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LANA CLT prep Exam Questions and
Answers
MLD absolute contraindications- geMLD absolute contraindications- generalneral -
Answers✓✓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. - Answers✓✓
bandaing contraindications- strict - Answers✓✓DVT, infection, cardiac edema, advanced artery
disease, malignancy, renal disease
bandaging precautions - Answers✓✓HTN, mild arterial disease, limb paralysis, diabetes
Infection symptoms - Answers✓✓Fever, Swelling, Hot, Acute/aggressive, Red, Pain
MLD general precuations - Answers✓✓Malignant lymph (MD clearance), over 60 ( risk of
moving arteriosclerosis),
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MLD absolute contraindications- neck - Answers✓✓sensitive carotid sinus, hyperthyroid,
cardiac arrhythmia
MLD absolute contraindications- abdomen - Answers✓✓pregnancy, diverticulitis, recent
abdominal sx, AAA, Chrohns, menstruation, pelvic DVT, greenfield filter, unexplained pain,
IBS
Name the trunks - Answers✓✓Subclavian, Mediastinal (Broncho), Lumbar, Supreclavicular,
Jugular, Intestines (parasternal)
Lipedema stage 1 - Answers✓✓smooth skin, enlarged subcutaneous fat, swelling resolves with
rest/elevation
Lipedema stage 2 - Answers✓✓uneven skin with indentations in fat tissue, larger mounds of fat
(lipomas)
Lipedema stage 3 - Answers✓✓large extrusion of fat causing deformities
-fibrosclerosis, large mass, swelling doesnt recede
Lipedema stage 4 - Answers✓✓elephantitis, large over hangs
Turner syndrome - Answers✓✓non hereditary, congenital, hypoplasia, short sterile webbed
neck, females only and can resolve
Meiges syndrome - Answers✓✓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
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Primary lymph therefore= effects b/l LQ
Milroy syondrome - Answers✓✓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 - Answers✓✓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) - Answers✓✓praecox, non-hereditary,
malformed lymph vessels with reflux
-overgrowth of veins, arteries, tissues
-port stain wine, bone hypertrophy, webbed digits
Klinfelter syndrome - Answers✓✓chomosome disorder in males
tall, long, poor puberty development, enlarged breast, small testes, sparce facial hair
Stewart Treves - Answers✓✓angiosarcoma in chronic lymph as a result of radical mastectomy
bruise but not tender
Podoconosis - Answers✓✓endemic non filorial elephantitis
geochemical, iritants in soil
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tenia pedis - Answers✓✓athletes foot
tenia coporis - Answers✓✓ringworm
Lymph capillaries are found - Answers✓✓in close proximity to blood vessels in interstitial
space of subendothelial and mucous membrane
lymphatic capillary characteristics - Answers✓✓form lymph plexus covering entire body,
function ABSORB for lymph formation(larger than blood capillaries, more permeable)
-flat endothelial cells with inlet
Pre-collectors - Answers✓✓connect capillary to connectors; TRANSPORT (can absorb), have
smooth muscle i some places and may have some valves
Collectors - Answers✓✓-connect nodes to trunks
-similar to veins with 3 layers (intima=endothelial, media= smooth muscle,
adventitia=connective tissue)
-valves with proximal flow
Lymphangiohn - Answers✓✓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 - Answers✓✓SYMPATHETIC
- skeletal contraction, arterial pulses, respiratory changes, central vein pressure, external
pressure (MLD), mew lymph production
