Lymphedema and Integ UPDATED
ACTUAL Exam Questions and CORRECT
Answers
flow of lymph - CORRECT ANSWER - capillaries > vessels > nodes > trunks > ducts >
vein
lymphatic duct drainage - CORRECT ANSWER - R UE, R side of face, R side of trunk
primary lymphedema - CORRECT ANSWER - caused by genetic abnormalities (Milroy's
disease, lymphedema praecox, lymphedema tarda)
secondary lymphedema - CORRECT ANSWER - caused by damage to lymphatic system
(infection, tumor, node removal, trauma, venous insufficiency, fibrosis, filariasis)
Pitting edema - CORRECT ANSWER - edema that leaves depression in skin following
pressure
pitting edema 1+ - CORRECT ANSWER - < 1/4- in indentation
pitting edema 2+ - CORRECT ANSWER - 1/4-1/2 in indentation with return to normal in
<15 sec
pitting edema 3+ - CORRECT ANSWER - 1/2 - 1 in indentation with return to normal in
15-30 sec
pitting edema 4+ - CORRECT ANSWER - > 1 in indentation with return to normal in >30
sec
, Brawny edema - CORRECT ANSWER - hard, thick, leathery skin d/t progressive fibrotic
changes
weeping edema - CORRECT ANSWER - fluid leaking from wounds and skin in B LEs
Stemmer's sign - CORRECT ANSWER - pinching skin on dorsal surface of skin on toes or
fingers. positive is when you can't pinch
stage 0 lymphedema - CORRECT ANSWER - heaviness without swelling
stage 1 lymphedema - CORRECT ANSWER - reversible pitting edema, swelling
increasing in gravity dep positions, negative stemmer's sign
stage 2 lymphedema - CORRECT ANSWER - spontaneously reversible lymphedema that
does not change with elevation or rest, pitting edema progressing to brawny edema, skin showing
fibrotic changes with adipose proliferation, stemmer's sign can be positive or negative
stage 3 lymphedema - CORRECT ANSWER - lymphostatic elephantosis; brawny edema
with positive stemmer's sign, skin showing significant fibrotic changes with papillomas,
hyperkeratosis, infections, and warty protrusions
lipidema - CORRECT ANSWER - swelling d/t fat and fluid accumulation in bilateral LEs,
impacts proximal LEs but spares distal. Causes hypersensitivity in skin and bruising to affected
areas
mild lymphedema - CORRECT ANSWER - < 3 cm difference in circumference between
limbs
moderate lymphedema - CORRECT ANSWER - 3-5 cm difference between limbs
ACTUAL Exam Questions and CORRECT
Answers
flow of lymph - CORRECT ANSWER - capillaries > vessels > nodes > trunks > ducts >
vein
lymphatic duct drainage - CORRECT ANSWER - R UE, R side of face, R side of trunk
primary lymphedema - CORRECT ANSWER - caused by genetic abnormalities (Milroy's
disease, lymphedema praecox, lymphedema tarda)
secondary lymphedema - CORRECT ANSWER - caused by damage to lymphatic system
(infection, tumor, node removal, trauma, venous insufficiency, fibrosis, filariasis)
Pitting edema - CORRECT ANSWER - edema that leaves depression in skin following
pressure
pitting edema 1+ - CORRECT ANSWER - < 1/4- in indentation
pitting edema 2+ - CORRECT ANSWER - 1/4-1/2 in indentation with return to normal in
<15 sec
pitting edema 3+ - CORRECT ANSWER - 1/2 - 1 in indentation with return to normal in
15-30 sec
pitting edema 4+ - CORRECT ANSWER - > 1 in indentation with return to normal in >30
sec
, Brawny edema - CORRECT ANSWER - hard, thick, leathery skin d/t progressive fibrotic
changes
weeping edema - CORRECT ANSWER - fluid leaking from wounds and skin in B LEs
Stemmer's sign - CORRECT ANSWER - pinching skin on dorsal surface of skin on toes or
fingers. positive is when you can't pinch
stage 0 lymphedema - CORRECT ANSWER - heaviness without swelling
stage 1 lymphedema - CORRECT ANSWER - reversible pitting edema, swelling
increasing in gravity dep positions, negative stemmer's sign
stage 2 lymphedema - CORRECT ANSWER - spontaneously reversible lymphedema that
does not change with elevation or rest, pitting edema progressing to brawny edema, skin showing
fibrotic changes with adipose proliferation, stemmer's sign can be positive or negative
stage 3 lymphedema - CORRECT ANSWER - lymphostatic elephantosis; brawny edema
with positive stemmer's sign, skin showing significant fibrotic changes with papillomas,
hyperkeratosis, infections, and warty protrusions
lipidema - CORRECT ANSWER - swelling d/t fat and fluid accumulation in bilateral LEs,
impacts proximal LEs but spares distal. Causes hypersensitivity in skin and bruising to affected
areas
mild lymphedema - CORRECT ANSWER - < 3 cm difference in circumference between
limbs
moderate lymphedema - CORRECT ANSWER - 3-5 cm difference between limbs
