K
LYMPH LANA STUDY PREP
C
EXAM QUESTIONS AND
LO
CORRECT DETAILED /
VERIFIED ANSWERS LATEST
YC
UPDATE
D
U
ST
,Which of the following is NOT part of the lymphatic system?
Tonsils
Thyroid
Thymus
Spleen - ANS Thyroid
K
Which of the following statements is true for patients with breast edema?
All are true
Swimming is an excellent exercise for patients with breast edema.
C
Patients with breast edema should avoid shirts/tank tops with a built-in shelf.
Elastic taping may reduce edema by channeling fluid to the contralateral axilla. - ANS All are
true
LO
What term is used for lymph vessels which have a three-layer wall and bicuspid valves?
Collectors
Capillaries
Channels
YC
Inner tubes - ANS Collectors
What organ dysfunction causes myxedema?
Thyroid
Thymus
Liver
D
Kidney - ANS Thyroid
Your current patient with left, lower-extremity lymphedema has received five sessions of MLD
U
and bandaging. Upon removal of the bandages, her leg is splotchy-red, very warm, more
swollen than the day before, and mildly painful. She feels unwell but dismisses it as the flu.
What is the MOST LIKELY cause for these symptoms and how should you respond?
ST
Cellulitis (erysipelas). Stop therapy and immediately inform the physician.
Dermatitis. Put hydrocortisone cream on the redness and bandage as usual.
Malignant lymphedema. Continue MLD and bandaging.
A deep vein thrombosis. Send the patient to the ER. - ANS Cellulitis
When bandaging the LE of an obese patient with large medial thigh lobes, all of the following
regarding bandaging are true, EXCEPT:
The skin crease below the lobe needs to be padded to avoid maceration and skin break down.
Using foam inserts will help to keep the bandages from sliding down.
Only long-stretch (Ace) bandages should be used instead of short-stretch bandages.
, Lifting the lobe with large figure-8 turns (steep bandaging angles) will help to keep the
bandages in place. - ANS Only long stretch Ace bandages should be used instead of short
stretch bandages
During your MLD, which anastomoses pathway(s) should be used in a patient with secondary,
breast cancer-related, left upper-extremity lymphedema?
Bilateral axillo-inguinal
Right axillo-inguinal and inter-axillary
Inter-axillary only
Left axillo-inguinal and inter-axillary - ANS Left axillo-inguinal and inter-axillary
K
During your MLD, which anastomoses pathway(s) should be used in a patient with secondary,
breast cancer-related, left upper-extremity lymphedema?
C
Bilateral axillo-inguinal
Right axillo-inguinal and inter-axillary
Inter-axillary only
LO
Left axillo-inguinal and inter-axillary - ANS Intermittent claudication which may progress to
pain at rest
A 60-year-old female was treated for left-sided breast cancer with mastectomy and axillary-node
dissection; she completed chemotherapy and radiation eight months ago. She also has a history
YC
of right-sided breast cancer which was treated 14 years ago with mastectomy and axillary node
dissection. The patient presents with lymphedema only in the LUE. As compared to her
non-lymphedema side, the LUE is 3cm enlarged in the forearm and 5.5 cm enlarged in the
upper arm. The edema also includes her hand and fingers and fluctuates greatly day to day.
She has collateral veins and significant tissue adhesions within the radiation field of her left
chest wall and she reports mild pain of her affected arm. Which of the following is most likely
D
NOT a cause of her symptoms?
Cellulitis
Radiation fibrosis
U
Malignant lymphedema
Deep venous thrombosis - ANS Cellulitis
ST
Which of the following best describes the treatment for axillary web syndrome (AWS)?
Short-stretch bandaging with textured hi-density foam.
Specialized manual techniques with repeated stretching.
All are true.
Deep myofascial release combined with heat packs and ultra sound. - ANS Specialized
manual techniques with repeated stretching.
Short-stretch bandages...
exert low resting pressure and low working pressure.
exert high resting pressure and high working pressure.
exert low resting pressure and high working pressure.
