A nurse is caring for a patient diagnosed with non-Hodgkin lymphoma (NHL)
Which statement by the patient indicates a correct understanding of NHL?
"NHL is characterized by Reed-Sternberg cells.”
"NHL originates from abnormal T cells.”
"NHL is a type of leukemia.”
"NHL affects only the bone marrow.”
The Correct Answer is B
Choice A rationale:
Reed-Sternberg cells are characteristic of Hodgkin lymphoma, not non-Hodgkin lymphoma.
Non-Hodgkin lymphoma involves abnormal B or T cells, not Reed-Sternberg cells.
Choice B rationale:
This is the correct answer.
Non-Hodgkin lymphoma can originate from abnormal B cells (B-cell NHL) or T cells (T-cell NHL)
It is a heterogeneous group of lymphoid malignancies, and the understanding that it can originate from abnormal T cells is correct.
Choice C rationale:
Non-Hodgkin lymphoma is not a type of leukemia.
While both are types of blood cancers, they have distinct characteristics and origins.
Choice D rationale:
Non-Hodgkin lymphoma does not affect only the bone marrow.
It primarily involves the lymphatic system, which includes lymph nodes, spleen, and other lymphoid tissues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Lumbar puncture is not typically part of the routine diagnostic evaluation for lymphoma.
Lymphoma primarily affects the lymphatic system and peripheral blood, so cerebrospinal fluid analysis (which is obtained through lumbar puncture) is generally not required unless there is a specific suspicion of central nervous system involvement.
It is more commonly used in the evaluation of neurological conditions, infections, or conditions affecting the central nervous system.
Choice B rationale:
Bone marrow biopsy is commonly included in the diagnostic workup for lymphoma because it helps assess the extent of bone marrow involvement, which is essential for staging and treatment planning.
Choice C rationale:
Chest X-ray is often performed as part of the initial evaluation for lymphoma, especially to check for mediastinal lymph node enlargement or lung involvement.
Choice D rationale:
Blood tests, including a complete blood count (CBC) and blood chemistry, are routinely performed in the diagnostic process for lymphoma.
These tests can provide valuable information about the patient's overall health, including potential abnormalities in blood cell counts and markers of organ function.
Correct Answer is A
Explanation
Choice A rationale:
Hodgkin lymphoma (HL) is characterized by the presence of Reed-Sternberg cells, which are large, abnormal B lymphocytes with multi-lobed nuclei.
These cells are typically present in HL and are a hallmark feature that distinguishes it from non-Hodgkin lymphoma (NHL)
Reed-Sternberg cells are not found in NHL.
This difference in cell type is one of the main distinctions between HL and NHL.
Choice B rationale:
This statement is not accurate.
NHL can originate from both T cells and B cells, while HL primarily originates from B cells.
However, the presence of Reed-Sternberg cells is the more distinguishing feature between the two.
Choice C rationale:
This statement is incorrect.
HL and NHL have different clinical manifestations, and their pathogenesis and treatment also differ significantly.
While some symptoms may overlap, they are not the same.
Choice D rationale:
This statement is incorrect.
HL primarily affects lymph nodes, and it can also spread to other organs.
NHL, on the other hand, can affect various organs, including lymph nodes, but it does not primarily affect the digestive tract.
Again, the presence of Reed-Sternberg cells is a more critical distinguishing factor.
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