KIN 2504 – Flashcard
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Broadly encompasses a range of diseases of the heart and blood vessels
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Cardiovascular disease (CVD)
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In order for it to be classified as CVD, it has to affect the heart ______ or _______ itself
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muscle or vessel
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CVD can induce other potentially devastating diseases, like _______ ______ or _________
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heart attack or stroke
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Leading causes of death in the United States today 1 2 3 4
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CVD Cancer Lung Disease Stroke
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_____-_____% of young adults (18-40) have some form of CVD
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15-20%
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_______ of people have some type of CVD
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1/3
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_______ is the BIGGEST killer in both men and women in the U.S today
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CVD
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How many deaths does CVD account for in the U.S. alone?
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at least 30%
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CVD greatly decreases ______ ____ _____(heart attack, stroke can lose many different abilities)
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quality of life
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_____ can start early in life and you can see it in adolescents
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CVD
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CVD Affects the _______and ______ ______
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heart and blood vessels
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CVD diminishes the cardiovascular system's ability to deliver _____ and _____to cells and remove ________ _______ and other ________ from cells
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oxygen and energy carbon dioxide and other wastes
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Hardening or stiffening of the arteries due to abnormal accumulations such as _________ ________
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Atherosclerosis plaque build up
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What are other causes of atherosclerosis?
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high cholesterol saturated and trans fats high blood pressure
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Atherosclerosis
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List the 7 forms of CVD
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Hypertension Coronary Heart Disease Angina Pectoris (chest pain) Arrhythmias: irregular heart beat Congenital heart disease Congestive heart failure Stroke
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____________ :high blood pressure
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hypertension
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_____ of all Americans have high blood pressure
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1/3
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What is the most common form of cardiovascular disease?
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hypertension
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__________ Is a disease itself but is also a risk factor of other forms of CVD
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hypertension
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Pre-hypertensive: (_____-_____)
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120-139
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normal blood pressure=
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115/75
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What are some risk factors for hypertension?
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Kidney and Heart abnormality Genetics Obesity Stress Sleep apnea
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__________ _________ ___________: where Atherosclerosis actually occurs in hearts main blood vessel
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coronary heart disease
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__________ ___________ is caused by reduced blood flow / reduced oxygen supply Happens when there is _______: lack of blood flow
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Angina pectoris ischemia
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Some people live in a state called _________ _________
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stable angina
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Who experiences actual chest pain?
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men
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before menopause for women, chest pain feels to them like ______
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indigestion
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___________: irregular heart beat
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arrhythmias
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______ _________ Americans have arrhythmias per year can be ____ or _____
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2.5 million slow or fast
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________ _________: fibrillation that occurs and must be treated instantly or it will kill you
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Sporadic arrhythmia
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_______ _________ ______: causes congestion in all different body tissues and blood accumulates extra fluid in lungs (very hard to breathe)
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Congestive heart failure (CHF)
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Is there a cure for congestive heart failure?
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No, only medication to manage it
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IN CHF, the ______ _____ itself is damaged or overworked so it becomes too weak to do what it needs to do
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heart muscle
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_________ ___________ _____ is present at birth -_________ plays a role in this
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congenital heart disease genetics
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If the mother of an unborn child uses alcohol, the baby could be born with ___________ ________ __________
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congenital heart disease
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A ___________ happens when you have loss of function in brain caused by blockage or rupture in blood vessel
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stroke
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What is the 4th leading cause of death?
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stroke
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_________ __________ : blockage within a blood vessel (lack of oxygen)
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ischemic stroke
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__________ _________ : blood vessel bursts or ruptures
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hemorrhagic stroke
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strokes are either ______ or ______
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mild or major
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Depending on what region of the brain was affected, there is a shot known as _____ that you give to stroke victims within 3 hours of the stroke that can slow down the effects of the stroke
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TPA
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_____________ ______________ ________ is a protein involved in the breakdown of blood clots
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Tissue plasminogen activator
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Congenital cardiovascular defects ____ defects per 1,000
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8
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Most prevalent CVD in the U.S. is __________ the least is ________
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hypertension arrhythmia
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What are some risk factors that you can control when it comes to CVD?
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Tobacco use Hypertension High levels of fats in your blood Being overweight and obesity Physical inactivity Diabetes mellitus Metabolic syndrome Stress Poor Nutrition Excessive Alcohol Use
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At least ___________ tobacco users die each year related to CVD
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50,000
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If you use tobacco, you are ___-____ times likely to develop heart disease
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2-4
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_______ forces the heart to work harder
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Nicotine
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What does hypertension damage?
