CLT-LANA Questions with 100% Verified Correct Answers Stage 0 CVI - Correct Answer No symptoms, norm protein Stage I cvi - Correct Answer Mild edema, normal protein, norm lymph vessels, phlebolymphodynamic insufficiency Stage 2 cvi - Correct Answer Mod symptoms ( pigmentation, viscosity, pain), high protein, vessels morphologically changed, TC reduced, phlebolymphostatic insufficiency Stage 3 cvi - Correct Answer Severe symptoms( hypoxia, necrosis, pain), very high protein load, lymph vessels morphologically change, TC reduced, severe phlebolymphostatic insufficiency Treatment stage 0 cvi - Correct Answer Compression therapy, elevation, exercise Treatment stage 1 cvi - Correct Answer Compression therapy, elevation, exercise Treatment stage 2 cvi - Correct Answer CDT Treatment stage 3 cvi - Correct Answer CDT and wound care Ambulatory venous hypertension - Correct Answer Failure of venous valves such that blood flow bidirectional resulting in increased pressure to the capillaries What happens with low flow states in blood capillaries to leukocytes - Correct Answer They become trapped and release proteolytic enzymes and oxygen free radicals which damage capillary basement membranes What happens to plasma proteins with low flow states in blood capillaries - Correct Answer Plasma proteins leak into leak into the surrounding tissue creating a fibrin cuff, edema, and hypoxia 1 / 2
What causes reddish brown skin associated with edema/ lymphedema - Correct Answer High intracApillary pressure stretches endothelial cells away from each other and eurythrocytes leave the blood capillaries staining skin with hemosiderin deposits Does ambulatory venous hypertension cause an increase or decrease in net filtration - Correct Answer Increase What causes mechanical insufficiency in cvi - Correct Answer Fibrin leakage into the tissue as well as an inflammatory reaction overall increase in protein and water load What is not considered with staging lymphedema - Correct Answer Limb volume Mild lymphedema severity volume increase - Correct Answer <20% Moderate lymphedema severity volume increase - Correct Answer 20-40% Severe lymphedema severity increase - Correct Answer >40% Where do DVT form - Correct Answer Sub fascial veins What is the most common ulceration and where do they form - Correct Answer Venous stasis and they form in the distal 1/3 of the leg usually around the malleoli vascular venous wounds - Correct Answer Shallow, irregular, on anterior/ medial leg with peri wound with hemosiderin staining,scaly, weepy, warm skin Arterial wound - Correct Answer Round, deep, necrotic, or pale base found on lateral leg/ foot and tips of toes. The peri wound may include tissue pallor, dry, scaly skin, cool to the touch Mixed inflammatory vasculitis - Correct Answer Small, dark base found anywhere, raised, palpable purpuri
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