Epidemiology Of Sarcoma Ch35 Exam Prep - Test Bank | Epidemiology of Chronic Disease 2e by Harris by Randall E. Harris. DOCX document preview.
Chapter 35. Epidemiology of Sarcoma
TEST BANK
True/False Questions
- Sarcomas are rare tumors of connective tissue, primarily arising in soft tissue or bone.
- About 30% of bone sarcomas are diagnosed prior to age 20, after which the incidence steadily declines with age.
- The death curve for bone sarcomas shows an early peak during adolescence and a late peak at 75-85 years of age.
- The incidence of soft tissue sarcomas is relatively constant over the life span.
- The death curve for soft tissue sarcoma increases gradually over the life span and shows a single peak late in life.
- Reciprocal chromosomal translocations constitute the majority of specific genetic alterations associated with pediatric sarcomas.
- It is likely that the chimeric fusion proteins resulting from reciprocal translocations act as transcription activators that deregulate key genes associated with pediatric sarcoma development.
- Chimeric fusion proteins resulting from reciprocal translocations provide potential targets for the therapy of pediatric sarcomas with monoclonal antibodies.
- Adult sarcomas are often characterized by reciprocal translocations and chimeric fusion proteins.
- Lipomas are benign tumors that develop from adipose tissue.
- Uterine fibroids are benign tumors that develop from endometrial tissue.
- Lipomas and uterine fibroids often undergo malignant transformation.
- Nearly all Gastrointestinal Stromal Tumors (GIST) have been found to carry mutant forms of an important tyrosine kinase receptor gene called c-KIT.
- There is consistent evidence that radiation exposure increases the risk of developing both bone and soft tissue sarcomas.
- The primary cause of Kaposi’s sarcoma is HIV infection.
Multiple Choice Questions
- Kaposi’s sarcoma arises from:
- soft connective tissue.
- macrophages.
- endothelial cells of blood vessels.
- pigmented nevi.
- The most common malignancy in sub-Saharan Africa is:
- Burkitt’s lymphoma.
- leukemia.
- Kaposi’s sarcoma.
- lung cancer.
- The defining genetic abnormality of gastrointestinal stromal tumors (GIST) is the presence of a mutant form of which of the following genes?
- PAX
- c-KIT
- SYT
- EWSR-1
- What is the approximate annual incidence rate of sarcoma in individuals under the age of 20 years in the US population?
- 1 per million
- 10 per million
- 50 per million
- 10 per 100,000
- Sarcomas account for about what percentage of malignant neoplasms in children and adolescents?
- 1%
- 13%
- 25%
- 50%
- Sarcomas account for about what percentage of malignant neoplasms in adults?
- 0-1%
- 1-5%
- 6-10%
- >10%
- The signature reciprocal chromosomal translocation responsible for synovial sarcoma involves which genes?
- SYT on chromosome 18 and SSX on the X chromosome
- FKHR on chromosome 13 and PAX on chromosomes 1 and 2
- ETV6 on chromosome 12 and NTRK3 on chromosome 13
- EWSR-1 on chromosome 22 and FLI-1 on chromosome 11
- The virus that causes Kaposi’s sarcoma is:
- HIV-1.
- HIV-2.
- HHV-2.
- HHV-8.
- How do reciprocal chromosomal translocations cause the development of many forms of pediatric sarcoma?
- They create new genes that code chimeric fusion proteins with oncogenic potential.
- They increase the formation of reactive oxygen species.
- They create new tumor suppressor genes.
- They increase epigenetic effects.
- Chronic exposure to polyvinyl chloride increases the risk of developing which of the following types of sarcoma?
- Fibrosarcoma
- Liposarcoma
- Leiomyosarcoma
- Angiosarcoma
Essay Questions
- Define the various subtypes of sarcoma.
- Characterize the epidemiology of pediatric sarcoma in the USA.
- Briefly characterize the epidemiology of adult sarcoma in the USA.
- Discuss the major exogenous risk factors for sarcoma.
- Discuss the pathogenesis of pediatric sarcoma.
- Describe the signature reciprocal chromosomal translocation that causes synovial sarcoma.
- Describe reciprocal chromosomal translocations that cause Ewing’s sarcoma.
- Discuss the genetic mutation that is responsible for GIST.
- Describe key findings of epidemiologic studies of PVC exposure and angiosarcoma.
- Discuss the global epidemiology of Kaposi’s sarcoma.
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Test Bank | Epidemiology of Chronic Disease 2e by Harris
By Randall E. Harris
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