Lymph Questions

41. The most common causes of acute suppurative lymphadenitis are A. HIV and herpes zoster. B. Haemophilus influenzae and adenovirus. C. herpes simplex type 1 and type 2. D. streptococcal and staphylococcal organisms. E. mumps.

D. streptococcal and staphylococcal organisms.

44. Enlarged inguinal nodes are likely to be associated with A. cat scratch disease. B. pelvic inflammatory disease. C. uterine cancer. D. testicular cancer. E. genital herpes.

B. pelvic inflammatory disease.

30. Nodes located over the mastoid process are the _____ nodes. A. preauricular B. postauricular C. occipital D. epitrochlear E. posterior cervical

B. postauricular

20. Nodes located nearest the palatine tonsils are the A. supraclavicular. B. retropharyngeal. C. submental. D. submandibular. E. posterior cervical.

B. retropharyngeal.

13. A congenital defect in the immune system of a 2-week-old infant may be suspected if A. there are small, palpable inguinal nodes. B. the umbilical cord has not yet dropped off. C. the tonsils are visible. D. the thymus is visible on a chest radiograph. E. the small postauricular nodes are palpable.

B. the umbilical cord has not yet dropped off.

2. The predominant formed elements of normal lymph fluid are A. red blood cells. B. white blood cells. C. platelets. D. antigens. E. antibodies.

B. white blood cells.

45. Tender nodes associated with cat scratch disease are most commonly found in which area? A. Epitrochlear B. Popliteal C. Axilla D. Inguinal E. Supraclavicular

C. Axilla

11. Which lymphatic tissue is normally visible during the physical examination? A. Adenoids B. Peyer patches C. Palatine tonsils D. Thymus E. Submandibular

C. Palatine tonsils

23. Which landmark is the dividing line between the anterior and posterior cervical triangles? A. Clavicle B. Cervical spine C. Sternocleidomastoid D. Sternum E. Hyoid bone

C. Sternocleidomastoid

22. Nodes located nearest the elbow are the A. supraclavicular. B. axillary. C. epitrochlear. D. popliteal. E. femoral.

C. epitrochlear

25. The harder and more discrete a node, the more likely a(n) A. innocent cause. B. infection. C. malignancy. D. metabolic disease. E. drug reaction

C. malignancy.

9. Enlarged tonsils and adenoids may obstruct the A. thoracic duct. B. esophagus. C. nasopharyngeal passageway. D. external auditory meatus. E. oral cavity.

C. nasopharyngeal passageway

29. Nodes located at the base of the skull are the _____ nodes. A. preauricular B. postauricular C. occipital D. epitrochlear E. parotid

C. occipita

4. Lymph ducts merge into the venous system at the A. portal vein. B. pulmonic vein. C. subclavian veins. D. vena cava. E. jugular veins.

C. subclavian veins.

7. An organ that is essential to the development of protective immune function in infants but has little or no demonstrated function in adults is the A. spleen. B. appendix. C. thymus. D. pancreas. E. liver.

C. thymus

47. Serum sickness is usually characterized first by the appearance of: A. diffuse lymph node enlargement. B. joint pain. C. urticaria. D. fever. E. a single enlarged posterior cervical node.

C. urticaria.

24. Which nodes are also called Virchow nodes? A. Internal mammary B. Anterior axillary C. Deep cervical D. Supraclavicular E. Preauricular

D. Supraclavicular

46. Which disorder is a dysfunction of cell-mediated immunity? A. Acute idiopathic polyneuritis B. Acquired immunodeficiency syndrome (AIDS) C. Epstein-Barr virus (EBV) mononucleosis D. Systemic lupus erythematosus (SLE) E. Toxoplasmosis

D. Systemic lupus erythematosus (SLE)

19. Which nodes are most often associated with inflammation? A. Shotty B. Movable C. Fixed D. Tender E. Matted

D. Tender

42. Which disorder is characterized by a single node that is chronically enlarged and nontender in a patient with no other symptoms? A. Retropharyngeal abscess B. Streptococcal pharyngitis C. Mononucleosis D. Toxoplasmosis E. Herpes simplex

D. Toxoplasmosis

17. Which risk factor is least likely to result in contracting HIV? A. Prostitution B. Hemophilia C. Intravenous drug use D. Working with AIDS patients E. Sexual contact with intravenous drug users

D. Working with AIDS patients

40. To find the infection site associated with acute lymphangitis, the examiner should look _____ to the inflammation. A. proximal B. distal C. contralateral D. anterior E. posterior

D. anterior

26. Normal supraclavicular lymph nodes are A. clustered in a capsule. B. firm and discrete. C. less than 3 cm in diameter. D. not palpable. E. matted.

D. not palpable

12. Lymphoid tissue normally regresses to adult size by A. 2 years of age. B. 5 years of age. C. 10 years of age. D. puberty. E. the early 20s.

