CLT Differential Diagnosis of Edema (Lipedema, Phlebolymphedema & Other Edemas) 5

Question 1

A positive Stemmer sign is defined as what?

Accepted Answer

Inability to pinch and lift the skin fold at the base of the second toe or finger

Answer

Inability to lift the dorsal skin fold indicates lymphedema-related thickening.

Question 2

Which foot change is typical of lymphedema but not of lipedema?

Accepted Answer

Squared toes and a dorsal 'buffalo hump'

Answer

Lymphedema involves the foot, producing squared toes and dorsal swelling.

Question 3

In ISL staging, which stage has pitting that does not fully reduce with elevation and begins to show fibrosis?

Accepted Answer

Stage II

Answer

Stage II shows spontaneously irreversible swelling with tissue fibrosis.

Question 4

Lymphostatic elephantiasis with acanthosis, papillomas and trophic skin changes corresponds to which ISL stage?

Accepted Answer

Stage III

Answer

Stage III is the most severe, with elephantiasis and skin changes.

Question 5

Which imaging test is commonly used to assess lymphatic function directly?

Accepted Answer

Lymphoscintigraphy or ICG lymphography

Answer

Lymphoscintigraphy and ICG lymphography visualize lymph flow and transport.

CLT - Certified Lymphatic Therapist Practice Test