Module 16- Cancer Patient

Question 1

Cancer refers to a group of _______ diseases where there is ______ of normal cells into ________ ones?

Answer 1

neoplastic
transformation
malignant

Question 2

Malignant Cancers have the properties of ____, ______, and _____ (said of tumors)

Answer 2

anaplasia
invasiveness
metastasis

Question 3

______ are epithelial tissue tumors?

Answer 3

Carcinomas

Question 4

_____ are connective tissue tumors?

Answer 4

Sarcomas

Question 5

Cancer staging is based on ______ and ____

Answer 5

origin

spread

Question 6

What does the cancer staging acronym TNM stand for?

Answer 6

Tumor size
presence or absence of lymph Nodes
presence or absence of Metastasis

Question 7

Epstein-Barr virus is implicated in _____ ______ cancer?

Answer 7

Burkett’s Lymphoma

Question 8

______ involves the use of DRUGS to kill rapidly dividing cancer cells?

Answer 8

Chemotherapy

Question 9

Chemotherapy can cause ______ in the oral cavity….this mimics a toothache and is usually _______ located?

Answer 9

Neurotoxicity

Bilaterally

Question 10

Radiation Therapy uses ____ _____ to treat cancer?

Answer 10

ionizing radiation

Question 11

Radiation therapy impacts the cancer cell’s ability to ________

Answer 11

replicate

Question 12

Internal radiation therapy uses sources such as _____ or _____ placed inside the body.

Answer 12

implants

seeds

Question 13

Which type of radiation therapy uses the least radiation?

Answer 13

internal

Question 14

The total dose of radiation given depends on what 3 things?

Answer 14

type of tumor
treatment goals
ability to tolerate

Question 15

Total radiation dose is approximately _____ to _______ centigrays?

Answer 15

3,000

7,000

Question 16

Radiation therapy is given ______ times a day, _______ times a week, for how long?

Answer 16

1
5
5-12 wks

Question 17

The most common systemic effect of radiation therapy is?

Answer 17

Skin reaction (sun burn look)

Question 18

______ or the inability to open your mouth is a common side effect of ______ therapy?

Answer 18

Trismus

Radiation

Question 19

What is the term for the treatment when a substitute blood stem cell or bone marrow procedure is performed?

Answer 19

Hematopoietic cell transplantation

Question 20

What are the 3 basic types of Hematopoietic cell transplantations?

Answer 20

Autolgous
Allogenic
Syngeneic

Question 21

A Syngeneic Transplant comes from?

Answer 21

identical twin

Question 22

A Allogenic Transplant comes from?

Answer 22

Matched Donor

Question 23

A Autolgous Transplant comes from?

Answer 23

self

Question 24

What Transplant Complication is seen during the first 100 days post-transplant?

Answer 24

Acute Graft Versus Host Disease

Question 25

Acute GVHD starts out as a painful ___ on the ____ and ____ which progresses to the _____

Answer 25

rask palms soles upper trunk

Question 26

What oral complication is seen with Acute GVHD and when is it seen?

Answer 26

``` Oral mucositis (severe) 10-14 days posttransplant ```

Question 27

What transplant complication affects ALL organs of the body? When does it appear?

Answer 27

Chronic GVHD | 2 years posttransplant

Question 28

A patient with Head and Neck Radiation Therapy should use a once daily?

Answer 28

fluoride gel tray

Question 29

What can a head and neck radiation patient do in order to decrease likelihood of getting trismus?

Answer 29

exercises 3 x day (open and close mouth 20 times each time)

Question 30

During Chemotherapy we should do what with our patient?

Answer 30

Consult with medical oncologist first!!!

Question 31

A patient should rinse with _______ while undergoing cancer treatment, and after? How often should they rinse?

Answer 31

baking soda and water...followed by water | every 2-3 hrs

Question 32

Cancer patients should avoid _____ swabs because they dry the mouth even more?

Answer 32

lemon glycerin

Question 33

A cancer patient can swish with ______ before eating to help with pain management?

Answer 33

topical anesthetic (30 min before)

Question 34

A cancer patient with ____ or _____ NEEDS to pre-medicate before dental treatment?

Answer 34

venous catheter | peripheral catheter

Question 35

What are 2 common oral infections after hematopoietic cell transplants?

Answer 35

herpes simplex | Candida Albicans

Question 36

We should delay elective dental procedures for ______ time frame after hematopoietic cell transplants?

Answer 36

1yr

Question 37

What are 3 STRONG oral complications that could be signs of Chronic GVHD?

Answer 37

mucositis xerostomia dental caries