Chapter 7/20

Question 1

Check all that apply. Potential negative impact on periodontal tissues from smoked tobacco include

Answer 1

.

Question 2

Which is the most common sites for squamous cell carcinoma?

Answer 2

Lateral border of the tongue

Question 3

___________________ is accomplished by determining the degree of differentiation exhibited by the cells and how closely the cells resemble normal tissue structures:

Answer 3

Grading

Question 4

Carcinoma that does not invade the connective tissue is referred to as

Answer 4

Carcinoma in situ

Question 5

Cessation medications should be discussed with and recommended to patients as part of a tobacco-dependency intervention because they are able to

Answer 5

.

Question 6

A premalignant condition during which cells undergo a combination of cellular and architectural changes is called

Answer 6

.

Question 7

The most common form of oral cancer is

Answer 7

Squamous cell carcinoma

Question 8

___________________ is the building of vascular tissue needed to sustain cancerous growth.

Answer 8

Angiogenesis

Question 9

_________________ involves the degree of alteration of cells from their normal morphology (form) and function

Answer 9

Differentiation

Question 10

What is the most important advice that a dental hygienist can give a patient with respect to oral home health care?

Answer 10

Instruction geared to the patient’s level of learning

Question 11

Which one of the following represents the U.S. Public Health Services 5 A’s tobacco dependence intervention?

Answer 11

• Ask
• Advise
• Assess
• Assist
• Arrange

Question 12

Which of the following is the Greatest Single risk factor for oral and pharyngeal cancer?

Answer 12

Tobacco

Question 13

Malignant neoplasm derived from epithelial tissue is called ______________

Answer 13

Carcinomas

Question 14

The only way to definitely diagnose oral malignancies is with a surgical biopsy. A scalpel biopsy is the gold standard for diagnosing oral cancer.

Answer 14

Both statements are true

Question 15

Which two viruses in the hepatic family are blood-borne?

Answer 15

B/C

Question 16

Check all that apply. Oral lesions and conditions related to tobacco use include

Answer 16

.

Question 17

______________________ is the primary cause of tonsillar cancer

Answer 17

Human papilloma virus (HPV)

Question 18

A grayish-white lesion of the oral mucosa in humans, was once thought to be a probable precursor to leukoplakia.

Answer 18

Leukoedema

Question 19

Pharmacotherapy for treatment of nicotine dependence include ( Check all that apply )

Answer 19

.

Question 20

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.

Answer 20

Both statements are true

Question 21

Identify this lesion. Related to sun and/or ultraviolet rays and occurs in fair skinned individuals.

Answer 21

Actinic cheilitis

Question 22

Actinic cheilitis is a demonstrated precancerous lesion usually occurring on the lower lip. Actinic cheilitis frequently progresses to squamous cell carcinoma.

Answer 22

Both statements are true

Question 23

Hyperbaric oxygen is used in the treatment of

Answer 23

Osteoradionecrosis

Question 24

How long after initial detection of a lump or lesion should a patient be seen by a dental professional for a reevaluation?

Answer 24

2 weeks

Question 25

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?

Answer 25

.

Question 26

Check all that apply. Demonstrate a greater threat for malignant transformation.

Answer 26

.

Question 27

Identify the lesion below: | https://img.medscapestatic.com/pi/meds/ckb/77/28177.jpg

Answer 27

.

Question 28

Match the drug interactions with tobacco smoking Question Theophylline Insulin Beta blockers Oral Contraceptives

Answer 28

.

Question 29

The combination of tobacco use and excessive alcohol use is synergistic. Indiviiduals who use both are more likely to develop oral cancer.

Answer 29

Both statements are true

Question 30

Tobacco use affects the periodontium by

Answer 30

.

Question 31

Radiation therapy has all of the side effects except which one?

Answer 31

.

Question 32

Smoking was once thought of as just a bad habit. Today smoking is understood as a nicotine-dependent action and is considered a

Answer 32

.

Question 33

Program cell death is called

Answer 33

Apoptosis

Question 34

Check all that apply. Possible signs and symptoms of oral cancer incude

Answer 34

.

Question 35

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)

Answer 35

- Relevance - Risks - Rewards - Roadblocks - Repetition

Question 36

Is typically performed to differentiate benign and malignant lesions tlhat involve the lymph nodes or salivary glands

Answer 36

.

Question 37

A chronic inflammatory dermatologic disease that frequently manifests as lesions of the oral cavity is called

Answer 37

.

Question 38

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.

Answer 38

Both statements are true

Question 39

Identify this lesion. Thickened, white patches form on your gums, the insides of your cheeks, the bottom of your mouth and, sometimes, your tongue.

Answer 39

Leukoplakia

Question 40

______________ refers to the number of new cases of a disease in a specified population during 1 year per 100,000 individuals.

Answer 40

Incidence

Question 41

A rapid growth of the number of cells is called:

Answer 41

?

Question 42

Mucositis is a concern for patients who have which treatment types?

Answer 42

Radiation therapy/chemotherapy

Question 43

Palpation of the lymph nodes during the head and neck exam may reveal all of the following conditions except one.

Answer 43

?

Question 44

Agents that promote saliva flow are called:

Answer 44

Sialogogues

Question 45

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

Answer 45

Herpes simplex virus 1

Question 46

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

Answer 46

Ask

Question 47

The inclusion of tobacco assessment and cessation is not only appropriate but also an ethical obligation on the part of every clinician.

Answer 47

Both statements are true

Question 48

Which of the following clinical signs and symptoms is characteristic of necrotizing ulcerative gingivitis (NUG)?

Answer 48

- Punched-out papillae and craters - Odor - Pain and bleeding

Question 49

How long is the oral cancer patient at risk for developing osteoradionecrosis?

Answer 49

Lifetime

Question 50

Mucositis is a concern for patients who have which treatment types?

Answer 50

Radiation therapy and chemotherapy

Question 51

The population group most likely to die from oral cancer is

Answer 51

African-American males

Question 52

The most common area for intraoral squamous cell carcinoma to occur is the

Answer 52

Tongue

Question 53

Squamous cell carcinoma accounts for what percentage of oral and oropharyngeal cancers?

Answer 53

90%

Question 54

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?

Answer 54

20.6%

Question 55

Smoking was once thought of as just a bad habit. Today smoking is understood as a nicotine – dependent action and is considered a

Answer 55

Chronic, relapsing disorder

Question 56

For which of the following oral conditions is smoking not considered a significant risk factor?

Answer 56

Exaggerated Tori development

Question 57

Which one of the following represents the US public health service 5A’s tobacco dependence intervention?

Answer 57

Ask, advise, assess, assist, and arrange

Question 58

Cessation medication should be discussed with and recommended to patients as a part of a tobacco- dependency intervention because they are able to

Answer 58

Aid in the reduction of withdrawal symptoms