Hodgkin Lymphoma – Board-Style Questions

What this deck covers

Hodgkin Lymphoma in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. The party detail
2. Scratching without a rash
3. The illness three years ago
4. Swollen ankles and a lump
5. He lies flat without trouble
6. Two diseases in one node
7. A slower kind
8. Itching and a few kilograms
9. One needle fewer
10. The result that moves the group
11. Nothing left behind
12. Still bright after two cycles
13. One drug swapped
14. No time for injections
15. Back within the year
16. Scans for a young woman
17. Cold and tired
18. Jabs from her infancy

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: The sore throat in the preceding month, A plain chest radiograph, looking for a mass, A renal biopsy to define the kidney lesion, Nothing more, as he has no breathing symptoms, All of it placed in formalin for histology, Benign, so no follow-up is needed once removed, Stage IIA, since neither finding is a B symptom, Yes, as marrow sampling is required in every child, The lactate dehydrogenase level, Two cycles of chemotherapy for safety, Involved-site irradiation is now added to his plan, Procarbazine caused more acute nausea and vomiting, Laparoscopic removal and freezing of ovarian tissue, Symptom control only, as relapse is incurable.

Clinical pearls from this deck

• A node that hurts after a drink is Hodgkin lymphoma until tissue says otherwise.
• An itch with no rash and a rubbery node: film the chest before anything else.
• The virus can sit inside the tumour cell; the tumour never passes to a sibling.
• Tissue before steroids: a steroid can hide the lymphoma the node was carrying.
• A mediastinal mass that is silent awake can be lethal asleep: image before you sedate.
• One node, two questions: never put all of it in formalin.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Haematology case decks · pediatric reference values.