[W10] Cellular pathology - cytology and andrology Flashcards

(17 cards)

1
Q

What is the primary test in UK cervical screening?

A

HPV testing, followed by LBC for positives

LBC stands for Liquid-Based Cytology, which is used for further examination of cells after HPV testing.

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2
Q

What do HPV E6/E7 proteins target?

A

E6 targets p53, E7 targets Rb – leading to cell cycle dysregulation

p53 is a tumor suppressor protein, and Rb is a retinoblastoma protein, both crucial in regulating the cell cycle.

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3
Q

What age is HPV vaccination given in the UK?

A

Ages 12–13 (both girls and boys)

The vaccination program aims to protect against cervical cancer caused by HPV.

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4
Q

What is LLETZ?

A

Large Loop Excision of the Transformation Zone – treatment for CIN

CIN stands for Cervical Intraepithelial Neoplasia, which is a precursor to cervical cancer.

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5
Q

What is cytology best for?

A

Rapid, less invasive diagnosis, especially in one-stop clinics

Cytology involves examining cells for abnormalities, typically from smears.

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6
Q

What stain is used for nuclear detail in cytology?

A

Papanicolaou stain

This stain helps visualize cellular details in cytological samples.

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7
Q

What urinary cancer is most common?

A

Urothelial (transitional cell) carcinoma (~90%)

Urothelial carcinoma arises from the urothelium, which lines the bladder.

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8
Q

What is a BAL and when is it used?

A

Bronchoalveolar lavage – samples deep lung tissue, especially in HIV or persistent symptoms

BAL is often used to diagnose infections or diseases in the lungs.

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9
Q

What is the most common thyroid cancer?

A

Papillary thyroid carcinoma

This type of cancer generally has a good prognosis.

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10
Q

What is the most common breast cancer?

A

Ductal carcinoma

Ductal carcinoma originates in the milk ducts of the breast.

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11
Q

Which thyroid cancer originates from parafollicular cells?

A

Medullary carcinoma

Parafollicular cells produce calcitonin, and medullary carcinoma can be associated with genetic syndromes.

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12
Q

What is a fibroadenoma?

A

Benign breast lesion, common in young women

Fibroadenomas are usually painless and can vary in size.

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13
Q

What hormones stimulate sperm production?

A

FSH and LH

FSH is Follicle-Stimulating Hormone, and LH is Luteinizing Hormone; both are crucial in male reproductive health.

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14
Q

What is considered low sperm concentration?

A

<15 million/mL

This threshold is used to diagnose male infertility.

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15
Q

What percentage of normal sperm is needed for fertility (WHO)?

A

4% or more

The World Health Organization sets this criterion for assessing sperm quality.

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16
Q

What is ICSI?

A

Intra-Cytoplasmic Sperm Injection – injecting a single sperm into an egg

ICSI is a common assisted reproductive technology used in IVF.

17
Q

What structure powers the sperm tail?

A

Axoneme (9+2 microtubule arrangement)

The axoneme is essential for the movement of the sperm flagellum.