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Blood Vessels
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What does being overweight or obese do to the heart muscle?
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strains it
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If you are ______or _______ you are more likely to develop forms of CVD even if there are no other risk factors
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overweight or obese
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Being ________ is one of the greatest risk factors for CVD
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inactive
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_____ % of people with diabetes will die of a CVD
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50%
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people with _______ have an Increased risk for CVD even if blood sugar levels are controlled
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diabetes
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_______ _____ Americans have metabolic syndrome
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50 million
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To lower your risk of CVD, you need to manage _____, to be aware of what you ____, and don't consume too much ______
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stress, eat, alcohol
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Prehypertension diastolic reading=
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80-89
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Stage 1 hypertension systolic reading=
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140-159
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Stage 1 hypertension diastolic reading=
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90-99
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Stage 2 hypertension systolic reading=
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160 or higher
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Stage 2 hypertension diastolic reading=
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100 or higher
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Elevated blood triglycerides =
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greater than or equal to 150 mg/dL
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reduced blood HDL cholesterol in men and women is .....
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men-less than 40 mg/dL women-less than 50 mg/dL
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elevated fasting blood glucose is __________________________
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greater than or equal to 100 mg/dL
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elevated blood pressure: systolic and diastolic
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systolic: greater than or equal to 130 mm Hg diastolic: blood pressure greater than or equal to 85 mm Hg
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increased waist circumference in men and women
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men-greater than or equal to 40 inches women-greater than or equal to 35 inches
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What are the main risk factors of CVD?
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Heredity, age, gender, race
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what increases your risk of CVD?
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heredity
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CVD increases with _____ _____ of people who have heart attacks are over _____
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age 75% 65
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Men are at _____ risk for CVD until about age 60 (women have gone through menopause and estrogen levels drop and become equally at risk as men)
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greater
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Highest risk for CVD according to race 1 2 3
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African American Caucasian Hispanic
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How can someone avoid CVD?
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Don't use tobacco. Eat well. Exercise regularly. Manage your stress. Control diabetes. Avoid alcohol and drug abuse (no more than 1 drink a day for women and 2 for men)
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What is diabetes?
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The inability to properly produce or use insulin
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a pancreatic hormone needed to convert sugar and other substances into energy
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insulin
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_________ is the fastest growing chronic diseases
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diabetes
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__________ _____ _________ autoimmune disease (body attacks itself) this is where the body's ability to make insulin is destroyed
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Type 1 diabetes
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high level of sugar in the blood
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Hyperglycemia
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Type 1 diabetes has a strong chance of _______ and it develops in __________
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inheritance childhood
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_____% of people are considered type 1 diabetes
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5%
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How do you manage type 1 diabetes?
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by taking insulin
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People with type 1 diabetes have to pay close attention to what they _____, ______ and have to _____ on a regular basis for insulin to work better.
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eat stress exercise
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_________ ____ ________ lose ability for body to respond to insulin
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Type 2 diabetes
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What ages do people usually get Type 2 diabetes?
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35-64
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Type 2 diabetes is when the pancreas produces ______ amount of insulin or body cells are _______ to the insulin produced
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insufficient resistant
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Being _______ and being ______ are the strongest cases for causeing type 2
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inactive obese
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Majority of diabetics -->____ - ____% are type 2
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90-92%
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_______ _____ _______ is managed by losing weight, exercise, medicine, and diet
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Type 2 diabetes
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women can get ________ __________ during pregnancy
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gestational diabetes
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Will gestational diabetes go away after birth? But what does it increase later in life?
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yes type 2 diabetes
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______ ______ is when blood sugar is higher than normal but not high enough to be considered diabetic How many have this?
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Pre diabetes 57 million age 20+
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What are 2 common diabetes symptoms?
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Excessive thirst Frequent urination
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What is the leading cause of death in the United States?
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Lung Disease
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Lung disease includes chronic diseases such as _____, _______, and _______
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asthma, emphysema, and bronchitis
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A chronic disease in which the lungs' airways swell, restricting airflow
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asthma
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What does COPD stand for?
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chronic obstructive pulmonary disease
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COPD includes two lung diseases that ______ _____ and create ________ _______
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disrupt airflow breathing problems
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_________ is a toxic substances irritate and damage cells of alveoli -as alveoli is destroyed, a patent a patient experiences a _______ ____ ______
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emphysema shortness of breath
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______ _______ is a toxic substances that irritates bronchial tubes -inflamed bronchial tubes causes excess ______ which impairs your breathing
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chronic bronchitis mucus
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In ___-___% of cases of COPD, smoking is the primary risk factor.
