Deck 44: Oral Care of Persons With Cancer

Question 1

Individuals who practice good oral hygiene and homecare reduce the risk and severity of oral complications associated with cancer therapy.Precancer therapy dental evaluation,medically necessary dental treatment,and good oral hygiene can prevent all oral complications.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Answer 1

The first statement is true;the second statement is false.

Question 2

Bisphosphonates are a class of medications used by oncologists to help reduce extreme pain and potential for bone fractures resulting from the spread of cancer to the bones.Which of the following best describes the action of bisphosphonates on bone?

A) Inhibit osteoblasts
B) Increase bone turnover
C) Decrease bone density
D) Suppress bone turnover

Answer 2

Suppress bone turnover

Question 3

The incidence rate of oral cancer has increased since 1980.Oral cancer screening remains a very important component of dental hygiene care.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Answer 3

The first statement is false;the second statement is true.

Question 4

During cancer treatment,which of the following is not a complication of chemotherapy?

A) Bleeding
B) Mucositis
C) Osteoradionecrosis
D) Infection

Question 5

Mucositis may be prevented or lessened in severity by which of the following dental hygiene interventions?

A) Create a clean and well-hydrated oral environment.
B) Encourage good nutritional status.
C) Control secondary infection.
D) All of the above are correct.

Question 6

Individuals with the highest risk for developing cancer-therapy-induced oral complications are those who undergo which of the following?

A) Mildly immunosuppressive chemotherapy
B) Single-agent chemotherapy
C) Excisional biopsy for early-stage cancer
D) Radiation therapy of the head and neck

Question 7

All of the following are considered to be palliative measures for radiation-induced xerostomia except which one?

A) Chlorhexidine rinse (0.12%)
B) Saliva substitute
C) Humidified room air
D) Salivary gland stimulant

Question 8

Each of the following contributes to the breakdown of teeth after radiation therapy to the head and neck except:

A) Direct effects of radiation therapy on the enamel
B) Lack of minerals available from the saliva,resulting in decreased remineralization
C) Increased acidity of the mouth
D) Poor oral hygiene

Question 9

Salivary gland function returns to normal after radiation therapy to the head and neck.Individuals may stop daily applications of fluoride to the teeth when they perceive that the saliva has returned after radiation therapy.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Question 10

What plaque-removal method is best for a client who is experiencing painful chemotherapy-induced mucositis and large ulcers on the buccal mucosa?

A) Battery-powered toothbrush with small bristle head
B) Alcohol-based mouthwash
C) Saltwater rinse
D) Gauze or foam brush dipped in baking soda-saline solution

Question 11

Behavioral factors that could lead to the development of cancer include conditions related to being overweight or obese,poor nutrition,and inactivity.Many of these risk factors could be minimized through behavior change as well as the use of vaccines and antibiotics.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Question 12

Which of the following is not an early sign of oral squamous cell carcinoma?

A) Unrelenting pain
B) Nonhealing ulcer
C) Lump or mass
D) White or red patch

Question 13

The choice of cancer treatment depends on the type and stage of cancer.All of the following are accepted cancer treatments except which one?

A) Chemotherapy
B) Immunotherapy
C) Nutrition therapy
D) Radiation therapy

Question 14

Before scaling and root planing or oral surgery,a client's absolute neutrophil count should be greater than 100/mm³.The platelet count should be greater than 10,000/mm³.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Question 15

The appropriate daily fluoride preparation for prevention of radiation caries is:

A) 1.1% Sodium fluoride gel
B) 0.05% Fluoride rinse
C) 1.23% Acidulated phosphate fluoride
D) Fluoride varnish

Question 16

Which of the following oral infections is not caused by a decrease in immune response (immunosuppression)as a result of chemotherapy?

A) Dysphagial infection
B) Fungal infection
C) Viral infection
D) Bacterial infection

Question 17

Clients who develop demineralization after radiation therapy to the salivary glands despite compliance with daily fluoride applications should do which of the following?

A) Have all teeth removed to prevent bone infection and subsequent necrosis.
B) Continue daily fluoride use,and see the dental hygienist for prophylaxis every 4 weeks.
C) Begin a 2-week chlorhexidine regimen,and apply daily a remineralizing gel in custom trays.
D) Use a fluoride rinse in addition to fluoride gel applications.

Question 18

The following are risk factors for oral squamous cell carcinoma,except which one?

A) Denture irritation
B) Tobacco
C) Alcohol
D) Old age

Question 19

Dietary recommendations for patients with salivary gland dysfunction include less frequent eating and drinking of which of the following?

A) High-carbohydrate snacks
B) Diet sodas
C) Caffeinated beverages
D) All of the above

Question 20

Which of the following is not a risk factor for the development of soft-tissue necrosis or osteoradionecrosis in an area of irradiated bone?

A) Periodontal infection
B) Denture irritation or ulcer
C) Surgical insult
D) Dental prophylaxis

Question 21

All of the following are considered to be measures to manage radiation-induced mucositis except which one?

A) Prescribed local anesthetics
B) Phenol-based mouth rinses
C) Baking soda and salt-based mouth rinse
D) Over-the-counter (OTC)or prescribed systemic analgesics

Question 22

The administration of bisphosphonates as an adjunct treatment of metastasized cancer can lead to which of the following oral lesions?

A) Osteonecrosis
B) Osteoradionecrosis
C) Osteochemonecrosis
D) Osteoimmunonecrosis

Question 23

Alteration of taste occurs from which of the following cancer therapies?

A) Chemotherapy
B) Radiation therapy
C) Hormone therapy
D) Blood stem cell transplantation therapy

Question 24

Which of the following is not a possible cause of cancer as stated by the American Cancer Society?

A) Fluoride in the water
B) Cigarette smoking
C) Human papillomavirus
D) Poor nutrition and inactivity

Question 25

Xerostomia due to thickened,reduced,or absent salivary flow compromises speaking,chewing,and swallowing.Because salivary glands damaged from radiation are not permanently damaged,these conditions are temporary.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.