MLD Compression Therapy & Bandaging 3

Question 1

A flat-knit compression garment differs from a circular-knit garment in which way that makes it preferable for lymphedema management?

Accepted Answer

Flat-knit garments have seams, can be custom-shaped, and provide better pressure distribution for irregular limbs

Answer

Flat-knit garments are thinner and less visible under clothing

Answer

Flat-knit garments are less expensive and more widely available

Answer

Flat-knit garments apply lower compression than circular-knit garments

Question 2

Which of the following bandaging materials is specifically used to protect the skin from friction and as the foundation layer in multilayer lymphedema bandaging?

Accepted Answer

Tubular stockinette or synthetic liner

Answer

Short-stretch cotton bandage (e.g., Comprilan)

Answer

Cohesive bandage (e.g., Coban)

Answer

Foam chip bag

Question 3

Chip bags (small foam chips in a fabric casing) are sometimes used as an additional padding component in lymphedema bandaging. What is their PRIMARY purpose?

Accepted Answer

To soften and break down fibrotic tissue through localized mechanical pressure

Answer

To replace short-stretch bandages in patients who cannot tolerate them

Answer

To increase overall resting pressure on the limb

Answer

To act as an antimicrobial barrier in cases of skin infection

Question 4

When a patient transitions from multilayer bandaging to a compression garment at the start of Phase II, the garment should ideally be measured at which time of day?

Accepted Answer

In the morning after bandaging has been worn overnight when volume is at its minimum

Answer

In the evening after a full day of activity when edema is at its maximum

Answer

At midday when the limb reaches its average daily volume

Answer

Immediately after a manual lymphatic drainage session

Question 5

Which of the following best describes the Laplace principle as it applies to compression bandaging?

Accepted Answer

Pressure is inversely proportional to the radius of curvature and directly proportional to bandage tension

Answer

Pressure is equal to the sum of all bandage layers regardless of limb circumference

Answer

Higher tension always produces lower pressure in larger limbs

Answer

Pressure is only determined by the number of bandage layers applied

Question 6

A patient with bilateral lower extremity lymphedema requires compression garment donning assistance due to arthritis. Which adaptive device is MOST appropriate to recommend?

Accepted Answer

A donning frame or device (e.g., Butler) combined with donning gloves

Answer

A lubricated plastic bag (donning glove) to slide the garment on

Answer

A standard plastic bag placed over the foot as a slip aid

Answer

Petroleum jelly applied liberally to the limb to reduce friction

Question 7

How long is a compression garment typically expected to last before it needs replacement, assuming daily use and proper care?

Accepted Answer

4–6 months

Answer

1–2 weeks

Answer

1–3 months

Answer

12–18 months