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43 Cards in this Set
- Front
- Back
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Difference between carcinoma in situ and squamous cell carcinoma?
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SCCA = invasion of basal cell layer
In situ = full thickness dysplasia, but no invasion |
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What has both Antoni-A and Antoni-B (Verocay) bodies?
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Neurilemoma
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Most common malignancy of oral cavity?
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Squamous cell carcinoma (>90%)
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Pheochromocytoma is associated with...
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MEN III
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What lesion disappears when you stretch the buccal mucosa?
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Leukoedema
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A patient with MEN III may die of...
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Medullary carcinoma of thyroid (definitely by age 30)
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A patient with von Recklinghausen's disease has multiple...
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Neurofibromas
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Cafe au lait spots are associated with...
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von Recklinghausen's disease or neurofibromatosis
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Is malignant melanoma worse on the skin or in the mouth?
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Mouth
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Most common peripheral oral exophytic lesion is...
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Fibroma (aka Focal Fibrous Hyperplasia / Traumatic fibroma)
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Which lesion has pseudoepithelioma hyperplasia (PEH), often mistaken for SCCA?
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Granular Cell Tumor
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What color would a hyperkeratotic lesion display clinically?
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White
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A "birth mark" is an example of:
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Hemangioma
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"Rodent ulcer" appearance is indicative of...
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Basal Cell carcinoma
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What is a cystic hygroma?
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Variant of lymphangioma - in the neck
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Leukoplakia is only a clinical term (T/F)
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True
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Trauma-induced white lesion?
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Frictional keratosis
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What is Snuff Dipper's CA?
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Verrucous Carcinoma
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Most accurate predictor of prognosis for a patient with a malignancy?
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Staging
(TNM - tumor size, nodes, metastases) |
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Fibroma most commonly found on
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Buccal mucosa
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What foods can help fight against oral cancer?
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-Cruciferous vegetables (cabbage family)
-Vitamin A |
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Verrucous carcinoma is found predominantly in what demographic? (gender & age)
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Men over 55 years
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Most lipomas of oral cavity are located where?
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Buccal mucosa
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Medullary carcinoma of the thyroid arises from which cells?
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C cells
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Granular cell tumor is most commonly found where?
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Dorsal tongue
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Warty looking lesion?
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Verrucous Carcinoma
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ABCD?
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Asymmetry
Border (not smooth) Color (not uniform) Diameter (> 6 mm) |
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For what lesion is chemotherapy ineffective? You just have to keep cutting it out.
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Proliferative Verrucous Leukoplakia
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What % of leukoplakia are premalignant or malignant when detected?
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20%
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What lesion is typically found behind canines: often mandibular?
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Retrocuspid Papillae
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What can be checked by diascopy?
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Hemangioma - blanches on pressure
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What NRT can't you use in the winter?
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Oral Inhaler - doesn't work below 40 F
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What % of cancers are oral cavity / oropharynx?
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3%
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What % of cancers are oral cavity / oropharynx, also including hypopharynx, nasopharynx, sinuses, minor salivary glands?
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5%
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Signs of SCCA (5)
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Indurated
Firm Red & White speckled Ulceration Location - posterior lat tongue, FOM |
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5 A's
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Ask - about use
Advise - to quit Assess - readiness Assist - quit attempt Arrange - follow-up |
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5 R's of motivational intervention
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Relevance - to pt's situation
Risks - w/ continued use Rewards - of quitting Roadblocks Repetition |
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TRIPS?
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Triggers & challenges
Reasons for wanting to quit Importance / confidence in ability Pharmacotherapy Social & emotional support |
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NRT contraindications
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-MI
-Serious arrythmia -Angina pectoris -Accelerated HTN |
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What combination of drugs can be effectively used to quit smoking? (approved by FDA)
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Zyban + NRT
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Which lesion has the histo hallmark of numerous large, stellate fibroblasts within superficial CT?
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Giant cell fibroma
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Caused by ill-fitting denture
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Epulis Fissuratum
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Lisch nodules found in what?
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von Recklinghausen's disease or Neurofibromatosis
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