MLD Compression Therapy & Bandaging

Question 1

Which layer of a short-stretch multilayer bandage system is applied directly against the patient's skin to protect it from pressure and friction?

Accepted Answer

Stockinette or tubular sleeve

Answer

Short-stretch bandage

Answer

Foam padding layer

Answer

Cohesive bandage

Question 2

What is the primary mechanical effect of short-stretch bandages on the lymphatic system during muscle activity?

Accepted Answer

They create a rigid casing that increases tissue pressure during muscle contraction to enhance lymph propulsion

Answer

They create high resting pressure to push fluid continuously

Answer

They warm the tissue to dilate lymph capillaries

Answer

They reduce arterial inflow to decrease overall fluid load

Question 3

In the context of complete decongestive therapy (CDT), bandaging is typically applied during which phase?

Accepted Answer

Both Phase I and Phase II

Answer

Phase II (maintenance) only

Answer

Phase I (intensive/reductive) only

Answer

Neither phase; bandaging is a separate modality

Question 4

When applying a compression bandage to a lower extremity, the therapist should begin at which anatomical location?

Accepted Answer

The digits or foot (most distal point)

Answer

The popliteal fossa

Answer

The mid-calf

Answer

The inguinal region

Question 5

Which of the following best describes the pressure gradient that should be achieved with a well-applied compression bandage?

Accepted Answer

Higher pressure distally than proximally

Answer

Uniform pressure throughout the limb

Answer

Higher pressure proximally than distally

Answer

Alternating high and low pressure segments

Question 6

A patient with upper extremity lymphedema is being fitted for a compression garment. Which compression class is most commonly prescribed for mild to moderate lymphedema (20–30 mmHg)?

Accepted Answer

Class II (20–30 mmHg)

Answer

Class I (15–20 mmHg)

Answer

Class III (30–40 mmHg)

Answer

Class IV (40–50 mmHg)

Question 7

Which of the following is a contraindication to the application of compression bandaging in a patient with lymphedema?

Accepted Answer

Untreated acute deep vein thrombosis (DVT)

Answer

Pitting edema without skin breakdown

Answer

Mild fibrotic tissue changes

Answer

Skin that is slightly dry or flaky