Lymphedema Exam Questions With 100% Correct Answers

Lymphedema Exam Questions With 100% Correct Answers What is stage 1 of lymphedema? - answerThe patient has an accumulation of protein-rich fluid in the affected area. There is pitting edema present. The edema will decrease with elevation of the limb overnight, and the edema increases with activity, heat, or humidity. What is stage 2 of lymphedema? - answerThe patient has continued accumulation of protein-rich edema which is non-pitting. The skin begins to toughen. There is connective scar tissue and fibrosis present. The edema is not reversible with elevation. What is stage 3 of lymphedema? - answerThe patient has continued accumulation of protein-rich edema. There is significant scar tissue and connective tissue present. The skin is very tough, papillomas are present, and hyperkeratosis is present. Edema does not change with elevation. This patient is prone to infections due to the fluid buildup. All of the following signs or symptoms are consistent with lymphedema except: -Quick wound healing -Numbness of tingling in the area -Edema that does not change with elevation -Complaints of heaviness or fullness and fatigue in the affected region - answerQuick wound healing What are signs and symptoms of lymphedema? - answerDelayed wound healing. Feeling of heaviness or fullness of the limb, numbness or tingling, edema that is unrelieved by elevation, and complaints that clothing becomes tight Surgery, such as liposuction, hernia repair, total hip replacement, or lumpectomy of the breast, can result in which type of lymphedema? -Filariasis -Secondary lymphedema -Idiopathic lymphedema -Primary lymphedema - answerSecondary lymphedema Secondary lymphedema is caused by damage to one or more components of the lymph system. It is more common than primary lymphedema and is typically the result of any of the following causes: surgery, crush injury, radiation, chronic venous insufficiency, complications of paralysis, and disuse secondary to complex regional pain syndrome. What is secondary lymphedema? - answerSecondary lymphedema is caused by damage to one or more components of the lymph system. It is more common than primary lymphedema and is typically the result of any of the following causes: surgery, crush injury, radiation, chronic venous insufficiency, complications of paralysis, and disuse secondary to complex regional pain syndrome. What is primary/idiopathic lymphedema? - answerIs is thought to be the result of malformation of lymph nodes or vessels at birth. The incidence is unknown, but it is less common than secondary. It is also more common in female than in males Which of the following statements is true regarding medical management of lymphedema? -Diuretics work to reduce edema in lymphedema -Diuretics can decrease fibrosis and reduce extracellular protein -No clear pharmaceutical management is available -Surgical procedures can be largely effective in reducing lymphedema - answerNo clear pharmaceutical management is available Diuretics work if the edema is due to sodium retention. However, diuretics are ineffective in lymphedema. Diuretics can add to increased extracellular protein and increase fibrosis. Surgical procedures are mostly ineffective and are only typically used to treat severe involvement. All of the following statements regarding lymphedema are true except: -The lymph system cannot create collateral vessels to repair itself, leading to inflammation -Lymphedema may involve normal or abnormal amounts of fluid in the system -Lymphedema is characterized by inadequate transport of lymph volume through the lymph system