DEPARTMENT OF ORAL AND

MAXILLOFACIAL SURGERY

GOVERMENT DENTAL COLLEGE &

HOSPITAL, AHMEDABAD.

Oral Cancer

Presented by :-Nirali Patel

NSI

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Oral Cancer

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Que:- 1. The commonest site of oral cancer among Indian population is ?

A. Tongue
B. Floor of the mouth
C. Alveobuceal complex (38 % )
D. Lip

Ans :- C. Alveobuceal complex (38 %)

Que-2. A Pt. has small, oral multiple ulcers in oral cavity with red
erythematous margins the diagnosis is ?

A. Carcinoma
B. Apthous ulcer
C. Tubercular ulcer
D. Syphilitic ulcer

Ans :- B. Apthous ulcer

Que :- 3. The premalignant condition with the highest probability of

progression to malignancy ?

A. Dysplasia
B. Hyperplasia
C. Leyloplakia
D. Erythoplakia

Ans :- D. Erythoplakia

Exp :- The malignant potential of erythroplakia is if times higher than

leykoplakia.

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Que :- 4. In Carcinoma cheek what is the best drug for single drug
chemotherapy ?

A. Vincristine
B. Cyclophosphamide
C. Cisplatin
D. Daunorubicin

Ans :- C. Cisplatin

Que :- 5. Commonest cancer of the oral cavity ?

A. Adeno carcinoma
B. Mlanoma
C. Sarcoma
D. Squamous cell carcinoma

Ans :- D. Squamous cell carcinoma

Que :- 6. Patient complaint with an ulcer on lateral margin of tongue also

complaints of ear pain most probable diagnosis ?

A. Dental ulcer
B. Carcinomatous ulcer
C. Tuberculous ulcer
D. Syphilitic ulcer

Ans :- B. Carcinomatous ulcer

Exp :- As the most common site of carcinoma of tongue is the anterior 2/3 rd
or middle 1/3 rd of the tongue.

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Que :- 7. Areas of carcinoma of oral mucosa can be identified by staining
with ?

A. 1 % Zinc chloride
B. 2 % Silver nitrate
C. Gentian violet
D. 2 % Toluldene blue

Ans :- D. 2 % Toluldene blue

Que :- 8. The commonest premalignant condition of oral cancer is ?

A. Leukoplakia
B. Apthous ulcer
C. Lichen planus
D. Erythro leykoplakia

Ans :-

Que :-9. Multiple painful ulcers on tongue are seen in all except ?

A. Apthous ulcers
B. Tuberculous ulcers
C. Herpes ulcers
D. Carcinomatous ulcers

Ans :- D. Carcinomatous ulcers

Que :- 10. Predisposing factors for development of oral carcinoma is ?

A. Smoking
B. Alcohol
C. Syphilis
D. All the above

Ans :- D. All the above

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Que :-11. Which one of the following is considered to be the hallmark of
malignancy.

A. Anaplasia & the rate of growth of the neoplastic mass.

B. Metastasis & the degree of encapsylation of the neoplastic mass .
C. Formation of giant cell & cellular anaplasia within & around the
neoplastic mass.
D. Precence of undifferentiated cell & evidence of metastasis.

Ans :- D. Precence of undifferentiated cell & evidence of metastasis.

Que :-12.Commonest site of carcinoma tongue is ?

A. Dorsum
B. Ventral aspects
C. Anterior 2/3rd lateral aspect
D. Tip

Ans :- C. Anterior 2/3rd lateral aspect

Que :-13. In the reconstruction following excision or previously irradiated

cheek, the flap will be ?

A. Local tongue
B. Arvical
C. Forehead
D. Pectoralis major myocytaneous

Ans :- D. Pectoralis major myocytaneous

Que :-14. Investigations used for diagnosis of oral cancer.

A. OPG, Occlusal view

B. Biopsy
C. MRI , CT
D. All the above

Ans :- D. All the above

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Que :-15. A malignancy spreads by.

A. Local & lymphatic

B. Hematogenous
C. A&B
D. None of them

Ans :- C. A & B

Que :-16. True statements about oral cancer is/are ?

A. Most common in buccal mucosa

B. Respond to radiotherapy
C. Surgery done
D. All the above

Ans :- D. All the above

Que :-17. Which is not true of carcinoma tongue ?

A. Lateral border involved

B. Cervical lymph node involvement
C. Commonly adenocarcinoma
D. Tobacco chewing is a risk factor.

Ans :- C. Commonly adenocarcinoma

Exp.:- Carcinoma of tongue is most commobly squ. Cell carcinoma & not
adenocarcinoma.

Que :-18.trismus in oral cancer pt. is server in those treated with ?

A. Surgery & Radiotherapy

B. Chemotherapy alone
C. Surgery alone
D. Not related to treatment

Ans :- A. Surgery & Radiotherapy

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Que :-19. A Pt. with carcinoma tongue is found to have lymph nodes in
the lower neck. The t/t of choice for the lymph nodes is ?

A. Lower cervical neck dissection

B. Suprahyoid neck dissection
C. Teleradiotherapy
D. Radical neck dissection

Ans :- D. Radical neck dissection

Que :- 20. An old man who is edentulous developed squ. Cell carcinoma in
buccal mucosa that has infiltrated to the alveolar. Following is
not indicated in the treatment.

A. Radiotherapy
B. Segmental mandibulectomy
C. Marginal mandibulectomy involving removal of the outer table only
D. Marginal mandibulectomy involving removal of upper half of
mandible.

Ans :- C. Marginal mandibulectomy involving removal of the outer table only

Exp :- In marginal mandibulectomy involving removal of upper half of

Mandible .

