ACOLS QUESTIONS & ANSWERS
What represents the beginning of the lymphatic system? - Answer -Lymph Capillaries
Which lymphatic structures filter Lymph fluid? - Answer -Lymph nodes
True or False, Lymphatic territories are areas of the body that contain several collectors
that drain towards opposite groups of regional lymph nodes? - Answer -False
Where is the axilla-axillary anastomoses (AAA) located? - Answer -Between the axillary
lymph nodes crossing the sagital watershed.
Which two veins form the venous angle? - Answer -Internal jugular and subclavian
The main purpose of the Lymphatic System is to drain those substances that cannot be
drained or regabsorbed by the circulatory system and returns them to the blood. These
substances are also known as "Lymphatic Loads" - Answer -True
What are the four main components of the Lymphatic Load? - Answer -Water, Proteins,
cell/cell fragments, long chain fatty acids
The percentage of water that becomes Lymphatic Load is also known as? - Answer -
Net filtrate
How much fluid returns to the left venous angle in 24 hours? - Answer -2-4 liters
If a healthy lymphatic system is overwhelemed and the lymphatic load of water exceeds
the transport capacity (TC) of the lymphatic system with the Lymph Time Volume (LTV)
maxed out this is known as? - Answer -Dynamic insufficiency
True or False, decongestive exercise improves lymph transportation and venous return?
- Answer -True
True or False, decongestive exercise does not optomize joint and muscle pump? -
Answer -False
True or False, deep (diaphragmatic) breathing increases the volume of fluid returned via
thoracic duct to the venous angle? - Answer -True
True or False, A body part is considered to have lymphedema when an abnormal
accumulation of protein and water is present in the interstitial space due to a
mechanical insufficiency of the lymphatic system? - Answer -True
True or False, Lymphatic Fluid is rich in protein? - Answer -True
,True or False, Lymphedema is usually unilateral and when it is bilateral it is always
asymmetrical? - Answer -True
True or False, Lymphedema on extremities occurs usually bilateral? - Answer -False
True or False, The main purpose of the lymphatic system is to drain those substances
that cannot be drained or reabsorbed by the circulatory system and returns them to the
blood? - Answer -True
True or False, Proteins can be reabsorbed by the venous system bc they are small
enough to enter the membranes of the venous end of the capillaries? - Answer -False
True or False, Lymph fluid contained in the lymphatics of the intestinal system appears
as "milky" bc of the content of fat? - Answer -True
True or False, Superficial lymphatic system is located above the fascia? - Answer -True
True or False, The interstitial fluid becomes lymph when it enters the lymph nodes? -
Answer -False
True or False, The anatomy of the initial lymph vessel plexus is important to us as CLTs
bc it allows us to re-route lymph to healthy areas in any direction? - Answer -True
True or False, Lymph nodes can regenerate? - Answer -False
True or False, Lymph collectors/vessels can re generate? - Answer -True
True or False, Most of the axillary lymph nodes located between the pectoralis major
and latissimus dorsi muscle? - Answer -True
True or False, The upper horizontal watershed separates the neck and shoulder
territory from the territories of the arm and thorax? - Answer -True
True or False, The lower horizontal watershed starts at the umbilicus and follows the
caudal limitation of the rib cage to the vertebral column, at the level of T12? - Answer -
True
If a patient with a malformation of the lymphatic system develops lymphedema, this
lymphedema is known as? - Answer -Primary Lymphedema
Hypoproteinemia is? - Answer -Abnormal deficiency of the amount of protein in the
blood.
What is the purpose of Lymph collectors? - Answer -Transport lymph to Lymph nodes
and lymphatic trunks
, True or False, Lymphedema usually affects one extremity only (unilateral evolvement),
if two extremities lymphedema generally appears asymmetrical? - Answer -True
True or False, Lymphedema is a protein rich swelling? - Answer -True
True or False, Lymphedema results due to a combined insufficiency? - Answer -False,
Mechanical Insufficiency
True or False, secondary Lymphedema can be caused by cancer or radiation? -
Answer -True
True or False, secondary Lymphedema can be caused by surgery or trauma? - Answer
-True
True or False, secondary Lymphedema is not caused by a known insult to the lymphatic
system? - Answer -False
What are the components of complete decongestive therapy (CDT)? - Answer -Skin
care, MLD, compression, and decongestive exercise
True or False, injuries to the skin should be avoided by a lymphedema patient? -
Answer -True
True or False, misquotes and insect bites have no negative effect on a lymphedema
patient? - Answer -False
True or False, full body massage and heat should not be avoided by a lymphedema
patient? - Answer -False
True or False, blood pressure and venous puncture should be avoided by a
lymphedema patient? - Answer -True
True or False, compression therapy does not improve efficiency of joint and muscle
pump? - Answer -False
True or False, compression therapy increases reabsorption? - Answer -True
True or False, compression therapy provides support for tissues that have lost
elasticity? - Answer –True
True or False, The sagittal watershed is located directly in the center/midline of the
body, dividing the body into left and right? - Answer -True
The gluteal watershed is located in the anterior thigh; beginning at the top of the anterior
superior iliac spine (ASIS), running down the back of the thigh, and ending at the
popliteal fossa? - Answer -False
What represents the beginning of the lymphatic system? - Answer -Lymph Capillaries
Which lymphatic structures filter Lymph fluid? - Answer -Lymph nodes
True or False, Lymphatic territories are areas of the body that contain several collectors
that drain towards opposite groups of regional lymph nodes? - Answer -False
Where is the axilla-axillary anastomoses (AAA) located? - Answer -Between the axillary
lymph nodes crossing the sagital watershed.
