Klose MLD Study Guide | Manual Lymphatic
Drainage Certification Questions & Review|100%
Verified and Detailed Answers| Graded A +
,Analysed and Updated|Latest Exam and Brand
new Version!!!
What are the 4 basic strokes of Vodder-method MLD?
CORRECT ANSWER:
-Stationary Circle
-Rotary Technique
-Pump Technique
-Scoop Technique
What are the common characteristics of the 4 MLD techniques?
CORRECT ANSWER:
-Gentle, predominantly circular stretching of the skin
-Pressure phase
-Relaxation phase (pressure-free)
-Application rate of 1/sec, 5-7 repetitions /area
What are the effects of MLD?
CORRECT ANSWER:
-Improvement of lymph capillary uptake
-Increase of lymphangio activity
-Soothing effect
V
,-Analgesic effect
-Redirection of fluid around blocked areas
General: (4) Absolute Contraindications
CORRECT ANSWER:
-acute cellulitis,
-untreated congestive heart failure (CHF - cardiac edema),
-acute untreated DVT,
-fever
General: (2) Relative Contraindications
CORRECT ANSWER:
-
-malignant disease (active cancer)
-renal dysfunction
Neck Contraindications
CORRECT ANSWER:
-General
-Cardiac arrhythmia
-Hyperthyroidism
-Hypersensitivity of the carotid sinus
-Arteriosclerosis + clients over age 60
Abdomen Contraindications
CORRECT ANSWER:
-General
-Pregnancy
-Menstrual Period (relative to patient's comfort)
-Recent abdominal surgery (6 mos or less)
-Radiation fibrosis, R. colitis, R. cystitis
-Post pelvic DVT (6 mos or less)
-Crohn's Disease
V
,-Diverticulitis & diverticulosis
-Liver cirrhosis
-Abdominal aortic aneurysm
-Unexplained pain
-Implanted devices (drains, feeding tubes, colostomy bags,
morphine pumps)
-Others (hernia, mesh implants, cysts, fibroids, IUD - less or no work)
Deep techniques on the trunk contraindications:
CORRECT ANSWER:
-General
-Osteoporosis
-Radiation fibrosis
-Bone metastases (bone cancer)
-Anti-hormone therapy
Why is abdominal MLD combined with deep diaphragmatic
breathing?
CORRECT ANSWER:
To stimulate deeper situated lymphatic structures - thoracic duct
(passes through the diaphragm then empties into the subclavian
vein), cisterna chyli, lumbar trunks, pelvic & lumbar lymph nodes &
organ structures with their lymphatic systems
What are some indications for MLD other than lymphedema.
CORRECT ANSWER:
-Sprain
-Whiplash
-Hematoma
-Post-Surgical Edema
-Oncology
-Palliative Care / Hospice
-Fibromyalgia
V
, -Chronic Fatigue Syndrome
-Rheumatoid Arthritis
-Scleroderma
-Complex Regional Pain Syndrome (CRPS)
-Other Systemic Disorders - anxiety, post-traumatic stress disorder,
general stress reduction, general detoxification & enhanced immune
function
When incorporating MLD with a client who has post-surgical edema
after total knee replacement, is it necessary to treat anastomosis
pathways on the lateral trunk?
CORRECT ANSWER:
No. Drain into regional lymph nodes.
Why is MLD contraindicated for a client who has uncontrolled
congestive heart failure (CHF)?
CORRECT ANSWER:
MLD may overload/overwhelm the cardiovascular system
Which anastomosis pathways are used when working with clients
with:
Secondary, right, upper-extremity lymphedema?
CORRECT ANSWER:
Anterior & Posterior Interaxillary anastomosis, (R) axilo inguinal
anastomosis (affected side)
Which anastomosis pathways are used when working with clients
with:
Primary, left, upper-extremity lymphedema?
CORRECT ANSWER:
(L) axillary lymph nodes. No anastomosis pathways required. Nodes
are intact, only vessels are affected in primary.
