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Below are a list of characteristics specific to Lymphoma. Please idicate if the characteristic is specific to Hodgkins Lymphoma or Non- Hodgkins Lymphoma by selecting the appropriate column.

A.

May be associated with HIV and autoimmune diseases

B.

Associated with Epstein Barr Virus (EBV)

C.

Characterized by the presence of Reed-Stemberg Cells

D.

The three main signs and symptoms associated with this type of lymphoma are in grade fever, right sweats and weight loss

E.

Involves multiple nodes and extranodal involvement is common.

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Rationale:

• May be associated with HIV and autoimmune diseases: Non-Hodgkin’s lymphoma (NHL) is more commonly linked with immunodeficiency states such as HIV and autoimmune disorders, increasing the risk of NHL development.

• Associated with Epstein Barr Virus (EBV): EBV infection is strongly linked to Hodgkin’s lymphoma, particularly certain subtypes like mixed cellularity and lymphocyte-depleted Hodgkin’s lymphoma.

• Characterized by the presence of Reed-Sternberg Cells: Reed-Sternberg cells, large abnormal multinucleated B cells, are the pathological hallmark specific to Hodgkin’s lymphoma and are absent in NHL.

• The three main signs and symptoms associated with this type of lymphoma are low-grade fever, night sweats, and weight loss: These constitutional “B symptoms” are classic for Hodgkin’s lymphoma and often guide diagnosis and prognosis.

• Involves multiple nodes and extranodal involvement is common: Non-Hodgkin’s lymphoma tends to be more widespread at diagnosis, frequently involving multiple lymph node groups and extranodal sites such as the gastrointestinal tract or bone marrow.

• Localized to a single group of nodes: Hodgkin’s lymphoma characteristically starts in a single lymph node region and spreads in a contiguous manner to adjacent nodes before involving distant sites.


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Related Questions

Correct Answer is A

Explanation

Rationale:

A. Continuous swallowing while asleep: Continuous swallowing can indicate that the child is swallowing blood from a bleeding site in the throat. This subtle but important sign often appears early after tonsillectomy and signals the need for immediate assessment.

B. Decreased blood pressure: A drop in blood pressure is a late indicator of significant hemorrhage and hypovolemia. Waiting for hypotension before acting risks severe complications, so earlier signs should guide nursing interventions.

C. Throat pain: Throat pain is a normal postoperative symptom due to tissue trauma from surgery. While uncomfortable, it does not necessarily indicate bleeding and should be differentiated from signs of hemorrhage.

D. Dark brown, bloody emesis: Vomiting dark brown blood reflects older, clotted blood and usually occurs after bleeding has already been ongoing. It is a later sign compared to subtle early indicators like continuous swallowing.

Correct Answer is D

Explanation

Rationale:

A. "The blood supply to the bone is disrupted.": While some fractures can disrupt blood supply, epiphyseal plate fractures primarily threaten the growth plate itself, and vascular disruption is not the main concern with these injuries.

B. "The younger the child, the longer the healing process will take.": Younger children generally heal faster due to better bone remodeling capacity and more active growth plates, so healing time tends to be shorter, not longer.

C. "Bone marrow can be lost through the fracture.": Bone marrow loss is uncommon in epiphyseal plate fractures and is more relevant in open fractures or those involving severe bone trauma.

D. "Normal bone growth can be affected.": Damage to the epiphyseal (growth) plate can impair normal bone growth, potentially leading to limb length discrepancies or angular deformities, making this a crucial point for parents to understand.

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