Oral Complications of Cancer Therapy A Summary Guide for the Clinician - Exam 64 - NEW - Spring Summer 2015
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Oral complications of cancer therapy can be so severe that they can lead to the discontinuation of cancer treatment. This can affect prognosis, patient survival, and alter patient quality of life. Early recognition and management of oral complications in cancer patients is a very important part of the overall treatment. Currently, a large number of cancers are treated at the ambulatory level, and when patients develop oral problems they may seek care from their private dentist.

Questions:
 1) The dentist should be a member of the oncology team:
  1. Because dental problems in cancer patients can be an additional source of income in times of economic insecurity
  2. There is no role for the dentist in the oncology team
  3. Because the dentist could be instrumental in diagnosing and managing oral complications of cancer therapy
  4. Because oral complications can be treated when the patient completes cancer therapy
 2) One of the most important oral complications of highdose chemotherapy and radiation therapy of the head and neck area is:
  1. Oral mucositis
  2. Bleeding
  3. Infections of the oral tissues
  4. Xerostomia
  5. All of these complications are important
 3) Which of the following statements is/are correct:
  1. Oral mucositis can be so severe to require discontinuation of cancer therapy
  2. Xerostomia post-radiation therapy can persist with the patient for life
  3. Patients being treated with high-dose chemotherapy are at increased risk for infections and bleeding because of bone marrow suppression
  4. The most common oral infection in cancer patients is caused by Helicobacter pilori
  5. A, B, & C
  6. All statements are correct
 4) Regarding chronic complications of radiation therapy of the head and neck:
  1. All complications of radiation therapy are acute and do not last after radiation is completed
  2. Osteoradionecrosis is very severe and can require aggressive surgical management
  3. The risk of osteoradionecrosis in irradiated bone is between 5.1% and 7.4% depending on the type of radiation used
  4. Hyperbaric oxygen therapy may be indicated if dental extractions in irradiated bone are indicated
  5. B, C & D
  6. All statements are correct
 5) Osteonecrosis of the jaw (ONJ) is associated with:
  1. Radiation of the head & neck
  2. Viral infections caused by HPV
  3. Oral candidiasis
  4. Exclusively with medications such as bisphosphonates, denosumab, and antiangiogenics