Chapter 10: Lymphatic

Question 1

1. Which organ does not have lymphatic vessels?
   a. Brain
   b. Kidneys
   c. Liver
   d. Lungs

Answer 1

ANS: A Brain

Question 2

2. Cells that line the lymph node sinuses perform the specific function of
   a. fat absorption.
   b. fetal immunization.
   c. hematopoiesis.
   d. phagocytosis.

Answer 2

ANS: D
d. phagocytosis

Question 3

3. Lymph flows faster in response to
   a. increased metabolic activity.
   b. decreased blood volume.
   c. decreased metabolic rate.
   d. decreased permeability of the capillary walls.

Answer 3

ANS: A
a. increased metabolic activity.

Question 4

4. An organ that is essential to the development of protective immune function in the infant but has little or no demonstrated function in the adult is the
   a. spleen.
   b. liver.
   c. thymus
   d. pancreas.

Answer 4

ANS: C thymus

Question 5

5. Mr. Shea is a 45-year-old patient who presents to the office for multiple complaints. The examination of the upper left quadrant of the abdominal cavity is essential to the evaluation of the immune system because of the location of which organ?
   a. Spleen
   b. Liver
   c. Stomach
   d. Pancreas

Answer 5

a. Spleen

Question 6

6. Mrs. Farrel brings in her 6-year-old son with complaints of a sore throat and fever. As the healthcare provider, you are concerned about his tonsils and adenoids. Enlarged tonsils and adenoids may obstruct the
   a. thoracic duct.
   b. esophagus.
   c. nasopharyngeal passageway.
   d. external auditory meatus.

Answer 6

c. nasopharyngeal passageway.

Question 7

7. Mrs. Sing is a 44-year-old patient who presents to the office with a complaint of enlarged lymph nodes. When enlarged, which lymph nodes are most likely to be a sign of pathology (e.g., malignancy)?
   a. Occipital
   b. Anterior cervical
   c. Supraclavicular
   d. Femoral

Answer 7

c. Supraclavicular

Question 8

8. As adults age, their ability to resist infection is reduced because of the lymphatic nodes becoming more
   a. fibrotic.
   b. mucoid.
   c. porous
   d. profuse.

Answer 8

a. fibrotic.

Question 9

9. Equipment for examining the lymphatic system includes a
   a. caliper.
   b. centimeter ruler.
   c. goniometer.
   d. syringe and needle.

Answer 9

b. centimeter ruler.

Question 10

10. Which nodes are most often associated with inflammation?
    a. Shotty
    b. Movable
    c. Fixed
    d. Tender

Answer 10

d. Tender

Question 11

11. Which nodes are also called Virchow nodes?
    a. Internal mammary
    b. Anterior axillary
    c. Deep cervical
    d. Supraclavicular

Answer 11

d. Supraclavicular

Question 12

12. The harder and more discrete a node, the more likely that there is a(n)
    a. innocent cause.
    b. infection.
    c. malignancy.
    d. metabolic disease.

Answer 12

c. malignancy.

Question 13

13. Which finding indicates that the examiner is assessing a blood vessel rather than a lymph node?
    a. a bruit
    b. inflammation
    c. Tenderness
    d. Redness

Answer 13

a. a bruit

Question 14

14. When examining lymph nodes near a joint in the arm or leg, which of the following maneuvers is likely to facilitate the examination?
    a. Extension of the extremity
    b. Circumduction of the extremity
    c. Flexion of the extremity
    d. Rotation of the extremity

Answer 14

c. Flexion of the extremity

Question 15

15. To palpate the inguinal nodes, you should have the patient
    a. bend over a table and cough.
    b. lie supine with knees slightly flexed.
    c. lie supine with legs extended.
    d. stand and cough vigorously.

Answer 15

b. lie supine with knees slightly flexed.

Question 16

16. The most important clue to the diagnosis of immunodeficiency disease in a child is
    a. family history.
    b. illness in siblings.
    c. previous hospitalizations.
    d. serious recurring infections.

Answer 16

d. serious recurring infections.

Question 17

17. A red streak that follows the course of the lymphatic collecting duct is a finding associated with
    a. Hodgkin disease.
    b. lymphangitis.
    c. lymphedema.
    d. lymphoma.

Answer 17

b. lymphangitis.

Question 18

18. Which disorder is characterized by a single node that is chronically enlarged and nontender in a patient with no other symptoms?
    a. Retropharyngeal abscess
    b. Streptococcal pharyngitis
    c. Mononucleosis
    d. Toxoplasmosis

Answer 18

d. Toxoplasmosis

Question 19

19. Initial signs and symptoms of Epstein-Barr virus mononucleosis usually include
    a. pharyngitis, fever, and malaise.
    b. bleeding gums and spontaneous nosebleeds.
    c. headache, visual disturbance, and rash.
    d. inguinal adenopathy and painful urination.

Answer 19

a. pharyngitis, fever, and malaise.

Question 20

20. Tender nodes associated with cat scratch disease are usually found in which area?
    a. Epitrochlear area
    b. Popliteal area
    c. Axilla
    d. Inguinal area

Answer 20

c. Axilla

Question 21

21. Serum sickness is usually characterized first by the appearance of
    a. lymph node enlargement.
    b. joint pain.
    c. urticaria.
    d. fever.

Answer 21

c. urticaria.

Question 22

1. Which condition stimulates lymph node enlargement? (Select all that apply.)
   a. Graves disease
   b. Lymphangioma
   c. Esophageal reflux
   d. Parotid swelling

Answer 22

ANS: A, B, D

a. Graves disease
b. Lymphangioma
d. Parotid swelling