Written Exam

1. Question

1 point(s)

How long should kinesiotape stay on before removing?

2-3 days
8-10 hours
6-7 days
2-3 weeks

2. Question

1 point(s)

Your patient reports that his/her arm aches for about 30 minutes following exercise. Which of the following is the BEST instruction to the patient? Select all that apply.

Decrease the number of repetitions
Decrease rest time between repetitions
Decrease the amount of rest time between sets
Decrease the amount of rest time between sets

3. Question

2 point(s)

Which of the following statements BEST describe Medium Chain Triglycerides (MCT) potential benefit to the body?

From coconut and palm kernel oils, travel to the liver and can be used as an energy source, and not increase lymph production
From coconut oils only, travel to the the liver, used as energy, and help increase lymph production
Slowly break down in the liver, and slowly absorbed by the body, increasing lymph production
MCT's that have a stronger odor or taste are better for the body and should be started at 2 tsp / day

4. Question

1 point(s)

What is the maximum compression pump pressure for all body sites?

60 mm Hg
20 mm Hg
30 mm Hg
100 mm Hg

5. Question

1 point(s)

Which of the following characteristics is NOT associated with Short Stretch Bandages?

High resting pressure
Allows for about 20-40% extensibility of original length
Pressure reduces by 50% 2 hours after application
Applied at higher tension

6. Question

2 point(s)

Which of the following statements is TRUE regarding Laplace’s Law?

Ankles that have less radius than the thigh should receive more pressure with compression bandages
Ankles that have more radius than the thigh should receive less pressure with compression bandages
Ankles that have the same radius as the thigh should receive more pressure with compression bandages
Ankles that have less radius than the thigh should receive less pressure with compression bandages

7. Question

2 point(s)

Stage ___ of lymphedema is marked by skin alterations, skin folds, and recurrent cellulitis.

3
4
2
1

8. Question

1 point(s)

Lymph from which of the following parts of the body enters into the systemic circulation through the thoracic duct?

Bilateral lower extremities
Bilateral upper extremities
Bilateral sides of the head and neck
Right arm, right anterior and right posterior thorax

9. Question

1 point(s)

How is lymphatic filariasis transmitted to humans?

Mosquitos that bite while carrying larvae
Hereditary through familial genetics
Medical procedures with non-sterilized equipment
Unfiltered drinking water

10. Question

1 point(s)

A home exercise program should increase all of the following, EXCEPT:

Muscle wasting
Uptake by lymphatics
Endurance
Balance and safety

11. Question

1 point(s)

Each of the following describe a flat knit compression garment EXCEPT?

Poor containment of edema and uncomfortable
Custom made and have seams throughout
Thicker and denser fabric, some stretch
More expensive

12. Question

1 point(s)

Which area of the human body contains the highest concentration of lymph nodes?

Abdomen (intestines) and the head and neck
Popliteal and axillary regions
Thoracic and mammary region
The inguinal region

13. Question

2 point(s)

Which imaging device is commonly utilized to identify the first, or sentinel, lymph node that receives drainage from a tumor?

Lymphoscintigraphy (LAS)
SPECT – CT
Fluorescent Imaging
Ultrasound

14. Question

1 point(s)

Which MLD stroke is BEST on large surfaces, such as the back, and involves flat hands on the skin that push, deviate at the wrist, and release?

Rotary
Pump
Scoop
Stationary circles

15. Question

1 point(s)

Which MLD technique was called “lymph drainage massage,” and it’s creators had schools in Germany and Austria beginning in the late 1960’s?

Vodder
Földi
Leduc
Casley-Smith

16. Question

1 point(s)

Which of the following actions, BEST describes the benefits of edema following an injury?

