week 12 patho Flashcards

1
Q

how do normal cells work

A

rate of proliferation = rate of degeneration.

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2
Q

what is contact inhibition

A

normal cell poliferation is controlled by this mechanism, its basically when normal cells don’t grow past the boundaries of surrounding cells.

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3
Q

what is a normal situation that causes your cells to rapidly divide

A

infection, your body increases poliferation to fight off infection.
cell replication is activated by cell death

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4
Q

what is the main issue with cancer cells

A

cancer cells lack stop controls, and cant stop proliferating despite body signals.

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5
Q

what are temoleres

A

they’re protein caps on cells, they get smaller as cells divide. cells know when to stop dividing because these cells will get v tiny and that’s how the body knows

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6
Q

what is telemarase

A

an enzyme that keeps adding telomeres to the end of cells so they don’t know when to stop dividing. there are in cancer cells

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7
Q

what are proto oncogenes vs. tumour suppressor genes

A

proto oncogenes are regulators that promote growth
tumour supressor genes are cells that suppress growth, these regulators work together to maintain normal health

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8
Q

which cell is the starting point for all cells

A

stem cells

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9
Q

what is differentiation

A

a process where a young cell evolves from mature/generic cell and matures to differentiate into its specific function.
i.e. a stem cell becoming a cardiac cell/

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10
Q

what are the 3 stages of carcinogenesis

A

initiation: mutation occurs
promotion: mutation multiples
progression: increased growth rate of tumour

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11
Q

which stage of carcinogenesis will the cancer growth be irreversible

A

progression stage

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12
Q

what is a promoting factor of cancer (which stage is this relevant)

A

a factor that will speed the process along like obesity, cigarette smoking etc.
this will occur in the promotion stage

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13
Q

what can cause the initation stage of cancer

A

mutation in cells genetic structure

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14
Q

whats the diff between a benign and malignant tumour

A

benign: slow growing, doesn’t spread to other locations, well differentiated (like a mole)
malignant: grows rapidly, poorly differentiated, invades (deadly)

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15
Q

when can benign tumours be bad

A

if they move to surrounding structures
i.e. brain tumour can raise ICP

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16
Q

what are metastic tumours

A

tumours that have spread.
i.e. breast cancer that has spread to the lungs and bone, still called breast cancer.
makes it v difficult to treat with poor prognosis

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17
Q

what are the most common places for tumours to spread

A

brain, lung, liver, adrenals, bone

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18
Q

what does it mean when a tumour is differentiated

A

basically how much the cancer resembles its tissue. if the cancer is more differentiated, there will be a better prognosis

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19
Q

whats the difference between stage 1-2 cancer and stage 3-4

A

1-2 will be more localised and easier to control, 3-4 will be more spread and harder to control

20
Q

what is the TNM classification system

A

T: tumour size
N: degree of spread to lymph nodes
M: metastasis (how much cancer has spread to other organs)

21
Q

what are the 4 local effects of tumours

A

occlusion
ulceration (erodes other tissues)
pain
infarction (due to cutting off circulation and growing)

22
Q

what are the 4 systemic effects of tumours

A

weight loss
bleeding
anemia
infectionw

23
Q

why do the systemic effects of tumours occur

A

because of treatment usually

24
Q

why does cancer cause pain

A

because as tumours grow, they cause direct pressure only other tissues

25
Q

why do we see fatigue with cancer patients

A

loss of muscle, fat, chemical, tumour taking up nutrients, etx.

26
Q

what is cachexia

A

a catabolic state where your body breaks down proteins and fats.
it causes and intense loss of skeletal muscle

27
Q

what other illnesses will we see cachexia

A

HIV and AIDS

28
Q

what is pancytopenia

A

combination of anemia, thrombocytopenia and leukopenia

29
Q

what types of cancers can cause anemia

A

colorectal, genitourinary, pancreatic, gastric, upper intestinal
so mainly GI and accessory GI

30
Q

how does cancer cause leukopenia

A

tumour invasion of bone marrow

31
Q

what may start off infection with cancer patients

A

they already will have decreased immune response and wbc, so ulceration and obstruction will cause infection

32
Q

what is paraneoplastic syndrome `

A

endocrine issues related to a tumour

33
Q

what causes paraneoplastic syndrome

A

substances released from a tumour or immune response caused by a tumour

34
Q

what does the bone marrow do

A

it is the blood cell factory

35
Q

when will you see storms of decreased production of WBC

A

a day

36
Q

when will you see storms of decreased production of Platelets

A

10 ays

37
Q

when will you see storms of decreased production of RBC

A

120 days

38
Q

where do T lymphocytes attack foreign invaders

A

the thymus

39
Q

what is lymphoma

A

cancer of the lymphatic system

40
Q

which type of lymphoma occurs in younger ppl

A

Hodgkins Lymphoma (15-30)

41
Q

which types of cells differentiate Hopkins lymphoma

A

reed Sternberg cells

42
Q

are lymph nodes painful with lymphoma?

A

no

43
Q

what is the most common form of lymphoma

A

non-hodgkins lymphoma

44
Q

which type of lymphoma can be caused by Epstein Barr virus or HIV

A

Hopkins lymphoma

45
Q

which type of lymphoma can be caused by chemo

A

non Hodgkins lymphoma