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How can defects in DNA-repair mechanisms lead to the development of cancer?

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Defects in DNA-repair mechanisms can lea...

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The increased levels of telomerase associated with many tumor cells likely promote cancer by:


A) enhancing levels of DNA repair so that cells remain normal and have stable genomes and thus would be able to replicate their DNA and divide more often.
B) promoting the efficiency of the spindle-assembly checkpoint.
C) reducing the expression of several oncogenes.
D) allowing cells to continue to divide when normally chromosomes should shorten beyond a point where division would be no longer possible.
E) decreasing the number of epigenetic changes that would promote cancer.

F) A) and D)
G) A) and B)

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Which of the following would be the result of a mutation that inactivates cyclin-E?


A) inactivation of RB
B) inactivation of cyclin-D
C) inactivation of Ras
D) failure of the cell to progress through the G2/M checkpoint
E) failure of E2F to bind to DNA and stimulate transcription

F) A) and C)
G) C) and D)

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A cell is unable to progress into the S phase of the cell cycle. Further studies indicate that the RB-E2F complex is unable to dissociate in this cell and thus remains together. Which of the following genes is MOST likely mutated?


A) a gene that encodes a cyclin-dependent kinase
B) a gene that encodes an acetylase
C) a gene that encodes an enzyme that removes phosphate groups from RB
D) a gene that encodes an enzyme that phosphorylates E2F
E) a gene that encodes the Ras protein

F) A) and B)
G) C) and E)

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If you were assigned a new form of cancer to study, you might want to determine whether it has a strong genetic basis or whether it is caused primarily by environmental factors. Propose some ways in which you could attempt to determine which hypothesis is correct. Which methods would be the easiest to use first?

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There are several ways to determine whet...

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Which of the following are regulatory molecules whose normal function is to inhibit gene expression but which often have reduced activity in many tumor cells?


A) histones
B) miRNAs
C) reverse transcriptases
D) growth factors
E) kinases

F) B) and C)
G) A) and D)

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For each important checkpoint in the cell cycle, what must happen for the cycle to continue past the checkpoint?

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The cell cycle is a series of phases tha...

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Most of the inherited forms of cancer involve a germline mutation in a tumor-suppressor gene while only a very few inherited cancers involve a mutation in an oncogene. What is the most reasonable explanation for this difference?

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The most reasonable explanation for the ...

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Consider the Ras signal-transduction pathway. Suppose that a mutation occurred within the gene that encodes the transmembrane receptor protein. Which of the following types of mutations in this receptor could lead to cancer?


A) a mutation that allows the receptor to become phosphorylated in the absence of a growth factor bound to it
B) a mutation in the extracellular domain that prevents the binding of a growth factor
C) a mutation in the transmembrane domain that prevents the signal from being transduced to the interior of the cell
D) a mutation within the intracellular domain that prevents interaction with the adaptor molecules
E) All of these are types of receptors mutations that could lead to cancer.

F) B) and E)
G) D) and E)

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What are the important checkpoints in the cell cycle?

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The cell cycle is a highly regulated pro...

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A patient's cells from a colorectal polyp were collected and the APC and ras genes were analyzed. The APC gene was found to be mutated, and the ras gene was found to be up-regulated. The physician classifies the polyp an adenoma and advises the patient to have the polyp removed. The patient claims that the physician is incorrect in his advice to have the polyp removed. Is the physician's advice logical? Why or why not?


A) no, because adenomas are benign tumors and thus are unlikely to progress to a malignant tumor
B) no, because the up-regulation of the ras gene will counter the effects of the mutant APC gene, and the benign tumor is unlikely to progress to a malignant state
C) no, because until the specific function of the mutated APC gene is known, it cannot be determined that the cells are in a proliferative state
D) yes, because the cells of the polyp have already begun to divide inappropriately, and further mutations may allow the tumor to invade other tissues and metastasize
E) yes, because up-regulation of the ras gene is causing the cells to divide more slowly, and thus they will be unable to repair future DNA damage that will likely occur in cells surrounding the polyp

F) B) and C)
G) A) and E)

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Explain briefly why changes in oncogenes result in more rapid progression of a cancer compared to changes in tumor-suppressor genes. Mention one situation in which changes in a tumor-suppressor gene have a similar likelihood of causing cancer as changes in an oncogene.

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Changes in oncogenes result in more rapi...

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Certain viruses are instrumental in converting proto-oncogenes to oncogenes. This conversion most commonly results because:


A) viruses specifically infect cells that contain proto-oncogenes.
B) only viruses contain genes that can convert proto-oncogenes into oncogenes.
C) the proto-oncogenes are more likely to undergo mutation or recombination within a virus.
D) viruses contain the remainder part of the DNA that is added to the proto-oncogene to form the oncogene.

E) All of the above
F) B) and D)

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Which cell cycle checkpoint is most responsible for the decision of the cell to commit to dividing?


A) the S/G2 checkpoint
B) the G1/S checkpoint
C) the spindle-assembly checkpoint
D) the G2/M checkpoint
E) the G1/G2 checkpoint

F) A) and C)
G) D) and E)

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Which of the following statements is FALSE?


A) Tumors usually show a clonal evolution.
B) Cervical cancer is associated with an animal virus.
C) Some cancers are associated with reduced DNA repair.
D) Epigenetic changes in somatic cells may be associated with some cancers.
E) Most tumors arise from germ-line mutations that accumulate during our life span.

F) None of the above
G) A) and B)

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Briefly describe the relationship among cyclins, cyclin-dependent kinases (CDKs), and cancer.

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Cyclins are a family of proteins that re...

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What is a possible effect of mutations in genes that influence chromosome segregation during division?

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A possible effect of mutations in genes ...

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Many tumor cells are able divide uncontrollably in cell culture in the laboratory. Some of these cell lines have genomes with a mutant tumor-suppressor gene. Adding a wild-type copy of this tumor-suppressor gene to the genomes of these cells reduces their ability to divide in culture. In contrast, adding a wild-type copy of a proto-oncogene to the genomes of a tumor cell line with an activated oncogene doesn't have any effect on the uncontrolled cell division shown by this line. Which of the following statements BEST explains why adding a wild-type proto-oncogene doesn't affect cell division in these cell lines?


A) Most point mutations that produce activated oncogenes are dominant gain-of-function mutations.
B) Many proto-oncogenes encode proteins that act to promote apoptosis.
C) Many proto-oncogenes encode proteins involved in DNA repair.
D) Many proto-oncogenes are inherited as recessive mutations.
E) Most protein products of proto-oncogenes don't have a role in cell division.

F) C) and E)
G) A) and D)

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A headline in the June 12, 2009, issue of Science Daily proclaimed that "MicroRNA Replacement Therapy May Stop Cancer in Its Tracks." The article described a study in which a virus was used to deliver a microRNA gene to cancerous and noncancerous liver cells in mice. Aggressive liver tumors were stopped in their tracks in 8 out of 10 treated mice. Explain how delivery of a gene encoding microRNA might be able to reduce the growth of cancer cells.

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MicroRNAs are small RNA molecules that p...

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Which of the following types of cancer is associated with a defect in nucleotide-excision repair?


A) retinoblastoma
B) xeroderma pigmentosum
C) cervical cancer
D) chronic myelogenous leukemia
E) Bloom syndrome

F) B) and E)
G) C) and D)

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