[MCQs] Enlargement of Lymph Nodes & Spleen – Part 1

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Enlargement of Lymph Nodes & Spleen part 1 | Enlargement of Lymph Nodes & Spleen part 2

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1.Generalized adenopathy means involvement of how many noncontiguous lymph node areas ?

1. 1. One or more
   2. Two or more
   3. Three or more
   4. Four or more

2. Which of the following is a cause of generalized lymphadenopathy ?

1. AIDS
2. Systemic lupus erythematosus (SLE)
3. Mixed connective tissue disease
4. All of the

2. Which parameter is used in ultrasonography of cervical nodes for distinguishing benign from malignant nodes ?

1. Area
2.  Volume
3.  Ratio of long to short axis (L / S ratio)
4.  Sonodensity

3. Occipital lymphadenopathy accompanies which of the following ?

1. Scalp infection
2. Ear infection
3. Conjunctival infections
4. Tooth infection

4. Preauricular lymphadenopathy accompanies which of the following ?

1. Scalp infection
2. Ear infection
3. Conjunctival infections
4. Tooth infection

5. Most frequent site of regional lymphadenopathy is ?

1. Axilla
2. Neck
3. Groin
4. Abdominal

6. Which of the following about lymphadenopathy is false ?

1. Most frequent site of regional lymphadenopathy is neck
2. Enlargement of supraclavicular and scalene nodes is always abnormal
3. Virchow’s node is enlarged right supraclavicular node
4. Sarcoidosis can cause supraclavicular adenopathy

7. Metastases to supraclavicular nodes occur from ?

1. Lung
2. Breast
3. Testis
4. Any of the above

8. Which of the following is a cause of supraclavicular adenopathy ?

1. 1. Tuberculosis
   2. Sarcoidosis
   3. Toxoplasmosis
   4. All of the above

9. Benign lymphadenopathy is assumed when lymph node area is ?

1. < 0.25cm²
2. < 0.50cm²
3. < 0.75cm²
4. < 1.00cm²

10. Tenderness of lymph node is due to ?

1. Inflammation of capsule
2. Rupture of capsule
3. Stretching of capsule
4. All of the above

11. Which of the following is not a characteristic of enlarged lymph nodes in lymphoma ?

1. Discrete
2. Asymmetric
3. Rubbery
4. Nontender

12. Which of the following is characteristic of enlarged lymph nodes in metastatic cancer ?

1. 1. Hard
   2. Nonmovable
   3. Nontender
   4. All of the above

13. Which parameter is used in ultrasonography of cervical nodes for distinguishing benign from malignant node?

1. Area
2. Volume
3. Ratio of long to short axis (L / S ratio)
4. Sonodensity

14. Winterbottom’s sign is a classic finding of ?

1. Giardiasis
2. Toxoplasmosis
3. Human African Trypanosomiasis
4. Balantidiasis

15. In Winterbottom’s sign, location of lymph node enlargement is ?

1. Axilla
2. Posterior cervical triangle
3. Submental
4. Inguinal

16. Romana’s sign is a feature of ?

1.  Acute Chagas’ disease
2. Cutaneous leishmaniasis
3. Visceral leishmaniasis
4. Babesiosis

17. Enlarged, grayish yellow or orange tonsils are pathognomonic of ?

1. Waldenstrom’s macroglobulinemia
2. Polycythemia vera
3. Wolman disease
4. Tangier disease

18. Painful preauricular lymphadenopathy is a feature of ?

1. Cat-scratch disease
2. Tularemia
3. Tuberculosis
4. Syphilis

19. Accessory spleens are seen in what percentage of persons ?

1. 5 %
2. 10 %
3. 15 %
4. 20 %

20. Which of the following about structure of spleen is false ?

1. White pulp is lymphoid in nature
2. To return to circulation, RBCs traverse sinusoidal pores
3. Pulp cords are dead ends
4. None of the above

21. Which of the following is a ‘Red cell inclusion body’ ?

1. RBC parasites
2. Howell-Jolly bodies
3. Heinz bodies
4. All of the above