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
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)
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
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)
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
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
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
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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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">
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Bulla
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blisterform lesion containing pus, not clear fluid, which imparts a yellow coloration; may be > or < 5mm
or or
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Pustule
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lesion is solid, contains no fluid and has firm consistency
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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nonblisterform lesion > 5mm and < 2 cm in its greatest diameter
5mm and 5mm and
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Nodule
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nonblisterform lesion > 2 cm in its greatest diameter
2 cm in its greatest diameter" alt="nonblisterform lesion > 2 cm in its greatest diameter">
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Tumor
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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">
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Plaque
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papule, nodule or tumor whose base or attachment to normal mucosa is the greatest diameter of the lesion
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
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
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
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
Ulcer above plane or mucosa
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Raised margin
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Ulcers on the same plane
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
Ulcer depth is less than 3 mm
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Superficial
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Ulcer depth is greater than 3mm
Ulcer depth is greater than 3mm
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Deep
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flat lesion of abnormal color
flat lesion of abnormal color
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Macule
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covered by wart like growths (wart like)
covered by wart like growths (wart like)
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Verrucous
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covered by nipple-like projections (cauliflower like)
covered by nipple-like projections (cauliflower like)
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Papillary
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cracked surface
cracked surface
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Fissured
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wrinkled appearance
wrinkled appearance
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Corrugated
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dry or scab-like
dry or scab-like
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Crusted
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