V
Drainage Certification Questions & Review|100%
Verified and Detailed Answers| Graded A +
,Analysed and Updated|Latest Exam and Brand
new Version!!!
What are the 4 basic strokes of Vodder-method MLD?
CORRECT ANSWER:
-Stationary Circle
-Rotary Technique
-Pump Technique
-Scoop Technique
What are the common characteristics of the 4 MLD techniques?
CORRECT ANSWER:
-Gentle, predominantly circular stretching of the skin
-Pressure phase
-Relaxation phase (pressure-free)
-Application rate of 1/sec, 5-7 repetitions /area
What are the effects of MLD?
CORRECT ANSWER:
-Improvement of lymph capillary uptake
-Increase of lymphangio activity
-Soothing effect
V
,-Analgesic effect
-Redirection of fluid around blocked areas
General: (4) Absolute Contraindications
CORRECT ANSWER:
-acute cellulitis,
-untreated congestive heart failure (CHF - cardiac edema),
-acute untreated DVT,
-fever
General: (2) Relative Contraindications
CORRECT ANSWER:
-
-malignant disease (active cancer)
-renal dysfunction
Neck Contraindications
CORRECT ANSWER:
-General
-Cardiac arrhythmia
-Hyperthyroidism
-Hypersensitivity of the carotid sinus
-Arteriosclerosis + clients over age 60
Abdomen Contraindications
CORRECT ANSWER:
-General
-Pregnancy
-Menstrual Period (relative to patient's comfort)
-Recent abdominal surgery (6 mos or less)
-Radiation fibrosis, R. colitis, R. cystitis
-Post pelvic DVT (6 mos or less)
-Crohn's Disease
V
,-Diverticulitis & diverticulosis
-Liver cirrhosis
-Abdominal aortic aneurysm
-Unexplained pain
-Implanted devices (drains, feeding tubes, colostomy bags,
morphine pumps)
-Others (hernia, mesh implants, cysts, fibroids, IUD - less or no work)
Deep techniques on the trunk contraindications:
CORRECT ANSWER:
-General
-Osteoporosis
-Radiation fibrosis
-Bone metastases (bone cancer)
-Anti-hormone therapy
Why is abdominal MLD combined with deep diaphragmatic
breathing?
CORRECT ANSWER:
To stimulate deeper situated lymphatic structures - thoracic duct
(passes through the diaphragm then empties into the subclavian
vein), cisterna chyli, lumbar trunks, pelvic & lumbar lymph nodes &
organ structures with their lymphatic systems
What are some indications for MLD other than lymphedema.
CORRECT ANSWER:
-Sprain
-Whiplash
-Hematoma
-Post-Surgical Edema
-Oncology
-Palliative Care / Hospice
-Fibromyalgia
V
, -Chronic Fatigue Syndrome
-Rheumatoid Arthritis
-Scleroderma
-Complex Regional Pain Syndrome (CRPS)
-Other Systemic Disorders - anxiety, post-traumatic stress disorder,
general stress reduction, general detoxification & enhanced immune
function
When incorporating MLD with a client who has post-surgical edema
after total knee replacement, is it necessary to treat anastomosis
pathways on the lateral trunk?
CORRECT ANSWER:
No. Drain into regional lymph nodes.
Why is MLD contraindicated for a client who has uncontrolled
congestive heart failure (CHF)?
CORRECT ANSWER:
MLD may overload/overwhelm the cardiovascular system
Which anastomosis pathways are used when working with clients
with:
Secondary, right, upper-extremity lymphedema?
CORRECT ANSWER:
Anterior & Posterior Interaxillary anastomosis, (R) axilo inguinal
anastomosis (affected side)
Which anastomosis pathways are used when working with clients
with:
Primary, left, upper-extremity lymphedema?
CORRECT ANSWER:
(L) axillary lymph nodes. No anastomosis pathways required. Nodes
are intact, only vessels are affected in primary.
V
