A nurse who provides care in an ambulatory clinic integrates basic cancer screening into admission assessments. What patient most likely faces the highest immediate risk of oral cancer?
A) A 65-year-old man with alcoholism who smokes
B) A 45-year-old woman who has type 1 diabetes and who wears dentures
C) A 32-year-old man who is obese and uses smokeless tobacco
D) A 57-year-old man with GERD and dental caries
Ans: A
Feedback:
Oral cancers are often associated with the use of alcohol and tobacco, which when used together have a synergistic carcinogenic effect. Most cases of oral cancers occur in people over the age of 60 and a disproportionate number of cases occur in men. Diabetes, dentures, dental caries, and GERD are not risk factors for oral cancer.
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