head and neck

Question 1

_____ Includes lips,
buccal mucosa(interior lining of cheeks) ,
gingiva,
alveolar ridge,
hard palate,
floor of mouth,
retromolar trigone, and
anterior two thirds of tongue

Answer 1

Oral cavity

Question 2

Oral cavity Extends from

Answer 2

lips to the posterior aspect of the hard palate

Question 3

_________separate the anterior two thirds of the tongue, in the oral cavity, from the posterior part of the tongue, which is in the oropharynx

Answer 3

Circumvallate papillae

Question 4

Oral cavity cancers are associated with

Answer 4

Plummer-Vinson syndrome (iron deficiency in females)

Question 5

Cancers of the tongue, floor of mouth, and tonsils are associated with

Answer 5

human papillomavirus (HPV)

Question 6

_____ are the most common site for cancer in the oral cavity

Answer 6

Lips

Question 7

Early signs for ____ cancer are poor oral hygiene, poor dental hygiene, nonhealing ulcers, leukoplakia, and erythroplasia

Answer 7

oral cavity

Question 8

Majority of Oral cavity cancers are

Answer 8

squamous cell carcinoma (SCC)

Question 9

Main route of lymphatic spread for oral cavity in general is to

Answer 9

buccinator, jugulodigastric submandibular, and submental nodes

Question 10

Upper lip drains into the

Answer 10

submandibular and preauricular nodes

Question 11

Upper lip drains into the _____ nodes

Answer 11

submandibular and preauricular

Question 11

Lower lip and anterior mouth drain to ____nodes

Answer 11

submental

Question 12

Oral tongue drains to the anterior

Answer 12

cervical chain nodes

Question 13

Buccal mucosa drains to the ______ nodes

Answer 13

submandibular and subdigastric

Question 14

For oral cavity cancers Lymphatic and blood-borne spread is

Answer 14

rare

Question 15

Most common site of spread for oral cavity is to

Answer 15

cervical lymph nodes

Question 16

risk factor for oral cavity are

Answer 16

tobacco use - can cause leuplakia erthroplakia

drinking alcohol

Question 17

what are typical presentation for oral cavity?

Answer 17

• poor oral and dental hygiene
• Plummer - vinson syndrome
• leukoplakia/erythroplasia (severe dysplastic changes)
• non healing ulcers

Question 18

detection and diagnosis for oral cavity

Answer 18

oral inspection and palpation
biopsy
CT/MRI

Question 19

treatment for oral cavity

Answer 19

• surgery
• radiation therapy 5000-7000 cGY opposed lateral and boost fields
  -IMrt IGRT chemo

Question 20

radiation treatment borders

Answer 20

• Anterior - anterior portion of mandible (excluding lower lip)
• posterior- behind vertebral bodies or spinous process
• superior - 1.5 cm above the tongue
• inferior - thyroid notch