LYMPH LANA EXAM SCRIPT 2025/2026 QUESTIONS WITH
ANSWERS GRADED A+
✔✔Blood capillary pressure is increased...
in hypoproteinemia and passive hyperemia.
when the pre-capillary arterioles contract.
in severe arterial insufficiency.
when the pre-capillary arterioles dilate. - ✔✔when the pre-capillary arterioles dilate.
✔✔Which of the following statements is TRUE in regard to the original Starling's law of
fluid exchange?
Capillary filtration and reabsorption are in a state of perfect equilibrium.
10% of the capillary filtrate is reabsorbed by the venous end of the capillary.
Capillary filtration and reabsorption are in a state of near equilibrium.
Capillary filtration is the most important process for the nourishment of the tissues. -
✔✔Capillary filtration and reabsorption are in a state of near equilibrium.
✔✔What do active and passive hyperemia and hypoproteinemia have in common?
They all lead to increased lymphatic load.
They all lead to low output failure of the lymphatic system.
They all lead to decreased lymphatic load.
They all lead to reduced transport capacity of the lymphatic system. - ✔✔They all lead
to increased lymphatic load.
✔✔Why should the use of silicone-dotted bands be avoided in UE patients with slender
arms? Because...
the band can cause a tourniquet effect.
donning will be too difficult.
it will make the sleeve too expensive.
the sleeve will be too uncomfortable. - ✔✔the band can cause a tourniquet effect.
✔✔Which of the following garment types offers the most "containment" for
lymphedema?
Cut & sew garments
Ready-to-wear garments
Flat knit garments
Circular knit garments - ✔✔Flat knit garments
✔✔Which of the following is characteristic of lipedema?
Severe ankle pain
Hemosiderin staining
Hyperkeratosis
Pressure-pain and bruising - ✔✔Pressure-pain and bruising
,✔✔What are the effect(s) of MLD?
Stimulate lymph vessel pulsation
Increase lymphatic uptake into lymph capillaries
Stimulate para-sympathetic nervous system
All are true - ✔✔All are true
✔✔What is a specific benefit of physical activity in a breast cancer survivor?
Improved quality of life
Improved fitness
Slowed bone loss
All are true - ✔✔All are true
✔✔Which components make up the structure of a lymph capillary?
Flat endothelial and Langerhans cells
Flat endothelial cells with anchoring filaments
Smooth muscle cells and bicuspid valves
Edged endothelial cells with anchoring filaments - ✔✔Flat endothelial cells with
anchoring filaments
✔✔For which patients is bioimpedance testing most beneficial?
Patients with Stage 0 lymphedema
Patients with Stage 1 lymphedema
Patients with Stage 2 lymphedema
Patients with Stage 3 lymphedema - ✔✔Stage 0
✔✔Which of the following may be signs of malignant lymphedema?
Unexplained pain
Proximal, versus distal, presentation
All are true
Rapid onset and progression of the lymphedema - ✔✔All
✔✔What watersheds (WS) delineate the tributary region for the right inguinal lymph
nodes?
Clavicular and chaps WS
Transverse and median-sagittal WS
Transverse and clavicular WS
Clavicular and spine-of-the-scapula WS - ✔✔Transverse and median sagittal WS
✔✔Class 3, flat-knit custom compression garments are most appropriate for:
Pediatric lymphedema
Patients at risk for lymphedema
Stage 3 lymphedema
Patients with an ABI ≤ .6 - ✔✔Stage 3 lymphedema
, ✔✔Which of the following is NOT part of the three-layer wall of blood and lymphatic
vessels?
Soft collagenous connective tissue
Striped muscle
Smooth muscle
Endothelial cells - ✔✔Striped muscle
✔✔Which of the following statements regarding breast cancer (BrCA) and the
development of lymphedema is true?
BrCA survivors should never enter a strength training program in an attempt to prevent
lymphedema.
All are true.
BrCA patients are encouraged to wear a strong compression garment from Day 1 after
surgery to prevent the development of lymphedema.
BrCA survivors who are obese have a higher risk of developing lymphedema. -
✔✔BrCA survivors who are obese have a higher risk of developing lymphedema.
✔✔What is a sign or symptom of arterial insufficiency?
Pain or ischemic-colored skin
Hemosiderin staining
Strong pedal pulses
ABI of 1.0 - ✔✔Pain or ischemic colored skin
✔✔Which of the following are risk factors for arterial insufficiency?
Diabetes
Smoking
Cardiovascular disease
All are true - ✔✔All
✔✔Lipedema PRIMARILY affects:
Children under six
Elderly of both sexes
Women
Men - ✔✔Women
✔✔Lymphedema caused by malformations (dysplasia) of the lymphatic system is
known as:
Phlebolymphedema
Lipo-lymphedema
Secondary lymphedema
Primary lymphedema - ✔✔Primary lymphedema
✔✔Which of the following statements is true about angiosarcoma?