Que :-21. An old pt. presents with a midline tumor of the lower jaw, involving
the alveolar margin . He is edentulous. What is the treatment of
choice ?

A. Hemimandibulectomy
B. Commando operation
C. Segmental mandibulectomy
D. Marginal mandibulectomy

Ans :- C. Segmental mandibulectomy

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Que :- 22. Treatment of choice for carcinoma of lip less than one
centimetre ?

A. Radiation
B. Chemotherapy
C. Excision
D. Radiation & chemotherapy

Ans :- C. Excision

Que :-23. Carcinoma of tongue less than 2 cm is treatment by ?

A. Excision
B. Radiotherapy
C. Chemotherapy
D. Excision & Radiotherapy

Ans :- A . Excision

Que :-24. Metastasis of carcinoma buccal mucosa goes to ?

A. Regional lymph node

B. Liver
C. Heart
D. Brain

Ans :- A . Regional lymph node

Que :-25. All of the following predisposes to oral cancer except ?

A. Erythroplakia
B. Leykoplakia
C. Submucosal fibrosis
D. Lichen planus.

Ans :- D . Lichen planus.

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Que :-26. All of the following predispose to squ. cell carcinoma except ?

A. Lichen planus of mouth

B. Bowens disease
C. Inverted papilloma of nose
D. Chronic irritation

Ans :- A. Lichen planus of mouth

Que :-27. Not a carcinogenic for cancer of head & neck ?

A. Alcohol
B. Smoking
C. Tobacco
D. Unflourinated water

Ans :- D. Unflourinated water

Que :-28. All are true about carcinoma palate except ?

A. Slow growing
B. Bilateral lymphatic spread
C. Adenocarcinoma
D. Presents with pain

Ans :- D. Presents with pain

Exp :- Carcinoma palate usually gives no symptoms except painless

irregularity on the palate felt by tongue.

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Que :- 29. Treatment of state T3N1 of carcinoma maxilla is ?

A. Radiation therapy only

B. Chemotherapy only
C. Surgery & Radiation
D. Chemotherapy & Radiation

Ans :- C. Surgery & Radiation

Exp :- Carcinoma maxilla is of two types.

(1 ) Sr. Cell carcinoma
(2) Adenocarcinoma . surgery & Radiation is the t/t of choice for any
stage of carcinoma maxilla.

Que :-30. Drugs that are used as single agents in chemotherapy is/are.

A. Methotrexate
B. Bleomycine
C. Cisplatin
D. All the above

Ans :- D. All the above

Que :-31.Which drug of chemotherapy is not anti metabolite .

A. Methotrexate
B. 5 fluorouracil
C. Cisplatin
D. None of them

Ans :- C. Cisplatin

Que :- 32. What are the acute adverse effects of radiation therapy .

A. Erythema
B. Loss of taste & Xarostomia
C. Skin reactions
D. All the above

Ans :- D. All the above.

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Que :- 33. All of the following late adverse effect of radiation therapy
except.

A. Osteoradionecrosis
B. Dry mouth
C. Damaged Salavary function.
D. Mucositic

Ans :- D. Mucositic

Que :-34. SCC can arise from.

A. Long standing venous ulcers

B. Chronic lupus Valgaris
C. Rodent ulcer
D. All of the above

Ans :- A. Long standing venous ulcers,

B. Chronic lupus Valgaris

Que :-35. Not a carcinogen for cancer of head & neck.

A. Alcohol
B. Smoking
C. Tobacco
D. Unflourinated water

Ans :- D. Unflourinated water

Que :-36. Margins of SCC is.

A. Inverted
B. Everted
C. Rolled
D. Undermined

Ans :- B. Everted

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Que :- 37. Carcinomatous ulcer is diagnosed by.

A. Everted & indurated borders

B. Everted punched out borders
C. Inverted underminded borders
D. None of the above

Ans :- A. Everted & indurated borders

Que :- 38. A malignant tumor of childhood, that metastasized to bone often

is :

A. Wilms tumour
B. Meyroblastoma
C. Adrenal gland tumour
D. Granuloma cell tumour of ovary

Ans :- B. Meyroblastoma

Que :- 39. Malignant ulcer is differentiated from benign by.

A. Heaping up of margins
B. Fibrous scars radiating from crates
C. Induration of base
D. Aean base

Ans:- A. Heaping up of margins

Que :- 40. SCC .

A. Spreads through lymphatics

B. Radio resistant
C. Metastasize through blood stream
D. Surgical excision contraindicated

Ans :- A. Spreads through lymphatics

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Que :- 41.the most common clinical pattern of bcc is.

A. Nodular
B. Morphea form
C. Superficial
D. Keratotic

Ans :-A. Nodular

Que :- 42. Malignancies that frequently metastasize to the jaws are .

A. Lung
B. Prostate
C. Colorectal
D. All of the above

Ans :- D. All of the above

Que :- 43. Progrosis of malignant melanoma depends on.

A. Grade of tumour
B. Spread of tumour
C. Depth of tumour
D. Metastasis

Ans :- A. Grade of tumour

Que :- 44. Most severe form of malignant melanoma is .

A. Superficially spreading
B. Nodular intiltrating type
C. Those arising in lower limb
D. Those in choroid

Ans :- B. Nodular intiltrating type

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Que :- 45. The treatment of choice for Nasophargngeal Carcinoma is.

A. Chemotherapy alone
B. Radiotherapy alone
C. Radiotherapy & Surgery
D. Surgery alone

Ans :- B . Radiotherapy alone

Que :- 46. Malignancies that frequently metastasize to the jaws are :

A. Lung
B. Prostate
C. Colorectal
D. All of the above

Ans :- D. All of the above

Que :- 47.

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