Transporting white blood cells to the swollen area to fight infection
Transporting hemoglobin to the swollen area to fight infection
Transporting fewer white blood cells to the swollen area to increase infection
Transporting fewer protein to the swollen area to increase infection

17. Question

1 point(s)

Which of the following BEST describes the function of lymphatic vessels?

a system that carries lymph through lymphatic arteries, lymphatic capillaries, and lymphatic veins
a system that collects fluid from arteries and veins and takes it into lymphatic arteries to be pumped back to the blood circulation
a system that pumps lymph through lymphatic ventricles to the lymphatic capillaries and through lymph veins back to the atria
a one-way system of vessels that transports lymph from lymphatic capillaries back into the bloodstream.

18. Question

1 point(s)

Which of the following components is more closely related to the Resting Phase of MLD?

Lymph vessels absorb tissue fluid from interstitial spaces
Moves lymph fluid in appropriate direction
Pressure may be increased with fibrotic tissue
Repeat stationary or dynamic pattern 5-7x in same area

19. Question

1 point(s)

Which of the following is contraindicated for compression therapy?

Cardiac edema
Diabetes
Partial paralysis
Hypertension

20. Question

2 point(s)

Which component of the lymphatic system filters harmful material, produces antigen-stimulated lymphocytes, and regulates the concentration of protein in lymph?

Lymph nodes
Thymus
Spleen
Peyer's patches

21. Question

2 point(s)

What is the primary cause of lymphedema worldwide?

Lymphatic filariasis
Breast cancer
Milroy's disease
Lymphedema tarda

22. Question

1 point(s)

What is the ultimate goal of Phase II of Complete Decongestive Therapy (CDT)?

Preserve the results of Phase I
Move away from MLD and compression, to more exercise and skin care
Finding the perfect compression garment for home use
Allow the patient to be independent in his/her lymphedema management

23. Question

2 point(s)

All of the following actions would help balance meals EXCEPT:

Meals should have more proteins, than vegetable-based fats or carbohydrates
Diet should avoid low blood sugar levels, or cravings
Balancing meals and snacks so blood sugar rise is slower
Adding edamame beans as a snack between meals

24. Question

1 point(s)

All of the following characteristics are shared by the lymphatic and circulatory systems EXCEPT:

They contain valves that assist in the directional flow
They are both closed, circular systems
Both are surrounded by smooth muscle and assisted by skeletal muscle contractions
Both can be obstructed by fluid relevant to its protein content

25. Question

2 point(s)

Which of the following BMI scores would be considered normal weight?

20 kg/m2
15 kg/m2
30 kg/m2
10 kg/m2

26. Question

2 point(s)

Which of the following diagnoses is characterized by a calf muscles that are swollen, warm, and painful with movement or pressure?

Deep vein thrombosis (DVT)
Pulmonary embolism
Venous stasis ulcer
Superficial thrombophlebitis

27. Question

1 point(s)

Which of the following descriptions BEST describes Stage 1 of Lymphedema?

Reversible, pitting usually occurs, and may reduce easily overnight
Skin alterations and skin folds, cellulitis is recurrent
Scar tissue formation, fibrosis forms, increased infection risk
Considered "at risk" for lymphedema, subclinical stage

28. Question

1 point(s)

Which diagnosis has led to the most cases of secondary lymphedema in developed countries?

Breast cancer
Congestive heart failure
Paralysis
Renal failure

29. Question

2 point(s)

Which of the following signs is NOT associated with an infection?

cool, dry skin
redness
rash
pain

30. Question

1 point(s)

Which of the following sequences BEST describe the direction of lymph flow through the lymphatic system?

capillaries, vessels, nodes, trunks, ducts
nodes, ducts, vessels, trunks, capillaries
trunks, nodes, capillaries, vessels, ducts
capillaries, trunks, vessels, ducts, nodes

31. Question

2 point(s)

Which of the following is the major lymphoid organ that “trains” T lymphocytes to become immunocompetent?

Thymus
Tonsils
Peyer's patches
Spleen

32. Question

2 point(s)

Which of the following activities will increase the flow of lymph in the lymphatic system?

Elevated cardiovascular capillary pressure
Increased plasma colloid osmotic pressure
Decreased interstitial fluid colloid osmotic pressure
Decreased cardiovascular capillary permeability

33. Question

2 point(s)

Which of the following should NOT be included in a skin care program?

