Module 4 Test

Question 1

Lymphatic collectors will regenerate with blunt trauma.

Answer 1

T

Question 2

(TF) Generally, there is lympho-lymphatic anastomosis through old scars – wider than 3mm.

Answer 2

F; NOT wider than 3mm

Question 3

Hyperkeratosis is the hypertrophy of corneous layer of the skin.

Answer 3

T

Question 4

(T/F) Papillomas are benign epithelial tumors that usually recede with compression treatment.

Answer 4

T

Question 5

(T/F) Fungal infections are common in lymphedema especially in the lower extremities.

Answer 5

T

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

F

Question 7

(T/F) Lymphatic cysts can be chylous and non chylous.

Answer 7

T

Question 8

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

Answer 8

T

Question 9

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

Answer 9

F

Question 10

(T/F) Unilateral swelling in the supraclavicular fossa can be a symptom of malignant lymphedema.

Answer 10

T

Question 11

Never use compression garments higher than Compression Class ___ on paralyzed extremities.

Answer 11

1

Question 12

(T/F) 100% of males with lymphedema of the lower extremities also have genital involvement.

Answer 12

F

Question 13

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

Answer 13

Fungal infections

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

Malignant lymphedema

Question 15

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

Answer 15

Redirecting lymph fluid into healthy drainage areas

Using vessels and collaterals that circumnavigate blocked areas

Using the existing initial lymph vessel plexus and anastomoses

Question 16

Which modalities can be used for the treatment of lymphedema?

Answer 16

manual lymphatic drainage, exercise, pneumatic pumps, and compression bandage therapy

Question 17

These statements in reference to pneumatic compression pumps are CORRECT:

Answer 17

These devices should never be used without the combination of complete decongestive therapy (CDT)

The use of these devices in lower extremities lymphedema may cause the onset of swelling in the external genitalia

Patients are immobile during several hours of application

Question 18

These statements are correct about the vaso-vasorum vessels:

Answer 18

Vasa-Vasorum means “Vessels of vessels”

Larger arteries and veins in the body have their own/separate arterial, venous and lymphatic vessels (and nodes) to supply their walls

Vasa-Vasorum is normally dormant to surrounding lymph

Question 19

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

Answer 19

Elastic taping

Question 20

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

Answer 20

Complete Decongestive Therapy (CDT)

Question 21

Benefits of compression?

Answer 21

• reduce filtration
• increase reabsorption
• improve efficiency of jt mm pump
• prevent re-accumulation of lymph fluid
• increase tissue pressure
• compensated for elastic insufficiency of affected tissue
• breakdown scar tissue

Question 22

Benefits of decongestive exercise?

Answer 22

• improve lymph transport
• improve venous return
• optimize jt mm pump
• increase lymphangiomotoricity
• diaphragmatic breathing increases fluid return to venous angle via thoracic duct
• bandages worn during exercise increase external TP

Question 23

How do venous insufficiencies affect lymphatic system?

Answer 23

Decrease venous return - increase BCP - increase filtration - increase net-filtrate