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20 Cards in this Set
- Front
- Back
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the most common presenting symptom of multiple myeloma
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bone pain and accompanied by anemia
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each of teh follwing subtypes of NHLs belong to the high grade subtype EXCEPT
a. Burkitt's b. Large cell, immunoblastic c. Lymphoblastic d. Follicular large cell |
all high grade NHLs except
follicular large cell |
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role of surgery for Hodgkins and NHL is
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establis a diagnosis
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most common histopathologic type of Hodgkins disease is
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nodular sclerosis
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multiple myeloma exemplifies
1. most common lymphoreticular neoplasm in whites 2. osteolytic bone lesions 3. proliferation of plasma cell 4. lymph node enlargement 5. elevated monoclonal serum and urine globulin an marrow plasmacytosis |
2,3,and 5 are correct
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each of following are considered NHLs of B-cell origin except
a burkeitt's lymphoma b mixed lymphoma c sezary syndrome and ycosis fungoides d histocytic lymphoma |
all B-cell except
sezary syndrom and mycosis fungoides |
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____is a tx tech. used for Stage I or IIA disease which includes teh mantle fld followed by the para-aortic or splenic pedicle
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STNI
(sub-total nodal irradiation) |
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which of the following are thought to demonstrate contiguous spread?
a. NHL b Multiple myeloma c Hodgkin's disease d.Hodgkin's disease and NHL |
Hodgkin's disease
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RS cells are predominant in
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Hodgkin's disease
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Which of the following statements are CORRECT regarding pediatric Hodgkin's Disease
1.Most common symptom is painless cervical adenopathy 2. children have decreased risk of developing complications or adverse effects from tx such as coronary arter disease and secondary malignant tumors than adults 3 low dose (<25Gy) involved field plus chemos i smore commonly prescribed when child is prepubertal/pubertal w/bulky mediastinal mass or juxtapericardial disease or fever + wt loss 4 higher % of childre <10yrs present with LPHD pathology than appears in adults 5. association of secondary breast cancer in females tx'd with >30Gy suggest a better tx approach using low dose and chemo 6 children generall have a worst prognosis than adults |
1,3,4and 5 are CORRECT
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"B" symptoms of hodgkin's disease involve each of the following EXCEPT
a. temp elevation of greater than 38 degrees C b drenching night sweats c pruritus d wt loss greater than 10% of body wt in the previous 6months |
all correct except
pruritus |
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the waldeyer's ring encircles the nasopharynx and oropharynx and it is made up of each of the following except
a pyriform sinuses b palatine tonsils c pharyngela tonsils d lingual tonsil |
palatine tonsils, pharangeal tonsil, and lingual tonsils = waldeyers ring
NOT: pyriform sinus, |
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the peak age of incidence NHL is
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over 50 years
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a tx tech of seuentiall irradiation the mantle fld, followed by irradiation to the para-aortic nodes and slpeen with the pelvis tx'd seperately or as part of the inverted "Y" is
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TNI
(total nodal irradiation) |
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the role of RT for multiple myeloma patients is which of the following?
1. relief of spinal compression or nerve roon compression 2 TBI in teh BMT setting 3. primary tx in solitary plasmacytomas of the bone and extreameduallary plasmacytomas 4 palliation of pain not controlled by chemo ofr bone lesions of disseminated disease 5 primary tx modality for all newly diagnosed myeloma patients 6 prevention of pathologic fractures in wt bearing bones |
1,2,3,4,and 6 are correct
NOT:5 |
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areas commonly shielded with txing Hodgkin's patients using TNI tech
A. lung spinal cord, larynx, heart, and humoral head B. femoral heads, Kidneys gonads, and iliac creast C. both A and B D. lung spinal cord, larnx, heart, humoral heads axillas, femoral heads, kidneys, gonads, and iliac crest |
C both A and B
its just humoral heads not "humoral heads axillas" |
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the mainstay of tx for the majority of NHL patients is
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chemo
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When txing Hodgkin's Disease the tumoricidal dose of radiation is _____Gy
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35-44Gy
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each of the following statements are correct when considering NHL of the GI tract EXCEPT
a. one of the commonest site for extranodal lymphoma to occur b whole abdomen approach is often used initially to 15 Gy c common dose fractions are 180-200cGy to whole abdomen fields d. areas often blocked for portion of tx include the liver, kidneys and iliac BM |
all correct except
common dose fxs are 180-200cGy to whole abdomen flds |
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mantle and para-aortic /spenic pedicle (or spleen) flds are known as
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STNI
(sub-total nodal irradiation) |
