Extra and Intra Oral Exam – Flashcards
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            Why is the death rate of oral cancer high?
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        It is discovered very late in development
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            What percentage of those who have visited the dentist regularly have had an oral cancer exam
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        less than 25%
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            What is the survival rate of oral cancer if found during early stages?
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        80-90%
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            Describe the risk of developing a second tumor with oral cancer
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        20x more likely, risk lasts 5-10 years
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            When measuring the oral cancer with a probe, what measurement might ensure a cure rate as high as 60%
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        15 mm (1.5 cm)
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            In what gender is oral cancer twice as common?
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        Men
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            What is the average age of most people diagnosed with oral cancer
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        62
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            Oral cancer is most common in men over 40 who are also ___________?
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        Heavy smokers and drinkers
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            What is the age group that has the fastest growing population to have oral cancer
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        Age group BELOW 50
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            Which countries have a higher rate of oral cancer
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        Hungry and France
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            Which countries have the least common rate of oral cancer
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        Mexico and Japan
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            What are the most common sites of oral cancer?
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        Tongue   Floor of mouth   Lips   Minor salivary glands
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            The anterior of the mouth, tobacco and alcohol associated cancers have _____________________?
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        Declined with smoking
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            Posterior of the oral cavity sites associated with the HPV16 viral cause are ____________________?
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        Increasing
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            Can someone that was cured from oral cancer eventually develop cancer in the lungs, mouth, throat, etc.
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        YES, lungs usually
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            What are risk factors of oral cancer?
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        -TOBACCO  -alcohol   -sun exposure  -irritation
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            What percentage of of people with oral cavity and oropharyngeal cancer use tobacco
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        90%
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            90% of oral cancers are usually what type>
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        Squamous cell carcinoma
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            Pipe smoking is a particularly significant risk for cancers in which area?
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        Lips or any area touching pipe steam
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            Oral tobacco products (snuff or chewing tobacco) are linked with cancers of which areas?
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        cheek, gums, and inner surface of the lips
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            Which type of alcohol increases your risk of oral cancer?
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        ALL TYPES
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            When combining tobacco and heavy use of alcohol, how much more likely is the risk of developing oral cancer?
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        15 times
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            About how many head and neck cancers particularly in patients over the age of 50 are detected in patients who do not smoke or drink alcohol
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        1 out of 4
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            The combination of alcohol and tobacco exert a "feeding off each other" relationship called>
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        Synergistic
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            What percentage of lip cancers develop from prolonged exposure to the sun
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        30%
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            What type of virus is found in some oral cancers (one fourth of oral cancers)?
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        HPV 16
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            What groups are rapidly replacing those who were diagnosed with oral cancer from tobacco use
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        Women in their 20's   Men in 30's
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            What are some other risk factors for oral cancers
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        immunosuppresive drugs for transplants or immune diseases
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            Does poor nutrition also increase the risk?
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        YES
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            What are the warning signals of oral cancer
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        - Hoarseness, persistent coughing   -non healing sore throat   -dysphagia   -Parastheisa   -Pain   -White patches not healing   -firm nodes
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            Nodes arising from acute inflammatory conditions tend to be tender, soft, enlarged and freely moveable
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        Reactive node
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            Cancer lymph nodes often fixed to surrounding structures, nontender, hard, involves multiple nodes
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        Malignant node
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            Lymph node enlargement due to cancer spreading there from a different area of the body
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        Metastatic node
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            Lymph node enlargement due to previous infectious condition (i.e. mono)
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        Residual node
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            Multiple palpable lymph nodes in one localized area
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        Lymphadenopathy
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            Taking factors of size, location, color, consistency, morphology and history arriving at two or three most probable diagnoses
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        Differential diagnosis
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            Involves a histopathologic examination of a biopsy specimen. The histopathologic examination accompanied by a lesion description
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        Definitive diagnosis
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            What five things must you include when describing a lesion
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        size  color morphology location  history
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            The deeper a fluid lesion, the more _________ it will appear
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        pinker
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            Superficial fluid lesions appear more
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        Translucent
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            minute red spot on skin/mucous membrane resulting from escape of small amount of blood

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        Petechia
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            small flat hemorrhagic patch, larger than a petechia on the skin/mucous membrane
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        Ecchymosis
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            larger than eccymosis localized collection of blood, usually clotted, in an organ, space or tissue
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        Hematoma
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            Most common red lesion, protective tissue reprise to injury or tissue destruction (usually around a lesion)
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        inflammation
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            persistent velvety red patch that does not clinically represent any any other condition (not used in lesion description) (you need a biopsy to use this term)

