CLT-LANA EXAM STUDY GUIDE MANUAL 2025 QUESTIONS
WITH ANSWERS GUARANTEE A+
✔✔lymph reflux - ✔✔fluid goes proximal and distal (retrograde flow) during contraction
due to insufficient valves
can cause lymphatic cysts
✔✔chylous lymph cysts originate from: - ✔✔intestines, an break open and cause
infection
✔✔lymphatic fistulas - ✔✔Burst cysts associated with leaking of lymph fluid
(lymphorrhea)
✔✔radiation fibrosis - ✔✔reaction of the skin to irradiation,
leaving visible and/or palpable changes in the skin and
subcutaneous tissue.
-redish/brown, telangiectadia (dilated vessels that look bluish), scar tissue
-get worse over time d/t compression of vessels
symptoms: pain, paresthesia, paralysis, decreased ROM
-contraindicated if adhesions present
✔✔Lymphedema and Cardiac Insufficiency - ✔✔abdominal techniques are
contraindicated
-treat only extremity to avoid overload to heart
✔✔Lymphedema and Obesity - ✔✔-higher risk of developing lymphedema
-additional fluid and poor venous return overload system
-hinders treatment
educate on self care/exercises/nutrition
✔✔Lymphedema and Diabetes - ✔✔- highlght education on self care
-Diabetes is often associated with dry skin, frequent
infections, neuropathy, slow-healing wounds, and high blood
pressure.
✔✔Axillary web syndrome - ✔✔-develop after interruption to the axillary lymphatics
such as
ALND, sentinel lymph node dissection (SLND), trauma, or an
obstruction from cancer.
-visible palpable tissue that becomes taut with shoulder abduction
other names:
Mondor's disease, lymphatic cording, subcutaneous
fibrous banding, fiddle-string phenomenon, lymph vessel
fibrosis, lymphangiofibrosis thrombotica occlusiva, and
lymph thrombosis.
, -occurs in thin body types
-maynot be able to fully extend elbow or wrist if reches digits
✔✔tx of Aws - ✔✔stretching and strengthening exercises, ROM, and
manual techniques improves shoulder function, pain, and
quality of life in breast cancer patients with AWS. Manual
lymphatic drainage (MLD) to avoid impingement or frozen shoulder
-can also break cord (push up and out opposite directions with both hands)
-distal ROM tx first, then gradually proximal as it improves
✔✔coping strategies for lymphedema - ✔✔Actively sought information or treatment
options
(10).
Learned physical strategies to manage
lymphedema symptoms (10).
Accepted the limitations associated with
lymphedema symptoms (10).
Focused on the positive aspects of life (10).
Used spiritual/religious methods (9).
Openly talked and educated about lymphedema (9).
Maintained leisure and recreational activities (6).
Used ineffective coping methods (5).
Impact of their racial and socioeconomic backgrounds
on coping (1).
✔✔QOL impacts - ✔✔socail, physical, financial, phsycological, family care, burden on
caregivers, ADL performance
✔✔early identification of at risk - ✔✔-subjective (heaviness, numb, tingling, comes and
goes)
-measurements
- identify regional swelling (before whole limb)
✔✔Prospective surveillance protocol (PSP) - ✔✔-identifies at risk prior to lymphedema
onset and tx
-assessment of an individual's level
of mobility, function, weight, and limb volume ideally taken
at the point of cancer diagnosis and prior to the onset of any
cancer-mitigating treatments.
-proactive reassessment of these clinical tests at intervals over time during and after
cancer treatment,
-when clinically meaningful changes are identified, treatment is initiated
✔✔prevention of at risk - ✔✔integration of exercise and self-MLD techniques,
taught to the at-risk individual at baseline,
WITH ANSWERS GUARANTEE A+
✔✔lymph reflux - ✔✔fluid goes proximal and distal (retrograde flow) during contraction
due to insufficient valves
can cause lymphatic cysts
✔✔chylous lymph cysts originate from: - ✔✔intestines, an break open and cause
infection
✔✔lymphatic fistulas - ✔✔Burst cysts associated with leaking of lymph fluid
(lymphorrhea)
✔✔radiation fibrosis - ✔✔reaction of the skin to irradiation,
leaving visible and/or palpable changes in the skin and
subcutaneous tissue.
-redish/brown, telangiectadia (dilated vessels that look bluish), scar tissue
-get worse over time d/t compression of vessels
symptoms: pain, paresthesia, paralysis, decreased ROM
-contraindicated if adhesions present
✔✔Lymphedema and Cardiac Insufficiency - ✔✔abdominal techniques are
contraindicated
-treat only extremity to avoid overload to heart
✔✔Lymphedema and Obesity - ✔✔-higher risk of developing lymphedema
-additional fluid and poor venous return overload system
-hinders treatment
educate on self care/exercises/nutrition
✔✔Lymphedema and Diabetes - ✔✔- highlght education on self care
-Diabetes is often associated with dry skin, frequent
infections, neuropathy, slow-healing wounds, and high blood
pressure.
✔✔Axillary web syndrome - ✔✔-develop after interruption to the axillary lymphatics
such as
ALND, sentinel lymph node dissection (SLND), trauma, or an
obstruction from cancer.
-visible palpable tissue that becomes taut with shoulder abduction
other names:
Mondor's disease, lymphatic cording, subcutaneous
fibrous banding, fiddle-string phenomenon, lymph vessel
fibrosis, lymphangiofibrosis thrombotica occlusiva, and
lymph thrombosis.
, -occurs in thin body types
-maynot be able to fully extend elbow or wrist if reches digits
✔✔tx of Aws - ✔✔stretching and strengthening exercises, ROM, and
manual techniques improves shoulder function, pain, and
quality of life in breast cancer patients with AWS. Manual
lymphatic drainage (MLD) to avoid impingement or frozen shoulder
-can also break cord (push up and out opposite directions with both hands)
-distal ROM tx first, then gradually proximal as it improves
✔✔coping strategies for lymphedema - ✔✔Actively sought information or treatment
options
(10).
Learned physical strategies to manage
lymphedema symptoms (10).
Accepted the limitations associated with
lymphedema symptoms (10).
Focused on the positive aspects of life (10).
Used spiritual/religious methods (9).
Openly talked and educated about lymphedema (9).
Maintained leisure and recreational activities (6).
Used ineffective coping methods (5).
Impact of their racial and socioeconomic backgrounds
on coping (1).
✔✔QOL impacts - ✔✔socail, physical, financial, phsycological, family care, burden on
caregivers, ADL performance
✔✔early identification of at risk - ✔✔-subjective (heaviness, numb, tingling, comes and
goes)
-measurements
- identify regional swelling (before whole limb)
✔✔Prospective surveillance protocol (PSP) - ✔✔-identifies at risk prior to lymphedema
onset and tx
-assessment of an individual's level
of mobility, function, weight, and limb volume ideally taken
at the point of cancer diagnosis and prior to the onset of any
cancer-mitigating treatments.
-proactive reassessment of these clinical tests at intervals over time during and after
cancer treatment,
-when clinically meaningful changes are identified, treatment is initiated
✔✔prevention of at risk - ✔✔integration of exercise and self-MLD techniques,
taught to the at-risk individual at baseline,
