Deck 205: Lymphadenopathy

Question 1

An adolescent patient comes to the primary care provider because of a swollen lymph node which is warm, tender, and rapidly enlarging. Which initial action will the provider take?

A) Observe the node over a period of 3 to 4 weeks
B) Obtain a complete blood count with differential
C) Prescribe empirical antibiotics for 10 to 14 days
D) Refer for an ultrasound and possible biopsy

Answer 1

B

Question 2

A child developed cervical lymphadenopathy after a scabies infestation. One node remains enlarged 6 months after the infestation but has not increased in size. The physical examination reveals a non-tender, non-erythematous node. What will the provider tell the child's parents?

A) The child may need surgical intervention.
B) The child should see a pediatric oncologist.
C) The node will need to be biopsied.
D) This node is most likely benign.

Answer 2

D

Question 3

A 50-year-old patient presents with supraclavicular lymphadenopathy. Which action is correct?

A) Consult with an oncologist for evaluation.
B) Perform testing for sexually transmitted infections.
C) Reassure the patient that this will resolve.
D) Treat empirically with an antibiotic.

Answer 3

A