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Dental Hygiene 2 > Module 16- Cancer Patient > Flashcards

Module 16- Cancer Patient Flashcards

1
Q

Cancer refers to a group of _______ diseases where there is ______ of normal cells into ________ ones?

A

neoplastic
transformation
malignant

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2
Q

Malignant Cancers have the properties of ____, ______, and _____ (said of tumors)

A

anaplasia
invasiveness
metastasis

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3
Q

______ are epithelial tissue tumors?

A

Carcinomas

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4
Q

_____ are connective tissue tumors?

A

Sarcomas

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5
Q

Cancer staging is based on ______ and ____

A

origin

spread

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6
Q

What does the cancer staging acronym TNM stand for?

A

Tumor size
presence or absence of lymph Nodes
presence or absence of Metastasis

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7
Q

Epstein-Barr virus is implicated in _____ ______ cancer?

A

Burkett’s Lymphoma

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8
Q

______ involves the use of DRUGS to kill rapidly dividing cancer cells?

A

Chemotherapy

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9
Q

Chemotherapy can cause ______ in the oral cavity….this mimics a toothache and is usually _______ located?

A

Neurotoxicity

Bilaterally

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10
Q

Radiation Therapy uses ____ _____ to treat cancer?

A

ionizing radiation

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11
Q

Radiation therapy impacts the cancer cell’s ability to ________

A

replicate

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12
Q

Internal radiation therapy uses sources such as _____ or _____ placed inside the body.

A

implants

seeds

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13
Q

Which type of radiation therapy uses the least radiation?

A

internal

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14
Q

The total dose of radiation given depends on what 3 things?

A

type of tumor
treatment goals
ability to tolerate

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15
Q

Total radiation dose is approximately _____ to _______ centigrays?

A

3,000

7,000

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16
Q

Radiation therapy is given ______ times a day, _______ times a week, for how long?

A

1
5
5-12 wks

17
Q

The most common systemic effect of radiation therapy is?

A

Skin reaction (sun burn look)

18
Q

______ or the inability to open your mouth is a common side effect of ______ therapy?

A

Trismus

Radiation

19
Q

What is the term for the treatment when a substitute blood stem cell or bone marrow procedure is performed?

A

Hematopoietic cell transplantation

20
Q

What are the 3 basic types of Hematopoietic cell transplantations?

A

Autolgous
Allogenic
Syngeneic

21
Q

A Syngeneic Transplant comes from?

A

identical twin

22
Q

A Allogenic Transplant comes from?

A

Matched Donor

23
Q

A Autolgous Transplant comes from?

A

self

24
Q

What Transplant Complication is seen during the first 100 days post-transplant?

A

Acute Graft Versus Host Disease

25
Q

Acute GVHD starts out as a painful ___ on the ____ and ____ which progresses to the _____

A

rask
palms
soles
upper trunk

26
Q

What oral complication is seen with Acute GVHD and when is it seen?

A 
Oral mucositis (severe)
10-14 days posttransplant
27
Q

What transplant complication affects ALL organs of the body? When does it appear?

A

Chronic GVHD

2 years posttransplant

28
Q

A patient with Head and Neck Radiation Therapy should use a once daily?

A

fluoride gel tray

29
Q

What can a head and neck radiation patient do in order to decrease likelihood of getting trismus?

A

exercises 3 x day (open and close mouth 20 times each time)

30
Q

During Chemotherapy we should do what with our patient?

A

Consult with medical oncologist first!!!

31
Q

A patient should rinse with _______ while undergoing cancer treatment, and after? How often should they rinse?

A

baking soda and water…followed by water

every 2-3 hrs

32
Q

Cancer patients should avoid _____ swabs because they dry the mouth even more?

A

lemon glycerin

33
Q

A cancer patient can swish with ______ before eating to help with pain management?

A

topical anesthetic (30 min before)

34
Q

A cancer patient with ____ or _____ NEEDS to pre-medicate before dental treatment?

A

venous catheter

peripheral catheter

35
Q

What are 2 common oral infections after hematopoietic cell transplants?

A

herpes simplex

Candida Albicans

36
Q

We should delay elective dental procedures for ______ time frame after hematopoietic cell transplants?

A

1yr

37
Q

What are 3 STRONG oral complications that could be signs of Chronic GVHD?

A

mucositis
xerostomia
dental caries

Dental Hygiene 2 (19 decks)

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