I. Start the exam by click the “Start” button
Enlargement of Lymph Nodes & Spleen- Part 2
See all quizzes of the Enlargement of Lymph Nodes & Spleen at here:
Enlargement of Lymph Nodes & Spleen part 1 | Enlargement of Lymph Nodes & Spleen part 2
II. Preview all questions below
1.Which of the following is false about spleen ?
- Normal spleen contains ~one-third of total body platelets
- Normal spleen contains significant no. of marginated neutrophils
- Spleen is in the portal circulation
- None of the above
2. Weight of a normal spleen is ?
A. < 150 grams
B. < 250 grams
C. < 350 grams
D. < 450 grams
3. Which of the following is false about spleen ?
A. Decreases in size with age
B. Lies entirely within rib cage
C. Maximum cephalocaudad diameter is 13 cm by USG
D. Maximum width of 14 cm by radionuclide scan
4. Katayama fever is characterized by all except ?
A. Fever
B. Generalized lymphadenopathy
C. Lymphocytosis
D. Hepatosplenomegaly
5. Middleton maneuver is used for splenic ?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
6. Which of the following is false in spleen examination ?
A. Auscultation may reveal venous hum or friction rub
B. Bimanual palpation in right lateral decubitus position adds
nothing to supine examination
C. Reproducibility among examiners is better for palpation than
percussion
D. None of the above
7. Nixon, Castell, or Barkun methods are used for splenic ?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
8. In Nixon’s method, splenic enlargement is indicated when upper border of dullness above costal margin is ?
A. > 4 cm
B. > 8 cm
C. > 12 cm
D. > 16 cm
9. In Castell’s method, percussion in the lowest intercostal space
is done in ?
A. Midclavicular line
B. Anterior axillary line
C. Midaxillary line
D. Posterior axillary line
10. Massive splenomegaly is defined as spleen extending ?
A. > 2 cm below left costal margin
B. > 4 cm below left costal margin
C. > 6 cm below left costal margin
D. > 8 cm below left costal margin
11. Massive splenomegaly is defined as spleen that weighs ?
A. > 250 gram
B. > 500 gram
C. > 750 gram
D. > 1000 gram
12. Causes of massive splenomegaly include ?
A. Chronic myelogenous leukemia
B. Lymphomas
C. Hairy cell leukemia
D. All of the above
13. Causes of Massive splenomegaly include ?
A. Chronic lymphocytic leukemia
B. Sarcoidosis
C. Autoimmune hemolytic anemia
D. All of the above
14. ‘Abscopal effect’ refers to ?
A. Ultrafiltration of abnormal RBCs
B. Regression of systemic disease after splenectomy
C. Increased tendancy of enlarged splenic rupture
D. Peritoneal seeding of splenic fragments
15. Term “splenosis” best relates to ?
A. Regression of systemic disease after splenectomy
B. Ultrafiltration of abnormal RBCs
C. Iatrogenic splenic rupture
D. Ectopic spleen tissue
16. Which out of the following is a contraindication for splenectomy ?
A. Iatrogenic splenic rupture
B. Thrombocytopenia
C. Presence of bone marrow failure
D. Hairy cell leukemia
17. Chronic manifestations of splenectomy include ?
A. Howell-Jolly bodies
B. Heinz bodies
C. Basophilic stippling
D. All of the above
18. Frequency of a serious infection following splenectomy is highest within ?
A. First 6 months
B. First 1 year
C. First 3 years
D. First 5 years
19. Which of the following is false in postsplenectomy period ?
A. Increased susceptibility to capsulated bacterial infections
B. No increased risk of viral infection
C. Increased susceptibility to babesiosis
D. None of the above
20. In elective splenectomy, pneumococcal vaccine should be administered how many weeks before surgery ?
A. 1 weeks
B. 2 weeks
C. 3 weeks
D. 4 weeks
