CLT Contraindications & Precautions for Lymphatic Therapy 2

Question 1

Controlled hypertension in a lymphedema patient is best described as:

Accepted Answer

A relative contraindication/precaution requiring monitoring during treatment

Answer

An absolute contraindication requiring treatment cancellation

Answer

Not clinically relevant to lymphatic therapy planning

Answer

A contraindication only for compression therapy

Question 2

Before applying compression therapy to a diabetic patient's lower extremity, the most important assessment is:

Accepted Answer

Ankle-brachial index (ABI) to assess arterial circulation

Answer

Current blood glucose level

Answer

Lymphoscintigraphy results

Answer

Number of years since diabetes diagnosis

Question 3

MLD over the thyroid gland area should be specifically avoided in patients with:

Accepted Answer

Hyperthyroidism

Answer

Hypothyroidism managed with medication

Answer

Hashimoto's thyroiditis in remission

Answer

History of thyroidectomy

Question 4

A pregnant patient in her second trimester seeks MLD for lower extremity edema. The appropriate clinical response is:

Accepted Answer

Proceed cautiously, avoiding the abdomen and lower back, after physician clearance

Answer

Decline all treatment during pregnancy

Answer

Treat normally following standard protocols without modification

Answer

Use compression garments only and avoid all MLD

Question 5

For a patient with peripheral arterial disease (PAD) and lower limb lymphedema, the key precaution before compression therapy is:

Accepted Answer

Confirming ABI is above 0.8 before applying standard compression

Answer

Ensuring adequate skin hydration before bandaging

Answer

Reducing MLD session duration by half

Answer

Using only short-stretch bandages regardless of ABI findings

Question 6

A patient completed radiation therapy to the axilla 6 months ago and now presents with early lymphedema. The therapist should:

Accepted Answer

Perform CDT with caution, monitoring skin tolerance in the irradiated field

Answer

Refuse treatment as radiation history is an absolute contraindication

Answer

Apply standard full-intensity CDT without modifications

Answer

Treat only with compression and avoid MLD entirely

Question 7

Sunburn on a patient's affected arm is best classified as:

Accepted Answer

A local relative contraindication

Answer

A systemic absolute contraindication

Answer

An absolute contraindication to all CDT components

Answer

Not relevant to lymphatic therapy planning