LANA CLT prep UPDATED ACTUAL
Exam Questions and CORRECT Answers
MLD absolute contraindications- geMLD absolute contraindications- generalneral - CORRECT
ANSWER - Acute infection, acute DVT, Advanced renal disease, cardiac edema
psychological impact of impact of
lymphedema : impact of
lymphedema was reported to include negative self-identity,
emotional disturbance, and psychological distress. Social
impact included feelings of marginalization and perceived
public insensitivity, financial burden, social isolation, and
perceived diminished sexuality. - CORRECT ANSWER -
bandaing contraindications- strict - CORRECT ANSWER - DVT, infection, cardiac
edema, advanced artery disease, malignancy, renal disease
bandaging precautions - CORRECT ANSWER - HTN, mild arterial disease, limb
paralysis, diabetes
Infection symptoms - CORRECT ANSWER - Fever, Swelling, Hot, Acute/aggressive,
Red, Pain
MLD general precuations - CORRECT ANSWER - Malignant lymph (MD clearance),
over 60 ( risk of moving arteriosclerosis),
MLD absolute contraindications- neck - CORRECT ANSWER - sensitive carotid sinus,
hyperthyroid, cardiac arrhythmia
,MLD absolute contraindications- abdomen - CORRECT ANSWER - pregnancy,
diverticulitis, recent abdominal sx, AAA, Chrohns, menstruation, pelvic DVT, greenfield filter,
unexplained pain, IBS
Name the trunks - CORRECT ANSWER - Subclavian, Mediastinal (Broncho), Lumbar,
Supreclavicular, Jugular, Intestines (parasternal)
Lipedema stage 1 - CORRECT ANSWER - smooth skin, enlarged subcutaneous fat,
swelling resolves with rest/elevation
Lipedema stage 2 - CORRECT ANSWER - uneven skin with indentations in fat tissue,
larger mounds of fat (lipomas)
Lipedema stage 3 - CORRECT ANSWER - large extrusion of fat causing deformities
-fibrosclerosis, large mass, swelling doesnt recede
Lipedema stage 4 - CORRECT ANSWER - elephantitis, large over hangs
Turner syndrome - CORRECT ANSWER - non hereditary, congenital, hypoplasia, short
sterile webbed neck, females only and can resolve
Meiges syndrome - CORRECT ANSWER - female, type II non congenital hereditary,
onset puberty (praecox)
-Usually involved LEs, syndactylism (fusion of toes), distichisis (2 rowsx of eyelashes),
Effects B/L lower quadrants= therefore BLEs usually effected
Primary lymph therefore= effects b/l LQ
Milroy syondrome - CORRECT ANSWER - At birth for males or shortly after
Normally includes 1 leg, but may include both, arms, genitals or face
Hypoplasia (less tissue development than norm)
,LE common, can havev upper
Distichiasis syndrome - CORRECT ANSWER - Variant peripubertal onset
Congenital anomaly
Hyperplasia with lower limb with reflux (pooling)
Not always LE
May appear alone or with : heart defects, cleft palette, craniofacial others
Klippel- Trenuary (webber syondrome or KTWS) - CORRECT ANSWER - praecox, non-
hereditary, malformed lymph vessels with reflux
-overgrowth of veins, arteries, tissues
-port stain wine, bone hypertrophy, webbed digits
Klinfelter syndrome - CORRECT ANSWER - chomosome disorder in males
tall, long, poor puberty development, enlarged breast, small testes, sparce facial hair
Stewart Treves - CORRECT ANSWER - angiosarcoma in chronic lymph as a result of
radical mastectomy
bruise but not tender
Podoconosis - CORRECT ANSWER - endemic non filorial elephantitis
geochemical, iritants in soil
tenia pedis - CORRECT ANSWER - athletes foot
tenia coporis - CORRECT ANSWER - ringworm
, Lymph capillaries are found - CORRECT ANSWER - in close proximity to blood vessels
in interstitial space of subendothelial and mucous membrane
lymphatic capillary characteristics - CORRECT ANSWER - form lymph plexus covering
entire body, function ABSORB for lymph formation(larger than blood capillaries, more
permeable)
-flat endothelial cells with inlet
Pre-collectors - CORRECT ANSWER - connect capillary to connectors; TRANSPORT
(can absorb), have smooth muscle i some places and may have some valves
Collectors - CORRECT ANSWER - -connect nodes to trunks
-similar to veins with 3 layers (intima=endothelial, media= smooth muscle,
adventitia=connective tissue)
-valves with proximal flow
Lymphangiohn - CORRECT ANSWER - functional unit with valves propelling lymph
distal->proximal
-intrinsic contractility- how lymph is pumped
-autonomic contraction frequency of 10-12 a minute (lymphangiomotoricity)
-proximal valve open during systole
what stimulates lymphangion - CORRECT ANSWER - SYMPATHETIC
- skeletal contraction, arterial pulses, respiratory changes, central vein pressure, external pressure
(MLD), mew lymph production
circulatory system - CORRECT ANSWER - leaves heart via L ventricle->via aorta->
arteries -> arterioles-> blood capillaries-> venules -> veins-> inferior vena cava (LB blood) and
superior vena cava (UB blood) ->R atrium -> pulmonary artery via r ventricle -> lungs ->
