LANA CLT PREP QUESTIONS AND 100% CORRECT ANSWERS LATEST
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MLD absolute contraindications- generalneral - ANSWER Acute infection, acute DVT,
Advanced renal disease, cardiac edema
psychological impact of impact of
lymphedema : impact of
lymphedema was reported to include negative self-identity,
emotional disturbance, and psychological distress. Social
impact included feelings of marginalization and perceived
public insensitivity, financial burden, social isolation, and
perceived diminished sexuality. - ANSWER
bandaing contraindications- strict - ANSWER DVT, infection, cardiac edema, advanced
artery disease, malignancy, renal disease
precautions to bandaging - ANSWER HTN, mild arterial disease, limb paralysis, diabetes
symptoms of infection - ANSWER Fever, Swelling, Hot, Acute/aggressive, Red, Pain
MLD general precuations - ANSWER Malignant lymph (MD clearance), over 60 ( risk of
moving arteriosclerosis),
MLD absolute contraindications- neck - ANSWER sensitive carotid sinus, hyperthyroid,
cardiac arrhythmia
MLD absolute contraindications- abdomen - ANSWER pregnancy, diverticulitis, recent
,abdominal sx, AAA, Chrohns, menstruation, pelvic DVT, greenfield filter, unexplained
pain, IBS
Name the trunks - ANSWER Subclavian, Mediastinal Broncho, Lumbar, Supreclavicular,
Jugular, Intestines parasternal
Lipedema stage 1 - ANSWER smooth skin, enlarged subcutaneous fat, swelling resolves
with rest/elevation
Lipedema stage 2 - ANSWER uneven skin w/indentations in fat tissue, larger mounds of
fat lipomas
Lipedema stage 3 - ANSWER large extrusion of fat causing deformities
-fibrosclerosis, large mass, swelling doesnt recede
Lipedema stage 4 - ANSWER elephantitis, large over hangs
Turner syndrome - ANSWER non hereditary, congenital, hypoplasia, short sterile
webbed neck, females only and can resolve
Meiges syndrome - ANSWER female, type II non congenital hereditary, onset puberty
(praecox)
-Usually involved LEs, syndactylism (fusion of toes), distichisis (2 rowsx of eyelashes),
Effects B/L lower quadrants= therefore BLEs usually effected
Primary lymph therefore= effects b/l LQ
Milroy syondrome - ANSWER At birth for males or shortly after
Normally includes 1 leg, but may include both, arms, genitals or face
Hypoplasia (less tissue development than norm)
,LE common, can havev upper
Distichiasis syndrome - ANSWER Variant peripubertal onset
Congenital anomaly
Hyperplasia with lower limb with reflux (pooling)
Not always LE
May appear alone or with : heart defects, cleft palette, craniofacial others
Klippel- Trenuary (webber syondrome or KTWS) - ANSWER praecox, non-hereditary,
malformed lymph vessels with reflux
-overgrowth of veins, arteries, tissues
-port stain wine, bone hypertrophy, webbed digits
Klinfelter syndrome - ANSWER chomosome disorder in males
tall, long, poor puberty development, enlarged breast, small testes, sparce facial hair
Stewart Treves - ANSWER angiosarcoma in chronic lymph as a result of radical
mastectomy
bruise but not tender
Podoconosis - ANSWER endemic non filorial elephantitis
geochemical, iritants in soil
tenia pedis - ANSWER athletes foot
tenia coporis - ANSWER ringworm
Lymph capillaries are found - ANSWER in close proximity to blood vessels in interstitial
space of subendothelial and mucous membrane
lymphatic capillary characteristics - ANSWER form lymph plexus covering entire body,
function ABSORB for lymph formation(larger than blood capillaries, more permeable)
-flat endothelial cells with inlet
, Pre-collectors - ANSWER connect capillary to connectors; TRANSPORT (can absorb),
have smooth muscle i some places and may have some valves
Collectors - ANSWER -connect nodes to trunks
-similar to veins with 3 layers (intima=endothelial, media= smooth muscle,
adventitia=connective tissue)
-valves with proximal flow
Lymphangiohn - ANSWER functional unit with valves propelling lymph distal->proximal
-intrinsic contractility- how lymph is pumped
-autonomic contraction frequency of 10-12 a minute (lymphangiomotoricity)
-proximal valve open during systole
what stimulates lymphangion - ANSWER SYMPATHETIC
- skeletal contraction, arterial pulses, respiratory changes, central vein pressure,
external pressure (MLD), mew lymph production
circulatory system - ANSWER leaves heart via L ventricle->via aorta-> arteries ->
arterioles-> blood capillaries-> venules -> veins-> inferior vena cava (LB blood) and
superior vena cava (UB blood) ->R atrium -> pulmonary artery via r ventricle -> lungs ->
pulmonary vein-> L aorta
diffusion - ANSWER transfer of molecules via concentration gradient (high->low
concentration)
defective veins form what- - ANSWER varicosities d/t valve not working properly and
blood flows backwards
differences b/t circulatory and lymph system - ANSWER - The lymphatic system is not a
closed circulatory
system.
-There is no central pump in the lymphatic system.
-The lymph transport is interrupted by lymph nodes.