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Name___________________________ Mrs. King Health Ed. Directions: Using the following materials, look up the answers to the questions below. (E- Cigarettes Safety Still Uncertain, Spit Tobacco Kills, Cancer Basics, How Tobacco affects Your Body, SBE Exam, and the tobacco and cancer powerpoints located on my web page.) You may also use any outside source. Record your answers on this booklet as well as the answer sheet. 1. Compared to not-smokers, smokers have a higher rate of ____ because nicotine narrows blood vessels. a. respiratory problems d. ear infections b. heart disease e. cancer c. chronic bronchitis f. blindness 2. Shortness of breath occurs with just one cigarette. This happens because oxygen is replace with ______ when a person inhales. a. carbon dioxide d. ammonia b. tar e. nicotine c. carbon monoxide 3. Once the cilia in the lungs have been paralyzed by tobacco tars, the only way to remove excess mucus is to: a. have a lung transplant c. take an expectorant (cough medicine) b. cough it up d. spit 4. a. b. c. d. A young person who smokes is likely to: run short on cash have a lot of dates influence their friends and adults to smoke appreciate the taste of food 5. a. b. c. The most serious consequence of smoking during teen years is: lung cancer d. addiction heart disease e. respiratory illness being broke ( no $) 6. How long does it take the body to repair any damage done to the cilia in a smoker who has decided to quit? a. 1-2 days c. one year b. a few months d. 5 years 7. How many different chemicals are released into the atmosphere when tobacco burns? a. 100 c. 4,000 b. 400 d. 430,000 8. a. b. c. How many known carcinogens have been identified in tobacco smoke? 4 d. 100 20 e. 121 50 9. Smoking affects the circulatory system. How? a. it increases blood pressure and heart rate b. it decreases blood pressure and heart rate 10. Second hand smoke that is inhaled as a result of being near people who smoke represents: a. a significant health risk b. only a minor annoyance to nonsmokers c. no problem for nonsmokers d. a fire hazard 11. There are more than 500 ingredients in chewing tobacco. How many cause cancer? a. 28 d. 60 b. 36 e. 120 c. 50 12. Chewing tobacco : a. is a safer alternative to cigar smoking b. is less addictive than cigarettes c. won’t cause cancer d. can cause premature death 13. Chewing tobacco users have a high risk for developing leukoplakia. What is leukoplakia? a. an ulcer sore b. white precancerous lesions in the mouth c. cancer of the esophagus d. heart burn or acid reflux e. excessive saliva or drooling 14. When compared to cigarettes, chewing tobacco has ______ nicotine. a. more b. less c. the same amount of 15. What percent of baseball players developed cancerous lesions in their mouth after using spit tobacco? a. 33% c. 66% b. 50% d. 75% 16. Why does the public still question the safety of e-cigarettes? a. because not enough data has been collected b. because the FDA has hot approved them as a safe product c. because they are a relatively new product and haven’t been studied long enough d. because manufacturers have not yet submitted their product for FDA approval e. all of the above reasons are correct 17. “Proponents say that e-cigarettes give a person the feel of smoking without the risks.” What does proponent mean? a. factory workers b. doctors c. people in favor of selling e –cigs d. people trying to live a healthier life 18. Even if e-cigarettes pose less of a risk to health than regular cigarettes, a user of e-cigs must understand that the presence of _______ is highly addictive and they could be committing themselves to a life- long habit. a. tar c. carbon monoxide b. nicotine d. polyglycols 19. Tumors have the ability to invade other tissues and spread throughout the body. This type of tumor is called a _____ tumor. a. benign d. malignant b. generalized e. congenital c. non-malignant 20. It is recommended that by age 21, or as soon as a female is sexually active to be screened for cervical cancer and STD infections. This test is called______. a. mammogram d. breast exam b. biopsy e. blood test c. PAP test 21. The majority of all cancers in the U.S. are caused by: a. lifestyle choices and environment b. heredity c. viruses d. parasites e. a combination of lifestyle, environment and heredity 22. At what age should self-breast exams and self-testicular exams become a routine in a person’s personal health practices? a. age 14 c. age 22 b. age 19 d. age 25 23. At what age should a female have her first mammogram (assume she has a health breast history)? a. between ages 30-33 c. between ages 41-45 b. between ages 35-40 d. after age 45 24. Self-breast exams and self- testicular exams should be performed: a. weekly c. yearly b. monthly d. on your birthday only 25. Testicular cancer is most common in men: a. ages 15-35 c. ages 40-50 b. ages 35-40 d. over age 50 26. How often should a breast exam be performed by your health care provider? a. every 1 -3 years b. every 5 years if there aren’t any previous problems c. every time you see him/her 27. What type of cancer treatment is most commonly associated with hair loss? a. chemotherapy d. radiation b. immuno therapy e. all of the above are equally responsible c. surgery 28. Girls answer this questions. What is the best time of the month to perform a self- breast exam? a. at the beginning of your period b. during your period c. 7-8 days after the start of your period d. toward the end of your period 29 Boys answer this question: When should boys do a self- breast exam? a. every 6 months b. at the end of the month c. once a year d. pick a date during each month and remember to do it monthly 30. What symptoms could a male experience if tumor was growing in the testicle? Circle all that apply. a. a painless ump b. swelling in the testicle c. a dull ache or pain in his abdomen 31. What are the symptoms of breast cancer? Circle all that apply. a. a painless lump b. a thickening in the breast c. dimpling of skin on the breast d. a discharge from the nipple e. red skin f. rash g. fever 32. Radiation can be a useful treatment that destroys cancer cells but it may also create many unpleasant side effects. Circle all of the side effects radiation treatment may cause. a. fatigue d. vomiting g. burned skin b. weight gain e. diarrhea h. ringing in ears c. nausea f. heart burn 33. Indicate the symptoms of a chewing tobacco habit that should be discussed with your dentist. (circle all that apply) a. a red spot on your mouth, tongue or lip b. a white patch on your mouth, tongue or lip c. a lump on your mouth, tongue or lip d. difficulty chewing or swallowing e. diarrhea f. blurred vision g. a sore throat h. being tired 34. What ingredients make up an e-cig? (circle all that apply) a. tar d. diethylene glycol g. flavor agents b. nicotine e. benzene h. glycerin c. carbon monoxide f. formaldehyde True and False: Write TRUE if you believe the statement is true and FALSE if you think it is not true. 1. Pets can develop cancer if they live with a smoker. 