Which of the following is a cord-like protein that helps to waterproof the skin?
C. Keratin
Which receptor is responsible for detecting light touch?
C. Meissner's corpuscles
Which is the receptor responsible for detecting deep pressure?
D. Pacinian corpuscles
What is an endangerment site on the posterior knee?
D. Common Peroneal Nerve
On which neck muscle do you use extra caution in massaging due to its close proximity to the carotid artery?
D. Sternocleidomastoid
Which muscle is located directly interior to the scapular spine?
B. Infraspinatus
In an injury to the acromioclavicular joint, which end of the clavicle is involved?
D. Lateral
If a client is experiencing pain in the inguinal region, which joint is most likely affected?
A. Hip
Which muscle group resists knee flexion?
C. Quadriceps
The kidneys lie in a retroperitoneal postion. What does that mean?
C. Behind the abdominal peritoneum
During exhalation, the diaphragm does what?
C. Ascends
What is an instantaneous, involuntary response to a stimulus, either inside or outside the body?
C. Reflex
Which lower leg muscle is responsible for dorsiflexion?
A. Tibialis Anterior
For a skeletal muscle to contract, what must happen first?
C. Nerve must stimulate a nerve
Of the following conditons, which one is NOT contagious?
B. Psoriasis
One of the most lethal types of Skin Cancer is
B. Malignant Melanoma
A Hinge joint is capable of making which of the following movements?
D. Flexion & Extension
Which joint moves in only one plane?
C. Pivot
What position shortens the muscles of the anterior neck?
C. Flexion
Muscles that can entrap the brachial nerve plexus are the:
A. Scalene & Pectoralis Minor
Which receptor measures the amount of tension produced at the musculotendinous junction and inhibits contraction.
B. Golgi Tendon Organs
Which of the following is NOT a member of the Hamstrings?
D. Rectus Femoris
Which muscle extends the elbow?
D. Triceps Brachii
Which hamstring muscle attaches to the Fibula?
B. Biceps Femoris
Which system's primary function is to support the nervous system in its regulation of bodily functions?
C. Endocrine
Pyloric sphincter allows transport of what substance?
D. Chyme
A client rotating his head is an example of which of the following?
C. Active Range of Motion
Which muscles are most likely involved in TMJ disorder?
B. Masseter, Pterygoid, Temporalis
Which are the cardinal signs of Inflammation?
B. Pain, Swelling, Redness, Heat
What heart chamber pumps blood to the lungs?
B. Right Ventricle
When massaging the Sartorius and Adductor Longus, the therapist needs to be careful of what structure?
A. Femoral Artery
What massage considerations are best utilized for a terminally ill client?
C. Shorter treatments more frequently
When you have a lateral sprain of the foot, what position was the foot in when injured?
C. Eversion
What is the universal sign of an obstructed airway?
D. Hands over the throat
Which muscle Inserts on the Olecranon process?
C. Triceps Brachii
What is an appropriate response if a client has an emotional release during treatment?
C. Stop massaging, remain in the room, be supportive, obtain permission to continue.
Circular effleurage applied on the abdomen in clockwise movments is helpful in what conditon?
B. Constipation
What is an example of a saddle joint?
B. Carpometacarpal of the Thumb
A client approaches you at a social function and asks about one of your client's progress with treatments. This conflicts directly with which code of ethics principle?
D. Confidentiality
During a technique requiring direct sustained pressure, the client complains of pain. What is the best approach?
A. Lighten pressure, ask client to qualify the pain level, work within his or her tolerance
Why should you avoid scented massage lubricants?
B. Clients may have allergies or scent sensitivities
Which should a therapist avoid when choosing a massage lubricant?
A. Mineral oil-based lubricants
If a client has pain in the acromial region, which joint is most likely invovled?
C. Shoulder
Movment toward the midline is known as which of the following?
C. Adduction
What affect does heat have on the body's Fascia?
D. Softens and Distends
If you come across an unconscious adult, what should you do first?
A. Try to rouse the person to consciousness
What percentage of income from bartered services is reportable to the Internal Revenue Services?
C. 100%
APIE and SOAP are examples of what?
B. Client record keeping
Which muscles are parts of the rotator cuff?
A. Teres Minor, Subscapularis, Supraspinatus, Infraspinatus
A therapist circumducting a client's shoulder is an example of which of the following?
C. Passive range of motion
A muscle is inhibited by contraction of its antagonist; this is an example of which of the following?
B. Passive range of motion
What is the Antagonist to the Pectoralis Major?
A. Latissimus Dorsi
What is the Antagonist to the Rhomboids?
