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Nur242: Oncology Exam with all Correct & 100% Verified Answers |Latest Version |Already Graded A+

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Nur242: Oncology Exam with all Correct & 100% Verified Answers |Latest Version |Already Graded A+

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Nur242: Oncology Exam with all Correct & 100% Verified Answers |Latest
Version |Already Graded A+



dysplasia vs neoplasia - (ANSWER)-dysplasia: reversible

-neoplasia: irreversible/cancer



Cell cycle: - (ANSWER)G0 = resting state

G1 (Gap 1)

S-phase (synthesis)

G2 (Gap 2)

M (Mitosis) = two identical daughter cells

*G1-G2 "interphase" = chromosomes copied



tumor suppressor genes... - (ANSWER)prevent cells from going through the cell cycle but mutations can
make them inactive

Ex. BRCA 1



Development of cancer: - (ANSWER)1. Initiation- Mutation of DNA (mostly acquired)

2. Promotion- promoters (obesity, fat, alcohol, smoking)

3. Progression- growth (tumor angiogenesis), invasiveness, metastasis



Carcinogens - (ANSWER)Enter nucleus and damage DNA

1. Benzene, Arsenic, formaldehyde, asbestos

2. Radiation

3. Viral (HBV, HCV, HPV, H Pylori)

4. Obesity

5. Smoking

6. alcohol

7. dietary fat

,Nur242: Oncology Exam with all Correct & 100% Verified Answers |Latest
Version |Already Graded A+




Latent period:

Size to be picked up on MRi - (ANSWER)1. time btw initial genetic alteration to clinical evidence; 1 to 40
yrs

2. 0.5 cm; 1.0 cm to be palpable



What is skip metastasis? - (ANSWER)tumor cells travel to distant nodes



Immune system role: - (ANSWER)1. Lymphocytes cont. check cells for tumor associated antigens and
destroy them



Immunologic escape: How? (6) - (ANSWER)1. suppress factors that stimulate T cells

2. Weak surface antigens allow them to sneak through

3. immune system develops tolerance to some tumor antigens

4. cancer cells suppress immune system by products they secrete

5. induction of suppressor T cells

6. blocking antibodies from binding TAAs, preventing recognition



Oncofetal antigens... - (ANSWER)Found in/on tumor cells, as a result as cell regains its embryonic
capability

ex. PSA



Main difference btw Benign vs. malignant neoplasms - (ANSWER)Malignant cells invade and metastasize



How is cancer classified? (3) - (ANSWER)1. Anatomic site

2. Histology/grading

3. Extent/Staging

,Nur242: Oncology Exam with all Correct & 100% Verified Answers |Latest
Version |Already Graded A+




Anatomic site classification

1. identified by?

2. Carcinomas?

3. Sarcomas?

4. Lymphomas/leukemias? - (ANSWER)1. tissue of origin

2. ectoderm (skin and glands) and endoderm (mucous membranes)

3. mesoderm (CT, muscle, bone, fat)

4. Hematopoietic system



Histologic classification of cancer:

1. based on?

2. Grade 1

3. Grade 2

4. Grade 3

5. Grade 4 - (ANSWER)1. appearance of cells and degree of differentiation

2. well differentiated

3. mod. differentiated

4. poorly differentiated

5. undifferentiated/immature/primitive



Extent of disease classification:

1. based on what 3 parameters?

2. Tis/O

3. 1

4. 2

, Nur242: Oncology Exam with all Correct & 100% Verified Answers |Latest
Version |Already Graded A+



5. 3

6. 4

7. X - (ANSWER)1. Tumor size/invasiveness, Node lymph spread, Metastasis

2. in situ; only superficial (not invasie)

3. localized origin

4. local spread

5. local & regional spread

6. metastasis

7. cannot be measured



T or F: once stage classification is made, it cannot be changed - (ANSWER)True (but may be restaged)



Cancer: Assessments (13) - (ANSWER)1. Fatigue, fever

2. wt loss, vomiting

3. pain (HA, bone pain)

4. mass

5. pallor, purpura, whitish reflex of eyes

6. lymphadenopathy

7. changes in bowel or bladder habits

8. A sore that doesn't heal

9. unusual bleeding or discharge from orifices

10. Thickening/lump

11. Indigestion/dysphagia

12. obvious changes in wart/monitor, walking/coordination

13. Nagging cough/hoarseness

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