Ch 30 Leukemia and Lymphomas UPDATED Actual Exam Questions and CORRECT Answers
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Course
Leukemia and Lymphomas
Institution
Leukemia And Lymphomas
Ch 30 Leukemia and Lymphomas
UPDATED Actual Exam Questions and
CORRECT Answers
Which patient's diagnostic follow-up studies after treatment for leukemia indicate minimal
residual disease? - CORRECT ANSWER- Patient D
The condition in which tumor cells cannot be detected by morphologic study ...
Ch 30 Leukemia and Lymphomas
UPDATED Actual Exam Questions and
CORRECT Answers
Which patient's diagnostic follow-up studies after treatment for leukemia indicate minimal
residual disease? - CORRECT ANSWER- Patient D
The condition in which tumor cells cannot be detected by morphologic study but can be
identified by molecular testing is known as minimal residual disease. If the molecular studies
of a patient are negative for residual leukemia, then it indicates molecular remission. Partial
remission occurs when there is a normal peripheral blood smear, but there is evidence of
disease in the bone marrow. Complete remission is characterized by normal bone marrow and
peripheral blood smear, with no evidence of disease upon physical examination.
After treatment for leukemia, a patient no longer experiences symptoms, and the peripheral
blood smear is normal, although there are abnormal cells in the bone marrow. The patient is
in which stage of remission? - CORRECT ANSWER- Partial remission
In partial remission, there will be a lack of symptoms, and the peripheral blood smear will
appear to be normal; however, evidence of disease in the bone marrow can be observed. In
complete remission, there will be a lack of symptoms and no evidence of disease in the bone
marrow. In molecular remission, all molecular studies are negative for residual leukemia. In
minimal residual disease, tumor cells are not detected by morphologic examination but can be
identified by molecular testing.
When the posttreatment diagnostic studies for a patient with leukemia indicate normal bone
marrow and peripheral blood, and the physical examination does not show any evidence of
disease, which term will be used to describe the patient's status? - CORRECT ANSWER-
Complete remission
In complete remission, the bone marrow and the peripheral blood appear normal. The patient
does not show any evidence of disease upon physical examination. Partial remission is a
condition characterized by a lack of disease symptoms and a normal peripheral blood smear,
but evidence of disease remains in the bone marrow. Molecular remission is the condition in
which all molecular studies are negative for residual leukemia. Minimal residual disease
indicates that tumor cells cannot be detected by morphologic examination but can be detected
by molecular testing.
, Which statement about lymphoma will the nurse make when a patient asks about the
difference between lymphocytic leukemia and lymphoma? - CORRECT ANSWER- "With
lymphoma, there are fewer circulating abnormal cells."
Abnormal lymphocytes are found mostly in the lymph nodes and tissues in a patient with
lymphoma, and there are fewer abnormal cells in the circulation. Abnormal lymphocytes are
more likely to be found in the peripheral circulation with lymphocytic leukemias than with
lymphoma. A defining characteristic of lymphoma is proliferation of abnormal lymphocytes
in the nodes, leading to enlargement of the nodes. Granulocyte proliferation leads to
myelogenous leukemias but not to lymphoma.
Which diagnostic finding is a hallmark of chronic myelogenous leukemia (CML)? -
CORRECT ANSWER- Presence of Philadelphia chromosome
The Philadelphia chromosome is present in 90% to 95% of patients with CML and is a
diagnostic hallmark of CML. Thrombocytopenia may occur with CML, but thrombocytosis
would not be expected. Since CML is characterized by abnormal myelocytes (not abnormal
lymphocytes) and does not typically invade the central nervous system, lymphoblasts in the
cerebrospinal fluid are not an expected finding. In CML, the bone marrow would contain
abnormal but mature myelocytes.
Which type of leukemia accounts for the majority of acute leukemia in adults? - CORRECT
ANSWER- Acute myelogenous leukemia (AML)
AML accounts for 15% to 20% of acute leukemia in children and 80% in adults. ALL is most
frequently seen in children, with a mean age of 15 years at diagnosis. CLL is a chronic
leukemia seen mostly in older adults but is not an acute leukemia. CML is a chronic, rather
than acute, leukemia seen mostly in older adults.
When a patient with leukemia has completed induction therapy with resolution of leukemia
symptoms, normal peripheral blood smear testing, and some leukemic cells in the bone
marrow testing, how will the patient's status be described? - CORRECT ANSWER- Partial
remission
Partial remission is a condition in which there is a lack of symptoms of the disease and a
normal peripheral blood smear but evidence of the disease in the bone marrow. Complete
remission refers to the condition in which the bone marrow and the peripheral blood appear
normal. Molecular remission is the condition in which all molecular studies are negative for
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