CLT treatment EXAM QUESTIONS AND

CLT – treatment EXAM QUESTIONS AND ANSWERS 100% SOLVED (Newest 2025) reflux as shown by lymphatic cysts/fistulas - Correct Answers ✅cover with sterile gauze do not work on or around them use padding (i.e. donut or U-shaped) to avoid direct contact with bandages

• Cover with sterile gauze during MLD for visual reminder to

stay away

• Apply local antibiotics around the fistulas
• Do NOT manually work on or around the cysts
• Pad cysts with soft foam material (donut or U-shaped

padding) to avoid direct contact with the bandage materials

• Opening of U foam in direction of intended lymph flow

Hyperkeratosis (papillomas, deepened skin folds) - Correct Answers ✅(sign of stage 3 lymphedema) softening of keratin removing thickened skin via topical creams with salicylic acid (i.e. Vaseline) 1 / 4

CLT – treatment EXAM QUESTIONS AND ANSWERS 100% SOLVED (Newest 2025) good skin care hygiene OTC meds if limb = decongested, then sx compression- will usually recede papillomas

• AVOID surgical excision
• Compression with closed cell foam (Komprex) and short-

stretch materials

• Manual tissue manipulation (skin rolling, focused distal

pressure)

• Lotions (Amlactin)
• Meticulous hygiene (keep dry + clean) ID tissue erosion

early lymphatic cysts/varicosities - Correct Answers ✅- Apply sterile, highly absorbent dressing over cysts prior to mechanical stressors (bandages, garments, MLD, exercise)

• Assess pt risk of infection (hx, level of concern) ID antibiotic

of choice + attain full prescription as a precaution

• Edu on signs/sx of Cellulitis
• Most should shrink as area decongests
• If chylous à consider imaging to ID if surgery reqd

children - Correct Answers ✅EDU: 2 / 4

CLT – treatment EXAM QUESTIONS AND ANSWERS 100% SOLVED (Newest 2025) treat parent FIRST, argue against high risk procedures single-handed techniques ONLY pump and stationary circles ONLY FIRST do technique, THEN teach it - never teach it first

COMPRESSION:

custom-made, replaced 2-3 months, softer reduce from 6cm to 4cm short-stretch rolls Velfoam - fleece-lined foam padding material NO abd techniques compression <1 y/o toe wraps

• NO elastic bandages!!!!! (need standard short-stretch

bandaging)

• MLD always
• 20min sessions, 2-3x/day
• CCl 1 compression class always
• Compression materials (1 year and OLDER)
• Downsize (4-cm short-stretch rolls) 3 / 4

CLT – treatment EXAM QUESTIONS AND ANSWERS 100% SOLVED (Newest 2025)

• Protect skin (Velfoam)
• Omit the toes - no toe wraps!
• Apply synthetic cotton BEFORE stockinette
• May not be possible in infants, depends on

age/size/development situation, careful application (no feedback!), must not interfere with growth, toddle, or walk

• Bandages may need to be renewed several times/day
• Parent education and training
• Basic MLD and bandaging skills
• At least 1x/day
• Best time = when child sleeping
• Soft stationary circles + pump techniques = most

appropriate, techniques do depend on age and size of child

• NO abdominal techniques
• CDT early as possible
• Modify duration of individual tx sessions (esp children

<3y/o)

• Child won't stay still for entire session - parents should bring

distractions, movies, etc

• Generally slower tx progress

children: birth-first steps - Correct Answers ✅o MLD always

• Train on direction=proximal, working/resting, never neglect

fingers/toes

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