Mr  O presents with a squamous cell carcinoma of the larynx that is described by his ENT physician and oncologist as large and penetrating

Mr  O presents with a squamous cell carcinoma of the larynx that is described by his ENT physician and oncologist as large and penetrating. In addition, CT scans have identified multiple lymph node involvement of greater than 6 cm.

1. This cancer would be described as:

A. T4, N3

B. T2, N1

C. T1, N3

D. T2, N2

2. Due to the advanced stage of the CA, the most likely intervention recommendation is:

A. Laryngectomy

B. Radiation only

C. Hemilaryngectomy

D. Chemotherapy only

3. Which of the following statements is true concerning the three major communication options available to Mr. O postlaryngectomy?

A. Tracheoesophageal speech employs lung air

B. Esophageal speech impounds more air in the upper esophagus than tracheoesophageal speech

C. Only esophageal speech employs the pharyngoesophageal segment

D. They are mutually exclusive

4. The attribute that would render Mr. O a likely candidate for successful tracheoesophageal (TE) speech use would be:

A. Little to no fibrosis

B. A history of multiple radiation interventions

C. Extensive flap reconstruction

D. Esophageal stricture

5. Mr. O needs to know the following about the pharyngoesophageal (PE) segment:

A. He may need to undergo a cricopharyngeal myotomy

B. The PE segment always takes on a circular configuration during open phases

C. He needs strong finger pressure at the stoma to set the tissue into vibration

D. The PE segment cannot be observed with stroboscopy