Module 4

Question 1

Lymphatic collectors will regenerate with blunt trauma.

Answer 1

True

Question 2

Generally, there is lymph-lymphatic anastomosis through old scars wider than 3mm.

Answer 2

False

Question 3

Hyperkeratosis is the hypertrophy of corneous layer of the skin.

Answer 3

True

Question 4

Papillomas are benign epithelial tumors that usually recede with compression treatment.

Answer 4

True

Question 5

Fungal infections are common in lymphedema especially in the lower extremities.

Answer 5

True

Question 6

If you have a patient with fungal infection of the skin of the legs, you need to wait 2 weeks to start treatment of CDT.

Answer 6

False

Question 7

Lymphatic cysts can be chylous and non chylous.

Answer 7

True

Question 8

It is okay to work over areas of dilated veins and teleangiectasia.

Answer 8

True

Question 9

Axillary Web Syndrome (AWS) should be treated with hot packs.

Answer 9

False

Question 10

Unilateral swelling in the supracalvicular fossa can be a symptom of malignant lymphedema.

Answer 10

True

Question 11

Never use compression garments higher than CompressionClass 1 on paralyzed extremities.

Answer 11

True

Question 12

100% of males with lymphedema of the lower extremities also have genital involvement.

Answer 12

False

Question 13

Itching, crusting of skin, scaling skin and sweet odor are all signs of:

Answer 13

A. Lymphatic fistulas
B. Bacterial infections
C. Fungal infections
D. Hyperkeratosis

Answer: C

Question 14

Sharp pain in the extremity, rapid swelling, unilateral swelling in the supraclavicular fossa, rapid skin changes, non-healing wounds are all signs and symptoms of:

Answer 14

A. Malignant Lymphedema
B. Pure lymphedema
C. Genital lymphedema
D. Lymphostatic fibrosis

Answer: A

Question 15

In an effort to maintain fluid homeostasis, the body has the ability to respond to lymph stasis by:

Answer 15

A. Redirecting lymph fluid into healthy drainage areas
B. Using vessels and collaterals that circumnavigate blocked areas
C. Using the existing initial lymph vessel plexus and anastomoses
D. All of the above

Answer: D

Question 16

Which modalities can be used for the treatment of lymphedema?

Answer 16

A. Electricity (DC current only)
B. Massage
C. Hot packs and cold packs
D. None of these modalities should be used for the treatment of lymphedema

Answer: D

Question 17

Which statement in reference to pneumatic compression pumps is incorrect?

Answer 17

A. These devices should never be used without the combination of CDT
B. These devices are effective in moving water and protein from swollen extremities
C. The use of these devices in lower extremities lymphedema may cause the onset of swelling in the external genitalia.
D. Patients are immobile during several hours of application.

Answer: B

Question 18

Which statement is correct about the vaso-vasorum vessels?

Answer 18

A. Vasa-Vasorum means “vessel of vessels”.
B. Larger arteries and veins in the body have their own separate arterial, venous and lymphatic vessels (and nodes) to supply their walls.
C. Vasa-Vasorum is normally dormant to surrounding lymph.
D. All of the above are correct

Answer: D

Question 19

Which of the following is an alternative of treatment for patients with lymphedema?

Answer 19

A. Topical benzopyrone
B. Diuretics
C. Elastic taping
D. Massage

Answer: C

Question 20

The current international standard and therapy of choice for patients with lymphedema is:

Answer 20

A. Low Level Laser Therapy
B. Complete Decongestive Therapy
C. Deep Oscillation Therapy
D. Electro therapy

Answer: B