2. Chewing tobacco contains rough grit which acts like sand paper on tooth enamel. This might explain why tooth decay is experienced at higher rates in “dippers.” 3. People who chew tobacco can develop a hairy tongue. 4. There isn’t any relationship between smoking and blindness. 5. Smokers tend to lose their hair prematurely. 6. Smoking may increase the risk of arthritis. 7. Ninety percent of smokers started before turning 18. 8. Self –breast exams are life- long procedures that only women need to learn. 9. Self- breast exams are only necessary until a women reaches menopause. (stops having her period) At that time in her life estrogen decreases and so does the risk of breast cancer. Short Answer 1. Other than a change in a mole or wart, list 3 more warning signs of cancer as identified by the American Cancer Society. (CAUTION) A. B. C. 2. Other than eating more fruits and vegetables, what are two dietary habits you should adopt to decrease your cancer risk? A. B. 3. Why is it important to start self breast exams as a teenager? 4. Name 4 environmental risks of cancer other than tobacco products. (feel free to look this one up) Reading passage: A. The answers the to fill- ins start with the letters: C E N NR T WS (not in any particular order) All tobacco products contain 1. __________ that causes and intense physical and psychological addiction. Tobacco smoke also contains many different chemicals. One called 2._________ changes the elasticity of the air sacs. Once the air sacs in the lungs burst, breathing becomes difficult and labored. This smoker has developed a lung disease known as 3.__________. Other elements in tobacco smoke can influence cancers to start. These chemicals are collectively called 4.________. As a person tries to quit, they typically experience unpleasant side effects called 5. _____________ ____________. 6. ________ __________may help them stay tobacco free. Use these words to fill in the paragraph below: Radiation, mammogram, biopsy, tumor, metastasis, chemotherapy B. Mrs. Smith felt an unusual lump in her breast. She called her doctor and made an appointment for a cancer screening called a 1.__________. After her visit, her Dr. notified her and said that a sample of the tissue needed to be removed. He scheduled her for a 2. ____________. This test would identify the presence of a cancer growth or malignant 3._________. The doctor was encouraged because there was no __________________ meaning the cancer had not spread. Treatment included 5.________________ which is the use of chemical agents and 6.___________________ to stop the malignant cells from reproducing. Today Mrs. Smith is feeling great. Matching: Match the word in column A with its definition in column B. Column A Column B 1._______benign A. using x-rays to damage rapid growing cancer cells 2. ______ malignant B. when cancer cells spread 3._______carcinogen through the body 4. ______ metastasis 5._______mammogram 6. ______melanoma 7.______ remission 8.______ biopsy 9.______ radiation therapy C. a sample of tissue is removed and examined for cancer cells D. usually harmless, nonspreading tumor E. a Dr. trained to use radiation to destroy cancer F. a collection of cancerous cells G. a dr. who treats cancer patients 10. ______chemotherapy H. A cancerous tumor 11._____tumor I. cancer free 12._____oncologist J. destroying cancer cells with drugs 13. _____radiation oncologist K. information about how well a person is responding to treatment 14._____immuno therapy L. breast cancer screening test 15._____prognosis M. cancer causing agent N. using the immune system to fight cancer cells O. deadly type of skin cancer Picture identification. . What is suspicious about all of these moles? Do not repeat your answers. 1. 2. 3. Name_____________________________ Mrs. King Take home Midterm project Multiple choice 1.________ 11.________ 21._________ 2._________ 12._________ 22._________ 3._________ 13.__________ 23.__________ 4.__________ 14.__________ 24.__________ 5.__________ 15.__________ 25.__________ 6.__________ 16.__________ 26.__________ 7.__________ 17.__________ 27.__________ 8.__________ 18.__________ 28.__________ 9.__________ 19.__________ 29.__________ 10.__________ 20.__________ 30. a b 31. a b c d e f g 32. a b c d e f g h 33. a b c d e f g h 34. a b c d e f g h c True/False 1.________ 4._________ 7.__________ 2.________ 5._________ 8.___________ 3._________ 6._________ 9.___________ Short Answer 1.a._______________________________________________________ b.________________________________________________________ c.________________________________________________________ 2.a.______________________________________________________ b.________________________________________________________ 3.________________________________________________________ 4.a.______________________________________________________ b________________________________________________________ c________________________________________________________ d.________________________________________________________ Reading Passages A1.__________________________ B.______________________ 2.___________________________ 2.______________________ 3.___________________________ 3.______________________ 4.___________________________ 4.______________________ 5.____________________________ 5.______________________ 6.____________________________ 6.______________________ Matching; 1.________ 2.________ 3.________ 4._________ 5._________ 6.__________ 7.__________ 8.__________ 9.__________ 10.__________ 11._________ 12.__________ 13.__________ 14.__________ 15.__________ Picture identification 1._______________________________________ 2.________________________________________ 3._______________________________________