Lymph Lana study prep UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Which of the following is NOT part of the lymphatic system?
Tonsils
Thyroid
Thymus
Spleen - CORRECT ANSWER -Thyroid
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.
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. - CORRECT
ANSWER -All are true
What term is used for lymph vessels which have a three-layer wall and bicuspid valves?
Collectors
Capillaries
Channels
Inner tubes - CORRECT ANSWER -Collectors
What organ dysfunction causes myxedema?
Thyroid
Thymus
Liver
Kidney - CORRECT ANSWER -Thyroid
,Your current patient with left, lower-extremity lymphedema has received five sessions of MLD
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?
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. - CORRECT ANSWER -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. - CORRECT ANSWER -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 - CORRECT ANSWER -Left axillo-inguinal and
inter-axillary
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 - CORRECT ANSWER -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
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 NOT a cause
of her symptoms?
Cellulitis
Radiation fibrosis
Malignant lymphedema
Deep venous thrombosis - CORRECT ANSWER -Cellulitis
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. - CORRECT
ANSWER -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.
exert high resting pressure and low working pressure. - CORRECT ANSWER -exert low
resting pressure and high working pressure.
ACTUAL Exam Questions and CORRECT
Answers
Which of the following is NOT part of the lymphatic system?
Tonsils
Thyroid
Thymus
Spleen - CORRECT ANSWER -Thyroid
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.
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. - CORRECT
ANSWER -All are true
What term is used for lymph vessels which have a three-layer wall and bicuspid valves?
Collectors
Capillaries
Channels
Inner tubes - CORRECT ANSWER -Collectors
What organ dysfunction causes myxedema?
Thyroid
Thymus
Liver
Kidney - CORRECT ANSWER -Thyroid
,Your current patient with left, lower-extremity lymphedema has received five sessions of MLD
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?
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. - CORRECT ANSWER -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. - CORRECT ANSWER -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 - CORRECT ANSWER -Left axillo-inguinal and
inter-axillary
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 - CORRECT ANSWER -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
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 NOT a cause
of her symptoms?
Cellulitis
Radiation fibrosis
Malignant lymphedema
Deep venous thrombosis - CORRECT ANSWER -Cellulitis
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. - CORRECT
ANSWER -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.
exert high resting pressure and low working pressure. - CORRECT ANSWER -exert low
resting pressure and high working pressure.
