Deck 8: Cancer
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Deck 8: Cancer
1
Early cancer, present only in the layer of cells where it originated, is classified as what stage?
A) 0
B) I
C) II
D) III
A) 0
B) I
C) II
D) III
0
2
Naturally occurring substances found in plant foods that help prevent chronic diseases are
A) nitrosamines.
B) free radicals.
C) anticarcinogens.
D) phytochemicals.
A) nitrosamines.
B) free radicals.
C) anticarcinogens.
D) phytochemicals.
phytochemicals.
3
Lung cancer is
A) caused only by cigarette smoking.
B) the most common cause of cancer death in Canada.
C) difficult to cure at any stage.
D) easily detectable in early stages.
A) caused only by cigarette smoking.
B) the most common cause of cancer death in Canada.
C) difficult to cure at any stage.
D) easily detectable in early stages.
the most common cause of cancer death in Canada.
4
The Canadian Cancer Society recommends routine use of mammography to detect breast cancer for women over age
A) 20.
B) 30.
C) 40.
D) 50.
A) 20.
B) 30.
C) 40.
D) 50.
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5
Diets high in which of the following foods are associated with increased risk of cancer?
A) citrus fruits
B) cruciferous vegetables
C) red meats
D) whole grains
A) citrus fruits
B) cruciferous vegetables
C) red meats
D) whole grains
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6
Melissa uses a sunscreen with an SPF rating of 20, which means that
A) her sunscreen contains 20 different ingredients to block ultraviolet radiation.
B) she can stay in the sun for 20 minutes without getting tanned or burned.
C) she is protected from the full range of ultraviolet radiation.
D) she can stay in the sun 20 times longer without getting burned than if she did not use it.
A) her sunscreen contains 20 different ingredients to block ultraviolet radiation.
B) she can stay in the sun for 20 minutes without getting tanned or burned.
C) she is protected from the full range of ultraviolet radiation.
D) she can stay in the sun 20 times longer without getting burned than if she did not use it.
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7
Daniel has a family history of colon cancer. To lower his personal risk of the disease, he should consider doing all of the following, EXCEPT
A) being physically active.
B) increasing his intake of red meat.
C) using aspirin and ibuprofen regularly.
D) increasing his intake of fruits and vegetables.
A) being physically active.
B) increasing his intake of red meat.
C) using aspirin and ibuprofen regularly.
D) increasing his intake of fruits and vegetables.
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8
The use of chemotherapy before surgery to shrink a cancerous tumour and prevent metastasis is called:
A) induction chemotherapy.
B) preventive chemotherapy.
C) pre-surgery chemotherapy.
D) deductive chemotherapy.
A) induction chemotherapy.
B) preventive chemotherapy.
C) pre-surgery chemotherapy.
D) deductive chemotherapy.
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9
The most common treatment for skin cancer is
A) immunotherapy.
B) radiation therapy.
C) chemotherapy.
D) surgical removal.
A) immunotherapy.
B) radiation therapy.
C) chemotherapy.
D) surgical removal.
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10
Those most at risk of developing skin cancer include all of the following, EXCEPT
A) people with naturally dark skin.
B) people who use tanning lamps.
C) people with a family history of skin cancer.
D) fair-skinned people.
A) people with naturally dark skin.
B) people who use tanning lamps.
C) people with a family history of skin cancer.
D) fair-skinned people.
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11
Monoterpenes have which of the following potential anticancer effects?
A) Neutralize effect of nitrosamines.
B) Block effects of estrogen on cell growth.
C) Help detoxify carcinogens.
D) Bind iron reducing free radicals.
A) Neutralize effect of nitrosamines.
B) Block effects of estrogen on cell growth.
C) Help detoxify carcinogens.
D) Bind iron reducing free radicals.
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12
Which one of the following is a good source of phytochemicals?
A) halibut
B) nonfat milk
C) broccoli
D) lean portion of beef
A) halibut
B) nonfat milk
C) broccoli
D) lean portion of beef
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13
All of the following groups are at increased risk of testicular cancer, EXCEPT
A) white males.
