Mary Jane comes to the clinic concerned about a painless lymph node in the neck. A diagnosis of lymphoma is made. Which of the following would indicate that the lymphoma was Hodgkin lymphoma versus non-Hodgkin lymphoma?
The location of the enlarged lymph nodes
The presence of Reed-Sternberg cells
The age of the patient
Spread to the spleen, liver, and bone marrow
The Correct Answer is B
A. Both Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) can cause lymph node enlargement in various locations, including the neck. The location of the lymph nodes alone does not differentiate between the two types of lymphoma.
B. The presence of Reed-Sternberg cells is a hallmark of Hodgkin lymphoma. These abnormal cells are typically found in the lymph nodes of patients with HL and are a key diagnostic feature.
C. Hodgkin lymphoma is more common in young adults and older adults, but it can occur at any age. Non-Hodgkin lymphoma has a broader age distribution and can affect individuals of all ages, so age alone is not a distinguishing factor.
D. Both Hodgkin and non-Hodgkin lymphoma can spread to the spleen, liver, and bone marrow, so the spread of disease alone is not specific to either type of lymphoma. The presence of Reed-Sternberg cells is the key diagnostic feature for Hodgkin lymphoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Oxygen does play a role in maintaining acid-base balance indirectly, as it is required for aerobic metabolism, which produces carbon dioxide that is regulated by the body to maintain acid-base balance. However, this is not its primary role.
B. Oxygen does trigger chemoreceptors, but this is more of a secondary function to regulate breathing based on oxygen and carbon dioxide levels.
C. While oxygen has many roles, its most critical function is providing the necessary support for cellular metabolism, which is vital for energy production in cells.
D. Oxygen is essential for cellular metabolism as it is required for the process of oxidative phosphorylation in mitochondria, which produces ATP, the energy currency of cells.
Correct Answer is C
Explanation
A. Pleural effusion involves the accumulation of fluid in the pleural space, which typically causes a decrease or absence of breath sounds, not wheezing.
B. Emphysema is a type of chronic obstructive pulmonary disease (COPD) that leads to damage of the alveoli and air sacs, which may result in wheezing, but it is not the most direct cause of high-pitched wheezing.
C. High-pitched wheezing is often a result of airway constriction or narrowing, which occurs in conditions like asthma, bronchitis, or anaphylaxis. The sound is caused by turbulent airflow through narrowed airways.
D. Hemoptysis refers to coughing up blood and does not cause wheezing. It is a symptom that may be associated with various respiratory conditions, but it does not directly cause the wheezing sound.
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