CLT-LANA EXAM Questions and Correct
Answers
Stage 0 CVI Ans: No symptoms, norm protein
Stage I cvi Ans: Mild edema, normal protein, norm lymph vessels,
phlebolymphodynamic insufficiency
Stage 2 cvi Ans: Mod symptoms ( pigmentation, viscosity, pain),
high protein, vessels morphologically changed, TC reduced,
phlebolymphostatic insufficiency
Stage 3 cvi Ans: Severe symptoms( hypoxia, necrosis, pain), very
high protein load, lymph vessels morphologically change, TC
reduced, severe phlebolymphostatic insufficiency
Treatment stage 0 cvi Ans: Compression therapy, elevation,
exercise
Treatment stage 1 cvi Ans: Compression therapy, elevation,
exercise
Treatment stage 2 cvi Ans: CDT
Treatment stage 3 cvi Ans: CDT and wound care
Ambulatory venous hypertension Ans: 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 Ans: They become trapped and release proteolytic
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enzymes and oxygen free radicals which damage capillary
basement membranes
What happens to plasma proteins with low flow states in blood
capillaries Ans: 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 Ans: 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 Ans: Increase
What causes mechanical insufficiency in cvi Ans: 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 Ans: Limb
volume
Mild lymphedema severity volume increase Ans: <20%
Moderate lymphedema severity volume increase Ans: 20-40%
Severe lymphedema severity increase Ans: >40%
Where do DVT form Ans: Sub fascial veins
What is the most common ulceration and where do they form Ans:
Venous stasis and they form in the distal 1/3 of the leg usually
around the malleoli
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