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Lymph Lana study prep// ATI PN COMPREHENSIVE EXIT EXAM RETAKE WITH NGN QUESTIONS (ACTUAL EXAM) A 40-year-old female presents with symmetrical, pitting edema that is greater distally than proximally. The edema has progressed over the last 10 yea€17,67
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Lymph Lana study prep// ATI PN COMPREHENSIVE EXIT EXAM RETAKE WITH NGN QUESTIONS (ACTUAL EXAM) A 40-year-old female presents with symmetrical, pitting edema that is greater distally than proximally. The edema has progressed over the last 10 yea
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Lymph Lana Study Prep// ATI PN COMPREHENSIVE EXIT
Lymph Lana study prep// ATI PN
COMPREHENSIVE EXIT EXAM RETAKE
WITH NGN QUESTIONS (ACTUAL EXAM)
A 40-year-old female presents with symmetrical, pitting edema
that is greater distally than proximally. The edema has progressed
over the last 10 years. The patient had a non cancer-related
hystere...
Lymph Lana study prep// ATI PN
COMPREHENSIVE EXIT EXAM RETAKE 2023- 2024
WITH NGN QUESTIONS (ACTUAL EXAM)
A 40-year-old female presents with symmetrical, pitting edema
that is greater distally than proximally. The edema has progressed
over the last 10 years. The patient had a non cancer-related
hysterectomy (no lymph nodes were removed) which coincided
with the onset of her edema. Her BMI was 39 at the onset of the
edema and is currently 56. Her mobility is vastly limited; it is
especially difficult for her to get in and out of her car. Your MLD
sequence should include short neck, abdominal sequence, and
which of the following?
Bilateral axillary nodes only, then bilateral inguinal-axillary
anastomoses.
Bilateral inguinal lymph nodes, but no anastomoses work to the
axilla.
Bilateral axillo-inguinal anastomosis and inter-inguinal
anastomoses.
, Bilateral inguinal and axillary nodes and bilateral inguinal-axillary
anastomoses. - ✔✔ANSWER✔✔>>Bilateral inguinal and axillary
nodes and bilateral inguinal-axillary anastomoses.
A 46-year-old female was referred for home care for evaluation
and treatment. Assessment reveals bilateral lower-extremity
edema. The left lower leg > right lower leg and is mildly pitting.
The thighs are symmetrical with soft tissue-texture. Both feet
show a mild degree of pitting edema. The patient is 5'4" with a
BMI of 46. The patient states that her legs have always been
bigger since puberty but the left lower leg became even larger
over the last two years. A brownish discoloration is evident
anteriorly on both lower legs, left > right. The patient complains of
heaviness and decreased mobility. Which of the following best
describes this patient's condition?
Lipedema
Primary lymphedema
Chronic venous insufficiency
Multi-factorial lymphedema - ✔✔ANSWER✔✔>>Multifactorial
lymphedema
What is lipodermatosclerosis?
Skin condition found in early stage lipedema
End stage of lipedema
Skin and subcutaneous tissue inflammation and induration from
chronic congestion
Skin and subcutaneous tissue alteration caused by radiation
therapy - ✔✔ANSWER✔✔>>Skin and subcutaneous tissue
inflammation and induration from chronic congestion
What is the average contraction rate of lymph vessels?
1-5x per minute
6-10x per minute
25x per minute
,More than 25x per minute - ✔✔ANSWER✔✔>>6-10x/min
What is the main component of a short-stretch bandage?
Spandex
Nylon
Cotton
Latex - ✔✔ANSWER✔✔>>Cotton
What is the main function of the lymphatic system?
Transport proteins through the blood capillaries
Return blood from the interstitium to the systemic circulation
Transport blood from the heart to the tissues
Remove proteins from the interstitium -
✔✔ANSWER✔✔>>Remove proteins from the interstitium
What is the purpose of the bicuspid valves in the lymphatic
collectors?
To prevent the collector from dilating
To increase propulsion
To prevent lymphatic leakage
To prevent retrograde flow - ✔✔ANSWER✔✔>>To prevent
retrograde flow
What is the reason for using padding materials in lymphedema
bandaging?
Keep the patient limb(s) warm
Saves on the number of short-stretch bandages needed
Applies extra compression over sensitive areas
Protects the skin from injury - ✔✔ANSWER✔✔>>Protects skin
from injury
What is the recommended waiting time for abdominal MLD after a
TRAM flap?
1 month
, 3-6 months
6-9 months
More than 12 months - ✔✔ANSWER✔✔>>3-6mo
What is the safety factor (safety valve function) of the lymphatic
system?
Increased transport capacity in response to increased lymphatic
load
Increased lymph time volume in response to increased lymphatic
load
Decreased lymphatic transport
Decreased transport capacity due to insufficiency of the
lymphatic system - ✔✔ANSWER✔✔>>Increased LTV in
response to increased LL
What is the term used to describe reduced lymphatic transport
capacity with normal lymphatic load?
Cardiac edema
High output failure
Low output failure
Nephrotic edema - ✔✔ANSWER✔✔>>Low output failure
What is the tributary region of the left axillary lymph nodes?
Left upper extremity, left upper quadrant, left mammary gland
Left lower extremity, left external genitals, left buttock and
abdominal quadrant
Left and right upper quadrants, both upper extremities
Left side of the face, head, and neck, left mammary gland, left
upper extremity - ✔✔ANSWER✔✔>>Left upper extremity, left
upper quadrant, left mammary gland
What kind of electrical current is used in bioimpedance?
Low frequency
Very high frequency
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