STDs 2 Flashcards

0
Q

HPV tumors have a ___ survival rate that alcohol and tobacco related tumors

A

better

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1
Q

since 2006, oral pharynx cancer has been increasing, primarily in ___

A

men

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2
Q

the better survival rate for HPV tumors is probably because:

A

the cancer is expressing antigens that are not normally found in the host

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3
Q

in the malignant progression of HPV, the viral genome integrates into the host chromosomes, knocking out ___, a viral repressor protein, allowing increased ___ expression

A

E2, E6/E7

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4
Q

In CIN I, ___ of the epithelium is dysplastic

A

1/3rd

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5
Q

In CIN II, ___ of the epithelium is dysplastic

A

2/3rds

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6
Q

In CIN III, ___ of the epithelium is dysplastic

A

all

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7
Q

where does dysplasia occur most frequently in the cervix?

A

transformation/ junctional zone

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8
Q

why does infection occur in the transformation zone?

A

probably because the HPV targets stem-like cells in that region

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9
Q

__% of cervical cancers are due to HPV 16

A

60

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10
Q

__% of cervical cancers are due to HPV 18

A

15

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11
Q

if you have CIN I, ___% will regress on their own. This ___ as you go to CIN II and CIN III

A

57%, decreases

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12
Q

The pap smear has __ sensitivity but ___ specificity

A

low, high

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13
Q

colposcopy

A

if pap smear is positive, identifies the lesions that should be biopsied

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14
Q

you can get up to 100% sensitivity for HPV by using ___

A

Hybrid capture

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15
Q

hybrid capture is usually used starting around age ___ because ___

A

30, most HPV infections will clear on their own

16
Q

treatment of external HPV lesions:

A
salicylic acid
mitotic inhibitors
5-fluorouracil
cryotherapy
excision
17
Q

therapy for vaginal or cervical HPV infections:

A

ablative
excision
pharmaceutical

18
Q

ablative techniques

A
  • cryotherapy

- laser vaporization therapy

19
Q

excision techniques

A

conization- a cone of tissue is excised for further examination and/or remove a lesion
LEEP- an electrical wire to cauterize

20
Q

pharmaceutical treatments

A

lesions recur following withdrawal, not treatment of choice

21
Q

when L1 is expressed:

A

it assembles itself, forming pentamers that recognizes themselves and form virus-like particles