D. Serratus Anterior
What is the Synergist to the Biceps Femoris?
A. Peroneus Longus
When calling Emergency Medical Service (EMS-911), always give them what two items of information?
C. Location and condition of the victim
If a client to fill out the intake form, what action should be taken?
B. Request that the intake is done verbally
To reduce physical strain when performing massage, the therapist should keep his or her knees slightly-
C. Flexed
A client's records can be released under these circumstances, EXCEPT by:
D. Signed medical release form by client's spouse or family member
During the intake, if your client states he or she is constipated, what is an appropriate treatment modification?
B. Clockwise effleurage of the abdomen
Crepitus can be detected by what means?
D. Listening
Crepitus-is a medical term to describe the grating, crackling or popping sounds and sensations experienced under the skin and joints.
If you suspect that a client is intoxicated, what are appropriate treatment modifications?
D. Use lighter pressure than you ordinarily would
Which of the following is lymph derived?
C. Interstitial Fluid
The functions of the nasal cavity include all of the following EXCEPT?
C. Air Diffusion
Which structure lies between the stomach and the small instestines?
D. Pyloric sphincter
What muscle is synergist to the Iliopsoas?
C. Rectus Femoris
When working the Insertion of Psoas Major, on what structure should the therapist avoid applying direct pressure?
A. Femoral Artery
Body balance and voluntary muscle movement are controlled by which part of the brain?
B. Cerebellum
Which muscle spans two joints?
A. Gastrocnemius
Contraction of which muscle causes your knee to bend?
B. Biceps Femoris
You notice that a client has skin pallor. What does that mean?
A. Lack of Color
Contraction of which muscle causes your toes to point downward?
B. Soleus
Which muscle spans only one joint?
D. Coracobrachialis
Skeletal muscle movement occurs with which type of contraction?
D. Isotonic
What are the attachments of the Socratuberous Ligament?
A. Sacrum to the Ischial Tuberosity
Contraction of which muscle causes you to straighten your arm?
B. Triceps Brachii
Hypoxia refers to:
D. Lack of Oxygen
While examining a client and recording intake notes, which would be considered objective data?
A. Elevated high right shoulder
What syndrome is characterized by cycles of vasospasm in blood vessels, typically in the most distal points of the body such as the fingers and toes?
A. Raynaud's Syndrome
What is a synonym for vascular headaches?
C. Migraine Headaches
Which of the following conditions is frequently caused by constriction of coronary arteries and lack of oxygen to the heart muscle and is ofter felt as chest pain?
B. Angina Pectoris
Which of the following is a weakness in the wall of a blood vessel?
D. Aneurysm
What is the synonym for a heart attack?
A. Myocardial Infraction
Which of the following describes dilated veins, causing their valves to become incompetent?
A. Varicose Veins
Which is an autoimmune, inflammatory disease of the body's connective tissues?
A. Lupus
Which type of headache is caused by dilation of extracranial blood vessels?
D. Migraine headaches
What is inflammation of the veins called?
C. Phlebitis
What type of dermatitis is an allergic reaction of the skin that comes into contact with various substances, producing an inflammatory response?
A. Contact Dermatitis
Which of the following is a contagious superficial foot fungus characterized by skin discoloration and a ridge of red tissue?
A. Athlete's foot
Which of the following describes diseases that have an abrupt onset of severe symptoms and run a brief course (less than six months) and either is resolved or brings death?
B. Acute
Which of the following describes diseases that develop slowly and last longer than 6 months to a lifetime?
B. Chronic
Which of the following refers to information that can be gained from the client?
C. Subjective Data
What is the client's authorization for professional services based on information provided by the massage therapist?
D. Informed Consent
Which of the following refers to data that is measurable and quantitative?
D. Objective Data
What is the best way to evaluate Turgor?
A. Pinching the skin
If the skin leaves pits after pressure application, what does it suggest?
A. Edema
A therapist is testing for Turgor; the client's skin leaves an elevation or tent after it is pinched, what does this suggest?
A. Dehydration
What are trigger points?
C. Hypersensitive points in a muscle
What is the best way to test for rebound tenderness?
D. Releasing applied pressure on abdomen
What is the term used to describe sensations felt at the end of passive range of motion?
A. Endfeel
Conditions in which massage can be administered while avoiding an infected area or area in question are
C. Local Contraindications
Areas of the body containing superficial delicate anatomnical structures that are unprotected and prone to injury; meriting caution during treatment.
A. Endangerment Sites
Malpractice insurance is also known as:
A. Professional Liability
Massage helps to reduce the pain in which kind of headaches?