D. puberty.

38. The most important clue to the diagnosis of a child with an immunodeficiency disease is A. family history. B. illness in siblings. C. previous hospitalizations. D. serious recurring infections. E. cervical adenitis

D. serious recurring infections

37. Obstruction of the nasopharynx, pulmonary hypertension, and risk of sleep apnea may be associated with excessively enlarged A. branchial cleft cysts. B. cystic hygromas. C. palatine tonsils. D. thyroglossal duct cysts. E. lymphangiomas.

D. thyroglossal duct cysts.

10. When enlarged, which lymph nodes are most likely to be a sign of malignancy?A. Occipital B. Anterior cervical C. Posterior cervical D. Femoral E. Supraclavicular

E. Supraclavicular

5. Lymph flows faster in response to A. massage. B. decreased blood volume. C. decreased metabolic rate. D. decreased permeability of the capillary walls. E. decreased capillary pressure.

E. decreased capillary pressure.

15. As adults age, their ability to resist infection decreases because of lymphatic nodes becoming more A. hematopoietic. B. mucoid. C. porous. D. profuse. E. fibrotic.

E. fibrotic

3. Cells that line the lymph node sinuses perform the specific function of A. fat absorption. B. fetal immunization. C. hematopoiesis. D. platelet production. E. phagocytosis.

E. phagocytosis.

21. Nodes that are palpable just inferior to the chin are the A. infraclavicular. B. Virchow. C. submandibular. D. parotid. E. submental.

E. submental.

32. When examining the epitrochlear nodes, which joint should be supported? A. Elbow B. Knee C. Shoulder D. Wrist E. First metacarpophalangeal

a. elbow

1. Which of the following organs does not have lymphatic vessels? A. Brain B. Kidneys C. Liver D. Lungs E. Appendix

A. Brain

27. Which of the following findings indicates that the examiner is assessing a blood vessel rather than a lymph node? A. A bruit B. Size less than 1 cm C. Tenderness D. Redness E. Warmth

A. A bruit

16. Which part of the hand is used to assess lymph node size? A. Pads of the fingers B. Tips of the fingers C. Palm D. Ulnar surface E. Dorsal surface

A. Pads of the fingers

8. The examination of the upper left quadrant of the abdominal cavity is essential to the evaluation of the immune system because of the location of which organ? A. Spleen B. Liver C. Thymus D. Pancreas E. Stomach

A. Spleen

35. It is not unusual to find postauricular and occipital nodes in A. children younger than 2 years of age. B. school-age children. C. adolescents. D. adults. E. older adults.

A. children younger than 2 years of age

33. Palpation of the scalene triangle for supraclavicular nodes should be done with A. fingers hooked over the clavicle next to the sternocleidomastoid muscle. B. fingers along the depression above the medial humeral condyle. C. the pads of three fingers in a superficial circular motion. D. tissue rolled gently against the chest wall, moving sideways. E. the pads of the fingertips along the anterior surface of the trapezius muscle.

A. fingers hooked over the clavicle next to the sternocleidomastoid muscle.

43. Initial signs and symptoms of Epstein-Barr virus mononucleosis most often include A. pharyngitis, fever, and malaise. B. bleeding gums and spontaneous nosebleeds. C. headache, visual disturbance, and rash. D. inguinal adenopathy and painful urination. E. discrete labial and gingival ulcers and high-grade fever.

A. pharyngitis, fever, and malaise.

31. When examining lymph nodes near a joint in the arm or leg, which of the following maneuvers is likely to facilitate the examination? A. Extension of the extremity B. Circumduction of the extremity C. Abduction of the extremity D. Rotation of the extremity E. Flexion of the extremity

B. Circumduction of the extremity

18. Equipment for examining the lymphatic system includes a A. caliper. B. centimeter ruler. C. goniometer. D. syringe and needle. E. stethoscope.

B. centimeter ruler

36. Large palatine tonsils are common in A. females. B. children. C. adolescents. D. young adults. E. older adults.

B. children.

28. Transillumination is done during an examination of the lymphatic system to A. detect lymphatic pulsation. B. distinguish nodes from cysts. C. evaluate nodal contours. D. observe erythematous lesions. E. distinguish blood vessels from nodes.

B. distinguish nodes from cysts.

34. To palpate the inguinal nodes, you should have the patient A. bend over a table and cough. B. lie supine, with the knees slightly flexed. C. lie supine, with the legs extended. D. stand with the back extended. E. lie prone, with the knees slightly flexed.

B. lie supine, with the knees slightly flexed.

39. A red streak that follows the course of the lymphatic collecting duct is a finding associated with A. Hodgkin lymphoma. B. lymphangitis. C. lymphedema. D. non-Hodgkin lymphoma. E. roseola infantum.

B. lymphangitis.

14. During pregnancy, the leukocyte count normally increases because of more A. reticulocytes. B. lymphocytes. C. atypical lymphocytes. D. polymorphonuclear leukocytes. E. monocytes.

B. lymphocytes

6. An increased number of lymphocytes in the blood represents a systemic response to _____ infections. A. most bacterial B. most viral C. all parasitic D. HIV E. all fungal

B. most viral