Flashcards in Chapter 45 Deck (32)
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1
Select the most common drugs used to treat prostate cancer
Alpha blockers
5 alpha reductase inhibitors
Docetaxel.....
2
Order the steps in a smoking cessation initiative
Ask, advise, assess, assist, arrange
3
Interventions that should be completed before cancer therapy
Oral exam, restorations, extractions, nonsurgical periodontal therapy, oral hygiene education
4
Which term to find the movement of malignant cells into blood or lymphatic tissue as well as the spread into other regions?
Metastasis
5
A tumor that has a cell and tissue structure similar to normal cells is called
Benign
6
Over 90% of head and neck cancer’s are
Oral squamous cell carcinoma
7
Individuals who have undergone radiation to the head and neck are at increased risk for all of the following conditions except one
Kaposi sarcoma
8
Surgical management of oral cancer typically includes the primary lesion and
Cervical lymph nodes
9
According to the TNM system, a tumor that is 2 cm or less is localized and defined to the site of origin would be classified as what stage?
Stage I
10
What is the tumor, node, metastasis system?
Most widely used internationally agreed on standards to describe and categorize cancer stages and progression
11
The most common opportunistic infection of the oropharynx in irradiated patients is
Candidiasis
12
Treatment of oral candidiasis
Nystatin
Clotrimazole
13
When cancer metastasizes, the new tumor has the same type of cancer cells as the organ or area in which it proliferates. If breast cancer spreads to the lung tissues, the cancer cells there are actually lung cancer cells and treated as lung cancer
Both statements are false
14
All of the following intervention should be completed before cancer therapy except which one?
all teeth with a poor prognosis should be extracted at least 2 days before radiation therapy
15
After abatement of acute oral complications, how often should a dental hygienist see a patient who has just completed radiation therapy to the head and the neck region?
4-8 weeks for first 6 months
16
High dose radiation or repeated radiation to the temporomandibular joint increases a patient’s risk of
Trismus
17
Stage two describes cancer that is regionally located in nearby structures. Stage four describes cancer that is extensive beyond the regional site, crossing several tissue layers.
First statement is true, second statement is false
18
Which type of cells do not invade tissues or travel to distant sites?
Benign
19
Oral cancer has a 30% recurrence rate. Patients with a history of oral cancer should be screened at every follow up appointment
Both statements are true
20
What are possible adverse effects that can arise from drugs used to treat benign prostate hyperplasia?
Dizziness
Hypotension
21
Patients undergoing chemotherapy usually experience acute complications that heal after treatment ends. Patient receiving direct radiation therapy to the head and neck region may have extended or chronic complications.
Both statements are true
22
The management of xerostomia to reduce the risk of radiation caries should include
use of salivary substitutes
23
IV biphosphonate’s are more likely to contribute to osteonecrosis of the jaw than oral biphosphonates because IV biphosphonates are more potent
Both statements are true
24
What term is used when a malignant tumor overcomes normal tissue boundaries by finding two other cells or tissues and spreading to other tissues?
Metastasis
25
—— caries is defined as tooth decay of the cervical region’s, incisal edges, and cusp tips secondary to xerostomia induced edges, and cusp chips secondary to xerostomia induced by radiation therapy to the head and neck
Radiation
26
Oral side effects of chemotherapy can lead to the disruption of
Survival
27
A patient with oral squamous cell carcinoma of the floor of the mouth exhibits metastatic disease in the lungs. What is the clinical stage of oral carcinoma for this patient?
Stage IV
28
Cancer is a malfunction of genes that control cell growth and division, resulting in tumor formation. Metastatic tumors are easily removable via surgery and do not have the capacity to invade tissues.
First statement is true, second statement is false
29
Proper staging is essential in determining the choice of therapy and assessing prognosis, because when malignant cancer cells are diagnosed, they are assigned a stage by the medical team on the basis of the size of the tumor and how it is spread.
Both statements are true
30
Necrosis and secondary infection of the alveolar bone is a serious complication related to
Osteoradionecrosis
31
Your patient has smoked one half a pack of cigarettes every day for the last 20 years. Calculate this patient’s pack a year
10 years
32