B) men whose mothers took DES during pregnancy.
C) circumcised males.
D) men with undescended testicles.
A) white males.
B) men whose mothers took DES during pregnancy.
C) circumcised males.
D) men with undescended testicles.
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14
Major sites of sarcomas include all of the following, EXCEPT:
A) cartilage.
B) bone.
C) skin.
D) muscle.
A) cartilage.
B) bone.
C) skin.
D) muscle.
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15
The most dangerous form of skin cancer is
A) squamous cell carcinoma.
B) basal cell carcinoma.
C) actinic keratosis.
D) melanoma.
A) squamous cell carcinoma.
B) basal cell carcinoma.
C) actinic keratosis.
D) melanoma.
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16
A mammogram is used to test for which type of cancer?
A) rectal
B) breast
C) colon
D) prostate
A) rectal
B) breast
C) colon
D) prostate
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17
Phytic acid is found in which of the following foods:
A) shallots.
B) chives.
C) apples.
D) whole grains.
A) shallots.
B) chives.
C) apples.
D) whole grains.
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18
Which of the following is NOT a risk factor for breast cancer?
A) alcohol use
B) obesity
C) early onset of menstruation
D) early motherhood
A) alcohol use
B) obesity
C) early onset of menstruation
D) early motherhood
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19
One type of cancer that seems to be linked to a diet high in red meat is
A) lymphoma.
B) leukemia.
C) colon cancer.
D) cervical cancer.
A) lymphoma.
B) leukemia.
C) colon cancer.
D) cervical cancer.
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20
Death rates from lung cancer are
A) increasing among women.
B) highest in younger age groups.
C) low compared to other cancers.
D) rapidly declining in men.
A) increasing among women.
B) highest in younger age groups.
C) low compared to other cancers.
D) rapidly declining in men.
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21
Leukemia is cancer of the
A) gastrointestinal tract.
B) lymph nodes.
C) blood-forming cells.
D) urinary tract.
A) gastrointestinal tract.
B) lymph nodes.
C) blood-forming cells.
D) urinary tract.
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22
The most common form of cancer is
A) melanoma.
B) sarcoma.
C) lymphoma.
D) carcinoma.
A) melanoma.
B) sarcoma.
C) lymphoma.
D) carcinoma.
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23
Allyl sulphides have which of the following potential anticancer effects?
A) Act as an antioxidant.
B) Bind iron reducing free radicals.
C) Neutralize effect of nitrosamines.
D) Increase levels of enzymes that break down potential carcinogens.
A) Act as an antioxidant.
B) Bind iron reducing free radicals.
C) Neutralize effect of nitrosamines.
D) Increase levels of enzymes that break down potential carcinogens.
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24
Smoking is responsible for about of ALL cancer deaths.
A) 10%
B) 20%
C) 30%
D) 40%
A) 10%
B) 20%
C) 30%
D) 40%
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25
Which of the following is NOT characteristic of melanoma?
A) invades surrounding tissue
B) appears at the site of a preexisting mole
C) occurs most commonly on the face
D) bleeds easily
A) invades surrounding tissue
B) appears at the site of a preexisting mole
C) occurs most commonly on the face
D) bleeds easily
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26
It is recommended that girls get an HPV/cervical cancer vaccine at what age?
A) 9
B) 12
C) 10
D) 16
A) 9
B) 12
C) 10
D) 16
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27
General environmental pollution such as substances in our air and water are responsible for approximately percent of cancer deaths.
A) 2
B) 5
C) 10
D) 1
A) 2
B) 5
C) 10
D) 1
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28
Allyl sulphides are found in which of the following foods:
A) red wine.
B) peanuts.
C) shallots.
D) berries.
A) red wine.
B) peanuts.
C) shallots.
D) berries.
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29
Hepatitis viruses B and C together cause as many as percent of the world's liver cancers.