C. Muscular tension headaches
The best thing a massage therapist can do to control the transmission of disease is:
D. Handwashing
How long should the therapist wash his or her hands before and after a regular massage?
B. 15 seconds
An emotional reaction of the therapist that reflects the therapist's inner needs and conflicts defines:
B. Countertransference
Why should a massage therapist refuse to date his or her clients?
C. It blurs client/therapist boundaries
If the therapist comes into contact with body fluids or fluids of unknown origin, what is the recommended time length for the handwashing procedure?
D. 2 minutes
What general body area should be avoided if the client has had surgery as a cancer treatment?
B. Legs
What treatment modifications should the therapist use if a cancer patient, who has been cleared for massage, has received chemotheray within 24 hours of his or her scheduled appointment?
C. Massage with gloves
Common moles have all the following characteristics EXCEPT;
D. Are asymmetrical in shape
If a cancer patient, who is recieving chemotherapy and has received clearance for massage therapy, is experiencing neuropathy, what is treatment modifications should the therapist employ?
D. Avoid deep massage in areas with Neuropathy
If a cancer patient with edema has recieved clearance for massage therapy, treatment modifications inculde all of the following EXCEPT:
A. Apply local heat on affected limb after treatment
In a cancer patient, who is recieving radiation or chemotherapy and has recieved clearance for massage therapy, what treatment modificaitons can the therapist employ if the client is nauseated when he or she arrives for a massage and still wishes to recieve a massage?
A. Avoid joint mobilizations, stretches, and jostling
If the client indicates that she is taking steroids for a chronic condition, what treatment modifications should be used?
C. Use lighter pressure because she is a candidate for osteoporosis
What two conditions are likely to occur in a client with long-term diabetes?
D. Peripheral Vascular Disease and Neuropathy
According to NCBTMB, how long should the therapist maintain client records after the client discontinues service?
D. 4 years
What type of insurance protects the therapist if he or she injures a client?
A. Malpractice
Which of the following represents cell necrosis due to local Ischemia resulting from prolonged pressure, which restricts normal blood supply to the skin?
C. Decubitus Ulcers
Which of the following is a contagious fungul disease characterized by itching and scaling, sometimes manifesting themselves as a raised red-ringed patch?
B. Ringworm
This highly contagious viral infection appears as fever blisters or cold sores on the skin and mucous membranes;
C. Herpes Simplex
What condition is a failure of the lower gastroesophageal sphincter to close normally after food has entered the stomach which, in turn, causing a burning sensation?
D. Gastroesophageal reflux disease
Which of the following are protrusions of an organ or part of an organ through its surrounding connective tissue membranes or cavity wall?
D. Hernias
What are self-inflicted injuries related to inefficient biomechanics (posture, sporting movements, work habits), causing damage to soft tissues; types include carpal tunnel syndrome, thoracis outlet syndrome and tennis elbow?
B. Repetitive Strain Injuries
What type of medication depresses sensory information entering the nervous system?
B. Muscle relaxants & Narcotic Analgesics
What is a chronic inflammatory disease affecting muscle and related connective tissues, including the presence of "tender points" or "trigger points"?
D. Fibromyalgia
Inflammation of a tendon is called what?
A. Tendinitis
Which of the following is a chronic, progressive erosion of the articular cartilage caused by long-standing inflammation, often called "wear and tear" arthritis?
A. Osteoarthritis
Which of the following is a condition involving spasms of the sternocleidomastoid muscles?
D. Torticollis
What is protrusion of the nucleus pulposus from the annulus fibrosus of an intervertebral disk?
A. Herniated Disc
Which is acute or chronic inflammation of the bursae?
A. Bursitis
Which of the following is a condition characterized by a decrease in bone mass with a subsequent increase in the suspectibility to fractures?
A. Osteoporosis
What is a cyst behind the knee caused by escape of synovial fluid which becomes enclosed in a membranous sac?
B. Baker's Cyst
What is an autoimmune disorder in which myelin sheaths in the central nervous system are progressively destroyed?
C. Multiple Sclerosis
What condition results from soft tissues pressing against nerves? Examples of these soft tissues are muscle, tendon, fascia and ligaments;
C. Nerve Entrapment
What is the degeneration of the Peripheral nervous system called?
D. Neuropathy
What is paralysis of only the arms and legs?
C. Quadriplegia
Which paralysis involves only the lower extremities and trunk?
C. Paraplegia
What is a chronic, inflammatory disorder caused by airway sensitivity to various stimuli?
D. Asthma
What is the most common cause of Chronic Bronchitis?
