Lymphedema Exam Questions With 100% Correct Answers

Lymphedema Exam Questions With 100% Correct Answers Primary lymphedema is caused by: - answera condition that is congenital or hereditary Which of the following findings is MOST important to assess in a patient who is 2 days post radical mastectomy (radical mastectomy is removal of one or two breasts, chest muscles and lymph nodes to treat breast cancer)? a. Limited range of motion in the involved upper extremity b. Atrophy in the involved upper extremity c. Chest wall adhesions d. Contractures of the elbow flexors - answerA A physician orders compression garments for an ambulatory patient who has significant difficulty with lower extremity edema. How much pressure would typically be necessary to control lower extremity edema? 1. 10 mm Hg 2. 18 mm Hg 3. 25 mm Hg 4. 35 mm Hg - answer4 ...Note: 20-30 is for scar tissue but 30-40 is for edema Which of the following is false about primary lymphedema? a. lymph vessel abnormality b. hypoplasia is most common abnormality c. one LE may be more involved than the other d. cause by a blocked lymphatic system e. Often appears in Milroys disease - answerD --> that is secondary lymphedema _________ disease is a familial disease characterized by lymphedema, commonly in the legs, caused by congenital abnormalities in the lymphatic system. Disruption of the normal drainage of lymph leads to fluid accumulation and hypertrophy of soft tissues - answerMilroy's T/F Secondary lymphedema is caused by injury to one or more components of the lymphatic system: some portion of the lymph system has been blocked, dissected, fibroses, or altered - answerTrue The most common cause of secondary lymphedema is: a. genetic predisposition b. familial disease c. radiation therapy d. old age e. all the above - answerC --> surgery and/or radiation therapy as part of breast cancer treatments , also common in people with chronic venous insufficiency triggered after long standing fluid overload in the LE In the tropical and subtropical regions of the world, secondary lymphedema is most often caused by __________, where a nematode worm larvae live a full life cycle in the lymphatic vessels, causing in- flammation and blocked lymphatic vessels - answerfilariasis T/F lymphatic swelling is most often treated with elevation of the distal extremity - answerFalse --> swelling is usually not relieved by elevation If the lymph system was impaired at the axilla, where would swelling most likely be noted? - answerdistal to or adjacent to the area where lymph system function was impaired... so maybe down the arm/hands in this case Which dermal abnormality most often is associated with lymphedema? a. cysts b. fistulas c. lymphorrhea d. papillomas e. all the above - answerE --> also might see hyperkeratosis Which of the following is not a clinical sign of lymphedema? a. numbness and tingling