CLT LANA ACTUAL EXAM STUDY QUESTIONS WITH VERIFIED ANSWERS | BRAND NEW VERSION

CLT LANA ACTUAL EXAM STUDY QUESTIONS WITH VERIFIED ANSWERS | BRAND NEW VERSION 1. Stage 0 CVI - ANSWER No symptoms, norm protein 2. Stage I cvi - ANSWER Mild edema, normal protein, norm lymph vessels, phlebolymphodynamic insufficiency 3. Stage 2 cvi - ANSWER Mod symptoms ( pigmentation, viscosity, pain), high protein, vessels morphologically changed, TC reduced, phlebolymphostatic insufficiency 4. Stage 3 cvi - ANSWER Severe symptoms( hypoxia, necrosis, pain), very high protein load, lymph vessels morphologically change, TC reduced, severe phlebolymphostatic insufficiency 5. Treatment stage 0 cvi - ANSWER Compression therapy, elevation, exercise 6. Treatment stage 1 cvi - ANSWER Compression therapy, elevation, exercise 7. Treatment stage 2 cvi - ANSWER CDT 8. Treatment stage 3 cvi - ANSWER CDT and wound care 9. Arterial wound - ANSWER Round, deep, necrotic, or pale base found on lateral leg/ foot and tips of toes. The peri wound may include tissue pallor, dry, scaly skin, cool to the touch 10. Mixed inflammatory vasculitis - ANSWER Small, dark base found anywhere, raised, palpable purpuri 11. Pyoderma - ANSWER Irregular, jagged necrotic base found mostly on leg/ trunk skin with violaceous wound border, erythema 12. Fungating - ANSWER Raised, necrotic, bleeds easily, extremely malodorous found anywhere with a lip of tissue around the wound margin 13. Chemotherapy infiltration - ANSWER Painful erythema toys with necrosis, Escher/ slough, at the site of the catheter, skin is edema with erythema 14. Radiation - ANSWER Exposed dermis, superficial, found in skin field, skin may have erythema with dark black coloration 15. Minor trauma excoriation - ANSWER Linear, shallow, found anywhere with local or advancing erythema 16. Minor trauma skin tears - ANSWER Shallow, linear flaps found on arms, hands legs common with ecchymosis 17. Failed surgical site - ANSWER Partial or full thickness, necrotic base found at site of incision with erythema and edema 18. Fistulae - ANSWER Pathological opening between organs cavities and the skin found at site of abcess with opening in wound beds presenting with drainage organs and tissue cavities 19. Stewart-Treves syndrome/angiosarcoma - ANSWER Malignant neoplasm originating from blood vessels found with chronic lymphedema but rarely 20. Skin metastasis - ANSWER Present as hardened or rubbery, light pink nodules with surrounding by a lighter area accompanied by patchy erythema, pimple like, may or may not be painful 21. Partial thickness wound - ANSWER Down to but not through the dermis 22. Ambulatory venous hypertension - ANSWER Failure of venous valves such that blood flow bidirectional resulting in increased pressure to the capillaries 23. What happens with low flow states in blood capillaries to leukocytes - ANSWER They become trapped and release proteolytic enzymes and oxygen free radicals which damage capillary basement membranes 24. What happens to plasma proteins with low flow states in blood capillaries - ANSWER Plasma proteins leak into leak into the surrounding tissue creating a fibrin cuff, edema, and hypoxia 25. What causes reddish brown skin associated with edema/ lymphedema - ANSWER High intracApillary pressure stretches endothelial cells away from each other and eurythrocytes leave the blood capillaries staining skin with hemosiderin deposits 26. Does ambulatory venous hypertension cause an increase or decrease in net filtration - ANSWER Increase 27. What causes mechanical insufficiency in cvi - ANSWER Fibrin leakage into the tissue as well as an inflammatory reaction overall increase in protein and water load 28. What is not considered with staging lymphedema - ANSWER Limb volume 29. Mild lymphedema severity volume increase - ANSWER 20% 30. Moderate lymphedema severity volume increase - ANSWER 20-40% 31. Severe lymphedema severity increase - ANSWER 40% 32. Where do DVT form - ANSWER Sub fascial veins 33. What is the most common ulceration and where do they form - ANSWER Venous stasis and they form in the distal 1/3 of the leg usually around the malleoli 34. vascular venous wounds - ANSWER Shallow, irregular, on anterior/ medial leg with peri wound with hemosiderin staining, scaly, weepy, warm skin 35. Is hemosiderin staining common with lymphedema - ANSWER Not unless the venous system is also compromised