D. Cigarette smoking
What disease results from the gradual destruction of elasticity in the alveolar walls due to long-term exposure to irritants such as cigarette smoke, air pollution or industrial dust?
B. Emphysema
What is a group of pulmonary disorders characterized by persistent or recurring obstruction of air flow?
A. Chronic Obstructive Pulmonary Disease
What is the most common infectious cause of death in the United States?
D. Pneumonia
A coronal plane through the head;
B. Could pass through both ears
What number cervical vertebrae correspond to the Atlas?
B. C-1
What is the origin of the biceps femoris?
B. Ischial Tuberosity
Insulin and Glucagon are examples of what?
A. Pancreatic Hormones
How would you best relax the pectoralis major muscle while the client is in a supine position?
A. Place a cushion under the arms
If you are standing on tip-toe and have pain in your leg, which muscle is most likely involved?
B. Gastrocnemius
If when palpating a tight muscle, you discover bands of fibrous adhesions, what would be the best technique to relieve the fibrosity?
B. Cross-fiber Friction
Spasm in which of the following muscles can lead to irritation of the sciatic nerve?
D. Piriformis
Which endangerment site would you need to avoid applying direct pressure when compressing the sternum?
B. Xiphoid Process
If a client has difficulty actively flexing the forearm and abducting the arm, which muscles are most likely involved in the restriction?
D. Biceps Brachii and Deltoid
Which of the following best represents medial rotation?
C. Turning the humerus in
In what abdomniopelvic quadrant are the liver and gall bladder located?
D. Upper Right
Which of the following is an example of Concentric contraction of the Triceps Brachii?
B. Elbow Extension
Which of the following muscles are most likely involved in a Rotator Cuff Injury?
C. Supraspinatus
The term Pes Anserinus refers to which of the following?
B. Common insertion of three thigh muscles
Where is the bony landmark for the type of tendonitis found in Tennis Elbow?
A. Lateral epicondyle of the humerus
Which muscle would MOST likely be the source of pain and limited range of motion found in frozen shoulder?
A. Subscapularis
What element is associated with anger?
D. Wood
When flexing the elbow, which muscle is concentrically contracting?
C. Brachialis
If you gave a massage to a fellow licensed massage therapist, what percentage of the cost of the massage you gave is recorded on your account ledger?
B. 100%
A client who what Lordosis complains of back pain while in the prone position; what modifications would most likely increase his comfort?
D. Bolster under his abdomen and pelvis
At which life stage does circulation of blood and lymph decrese in the lower extremities?
B. Senescence
What is the action of the Piriformis on the hip?
A. Abducts and laterally rotates
A tight Iliopsoas can create or exacerbate which condition?
D. Lordosis
Which of the following is a broad flattened sheet of connective tissue?
B. Aponeurosis
In Wester medicine, which is not considered treatment for a malignancy?
A. Physical Therapy
While at a social function, you run into a client and ask him about his progress with treatment. This is an example of which of the following?
C. Confidentiality
While in the prone position, a client who has a dowager's hump complains of discomfort at the base of her neck. Which of the following would provide the most comfort for this region?
C. Cushion under a shoulder
Why is oil not recommended for pre-event sports massage?
B. Blocks sweat glands and may cause the body to overheat
What is the primary stucture injured during a sprain?
B. Ligament
Percussion is not recommended over which area?
B. Lower back over Kidneys
Post-event massage should be postponed until the athelete
D. Has properly cooled down
Which of the following is activated during the stress response?
A. Sympathetic
What structure lies anterior to the esophagus?
C. Trachea
Which organ stores blood cells and destroys old, worn-out RBC's and platelets?
A. Spleen
Which of the following best describes increased blood flow?
C. Hyperemia
Which muscle elevates the rib cage during Inspiration?
D. External Intercostals
What body system produces heat, creates movement, and maintains posture?
C. Muscular
Which joint connects the appendicular skeleton to the axial skeleton?
C. A and C
Where are bursa sacks usually located?
B. Between and bone an tendon
Which of the following joints moves in only one plane?
A. Hinge
What describes a muscle contraction where the muscle does not lengthen or shorten?
B. Isometric
What is the term used to describe medial rotation of the forearm?
B. Supination
Which movement is associated with opening a jar or dropping the shoulder?
D. Depression
Which term represents movement of the feet where the soles are facing each other and the person's weight is on the lateral edges?
D. Inversion
Which of the following is an example of an Ellispoid Joint?
D. Radiocarpal
Name the joint between the skull and the first cervical vertebrae;
C. Atlantooccipital
What structure emerges from Intervertebral Foramina?
A. Nerve Roots
Which skull bone makes up the cheek?