Which two veins form the venous angle? - Answer -Internal jugular and subclavian
The main purpose of the Lymphatic System is to drain those substances that cannot be
drained or regabsorbed by the circulatory system and returns them to the blood. These
substances are also known as "Lymphatic Loads" - Answer -True
What are the four main components of the Lymphatic Load? - Answer -Water, Proteins,
cell/cell fragments, long chain fatty acids
The percentage of water that becomes Lymphatic Load is also known as? - Answer -
Net filtrate
How much fluid returns to the left venous angle in 24 hours? - Answer -2-4 liters
If a healthy lymphatic system is overwhelemed and the lymphatic load of water exceeds
the transport capacity (TC) of the lymphatic system with the Lymph Time Volume (LTV)
maxed out this is known as? - Answer -Dynamic insufficiency
True or False, decongestive exercise improves lymph transportation and venous return?
- Answer -True
True or False, decongestive exercise does not optomize joint and muscle pump? -
Answer -False
True or False, deep (diaphragmatic) breathing increases the volume of fluid returned via
thoracic duct to the venous angle? - Answer -True
True or False, A body part is considered to have lymphedema when an abnormal
accumulation of protein and water is present in the interstitial space due to a
mechanical insufficiency of the lymphatic system? - Answer -True
True or False, Lymphatic Fluid is rich in protein? - Answer -True
,True or False, Lymphedema is usually unilateral and when it is bilateral it is always
asymmetrical? - Answer -True
True or False, Lymphedema on extremities occurs usually bilateral? - Answer -False
True or False, The main purpose of the lymphatic system is to drain those substances
that cannot be drained or reabsorbed by the circulatory system and returns them to the
blood? - Answer -True
True or False, Proteins can be reabsorbed by the venous system bc they are small
enough to enter the membranes of the venous end of the capillaries? - Answer -False
True or False, Lymph fluid contained in the lymphatics of the intestinal system appears
as "milky" bc of the content of fat? - Answer -True
True or False, Superficial lymphatic system is located above the fascia? - Answer -True
True or False, The interstitial fluid becomes lymph when it enters the lymph nodes? -
Answer -False
True or False, The anatomy of the initial lymph vessel plexus is important to us as CLTs
bc it allows us to re-route lymph to healthy areas in any direction? - Answer -True
True or False, Lymph nodes can regenerate? - Answer -False
True or False, Lymph collectors/vessels can re generate? - Answer -True
True or False, Most of the axillary lymph nodes located between the pectoralis major
and latissimus dorsi muscle? - Answer -True
True or False, The upper horizontal watershed separates the neck and shoulder
territory from the territories of the arm and thorax? - Answer -True
True or False, The lower horizontal watershed starts at the umbilicus and follows the
caudal limitation of the rib cage to the vertebral column, at the level of T12? - Answer -
True
If a patient with a malformation of the lymphatic system develops lymphedema, this
lymphedema is known as? - Answer -Primary Lymphedema
Hypoproteinemia is? - Answer -Abnormal deficiency of the amount of protein in the
blood.
What is the purpose of Lymph collectors? - Answer -Transport lymph to Lymph nodes
and lymphatic trunks
, True or False, Lymphedema usually affects one extremity only (unilateral evolvement),
if two extremities lymphedema generally appears asymmetrical? - Answer -True
True or False, Lymphedema is a protein rich swelling? - Answer -True
True or False, Lymphedema results due to a combined insufficiency? - Answer -False,
Mechanical Insufficiency
True or False, secondary Lymphedema can be caused by cancer or radiation? -
Answer -True
True or False, secondary Lymphedema can be caused by surgery or trauma? - Answer
-True
True or False, secondary Lymphedema is not caused by a known insult to the lymphatic
system? - Answer -False
What are the components of complete decongestive therapy (CDT)? - Answer -Skin
care, MLD, compression, and decongestive exercise
True or False, injuries to the skin should be avoided by a lymphedema patient? -
Answer -True
True or False, misquotes and insect bites have no negative effect on a lymphedema
patient? - Answer -False
True or False, full body massage and heat should not be avoided by a lymphedema
patient? - Answer -False
True or False, blood pressure and venous puncture should be avoided by a
lymphedema patient? - Answer -True
True or False, compression therapy does not improve efficiency of joint and muscle
pump? - Answer -False
True or False, compression therapy increases reabsorption? - Answer -True
True or False, compression therapy provides support for tissues that have lost
elasticity? - Answer –True
True or False, The sagittal watershed is located directly in the center/midline of the
body, dividing the body into left and right? - Answer -True
The gluteal watershed is located in the anterior thigh; beginning at the top of the anterior
superior iliac spine (ASIS), running down the back of the thigh, and ending at the
popliteal fossa? - Answer -False
