Question

Write an explanation of each answer

Marc Tyler is a 46-year-old man who has recently been told he has Hodgkin lymphoma. He saw his family physician after he noticed an enlarged lymph node is his right axilla. He has been told that his prognosis is good. His treatment will include 6 months of intensive cancer chemotherapy followed by 1 month of radiation treatments.

1. When Mr. Tyler first discovered the enlarged lymph nodes, he probably also noticed that: A. The lymph nodes in his right axilla were painless. B. The lymph nodes in his right axilla were tender C. A red streak extended down his right arm. D. His right arm was swollen from the axilla to the fingers.

2. Mr. Tyler has been told that his prognosis is good, because: A. The lymph system is not involved yet. B. Most lymphomas are benign. C. The disease has not spread beyond the lymph nodes. D. It is hypothesized that it is caused by a virus.

3. During Mr. Tyler’s complete physical examination, his physician palpated many lymph nodes, then sent Mr. Tyler to the radiology department for a lymphogram. What information is the physician gathering with these examinations? A. The size of Mr. Tyler’s lymph nodes B. The circulation of Mr. Tyler’s lymphatic system C. The location of Mr. Tyler’s lymph nodes D. All of the above

4. Mr. Tyler develops a lung infection following a common cold during his treatment. Which one of the following mechanisms is most likely responsible for his increased risk of infection? A. Fatigue resulting in poor hygiene B. Inadequate hematopoiesis C. Inability of the tonsils to keep the common cold from entering D. Inadequate functioning of the spleen.

Answer 1

1. When Mr. Tyler first discovered the enlarged lymph nodes, he probably also noticed that

A. The lymph nodes in his right axilla were painless

Enlarged painless lymph nodes are one of the first signs of the hodgkin lymphoma. Tenderness, red streaks, and edema given in the other options are signs of inflammation which is related to the signs of infection.

2. Mr. Tyler has been told that his prognosis is good, because

C. The disease has not spread beyond the lymph nodes.

The prognosis in Hodgkin disease becomes worsen when the extent of the disease spread beyond lymph system at diagnosis. Early diagnosis before the disease extends beyond the lymph system, improves the prognosis.

3. During Mr. Tyler’s complete physical examination, his physician palpated many lymph nodes, then sent Mr. Tyler to the radiology department for a lymphogram. The information gathered by the physicians with these examinations

D. All of the above

The above all the statements are true because lymphogram diagonise the lymph size, location, and circulation with the help of injected radiopaque material in the lymphatic system and the x-ray films.

4. Mr. Tyler develops a lung infection following a common cold during his treatment. The following mechanisms is most likely responsible for his increased risk of infection

B. Inadequate hematopoiesis

The treatment affects the number and quality of lymph cells that is a type of white blood cells such as B cells and T cells, which are made by hematopoiesis ( phenomenon of producing blood cells by the organ bone marrow and spleen).