CLT Compression Therapy & Bandaging 2

Question 1

Flat-knit compression garments differ from circular-knit garments in what key way relevant to lymphedema patients?

Accepted Answer

Flat-knit has a seam, can be custom-made in any shape, and provides higher stiffness suitable for fibrotic or large limbs

Answer

Flat-knit garments are custom-fabricated with a seam, offer greater stiffness (working pressure), and accommodate irregular limb shapes better than circular-knit products.

Question 2

During compression bandaging of a lower extremity, the toes should be bandaged in what position?

Accepted Answer

Slightly extended and individually wrapped to prevent maceration

Answer

The toes should be gently extended and each toe wrapped separately to include them in the pressure gradient while preventing skin breakdown from moisture between toes.

Question 3

A lymphedema patient who cannot don a compression garment due to strength or dexterity issues may benefit from what device?

Accepted Answer

Donning aids (such as donning frames, slippery socks, or rubber grips)

Answer

Donning aids and frames allow patients with limited hand strength or range of motion to independently apply compression garments, supporting self-care adherence.

Question 4

The compression gradient in a properly applied bandage or garment should be highest where?

Accepted Answer

At the distal end (ankle or wrist) and decrease toward the trunk

Answer

Graduated compression with highest pressure distally drives fluid proximally toward lymph node basins, following the normal direction of lymph flow.

Question 5

Intermittent pneumatic compression (IPC) devices are most appropriately used in lymphedema as what?

Accepted Answer

An adjunct to MLD and compression bandaging to assist with decongestion

Answer

IPC is used as an adjunct to CDT, helping to mobilize fluid during the intensive phase, but it does not replace MLD, which addresses the trunk and node regions IPC cannot reach.

CLT - Certified Lymphatic Therapist Practice Test

CLT - Certified Lymphatic Therapist Practice Test

CLT Compression Therapy & Bandaging 2