and toxicity in a small number of participants?

A

Stage 1

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5
Q

Describe (1) why it is important to include a diverse patient population in clinical trials and (2) how you determine what demographics to include in a clinical trial.

A

A diverse population ensures that treatments are safe for all patients and not just a certain group. It helps identify differences in drug responses and side effects among the different demographics. Recruitment for clinical trials should include the population affected by the condition and the groups most likely to use the medication if it is approved

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6
Q

List 5 common cell-specific side effects of unspecific, non-selective chemotherapeutic agents that were mentioned in the lecture

A

Hair follicles-hair loss

Bone marrow-immune suppression, Anemia, hemorrhage

Germ cell- infertility

Gastrointestinal epithelia- nausea, vomiting, diarrhea

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7
Q

What is NOT an advantage of protein kinase inhibitors over antibodies or unspecific, non-selective agents?

A

Cheaper to produce.

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8
Q

Fill in the blank: Antimetabolites and (BLANK) inhibit DNA replication and transcription.

A

Alkylating agents

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9
Q

Which patient population can benefit from hormonal therapy?

A

Only patients with hormone-dependent cancers.

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10
Q

Is the following statement true? “Cancer Treatment is usually a combination of several drugs or methods.”

A

Yes

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11
Q

What is the difference between ionizing and non ionizing radiation?

A

lonizing- has enough energy to remove electrons from atoms, cellular damage, increase the risk of cancer
Non-ionizing- does not have enough energy to ionized atoms and is generally, less, harmful, mostly causing effects like heating

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12
Q

How is radiation used to diagnose cancer?

A

MRI and CT, PET/SPECT, Bone scan can all detect cancer in someone

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13
Q

Order these radiation types in highest to lowest energy: Alpha, beta, gamma

A

Gamma, beta, alpha

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14
Q

What is an isotope?

A

Versions of the same element with differing masses, share the same number of protons, but have a different number of neutrons. They have a smaller percent relative natural abundance because of their instability.

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15
Q

How is radiation used to treat cancer?

A

External Beam Radiation, can shrink tumors before surgery or cleanup margins after

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16
Q

What are the different types of non-small cell lung cancer?

A

Adenocarcinoma, squamous cell carcinoma, large cell carcinoma

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17
Q

What are the two different stages of SCLC? Define them.

A

Limited stage SCLC - tumor present in only one lung-confined within one radiation port, about 1/3 patients have LS-SCLC at diagnosis

Extensive stage- cancer has spread widely throughout one lung to other lung, lymph nodes, or distant organs. About 2/3 parties have it at diagnosis.

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18
Q

What are the different treatment options available for extensive stage SCLC?

A

Chemotherapies- cisplatin or carbarlatio, etoposide
Immunotherapies- atezalizumab, duralumar

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19
Q

What are the targeted therapies available for NSCLC?

A

KRAS G12C gene, ALK gene, EGFR gene

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20
Q

After clinical stage __ a medication is eligible for FDA approval.

A

3

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21
Q

Describe how obesity promotes cancer development.

A

Increased lipid intermediate, insulin resistance, altered hormones, inflammatory cytokines, growth factor, changing in micro biome

