MSN 610- Module 2 Lymph Nodes Practice Exam Questions And Answers Verified 100% Correct

MSN 610- Module 2 Lymph Nodes Practice Exam Questions And Answers Verified 100% Correct lymphedema - ANSWER edematous swelling due to excessive accumulation of lymph fluid in tissues caused by inadequate lymph drainage p- results of protein rich interstitial volume overload secondary to lymph drainage failure. increase blood capillary hydrostatic pressure= decreased plasma protein concentration increase blood permeability and blockage of lymph return s-painless swelling of limb, onset gradual, hx of trauma surgery or radiation to regional areas o- falling and oftent grotesque distortion of extremities, lymphoedema may or may not pit, overlying sing eventually thickens and feels though, primary lyphoedema often apparent at birth. Lymphangioma/cystic hygroma - ANSWER congenital malformation of dilated lymphatics p- results from failure of compete development and subsequent obstruction of lymphatic system commonly found in the neck. s- painless cystic masses usually manifest during the first year of life, often in large after an upper respiratory infection. asymptomatic one in the posterior triangle of the neck. o- soft nontender easily compressible spongy fluid containing mass without discrete margins. most present at birth in neck .can distort face and neck. lymphatic filariasis - ANSWER massive accumulation of lymphedema throughout the body, the most common cause of secondary lymphedema worldwide. p- results from widespread inflammation and obstruction of lymphatics by the filaria worm, transmitted by mosquitoes, adequate drainage is prevented and the patient becomes more suceptible to infection. elephantitis often incorreclty used s- swelling in the limb or body area traveled to infected areas such as asia africa, india an philippines. many asymptomatic but some may but some may develop fever with lymphangitis and lymphadenitis chronci pulmonary infection in progressive lymphoedema o- lymphoedema of the entire arm or leg the genital regions, diagnosis can be made by identification of microfile microscopically n the blood. non-hodgkins lymphoma - ANSWER malignant neoplasm of the lymphatic system and the reticuloendothelial tissues p- occurs often in lymph nodes in the chest neck abdomen tonsils and skin they may also develop insight other than lymph nodes such as the digestive tract, cns, . s-painless enlarged lymph nodes, fever weight loss night, sweats o- notes b nodes may be localized in the posterior cervical triangle or maybe committed crossing into the interior triangle, nodes usually well define and solid cannot distinguish the findings of these conditions from hodgkins hodgkins lymphoma - ANSWER malignant lymphoma p-painless enlarged lymph nodes; may have abdominal pain, sometimes fever may have a history of infectious mononucleosis a o- abdominal pain, fever, cervical lymph nodes o enlargement. asymmetrical and progressive. nodes sometimes matted and firm. Ebstien barr - ANSWER infectious mononucleosis p-initially infects oral epithelial cells after intracellular viral replication and cell ysis with release of new virus spreads to contagious structure such as a salary glands. s-fatigue, acute prolong fever, HA sore throat , nausea, abdominal pain and myalgia, prodromal o-lymphoedema for cervical nodes at vetro clear . mononucleosis, hepatomegaly symptomatic hepatitis or jaundice is uncommon but elevated lens liver enzymes are common splenomegaly two to three cm. below the coastal margins is typical massive enlargement. toxoplasmosis - ANSWER zoonosis p- ingestion or inhaltion of ooh site and solemn slash foam might undercooked meat or raw eggs cate, fces. sub- go significant systems, history of eating raw or rare meat or undercooked eggs history or direct contact with cast cat fecess o- single nodes chronically enlarged and no pender nodes I usually in the posterior cervical chain Roseolo infrantum - ANSWER infection by human herpesevirus 6 p-virus presents in saliva and most adults and is readily transmitted by oral secretion causes life long infection of the host have latent and recurrent infections and cirus shedding occurs at intervals throughout life s- fever is usualy high grade an dpersistent for three to foru days sometimes associated with mild respiratory illness o- a dental pathy discreet and nontender involves occipital and postauricular chain and may last for some time. whene the fever finishes fine maculopapular rash spreading to the trunk herpes simplex - ANSWER p- transmitted by oral secretion genital secretion and clsoe contact can have latent infections and reactivation s-burning itching lesions, may report large lymph nodes o-discrete label and gingival vesicles of ulcers may have enlargement of anterior cervical and submandibular nodes, these nodes tend to be somewhat firm and quite discrete Cat scratch - ANSWER common cause of suvacute and chronic lymphadenitis in children p-caused by Bartonella henselae and bartonella clarridgeia s- right scratch or wound from cat inclusion lesions papular pustular last three to five days then becomes a vesicle and two to three painful and large lymph nodes o- inoculation lesion may be healing, lymph adenopathy develops in one to two weeks, single lymph node most often but multiple nodes are involved occasionally. tender nodes, only in the head, neck, axillae and accessible nodes areas nodes can be very large up to several centimeters HIV - ANSWER p- dysfunction of cell mediated immunity, aids manifested clinically as development of recurrent opportunistic infections s- enlarged lymph nodes, initially symptoms include fever, weakness, persistent unexplained weight loss, and persistent diarrhea o- during generalized lymphadenopathy and children there may be prolonged clinical latent . serum sickness - ANSWER immune complex disease p- type 3 systemic hypersensitivity rx in response to antigens, mediated by tissue deposits of circulating immune complexes a patient can react similarly to repeated exposure to stimuli. s- enlarged lymph nodes, pain puritas and erythematous swlling at the injection site, uticaria, rahses, joint pain, fever and facial edema meds- beta lactam antibiotics, sulfonamides and minocycline, organ transplant o- becomes apparent 7 to 10 days after administration, hives, periodic lesions lymphodemapathy. most prominent in the area of draining facial and academes symptoms. latex allergy Iv - ANSWER p- t cell mediated delayed response, allergic contract dermatitis that invovles immune system and is caused by chemical use in the latex product s- exposure to latex products rash at are aof contact o- skin rx begins 58hrs to 72 hrs after contact, vesicles lesions, oozing blister. latex allergry I - ANSWER p-immunoglobulin E s- exposure to latex,allergy to cross sensitivity foods (banana, avocados, potatoes tomatoes kiwis) o-local- hives, systemic generalized hives with angioedema asthma eyes no itchy and nose itching gastrointestinal system anaphylaxis Head and neck lymph exam - ANSWER lightly palpate the entire neck for nodes, anterior border of the sternocleidomastoid muscle is the diving line for the anterior and posterior triangles of the neck; the muscle and bones of the neck create "triangles" bending patient head forward and to the side will ease taut tissues and allow better accessibility to palpation. -occipital->postauricular located superficially over the mastoid-preauricular just in front of the ar- parotid and retropharyngeal at the angle of mandible - submandivular halfway between the angle and the tip of the mandible- submental in the midline behind the tip of mandible axillae exam - ANSWER let soft tissue roll between finger