Lymphatic System

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Question 1

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Multiple Choice

Which organ does not have lymphatic vessels?

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Brain

Kidneys

Liver

Lungs

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Question 2

Free

Multiple Choice

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

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fat absorption.

fetal immunization.

hematopoiesis.

phagocytosis.

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Question 3

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Multiple Choice

Lymph flows faster in response to:

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increased metabolic activity.

decreased blood volume.

decreased metabolic rate.

decreased permeability of the capillary walls.

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Question 4

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Multiple Choice

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:

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spleen.

liver.

thymus.

pancreas.

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Question 5

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Multiple Choice

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?

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Spleen

Liver

Stomach

Pancreas

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Question 6

Multiple Choice

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:

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thoracic duct.

esophagus.

nasopharyngeal passageway.

external auditory meatus.

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Question 7

Multiple Choice

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)?

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Occipital

Anterior cervical

Supraclavicular

Femoral

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Question 8

Multiple Choice

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

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fibrotic.

mucoid.

porous.

profuse.

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Question 9

Multiple Choice

Equipment for examining the lymphatic system includes a:

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caliper.

centimeter ruler.

goniometer.

syringe and needle.

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Question 10

Multiple Choice

Which nodes are most often associated with inflammation?

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Shotty

Movable

Fixed

Tender

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Question 11

Multiple Choice

Which nodes are also called Virchow nodes?

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Internal mammary

Anterior axillary

Deep cervical

Supraclavicular

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Question 12

Multiple Choice

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

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innocent cause.

infection.

malignancy.

metabolic disease.

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Question 13

Multiple Choice

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

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A bruit

Inflammation

Tenderness

Redness

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Question 14

Multiple Choice

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

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Extension of the extremity

Circumduction of the extremity

Flexion of the extremity

Rotation of the extremity

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Question 15

Multiple Choice

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

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bend over a table and cough.

lie supine with knees slightly flexed.

lie supine with legs extended.

stand and cough vigorously.

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Question 16

Multiple Choice

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

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family history.

illness in siblings.

previous hospitalizations.

serious recurring infections.

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Question 17

Multiple Choice

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

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Hodgkin disease.

lymphangitis.

lymphedema.

lymphoma.

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Question 18

Multiple Choice

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

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Retropharyngeal abscess

Streptococcal pharyngitis

Mononucleosis

Toxoplasmosis

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Question 19

Multiple Choice

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

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pharyngitis, fever, and malaise.

bleeding gums and spontaneous nosebleeds.

headache, visual disturbance, and rash.

inguinal adenopathy and painful urination.

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Question 20

Multiple Choice

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

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Epitrochlear area

Popliteal area

Axilla

Inguinal area

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