LYMPH LANA STUDY PREP
C
EXAM QUESTIONS AND
LO
CORRECT DETAILED /
VERIFIED ANSWERS LATEST
YC
UPDATE
D
U
ST
,Which of the following is NOT part of the lymphatic system?
Tonsils
Thyroid
Thymus
Spleen - ANS Thyroid
K
Which of the following statements is true for patients with breast edema?
All are true
Swimming is an excellent exercise for patients with breast edema.
C
Patients with breast edema should avoid shirts/tank tops with a built-in shelf.
Elastic taping may reduce edema by channeling fluid to the contralateral axilla. - ANS All are
true
LO
What term is used for lymph vessels which have a three-layer wall and bicuspid valves?
Collectors
Capillaries
Channels
YC
Inner tubes - ANS Collectors
What organ dysfunction causes myxedema?
Thyroid
Thymus
Liver
D
Kidney - ANS Thyroid
Your current patient with left, lower-extremity lymphedema has received five sessions of MLD
U
and bandaging. Upon removal of the bandages, her leg is splotchy-red, very warm, more
swollen than the day before, and mildly painful. She feels unwell but dismisses it as the flu.
What is the MOST LIKELY cause for these symptoms and how should you respond?
ST
Cellulitis (erysipelas). Stop therapy and immediately inform the physician.
Dermatitis. Put hydrocortisone cream on the redness and bandage as usual.
Malignant lymphedema. Continue MLD and bandaging.
A deep vein thrombosis. Send the patient to the ER. - ANS Cellulitis
When bandaging the LE of an obese patient with large medial thigh lobes, all of the following
regarding bandaging are true, EXCEPT:
The skin crease below the lobe needs to be padded to avoid maceration and skin break down.
Using foam inserts will help to keep the bandages from sliding down.
Only long-stretch (Ace) bandages should be used instead of short-stretch bandages.
, Lifting the lobe with large figure-8 turns (steep bandaging angles) will help to keep the
bandages in place. - ANS Only long stretch Ace bandages should be used instead of short
stretch bandages
During your MLD, which anastomoses pathway(s) should be used in a patient with secondary,
breast cancer-related, left upper-extremity lymphedema?
Bilateral axillo-inguinal
Right axillo-inguinal and inter-axillary
Inter-axillary only
Left axillo-inguinal and inter-axillary - ANS Left axillo-inguinal and inter-axillary
K
During your MLD, which anastomoses pathway(s) should be used in a patient with secondary,
breast cancer-related, left upper-extremity lymphedema?
C
Bilateral axillo-inguinal
Right axillo-inguinal and inter-axillary
Inter-axillary only
LO
Left axillo-inguinal and inter-axillary - ANS Intermittent claudication which may progress to
pain at rest
A 60-year-old female was treated for left-sided breast cancer with mastectomy and axillary-node
dissection; she completed chemotherapy and radiation eight months ago. She also has a history
YC
of right-sided breast cancer which was treated 14 years ago with mastectomy and axillary node
dissection. The patient presents with lymphedema only in the LUE. As compared to her
non-lymphedema side, the LUE is 3cm enlarged in the forearm and 5.5 cm enlarged in the
upper arm. The edema also includes her hand and fingers and fluctuates greatly day to day.
She has collateral veins and significant tissue adhesions within the radiation field of her left
chest wall and she reports mild pain of her affected arm. Which of the following is most likely
D
NOT a cause of her symptoms?
Cellulitis
Radiation fibrosis
U
Malignant lymphedema
Deep venous thrombosis - ANS Cellulitis
ST
Which of the following best describes the treatment for axillary web syndrome (AWS)?
Short-stretch bandaging with textured hi-density foam.
Specialized manual techniques with repeated stretching.
All are true.
Deep myofascial release combined with heat packs and ultra sound. - ANS Specialized
manual techniques with repeated stretching.
Short-stretch bandages...
exert low resting pressure and low working pressure.
exert high resting pressure and high working pressure.
exert low resting pressure and high working pressure.