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85-90%
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________ is a chronic, degenerative disease marked by thinning, brittle bones
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osteoporosis
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osteoporosis makes it very easy to ______ ______
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break bones
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Over ____ of Americans older than age _____ have osteoporosis or early signs of it -more common in _____ _______ _____ improves osteoporosis
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1/2 50 women resistance training
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____ is a bone density test used in osteoporosis
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Dexa
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Who is at greater risk for osteoporosis?
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-Female, thin, or older than age 50 -Older than age 50 and have broken a bone -Have a low bone mass reading -Have a close relative with the disease
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What are the different Hormonal, Nutritional, and Lifestyle choices that effect Osteoporosis?
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estrogen levels calcium and vitamins smoking and drinking
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What ethnicity gets osteoporosis the most?
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Asian women Hispanic women Caucasian men
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A group of joint diseases characterized by acute or chronic inflammation of joints is known as _______
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arthritis
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Characteristics of arthritis are:
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Dysfunction, aching, swelling, stiffness
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very slow progressive joint disease it is a breakdown of cartilage due to injury or lack of use
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osteoarthritis
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can be described as bone on bone rubbing together
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osteoarthritis
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autoimmune disease that is characterized by swelling, chronic inflammation, and pain particularly in joints
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rheumatoid arthritis
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Because rheumatoid arthritis is a genetically determined autoimmune disease, risk increases if a close family member has ______, _______, or______ ____ _____________.
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asthma, lupas, and type one diabetes
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the risk for _______ arthritis is higher in women
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rheumatoid
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the most controlable risk factor for arthritis is ______ ______
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body weight
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Osteoarthritis is ____ times more likely to develop than rheumatoid arthritis.
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10
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Risk factors of arthritis include advanced _____, _______, _________, _________, ________ _________, ________ and ______ deficiency
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age genetics injuries obesity physical weakness vitamin and hormone
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______ is a group of diseases characterized by the uncontrolled growth and spread of abnormal cells
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cancer
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What is the second most common cause of United States deaths?
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cancer
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Nearly _____ of all men and _____ ______ of all women will develop cancer.
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half one-third
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What are a few things you can do to lower your risk of cancer?
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Diet Physical Activity Stress Management/Social Support
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______ causes many cancers and if they are obese and get cancer they're chances of surviving cancer is ______
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Obesity harder
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Obesity increases risk of cancer ________ ______
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coming back
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Glass of red wine reduces _______ problems in men
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cardiac
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Alcohol consumption causes _______ cancer risks to go up
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breast
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What are the 2 best prevented cancers?
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colon and cervical cancer
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Lung cancer patients are more at risk for getting _____ and _____ cancer and even a new _____ cancer
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head and neck, lung
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_______ is known as non-cancerous cells that stay together and do not spread, don't serve any physiological function, considered harmless unless of location or their growth overcrowds surroundings
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Benign
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Only takes one damaged cell to make a _____
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tumor
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__________ is the spread of cancer
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Metastasis
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______ need their own ______ supply to grow.
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Tumors blood
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__________ occurs when malignant cells produce growth factors that induce capillaries (blood vessels) to supply the tumor with oxygen and nutrients, helping it to grow
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Angiogenesis
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______ ________ are now targeting prevention of angiogenesis
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cancer treatments
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________: one abnormal cell grows and multiplies more rapidly than normal even cells inside the tumor can change form and can have different cancer cells inside tumor.
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malignant
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________: how cancer spreads
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metastasis
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________ are solid tumors that arise in epithelial tissue (skin, tissue that lines body cavities)
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Carcinomas
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__________: solid tumors that arise in muscles, bone, and other connective tissues
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Sarcomas
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____________: not necessarily solid cells malignant growth of white blood cells called lymphocytes and are abnormal in some manner (lymph nodes, lymphatic _____ , infection fighting related organs)
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Lymphomas
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___________: non-solid cancers that increase number of white blood cells, detected in blood forming parts of the body (bone marrow and spleen) **Number ONE diagnosed cancer in children
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Leukemia
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Cancer stages are ____-____ ____ least severe/ ____ very aggressive
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1-4 1 4
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Oncologists recognize four stages of cancer based on: 1 2 3 4
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Tumor size Number of Lymph Nodes effected Degree of Metastasis ___________
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Causes can be external also known as ________ factors, termed __________ EX:
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environmental carcinogens tobacco/radiation
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Cancer causes can be internal as a function of genetics, collectively termed ______
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oncogenes
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______ cancer is the MOST COMMON cancer
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Skin
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Many _____ cancers can be cured
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skin
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_________ ________ is rarer but more deadly
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Malignant Melanoma
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_______ ______ new cases skin cancer each year
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3.5 million
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95% of skin cancer involves _______ or ________ cell ___________
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basal squamous carcinoma
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Basal and squamous cell carcinoma are grow very ______ and are _______ curable.
