Oral cancer - Week 3

Question 1

What factor influences survival in oral cancer?

Answer 1

Location of tumour

Question 2

Where are the most common locations for oral cancer in the UK?

Answer 2

Floor of the mouth and lateral aspects of the tongue

Question 3

Which age group is oral cancer more common in?

Answer 3

> 50

Question 4

What is the red flag symptom which should always result in a specialist referral?

Answer 4

Bleeding/no healing within 2-3 weeks

Question 5

What are the 4 greatest risk factors for oral cancer?

Answer 5

Smoking, tobacco, HPV, Candida

Question 6

Which types of smoking increase risk of oral cancer more than cigarettes?

Answer 6

Hookah, chewing tobacco and rolled tobacco with no filter

Question 7

What is the recommended alcohol intake for men?

Answer 7

14 units per week

Question 8

What is the recommended alcohol intake for women?

Answer 8

14 units per week

Question 9

What is a ‘binge drink’ for men?

Answer 9

8 units in one session

Question 10

What is a ‘binge drink’ for women?

Answer 10

6 units

Question 11

Are alcohol mouthwashes recommended?

Answer 11

Opinion divided but usually, yes

Question 12

Which dietary deficiencies may cause atrophy of oral mucosa?

Answer 12

Vit A, C , Iron

Question 13

What is the significance of oral sex in oral cancer?

Answer 13

May transfer HPV

Question 14

Which signs should you look for in oral cancer?

Answer 14

Red patches, ulcers, bleeding, bubbling of mucosa, swelling, redness, white patch, erythema

Question 15

Which type of cancer is most common in the mouth?

Answer 15

Squamous cell carcinoma

Question 16

What is Erosive L.Planus?

Answer 16

Skin condition which can arise in the mouth and increases risk of oral cancer

Question 17

Which area of the mouth is usually affected by oral cancer in Asia?

Answer 17

Buccal mucosa

Question 18

What is lichen planus?

Answer 18

White striations

Question 19

What is meant by Leukoplakia?

Answer 19

thick, white patches form on your tongue and the lining of your mouth. Smoking is the most common cause

Question 20

What is erythroleukoplasia?

Answer 20

Red/white patch

Question 21

Name the warning signs for oral cancer.

Answer 21

Red / White/ Red & White lesion
Ulcer (exclude trauma,drug,systemic etc )
 Numb feeling eg lip,face
Unexplained pain in mouth or neck
Change in voice
Dysphagia

Question 22

Which facial changes may occur in oral cancer?

Answer 22

Mandible fracture
Drooping eye lid or facial palsy
Facial swelling