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Exam (elaborations)

Bio 302 Exam 3 Study Guide With Complete Solutions

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Bio 302 Exam 3 Study Guide With Complete Solutions

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BIO 302 EXAM 3 STUDY GUIDE WITH
COMPLETE SOLUTIONS

the greater the differentiation, the [higher or lower] the grade; the highest grade (IV)
[shows or lacks] differentiation - Correct Answers -lower the grade; highest grade lacks
differentiatino

the higher the grade, the [higher or lower] the survival rate - Correct Answers -lower
survival rate

[well or poorly] differentiated: glands & mucin - Correct Answers -well

[well or poorly] differentiated: no glands - Correct Answers -poorly

anaplastic= [normal or abnormal] mitotic figures - Correct Answers -abnormal

cancer does not equal tumor grades, t or f? - Correct Answers -true

cancer stage and grade are completely different things, t or f? - Correct Answers -true
grade= need to see the tumor under the microscope; refers to cellular ability to
differentiation

stage= do not need to see the tumor under the microscope; how much cancer at time of
diagnosis & where it is; imaging

[grade or stage]= need to see the tumor under the microscope; refers to cellular ability
to differentiation; pathology - Correct Answers -grade

[grade or stage] is the most powerful predictor of outcome - Correct Answers -stage;
more cancer at time of diagnosis, the longer the cells had to diversity and collect
mutations

[grade or stage] = do not need to see the tumor under the microscope; how much
cancer at time of diagnosis & where it is; imaging - Correct Answers -stage

the greater the spread, the [higher or lower] the stage - Correct Answers -higher stage

[stage or grade] is more clinically useful in classifying patients - Correct Answers -stage

TNM staging system:
T for _______

,N for ________
M for ________ - Correct Answers -tumour
nodes
metastases

stage: a very strong ____________ factor (predictor of outcome) for carcinomas -
Correct Answers -prognostic factor

[preclinical or clinical] phase= no signs or symptoms of cancer - Correct Answers -
preclinical

[preclinical or clinical] phase= begins at point when the cancer is diagnosed - Correct
Answers -clinical

medical prediction is typically based on ___________ averages from populations of
patients with comparable disease features - Correct Answers -statistical averages

a carcinoma in situ is always assigned a grade of 0, t or f? - Correct Answers -false

-carcinoma in situ= stage of 0, NOT grade
-grade signifies the degree of differentiation of a tumor

carcinoma in situ= stage of __ - Correct Answers -0

________disciplinary groups collectively design the best course of action for each
patient, often does by disease site with specialists in each discipline for a cancer
disease site (e.g., breast clinic & tumor board) - Correct Answers -multidisciplinary
group:
surgeon, medical oncologist, radiation oncologist, pathologist, radiologist, other

can you grade a tumor with radiologic imaging? [yes or no] - Correct Answers -no; need
pathology analysis under a microscope to assign grade

can stage ever be assigned by the pathologist? [yes or no] - Correct Answers -no

[stage or grade] determines management of cancer - Correct Answers -stage

_________ is the prediction of future outcome from the disease: especially, the risk of
dying from the cancer - Correct Answers -prognosis

prognosis is influenced by factors related to the _______, patient, and medical
environment - Correct Answers -tumor

____________ factor is the term used to describe factors that are related to the
likelihood of response to a specific therapy - Correct Answers -predictive factor

, the dominant prognostic factor for the majority of carcinomas is _______ - Correct
Answers -stage

__________ testing may be done for a cancer for different reasons: diagnosis,
prognosis, or prediction of therapeutic response - Correct Answers -molecular testing

Multidisciplinary teams are required for the best cancer care, t or f? - Correct Answers -
true

the goals of cancer treatment depend on the _____________ of the patient's disease -
Correct Answers -assessment

treatment strategy depends on the patient, the tumor ______, the _______ of the
cancer and other prognostic factors - Correct Answers -tumor type, stage of the cancer

treatment strategy depends on the intention to cure or not to cure, t or f? - Correct
Answers -true
-almost all cancer patients wish to go for a cure

cure means eliminating [some or all] cancer cells (without killing the patient) - Correct
Answers -ALL (without killing the patient)

the [more or fewer] the number of cancer cells, at any phase of therapy, the better the
outcome - Correct Answers -fewer
-principle of initial staging and post-rx down staging

cancer treatments are used in combination to achieve multiple different mechanisms of
tumor kill/damage simultaneously, t or f? - Correct Answers -true

no tumor is uniformly sensitive to any given treatment due to clonal [homogeneity or
heterogeneity?] - Correct Answers -clonal heterogeneity

treatment approach and goal may change over the course of the patient's disease as
the cancer _________ or progresses - Correct Answers -evolves or progresses

overall potential benefit should outweigh potential _______ - Correct Answers -harms

damage to normal cells and tissues should be [minimized or maximized?] - Correct
Answers -minimized

there is no risk free therapy, t or f? - Correct Answers -true

patient-specific limitations should be determined:
-extent of _____ may be limited by what can be safely removed or functionally tolerated
-_____ of drugs or radiation are limited by the tolerance of toxic effects - Correct
Answers -surgery; doses

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