Chapter 28 Lymph

Question 1

Which treatment field for HD includes the inguinal lymph node chain?

Answer 1

Inverted-Y (pelvic portion)

Question 2

The thymus is commonly associated with which of the following blood cell types?

Answer 2

T-cell lymphocytes

Question 3

The abdominal para-aortic treatment portal includes what organ(s)?

Answer 3

Spleen

Question 4

What stage is a Hodgkin lymphoma affecting the hilar nodes and the periaortic nodes?

Answer 4

Stage III

Question 5

Which treatment field for HD includes the para-aortic lymph node chain?

Answer 5

Inverted-Y (abdominal portion)

Question 6

Which lymphoma is most common in young African males?

Answer 6

Burkitt lymphoma

Question 7

In what general anatomical location is Waldeyer ring located?

Answer 7

Mouth

Question 8

What stage is a Hodgkin lymphoma that involves SCV lymph nodes and the spleen?

Answer 8

Stage III

Question 9

What stage is a Hodgkin lymphoma affecting only the right cervical lymph nodes?

Answer 9

Stage I

Question 10

What landmark is typically used to determine the lower border of the mantle field?

Answer 10

T10

Question 11

Which of the following organs is most closely associated with the lymphatic system?

Answer 11

Spleen

Question 12

What landmark is typically used to determine the lower border of the abdominal portion of the inverted-Y field?

Answer 12

L4-5

Question 13

Which lymph node chain is more likely to be the original site of Hodgkin lymphoma?

Answer 13

Axillary

Question 14

Which treatment field for HD includes the axillary lymph node chain?

Answer 14

Mantle

Question 15

What is the most common long-term side effect of total lymphoid irradiation?

Answer 15

Secondary malignancy

Question 16

Which stage is a Hodgkin lymphoma affecting two lymph node groups on the same side of the diaphragm?

Answer 16

Stage II

Question 17

A mantle field is used to treat which type of cancer?

Answer 17

Hodgkin’s disease (HD)

Question 18

Which treatment field for HD includes the cervical lymph node chain?

Answer 18

Mantle

Question 19

What stage is a Hodgkin lymphoma with extralymphatic extension?

Answer 19

Stage IV

Question 20

Which treatment field for HD includes the iliac lymph node chain?

Answer 20

Inverted-Y (pelvic portion)

Question 21

What is the most common presenting symptom of HD?

Answer 21

Painless mass

Question 22

What is the standard dose delivered for the treatment of NHL?

Answer 22

3000 to 4500 cGy

Question 23

Which of the following is an acute side effect of radiation to the upper mantle?

Answer 23

Occipital alopecia

Question 24

Which treatment field for HD includes the retroperitoneal lymph node chain?

Answer 24

Inverted-Y (pelvic portion)

Question 25

Which of the following chemotherapy regimens is not used to treat HD?

I. CHOP
II. MOPP
III. ABVD

a. I and II
b. I and III
c. II and III
d. I, II, and III

Answer 25

c. II and III

Question 26

Today, the standard treatment for early stage Hodgkin lymphoma is combination chemotherapy and irradiation of the involved field to a dose of ____ Gy.

Answer 26

30

Question 27

Which pathologic type of Hodgkin lymphoma is the least common in the United States?

Answer 27

Lymphocyte depleted

Question 28

Which treatment field for HD includes the mediastinal lymph node chain?

Answer 28

Mantle

Question 29

Which of the following is not a B symptom?

Answer 29

Diarrhea

Question 30

The spleen is commonly associated with which of the following blood cell types?

Answer 30

Red blood cells