CLT Post-Surgical & Oncology Lymphedema Care 3

Question 1

The National Lymphedema Network (NLN) position statement recommends that patients at risk for lymphedema receive:

Accepted Answer

Education, early detection monitoring, and prophylactic compression during activities

Answer

CDT treatment beginning only after diagnosis

Answer

Diuretics as a first-line preventive measure

Answer

Restriction from all exercise indefinitely

Question 2

Prospective surveillance models for breast cancer-related lymphedema typically use which measurement to detect early subclinical changes?

Accepted Answer

Bioimpedance spectroscopy or sequential circumferential measurements at defined intervals

Answer

Visual inspection of arm size

Answer

MRI lymphography

Answer

Patient self-report of tightness

Question 3

Lymphedema therapy during active chemotherapy requires special consideration because chemotherapy can cause:

Accepted Answer

Peripheral neuropathy, immunosuppression, and tissue fragility affecting treatment safety

Answer

Increased lymph node size making MLD more effective

Answer

Faster response to compression therapy

Answer

Elimination of the need for skin care precautions

Question 4

Exercise guidelines for cancer-related lymphedema have evolved to show that:

Accepted Answer

Progressive resistance exercise is safe and may be beneficial when done with appropriate compression

Answer

All vigorous exercise must be avoided permanently

Answer

Only aquatic exercise is safe for lymphedema patients

Answer

Exercise should be avoided until CDT is complete

Question 5

Surgical interventions for lymphedema such as lymphovenous anastomosis (LVA) are most effective when performed:

Accepted Answer

In early stages before significant fibrosis develops

Answer

In Stage III elephantiasis for maximum benefit

Answer

Only after CDT has failed for more than 5 years

Answer

After radiation therapy has been completed

Question 6

A CLT documenting lymphedema treatment should include all of the following EXCEPT:

Accepted Answer

The therapist's personal clinical opinion of the patient's prognosis

Answer

Limb circumference or volume measurements

Answer

Patient's full oncology treatment history and current medications

Answer

Treatment techniques used and patient response