Lymphoma And The Lymphatic System Multiple Choice Question And Answers

Lymphoma And The Lymphatic System Multiple Choice Question And Answers

Question 1. Which of the following is false regarding functions of the lymphatic system?

1. Lymph circulation occurs through lymphatic venous junctions
2. Lymphatic fluid contains macromolecules
3. The right lymphatic duct drains into the internal jugular vein
4. The lymphatic fluid from the intestines passes through the liver

Answer: 4. The lymphatic fluid from the intestines passes through the liver

Question 2. The following is true for lymph trunks except:

1. They are lined by a single layer of endothelial cells
2. Pulsations of the vessels help in lymph circulation
3. The thoracic duct drains into the right internal jugular vein
4. They do not accompany neurovascular bundles in the central nervous system

Answer: 3. The thoracic duct drains into the right internal jugular vein

Question 3. The following are risk factors for lower limb lymphoedema:

1. Inguinal block dissection
2. Pelvic radiotherapy
3. Obesity
4. Alcohol abuse

Answer: 4. Alcohol abuse

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Question 4. Stemmer’s sign refers to:

1. Gross thickening of the subcutaneous tissue in a lymphoedematous leg
2. The deep muscle of the leg is not involved
3. Skin on the dorsum of the toes cannot be pinched
4. Buffalo hump on the dorsum of the foot

Answer: 3. Skin on the dorsum of the toes cannot be pinched

Question 5. The following is true for filarial elephantiasis of the leg:

1. It is caused by Wuchereria bancrofti
2. It is transmitted by Culex fatigans
3. Microfilariae do not produce any lesions
4. Significant changes occur deep in the deep fascia

Answer: 4. Significant changes occur deep in the deep fascia

Question 6. The majority of primary lymphoedema is due to:

1. Congenital hyperplasia of lymphatics
2. Distal obliteration of lymphatics
3. Proximal obliteration of lymphatics
4. Central obliteration of lymphatics

Answer: 2. Distal obliteration of lymphatics

Question 7. Oxerutins used in lymphoedema act by the following mechanisms:

1. Decrease capillary permeability
2. Improve microcirculatory perfusion
3. Stimulate interstitial macrophage proteolysis
4. Increase platelet aggregation

Answer: 4. Increase platelet aggregation

Question 8. Which of the following is true regarding lymphoedema?

1. Dermal lymphatics are never involved in filariasis
2. Oxerutins are not used in lymphoedema
3. Lymphoedema pressure bandage requires 0 mmHg pressure in the leg
4. Lymphoedema does not predispose to malignancies

Answer: 1. Dermal lymphatics are never involved in filariasis

Question 9. Contiguous and centripetal spread occurs in:

1. Hodgkin’s lymphoma
2. Non-Hodgkin’s lymphoma
3. Burkitt’s lymphoma
4. Sézary’s syndrome

Answer: 1. Hodgkin’s lymphoma

Question 10. The following is true for lymphocytic predominance nodular lymphoma except:

1. It has large atypical cells
2. It expresses CD20+
3. It is indolent
4. It has a favourable prognosis

Answer: 1. It has large atypical cells

Question 11. The following are true about classical Hodgkin’s lymphoma except:

1. Spread is contiguous
2. Large atypical cells are seen
3. B symptoms are characteristic
4. CD15 and CD30 are expressed

Answer: 3. B symptoms are characteristic

Question 12. The following are the features of a Reed-Sternberg cell except:

1. It is a giant cell
2. It contains mirror-image nuclei
3. It is a large multinucleated cell
4. It is not derived from B lymphocytes

Answer: 4. It is not derived from B lymphocytes

Question 13. The following is true for mediastinal lymphoma except:

1. It is the most common malignancy in the mediastinum
2. Its response to chemotherapy is dramatic
3. It is Hodgkin’s lymphoma
4. The posterior compartment is commonly involved

Answer: 4. The posterior compartment is commonly involved

Question 14. The following are no longer followed in lymphomas:

1. Pelvic radiotherapy
2. Splenectomy as a staging procedure
3. Rye’s classification
4. ABVD regimen is commonly given

Answer: 4. ABVD regimen is commonly given

Question 15. The following are the causes of epitrochlear node enlargement:

1. Hodgkin’s lymphoma
2. Non-Hodgkin’s lymphoma
3. Secondary syphilis
4. Cat-scratch fever

Answer: 1. Hodgkin’s lymphoma

Question 16. The following is true for Rituximab except:

1. It is a monoclonal antibody against the protein CD20
2. It is used to treat leukaemia
3. It can also be used to treat follicular lymphomas
4. It has no role in transplant rejections

Answer: 4. It has no role in transplant rejections

Question 17. The following is true for Burkitt’s lymphoma except:

1. It is associated with Epstein-Barr virus
2. It is not associated with heavy malarial infestation
3. It affects the jaw and orbital bones
4. It gives a starry sky appearance on histopathology

Answer: 2. It is not associated with heavy malarial infestation