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slow highly
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5% are __________ __________ (very rare) do see deaths from this and grows very quickly and difficult to treat
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malignant melanoma
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What age do dermatologists usually see malignant melanoma and in what ethnicity?
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Caucasian women ages 30-34
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What makes a person more at risk for skin cancer?
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sunburn easily, light skinned, light haired, and light eyes
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Malignant melanoma
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What is the ABCD rule?
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A-asymmetry (if you cut it in half and not the same on both sides it is dangerous) B-border irregularity: (cut/jagged) C-color that is not uniform (lots of dark or other types of color) D-diameter (if larger than 6 mm size of a pea, it can be dangerous)
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________ ________ is the leading killer
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Lung cancer
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Only about ___-___% of people with lung cancer survive more than 5 years after diagnosis
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16-17%
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What is key when dealing with lung cancer?
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early detection
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When people are diagnosed with lung cancer, what stage are they usually in by that point?
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3-4 stage
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Number one risk factor for lung cancer is ___________ * ___-___% are in smokers
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smoking 87-88%
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________ cancer strikes mainly women, but can occur in men
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Breast
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Breast cancer is the ______ leading cause of death for women
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second
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High uses of _______ increase breast cancer risk
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alcohol
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Breast cancer success rate is about ____% survival rate 5 years out
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90%
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_________ factors may play a big role in someones risk of getting breast cancer
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Genetic
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What is recommended to help prevent breast cancer?
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Self-exams and yearly check ups
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What are the types of female reproductive tract cancers?
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ovarian, uterine, and cervical cancer
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_________ cancer has few overt early signs
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ovarian
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________ cancer is usually found in the latter stages and can be very detrimental
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ovarian
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Risks of getting ovarian cancer include: 1 2 3 4 5
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Prior cancer history Early sexual activity Multiple sex partners Herpes HPV
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Cervical cancer patients-usually have _______
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HPV
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______ _______ are helpful in determining cancer
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pap smears
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What are the 2 genes that have been linked to cause breast cancer? These have the ability to be screened and have the option of having an elected mastectomy is BRCA is found.
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BRCA 1 and BRCA 2
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What are the male reproductive tract cancers?
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prostate and testicular cancer
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____% of men who have prostate cancer are over 50
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97%
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What can be some signs of having a reproductive tract cancer?
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Pain in certain areas, hard time urinating, and blood in urine
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Testicular cancer starts at ages ____-____
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20-35
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What are 2 risk factors of testicular cancer?
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genetics birth defects
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_______ cancer is the third most common cancer in both men and women
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Colon
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colon cancer is usually found in the _____ stages
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latter
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Colon or rectal cancer has ____ symptoms in its early stages.
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NO
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A _________ can detect pre-cancerous cells
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colonoscopy
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What can help decrease the risk of getting colon cancer? 1 2 3
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Regular exercise Low-fat diet Lots of fruits and vegetables
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Risk factors of _______ ________ include: being male, age older than 45, smoking, eating a high-fat diet, having diabetes, and having a family history of cancer.
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Pancreatic cancer
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__________ occurs as both acute and chronic types and strikes both sexes and all age groups
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Leukemia
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Most common form of childhood cancer
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Leukemia
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What are some symptoms of Leukemia?
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flu like symptoms that stay for weeks or months testing positive for anemia headaches vomiting
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_________ ______ can reduce your risk of cancer
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lifestyle choices
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_______ factors play a role in cancer risk
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biological factors
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_______ plays a role in cancer risk
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genetics
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___________ ________ such as estrogen can increase the risk of cancer
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reproductive hormones
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an early onset of a woman's _______ cycle and the use of ______ _____
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menstrual birth control
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100% of women who have cervical cancer have _____ or ______ ______
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HPV or genital warts
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__________ _________: How great of a chance you have of developing cancer at sometime in your lifetime
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lifetime risk
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___________ ___________: How likely you are to develop cancer when participating in an action that is known to cause cancer
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Relative risk
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25x higher that you will develop lung cancer as opposed to someone who doesn't smoke is an example of a __________ __________
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relative risk
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Hepatitis/anabolic steroid use increase relative risk of developing _______ cancer
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liver
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____% of all cancer deaths are directly related to being obese or overweight (harder time to recover/respond to treatments)
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40%
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People under ______ ________ (long-term) or __________ have a higher chance to get cancer because multiple hormones are triggered to help cope with _____ but these hormones can turn on the body and start to deteriorate or a mutation in a cell can occur
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chronic stress depression
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What is the caution acronym for cancer prevention?
