CLT-LANA UPDATED ACTUAL Exam
Questions and CORRECT Answers
Stage 0 CVI - CORRECT ANSWER - No symptoms, norm protein
Stage I cvi - CORRECT ANSWER - Mild edema, normal protein, norm lymph vessels,
phlebolymphodynamic insufficiency
Stage 2 cvi - CORRECT ANSWER - Mod symptoms ( pigmentation, viscosity, pain), high
protein, vessels morphologically changed, TC reduced, phlebolymphostatic insufficiency
Stage 3 cvi - CORRECT ANSWER - Severe symptoms( hypoxia, necrosis, pain), very
high protein load, lymph vessels morphologically change, TC reduced, severe
phlebolymphostatic insufficiency
Treatment stage 0 cvi - CORRECT ANSWER - Compression therapy, elevation, exercise
Treatment stage 1 cvi - CORRECT ANSWER - Compression therapy, elevation, exercise
Treatment stage 2 cvi - CORRECT ANSWER - CDT
Treatment stage 3 cvi - CORRECT ANSWER - CDT and wound care
Ambulatory venous hypertension - CORRECT ANSWER - Failure of venous valves such
that blood flow bidirectional resulting in increased pressure to the capillaries
What happens with low flow states in blood capillaries to leukocytes - CORRECT
ANSWER - They become trapped and release proteolytic enzymes and oxygen free
radicals which damage capillary basement membranes
, What happens to plasma proteins with low flow states in blood capillaries - CORRECT
ANSWER - Plasma proteins leak into leak into the surrounding tissue creating a fibrin
cuff, edema, and hypoxia
What causes reddish brown skin associated with edema/ lymphedema - CORRECT
ANSWER - High intracApillary pressure stretches endothelial cells away from each other
and eurythrocytes leave the blood capillaries staining skin with hemosiderin deposits
Does ambulatory venous hypertension cause an increase or decrease in net filtration - CORRECT
ANSWER - Increase
What causes mechanical insufficiency in cvi - CORRECT ANSWER - Fibrin leakage into
the tissue as well as an inflammatory reaction overall increase in protein and water load
What is not considered with staging lymphedema - CORRECT ANSWER - Limb volume
Mild lymphedema severity volume increase - CORRECT ANSWER - <20%
Moderate lymphedema severity volume increase - CORRECT ANSWER - 20-40%
Severe lymphedema severity increase - CORRECT ANSWER - >40%
Where do DVT form - CORRECT ANSWER - Sub fascial veins
What is the most common ulceration and where do they form - CORRECT ANSWER -
Venous stasis and they form in the distal 1/3 of the leg usually around the malleoli
vascular venous wounds - CORRECT ANSWER - Shallow, irregular, on anterior/ medial
leg with peri wound with hemosiderin staining,scaly, weepy, warm skin
Questions and CORRECT Answers
Stage 0 CVI - CORRECT ANSWER - No symptoms, norm protein
Stage I cvi - CORRECT ANSWER - Mild edema, normal protein, norm lymph vessels,
phlebolymphodynamic insufficiency
Stage 2 cvi - CORRECT ANSWER - Mod symptoms ( pigmentation, viscosity, pain), high
protein, vessels morphologically changed, TC reduced, phlebolymphostatic insufficiency
Stage 3 cvi - CORRECT ANSWER - Severe symptoms( hypoxia, necrosis, pain), very
high protein load, lymph vessels morphologically change, TC reduced, severe
phlebolymphostatic insufficiency
Treatment stage 0 cvi - CORRECT ANSWER - Compression therapy, elevation, exercise
Treatment stage 1 cvi - CORRECT ANSWER - Compression therapy, elevation, exercise
Treatment stage 2 cvi - CORRECT ANSWER - CDT
Treatment stage 3 cvi - CORRECT ANSWER - CDT and wound care
Ambulatory venous hypertension - CORRECT ANSWER - Failure of venous valves such
that blood flow bidirectional resulting in increased pressure to the capillaries
What happens with low flow states in blood capillaries to leukocytes - CORRECT
ANSWER - They become trapped and release proteolytic enzymes and oxygen free
radicals which damage capillary basement membranes
, What happens to plasma proteins with low flow states in blood capillaries - CORRECT
ANSWER - Plasma proteins leak into leak into the surrounding tissue creating a fibrin
cuff, edema, and hypoxia
What causes reddish brown skin associated with edema/ lymphedema - CORRECT
ANSWER - High intracApillary pressure stretches endothelial cells away from each other
and eurythrocytes leave the blood capillaries staining skin with hemosiderin deposits
Does ambulatory venous hypertension cause an increase or decrease in net filtration - CORRECT
ANSWER - Increase
What causes mechanical insufficiency in cvi - CORRECT ANSWER - Fibrin leakage into
the tissue as well as an inflammatory reaction overall increase in protein and water load
What is not considered with staging lymphedema - CORRECT ANSWER - Limb volume
Mild lymphedema severity volume increase - CORRECT ANSWER - <20%
Moderate lymphedema severity volume increase - CORRECT ANSWER - 20-40%
Severe lymphedema severity increase - CORRECT ANSWER - >40%
Where do DVT form - CORRECT ANSWER - Sub fascial veins
What is the most common ulceration and where do they form - CORRECT ANSWER -
Venous stasis and they form in the distal 1/3 of the leg usually around the malleoli
vascular venous wounds - CORRECT ANSWER - Shallow, irregular, on anterior/ medial
leg with peri wound with hemosiderin staining,scaly, weepy, warm skin