A. Zygomatic
Which bones in the hand are positoned distal to the carpals?
C. Metacarpals
Which bone moves during supination and pronation?
D. Radius
From which bony marking do the flexors of the wrist originate?
D. Medial Epicondyle
Which joint allows supination and pronation of the forearm?
B. Proximal Radioulnar
Which of the following is the scientific name for the knee?
C. Tibiofemoral
What is the scientific name for the hip socket?
B. Acetabulum
What is the name given for the cartilage inside the knee?
B. Meniscus
The term costal refers to;
B. The ribs
To what part of the sternum do most ribs attach?
A. Body
The two clavicular joints are of which joint type?
D. Gliding
Which of the following joints is considered to be biaxal?
C. Radiocarpal
In traditional Chinese medicine, which meridian terminates on the tip of the middle finger?
C. Gallbladder
Which of the following occurs when the stomach is unable to manufacture intrinsic factor, a substance needed for absorption of vitamin B12 from the digestive tract?
B. Pernicious Anemia
Which of the following best describes Petrissage?
A. Cycles of rhythmic lifting, squeezing and releasing of tissue, working parallel to the muscles fibers
Which of the following statements is true regarding precautions when massaging a pregnant client?
A. Tilt her body to the left by placing a pillow or cushion under her right flank when supine
Clients who have Osteoporosis should only recieve light massasge. Why?
D. They have brittle bones
Which of the following meridians are NOT paired on the body?
D. Conception Vessel
Which of the following best describes friction?
D. Rubbing one surface over anotherl; skin over skin over underlying structures
A client complains of being very tired and is running a low-grade fever; How should the therapist proceed?
D. Reschedule the massage and suggest that she see her physician
Bell's Palsy is a type of paralysis of which cranial nerve?
C. VII
What is the most common cause of a urinary tract infection?
A. Bacteria
Which population group is prone to have Osteoporosis?
A. Postmenopausal women
Which of the following conditions is indicated for massage?
C. Fibromyalgia
Proper body mechanics are extremely important to pervent injury to the therapist. Which of the following demonstarates good body mechanics?
D. Knees flexed while shifting weight between the feet
A client comes into your office and states during the pre-massage interview that he is HIV positive. Which of the following is part of a safe treatment for this client?
B. Adjust the massage to his vitality and stamina and avoid any open sores
Which of the following best describes Tapotement?
A. Repetitive staccato striking movements of the hands, moving either simultaneously or alternately
Which of the following best describes the Asian concept of Yin and Yang?
B. Dynamic Balance
Blood traveling through the Femoral Artery must first pass through which artery?
B. External Iliac
A therapist who works in a hospital setting and is exposed to body fluids such as blood is more likely than a therapist who works in a spa to contract which disease?
A. Hepatitis B
Which of the following types of stretching is no longer recommended in sports or clinical settings?
A. Ballistic
Which of the following muscles does NOT flex at the hip?
D. Gluteus Maximus
Which of the following best describes Effleurage?
C. Gliding movements that are repeated and follow the contour of the client's body
You notice a large mole on a client's posterior upper arm, which has changed over his last few visits. What is the best course of action?
D. Strongly urge him to see his physician because this is characteristic of skin cancer
Deep massage of which muscle group may relieve sciatic pain?
B. Gluteal muscles
A 1099 tax form is used to notify the federal goverment of what?
C. Income of an independant contractor
If a client with Phlebitis comes into your office for a massage, which of the following is part of a safe treatment plan for this client?
D. Proceed with the massage, and avoid the affected area
Which of the following is hyper-curvature of the spine in the lumbar region?
D. Lordosis
In Swedish massage, massage applied on the extremities should be applied
B. Centripetally
How is a code of ethics best described?
A. Set of guiding moral principles
An elderly female client with a stooped posture is referred to you for a massage. Which of the following is part of a safe treatment plan for her?
B. Obtain medical clearance from her physician before giving her a light massage
In traditional Chinese medicine, which meridian terminates on the little finger?
D. Small Intestine
A client who reports chronic fatigue comes into your office for a massage. Which of the following is part a treatment plan that supports her needs?
D. Proceed with the massage, using even, moderate pressure and a soothing rhythm to promote relaxation
A client schedules a massage the day after a vehicular accident that caused moderate back pain. Which of the following is part of a safe treatment for this client?
A. Obtain medical clearance from his physician before giving him a massage
Which of the following monitor changes in muscle length as well as the rate of this change and respond by reflexive contraction?
A. Muscle Spindles
Which of the following muscles Inverts the foot?
