ACOLS Module 7 Flashcards
IN the phase I of CDT, the patient is seen daily.
True
The goal for phase I of CDT is to decongest the involved extremity.
True
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).
True
Phase II (improvement phase) of CDT is also called the self management phase.
True
Lymphedema is a condition that needs to be managed for life. There is no cure for lymphedema.
True
Good skin care reduces the chance of bacterial and fungal growth.
True
Low pH products and lotions should be used for the treatment of the skin of patients with lymphedema.
True
It is OK to treat patients with fungal infections on the skin as long as the medications to treat the fungus have started.
True
MLD techniques cannot be used for the treatment of wounds.
False
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.
True
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.
True
The Law of LaPlace states that if the radius of a cylinder increases, the tension also needs to increase to achieve the same pressure.
True
“Ace” bandages have HIGH working pressure and LOW resting pressure.
False
Continuous compression should be maintained during phase I of CDT.
True
All of these are effects of the use of MLD except:
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)
Upper extremity garments would generally use:
A. compression Class 1 (CCI)
B. Compression Class II (CCII)
C. Compression Class III (CCIII)
D. Compression Class lV (CCIV)
Answer: B
Lower extremity garments would generally use:
A. Compression Class l (CCI)
B. Compression Class II (CCII)
C. Compression Class III (CCIII)
D. Compression Class IV (CCIV)
Answer: C
All of the following are effects of compression except:
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
All of the following are effects of decongestive exercises except:
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
Which of the following activities should be avoided by a lymphedema patient?
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
Which are the components of CDT?
A. Skin care B. MLD C. Compression D. Decongestive Exercise E. All of the above
Answer: E
Which one of the CDT components best manipulates tissue pressure?
A. Skin Care
B. MLD
C. Compression
D. Decongestive Exercise
Answer: C
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?
A. Foam and other padding materials
B. Grey foam and comprifoams
C. Short stretch bandages
D. A and B
Answer: D