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        Eryhtroplasia
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            thickening of outer surface of epithelium, similar to callus on the skin, most common white lesion (not used for lesion description) (need biopsy to use this word)  Carcinoma

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        Hyperkeranitization
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            a clinical white patch/plaque that does not rub off and does not clinically represent any other condition (not used for lesion description) (need biopsy to use this word)

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        Leukoplakia
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            most common morphologic characteristic associated with red and white lesions (usually round, white, distinctive red border, ask a lot of questions, esp. if they smoke)  high risk for carcinoma

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        Ulcers
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            Yellow lesions are usually
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        lymph tissue, pus
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            numerous and in proximity to one another, margins may emerge and leave a single lesion if they enlarge only slightly after initial appearance

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        Coalescing
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            lesion contains fluid, has translucent appearance and a soft consistency

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        Blisterform
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            Three types of blisterform
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        Vesicle, bulla, pustule
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            blisterform lesion < 5mm in its greatest diameter and contains serum or mucin
<img src="https://chmanchacentro.com/wp-content/uploads/2018/07/blisterform-lesion-5mm-in-its-greatest-diameter-and-contains-serum-or-mucin.png" title="blisterform lesion < 5mm in its greatest diameter and contains serum or mucin" alt="blisterform lesion 
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        Vesicle
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 5mm in its greatest diameter which may contain serum or mucin, extravasated blood occasionally" alt="blisterform lesion > 5mm in its greatest diameter which may contain serum or mucin, extravasated blood occasionally">
            blisterform lesion > 5mm in its greatest diameter which may contain serum or mucin, extravasated blood occasionally
 5mm in its greatest diameter which may contain serum or mucin, extravasated blood occasionally" alt="blisterform lesion > 5mm in its greatest diameter which may contain serum or mucin, extravasated blood occasionally">answer
        Bulla
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 or  or 
            blisterform lesion containing pus, not clear fluid, which imparts a yellow coloration; may be > or < 5mm
 or  or answer
        Pustule
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            lesion is solid, contains no fluid and has firm consistency

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        Nonblisterform
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            Four types of nonblisterform
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        Papule Nodule Tumor Plaque
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            nonblisterform lesion which is  < 5mm in its greatest diameter
<img src="https://chmanchacentro.com/wp-content/uploads/2018/07/nonblisterform-lesion-which-is-5mm-in-its-greatest-diameter.png" title="nonblisterform lesion which is  < 5mm in its greatest diameter" alt="nonblisterform lesion which is  
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        Papule
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 5mm and  5mm and 
            nonblisterform lesion > 5mm and < 2 cm in its greatest diameter
 5mm and  5mm and answer
        Nodule
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 2 cm in its greatest diameter" alt="nonblisterform lesion > 2 cm in its greatest diameter">
            nonblisterform lesion > 2 cm in its greatest diameter
 2 cm in its greatest diameter" alt="nonblisterform lesion > 2 cm in its greatest diameter">answer
        Tumor
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 5mm in diameter "Pasted on" appearance" alt="slightly raised, nonblisterform lesion with a broad, flat top like a plateau -usually > 5mm in diameter "Pasted on" appearance">
            slightly raised, nonblisterform lesion with a broad, flat top like a plateau -usually > 5mm in diameter "Pasted on" appearance
 5mm in diameter "Pasted on" appearance" alt="slightly raised, nonblisterform lesion with a broad, flat top like a plateau -usually > 5mm in diameter "Pasted on" appearance">answer
        Plaque
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            papule, nodule or tumor whose base or attachment to normal mucosa is the greatest diameter of the lesion

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        Sessile
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            papule, nodule or tumor that has an attachment to the normal oral mucosa which is smaller than the greatest diameter of the lesion itself; attached by a stalk

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        Pedunculated
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            ulcer with continuous linear outline that resembles a circle or oval

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        regular outline
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            ulcer with numerous deviations from a circular or oval pattern

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        Irregular outline
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            Ulcer above plane or mucosa

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        Raised margin
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            Ulcers on the same plane

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        smooth margin
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            distance from base of the depression to the plane of the margin of the depression
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        Depth
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            Ulcer depth is less than 3 mm

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        Superficial
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            Ulcer depth is greater than 3mm

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        Deep
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            flat lesion of abnormal color

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        Macule
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            covered by wart like growths (wart like)

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        Verrucous
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            covered by nipple-like projections (cauliflower like)

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        Papillary
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            cracked surface

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        Fissured
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            wrinkled appearance

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        Corrugated
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            dry or scab-like

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        Crusted