D. Tibialis Anterior
If a client has a condition that is contraindicated, it means that it;
D. Is impossible or undersirable to treat a particular client in the usual manner
Proper draping is an important part of massage because it;
D. Helps keep the client warm and promotes professionalism
A person who habitually smokes cigarettes is more likely than non-smokers to develop which of the following?
A. Emphysema
When a person is raised up on his toes, the ankle is in what postion?
C. Plantar Flexion
To what area of the body is tapotement cautiously applied?
B. Upper Lumbar region
According to traditional Chinese medicine, which meridian ends on the second toe?
B. Stomach
When working on a client who has an injury on one limb confined to a small area, what is the best course of action?
B. Massage proximal to the injured area
Which of the following violates the Code of Ethics published by the National Certification Board of Therapeutic Massage and Bodywork?
C. Dating a client
If a client who is under the care of a local nephrologist comes into with pitting Edema, what should be part of his current treatment plan?
D. The massage needs to be rescheduled until he recieves medical clearance for massage
Which of the following nerves are involved in carpal tunnel syndrome?
D. Median
Which of the following is a synonym for high blood pressure?
B. Hypertension
Which of the following is a synonym for Cystitis?
C. Bladder Infection
Which chakra is associated with the color green?
A. Heart
Which massage stroke is best for atrophy due to muscle inactivity because it activates muscle spindles?
C. Tapotement
What range is considered a normal respiration rate for an adult at rest?
A. 15 to 20 breaths per minute
What system is known for regulating human emotions?
A. Limbic System
Which two muscles are contracted when someone is wearing high-heeled shoes?
A. Gastrocnemius and Soleus
When flexing the knee, what two muscles groups move closer together?
C. Hamstrings and Calf
Which of the following are three joints of the pelvis?
D. Sacroiliac, Pubic Symphysis and Iliofemoral
Which of the following skin conditions is characterized by red, flaky skin elevations covered by thick, dry, silvery scales?
D. Psoriasis
Where is the Thyroid Gland located?
D. In the Throat
The primary target of Lymphatic massage is the ____.
C. Interstitial Fluid
What type of endfeel is experienced at the end of passive range of motion when it feels abrupt such as produced by an anatomical stop such as bone?
C. Hard
What are the three fused bones of the pelvic girdle?
D. Ilium, Ischium, Pubis
What is an appropriate treatment plan for a client whom a physician has diagnosed as terminally ill and has approved for massage?
A. More slowly, gently, more frequently and only for shorter periods
How does friction help reduce scar tissue?
B. Reduce random collegen attachment
To help increase venous blood return, what direction should massage strokes be directed?
B. Toward the heart
What technique is best used for Lymph drainage?
C. Gliding strokes
What is the term that describes enlargement of a blood vessel lumen?
B. Vasodilation
If a client presents an elevated right shoulder, which muscles are most likely involved?
C. Levator Scapulae, Trapezius
Which of the following is the best exercise to strengthen the Rectus Abdominis?
C. Crunches
What is the MOST common cause of Tendonitis?
D. Overuse
Which group of muscles is responsible for flexion of the Humerus?
A. Coracobrachialis, Pectoralis Major, Anterior Deltoid
The sciatic nerve runs between which two landmarks?
C. The Greater Trochanter and Ischial Tuberosity
A massage therapist palpates the insertion of the levator scapula at the ____.
C. Superior Angle of the Scapula
Massage to the legs with large varicosities is contraindicated because ____.
B. A clot can dislodge
What are two primary actions of the Biceps Femoris?
D. Flexing the knee and extending the hip
Where is the Spenoid Bone?
C. Skull
When doing abdominal massage while the client is in the supine position
A. The client's knees should be flexed
Slow healing of ligament injuries is caused by ____.
D. Poor blood supply
If a client asks you to review his medications, what is the best thing to do before the massage begins?
A. Research the list for possible massage precautions
Ice is recommended for ____.
B. Inflammation and pain relief
A massage therapist should avoid the area above the pubic symphysis becuase of the ____.
C. Bladder
According to basic first aid, what should you encourage a choking victim to do?
A. Cough
A form of therapy in which a client's energy is rebalanced, promoting health and healing, is called ____.
A. Reiki
The massage therapist needs to wear gloves if ___.
D. The therapist has a break in the skin on one or both hands
Cold applied for therapeutic purposes is called _____.
D. Cryotherapy
Cross-fiber friction massage must be applied in which direction to the fibers?
C. Perpendicular
According to Cryiax. the most rehabilitative massage stroke is _____.
B. Cross-fiber friction
In massaging the Anconeus, the massage therapist is working in the area of the __________.
