Oropharyngeal cancer
General Surgery · Topic 20
Source: NMC CBME Curriculum 2024 · Volume III · General Surgery · Topic 20 · combined PDF page 407
Practice questions
- A patient with newly diagnosed oropharyngeal carcinoma is being assessed for treatment. Which imaging approach best matches the guideline recommendations for completing assessment and staging?
- For local assessment of the primary site in oropharyngeal carcinoma, which modality is specifically recommended?
- Which imaging combination is recommended specifically for evaluation of the neck and chest in oropharyngeal carcinoma?
- A patient has completed chemoradiotherapy for oropharyngeal carcinoma. Which investigation is recommended for assessment of treatment response?
- In addition to its role after chemoradiotherapy, what role does PET-CT have in oropharyngeal carcinoma according to the guideline?
- Which statement best describes the role of examination under anaesthesia in the diagnostic assessment of oropharyngeal carcinoma?
- A patient with suspected oropharyngeal carcinoma is being considered for curative-intent treatment. Which statement about histology is most accurate?
- A pathology report is being prepared for an oropharyngeal carcinoma. Which reporting standard does the cited UK guideline recommend following?
- A patient has oropharyngeal squamous cell carcinoma. Which statement about HPV testing is recommended?
- A laboratory is selected to perform HPV testing on oropharyngeal cancer specimens. Which feature is specifically recommended for the testing service?
- A patient has T2 N0 oropharyngeal squamous cell carcinoma. Which pair represents guideline-supported treatment options?
- A patient with T1 N0 oropharyngeal squamous cell carcinoma undergoes transoral surgery. Histology shows adverse pathological features. Which postoperative management principle is supported by the guideline?
- When surgery is chosen for an oropharyngeal primary, which surgical approach is preferred in the cited guideline?
- A patient with oropharyngeal carcinoma is treated surgically and requires a neck dissection. Which nodal levels should generally be included according to the guideline?
- During surgical planning, imaging shows no disease in level IIa. Which statement about level IIb dissection is supported by the guideline?
- For a patient treated with radiotherapy, which elective neck levels should be included according to the guideline?
- A treatment team proposes changing the treatment modality solely because a patient's oropharyngeal carcinoma is HPV-positive. Which position best reflects the cited guideline?
- A multidisciplinary team is reviewing whether routine deintensification should replace standard treatment for HPV-related oropharyngeal cancer. Which conclusion best matches the supplied review?
- A patient with HPV-positive oropharyngeal cancer asks whether HPV status alone guarantees that treatment can be safely reduced. What is the best evidence-based response?
- A patient with HPV-associated oropharyngeal cancer treated with TORS asks how smoking history affected recurrence-free and disease-specific survival in the supplied meta-analysis. Which answer is most accurate?
- In the supplied meta-analysis of HPV-associated oropharyngeal cancer treated with TORS, smoking history was associated with which reported overall-survival finding?
- A partner of a patient with HPV-related oropharyngeal cancer is concerned about developing the same cancer. Which counseling statement best reflects the couples-study review?
- Which quantitative finding from the couples-study review best supports reassurance about sequential partner cancer risk in HPV-related oropharyngeal cancer?
- A dental clinic is planning an HPV-prevention discussion strategy. Which conclusion is supported by the systematic review of dental patients' perspectives?
- A patient with oropharyngeal cancer is seen during follow-up. What approach to depression is most consistent with the supplied systematic review?
- A hospital is evaluating an AI tool that flags possible oropharyngeal malignancy on clinical photographs. Which implementation principle is best supported by the supplied review?
- Which diagnostic workflow area was identified in the supplied AI review as a potential application for improving oropharyngeal cancer assessment?
- A clinician is preparing an initial workup for a patient with suspected oropharyngeal carcinoma and asks whether histology and imaging are interchangeable. Which response best reflects the guideline?
- A multidisciplinary team is considering enrollment of an eligible patient in a clinical trial for oropharyngeal cancer. Which statement aligns with the guideline's general recommendation?
- A patient with HPV-positive oropharyngeal cancer asks whether a better prognosis means that treatment choices can be made without considering other factors. Which response best reflects the supplied evidence?