A) 50
B) 60
C) 30
D) 80
A) 50
B) 60
C) 30
D) 80
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30
Which one of the following best describes leukemia?
A) benign disorder of glucose metabolism
B) nonmelanoma skin cancer
C) benign disease of the lymph system
D) malignant disease of the white blood cells
A) benign disorder of glucose metabolism
B) nonmelanoma skin cancer
C) benign disease of the lymph system
D) malignant disease of the white blood cells
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31
The most common form of cancer in women is cancer; the most common cause of cancer death in women is _.
A) cervical; colon and rectal
B) melanoma; ovarian
C) breast; lung
D) lung; breast
A) cervical; colon and rectal
B) melanoma; ovarian
C) breast; lung
D) lung; breast
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32
A tumour that is NOT cancerous is called
A) benign.
B) metastatic.
C) malignant.
D) melanoma.
A) benign.
B) metastatic.
C) malignant.
D) melanoma.
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33
Which one of the following statements about cancer is FALSE?
A) Cancer has the ability to metastasize.
B) Cancer is characterized by controlled growth of cells.
C) Cancer is a group of diseases.
D) Cancer may take the form of a tumour.
A) Cancer has the ability to metastasize.
B) Cancer is characterized by controlled growth of cells.
C) Cancer is a group of diseases.
D) Cancer may take the form of a tumour.
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34
Smoking is responsible for what percentage of lung cancer?
A) 72%
B) 85%
C) 55%
D) 100%
A) 72%
B) 85%
C) 55%
D) 100%
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35
Jen has fair skin, and both her mother and her aunt have been treated for skin cancer. This coming weekend, Jen and her friends are planning an all-day outdoor hike near a high-mountain lake; she expects there will be a mix of sun and shade on the trail and at the lakeshore beach. She is looking forward to the hike, but she wants to avoid getting a sunburn or any sun damage. Jen should do all of the following before leaving for the hike, EXCEPT
A) visit a tanning salon to get a light tan to protect her skin.
B) consult the forecast for UV index to help determine how sunny it will be.
C) buy or borrow a broad-brimmed hat.
D) pack a full bottle of sunscreen in her backpack.
A) visit a tanning salon to get a light tan to protect her skin.
B) consult the forecast for UV index to help determine how sunny it will be.
C) buy or borrow a broad-brimmed hat.
D) pack a full bottle of sunscreen in her backpack.
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36
Men over what age should be tested for prostate cancer?
A) 60
B) 50
C) 30
D) 40
A) 60
B) 50
C) 30
D) 40
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37
A characteristic of a skin lesion that may be a melanoma is one with a
A) diameter smaller than 5 mm.
B) smooth border.
C) solid brown colour.
D) asymmetrical shape.
A) diameter smaller than 5 mm.
B) smooth border.
C) solid brown colour.
D) asymmetrical shape.
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38
What do obesity and alcohol use have in common that increases breast cancer risk?
A) They increase glucose levels in the blood.
B) They raise LDL cholesterol.
C) They increase estrogen levels in the blood.
D) They slow the rate of cell growth.
A) They increase glucose levels in the blood.
B) They raise LDL cholesterol.
C) They increase estrogen levels in the blood.
D) They slow the rate of cell growth.
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39
Estrogen is an example of a
A) mutagen.
B) cancer promoter.
C) cancer initiator.
D) carcinogen.
A) mutagen.
B) cancer promoter.
C) cancer initiator.
D) carcinogen.
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40
The acronym "CAUTION" is a good way to remember
A) the seven major warning signs of cancer.
B) the seven most common types of cancer.
C) the seven major categories of cancer.
D) the seven carcinogens to avoid.
A) the seven major warning signs of cancer.
B) the seven most common types of cancer.
C) the seven major categories of cancer.
D) the seven carcinogens to avoid.
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41
Which of the following factors contributes to about 25% of all cancer deaths?
