CLT Contraindications & Precautions for Lymphatic Therapy 3

Question 1

A patient actively receiving chemotherapy presents for lymphedema management. The primary treatment concern is:

Accepted Answer

Increased infection risk due to chemotherapy-induced immunosuppression

Answer

Chemotherapy degrading compression garment elasticity

Answer

Lymphedema progression accelerated by chemotherapy drugs

Answer

MLD reducing chemotherapy drug effectiveness

Question 2

When treating a patient with a pacemaker, the CLT must:

Accepted Answer

Avoid electrical therapeutic modalities and exercise caution with thorax MLD

Answer

Cancel all lymphatic therapy until the pacemaker is removed

Answer

Use only manual compression without any MLD

Answer

Restrict treatment to distal extremity compression only

Question 3

For a patient with obesity and lower extremity lymphedema, the appropriate clinical approach is to:

Accepted Answer

Adapt MLD technique, bandaging, and garments to the patient's anatomy

Answer

Defer all treatment until BMI reaches a normal range

Answer

Proceed with standard CDT protocols without any modifications

Answer

Restrict treatment to compression garments only

Question 4

Which precaution is recommended when performing MLD in the neck and thorax region on a patient with bronchial asthma?

Accepted Answer

Monitor for respiratory distress and be prepared to modify or stop treatment

Answer

Completely avoid the neck and thorax area in all asthmatic patients

Answer

Apply maximum pressure to clear bronchial lymphatic congestion

Answer

Administer supplemental oxygen during every session

Question 5

A therapist observes a red, warm, tender streak extending from the patient's lymphedematous leg toward the groin. The correct action is:

Accepted Answer

Refer immediately to a physician as this indicates likely lymphangitis

Answer

Apply vigorous MLD to encourage drainage of the infection

Answer

Apply compression bandaging to contain the inflammation

Answer

Proceed with gentle MLD only above the streak

Question 6

The ankle-brachial index (ABI) threshold below which standard compression therapy is generally contraindicated is:

Accepted Answer

Below 0.8

Answer

Below 1.2

Answer

Below 0.9

Answer

Below 0.5

Question 7

When a relative contraindication to CDT is identified, the best clinical course of action is:

Accepted Answer

Modify treatment parameters, obtain physician consultation if needed, and monitor response closely

Answer

Cancel all treatment and refer to a vascular specialist

Answer

Proceed with full standard CDT at normal intensity

Answer

Apply compression only and permanently eliminate MLD