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Boards Review > W/L Ch 28 Lymphoreticular System Quiz > Flashcards

W/L Ch 28 Lymphoreticular System Quiz Flashcards

1
Q

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

a. Mycosis fungoides
b. Multiple myeloma
c. Non-Hodgkin lymphoma (NHL)
d. Hodgkin’s disease (HD)

A

d. Hodgkin’s disease (HD)

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2
Q

In what general anatomical location is Waldeyer ring located?

a. Mouth
b. Anus
c. Small intestine
d. Axilla

A

a. Mouth

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3
Q

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

a. Red blood cells
b. B-cell lymphocytes
c. T-cell lymphocytes
d. Macrophages

A

a. Red blood cells

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4
Q

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

a. Red blood cells
b. B-cell lymphocytes
c. T-cell lymphocytes
d. Macrophages

A

c. T-cell lymphocytes

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5
Q

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

a. Kidneys
b. Spleen
c. Pancreas
d. Liver

A

b. Spleen

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6
Q

What is the standard dose delivered for the treatment of NHL, Non-Hodgkins Lymphoma?

a. 1600 to 2000 cGy
b. 2600 to 3000 cGy
c. 3000 to 4500 cGy
d. 4600 to 5000 cGy

A

c. 3000 to 4500 cGy

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7
Q

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

a. T10
b. T12
c. Carina
d. Xyphoid

A

a. T10

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8
Q

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

a. L1-2
b. L2-3
c. L3-4
d. L4-5

A

d. L4-5

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9
Q

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

a. Stage I
b. Stage II
c. Stage III
d. Stage IV

A

a. Stage I

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10
Q

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

a. Stage I
b. Stage II
c. Stage III
d. Stage IV

A

b. Stage II

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11
Q

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

a. Stage I
b. Stage II
c. Stage III
d. Stage IV

A

c. Stage III

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12
Q

What stage is a Hodgkin lymphoma with extralymphatic extension?

a. Stage I
b. Stage II
c. Stage III
d. Stage IV

A

d. Stage IV

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13
Q

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

a. Skin erythema
b. Dysphagia
c. Secondary malignancy
d. Developmental anomalies

A

c. Secondary malignancy

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14
Q

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

a. Stage I
b. Stage II
c. Stage III
d. Stage IV

A

c. Stage III

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15
Q

What is the most common presenting symptom of HD?

a. Painless mass
b. Headache
c. Persistent cough
d. Dysphagia

A

a. Painless mass

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16
Q

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

A

c. II and III
WRONG

ABVD and MOPP ARE used to treat HD
CHOP is useful in the treatment of NHL, but not HD.

17
Q

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

a. Mantle
b. Inverted-Y (abdominal portion)
c. Inverted-Y (pelvic portion)
d. All of the above

A

c. Inverted-Y (pelvic portion)

Included in the inverted Y field are the retroperitoneal, common iliac, and inguinal lymph nodes.

18
Q

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

a. Mantle
b. Inverted-Y (abdominal portion)
c. Inverted-Y (pelvic portion)
d. All of the above

A

a. Mantle

19
Q

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

a. Mantle
b. Inverted-Y (abdominal portion)
c. Inverted-Y (pelvic portion)
d. All of the above

A

a. Mantle

A mantle field is illustrated in Figure 28-3. It includes all major lymph node regions above the diaphragm: submandibular, occipital, cervical, supraclavicular, infraclavicular, axillary, hilar, and mediastinal.

20
Q

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

a. Mantle
b. Inverted-Y (abdominal portion)
c. Inverted-Y (pelvic portion)
d. All of the above

A

b. Inverted-Y (abdominal portion)

21
Q

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

a. Mantle
b. Inverted-Y (abdominal portion)
c. Inverted-Y (pelvic portion)
d. All of the above

A

c. Inverted-Y (pelvic portion)

22
Q

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

a. Mantle
b. Inverted-Y (abdominal portion)
c. Inverted-Y (pelvic portion)
d. All of the above

A

c. Inverted-Y (pelvic portion)

Included in the inverted Y field are the retroperitoneal, common iliac, and inguinal lymph nodes.

23
Q

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

a. Mantle
b. Inverted-Y (abdominal portion)
c. Inverted-Y (pelvic portion)
d. All of the above

A

a. Mantle

24
Q

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

a. Pelvic
b. Inguinal
c. Para-aortic
d. Axillary

A

d. Axillary

25
Q

Which lymphoma is most common in young African males?

a. T-cell lymphoma
b. Burkitt lymphoma
c. HD
d. Follicular lymphoma

A

b. Burkitt lymphoma

Burkitt lymphoma is common in Africa but rare in other countries, although patients with acquired immunodeficiency syndrome (AIDS) tend to get this form of lymphoma.

26
Q

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

a. Heart
b. Spleen
c. Pancreas
d. Liver

A

b. Spleen

27
Q

Which of the following is not a B symptom?

a. Weight loss
b. Night sweats
c. Fever
d. Diarrhea

A

d. Diarrhea

Unexplained fevers (over 38° C, or 100.4° F), drenching night sweats, and weight loss of 10% of body weight in 6 months are referred to as B symptoms.

28
Q

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

a. Nodular sclerosing
b. Mixed cellularity
c. Lymphocyte depleted
d. Lymphocyte rich

A

c. Lymphocyte depleted

29
Q

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

a. 30
b. 45
c. 50
d. 60

A

a. 30

30
Q

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

a. Diarrhea
b. Pneumonitis
c. Occipital alopecia
d. Radiation carditis

A

c. Occipital alopecia

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