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W/L Ch 28 Lymphoreticular System Quiz Flashcards

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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

Study These Flashcards
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

Study These Flashcards
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

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

Study These Flashcards
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

Study These Flashcards
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

Study These Flashcards
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

Study These Flashcards
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

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

25
Which lymphoma is most common in young African males? a. T-cell lymphoma b. Burkitt lymphoma c. HD d. Follicular lymphoma
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
Which of the following organs is most closely associated with the lymphatic system? a. Heart b. Spleen c. Pancreas d. Liver
b. Spleen
27
Which of the following is not a B symptom? a. Weight loss b. Night sweats c. Fever d. Diarrhea
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
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
c. Lymphocyte depleted
29
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. 30
30
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
c. Occipital alopecia

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