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These 10 free Lymphedema Technician Certification questions are organized by exam domain, so you can see how each part of the Lymphedema Technician Certification blueprint is tested. Reveal the answer and explanation under each question.
Six months after axillary node surgery, a woman says, 'My arm looks normal, but it feels heavy and my rings are tighter by evening.' Shoulder movement has returned to baseline. There is no acute pain, redness or fever. What should happen at this visit?
Correct answer: C - Compare with pretreatment measurements and arrange assessment of the new symptoms.
A leg previously assessed as International Society of Lymphology stage II remains enlarged despite elevation. Over the past year, the tissue has become firmer and less pitting, while limb volume has changed little. There are no advanced overlying skin changes. How should the change in texture be interpreted?
Correct answer: A - Fibrosis and fat deposition can reduce pitting while the limb remains in stage II.
For years, a woman has had bilateral tender leg enlargement, easy bruising, and ankle cuffs with spared feet. Six months after right inguinal node dissection for cancer, she develops gradual, persistent pitting swelling extending onto the right foot. Which explanation best accounts for both phases of her presentation?
Correct answer: A - Lipedema with superimposed secondary lymphedema of the right leg
A reusable measuring tape has been cleaned and wiped with a compatible disinfectant. The product label requires two minutes of wet contact, but the tape dries after 20 seconds. Before measuring the next patient, the technician should:
Correct answer: B - Reapply disinfectant and keep the tape wet for the full two minutes.
Repeated ankle movement helps propel lymph through the calf muscle pump. Collecting lymphatic vessels also generate an intrinsic pumping force. What produces that intrinsic force?
Correct answer: D - Smooth-muscle contraction within the lymphatic collectors
After intensive decongestive treatment, limb measurements have stabilized, the prescribed garment fits, and a patient can perform her exercises and skin care independently. She asks, 'Now that the swelling is down, what does the next phase involve?'
Correct answer: B - Maintain the reduction with fitted compression, exercise, skin care and planned follow-up.
At reassessment for arm lymphedema, a patient uses the Patient-Specific Functional Scale, where 0 means unable to perform an activity and 10 means able at the prior level. Initial scores were washing hair 2, putting on a coat 4, and reaching a shelf 3. At follow-up, the same activities score 5, 4 and 6. Gardening is added for the first time and scores 1. The summary score is the mean of the rated activities. Which entry preserves a valid comparison with the initial assessment?
Correct answer: B - The original activities average 5 rather than 3; gardening has a separate starting score of 1.
During reduction therapy, a calf becomes smaller and yesterday's short-stretch wrap begins to slip. The treatment note says, 'Smaller circumference means higher pressure, so this wrap is now providing more compression.' Which correction is needed?
Correct answer: C - Tension also affects pressure; a wrap that has loosened may have lost tension.
Persistent left chest-wall fullness develops after left axillary node surgery and radiotherapy. Both arms have similar measured volumes. A referral note states that the arm measurements exclude a lymphatic explanation for the chest symptoms. Which statement should replace that conclusion?
Correct answer: A - Axillary treatment can impair drainage from the chest wall without measurable arm enlargement.
Pregnancy is making it harder for a woman with primary leg lymphedema to put on her compression garments. Her obstetric and lymphedema teams have approved continued daily compression. The garments are prescribed for daytime use and remain comfortable once applied. Symptoms are otherwise stable. Which practical change best addresses the problem?
Correct answer: D - Arrange help with application and review garment fit as her body shape changes.
The Lymphedema Technician Certification exam also covers these domains. Drill them in the full free practice test:
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