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Skin, Oral and Laryngeal Cancer

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Term
Definition
What time of the day should be avoided to limit sun exposure?   10:00 AM until 4:00 PM  
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When should you apply SPF 15 (30)?   Apply 20-30 minutes before exposure and reapply every 2 hours  
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Furosemide (Lasix), diphenhydramine (Benadryl), Azithromycin (Zithromax) and Tetracycline are medications that do what in regards to the sun?   Increase sun sensitivity  
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This largest organ of the body serves protection, barrier, temperature regulation and aesthetic purposes   Skin  
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Squamous cells, basal cells and melanocytes are cells of this skin layer   Epidermis  
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This is the most common cancer of all cancers with 3.5 million cases per year   Skin cancer  
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Fair skin, chronic UV exposure, and family history are risk factors for what type of cancer?   Skin cancer  
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Blue eyes, green eyes, and red or blonde hair are attributes of what skin type?   Fair skin  
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Non-melanoma and melanoma are the types of what cancer?   Skin cancer  
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Basal cell carcinoma and squamous cell carcinoma are the two types of this skin cancer   Non-melanoma skin cancer  
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This is the most common type of non-melanoma skin cancer   Basal cell carcinoma  
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This type of non-melanoma skin cancer has the best prognosis   Basal cell carcinoma  
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This type of non-melanoma skin cancer tends to stay localized   Basal cell carcinoma  
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This type of non-melanoma skin cancer affects middle-aged to older adults   Basal cell carcinoma  
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This type of non-melanoma skin cancer affects the face most often   Basal cell carcinoma  
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This type of non-melanoma skin cancer appears rolled with a well-defined border and central erosion   Basal cell carcinoma  
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This is the second most common type of non-melanoma skin cancer   Squamous cell carcinoma  
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This type of non-melanoma skin cancer is highly aggressive   Squamous cell carcinoma  
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This type of non-melanoma skin cancer may metastasize   Squamous cell carcinoma  
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This type of non-melanoma skin cancer occurs where there was previously damaged skin (sunburn or areas of injury)   Squamous cell carcinoma  
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This type of non-melanoma skin cancer appears rough, thickened, scaly, and may bleed   Squamous cell carcinoma  
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This is the most deadly type of skin cancer   Melanoma  
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How is the prognosis of melanoma determined?   By the thickness  
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Sites of this type of skin cancer include the skin, eyes, and mucus membranes   Melanoma  
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Melanoma affects the lower legs and back of this gender most often   Females  
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Melanoma affects the trunk, head and neck of this gender most often   Males  
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When assessing the clinical manifestations of melanoma, the mnemonic ABCDE is used; what does the "A" stand for?   Asymmetry; some are flat and some are raised  
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When assessing the clinical manifestations of melanoma, the mnemonic ABCDE is used; what does the "B" stand for?   Border irregularity  
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When assessing the clinical manifestations of melanoma, the mnemonic ABCDE is used; what does the "C" stand for?   Color variation; part of it is darker, light brown or red  
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When assessing the clinical manifestations of melanoma, the mnemonic ABCDE is used; what does the "D" stand for?   Diameter; > 6 mm (size of eraser on pencil)  
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When assessing the clinical manifestations of melanoma, the mnemonic ABCDE is used; what does the "E" stand for?   Evolving appearance; getting bigger, bleeding when it never had, etc.  
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This type of cancer can include the sinuses, oral cavity, nasopharynx, oropharynx, and larynx   Head and neck cancer  
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This type of cancer begins in squamous cells that line mucosal sufaces   Head and neck cancer  
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Prolonged alcohol and tobacco use are risk factors for this type of cancer   Head and neck cancer  
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Which gender is most at risk for head and neck cancer?   Male  
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What is the age of onset of head and neck cancer?   > 50 years  
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Which race is at highest risk for head and neck cancer?   African Americans  
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Poor nutrition is a risk factor for this type of cancer   Head and neck cancer  
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Painless oral ulcer or growth is a clinical manifestation of what type of cancer?   Head and neck cancer  
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These are white plaques of oral cancer   Leukoplakia  
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These are red plaques of oral cancer   Erythroplakia  
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Hoarseness or voice change and a feeling of a lump in the throat are clinical manifestations of what type of cancer?   Head and neck cancer  
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Late signs of this type of cancer include pain from the pressure the cancer exerts on other things, dysphagia, airway obstruction and lymphadenopathy   Head and neck cancer  
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This is an examination of the back of the throat including the voice box (larynx) and vocal cords   Laryngoscopy  
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Besides a laryngoscopy, what other diagnostic tests are used for head and neck cancer?   CT scan, MRI, PET scan  
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How is a definitive diagnosis for head and neck cancer obtained?   Biopsy  
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What system is used to stage head and neck cancer?   TNM - tumor size, nodes affected, and metastasis extent  
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If head and neck cancer is stage 1 or 2, what treatment is done as a cure?   Surgery  
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If head and neck cancer is stage 3 or 4, can surgery be used as a cure?   No, other interventions need to be done  
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This surgical procedure involves the removal of the vocal cords   Total laryngectomy  
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In the process of a laryngectomy, this describes the removal of all of the lymph nodes   Radical neck dissection  
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In the process of a laryngectomy, this describes the removal of some of the lymph nodes   Modified neck dissection  
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In the process of a laryngectomy, the salivary glands could be damaged; what could be the result of this?   Dry mouth  
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Following a laryngectomy, this swallowing technique can be utilized because of postoperative swallowing difficulties   Supraglottic swallow  
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The steps of this process involve (1) holding breath, (2) bearing down (Valsalva maneuver), (3) food in mouth, (4) swallow, and (5) cough   Supraglottic swallow  
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What does the supraglottic swallow prevent?   Keeps food out of the airway  
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This procedure leaves a large incision that looks like a right side "T" connected to an upside down "Y"   Tracheotomy  
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This type of drain will be used to drain fluid from a tracheostomy   Penrose drains  
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This is the postoperative position for a patient following a laryngectomy   Semi-Fowler's position  
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Voice rehabilitation is necessary following what type of procedure?   Laryngectomy  
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Stoma care and daily cleansing are a part of patient education following what procedure?   Laryngectomy  
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Can someone who had a laryngectomy swim?   No - need to avoid getting water inside the stoma  
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What purpose does wearing a loose scarf over a stoma post-laryngectomy serve?   Keeps dirt out of the stoma  
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Should oral intake be increased or decreased following a laryngectomy?   Fluids should be increased to thin secretions  
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Patients who have a stoma should have this on their person to alert others to the stoma's existence   Medic alert bracelet  
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True or False: Once a patient has healed from a laryngectomy, they will be able to stop using the supraglottic swallow technique   False; will have to use the rest of their lives  
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