A) alcohol use
B) family history
C) radiation
D) tobacco use
A) alcohol use
B) family history
C) radiation
D) tobacco use
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42
Phytic acid has which of the following potential anticancer effects?
A) Acts as an antioxidant.
B) Neutralizes effect of nitrosamines.
C) Blocks effects of estrogen on cell growth.
D) Binds iron reducing free radicals.
A) Acts as an antioxidant.
B) Neutralizes effect of nitrosamines.
C) Blocks effects of estrogen on cell growth.
D) Binds iron reducing free radicals.
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43
After what age should a stool blood test be a standard annual screening test?
A) 30
B) 40
C) 50
D) 60
A) 30
B) 40
C) 50
D) 60
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44
Which of the following statements regarding testicle self-examination is FALSE?
A) It should be performed using a gentle rolling motion.
B) It is recommended only if the man is sexually active.
C) It is best performed following a bath or shower.
D) It should be done monthly.
A) It should be performed using a gentle rolling motion.
B) It is recommended only if the man is sexually active.
C) It is best performed following a bath or shower.
D) It should be done monthly.
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45
Monoterpenes are found in which of the following foods:
A) citrus fruit.
B) cauliflower.
C) legumes.
D) garlic.
A) citrus fruit.
B) cauliflower.
C) legumes.
D) garlic.
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46
A diet high in is linked to increased risk of colon, stomach, and prostate cancers.
A) fibre
B) carotenoids
C) nitrosamines
D) fat and meat
A) fibre
B) carotenoids
C) nitrosamines
D) fat and meat
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47
Obesity increases a person's risk of
A) colon and skin cancers.
B) lung and brain cancers.
C) oral and brain cancers.
D) breast and colon cancers.
A) colon and skin cancers.
B) lung and brain cancers.
C) oral and brain cancers.
D) breast and colon cancers.
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48
Which of the following poses the greatest threat for the development of lung cancer among nonsmokers?
A) high-fat diet
B) sun exposure
C) exposure to environmental tobacco smoke
D) inactivity
A) high-fat diet
B) sun exposure
C) exposure to environmental tobacco smoke
D) inactivity
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49
All of the following are true about prostate cancer, EXCEPT
A) is associated with lack of fruit and vegetable consumption.
B) is influenced by diet and lifestyle.
C) is the second leading cause of cancer death in men.
D) is the most common cancer in males.
A) is associated with lack of fruit and vegetable consumption.
B) is influenced by diet and lifestyle.
C) is the second leading cause of cancer death in men.
D) is the most common cancer in males.
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50
Which of the following cancers is significantly more prevalent outside Canada?
A) kidney cancer
B) bladder cancer
C) pancreatic cancer
D) stomach cancer
A) kidney cancer
B) bladder cancer
C) pancreatic cancer
D) stomach cancer
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51
Ovarian cancers
A) decrease in incidence with age.
B) are detectable with Pap tests.
C) are relatively rare but have a high death rate.
D) are usually found at an early stage.
A) decrease in incidence with age.
B) are detectable with Pap tests.
C) are relatively rare but have a high death rate.
D) are usually found at an early stage.
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52
Basal cell and squamous cell carcinomas
A) spread rapidly.
B) are rare forms of skin cancer.
C) may be pearly nodules or red and scaly patches.
D) are usually painful.
A) spread rapidly.
B) are rare forms of skin cancer.
C) may be pearly nodules or red and scaly patches.
D) are usually painful.
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53
The infection that puts women at risk for cervical cancer is
A) strep throat.
B) hepatitis.
C) HPV.
D) pneumonia.
A) strep throat.
B) hepatitis.
C) HPV.
D) pneumonia.
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54
A woman is more likely to develop breast cancer if
A) she had her first child before age 30.
B) she is obese.
C) her diet is low in monounsaturated fat.
D) her diet is high in vegetables.
A) she had her first child before age 30.
B) she is obese.
C) her diet is low in monounsaturated fat.
D) her diet is high in vegetables.
