CLT Cheat Sheet 2026

The 30 highest-yield CLT facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. For a patient with peripheral arterial disease (PAD) and lower limb lymphedema, the key precaution before compression therapy is: → Confirming ABI is above 0.8 before applying standard compression
2. When applying short-stretch bandages to a lower extremity, the foot and ankle should be positioned in how many degrees of dorsiflexion? → 90 degrees (neutral / slight dorsiflexion)
3. During MLD, the therapist's working phase and resting phase should approximate which ratio? → Work 50%, rest 50%
4. According to the International Society of Lymphology (ISL), Stage 0 lymphedema is characterized by: → Latent or subclinical condition with no visible swelling despite impaired transport
5. What distinguishes lymphatic capillaries from blood capillaries? → Lymphatic capillaries have overlapping endothelial cells acting as one-way valves
6. Which breathing technique is incorporated into MLD to assist lymph transport through the thoracic duct? → Deep diaphragmatic (abdominal) breathing
7. During MLD of the upper extremity, which node group is treated first after the neck nodes? → Axillary nodes
8. What is the ethical way to document client information? → Write clear, respectful, and objective notes
9. Why is active listening important in client communication? → It demonstrates respect and understanding
10. Which condition might require modified positioning during pediatric massage? → Cerebral palsy
11. What is the primary function of the lymphatic system in the body? → Returning interstitial fluid to the bloodstream and supporting immune defense
12. Precautionary measures recommended to reduce lymphedema risk after breast cancer treatment include all of the following EXCEPT: → Avoiding air travel entirely for life
13. The ideal compression gradient in multilayer bandaging should be: → Highest distally, decreasing proximally
14. The recommended time to begin post-operative MLD after axillary lymph node dissection is generally: → Within 24–48 hours, as soon as incisions are stable
15. What is the purpose of foam padding used under compression bandages? → To protect bony prominences and soften fibrotic tissue
16. Which of the following is a contraindication to compression bandaging in a lymphedema patient? → Acute cellulitis with systemic infection signs
17. The watershed (or 'dividing line') between anterior trunk lymphotomes runs approximately where? → At the umbilicus horizontally and mid-axillary line vertically
18. What is the estimated normal lymph transport capacity of the lymphatic system per day? → 2–4 liters
19. Which autonomic stimulus increases the intrinsic contraction rate of lymphangions? → Sympathetic stimulation
20. Truncal lymphedema following breast cancer treatment most commonly presents: → On the ipsilateral chest wall, breast, and axillary region
21. MLD over the thyroid gland area should be specifically avoided in patients with: → Hyperthyroidism
22. A therapist observes a red, warm, tender streak extending from the patient's lymphedematous leg toward the groin. The correct action is: → Refer immediately to a physician as this indicates likely lymphangitis
23. The scoop technique in MLD is most commonly applied to which area? → Dorsum of the hand or foot
24. What should you do if a child becomes uncomfortable during a session? → Stop the massage and ask the child how they feel
25. What is the main function of the lymphatic system in pediatric clients? → Immunity and fluid drainage
26. The Stemmer sign is used to assess lymphedema by: → Attempting to pinch a fold of skin at the base of the second toe or finger
27. Which system is primarily responsible for oxygen transport in children? → Circulatory system
28. Axillary web syndrome (cording) is characterized by: → Palpable cord-like structures under the skin causing restricted arm movement
29. How many times is each MLD stroke typically repeated over the same skin area before moving to the next area? → 5–7 times
30. Compression bandaging used for the upper extremity should wrap the arm in what direction? → Distal to proximal, starting at the fingers