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22
Q

Smoking and tobacco promotes what type of cancer

A

Mouth cancer

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23
Q

Obesity promotes what type of cancer

A

Thyroid cancer

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24
Q

Infections promote what type of cancer

A

Head/neck cancer

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25
UV radiation promotes what type of cancer
Squamous cell carcinoma
26
Incidence is used for determining what cancer disparity
Umber of new cases
27
Prevalence is used for determining what cancer disparity
Number of existing cancer cases
28
Mortality is used for determining what cancer disparity
Number of cancer deaths
29
Morbidity is used for determining what cancer disparity
Refers to the cancer related health complications
30
Survivorship is used for determining what cancer disparity
The health and well being of cancer patients including quality of life
31
_____ is a type of risk factor that included differences in income, occupation, education level and race/ethnicity.
Socioeconomic
32
Which form of Pediatric Leukemia has a 5-year survival rate of 70% largely due to patient relapse?
Acute Myeloid Leukemia (AML)
33
Central Nervous System (CNS) tumors, which account for 20% of all childhood cancers in the US, include any type of tumor found in the:
Brain Spinal cord Surrounding fluid of the brain and/or spinal cord
34
The Pediatric Psychosocial Domain of_____ impacts the patient care of pediatric cancer patients because most children lack the ability to process their diagnosis.
cognitive
35
Which of the following are Pediatric Puschosocial Domains:
Physical Emotional Cognitive Familial
36
Pediatric cancer patients are often impacted in the Psychosocial Domain of ____ with an increase in anxiety and depression.
Emotional
37
The ___ Pediatric Psychosocial Domain measures the impact of the pediatric patient's diagnoses on their family, often as anxiety or depression.
familial
38
Which of the following are possible career pathways in pediatric cancer?
Registered nurse Physician Principle Investigator Research Technician Social Worker Child-life Specialist
39
What jobs are “non-medical” regarding potential careers
Social worker Child life specialist
40
What jobs are “medical” regarding potential careers
Registered nurse, physician
41
What jobs are “research” regarding potential careers
Principal investigator, research technician
42
Which of the following are pediatric cancers?
Acute myeloid leukemia Hodgkin lymphoma Melanoma Ovarian Tumors Testicular tumors
43
True or False: Medulloblastoma is a form of pediatric CNS cancer that begins in the cerebellum.
T
44
List and put the four stages of treatment for Acute Myeloid Leukemia (AML) and Acute Lymphocytic Leukemia (ALL) in the correct order
Induction Intensification
Maintenance (not reguired) Stem cell transplant (optional)
45
True or False: Diagnoses of and Acute Lymphecytus Leukemia (ALL) have increased since 1975.
T
46
True or False: about 90% of pediatric leukemia cases result from unknown causes.
T
47
True or False: Skin cancer can almost always be cured if its'd found early. 
T
48
______ cancer is by far the most common type of cancer in the US.
Breast
49
Melanoma often develops from which of the following skin features?
Mole
50
Melanoma is most likely to be cured if:
Its still only on the skin
51
Broad-spectrum sunscreen protexts the skin from which of the following
Both UVA and UVB rays
52
Melanoma occurs mainly on the skin, but where else can it start?
Mouth, genitals, the eyes
53
When should you wear sunscreen?
Every day you plan to be outside
54
Whenever you're outside, experts recommend that you wear sunscreen with an SPF of at least:
30
55
If you go swimming or plan to stay outside, even waterproof sunscreen must be reapplied every
1½ to 2 hours
56
Choose a sunscreen with a package that says:
SPF 30 or higher b. "blocks UVA and UVB rays" or "broad spectrum protection" "hypoallergenic and noncomedogenic”
57
The sun's rays are strongest between:
10 a.m. and 4 p.m.
58
True or false: People need to apply more sunscreen (with a higher SPF) when they ce amund reflective surfaces like water, snow, or ice.
T
59
True or false: The eyes have built-in defenses that prevent them from getting any sun damage.
F
60
True or false: Some medications, such as prescription acne medications or birth control pills, can increase your sensitivity to the sun.
T
61
True or false: Tanning beds are a safe way to get some color without risking sun damage.
F
62
True or false: Skin cancer used to only affect people in their 20s.
F
63
Skin damage shows up as:
wrinkles b. brown age spots or blotchiness leathery, sagging skin that looks older than it is
64
Breast cancer has a mortality rate of ___
13%
65
True or false: Female breast cancer has a higher incidence in developed countries.
T
66
True or false: Female breast cancer has a higher mortality rate in developing countries.
T
67
List three risk factors for breast cancer:
Age, alcohol consumption, dense breast, overweight, lack of physical activity, birth control
68
Which of the following are screening methods for breast cancer?
Mammography Magnetic resonance imagine (MRI)
Tumor biomarkers
69
List the common sites of breast cancer metastasis:
Lungs, skin, bones, liver, and brain
70
Which is not a Breast Cancer Subtype?
Acute myeloid lymphoma (AML)
71
Select which of the following are treatment modalities for Breast Cancer:
Surgery Radiation therapy Chemotherapy
72
Which is not a Breast Cancer Subtype?
Acute myeloid lymphoma (AML)
73
74
Which of the following is/are true regarding breast cancer in males:
* Male breast cancer accounts for < 1% of all breast cancer cases * Male breast cancer is more prevalent in African American Men Male breast cancer is typically diagnosed at a later stage than female breast cancer
75
Ovarian cancer has a mortality rate of ____
61%
76
True or false: ovarian cancer has a reduced incidence rate since 1975.
T
77
True or false: ovarian cancer has an increase mortality rate over time since 1975.
F
78
List the risk factors for ovarian cancer:
Age, being overweight, smoking, full-term pregnancy after the age of 35 or never having a full-ume pregnancy, hormone replacement therapy, previove diagnosis of breast cancer, lostiegres relative with ovarian or breast cancer