Chapter 27 – Lymphatic System and Pathologies

Question 1

If the client’s skin leaves an elevation or a tent after it is pinched, what does this suggest?
A. Edema
B. Active trigger points
C. Dehydration
D. Low platelet count

Answer 1

Dehydration

Question 2

Which organ stores blood cells and destroys old, worn out red blood cells and platelets?
A. Spleen
B. Kidneys
C. Gallbladder
D. Thyroid

Answer 2

Spleen

Question 3

A client complains of fatigue and is running a fever. How should the massage practitioner proceed?
A. Perform a lighter than normal massage, avoiding the head and neck
B. Proceed with the massage without any modifications
C. Proceed with the massage, using a semireclining position while supine
D. Postpone the massage until the client is fever-free for at least 24 hours without the use of fever-reducing drugs

Answer 3

Postpone the massage until the client is fever-free for at least 24 hours without the use of fever-reducing drugs

Question 4

Which treatment plan is appropriate for a client who is diagnosed with an HIV infection?
A. Obtain medical clearance, then use vibration over the thymus
B. Proceed with the massage while wearing disposable gloves
C. This condition is an absolute contraindication
D. Adjust the massage to the client’s vitality, and avoid open sores

Answer 4

Adjust the massage to the client’s vitality, and avoid open sores

Question 5

Which method is considered to be the most effective non-surgical method to decrease lymphedema-related swelling?
A. Craniosacral homeostatic therapy
B. Instrument assisted soft tissue mobilization
C. Myofascial lymphatic release
D. Manual lymphatic drainage

Answer 5

Manual lymphatic drainage

Question 6

Which area should be massaged first if a client has mild edema in the left knee?
A. Left foot
B. Left thigh
C. Left knee
D. Left ankle

Answer 6

Left thigh

Question 7

If a client with diabetes is experiencing hypoglycemia, first aid measures include eating food or beverages containing:
A. sodium such as pickles.
B. sugar such as regular soda or orange juice.
C. fats such as peanuts or nut butters.
D. potassium such as bananas.

Answer 7

sugar such as regular soda or orange juice.

Question 8

Which technique is the most effective for reducing edema?
A. Chucking friction
B. Light effleurage
C. Deep effleurage
D. Pétrissage

Answer 8

Light effleurage

Question 9

Which treatment plan is appropriate for a client with chronic fatigue syndrome?
A. Client’s response to the previous session is irrelevant in determining the current session.
B. The treatment plan should be consistent from session to session to ensure favorable client results.
C. Use lighter than normal pressure and avoid vigorous movements if the client is feeling overly tired.
D. Vigorous massage will energize the client and increase efficient metabolic functioning.

Answer 9

Use lighter than normal pressure and avoid vigorous movements if the client is feeling

Question 10

Which statement describes massage for clients with HIV infection?
A. It is an absolute contraindication
B. Special considerations are unnecessary
C. Avoid skin lesions, enlarged lymph nodes, and sites of recent blood work
D. Sessions are postponed until after a month after the start of pharmacotherapy

Answer 10

Avoid skin lesions, enlarged lymph nodes, and sites of recent blood work

Question 11

Edema may be caused by:
A. advanced pregnancy.
B. prolonged sleeping.
C. weight training exercises.
D. low blood pressure.

Answer 11

advanced pregnancy

Question 12

Compared to veins, the walls of lymphatic vessels:
A. have more valves.
B. have thicker walls.
C. are smaller in diameter.
D. are less permeable.

Answer 12

have more valves.

Question 13

Which best describes the flow of lymph?
A. Lymph flows through vessels toward the subclavian veins and enters the cardiovascular system
B. Lymph flows from the left ventricle and then back to the right atrium and is propelled by the heartbeat
C. Lymph flows from the abdominal organs through the hepatic vein until it reaches the inferior vena cava
D. Lymph flows from the fourth ventricle into the subarachnoid space surrounding the brain and spinal cord

Answer 13

Lymph flows through vessels toward the subclavian veins and enters the cardiovascular system

Question 14

Where does lymph collected from the right lower quadrant return to the systemic circulation?
A. Hepatic portal vein
B. Left subclavian vein
C. Right subclavian vein
D. Great saphenous vein

Answer 14

Left subclavian vein