Oncologic Infections

Question 1

Which of the following will be at risk for Mycobacterium tuberculosis due to lack of T cells?
A. Chronic lymphocytic leukemia
B. Multiple myeloma
C. Post breast CA surgery patients
D. Hodgkin’s disease

Answer 1

D

Hodgkin’s and T cell lymphoma

Question 2

Which of the following will be at risk for infection with encapsulated organism due to lack of B cells?
A. T cell lymphoma
B. Multiple myeloma
C. Post breast CA surgery patients
D. Hodgkin’s disease

Answer 2

Multiple myeloma and Chronic lymphocytic leukemias

Question 3

Which of the following will predispose the patient to infections with rapid overwhelming sepsis due to involvement of the splenic reticuloendothelial cells?
A. Head and neck squamous cell carcinoma
B. Breast cancer surgery
C. Idiopathic thrombocytopenic purpura
D. T cell lymphoma

Answer 3

C

Question 4

Which of the following CA is associated with a lack of antibodies?
A. ALL
B. Hodgkin’s lymphoma
C. Multiple myeloma
D. T cell lymphoma

Answer 4

Multiple myeloma and CLL

Question 5

Which of the following CA is associated with a granulocytes?
A. ALL
B. Hodgkin’s lymphoma
C. Multiple myeloma
D. T cell lymphoma

Answer 5

ALL, AML and hairy cell

Question 6

Painless, round, necrotic lesion consisting of a central black or gray black eschar with surrounding erythema which is located in non pressure areas

Answer 6

Ecthyma gangrenosum

Question 7

Also called Febrile neutrophilic dermatosis

Answer 7

Sweet’s syndrome

Question 8

Red or bluish red papules or nodules that may coalesce and form sharply bordered plaques seen most commonly seen in the face neck and arms

Answer 8

Sweet’s sundrome

Question 9

Associated with Herpes simplex infection

Answer 9

Erythema Multiforme

Question 10

You are referred a patient with acute leukemia who is currently undergoing treatment. He is persitently febrile and has been unresponsive to antibiotics. Other complaints include abdominal pain and nausea. Labs show elevated alkaline phosphatase and review of labs show patient has recently recovered from neutropenia. Ultrasound reveal’s “Bull’s eye” lesions on the liver. What is the treatment?

Answer 10

A/I: Hepatic candidiasis

P: Amphotericin B