Chapter 11 Lymphatic System HW

Question 1

A thin clear fluid that travels through the body via lymph nodes and vessels

Answer 1

Lymph

Question 2

What is the purpose of the lymphatic system

Answer 2

1. Return excess interstitial fluid and protein to the blood
2. Filter and destroy unwanted material from the body fluids
3. Initiate an immune response (Ex: lymph nodes become swollen when bacteria are present and when the body produces more lymphocytes to fight an infection)

Question 3

What is the largest lymphatic organ

Answer 3

Spleen

Question 4

What are the two types of lymphocytes

Answer 4

1. B and T cells

2. Natural killer cells are also considered lymphocytes

Question 5

How is the Epstein-Barr virus and infectious mononucleosis related to Hodgkin lymphoma?

Answer 5

It has been linked, components of Epstein-Barr virus have been found in DNA of the Reed-Sternberg cells of some patients with Hodgkin’s

Question 6

Does having HIV increase one’s risk of getting Hodgkin Lymphoma

Answer 6

YES

Question 7

Does having a sibling with Hodgkin lymphoma increases one’s risk getting Hodgkin lymphoma

Answer 7

YES

Question 8

What is Waldyer ring

Answer 8

The tonsillar lymphatic tissue that surrounds the nasopharynx and oropharynx

Question 9

What are the functions of the spleen?

Answer 9

1. Defense, hematopiesis, and red blood cell and platelet destruction, as well as serving as a reservoir for blood. Recycles red blood cells and houses lymphocytes that help contest certain types of bacteria

Question 10

Which Hodgkin Lymphoma represents the description: A, B, E, S

1. The patient does not have B symptoms
2. The patient has B symptoms
3. Extranodal disease is present
4. Disease is found in the spleen

Answer 10

1. A
2. B
3. E
4. S

Question 11

What is the primary treatment for early stage Hodgkin lymphoma

Answer 11

Chemo

Question 12

How are the areas treated:

Mantle Field-

Answer 12

Neck, chest, axilla

Question 13

How are the areas treated:

Para-aortic field

Answer 13

Para aortic lymph nodes and spleen

Question 14

How are the areas treated:

Inverted Y field

Answer 14

Pelvic lymph nodes and para aortic lymph nodes

Question 15

What is TNI

Answer 15

Total Nodal Irradiation- treating the mantle, para aortic and inverted Y fields together

Question 16

What is akimbo

Answer 16

Hands on hips with elbows turned outward

Question 17

What is subtotal nodal irradiation

Answer 17

Treatment of the mantle and abdominal (para aortic, spleen) fields without the pelvic portion

Question 18

What is oophoropexy?

Answer 18

A procedure that moves the ovaries midline or laterally to minimize exposure to radiation during radiation therapy treatment

Question 19

Which cell type (B or T) does Non-Hodgkin lymphoma most often affect? What percentage are of this cell type?

Answer 19

B Cell

85%

Question 20

Which cell type (B or T) does Hodgkin lymphoma most often affect

Answer 20

T Cell

Question 21

What type of treatment do patients get if chemo and or radiation fail?

Answer 21

Autologous Bone Marrow and Peripheral Blood Stem Cell Transplants

Question 22

What is the function of the Thymus

Answer 22

It is the final site of lymphocyte development before birth and secretion of hormones after birth, which enables lymphocytes to develop into mature T cells which attacks foreign or abnormal cell.

Question 23

Where is the thoracic duct located?

Answer 23

Upper abdomen and thoracic cavity

Question 24

What is lymphedema

Answer 24

Condition on which the tissues in the extremities swell due to obstruction of the lymphatic vessels and the subsequent accumulation of lymph.

Question 25

What are the two main ducts that lymph empties into; from which parts of the body does this lymph come from;

Answer 25

Right lymphatic duct and the thoracic duct are the two main ducts, the vessels from the upper right quadrant of the body empty into the lymphatic duct which returns the lymph into the general circulation via the right subclavian vein and the remainder of the lymphatic vessels drain into the thoracic duct which returns the lymph into the general circulation via the left subclavian vein

Question 26

What is multiple myeloma

Answer 26

A neoplastic disease of unknown etiology occurring in older in older adults and involving the plasma cells. An increase number of malignant plasma cells replace the bone marrow and erode the bone. Multiple tumors with bone destruction develop in the vertebrae, ribs, pelvis and skull.