Lymphadenopathy Differential Diagnosis Quiz
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Questions and Answers

Which of the following is a potential cause of lymphadenopathy in the axilla?

  • Preauricular nodes
  • Posterior cervical nodes
  • Thyroid/laryngeal disease
  • Silicone breast implants (correct)

What is a common malignancy that can metastasize to the axilla?

  • Colorectal cancer
  • Pancreatic cancer
  • Skin cancer
  • Breast cancer (correct)

In the context of lymphadenopathy, absence of an infectious source or traumatic lesions can be suggestive of which malignant condition?

  • Hodgkin lymphoma (correct)
  • Sporotrichosis
  • Tularemia
  • Cat-scratch disease

What is a potential differential diagnosis for lymphadenopathy associated with submandibular nodes?

<p>Mycobacterial/fungal infections (B)</p> Signup and view all the answers

Which type of cancer is NOT mentioned as a malignancy that can metastasize to the axilla?

<p>Thyroid cancer (A)</p> Signup and view all the answers

Which of the following lymph node qualities is associated with reactive lymphadenopathy from a viral infection?

<p>Shotty lymphadenopathy (A)</p> Signup and view all the answers

What characteristic is suggestive of malignancy in a lymph node?

<p>Painless and hard (B)</p> Signup and view all the answers

In head and neck lymphadenopathy, which area is commonly associated with infection?

<p>Submandibular (C)</p> Signup and view all the answers

What type of lymphadenopathy is described by having multiple small lymph nodes that feel like 'buck shots' under the skin?

<p>Shotty (D)</p> Signup and view all the answers

Which characteristic of lymphadenopathy is generally unable to reliably predict malignancy?

<p>Mobile and fluctuant (B)</p> Signup and view all the answers

What can painful or tender lymphadenopathy represent besides possible inflammation caused by infection?

<p>Hemorrhage into a node (A)</p> Signup and view all the answers

Which type of malignancy is NOT typically found in the inguinal region?

<p>Lymphomas (A)</p> Signup and view all the answers

What is a common etiology for inguinal lymphadenopathy?

<p>Syphilis (D)</p> Signup and view all the answers

What structures do the anterior cervical nodes drain?

<p>Larynx, tongue, oropharynx, anterior neck (B)</p> Signup and view all the answers

What factor increases the likelihood of inguinal lymphadenopathy in healthy adults?

<p>Walking outdoors barefoot, especially in tropical regions (A)</p> Signup and view all the answers

Which structure drains into the inguinal lymphatics?

<p>Anal canal (D)</p> Signup and view all the answers

Which condition is highly suspicious for when presenting with infraclavicular nodes?

<p>Non-Hodgkin lymphoma (D)</p> Signup and view all the answers

What structures do the axillary nodes drain?

<p>Breast, upper extremity, thoracic wall (D)</p> Signup and view all the answers

What is a potential cause of inguinal lymphadenopathy unrelated to infections?

<p>Skin neoplasms (A)</p> Signup and view all the answers

What is the differential diagnosis for epitrochlear lymphadenopathy?

<p>Skin infections, lymphomas, and skin malignancies (C)</p> Signup and view all the answers

Which sexually transmitted infection is NOT commonly associated with inguinal lymphadenopathy?

<p>Chlamydia (B)</p> Signup and view all the answers

What does epitrochlear lymphadenopathy greater than 5 mm usually suggest?

<p>Lymphoma or melanoma (A)</p> Signup and view all the answers

What can cause axillary lymphadenopathy due to an inflammatory reaction to silicone particles?

<p>Implant leakage (A)</p> Signup and view all the answers

What is the significance of lymphadenopathy lasting less than two weeks or greater than 12 months without change in size in adults and children?

<p>Low likelihood of being neoplastic (D)</p> Signup and view all the answers

Which age group is more likely to have palpable lymph nodes at any one time?

<p>Children (B)</p> Signup and view all the answers

What should be reviewed in terms of exposures when investigating lymphadenopathy?

<p>Chronic medication use (D)</p> Signup and view all the answers

What type of lymphoma might show exceptions to the typical duration guidelines for neoplastic lymphadenopathy?

<p>Low-grade Hodgkin lymphoma (D)</p> Signup and view all the answers

In which age group is most lymphadenopathy benign or infectious in etiology?

<p>Children (C)</p> Signup and view all the answers

What is the significance of associated systemic symptoms in low-grade Hodgkin lymphomas and indolent nonHodgkin lymphoma?

<p>They might not exhibit associated systemic symptoms (A)</p> Signup and view all the answers

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