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 B
Explanation
A. Overactive bladder refers to the condition where there is a sudden and uncontrollable urge to urinate, often associated with urgency and frequency, but it is not caused by exertional stimuli.
B. Stress incontinence is the type of urinary incontinence that occurs when physical activity or exertion, such as coughing, sneezing, laughing, or lifting, increases abdominal pressure and leads to involuntary leakage of urine.
C. Functional incontinence refers to the inability to reach the bathroom in time due to physical or cognitive impairments, such as mobility issues or dementia, rather than exertional triggers.
D. Urge incontinence is the sudden and intense urge to urinate, often leading to involuntary loss of urine. It is not typically caused by exertion but by an overactive bladder.
Correct Answer is A
Explanation
A. Progeria, also known as Hutchinson-Gilford Progeria Syndrome (HGPS), is characterized by accelerated aging. One of the biochemical changes observed in this condition is an increase in hyaluronic acid levels, which is associated with skin changes and the premature aging process seen in affected individuals.
B. Low levels of glutamate are not characteristic of progeria. Glutamate is a neurotransmitter, and its levels are not typically altered in progeria.
C. High levels of thyroxine are not associated with progeria. Thyroxine levels are related to thyroid function, and there is no direct link between high thyroxine levels and progeria.
D. Low levels of calcitonin are not characteristic of progeria. Calcitonin is a hormone involved in calcium regulation, and its levels are not notably altered in progeria.
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