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55
Capsaicin is found in which of the following foods:
A) broccoli.
B) citrus fruit.
C) chili peppers.
D) grapes.
A) broccoli.
B) citrus fruit.
C) chili peppers.
D) grapes.
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56
Major sites of carcinomas include all of the following, EXCEPT:
A) breast.
B) bone.
C) skin.
D) uterus.
A) breast.
B) bone.
C) skin.
D) uterus.
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57
The 'C' in the acronym CAUTION (indicating the major warning signs of cancer) stands for:
A) Change in wart or mole.
B) Change in sore.
C) Change in colour.
D) Change in bowel or bladder habits.
A) Change in wart or mole.
B) Change in sore.
C) Change in colour.
D) Change in bowel or bladder habits.
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58
Heavy users of alcohol and tobacco have a risk of oral cancer up to _____________ times as great as that of people who don't drink or smoke.
A) 10
B) 2
C) 15
D) 5
A) 10
B) 2
C) 15
D) 5
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59
A technique that detects lung cancer earlier than X-rays do is
A) cell analysis.
B) spiral CT scans.
C) MRI.
D) blood test.
A) cell analysis.
B) spiral CT scans.
C) MRI.
D) blood test.
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60
Which of the following statements about ultraviolet radiation is TRUE?
A) Swimming is a good choice of outdoor activity because ultraviolet rays cannot penetrate water.
B) Sand reflects ultraviolet radiation, so beach-goers need to wear sunscreen even if they sit under a beach umbrella.
C) You do not need to wear sunscreen when outdoors at high elevations because the atmosphere at high altitude filters out most ultraviolet radiation.
D) It's best to avoid outdoor activity in the late afternoon because the sun's rays are most intense after 3 p.m.
A) Swimming is a good choice of outdoor activity because ultraviolet rays cannot penetrate water.
B) Sand reflects ultraviolet radiation, so beach-goers need to wear sunscreen even if they sit under a beach umbrella.
C) You do not need to wear sunscreen when outdoors at high elevations because the atmosphere at high altitude filters out most ultraviolet radiation.
D) It's best to avoid outdoor activity in the late afternoon because the sun's rays are most intense after 3 p.m.
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61
Lymphoma is cancer of the lymph nodes, part of the body's
A) blood-forming cells.
B) connective and fibrous tissues.
C) infection-fighting system.
D) gastrointestinal tract.
A) blood-forming cells.
B) connective and fibrous tissues.
C) infection-fighting system.
D) gastrointestinal tract.
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62
The 'U' in the acronym CAUTION (indicating the major warning signs of cancer) stands for:
A) Upset stomach.
B) Unusual thirst.
C) Unusual cough.
D) Unusual bleeding or discharge.
A) Upset stomach.
B) Unusual thirst.
C) Unusual cough.
D) Unusual bleeding or discharge.
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63
When a malignant tumour spreads to sites distant from the primary tumour, the process is known as
A) dysplasia.
B) metastasis.
C) hyperplasia.
D) malignancy.
A) dysplasia.
B) metastasis.
C) hyperplasia.
D) malignancy.
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64
Scraping cells from the cervix for examination to screen for cancerous changes is called
A) a Pap test.
B) cryotherapy.
C) an endometrial smear.
D) curetting.
A) a Pap test.
B) cryotherapy.
C) an endometrial smear.
D) curetting.
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65
Techniques for early detection of prostate cancer include a digital rectal exam and
A) ultrasound.
B) a prostate-specific antigen (PSA) blood test.
C) a CT scan.
D) surgery.
A) ultrasound.
B) a prostate-specific antigen (PSA) blood test.
C) a CT scan.
D) surgery.
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66
In some cases, cervical dysplasia develops into
A) cervical cancer.
B) chlamydia infection.
C) vaginal clear cell cancer.
D) HPV infection.
A) cervical cancer.
B) chlamydia infection.
C) vaginal clear cell cancer.
D) HPV infection.
