and CORRECT Answers
During head and neck radiation therapy all the following c.broths.
should be avoided, except:
a.spicy foods.
b.lemon glycerin swabs.
c.broths.
d.high-sucrose foods.
A 55-year-old man with Stage III squamous cell b.Salivary gland hypofunction
carcinoma of the left retromolar area and left lateral
tongue, with metastasis to the left neck, presents for a
cleaning appointment prior to his continuing radiation
therapy. The radiation field includes the entire neck,
mandible, TMJ, and posterior of the maxilla. The
examination reveals multiple teeth with cervical caries.
The patient has a well-fitting maxillary partial denture,
replacing teeth #1 to #5 and #12 to #15. Periodontal
involvement includes pocketing ranging from 5 to 7 mm
on the maxillary anterior teeth and generalized on the
mandibular arch. The plaque level is moderate, with
heavy calculus and stain. The patient drinks occasionally
and smokes two packages of cigarettes daily. He
brushes his teeth twice daily and rinses with Listerine
once each day. The patient's cervical caries most likely
resulted from which of the following?
a. Presence of partial denture
b. Salivary gland hypofunction
c. Change in types of oral bacteria
d. Existing periodontal condition
, Which type of treatment is used to treat a variety of d.Hematopoietic cell transplantation
blood diseases, including leukemia?
a.Radiation therapy
b.Vaccine therapy
c.Surgery
d.Hematopoietic cell transplantation
A) Internal radiation therapy involves placing radioactive d.Statement A is true and statement B is false.
implants or seeds within the body. B) More radiation is
delivered to surrounding tissues by internal radiation
than by external radiation.
a. Statement A is false and statement B is true.
b. Both statements are true.
c. Both statements are false.
d. Statement A is true and statement B is false.
A 55-year-old man with Stage III squamous cell b.tooth mobility.
carcinoma of the left retromolar area and left lateral
tongue, with metastasis to the left neck, presents for a
cleaning appointment prior to his continuing radiation
therapy. The radiation field includes the entire neck,
mandible, TMJ, and posterior of the maxilla. The
examination reveals multiple teeth with cervical caries.
The patient has a well-fitting maxillary partial denture,
replacing teeth #1 to #5 and #12 to #15. Periodontal
involvement includes pocketing ranging from 5 to 7 mm
on the maxillary anterior teeth and generalized on the
mandibular arch. The plaque level is moderate, with
heavy calculus and stain. The patient drinks occasionally
and smokes two packages of cigarettes daily. He
brushes his teeth twice daily and rinses with Listerine
once each day. During assessment of your patient, you
notice signs of severe xerostomia. You would expect him
to have all of the following other symptoms of radiation
therapy, except:
a.impaired taste.
b.tooth mobility.
c.inability to open mouth completely.
d.oral mucositis.