Deck 10: Lymphatic System

Question 1

Mr. Shea is a 45-year-old patient who presents to the office for multiple complaints. The examination of the upper left quadrant of the abdominal cavity is essential to the evaluation of the immune system because of the location of which organ?

A) Spleen
B) Liver
C) Stomach
D) Pancreas

Answer 1

Spleen

Question 2

An organ that is essential to the development of protective immune function in the infant but has little or no demonstrated function in the adult is the:

A) spleen.
B) liver.
C) thymus.
D) pancreas.

Answer 2

thymus.

Question 3

Mrs. Farrel brings in her 6-year-old son with complaints of a sore throat and fever. As the healthcare provider, you are concerned about his tonsils and adenoids. Enlarged tonsils and adenoids may obstruct the:

A) thoracic duct.
B) esophagus.
C) nasopharyngeal passageway.
D) external auditory meatus.

Answer 3

nasopharyngeal passageway.

Question 4

Lymph flows faster in response to:

A) increased metabolic activity.
B) decreased blood volume.
C) decreased metabolic rate.
D) decreased permeability of the capillary walls.

Question 5

Which finding indicates that the examiner is assessing a blood vessel rather than a lymph node?

A) A bruit
B) Inflammation
C) Tenderness
D) Redness

Question 6

The most important clue to the diagnosis of immunodeficiency disease in a child is:

A) family history.
B) illness in siblings.
C) previous hospitalizations.
D) serious recurring infections.

Question 7

Which disorder is characterized by a single node that is chronically enlarged and nontender in a patient with no other symptoms?

A) Retropharyngeal abscess
B) Streptococcal pharyngitis
C) Mononucleosis
D) Toxoplasmosis

Question 8

The harder and more discrete a node, the more likely that there is a(n):

A) innocent cause.
B) infection.
C) malignancy.
D) metabolic disease.

Question 9

To palpate the inguinal nodes, you should have the patient:

A) bend over a table and cough.
B) lie supine with knees slightly flexed.
C) lie supine with legs extended.
D) stand and cough vigorously.

Question 10

When examining lymph nodes near a joint in the arm or leg, which of the following maneuvers is likely to facilitate the examination?

A) Extension of the extremity
B) Circumduction of the extremity
C) Flexion of the extremity
D) Rotation of the extremity

Question 11

Cells that line the lymph node sinuses perform the specific function of:

A) fat absorption.
B) fetal immunization.
C) hematopoiesis.
D) phagocytosis.

Question 12

A red streak that follows the course of the lymphatic collecting duct is a finding associated with:

A) Hodgkin disease.
B) lymphangitis.
C) lymphedema.
D) lymphoma.

Question 13

Tender nodes associated with cat scratch disease are usually found in which area?

A) Epitrochlear area
B) Popliteal area
C) Axilla
D) Inguinal area

Question 14

Which nodes are also called Virchow nodes?

A) Internal mammary
B) Anterior axillary
C) Deep cervical
D) Supraclavicular

Question 15

Which nodes are most often associated with inflammation?

A) Shotty
B) Movable
C) Fixed
D) Tender

Question 16

Which organ does not have lymphatic vessels?

A) Brain
B) Kidneys
C) Liver
D) Lungs

Question 17

Mrs. Sing is a 44-year-old patient who presents to the office with a complaint of enlarged lymph nodes. When enlarged, which lymph nodes are most likely to be a sign of pathology (e.g., malignancy)?

A) Occipital
B) Anterior cervical
C) Supraclavicular
D) Femoral

Question 18

Equipment for examining the lymphatic system includes a:

A) caliper.
B) centimeter ruler.
C) goniometer.
D) syringe and needle.

Question 19

Initial signs and symptoms of Epstein-Barr virus mononucleosis usually include:

A) pharyngitis, fever, and malaise.
B) bleeding gums and spontaneous nosebleeds.
C) headache, visual disturbance, and rash.
D) inguinal adenopathy and painful urination.

Question 20

As adults age, their ability to resist infection is reduced because of the lymphatic nodes becoming more:

A) fibrotic.
B) mucoid.
C) porous.
D) profuse.

Question 21

Serum sickness is usually characterized first by the appearance of:

A) lymph node enlargement.
B) joint pain.
C) urticaria.
D) fever.

Question 22

Which condition stimulates lymph node enlargement? (Select all that apply.)

A) Graves disease
B) Lymphangioma
C) Esophageal reflux
D) Parotid swelling