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67
When there are no symptoms or other evidence of previously diagnosed disease, a cancer patient is said to
A) be in remission.
B) be in an immune state.
C) have a benign tumour.
D) have metastasis.
A) be in remission.
B) be in an immune state.
C) have a benign tumour.
D) have metastasis.
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68
Which province has the greatest number of cancer deaths annually in Canada?
A) Alberta
B) Ontario
C) British Columbia
D) Quebec
A) Alberta
B) Ontario
C) British Columbia
D) Quebec
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69
Phytoestrogens are found in which of the following foods:
A) nuts.
B) limes.
C) cherries.
D) red wine.
A) nuts.
B) limes.
C) cherries.
D) red wine.
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70
Cancers arising from connective and fibrous tissues such as bone, cartilage, or muscle are called
A) carcinomas.
B) sarcomas.
C) leukemias.
D) lymphomas.
A) carcinomas.
B) sarcomas.
C) leukemias.
D) lymphomas.
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71
When cancer cells enter the lymph or blood system,
A) the probability of cure increases.
B) they are known as benign tumours.
C) it is easy to stop their spread to other organs.
D) they can form secondary tumours elsewhere.
A) the probability of cure increases.
B) they are known as benign tumours.
C) it is easy to stop their spread to other organs.
D) they can form secondary tumours elsewhere.
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72
Resveratrol has which of the following potential anticancer effects?
A) Blocks effects of estrogen on cell growth.
B) Acts as an antioxidant.
C) Neutralizes effect of nitrosamines.
D) Binds iron reducing free radicals.
A) Blocks effects of estrogen on cell growth.
B) Acts as an antioxidant.
C) Neutralizes effect of nitrosamines.
D) Binds iron reducing free radicals.
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73
Polyphenols are found in which of the following foods:
A) leeks.
B) black tea.
C) onions.
D) kale.
A) leeks.
B) black tea.
C) onions.
D) kale.
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74
Advanced cancer that has spread to another organ is classified as what stage?
A) I
B) II
C) III
D) IV
A) I
B) II
C) III
D) IV
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75
Steps to prevent skin cancer include all of the following, EXCEPT
A) using tanning salons instead of sunbathing.
B) avoiding sunburns.
C) avoiding prolonged exposure to the sun.
D) using sunscreens and protective clothing.
A) using tanning salons instead of sunbathing.
B) avoiding sunburns.
C) avoiding prolonged exposure to the sun.
D) using sunscreens and protective clothing.
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76
Sarcomas arise from
A) epithelial layers.
B) connective and fibrous tissue.
C) lymph nodes.
D) blood-forming cells.
A) epithelial layers.
B) connective and fibrous tissue.
C) lymph nodes.
D) blood-forming cells.
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77
Risk factors for breast cancer include all of the following, EXCEPT
A) hormonal factors.
B) previous injury to the breast.
C) diet.
D) genetic factors.
A) hormonal factors.
B) previous injury to the breast.
C) diet.
D) genetic factors.
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78
Ultraviolet B (UVB) radiation
A) does not damage the skin.
B) is the main type of radiation emitted from tanning beds.
C) can cause immediate sunburns.
D) is not linked to skin cancer.
A) does not damage the skin.
B) is the main type of radiation emitted from tanning beds.
C) can cause immediate sunburns.
D) is not linked to skin cancer.
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79
Fifteen percent of the world's cancers are caused by
A) diabetes.
B) inactivity.
C) microbes.
D) asbestos.
A) diabetes.
B) inactivity.
C) microbes.
D) asbestos.
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80
A malignant tumour is different from a benign tumour in that a malignant tumour is
A) enclosed in a membrane.
B) less of a threat to the patient.
C) dangerous only if its physical presence interferes with bodily functions.
D) capable of invading surrounding structures.
A) enclosed in a membrane.
B) less of a threat to the patient.
C) dangerous only if its physical presence interferes with bodily functions.
D) capable of invading surrounding structures.
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