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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

The most common acute complication following chemotherapy is

Mucositis