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33 Cards in this Set
- Front
- Back
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What are the two oral pre-cancerous lesions called?
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1.leukoplakia
2.erythroplakia/erythroplasia |
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What are the two predisposing factors of oral cancer that have the highest association with oral cancer.
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1. alcohol
2. tobacco |
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Can leukoplakia be scraped off?
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No
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6 manifestations of oral cancer?
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1. cancer of lips - indurated, painless lesion
2. cancer of tongue - ulcerated, thickened area 3. asymptomatic neck mass 4. chronic ear pain/unilateral 6. enlarged cervical nodes 7. dysphagia; oral discomfort/burning 5. |
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List 4 side effects of radiation therapy for oral cancer.
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1. mucositis
2. stomatitis 3. tooth decay 4. xerostomia |
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What are the two predisposing factors of esophageal cancer that have the highest association with esophageal cancer?
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1. tobacco use
2. alcohol use |
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FACT:
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Predisposing factor of oral cancer is chronic irritation.
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3 esophageal pre-malignancies?
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1. achalasia
2. Barrett's esophagus 3. diverticula |
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How is esophageal cancer commonly diagnosed/screened?
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barium swallow
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Most common manifestation of esophageal cancer?
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dysphagia
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Manifestations of esophageal cancer?
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dysphagia
odynophagia weight loss anorexia vomiting regurgitation heartburn sore throat hoarse choking |
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Expect to see blood-tinged drainage for ____ days post op after esophageal surgery.
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1-2
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Can you irrigate or reposition an N/G tube post op after esophageal surgery without a doctor's order?
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No
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How long will a patient be NPO post op after esophageal surgery?
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4-5 days
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The predisposing factor with the highest association of gastric cancer is ____.
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helicobacter pylori (bacteria)
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The most common diagnosis/screening procedure for gastric cancer is ____.
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fiberoptic endoscopy with biopsy
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Manifestations of gastric cancer?
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Asymptomatic in early stages
Anemia: pallor, fatigue, hematemesis, occult blood, weight loss constipation/diarrhea epigastric pain indigestion |
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Predisposing factors of gastric cancer?
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Diet - nitrite and nitrates
Benign gastric polyps Pernicious anemia Achlorhydria athropic gastritis Genetic -familiar, blood group A |
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What surgery is performed for a gastroduodenostomy?
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Billroth I
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What surgery is performed for a gastrojejunostomy?
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Billroth II
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In what surgical procedure is there a total gastric resection?
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esophajejunostomy
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What are two signs that may indicate that the NG tube is not patent?
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1. no drainage
2. abdominal distention |
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A person who has had a total gastrectomy will have a ____ and ____.
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1. chest tube
2. NG tube |
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FACT:
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Fecal odor to NG drainage is not uncommon after gastric surgery.
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You may see N/G drainage with blood ____ hours post-op after gastric surgery.
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6-12
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When is the N/G tube removed after gastric surgery?
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When peristalsis returns
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Colorectal cancer usually develops from ____.
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polyps
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Predisposing factors of colorectal cancer?
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Polyposis leading to adenomas
Dietary: high calorie, high protein, high fat, low fiber Smoking Ulcerative colitis Chron's IBD granulomas obesity, sedentary lifestyle anal intercourse |
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Danger signs of colorectal cancer?
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Change in bowel habit: Constipation or diarrhea
Rectal bleed Tenesmus Iron deficiency anemia |
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In a hemicolectomy, will the patient have a temporary or permanent colostomy?
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temporary
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In a abdominal-perineal resection, will the patient have a temporary or permanent colostomy?
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permanent
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A dusky blue stoma indicates ____.
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ischemia
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A brown/black stoma indicates ____.
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necrosis
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