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. 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

4. 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)

5. 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

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

Increasing WBC count

Decreasing blast percentage

Elevated LDH

Rising uric acid

7. 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

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

Chemotherapy only

Radiation therapy

Tyrosine kinase inhibitor (TKI)

Immunotherapy

9. 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

10. Which staging system is used to classify Hodgkin lymphoma?

TNM staging

Ann Arbor staging

International Prognostic Index (IPI)

Rai staging

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

Acute lymphoblastic leukemia (ALL)

Acute myeloid leukemia (AML)

Chronic lymphocytic leukemia (CLL)

Chronic myeloid leukemia (CML)

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

Burkitt lymphoma

Follicular lymphoma

Marginal zone lymphoma

Lymphoplasmacytic lymphoma

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

10% blasts

20% blasts

>30% blasts

>50% blasts

14. 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)

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

Auer rods

Reed-Sternberg cells

Lyn cells

Blast cells

16. 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

17. 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

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

T lymphocytes

B lymphocytes

Natural killer cells

Dendritic cells

19. 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

20. 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

Blood Cancer Quiz: Leukemia or Lymphoma?