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What are 6 risk factors for oral cancer?
- Tobacco
- alcohol
- sunlight
- environmental/occupational
- viruses: epstein barr virus; hep C; HPV
- socioeconomic
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What are 2 ways that cancers are identified and described?
- origin of tissue
- type of cell from which they arise: normally epithelial or connective tissue
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What are 4 ways cancer is treated?
- surgery
- chemotherapy
- radiation
- hematopoietic cell transplantation
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What is the most common form of treatment solid cancers?
surgery
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What type of cancer treatment involves the use of drugs that affect the rapidly dividing cancer cell at different points in the cell cycle, the drugs are used as a singel agent or in combination; side effects commonly affect oral cavity?
chemotherapy
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Wich type of cancer treatment uses ionizing radiation; impacts the cancer cell's ability to replicate and survive, and head and neck can produce acute short-term and chronic long-term effects in the mouth?
radiation
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Which type of cancer treatment is used to treat various blood diseases including leukemia? the purpose is to substitue blood stem cells or bone marrow from a healthy compatible donor to replace the diseased bone marrow of the pt.
hematopoietic cell transplantation
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What are signs and symptoms of radiation and chemotherapy induced stomatitis?
inflammation of oral mucosa
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a DH can recommend pts to swish and spit a cupful of prescribed mouthrinse (pharmacist's mixture of viscous lidocaine, benedryl cough syrup, and coating agent, referred to as magic mouth rinse) 30 minutes before eating to help with what condition?
mucositis during cancer treatment
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List 6 common side effects of chemotherapy for cancer:
- alopecia: hair loss
- myelosuppression: bone marrow supression leading to reduction in blood counts
- immunosuppression
- nausea, vomiting, diarrhea
- loss of apetite
- gastrointestinal mucositis
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List 4 oral infections that are common of chemotherapy:
- herpes simplex
- varicella zoster
- cytomegalovirus
- candida albicans
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List 4 oral infections that are common of radiation therapy:
- bacterial
- herpes simplex
- varicella zoster
- candida albicans
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Is the following acute, or chronic graft-versus-host-disease?
the donor's T-lymphocytes see the host cell antigens as foreign and react against host tissue
symptoms present during first 100 days after transplant
red skin rash starts on palms of hands and feet and progresses
severe, persistent diarrhea
jaundice
Infection: bacterial, viral and fungal
GI, hepatic, cardiac, pulmonary, hematologic, and neurologic complications
oral mucositis: 10-14 days after transplant
xerostomia
infection
ACUTE
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Is ACUTE or CHRONIC graft-verses-host-disease described?
affects all organs of body
can appear up to 2 years posttreatment
oral mucositis
oral and perio infections
xerostomia/caries
poor oral hygiene
chronic
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Which type of cancer treatment is used if the pt is not responsive to chemotherapy alone? And bone marrow is taken from iliac crest, ribs, or sternum?
hematopoietic cell transplantation
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What is a genetic disorder characterized by absent or decreased production of normal hemoglobin?
thalassemia
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true or false. A liquid ferrous iron therapy is prescribed to children with anemia. The liquied ferrous therapy may stain teeth and should be administered through a straw.
both are true
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What are 3 good sources of Vitamin B12?
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What is the clotting factor associated with hemophilia B?
factor IX
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long term radiation therapy effects can cause infections that are
viral
bacterial
fungal
all of the above
all of the above
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What are 2 factors that can influence a cancer pts compliance?
fear and anxiety
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What are 2 ways that cancers are classified?
- by type of cell infected
- by type of cell they arise from
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what is the recommended treatment for mucositis?
magic mouth rinse
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