ACOLS Module 7

Question 1

IN the phase I of CDT, the patient is seen daily.

Answer 1

True

Question 2

The goal for phase I of CDT is to decongest the involved extremity.

Answer 2

True

Question 3

In treating lymphedema, one must treat the healthy quadrant (territory on the trunk opposite to the affected extremity) to create a suction effect on the involved quadrant (if unilateral involvement).

Answer 3

True

Question 4

Phase II (improvement phase) of CDT is also called the self management phase.

Answer 4

True

Question 5

Lymphedema is a condition that needs to be managed for life. There is no cure for lymphedema.

Answer 5

True

Question 6

Good skin care reduces the chance of bacterial and fungal growth.

Answer 6

True

Question 7

Low pH products and lotions should be used for the treatment of the skin of patients with lymphedema.

Answer 7

True

Question 8

It is OK to treat patients with fungal infections on the skin as long as the medications to treat the fungus have started.

Answer 8

True

Question 9

MLD techniques cannot be used for the treatment of wounds.

Answer 9

False

Question 10

In phase II of CDT, garments should be worn during the day and if needed, bandages or bandaging alternative should be worn during the night.

Answer 10

True

Question 11

There is always a risk of re-accumulation of fluid following decongestion if compression therapy is not used in the treatment of lymphedema with CDT.

Answer 11

True

Question 12

The Law of LaPlace states that if the radius of a cylinder increases, the tension also needs to increase to achieve the same pressure.

Answer 12

True

Question 13

“Ace” bandages have HIGH working pressure and LOW resting pressure.

Answer 13

False

Question 14

Continuous compression should be maintained during phase I of CDT.

Answer 14

True

Question 15

All of these are effects of the use of MLD except:

Answer 15

A. Increase the local sympathetic response and the general parasympathetic effect.
B. Increase in the contraction frequency of lymph collectors.
C. Eliminates the risk of re-accumulation after decongestion.
D. Re-route lymph flow around blocked areas into more centrally located, healthy areas.

Answer: C (MLD is done first, then decongestion)

Question 16

Upper extremity garments would generally use:

Answer 16

A. compression Class 1 (CCI)
B. Compression Class II (CCII)
C. Compression Class III (CCIII)
D. Compression Class lV (CCIV)

Answer: B

Question 17

Lower extremity garments would generally use:

Answer 17

A. Compression Class l (CCI)
B. Compression Class II (CCII)
C. Compression Class III (CCIII)
D. Compression Class IV (CCIV)

Answer: C

Question 18

All of the following are effects of compression except:

Answer 18

A: Improves efficiency of joint and muscle pump.
B. Increases reabsorption.
C. Provides support for tissues that have lost elasticity.
D. Increase filtration

Answer: D

Question 19

All of the following are effects of decongestive exercises except:

Answer 19

A. Improve lymph transportation and venous return.
B. Optimize joint and muscle pump.
C. Decreases lymphangiomotoricity.
D. Deep (diaphragmatic) breathing increases the volume of fluid returned via thoracic duct to the venous angle.

Answer: C

Question 20

Which of the following activities should be avoided by a lymphedema patient?

Answer 20

A. Injuries to skin
B. Any mosquito or insect bites
C. Full body massage and heat.
D. Venous puncture and blood pressure taken from lymphedema arm.
E.  All of the above

Answer: E

Question 21

Which are the components of CDT?

Answer 21

A. Skin care
B. MLD
C. Compression
D. Decongestive Exercise
E. All of the above

Answer: E

Question 22

Which one of the CDT components best manipulates tissue pressure?

Answer 22

A. Skin Care
B. MLD
C. Compression
D. Decongestive Exercise

Answer: C

Question 23

The fact that a swollen extremity generally loses its shape makes it necessary to use materials to construct a cylinder. Which materials are usually used for this purpose?

Answer 23

A. Foam and other padding materials
B. Grey foam and comprifoams
C. Short stretch bandages
D. A and B

Answer: D