Lymphatic Drainage and Clinical Lymphadenopathy MCQs

Anatomy · 30 free questions with answers & explanations.

1. A patient presents with enlarged right supraclavicular (Virchow's) lymph node. Which of the following primary tumours is MOST likely to metastasize to this node via the thoracic duct?
2. The lymph from the testis drains primarily to which group of lymph nodes, and NOT to the inguinal nodes?
3. The upper outer quadrant of the breast is the most common site for carcinoma, and its lymph drains primarily to which nodal group?
4. A young patient develops painful right popliteal lymphadenopathy following a dog bite to the right foot. The popliteal lymph nodes receive lymph from:
5. A patient with carcinoma of the lower third of the esophagus most likely has lymph node metastasis in which nodal group FIRST?
6. Lymphatics from the right testis drain primarily to which nodal group, explaining metastatic spread patterns distinct from scrotal skin tumours?
7. Lymphatic drainage of the anal canal above the pectinate (dentate) line differs from that below it. Carcinoma above the pectinate line typically metastasises to:
8. The thoracic duct drains into the venous circulation at the junction of which two veins?
9. A 42-year-old woman presents with enlarged left supraclavicular lymph nodes (Virchow's node). Cancer from which organ is the MOST classic cause?
10. The lymphatics of the testis drain to which lymph node group, and why is this clinically important?
11. The right lymphatic duct drains into the venous system at which site?
12. A 40-year-old woman has a carcinoma of the upper outer quadrant of the right breast. The primary lymphatic drainage of this region is to which node group?
13. Lymph from the testes drains to which lymph node group, explaining the metastatic pattern of testicular tumors?
14. Virchow's node is a sentinel lymph node involved in abdominal/pelvic malignancy. It is located in the:
15. The right lymphatic duct drains lymph from which regions into the right venous angle?
16. Lymphatic drainage of the lower third of the oesophagus drains primarily to:
17. A 45-year-old woman presents with an indurated ulcer on the dorsal surface of the right ring finger. Which lymph nodes would initially become enlarged with infection of this lesion?
18. The testes drain lymphatically to para-aortic nodes at the level of L1–L2, whereas the scrotum drains to inguinal nodes. This difference has which clinical significance?
19. A 38-year-old woman presents with a carcinoma of the lateral aspect of the lower lip. To which lymph node group does this most directly drain, and what is the clinical significance?
20. Virchow's node (Troisier's sign) is an enlarged left supraclavicular lymph node indicating intra-abdominal malignancy. Which lymphatic pathway explains how abdominal tumor cells reach this node?
21. Lymphatics from the testes drain primarily to which lymph node group, reflecting the gonadal embryological descent from the retroperitoneum?
22. Carcinoma of the upper outer quadrant of the breast primarily drains to which group of axillary lymph nodes, and at which lymph node level (Berg's classification)?
23. A woman is found to have isolated left supraclavicular (Virchow's) lymphadenopathy. Which primary intra-abdominal malignancy most commonly drains to this site, and through which lymphatic channel?
24. Lymphatics from the glans penis and the upper scrotum drain to which lymph node group?
25. Virchow's node (sentinel node, Troisier's sign) is a palpable left supraclavicular lymph node that indicates abdominal malignancy. It receives lymph via which pathway from abdominal organs?
26. Carcinoma of the lateral aspect of the tongue primarily drains to which lymph nodes, making them the first nodal echelon to be examined?
27. The thoracic duct drains the lymph from which of the following combined territories?
28. A left supraclavicular lymph node enlargement (Virchow's node) is classically associated with which primary tumor?
29. Lymphatic drainage of the testis follows its embryological descent and drains to which primary group of nodes?
30. Which of the following correctly matches the lymphatic drainage of the breast quadrant to its primary nodal group?