final

Question 1

gold standard for lymphedema measurement?

Answer 1

volumetric measurements

Question 2

Unilateral or bilateral

Lymphedema vs lipedema

Answer 2

lymphedema - unilateral

lipedema - bilateral

Question 3

earliest stage of lymphedema for positive stemmer’s sign

Answer 3

stage 2

Question 4

gold standard for lymphedema treatment

Answer 4

CDT complete decongestive therapy

Question 5

2 phases of complete decongestive therapy for lymphedema

Answer 5

1 - active/decongestive phase

2 - maintenance phase

Question 6

what type of bandaging should be used for compression of a limb with lymphedema?

Answer 6

short-stretch

*low resting pressure, high working pressure

Question 7

progression of manual lymphatic drainage

Answer 7

healthy lymph nodes -> proximal + contralateral areas -> ipsilateral and affected areas

Question 8

__________ compression with short stretch compression
bandages is one of the MOST important methods of reducing
edema

Answer 8

multilayered

Question 9

4 Stage System of lymphedema

Answer 9

• Stage 0 – latent
• Stage 1 – spontaneously reversible
• Stage 2 - spontaneously irreversible
• Stage 3 – Lymphostatic elephantiasis

Question 10

weeping edema AKA

Answer 10

lymphorrhea

Question 11

bite of a mosquito that is infected with a parasitic worm, causing lymphedema

Answer 11

filariasis

Question 12

Clinical sign for lymphedema, indicated by the presence of a thickened fold of the skin at the base of the 2nd toe or 2nd finger

Answer 12

stemmer’s sign

Question 13

epidermis thickness

Answer 13

.06-.6mm

Question 14

epidermal layers

Answer 14

come lets get sun burned

corneum lucidum granulosum spinosum basale

Question 15

produce melanin, located in stratum basale

Answer 15

melnocytes

Question 16

mechanoreceptors that detect light touch sensation

Answer 16

merkel cells

Question 17

cells that fight infection by engulfing foreign materials

Answer 17

langerhans

Question 18

secrete histamines that regulate inflammation

Answer 18

mast cells

Question 19

dermis thickness

Answer 19

2-4 mm

Question 20

initial fluid leaking from vessels immediately following an injury…..

After 30 mins, vessels vasodilate and interstitial fluid leaking is now….

Answer 20

transudate

exudate

Question 21

1st cells to arrive during the inflammatory phase

Answer 21

PMNs

Question 22

during inflammatory phase:

direct the repair process =

produce histamine =

Answer 22

macrophages

mast cells

Question 23

proliferation can begin within _____ hours in healthy people

Answer 23

48 hours

Question 24

4 steps in proliferation AGCE

Answer 24

angiogenesis
granulation tissue formation
contraction of wound
epithelialization

Question 25

functioning as smooth muscle and fibroblasts, these are the driving force behind wound contraction

Answer 25

myofibroblasts

Question 26

color of scars still in the maturation and remodeling phase

Answer 26

pink (not the same color as surrounding skin)

Question 27

initial immature type of collagen in scars = mature collagen in scars =

Answer 27

type III type I

Question 28

strength of a wound/scar compared to surrounding tissue

Answer 28

80%

Question 29

length of time for secondary closure | acute vs chronic

Answer 29

acute 14 days | chronic 30 days

Question 30

separation of wound margins

Answer 30

dehiscence

Question 31

good indicator that the wound is responding to management intervetions

Answer 31

20-40% decrease in 2-4 weeks

Question 32

how quickly will wounds dry when exposed to air?

Answer 32

2-3 hours

Question 33

this can facilitate activation of the healing process in a non-healing chronic wound

Answer 33

serial debridement

Question 34

amount of steroids required to impair all phases of wound healing

Answer 34

>30-40 mg

Question 35

amount of steroids required to get Trace jacked

Answer 35

Red light intervention, jackedness limited by cognitive impairment

Question 36

3 types of burns

Answer 36

thermal, chemical, electrical

Question 37

most common burn

Answer 37

thermal

Question 38

most-likely to cause a full-thickness burn

Answer 38

chemical burn

Question 39

``` may result from disruption or damage to the lymphatic system (lymph node removal, trauma, VI, radiation therapy) ```

Answer 39

secondary lymphedema (acquired)

Question 40

is usually the result of congenital malformation or impairment of the Lymphatics

Answer 40

primary lymphedema