D. Elbow
For which condition is abdominal massage most beneficial?
B. Constipation
The Gate Theory is used to explain how massage may assist in _____.
D. Decreasing a client's pain
What area would you first massage if a client presents with mild edema on his left knee?
C. One the left foot and ankle
Which of the following is NOT effective in relieving an acute muscle cramp?
C. Tapotement on the muscle belly
What massage stroke should be avoided immediately after exercise because this stroke can activate muscle spindles and cause cramping?
B. Tapotement
Ischemia can be defined as _____.
C. Lack of blood in an area
Blood pressure generally decreases during massage because ______.
D. Vasodilation occurs in blood vessels
A bath with a temperature of 80 degrees to 92 degrees is considered _____.
C. Tepid
The massage modality based on the idea that stimulation on an area of the foot will release energy blocks is called ______.
B. Reflexology
Which best describes the modality of Rolfing?
B. Structural Integration
The tapotement variation of cupping is best suited for which of the following conditions?
A. Respiratory Congestion
Which stroke most often begins and ends a Swedish massage?
A. Effleurage
How should you modify a massage treatment plan for a Geriatric client?
D. Reduce both treatment time and pressure
Which of the following is the only vertebra that is part of the pelvis?
A. Sacrum
Which organ of the body helps to regulate body temperature?
B. Skin
Epistaxis describes which of the following conditions?
D. Nosebleed
The shaft of a long bone is also called the ______.
D. Diaphysis
Which of the following is a function associated with the Kidneys?
B. Blood Volume
Why does injured cartilage take so long to heal?
D. It does not have good blood supply
What muscle is NOT necessary in treating a client who has Lordosis?
D. Trapezius
Which condition is NOT an example of a repetitive strain injury?
C. Displaced Rib
A bladder infection spreads upwards to the kidneys through which structures?
B. Ureters
Which of the following muscles is associated with Supination of the forearm?
B. Biceps Brachii
Which of the following are cells that repair bone and break it down to maintain homeostasis of calcium and phosphates?
A. Osteoclasts
Which of the following vessels take blood from the heart and route it to the lungs?
A. Pulmonary Arteries
How does massage affect urine output and by what mechanism?
A. It is increased by stimulating the parasympathetic nervous system
Swayback is a common term used to describe which of the the following spinal deviations?
B. Lordosis
Which is the nerve bundle that passes between the anterior and middle scalene muscles as it moves toward the axilla?
D. Brachial Plexus
The medial and lateral bony projections located at the distal end of the Tibia and Fibula are the _____.
D. Malleoli
Which of the following muscles is located on the posterior surface of the leg, crossing two joints, and is responsible for Plantar flexing the ankle and flexing the knee?
A. Gastrocnemius
A diabetic patient who has knowningly given herself too much insulin would likely try to balance his system by eating foods that contain ____.
A. Simple carbohydrates such as juice or hard candy
During an intake of a new client, he discloses that he has psoriasis on his back. What is an appropriate treatment?
D. Complete the massage but avoid the affected area if pressure causes pain
A client comes in for massage with painful whiplash injury. He was in an accident yesterday, his neck is very stiff and sore, and he thinks massage will help. What is part of an appropriate treatment plan?
C. Reschedule the massage after the client consults with his physician because it is too soon after an accident to safely recieve massage
Client records are confidential except when _______.
B. Directed by client or by subpeona
The more fixed attachment site of a muscle is called its ______.
C. Origin
What is the Insertion of the Quadriceps muscle group?
D. Tibial Tuberosity
What muscle of the erector spinae group is positioned most medially?
A. Semispinalis
Which of the following two muscles are antagonists to each other?
D. Paraspinal & Rectus Abdominis
Which of the following words refers to energy or life force?
D. Ki
Which muscle does not perform any flexion of the knee?
C. Soleus
A client comes to your office in pain and is not satisfied with the last massage you gave beacause she was sore for two days after you worked on her and she didn't get any relief from the pain. Wihch of the following is the most appropriate response?
A. Refund her the fees for the session and refer her to another practitioner
Which rotator-cuff muscle is positioned on the anterior aspect of the Scapula?
C. Subscapularis
A butterfly rash across the nose and cheeks is often a sign of which of the following diseases?
D. Systemic Lupus
What is the best example of unethical behavior?
D. Talking about a client's problems with another client
Which of the following is considered an absolute contraindication to massage?
C. Encephalitis
Which of the following organs produces bile?
D. Liver
During massage, respiration rate is affected how and by what mechanism?
D. Decreased by stimulation of the parasympathetic nervous system
Fainting may be caused by compression of which blood vessel?
