Question 1

A 30-year-old male patient is diagnosed with Hodgkin lymphoma. Initial lab work reveals a WBC of 20 * 10⁹/L, hemoglobin of 10.1 gm/dL, a serum albumin of 3 g/dL, and lymphopenia of 0.5 * 10⁹/L. Staging studies identify stage III disease. What is this patient's prognostic score?

A) 2
B) 3
C) 4
D) 5

4

Accepted Answer

4&#10;

Question 2

A patient reports a neck mass that has been present intermittently for 5 or 6 weeks which varies in size. The provider palpates a lymph node measuring 1.25 cm. Which test will provide proper histologic diagnosis for this patient?

A) Bone marrow aspirate
B) Computed tomography (CT) scan with intravenous (IV) contrast
C) Lymph node biopsy
D) Positron emission tomography (PET) scan

C

Accepted Answer

The proper histologic diagnosis for a neck mass would require a biopsy of the lymph node. A bone marrow aspirate would not provide information on a lymph node mass, a CT scan or PET scan may indicate the presence of a mass but cannot provide a definitive diagnosis, and only a biopsy can provide a histologic diagnosis.

Question 3

Which types of lymphomas typically have an aggressive presentation? (Select all that apply.)&#10;A) Adult T cell leukemia-lymphoma&#10;B) Burkitt lymphoma&#10;C) Diffuse large B cell lymphoma&#10;D) Follicular lymphoma&#10;E) Splenic marginal zone lymphoma

Accepted Answer

Adult T cell leukemia-lymphoma, Burkitt lymphoma, and diffuse large B cell lymphoma typically have an aggressive presentation. Follicular lymphoma and splenic marginal zone lymphoma are typically slower growing and indolent.

Deck 219: Lymphomas