Deck 29: Lymphoreticular System Tumors

Question 1

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

A) mycosis fungoides
B) multiple myeloma
C) non-Hodgkin lymphoma (NHL)
D) Hodgkin disease (HD)

Answer 1

D
When found in lymph nodes above the diaphragm,HD is treated using a mantle field.

Question 2

What stage is a Hodgkin lymphoma with extralymphatic extension?

A) stage I
B) stage II
C) stage III
D) stage IV

Answer 2

D
As defined by the AJCC,stage IV Hodgkin's disease is defined as disease with extension to extralymphatic tissues.

Question 3

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

Answer 3

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

Question 4

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

Question 5

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

Question 6

What is the most common presenting symptom of HD?

A) painless mass
B) headache
C) persistent cough
D) dysphagia

Question 7

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

Question 8

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

Question 9

What is the standard dose delivered for the treatment of NHL?

A) 1600 to 2000 cGy
B) 2600 to 3000 cGy
C) 3000 to 4500 cGy
D) 4600 to 5000 cGy

Question 10

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

A) kidneys
B) spleen
C) pancreas
D) liver

Question 11

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

A) skin erythema
B) dysphagia
C) secondary malignancy
D) developmental anomalies

Question 12

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

Question 13

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

Question 14

In what general anatomical location is Waldeyer ring located?

A) mouth
B) anus
C) small intestine
D) axilla

Question 15

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

Question 16

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

Question 17

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

A) T10
B) T12
C) carina
D) xyphoid

Question 18

Which of the following chemotherapy regimens is not used to treat Hodgkin's disease?
I)CHOP
II)MOPP
III)ABVD

A) I and II
B) I and III
C) II and III
D) I,II,and III

Question 19

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

Question 20

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

Question 21

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

A) heart
B) spleen
C) pancreas
D) liver

Question 22

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

Question 23

Which of the following is not a B symptom?

A) weight loss
B) night sweats
C) fever
D) diarrhea

Question 24

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

Question 25

The presence of Reed-Sternberg cells in NHL is part of the factors that distinguish these tumors from HD.

Question 26

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

Question 27

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

A) pelvic
B) inguinal
C) para-aortic
D) axillary

Question 28

The incidence of NHL is higher than that of HD.

Question 29

NHLs are highly curable.

Question 30

HD can be treated with mantle,para-aortic,and inverted-Y fields.

Question 31

NHLs are adequately staged using the Ann Arbor staging system.

Question 32

Follicular lymphoma is the most common form of NHL.

Question 33

Infections with certain viruses are a risk factor for HD.

Question 34

Which lymphoma is most common in young African males?

A) T-cell lymphoma
B) Burkitt lymphoma
C) Hodgkin disease
D) follicular lymphoma