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

Controlled hypertension is a relative contraindication; lymphatic therapy can proceed with blood pressure monitoring and appropriate precautions.

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

ABI assessment is critical in diabetic patients to rule out peripheral arterial disease before compression, which could worsen arterial insufficiency.

Question 3

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

Accepted Answer

Hyperthyroidism

Answer

MLD over the thyroid in hyperthyroidism may further stimulate the gland, potentially worsening thyrotoxicosis.

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

MLD during pregnancy can be performed with caution while avoiding the abdomen and lower back, following physician consultation and clearance.

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

ABI must be above 0.8 before applying standard compression, as lower values indicate significant arterial compromise that compression could worsen.

CLT - Certified Lymphatic Therapist Practice Test

CLT - Certified Lymphatic Therapist Practice Test

CLT Contraindications & Precautions for Lymphatic Therapy 2