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A 59-Year-Old Woman Comes to the Physician Because of Worsening

Question 10

Multiple Choice

A 59-year-old woman comes to the physician because of worsening shortness of breath for the past two weeks. Physical examination shows decreased breath sounds at both lung bases. The abdomen is distended and there is shifting dullness with a positive fluid wave. Ultrasound of the abdomen shows a large collection of peritoneal fluid and a hypoechoic mass involving the left ovary. Molecular analysis of the malignant cells in ascitic fluid is performed, and these cells are found to have high telomerase activity.  This enzyme promotes cell growth and malignancy by directly causing which of the following actions?


A) Enhancing tissue invasion and metastasis
B) Increasing transcription factor expression
C) Preventing chromosomal shortening
D) Promoting G1/S progression
E) Sustaining angiogenesis

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