Blood Cancer Quiz: Leukemia Or Lymphoma?

1. A nurse caring for a leukemia patient expects which complication from rapid cell turnover?

Tumor lysis syndrome

Septic shock

Pulmonary edema

Disseminated intravascular coagulation

2. Which prognostic factor in lymphoma indicates the poorest survival outcome?

Stage I disease

High International Prognostic Index (IPI) score

Young patient age

Normal LDH level

3. Which infection is a major concern for patients with CLL due to immune dysfunction?

Cytomegalovirus (CMV)

Mycobacterium tuberculosis

Fungal and bacterial infections

Herpes simplex virus (HSV)

4. Which type of lymphoma is associated with Epstein-Barr virus (EBV) infection?

Burkitt lymphoma

Follicular lymphoma

Marginal zone lymphoma

Lymphoplasmacytic lymphoma

5. A patient with CML enters blast crisis. What is the blast percentage in bone marrow?

10% blasts

20% blasts

>30% blasts

>50% blasts

6. Which leukemia type has the best overall survival rate in children?

Acute myeloid leukemia (AML)

Acute lymphoblastic leukemia (ALL)

Chronic lymphocytic leukemia (CLL)

Chronic myeloid leukemia (CML)

7. Hodgkin lymphoma is characterized by the presence of which pathognomonic cell?

Auer rods

Reed-Sternberg cells

Lyn cells

Blast cells

8. Which laboratory finding is characteristic of acute lymphoblastic leukemia (ALL)?

Decreased platelets with normal WBC

Elevated WBC with lymphoblasts on smear

Increased hemoglobin and hematocrit

Positive BCR-ABL fusion gene

9. Non-Hodgkin lymphoma most commonly arises from which cell type?

T lymphocytes

B lymphocytes

Natural killer cells

Dendritic cells

10. Which chromosomal abnormality is most commonly associated with chronic myeloid leukemia (CML)?

Philadelphia chromosome t(9;22)

Translocation t(8;14)

Trisomy 21

Monosomy 7

11. A patient with Hodgkin lymphoma typically presents with which classic symptom triad?

Fever, night sweats, weight loss

Jaundice, hepatomegaly, ascites

Bone pain, hypercalcemia, renal failure

Petechiae, gum bleeding, bruising

12. A 65-year-old presents with fatigue, infections, and bone marrow showing >30% blasts. Which diagnosis is most likely?

Acute leukemia

Chronic leukemia

Myelodysplastic syndrome

Polycythemia vera

13. Chronic lymphocytic leukemia (CLL) primarily affects which age group?

Children under 5 years

Adolescents 10-15 years

Adults over 60 years

Young adults 20-30 years

14. Which treatment is first-line therapy for newly diagnosed CML in chronic phase?

Chemotherapy only

Radiation therapy

Tyrosine kinase inhibitor (TKI)

Immunotherapy

15. Which lab value indicates improved response to leukemia treatment?

Increasing WBC count

Decreasing blast percentage

Elevated LDH

Rising uric acid

16. A patient with lymphoma presents with mediastinal mass compressing the airway. This finding suggests which type?

Nodular sclerosis Hodgkin lymphoma

Nodular lymphocyte-predominant Hodgkin

Lymphocyte-rich Hodgkin

Mixed cellularity Hodgkin

17. Diffuse large B-cell lymphoma (DLBCL) is the most common type of which lymphoma category?

Hodgkin lymphoma

Non-Hodgkin lymphoma

Cutaneous lymphoma

Primary CNS lymphoma

18. A patient receiving chemotherapy for acute leukemia develops hyperuricemia. What is the primary nursing intervention?

Restrict fluids

Ensure adequate hydration and monitor urine pH

Administer diuretics

Increase potassium intake

19. Which leukemia type presents with high WBC counts, Auer rods, and rapid onset in children?