Apply moisturizers to any open areas
Using skin barriers or pads for incontinence
Avoid wearing tight clothing and/or jewelry
Perform frequent washing with soap and water

34. Question

1 point(s)

Which of the following items are both a precaution and a contraindication for MLD depending on the location?

Pregnancy
Bronchial asthma
Cardiac edema
Acute bronchitis

35. Question

2 point(s)

All of the following foods should be avoided by patients with lymphedema EXCEPT:

Avocados
Soy
Conventionally raised meat
Processed foods

36. Question

1 point(s)

Which of the following would be the MOST effective for lymphedema kinesiotaping?

Rubbing tape for 10 seconds to activate adhesive
Placing body part affected in a stretched position
Positioning the tentacles first
Avoiding any overlapping of strips

37. Question

2 point(s)

In America’s Model, what were the suggested parameters for IPC?

2x /day or as directed, 1x /day in evenings
1x/day, 3 days a week
5x /day, 5 days a week
1x in the morning, 7 days a week

38. Question

1 point(s)

Which CPT code would be the MOST appropriate for MLD?

97140: Manual therapy techniques
97110: Therapeutic exercise
97139: Unlisted therapeutic procedure
97530: Therapeutic activities

39. Question

1 point(s)

Which part of the kinesiotape assists in drawing the fluid out of a congested area?

Anchor
Tentacle

40. Question

1 point(s)

Which part of the kinesiotape is always applied without tension?

Anchor
Tentacle

41. Question

1 point(s)

Which part of the kinesiotape is used as the base to apply the tape?

Anchor
Tentacle

42. Question

1 point(s)

Which part of the kinesiotape is cut and stretched?

Anchor
Tentacle

43. Question

1 point(s)

The solid, unspliced end of the of the kinesiotape is the:

Anchor
Tentacle

44. Question

2 point(s)

Which of the following is TRUE about the Patient Information Booklet? Check all that apply.

The booklet should be reviewed with the patient upon initial assessment
The booklet is for the clinician to take home
The booklet is a resource for the patient to keep at home
The booklet should be signed by the patient at the initial evaluation.
The patient acknowledgment sheet should be uploaded to Pariox after initial evaluation

45. Question

1 point(s)

How many standard points are to be measured when you calculate total volume?

2
4
5
6

46. Question

1 point(s)

What does a girth measurement tool measure?

Range of motion
Skin texture improvements
True and accurate increases and reductions in fluid
Balance ability

47. Question

1 point(s)

Lymphedema goals for patients should be established around and address which of the following?

To reduce total extremity volume
To improve skin texture
To promote independence with skin care to reduce the risk of infection
To facilitate independence with self-management
All of the above

48. Question

1 point(s)

If you are working with Axiom directly and have a non-compliant patient who refuses to participate in their exercises or treatment plans, what is the proper protocol?

Call the clinical supervisor to report non-compliance and discuss circumstances and best options to continue care and to prevent the patient from being admitted to the emergency room or hospital.
Wait till after three treatments and document the lack of improvements before notifying anyone.

49. Question

2 point(s)

True or False: It is the responsibility of the Supervising therapist to call HHA and confirm the delivery of wound care supplies during the initial assessment.

True
False

Written Exam

Written Exam

Quiz Summary

Information

Results

Results

Categories

1. Question

2. Question

Hint

3. Question

4. Question

5. Question

6. Question

7. Question

Hint

8. Question

9. Question

10. Question

11. Question

12. Question

13. Question

Hint

14. Question

15. Question

16. Question

17. Question

Hint

18. Question

19. Question

20. Question

21. Question

22. Question

23. Question

24. Question

25. Question

26. Question

27. Question

28. Question

29. Question

30. Question

31. Question

Hint

32. Question

33. Question

34. Question

Hint

35. Question

36. Question

37. Question

38. Question

39. Question

40. Question

41. Question

42. Question

43. Question

44. Question

45. Question

46. Question

47. Question

48. Question

49. Question