Chapter 45

Question 1

Select the most common drugs used to treat prostate cancer

Answer 1

Alpha blockers
5 alpha reductase inhibitors
Docetaxel…..

Question 2

Order the steps in a smoking cessation initiative

Answer 2

Ask, advise, assess, assist, arrange

Question 3

Interventions that should be completed before cancer therapy

Answer 3

Oral exam, restorations, extractions, nonsurgical periodontal therapy, oral hygiene education

Question 4

Which term to find the movement of malignant cells into blood or lymphatic tissue as well as the spread into other regions?

Answer 4

Metastasis

Question 5

A tumor that has a cell and tissue structure similar to normal cells is called

Answer 5

Benign

Question 6

Over 90% of head and neck cancer’s are

Answer 6

Oral squamous cell carcinoma

Question 7

Individuals who have undergone radiation to the head and neck are at increased risk for all of the following conditions except one

Answer 7

Kaposi sarcoma

Question 8

Surgical management of oral cancer typically includes the primary lesion and

Answer 8

Cervical lymph nodes

Question 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?

Answer 9

Stage I

Question 10

What is the tumor, node, metastasis system?

Answer 10

Most widely used internationally agreed on standards to describe and categorize cancer stages and progression

Question 11

The most common opportunistic infection of the oropharynx in irradiated patients is

Answer 11

Candidiasis

Question 12

Treatment of oral candidiasis

Answer 12

Nystatin

Clotrimazole

Question 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

Answer 13

Both statements are false

Question 14

All of the following intervention should be completed before cancer therapy except which one?

Answer 14

all teeth with a poor prognosis should be extracted at least 2 days before radiation therapy

Question 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?

Answer 15

4-8 weeks for first 6 months

Question 16

High dose radiation or repeated radiation to the temporomandibular joint increases a patient’s risk of

Answer 16

Trismus

Question 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.

Answer 17

First statement is true, second statement is false

Question 18

Which type of cells do not invade tissues or travel to distant sites?

Answer 18

Benign

Question 19

Oral cancer has a 30% recurrence rate. Patients with a history of oral cancer should be screened at every follow up appointment

Answer 19

Both statements are true

Question 20

What are possible adverse effects that can arise from drugs used to treat benign prostate hyperplasia?

Answer 20

Dizziness

Hypotension

Question 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.

Answer 21

Both statements are true

Question 22

The management of xerostomia to reduce the risk of radiation caries should include

Answer 22

use of salivary substitutes

Question 23

IV biphosphonate’s are more likely to contribute to osteonecrosis of the jaw than oral biphosphonates because IV biphosphonates are more potent

Answer 23

Both statements are true

Question 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?

Answer 24

Metastasis

Question 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

Answer 25

Radiation

Question 26

Oral side effects of chemotherapy can lead to the disruption of

Answer 26

Survival

Question 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?

Answer 27

Stage IV

Question 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.

Answer 28

First statement is true, second statement is false

Question 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.

Answer 29

Both statements are true

Question 30

Necrosis and secondary infection of the alveolar bone is a serious complication related to

Answer 30

Osteoradionecrosis

Question 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

Answer 31

10 years

Question 32

The most common acute complication following chemotherapy is

Answer 32

Mucositis