Chapter·MicrobiologyOncogenic viruses

EBV-associated malignanciesDownloads

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Sample Questions

1

An 11-year-old boy who recently emigrated from Nigeria is brought to the physician for evaluation of jaw swelling. He has no history of serious illness and takes no medications. Examination shows a 5-cm solid mass located above the right mandible and significant cervical lymphadenopathy. A biopsy specimen of the mass shows sheets of lymphocytes with interspersed tingible body macrophages. Serology for Epstein-Barr virus is positive. Which of the following chromosomal translocations is most likely present in cells obtained from the tissue mass?

At(8;14)

Bt(12;21)

Ct(11;22)

Dt(15;17)

Et(11;14)

2

A 28-year-old male with a history of HIV infection is found to have a CD4+ T lymphocyte count of 68 cells per microliter. As a consequence of his HIV infection, this patient is at increased risk of malignancy due to which of the following?

APneumocystis jiroveci

BActinomyces israelii

CHelicobacter pylori

DHHV-6

EEpstein-Barr Virus (EBV)

3

A 37-year old man is being evaluated due to a recent history of fatigue that started 3 weeks ago. The patient presents with a history of HIV, which was first diagnosed 7 years ago. He has been on an antiretroviral regimen and takes it regularly. His CD4+ count is 350 cells/mm3. According to the patient, his partner passed away from a "blood cancer", and he is worried that his fatigue might be connected to a similar pathology. The physician clarifies that there is an increased risk for HIV patients to develop certain kinds of lymphomas. Which one of the conditions below is the patient more likely to develop based on his medical history?

ADiffuse large B cell lymphoma

BFollicular lymphoma

CBurkitt’s lymphoma

DExtranodal marginal zone lymphoma

ESmall lymphocytic lymphoma

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