ACADEMY OF CERTIFIED LYMPHEDEMA & ONCOLOGY SPECIALISTS · ACOLS
ACOLS MLD TRAINING
EXAMINATION GUIDE
Manual Lymphatic Drainage — Complete Questions & Verified Answers
Newest Version · 2025/2026 · Brand New Edition
DOCUMENT DESCRIPTION
This comprehensive training guide covers the ACOLS certification examination
for Manual Lymph Drainage (MLD) therapy. Topics include lymphatic anatomy,
Starling's Law, lymphedema pathophysiology, contraindications, watershed
territories, lymph node groups, and clinical MLD application techniques.
All answers are verified and aligned with current ACOLS standards.
Total: 19 pages · Academic Year 2025/2026 · Verified Edition
✓ Lymphatic Anatomy ✓ MLD Techniques ✓ Pathophysiology
Nodes, trunks & pathways Contraindications & effects Edema, insufficiency & law
19 100% 2025/2026
PAGES VERIFIED ANSWERS ACADEMIC YEAR
ACOLS CERTIFICATION PREPARATION RESOURCE
Manual Lymphatic Drainage · Complete Lymphedema Therapy · Oncology Massage
Prepared by: Dennis Muriuki · ACOLS MLD Training Examination · Newest 2025/2026 Edition
For Academic & Certification Use Only · All Content Verified
,1|Page
ACOLS MLD Training Exam Newest 2025/2026
Complete Questions And Correct Detailed Answers
(Verified Answers) |Brand New Version!!
All these are effects of the use of Manual Lymph Drainage (MLD)
except:
a) Increase the local sympathetic response and the general
parasympathetic effect
b) Increase in the contraction frequency of lymph collectors
c) ELIMINATES THE RISK OF RE-ACCUMULATION AFTER
DECONGESTION
d) Re-route lymph flow around blocked areas into more centrally
located, healthy areas - ANSWER-Eliminates the risk of re-
accumulation after decongestion
Lymphedema is a symptom; edema is a disease.
True
False - ANSWER-False
Crohn's disease is a contraindication for deep abdominal techniques.
True
False - ANSWER-True
All of the following are absolute contraindications for compression
treatment except:
a. Arterial diseases
, 2|Page
b. Spasticity
c. Severe congestive heart failure (CHF)
d. PREGNANCY - ANSWER-Pregnancy
Pregnancy, congestive heart failure (CHF), dysmenorrhea, and lleus are
contraindications for _____________. - ANSWER-Abdominal
techniques
Blood pressure in arteries is higher than blood capillary pressure.
True
False - ANSWER-True
If the precapillary sphincter dilates = Less blood into capillaries --> Less
volume = decreased Blood Capillary Pressure (BCP).
True
False - ANSWER-False
The precapillary sphincter is innervated by the sympathetic portion of
the Autonomic Nervous System (ANS).
True
False - ANSWER-True
When the precapillary sphincter located at the arteriole contracts:
a. Less blood enters into the capillaries
b. Volume will decrease and the Blood Capillary pressure will also
decrease
c. Less filtration occurs
d. All of the above - ANSWER-All of the above
ACOLS MLD TRAINING
EXAMINATION GUIDE
Manual Lymphatic Drainage — Complete Questions & Verified Answers
Newest Version · 2025/2026 · Brand New Edition
DOCUMENT DESCRIPTION
This comprehensive training guide covers the ACOLS certification examination
for Manual Lymph Drainage (MLD) therapy. Topics include lymphatic anatomy,
Starling's Law, lymphedema pathophysiology, contraindications, watershed
territories, lymph node groups, and clinical MLD application techniques.
All answers are verified and aligned with current ACOLS standards.
Total: 19 pages · Academic Year 2025/2026 · Verified Edition
✓ Lymphatic Anatomy ✓ MLD Techniques ✓ Pathophysiology
Nodes, trunks & pathways Contraindications & effects Edema, insufficiency & law
19 100% 2025/2026
PAGES VERIFIED ANSWERS ACADEMIC YEAR
ACOLS CERTIFICATION PREPARATION RESOURCE
Manual Lymphatic Drainage · Complete Lymphedema Therapy · Oncology Massage
Prepared by: Dennis Muriuki · ACOLS MLD Training Examination · Newest 2025/2026 Edition
For Academic & Certification Use Only · All Content Verified
,1|Page
ACOLS MLD Training Exam Newest 2025/2026
Complete Questions And Correct Detailed Answers
(Verified Answers) |Brand New Version!!
All these are effects of the use of Manual Lymph Drainage (MLD)
except:
a) Increase the local sympathetic response and the general
parasympathetic effect
b) Increase in the contraction frequency of lymph collectors
c) ELIMINATES THE RISK OF RE-ACCUMULATION AFTER
DECONGESTION
d) Re-route lymph flow around blocked areas into more centrally
located, healthy areas - ANSWER-Eliminates the risk of re-
accumulation after decongestion
Lymphedema is a symptom; edema is a disease.
True
False - ANSWER-False
Crohn's disease is a contraindication for deep abdominal techniques.
True
False - ANSWER-True
All of the following are absolute contraindications for compression
treatment except:
a. Arterial diseases
, 2|Page
b. Spasticity
c. Severe congestive heart failure (CHF)
d. PREGNANCY - ANSWER-Pregnancy
Pregnancy, congestive heart failure (CHF), dysmenorrhea, and lleus are
contraindications for _____________. - ANSWER-Abdominal
techniques
Blood pressure in arteries is higher than blood capillary pressure.
True
False - ANSWER-True
If the precapillary sphincter dilates = Less blood into capillaries --> Less
volume = decreased Blood Capillary Pressure (BCP).
True
False - ANSWER-False
The precapillary sphincter is innervated by the sympathetic portion of
the Autonomic Nervous System (ANS).
True
False - ANSWER-True
When the precapillary sphincter located at the arteriole contracts:
a. Less blood enters into the capillaries
b. Volume will decrease and the Blood Capillary pressure will also
decrease
c. Less filtration occurs
d. All of the above - ANSWER-All of the above
