5.3. Quiz:
1. Benign lips.
2. Etiology, pathogenesis, patAnatomy lower lip cancer
3. Classification of lower lip cancer in stages
4. Clinic and cancer treatment lower lip
5. Benign tumors of the oral mucosa, tongue.
6. Epidemiology, etiology, precancerous, patAnatomy cancer of the oral mucosa, tongue.
7. Classification, clinical cancer of the oral mucosa, tongue.
6. Benign tumors of the larynx;
9. Epidemiology, etiology, precancerous, abnormal anatomy, ways metastasis in WP;
10. Classification WP in stages;
11. Clinic WG;
12. WP Diagnosis;
13. Treatment and Rehabilitation treatment WG;
14. Pathologic characteristics of thyroid cancer;
15. The incidence of thyroid cancer. Medical management of thyroid nodular formations;
16. Ways metastatic thyroid cancer;
17. The clinical picture of thyroid cancer;
18. Methods of diagnosis and cytological role radioisotope method;
19. General principles of treatment of thyroid cancer, the results of treatment.
5.4. Final stage:
Control and correction of professional skills and knowledge held by solving situational and clinical tasks, tests for self-control. Assesses knowledge and skills students study each assessment.
The teacher has homework, recommended literature on the subject next class basic and additional.
VI. Materials for methods of classes
6.1.Materialy control baseline (rising levels) of students: test questions, test items (pravilni answers marked "*")
Quiz:
1. Benign lips.
2. Etiology, pathogenesis, patAnatomy lower lip cancer
3. Classification of lower lip cancer in stages
4. Clinic and treatment of cancer lower lip
5. Benign tumors of the oral mucosa, tongue.
6. Epidemiology, etiology, precancerous, patAnatomy cancer of the oral mucosa, tongue.
7. Classification, clinical cancer of the oral mucosa, tongue.
6. Benign tumors of the larynx;
9. Epidemiology, etiology, precancerous, abnormal anatomy, ways metastasis in WP;
10. Classification WP in stages;
11. Clinic WG;
12. WP Diagnosis;
13. Treatment and Rehabilitation treatment WG;
14. Pathologic characteristics of thyroid cancer;
15. The incidence of thyroid cancer. Medical management of thyroid nodular formations;
16. Ways metastatic thyroid cancer;
17. The clinical picture of thyroid cancer;
18. Methods of diagnosis and cytological role radioisotope method;
19. General principles of treatment of thyroid cancer, the results of treatment.
test tasks (Correct answers are marked *)
At the lower lip cancer often suffer from:
- men 40-60-years old *
- women 40 to 50 years of age;
- equally often men and women.
- men 60 to 80 years old
- women 60 to 80 years old
Etiologic factors of lower lip cancer is mainly:
- consumption of protein, fat in excessive amounts;
- womankind
- male;
- smoking tobacco *
- trauma lips.
T2 for cancer of the lower lip is:
- tumor 3 cm;
- Tumor more than 3 cm;
- tumor which in intended to encompass neighboring structures;
- tumors up to 4 cm *
- metastatic lymph nodes neck.
N3 for cancer of the lower lip is:
- metastasis in 1 homolateralnomu l / in 3 cm;
- metastasis in 2 homolateraln and l / in 3 cm
- metastasis in 3 or more homolateraln and l / in 3 cm
- bilateral metastatic lymph nodes to 6 cm;
- metastasis to lymph nodes larger than 6 cm. *
Treatment and art. cancer of the lower lip is:
- operation;
- Distance hamaterapiya;
- close-radiotherapy *
- immunotherapy
- combined.
Treatment of stage II and III are:
- the operating Board resection of the primary tumor;
- chemoradiation therapy
- close-radiotherapy;
- Kraylya operation;
- Combined: radiation + excision of the primary tumor and surgery Kraylya. *
Cancer lateral surface of the tongue found in:
- 60% of cases;
- 20%;
- 40%
- 80% *
- Of 10%.
Treatment of cancer of the tongue in stages I-III:
- Irradiation of the primary tumor;
- Half-resection of the tongue;
- Combined: radiation + surgery + chemotherapy, surgery, surgery + chemotherapy. *
- removal of the tumor followed by radiation therapy
- Remove the tongue and Chemotherapy
Obligate Precancer larynx is:
- Chronic farinhit;
- Papillomatosis *
- Fibroma;
- Pahidermiya;
-Dyskeratozy larynx.