pulmonary vein-> L aorta
Exam Questions and CORRECT Answers
MLD absolute contraindications- geMLD absolute contraindications- generalneral - CORRECT
ANSWER - Acute infection, acute DVT, Advanced renal disease, cardiac edema
psychological impact of impact of
lymphedema : impact of
lymphedema was reported to include negative self-identity,
emotional disturbance, and psychological distress. Social
impact included feelings of marginalization and perceived
public insensitivity, financial burden, social isolation, and
perceived diminished sexuality. - CORRECT ANSWER -
bandaing contraindications- strict - CORRECT ANSWER - DVT, infection, cardiac
edema, advanced artery disease, malignancy, renal disease
bandaging precautions - CORRECT ANSWER - HTN, mild arterial disease, limb
paralysis, diabetes
Infection symptoms - CORRECT ANSWER - Fever, Swelling, Hot, Acute/aggressive,
Red, Pain
MLD general precuations - CORRECT ANSWER - Malignant lymph (MD clearance),
over 60 ( risk of moving arteriosclerosis),
MLD absolute contraindications- neck - CORRECT ANSWER - sensitive carotid sinus,
hyperthyroid, cardiac arrhythmia
,MLD absolute contraindications- abdomen - CORRECT ANSWER - pregnancy,
diverticulitis, recent abdominal sx, AAA, Chrohns, menstruation, pelvic DVT, greenfield filter,
unexplained pain, IBS
Name the trunks - CORRECT ANSWER - Subclavian, Mediastinal (Broncho), Lumbar,
Supreclavicular, Jugular, Intestines (parasternal)
Lipedema stage 1 - CORRECT ANSWER - smooth skin, enlarged subcutaneous fat,
swelling resolves with rest/elevation
Lipedema stage 2 - CORRECT ANSWER - uneven skin with indentations in fat tissue,
larger mounds of fat (lipomas)
Lipedema stage 3 - CORRECT ANSWER - large extrusion of fat causing deformities
-fibrosclerosis, large mass, swelling doesnt recede
Lipedema stage 4 - CORRECT ANSWER - elephantitis, large over hangs
Turner syndrome - CORRECT ANSWER - non hereditary, congenital, hypoplasia, short
sterile webbed neck, females only and can resolve
Meiges syndrome - CORRECT ANSWER - female, type II non congenital hereditary,
onset puberty (praecox)
-Usually involved LEs, syndactylism (fusion of toes), distichisis (2 rowsx of eyelashes),
Effects B/L lower quadrants= therefore BLEs usually effected
Primary lymph therefore= effects b/l LQ
Milroy syondrome - CORRECT ANSWER - At birth for males or shortly after
Normally includes 1 leg, but may include both, arms, genitals or face
Hypoplasia (less tissue development than norm)
,LE common, can havev upper
Distichiasis syndrome - CORRECT ANSWER - Variant peripubertal onset
Congenital anomaly
Hyperplasia with lower limb with reflux (pooling)
Not always LE
May appear alone or with : heart defects, cleft palette, craniofacial others
Klippel- Trenuary (webber syondrome or KTWS) - CORRECT ANSWER - praecox, non-
hereditary, malformed lymph vessels with reflux
-overgrowth of veins, arteries, tissues
-port stain wine, bone hypertrophy, webbed digits
Klinfelter syndrome - CORRECT ANSWER - chomosome disorder in males
tall, long, poor puberty development, enlarged breast, small testes, sparce facial hair
Stewart Treves - CORRECT ANSWER - angiosarcoma in chronic lymph as a result of
radical mastectomy
bruise but not tender
Podoconosis - CORRECT ANSWER - endemic non filorial elephantitis
geochemical, iritants in soil
tenia pedis - CORRECT ANSWER - athletes foot
tenia coporis - CORRECT ANSWER - ringworm
, Lymph capillaries are found - CORRECT ANSWER - in close proximity to blood vessels
in interstitial space of subendothelial and mucous membrane
lymphatic capillary characteristics - CORRECT ANSWER - form lymph plexus covering
entire body, function ABSORB for lymph formation(larger than blood capillaries, more
permeable)
-flat endothelial cells with inlet
Pre-collectors - CORRECT ANSWER - connect capillary to connectors; TRANSPORT
(can absorb), have smooth muscle i some places and may have some valves
Collectors - CORRECT ANSWER - -connect nodes to trunks
-similar to veins with 3 layers (intima=endothelial, media= smooth muscle,
adventitia=connective tissue)
-valves with proximal flow
Lymphangiohn - CORRECT ANSWER - functional unit with valves propelling lymph
distal->proximal
-intrinsic contractility- how lymph is pumped
-autonomic contraction frequency of 10-12 a minute (lymphangiomotoricity)
-proximal valve open during systole
what stimulates lymphangion - CORRECT ANSWER - SYMPATHETIC
- skeletal contraction, arterial pulses, respiratory changes, central vein pressure, external pressure
(MLD), mew lymph production
circulatory system - CORRECT ANSWER - leaves heart via L ventricle->via aorta->
arteries -> arterioles-> blood capillaries-> venules -> veins-> inferior vena cava (LB blood) and
superior vena cava (UB blood) ->R atrium -> pulmonary artery via r ventricle -> lungs ->
pulmonary vein-> L aorta
