ACOLS MLD QUESTIONS AND ANSWERS
lymphedema - Answer -protein rich swelling
protein and water
disease process
What is the purpose of the Lymphatic Sys - Answer -To drain lymphatic load. Sweep or
filter interstitial spaces
True or False - Lymphatic System is a one way sys? - Answer -true
MLD filtration - Answer -Water is forced out blood capillaries through semi permeable
membrane (Pushes water out)
MLD Reabsorption - Answer -Water picks up waste products and returns them to the
venous system (Draws water back in)
How many liters of water return to the venous sys via the thoracic duct? - Answer -2-4
liters
True or False It is the responsibility of the L.S. to remove proteins fro the tissue spaces?
- Answer -True
edema - Answer -Accumulation of fluid in interstitial spaces of tissues.
Causes of edema - Answer -pregnancy
venous insufficiency
renal failure
kidney disease
heart condition
Most common cause of lymphedema in the US? - Answer -Breast Cancer Surgery
Lymphatic Load - Answer -Water
Protein
Cells
Long Chain Fatty Acid
True or False - Initial lymph capillaries are located just below he epidermis? - Answer -
True
Where does lymph formation occur? - Answer -Initial Lymph Vessels (aka Lymph
Capillaries)
List the lymphatic process - Answer -Lymph
Capillaries/Vessels
, Pre-Collectors
Collectors
Nodes
Lymphatic Trunks
What are the 3 Regional Lymph Nodes - Answer -Axillary
Inguinal
Cervical
The force of blood pushing against the walls of the blood vessels - Answer -Blood
Pressure
True or False - Blood Pressure is lowered as distance from the heart increases? -
Answer -True
Pre Capillary Sphincter - Answer -regulates blood flow into the capillary bed. If it
contracts that equals less blood into capillaries . Less blood means decreased blood
capillary pressure.
If the Pre capillary Sphincter dilates what happens - Answer -more blood into
capillaries. More blood increase blood capillary pressure
True or False - When the BC Sphincter dilates it allows only filtration - Answer -True
True or False - When the BC Sphincter contracts it allows only absorption - Answer -
True
Filtration occurs because Blood Capillary Pressure in the arterial end of the capillary is
higher than the colloid osmotic Pressure of protein in plasma - Answer -True
Reabsorption occurs because Blood capillary pressure in the Venous end of the
capillary is lower than the plasma protein - Answer -True
Tissue Pressure hinders filtration? - Answer -True
Tissue Pressure supports absorption? - Answer -True
Increase arterial flow which in turn results in higher blood capillary pressure. - Answer -
Hyperemmia
ABSOLUTE MLD CONTRAINDICATION - Answer -Acute Infection
Acute DVT
Acute Bronchitis
Severe Hypertension (Not controlled)
Renial Failure
Cardiac Edema
lymphedema - Answer -protein rich swelling
protein and water
disease process
What is the purpose of the Lymphatic Sys - Answer -To drain lymphatic load. Sweep or
filter interstitial spaces
True or False - Lymphatic System is a one way sys? - Answer -true
MLD filtration - Answer -Water is forced out blood capillaries through semi permeable
membrane (Pushes water out)
MLD Reabsorption - Answer -Water picks up waste products and returns them to the
venous system (Draws water back in)
How many liters of water return to the venous sys via the thoracic duct? - Answer -2-4
liters
True or False It is the responsibility of the L.S. to remove proteins fro the tissue spaces?
- Answer -True
edema - Answer -Accumulation of fluid in interstitial spaces of tissues.
Causes of edema - Answer -pregnancy
venous insufficiency
renal failure
kidney disease
heart condition
Most common cause of lymphedema in the US? - Answer -Breast Cancer Surgery
Lymphatic Load - Answer -Water
Protein
Cells
Long Chain Fatty Acid
True or False - Initial lymph capillaries are located just below he epidermis? - Answer -
True
Where does lymph formation occur? - Answer -Initial Lymph Vessels (aka Lymph
Capillaries)
List the lymphatic process - Answer -Lymph
Capillaries/Vessels
, Pre-Collectors
Collectors
Nodes
Lymphatic Trunks
What are the 3 Regional Lymph Nodes - Answer -Axillary
Inguinal
Cervical
The force of blood pushing against the walls of the blood vessels - Answer -Blood
Pressure
True or False - Blood Pressure is lowered as distance from the heart increases? -
Answer -True
Pre Capillary Sphincter - Answer -regulates blood flow into the capillary bed. If it
contracts that equals less blood into capillaries . Less blood means decreased blood
capillary pressure.
If the Pre capillary Sphincter dilates what happens - Answer -more blood into
capillaries. More blood increase blood capillary pressure
True or False - When the BC Sphincter dilates it allows only filtration - Answer -True
True or False - When the BC Sphincter contracts it allows only absorption - Answer -
True
Filtration occurs because Blood Capillary Pressure in the arterial end of the capillary is
higher than the colloid osmotic Pressure of protein in plasma - Answer -True
Reabsorption occurs because Blood capillary pressure in the Venous end of the
capillary is lower than the plasma protein - Answer -True
Tissue Pressure hinders filtration? - Answer -True
Tissue Pressure supports absorption? - Answer -True
Increase arterial flow which in turn results in higher blood capillary pressure. - Answer -
Hyperemmia
ABSOLUTE MLD CONTRAINDICATION - Answer -Acute Infection
Acute DVT
Acute Bronchitis
Severe Hypertension (Not controlled)
Renial Failure
Cardiac Edema