ANSWERS GRADED A+
✔✔Blood capillary pressure is increased...
in hypoproteinemia and passive hyperemia.
when the pre-capillary arterioles contract.
in severe arterial insufficiency.
when the pre-capillary arterioles dilate. - ✔✔when the pre-capillary arterioles dilate.
✔✔Which of the following statements is TRUE in regard to the original Starling's law of
fluid exchange?
Capillary filtration and reabsorption are in a state of perfect equilibrium.
10% of the capillary filtrate is reabsorbed by the venous end of the capillary.
Capillary filtration and reabsorption are in a state of near equilibrium.
Capillary filtration is the most important process for the nourishment of the tissues. -
✔✔Capillary filtration and reabsorption are in a state of near equilibrium.
✔✔What do active and passive hyperemia and hypoproteinemia have in common?
They all lead to increased lymphatic load.
They all lead to low output failure of the lymphatic system.
They all lead to decreased lymphatic load.
They all lead to reduced transport capacity of the lymphatic system. - ✔✔They all lead
to increased lymphatic load.
✔✔Why should the use of silicone-dotted bands be avoided in UE patients with slender
arms? Because...
the band can cause a tourniquet effect.
donning will be too difficult.
it will make the sleeve too expensive.
the sleeve will be too uncomfortable. - ✔✔the band can cause a tourniquet effect.
✔✔Which of the following garment types offers the most "containment" for
lymphedema?
Cut & sew garments
Ready-to-wear garments
Flat knit garments
Circular knit garments - ✔✔Flat knit garments
✔✔Which of the following is characteristic of lipedema?
Severe ankle pain
Hemosiderin staining
Hyperkeratosis
Pressure-pain and bruising - ✔✔Pressure-pain and bruising
,✔✔What are the effect(s) of MLD?
Stimulate lymph vessel pulsation
Increase lymphatic uptake into lymph capillaries
Stimulate para-sympathetic nervous system
All are true - ✔✔All are true
✔✔What is a specific benefit of physical activity in a breast cancer survivor?
Improved quality of life
Improved fitness
Slowed bone loss
All are true - ✔✔All are true
✔✔Which components make up the structure of a lymph capillary?
Flat endothelial and Langerhans cells
Flat endothelial cells with anchoring filaments
Smooth muscle cells and bicuspid valves
Edged endothelial cells with anchoring filaments - ✔✔Flat endothelial cells with
anchoring filaments
✔✔For which patients is bioimpedance testing most beneficial?
Patients with Stage 0 lymphedema
Patients with Stage 1 lymphedema
Patients with Stage 2 lymphedema
Patients with Stage 3 lymphedema - ✔✔Stage 0
✔✔Which of the following may be signs of malignant lymphedema?
Unexplained pain
Proximal, versus distal, presentation
All are true
Rapid onset and progression of the lymphedema - ✔✔All
✔✔What watersheds (WS) delineate the tributary region for the right inguinal lymph
nodes?
Clavicular and chaps WS
Transverse and median-sagittal WS
Transverse and clavicular WS
Clavicular and spine-of-the-scapula WS - ✔✔Transverse and median sagittal WS
✔✔Class 3, flat-knit custom compression garments are most appropriate for:
Pediatric lymphedema
Patients at risk for lymphedema
Stage 3 lymphedema
Patients with an ABI ≤ .6 - ✔✔Stage 3 lymphedema
, ✔✔Which of the following is NOT part of the three-layer wall of blood and lymphatic
vessels?
Soft collagenous connective tissue
Striped muscle
Smooth muscle
Endothelial cells - ✔✔Striped muscle
✔✔Which of the following statements regarding breast cancer (BrCA) and the
development of lymphedema is true?
BrCA survivors should never enter a strength training program in an attempt to prevent
lymphedema.
All are true.
BrCA patients are encouraged to wear a strong compression garment from Day 1 after
surgery to prevent the development of lymphedema.
BrCA survivors who are obese have a higher risk of developing lymphedema. -
✔✔BrCA survivors who are obese have a higher risk of developing lymphedema.
✔✔What is a sign or symptom of arterial insufficiency?
Pain or ischemic-colored skin
Hemosiderin staining
Strong pedal pulses
ABI of 1.0 - ✔✔Pain or ischemic colored skin
✔✔Which of the following are risk factors for arterial insufficiency?
Diabetes
Smoking
Cardiovascular disease
All are true - ✔✔All
✔✔Lipedema PRIMARILY affects:
Children under six
Elderly of both sexes
Women
Men - ✔✔Women
✔✔Lymphedema caused by malformations (dysplasia) of the lymphatic system is
known as:
Phlebolymphedema
Lipo-lymphedema
Secondary lymphedema
Primary lymphedema - ✔✔Primary lymphedema
✔✔Which of the following statements is true about angiosarcoma?
