Ch. 31 Head and Neck Cancer PP

Question 1

6 most common sites affected

Answer 1

oral cavity
pharynx
paransal sinuses
larynx
thyroid gland
salivary glands

Question 2

most common histologic type

Answer 2

SCC

Question 3

incidence rate higher in women or men?

Answer 3

men

Question 4

risk factors

Answer 4

tobacco and alcohol use
UV light exposure 
viral infection
occupational exposure 
raidaiton exposure 
diet 
marijuana 
dentures 
genetics

Question 5

viral infection associated with nasopharynx cancer

Answer 5

epstein barr virus

Question 6

morbidity of treatment ____ and prognosis ____ as the affected area progess ____ from lips to hypopharynx

Answer 6

increases
decrease
backward

Question 7

divisions of the pharynx

Answer 7

nasopharynx
oropharynx
laryngopharynx

Question 8

respiratory tube is located in which portion of the pharynx

Answer 8

nasopharynx

Question 9

gigestive tubes located in which portion (s) of the pharyxn

Answer 9

oropharynx and hypopharynx

Question 10

inferior margin of the nasopharynx

Answer 10

C1

Question 11

oropharynx

Answer 11

C2-C3

Question 12

epiglottis

Answer 12

C3

Question 13

true vocal cords

Answer 13

C4

Question 14

lymphatic drainage is mostly

Answer 14

ipsilateral

Question 15

5 areas where bilateral drainage occurs

Answer 15

soft palate 
tonsils 
base of tongue 
posterior pharyngeal wall
nasopharynx

Question 16

most common histologic type

Answer 16

SCC

Question 17

salivary glands histology

Answer 17

adenocarcinoma

Question 18

two cells that are nondividing but radiosensitive

Answer 18

small lymphocytes and salivary glands

Question 19

what is located in the oral cavity region

Answer 19

anterior 2/3 of the tongue 
lip 
buccal mucosa
lower alveolar ridge
upper alveolar ridge
retromolar trigone
floor of mouth
hard palate

Question 20

most common histology in oral cavity

Answer 20

SCC

Question 21

2nd lowest incidence of mets in H&N cancer

Answer 21

oral cavity

Question 22

posterior 1/3 portion of the tongue is apart of the

Answer 22

oropharynx

Question 23

locatd behind the mouth from soft palate to level of hyoid bone

Answer 23

oropharynx

Question 24

what is included in the oropharynx

Answer 24

base of tongue
tonsils
soft palate
oropharyngeal walls

Question 25

most common site for oropharynx cancer

Answer 25

tonsils

Question 26

Located from hyoid bone to termination in the esophagus

Answer 26

hypopharynx

Question 27

what is included in the hypopharynx

Answer 27

Pyriform sinuses postcricoid lower posterior pharyngeal walls below the base of the tongue

Question 28

most common site for cancer in the phyopharynx for men

Answer 28

pyriform sinus

Question 29

most common site for cancer in the phyopharynx for women

Answer 29

postcricoid

Question 30

Located behind nose, extending from posterior nares to level of soft palate

Answer 30

nasopharynx

Question 31

what is included in the nasopharynx

Answer 31

Posterosuperior pharyngeal wall and lateral pharyngeal wall eustachian tub orifice adenoids

Question 32

what three nodes does nasopharyngeal cancer spread most often

Answer 32

retropharyngeal upper jugular spinal accessory nodes(posterior cervical)

Question 33

most common distant mets sites of nasopharyngeal cancer

Answer 33

bone lung liver

Question 34

Contiguous with the lower portion of the pharynx above, connected with trachea below

Answer 34

larynx

Question 35

most common head and neck cancer

Answer 35

laryngeal cnacer

Question 36

most common laryngeal cancer

Answer 36

glottis/true vocal cords

Question 37

3 salivary glands

Answer 37

parotid submandibular sublingual

Question 38

most common site for salivery gland cancer

Answer 38

parotid

Question 39

largest salivary gland

Answer 39

parotid

Question 40

most common sinus cancer

Answer 40

maxillary

Question 41

morbidity is higher with what two treatment types

Answer 41

surgery and radiation

Question 42

xerostomia occurs after what dose

Answer 42

1000 cGy

Question 43

dimished longterm salivery function occurs at what dose

Answer 43

2000 cGy

Question 44

cataracts may develop after what dose

Answer 44

1000 cGy

Question 45

servere dry eye syndrome has been reported in 100% of patients recieivng more than

Answer 45

5700 cGy

Question 46

taste buds are (radioresisent or radiosensitve)

Answer 46

radiosensitive

Question 47

common symptoms of the oral cavity

Answer 47

swelling | an ulcer that fails to heal

Question 48

common symptoms of the oporharynx

Answer 48

bloody discharge | difficulty hearing

Question 49

common symptoms of the larynx

Answer 49

hoarseness and stridor

Question 50

common symptoms of the hypopharynx

Answer 50

dsyphagia (difficulity swallowing) | painful neck node

Question 51

common symptoms of the nose/sinuses

Answer 51

``` obstruction discharge facial pain diplopia (double vision) local swelling ```