Defeat vestibular tumor of the larynx accompanied by:
- Foreign body sensation in the throat *
- Hoarseness;
- Aphonia;
- breach of breath;
- Bleeding;
Treatment III and IV. laryngeal cancer:
- Larynhektomiya;
- Radiotherapy;
- Chemotherapy
- Chemoradiation therapy
- Radiotherapy followed by extended larynhektomiyeyu *
Ts for thyroid cancer is:
- Tumor more than 4 cm in greatest dimension *
- Tumor spread beyond the thyroid capsule;
- Tumors up to 4 cm
- Tumor more than 3 cm
- Tumor up to 5 cm
All cases of undifferentiated thyroid ra tion are to:
- In situ
-1 Stage;
- II stage;
- III stage;
- IV stage *
Regional lymph nodes for thyroid are:
- Jugular and paratrahealn and *
- Retrosternal;
- Vzodvzh additional nerve;
- Occipital;
- Axillary;
Percutaneous biopsy with cytology preparation shows malignant nature of the tumor:
- 95% of cases *
- 60%;
- 48%;
- 30%
- 15%
When undifferentiated thyroid cancer treatment should begin with:
- Radiotherapy + chemotherapy *
- Thyroidectomy;
- Subtotal resection of cancer chemotherapy +
- Chemotherapy, immunotherapy
- Removal of the tumor
6.2. Materials for the methods of the main stage classes H Abir radiographs, scans, tables, owner of anticancer chemotherapy, hospital records and medical history of patients, findings of morphological studies of biopsies (if possible micropreparations) medicines.
6.3. Materials for the final stage of training: test objectives and clinical case studies
Final Test
Tests: (Correct answers are marked *)
1. In Clinic enrolled min. S., in '45, with the presence of tumor in the region of the lower lip size m 1 cm. What you will take the examination and treatment tactics?
Survey:
A. Review
B. Review and scraping *
C. Puntsiya tumor
D. Ultrasound and puntsiya
E. CT
Treatment:
A. dynamic monitoring
B. Close-radiotherapy *
C. Distance hamaterapiya
D. remote gamma therapy and lymphadenectomy pidborodna
E. operation Kraylya
2. Patient B., '54, addressed the oncologist complaining tumor 2 cm in diameter in the area of the lower lip. The formation of a whitish color. After removing horny layers exposed pink bleeding surface. What is the diagnosis most likely be in this case?
A. chancre
B. Cancer of the lower lip *
C. Leukoplakia
D. Dyskeratoz
E. Granuloma
3. In min. W., '70, was diagnosed with cancer of the lower lip needle biopsy of the tumor. Formation of size 5 x 4 cm, enlarged pidboridni, submandibular, posterior neck l / c. Size L / in more than 6 cm. Which stage disease ing?
A. II
B. III
C. V and A
D. IV V *
E. IV C
4. In min. M., '72, diagnosed tongue cancer III., T2N1M0. The tumor is localized on the lateral surface of the tongue. What treatment is indicated for this patient?
A. dynamic monitoring
B. Radiotherapy close-
C. Remote hamaterapiya
D. Remote gamma therapy and lymphadenectomy pidborodna
E. Radiation + surgery *
5. A man in '65're concerned about any sores on the right cheek mucosa in trauma her prosthesis. Ulcer there about a year, medical treatment is not exposed in the last 3 months doubled. Ulcer size 2 - 2.5 cm, bottom - necrotic. Regional lymph nodes - Submandibular to 2 cm, soft elastic, limited traffic, the number 3. The most likely diagnosis: A. Dekubitylna ulcer V. thrush S. Cancer of oral mucosa * D. "Aspirin" ulcer E. leukoplakia
6. Patient to a surgeon turned 46 years old, who is on the lower lip would ezbolisna ulcer size 0.5 x 0.5 cm in the last year on the lower lip scales observed that occasionally fall away. Ulcer appeared 2 months ago. The left submaxillary area you revealed dense l / of 0.5 x 1.0 cm your diagnosis: A. Herpes labialis V. rodent ulcer lower lip S. chancre lower lip D. Lower lip cancer has spread to the submandibular lymph nodes * E. leukoplakia