Question

This 48-year-old woman had an unexplained anemia with low-grade fever 4 years before her death. Six months before, bronchopneumonia developed, followed by return of severe anemia and continued pyrexia (fever). She was febrile (feverish), appeared pale, and had slight hepatomegaly and splenomegaly. Lymph nodes were palpated in the axillary and inguinal areas, and ascites developed. The chronic anemia did not respond to iron therapy. There was no evidence of blood loss or hemolysis. Diagnosis of lymphoma was confirmed by autopsy. 1. What two organs were enlarged in the patient? A. Liver and lungs B. Lungs and spleen C. Liver and spleen D. Spleen and bone marrow 2. Where were lymph nodes felt? A. Groin and armpit B. Armpit and chest C. Groin and abdomen D. Abdomen and armpit 3. What is ascites? A. Blockage of the intestine B. Edema in the extremities are C. Collection of fluid in the chest D. Collection of fluid in the abdomen 4. What was the probable cause of the patient's anemia? A. Chronic blood loss B. Destruction of blood C. Malignant tumor of lymph nodes D. Iron deficiency

Answer 1

1. Answer ; C) Liver and spleen.

Reason ; In the given scenario, the patient is diagnosed with hepatomegaly and spleenomegaly. Hence this patient would probably exhibit the enlargement in the above mentioned region.

2. Answer ; A) Groin and Armpit.

Reason ; In the case history, the lymph node has been palpated on the axillary and the inguinal area. So the exact location where the lymph node are present would be mentioned in the above option.

3. Answer ; D) collection of fluid in the abdomen.

Reason; Here the term ascites has been referred. Among the listed option the above mentioned option clearly explain the proper meaning of the term. Other options are irrelevant to the mentioned term.

4. Answer ; C) malignant tumor of lymph nodes.