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