Practice Question
A 22-year-old female goes to her doctor because she has been feeling tired for the past 4 weeks and has been getting fevers with night sweats that last a week. disappear. then come right back in 5 days. She was diagnosed with infectious mononucleosis 3 months ago. but the symptoms have been getting worse. On physical exam. you find a 4cm painless lymphadenopathy on the right side of her neck. A CBC is ordered and a lymph node biopsy is performed and sent to pathology. Which of the following is the correct diagnosis for the patient?
Answer Choices:
Correct Answer:
Hodgkin's Lymphoma
Rationale:
❖ Painless, firm lymphadenopathy (4 cm) with cyclic fevers/night sweats suggests Hodgkin (Pel-Ebstein).
❖ Prior EBV/mono increases risk for Hodgkin’s.
❖ Path hallmark: Reed–Sternberg cells on lymph node biopsy.
❖ “B symptoms” (fever, night sweats, weight loss) are classic systemic features.
❖ Often contiguous nodal spread; staging guides combined chemo ± radiation.
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This question is from MID TERM EXAM-Pathophysiology - GCU which contains 50 questions.
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Answer Choices:
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Answer Choices:
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: 🏡HESI-Health Assessment
- Answer Choices: 4