ACOLS MLD TRAINING ASSESSMENT TEST
COMPREHENSIVE QUESTIONS AND
SOLUTIONS 2026
◉ What is the network of initial lymph capillaries all over the body.
Answer: initial lymph plexus
◉ Define Lymphedema.
Answer: abnormal accumulation of protein and water in the
interstitial space; protein rich swelling; from a mechanical
insufficiency; disease
◉ Define Edema.
Answer: accumulation of water in the tissues; a symptom; dynamic
insufficiency
◉ What is in the lymphatic load?.
Answer: water, protein, cells, fat (long chain fatty acid)
◉ How is water part of the lymphatic load?.
,Answer: 10-20% remains after reabsorption; 2-4 L returned via the
thoracic duct in one day
◉ Why is protein part of lymphatic load?.
Answer: they are macromolecules and are too large to be
reabsorbed
◉ Why is fat part of lymphatic load?.
Answer: Too large to be reabsorbed if greater than 16 carbons
◉ Why are cell fragments part of lymphatic load?.
Answer: too large to reabsorbed byt the venous capillaries
◉ What separates the superficial and deep lymphatic system?.
Answer: The fascia
◉ Where are the lymphatic collectors located?.
Answer: superficial fatty tissue
◉ Where are the initial lymph capillaries located?.
Answer: beneath the epidermis in the subcutaneous tissue
, ◉ What provides a direct connection between the superficial and
deep lymph systems?.
Answer: perforating pre-collectors
◉ What part of the lymph system has well developed valves?.
Answer: lymph collectors
◉ What are the borders of the inguinal lymph nodes?.
Answer: inguinal ligament, sartorius and adductors (gracilis)
◉ What is the path from the inguinal lymph nodes?.
Answer: inguinal lnn to pelvic lnn to lumber lnn to lumbar trunk to
cysterna chyli to thoracic duct to venus angle
◉ What do the efferent vessels from axillary lnn form?.
Answer: subclavian trunk
◉ What is helpful about the cephalic bundle?.
Answer: it drains into both the supraclavicular and axillary lnn
◉ Where is the cysterna chyli?.
Answer: between T11-L2
COMPREHENSIVE QUESTIONS AND
SOLUTIONS 2026
◉ What is the network of initial lymph capillaries all over the body.
Answer: initial lymph plexus
◉ Define Lymphedema.
Answer: abnormal accumulation of protein and water in the
interstitial space; protein rich swelling; from a mechanical
insufficiency; disease
◉ Define Edema.
Answer: accumulation of water in the tissues; a symptom; dynamic
insufficiency
◉ What is in the lymphatic load?.
Answer: water, protein, cells, fat (long chain fatty acid)
◉ How is water part of the lymphatic load?.
,Answer: 10-20% remains after reabsorption; 2-4 L returned via the
thoracic duct in one day
◉ Why is protein part of lymphatic load?.
Answer: they are macromolecules and are too large to be
reabsorbed
◉ Why is fat part of lymphatic load?.
Answer: Too large to be reabsorbed if greater than 16 carbons
◉ Why are cell fragments part of lymphatic load?.
Answer: too large to reabsorbed byt the venous capillaries
◉ What separates the superficial and deep lymphatic system?.
Answer: The fascia
◉ Where are the lymphatic collectors located?.
Answer: superficial fatty tissue
◉ Where are the initial lymph capillaries located?.
Answer: beneath the epidermis in the subcutaneous tissue
, ◉ What provides a direct connection between the superficial and
deep lymph systems?.
Answer: perforating pre-collectors
◉ What part of the lymph system has well developed valves?.
Answer: lymph collectors
◉ What are the borders of the inguinal lymph nodes?.
Answer: inguinal ligament, sartorius and adductors (gracilis)
◉ What is the path from the inguinal lymph nodes?.
Answer: inguinal lnn to pelvic lnn to lumber lnn to lumbar trunk to
cysterna chyli to thoracic duct to venus angle
◉ What do the efferent vessels from axillary lnn form?.
Answer: subclavian trunk
◉ What is helpful about the cephalic bundle?.
Answer: it drains into both the supraclavicular and axillary lnn
◉ Where is the cysterna chyli?.
Answer: between T11-L2
