Chapter 7/20 Flashcards
Check all that apply. Potential negative impact on periodontal tissues from smoked tobacco include
.
Which is the most common sites for squamous cell carcinoma?
Lateral border of the tongue
___________________ is accomplished by determining the degree of differentiation exhibited by the cells and how closely the cells resemble normal tissue structures:
Grading
Carcinoma that does not invade the connective tissue is referred to as
Carcinoma in situ
Cessation medications should be discussed with and recommended to patients as part of a tobacco-dependency intervention because they are able to
.
A premalignant condition during which cells undergo a combination of cellular and architectural changes is called
.
The most common form of oral cancer is
Squamous cell carcinoma
___________________ is the building of vascular tissue needed to sustain cancerous growth.
Angiogenesis
_________________ involves the degree of alteration of cells from their normal morphology (form) and function
Differentiation
What is the most important advice that a dental hygienist can give a patient with respect to oral home health care?
Instruction geared to the patient’s level of learning
Which one of the following represents the U.S. Public Health Services 5 A’s tobacco dependence intervention?
- Ask
- Advise
- Assess
- Assist
- Arrange
Which of the following is the Greatest Single risk factor for oral and pharyngeal cancer?
Tobacco
Malignant neoplasm derived from epithelial tissue is called ______________
Carcinomas
The only way to definitely diagnose oral malignancies is with a surgical biopsy. A scalpel biopsy is the gold standard for diagnosing oral cancer.
Both statements are true
Which two viruses in the hepatic family are blood-borne?
B/C
Check all that apply. Oral lesions and conditions related to tobacco use include
.
______________________ is the primary cause of tonsillar cancer
Human papilloma virus (HPV)
A grayish-white lesion of the oral mucosa in humans, was once thought to be a probable precursor to leukoplakia.
Leukoedema
Pharmacotherapy for treatment of nicotine dependence include ( Check all that apply )
.
Exfoliative cytology involves the microscopic examination of cells obtained from tissue. Because more than 90% of oral cancers arise from epithelial tissue, exfoliative cytology is an effective screening aid to determine whether to biopsy a lesion.
Both statements are true
Identify this lesion. Related to sun and/or ultraviolet rays and occurs in fair skinned individuals.
Actinic cheilitis
Actinic cheilitis is a demonstrated precancerous lesion usually occurring on the lower lip. Actinic cheilitis frequently progresses to squamous cell carcinoma.
Both statements are true
Hyperbaric oxygen is used in the treatment of
Osteoradionecrosis
How long after initial detection of a lump or lesion should a patient be seen by a dental professional for a reevaluation?
2 weeks
During an oral cancer examination, you notice a red patch on your patient’s buccal mucosa. Which of the following would you immediately rule out?
.
Check all that apply. Demonstrate a greater threat for malignant transformation.
.
Identify the lesion below:
https://img.medscapestatic.com/pi/meds/ckb/77/28177.jpg
.
Match the drug interactions with tobacco smoking
Question
Theophylline
Insulin
Beta blockers
Oral Contraceptives
.
The combination of tobacco use and excessive alcohol use is synergistic. Indiviiduals who use both are more likely to develop oral cancer.
Both statements are true
Tobacco use affects the periodontium by
.
Radiation therapy has all of the side effects except which one?
.
Smoking was once thought of as just a bad habit. Today smoking is understood as a nicotine-dependent action and is considered a
.
Program cell death is called
Apoptosis
Check all that apply. Possible signs and symptoms of oral cancer incude
.
The PHS Treating Tobacco Use and Dependence Guideline uses 5 R’s at the precontemplation or contemplation stage with the patient who is not ready to quit but has entered into some level of discussion. The 5 R’s include ( Check all that apply)
- Relevance
- Risks
- Rewards
- Roadblocks
- Repetition
Is typically performed to differentiate benign and malignant lesions tlhat involve the lymph nodes or salivary glands
.
A chronic inflammatory dermatologic disease that frequently manifests as lesions of the oral cavity is called
.
Autofluorescence (VELscope) is a hand held device the clinician uses to observe changes in the appearance of oral tissues. Abnormal tissue typically appears as an irregular, dark area that stands out against the otherwise normal green fluorescence pattern surrounding healthy tissue.
Both statements are true
Identify this lesion.
Thickened, white patches form on your gums, the insides of your cheeks, the bottom of your mouth and, sometimes, your tongue.
Leukoplakia
______________ refers to the number of new cases of a disease in a specified population during 1 year per 100,000 individuals.
Incidence
A rapid growth of the number of cells is called:
?
Mucositis is a concern for patients who have which treatment types?
Radiation therapy/chemotherapy
Palpation of the lymph nodes during the head and neck exam may reveal all of the following conditions except one.
?
Agents that promote saliva flow are called:
Sialogogues
Your patient has arrived for his appointment and has a 6-mm, slightly elevated encrusted lesion on his lower lip. He says that it has been there for approximately 1 week. You find that he has a history of cold sores on his chart. The infectious agent responsible for this infection is the
Herpes simplex virus 1
A program for tobacco use cessation is an essential component of the dental hygiene care plan for appropriate patients. The first step for tobacco dependence intervention is to
Ask
The inclusion of tobacco assessment and cessation is not only appropriate but also an ethical obligation on the part of every clinician.
Both statements are true
Which of the following clinical signs and symptoms is characteristic of necrotizing ulcerative gingivitis (NUG)?
- Punched-out papillae and craters
- Odor
- Pain and bleeding
How long is the oral cancer patient at risk for developing osteoradionecrosis?
Lifetime
Mucositis is a concern for patients who have which treatment types?
Radiation therapy and chemotherapy
The population group most likely to die from oral cancer is
African-American males
The most common area for intraoral squamous cell carcinoma to occur is the
Tongue
Squamous cell carcinoma accounts for what percentage of oral and oropharyngeal cancers?
90%
The percentage of adult smokers in the United States steadily declined beginning in 1964 and then leveled off in recent years. What is the current percentage of adults who smoke?
20.6%
Smoking was once thought of as just a bad habit. Today smoking is understood as a nicotine – dependent action and is considered a
Chronic, relapsing disorder
For which of the following oral conditions is smoking not considered a significant risk factor?
Exaggerated Tori development
Which one of the following represents the US public health service 5A’s tobacco dependence intervention?
Ask, advise, assess, assist, and arrange
Cessation medication should be discussed with and recommended to patients as a part of a tobacco- dependency intervention because they are able to
Aid in the reduction of withdrawal symptoms
