The Intraoral and Extraoral Exam Dentalcare

Salivary gland tumors, lymphoma, and sarcoma-related cancers comprise what percentage of oropharyngeal cancers?

10%

What percentage of oropharyngeal cancers are squamous cell carcinomas?

90%

Which one of the following known cancer risk factors cannot be lowered or modified by a change in lifestyle or behavior?

Age

The perception of oral dryness may depend upon all of the following

Amount of saliva actually present Amount of serous saliva Amount of mucous saliva Consistency of the saliva

Compromised swallowing capabilities are associated with a higher risk of which one of the following?

Aspiration of food

Which one of the techniques listed below would be appropriate for palpating the buccal and labial mucosa?

Bidigital

Which one of the techniques listed below should be used when palpating the structures of the floor of the mouth?

Bimanual

Which of the following is a common reason for failing to detect oral cancer in a young person?

Clinicians do not suspect cancerous changes in young individuals

Nutritional deficiencies, Candida albicans, human herpes virus and lesions associated with loss of dimension are common to which one of the following structures/areas?

Commissures

Debris tends to collect in tonsils affected by which one of the following conditions?

Cratered

Which one of the following is usually associated with arthritis of the TM joint?

Crepitus

As you examine the TM joint you notice an altered opening pathway which has its greatest distance from the midline at maximum opening. This defines which one of the following terms?

Deflection

Which one of the following techniques should be used to palpate the hard palate?

Digital

Which one of the following conditions would be considered pathologic?

Erythroplakia

A symblepharon discovered during an extraoral exam would be found in or on which one of the following?

Eye

Which of the following examination findings would be considered atypical?

Fordyce granules Two mms of attached gingiva

Which one of the following viruses is associated with a significant increase in oropharyngeal cancers?

HPV

Which one of the following is the most common site for cancer to develop on the tongue?

Lateral border

Which of the following findings associated with the tongue is caused by an error in development?

Lingual thyroid

The patient with a symblepharon would be referred to which one of the following specialists?

Ophthalmologist

Stensen's duct is associated with which of the following glands?

Parotid

Which one of the following best describes an acute infection of the tonsils?

Purulent exudate

The _______________ is the most common intraoral site for oral cancer development.

Tongue

All of the following structures would be noted when examining the oropharynx

Tonsils, tonsillar crypt, Anterior/posterior pillars, posterior pharyngeal wall *NOT* adenoids

All of the following are common atypical findings in the body of the mandible and the retromolar area

Tori Scarring Hyperkeratosis Partially erupted third molars *NOT* Pericoronitis, this is rare

Which one of the following is a common atypical finding in the area of the hard palate?

Torus palatinus

Which one of the following adjunct devices might be used to help determine surgical margins when removing or biopsying a suspicious lesion?

VELscope

Which of the following most closely describes the appearance of oral cancer?

White lesion Red and white lesion Pigmented lesion Ulcer-like lesion

Patients with known risk factors for cancer should be screened at

every visit and encouraged to perform self-exams and report any abnormality