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Change in bowel or bladder habits A sore that does not heal Unusual bleeding or discharge Thickening or lump in the breast or elsewhere Indigestion or difficulty in swallowing Obvious change in a wart or mole Nagging cough or hoarseness
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________ is when you use targeted ionizing energy to destroy malignant cells or somehow cause cancer cells to stop growing
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Radiation
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Common practice which involves use of drugs to cause cancer cells
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Chemotherapy
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_______ and _______ ________ are drugs that can be given to individuals to boost immune system to fight off cancer cells
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Immunotherapies or gene therapies
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Which STD's are bacterial? How do you treat it?
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Chlamydia Gonorrhea Syphilis Gardnerella, trichomoniasis, etc. Antibiotics
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Which STD"s are parasitic? How do you treat it?
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Public Lice "Crabs" Scabies Topical treatment
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Which STD's are viral? How do you treat this? What is key to remember about viral STD's?
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HPV (human papilloma virus) and genital warts Herpes (Type 1 = oral, Type II = genital) Hepatitis B HIV Can't treat it, it can only be managed. Remain in the body for lifetime
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_______ is transferred through the mucous membranes Symptoms: Cervicitis, Urethritis, Proctitis Up to 50% of men and 75% of women are symptomatic and it is curable with antibiotics (treat partner too) Complications: Reiter's Syndrome in Men (arthritis, redness in eyes, urinary problems) PID in Women Infertility
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Chlamydia
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Transmission: Mucous Membranes (anus, penis, vagina, vulva, mouth, eyes) Symptoms: Yellow or white discharge/drip, Urethritis, frequent urination, bleeding between periods/after sex, heavier & more painful periods, lower abdominal pain, epididymitis. Many are asymptomatic; 2-21 day incubation period Complications: Heart, skin, joint problems Infertility
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Gonorrhea
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With a rate of 198.4 per 100,000 persons, Louisiana has the _____ highest rate of Gonorrhea infection in the country
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2nd
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In 2010 in LA, what was the age group with the most cases of Gonorrhea?
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20-24
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Syphilis is one of the ____ most commonly reported STIs
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3rd
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Since 2006, Louisiana has consistently had the highest rates of primary and secondary ______ compared to other states in the nation
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syphilis
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Transmission: Body fluids, Mucous Membranes (anus, penis, vagina, vulva, mouth) Symptoms: Many are asymptomatic; Primary phase - usually painless chancres on/in the sex organs, mouth, breasts, anus, or fingers; Secondary phase - flu-like symptoms, skin rash all over body, hair loss; Latent phase - usually asymptomatic but organisms still multiply in the body Complications: Tertiary Stage - Brain, spinal cord, & heart problems; blindness, miscarriage, birth defects
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Syphilis
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_________ is transmitted via sexual contact 50% of women - no symptoms Men-no symptoms but carriers Vaginal infection, not only STI Symptoms-increased gray discharge with unusual odor
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Bacterial Vaginosis (Gardnerella)
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_________ ________ Transmission: highly contagious, via contact, sheets, towels, clothing, mattress, toilet seat. Symptoms: red bumps, severe itching, irritation. Can occasionally be found on other coarse body hair, such as leg hair, armpits, mustache, beard, eyebrows or eyelashes
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Pubic Lice
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______ _____ have 3 stages: the ____ (also called a nit), the ______ and the ________ Treatment: topical skin medications.
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Pubic Lice egg nymph adult
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Approximately _____ _______ Americans are infected with HPV
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79 million
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_____ _______ people newly infected each year with HPV.
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14 million
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At least ____% of sexually active men and women get it at some point in their lives
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50%
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Most people with ____ do not know they have it because most people do not develop symptoms or health problems from it
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HPV
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In ____% of cases, the body's immune system clears HPV naturally within 2 years
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90%
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HPV infections that don't naturally clear can cause serious ________ _______
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health problems