Exam 3 Part 5

Question 1

What are the modalities of treatment for head/neck cancer?

Answer 1

Surgery, radiation, combination, chemotherapy and radiation therapy, immunological therapy

Question 2

What can treatment affect?

Answer 2

Ability to eat, speak, breathe, swallow

Question 3

What are radiation therapy side effects?

Answer 3

Dysphagia, pain while swallowing, diminished taste, loss of appetite, skin irritation, tissue swelling/hardening, decreased salivary flow, dry mouth, lymphedema

Question 4

Level 1 lymph nodes

Answer 4

Submental

Question 5

level 6 lymph nodes

Answer 5

Compartmental

Question 6

What are side effects of chemotherapy?

Answer 6

Nausea, vomiting, fatigue, hair loss, sores in mouth, dermatitis, loss of appetite, dry mouth, weak immunity, bleeding, bruising, allergic reaction, diarrhea, damage to nervous system and internal organs

Question 7

T/F: Alkylating agents are used for DNA-cleavage to stop the growth of cancerous cells.

Answer 7

True

Question 8

How long do patients need feeding tubes after surgery?

Answer 8

5-7 days

Question 9

What types of foods should patients start with after surgery?

Answer 9

Ice chips, liquids, soft foods, when medically appropriate

Question 10

T/F: Pre-Operative Counseling is usually provided by SLP

Answer 10

True

Question 11

Removal of the larynx

Answer 11

Laryngectomy

Question 12

Complete remove of the larynx

Answer 12

Total laryngectomy

Question 13

What parts of the larynx are removed in a total laryngectomy?

Answer 13

Epiglottis, inferior/superior muscular membranous attachments, hyoid bone, extrinsic strap muscles, upper 2 or 3 tracheal rings

Question 14

Trachea is redirected and sutured to external neck area just above the notch of the sternum to act as an airway

Answer 14

Stoma

Question 15

T/F: Stomas create a connection between the trachea and pharynx, nose, and mouth

Answer 15

False; do not

Question 16

Unit of tissue located beyond the resection site used to reconstruct a surgical defect and are defined based on the pattern of blood supply/location

Answer 16

Flap surgery

Question 17

What are the advantages of microvascular free flaps?

Answer 17

Improved vascularity and wound healing, potential for sensory/motor innervation, wide variety of available tissue types, tailored to match defect, more efficient use of harvested tissue

Question 18

T/F: Pectoralis major is the common muscle used in microvascular free flap reconstruction.

Answer 18

False

Question 19

T/F: Advantages of microvascular free flaps are easily vascularizable, improved sensory and motor innervation, and tailorable.

Answer 19

True

Question 20

T/F: Medical oncologist diagnose clinical imaging studies

Answer 20

Radiologist