Mr. Quigley is a 56-year-old male patient who presents for evaluation of difficulty swallowing. Physical examination of the oropharymi reveals a pink irregular mass of
approximately 4 cm in the posterior pharynx. The patient is advised that he appears to have an abnormal growth and will need to be referred to otolaryngology. He asks how
he got a tumor in his throat. The AGACNP replies that the greatest rislc factorlsl for
oropharyngeal tumors istarel: A.Tobacco and alcohol use E. Human papiilomavims iHP‘v’l
C. Family history of a first degree relative D. Female gender
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