Hairy Mouth & Ish

Question 1

Synchronous

Answer 1

At dx or w/ in 6 months

Question 2

Metachronous

Answer 2

6 months or later

Question 3

CT scan always for

Answer 3

Bone fx

Question 4

MRI preferred for

Answer 4

Soft tissue infx

Question 5

Pet scan will typically pick up glucose tracers metabolized by

Answer 5

Healing areas, tumors, and the brain

Question 6

Head and neck ca Dx pattern

Answer 6

H&p–> imaging–> bx

Question 7

MC for tissue bx

Answer 7

Fine needle aspirated

Question 8

Dx cannot be confirmed w.o.

Answer 8

Biopsy

Question 9

MC second primary ca

Answer 9

Lung, esophageal, head&neck

Question 10

MC ca metastasis

Answer 10

Lung, liver & bone

Question 11

Lymph node and local invasion preferred dx

Answer 11

MRI

Question 12

Metastasis preferred Dx

Answer 12

Pet scan; nonspecific to

Question 13

Second primary ca preferred Dx

Answer 13

Dependent on location

Question 14

IV contrast always preferred for

Answer 14

Infx or tumor

Question 15

Early head and neck cancer present w/

Answer 15

Stage 1&2 and tx surgically or w/ rad therapy

Question 16

Pts w/ SCC MC present in what stage

Answer 16

3&4

Question 17

Following def tx of head and neck ca, pt rqs..

Answer 17

Surveillance 5+ years w/80-90% reoccurrence in 2-4 years and second primary ca increases after 3 years

Question 18

For pt w. Recurrent head and neck ca, tx is typically only..

Answer 18

Palliative and supportive care

Question 19

Chemoprevention includes supplementation w/

Answer 19

Folic acid (+EBM); zinc, soy, and selenium (-EBM)

Question 20

RT and surgery result in similar rates of control and survival for many sites, except..

Answer 20

Oral cavity ca