USMLE Forum Archives - USMLE Step 3 - hodgkins disease
hodgkins disease
bingousmle - 05-17-10 08:05
A twenty-five year old man complains of a lump in his right neck. The lump has increased in size in the past seven weeks. He has lost weight - 12 lbs. in the last month and 20 in the last 6 months. His only medication is Tylenol for fever (101 ). He is HIV positive. You obtain a chest roentgenogram which shows mediastinal widening and hilar lymphadenopathy. Lymph node and bone marrow biopsies are both positive for mixed cellularity Hodgkin's disease. With the results of this information you make the following comments about HD in HIV+ patients, all of which are true EXCEPT for:
A. there is a higher incidence of HD compared to nonHIV+ individuals
B. HD is likely to present in advanced stages
C. mixed cellularity type is more common
D. extranodal sites of presentation are common
E. the clinical course is aggressive
bingousmle - 05-17-10 08:05
A twenty-five year old man complains of a lump in his right neck. The lump has increased in size in the past seven weeks. He has lost weight - 12 lbs. in the last month and 20 in the last 6 months. His only medication is Tylenol for fever (101 ). He is HIV positive. You obtain a chest roentgenogram which shows mediastinal widening and hilar lymphadenopathy. Lymph node and bone marrow biopsies are both positive for mixed cellularity Hodgkin's disease. With the results of this information you make the following comments about HD in HIV+ patients, all of which are true EXCEPT for:
A. there is a higher incidence of HD compared to nonHIV+ individuals
B. HD is likely to present in advanced stages
C. mixed cellularity type is more common
D. extranodal sites of presentation are common
E. the clinical course is aggressive
The correct answer and explanation will be available after you answer.
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#1
Re: hodgkins disease mtniharika - 05-18-10 15:49 My answer is: d.
People with depressed immune function, such as patients with AIDS or with organ transplants ( and thus are taking medications which suppress the immune system), appear to be at increased risk for developing Hodgkin’s disease. It has been recognized that Hodgkin's disease in HIV-infected patients is generally more aggressive and advanced than in non-HIV-infected patients.
#2
Re: hodgkins disease
bingousmle - 05-19-10 02:55 My answer is: a.
there is a higher incidence of non hodgkins disease compared to nonHIV+ individuals... there is no data which supports the higher incidence of hodgkins in HIV positive population...
#4
Re: hodgkins disease babbu5508 - 05-25-10 02:37 My answer is: a.
With the results of this information you make the following comments about HD in HIV+ patients, all of which are true EXCEPT for:
A. there is a higher incidence of HD compared to nonHIV+ individuals
#12
Re: hodgkins disease babbu5508 - 08-29-10 02:09 HD in HIV+ patients, all of which are true EXCEPT for:
A. there is a higher incidence of HD compared to nonHIV+ individuals
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