D. Carotid
Which of the following is the scientific or medical term for the "Adam's Apple"?
B. Thyroid Cartiliage
What muscle or muscles need to be strengthened to reduce an exaggerated anterior pelvic tilt?
A. Rectus Abdominis
Which of the following is NOT a common symptom for Temporomandibular joint dysfunctions?
D. Nausea
Massage is contraindicated for which of the following conditions?
C. Thrombophlebitis
Which of the following is a long-term affect of stress?
D. Decreased Immunity
In which of these joints is movement absent or extremely limited?
D. Synarthrotic
Which type of skin cancer is the slowest growing?
B. Basal Cell Carcinoma
Who is the best referral choice for a client who is interested in energy work?
C. A reiki therapist
How would you stretch the Pectoral Major muscle?
D. Abduction and lateral rotation
If a client seems depressed and discusses throughts of committing suicide with you during a massage, what is an appropriate course of action?
D. Express concern and continue with the massage, referring her to a mental health professional upon departure of your office
Practictioners of traditional Chinese medicine rely on feeling and reading the pulses of their clients to gain a batter understanding of their condition. Where on the body are these pulses taken?
C. Wrists
In reflexology, where is the point that corresponds to the head and neck?
B. The great toe
What is the primary effect of a salt glow?
B. Exfoliation
Which of the following strokes is best in aiding lung decongestion?
C. Tapotement
In what country did Shiatsu orginate?
A. Japan
Which client would benefit most from cold applications on an appropriate area?
A. A person with an inflamed ankle
Which of the following is the cell responsible for blood clotting?
D. Platelet
Using the ABCDEF method on recongnizing a malignant melanoma, whta does the "B" represent?
C. Borders
Most fractures of the wrist involve which of the following carpal bones?
A. Scaphoid
After performing skin rolling on a client's back, you notice the area is now red. This is the result of ______.
B. Hyperemia
In the study of Shiatsu, whiat is a synonym for Tsubo?
D. Acupoint
Which of the following are the lower chambers of the heart?
D. Ventricles
What is the safest way to massage the neck area of a client with osteoarthritis?
B. Light pressure along the cervical vertebrae
Finger pressure is used primarily in which of the following therapies?
B. Shiatsu
According to traditional Chinese medicine, what is the number of regular meridians?
C. 12
What disease is known for the body attacking and destroying its own issues, specifically the synovial membranes of joints, especially the hand and feet? The membranes are replaced by fibrous tissues that add to the joint stiffness already present.
D. Rheumatoid Arthritis
A muscle or group of muscles that stabilizes an area or joint so that the agonist can exert its action is called a/an _____.
D. Fixator
In the "ABC" initiial assessment process of cardiopulmonary resuscitation, what does the "B" represent?
A. Breathing
How would a therapist recognize varicose veins?
D. Small broken capillaries that may bulge outward
Which bone of the forearm is posistioned laterally in an anatomical position?
B. Radius
The upper lumbar area is an endangerment site because of which organ's?
D. Kidneys
What accommodation might be made for a client which hypothyroidism?
A. Use of a blanket to prevent the client from becoming chilled
Which of the following represent the five elements in traditional Chinese medicine?
B. Wood, earth, water, fire and metal
When treating the Iliopsoas, the therapist needs to avoid applying pressure on which of the following structures?
B. Abdominal Aorta
When two massage therapists begin to work together in the same office, how do they avoid forming a legal partnership?
C. Avoid commingling funds
Which muscle of the quadriceps is considered to be biatricular?
D. Rectus Femoris
Which of the following muscles attaches to the Coronoid Process?
A. Temporalis
What two muscles are known as the stir-up muscles, both attached at the base of the first Metatarsal?
B. Fibularis Longus, Tibialis Anterior
Which of the following is the scientific or medical name for the ankle joint?
A. Talocrural
Which of the following muscles initiates walking?
B. Iliopsoas
Which of the following in a muscle lengthen to allow contraction by an opposing muscle?
C. Antagonist
When stretching a muscle, the therapist notices that, at the end of the stretch, it feels as if bone is hitting bone. This is referred to as ______.
D. Hard end feel
How would you ascertain that a client is experiencing anxiety?
C. Shallow breathing and rapid heart rate
What is the most important skill used by the therapist during a client intake?
C. Listening
Which rotator cuff muscle attaches at the lesser tubercle of the Humerus?
B. Subscapularis
Which of the following organs is NOT an accessory organ in the digestive process?
A. Spleen
When applying pressure to a sore spot on a client, he says the pain "refers" to another part of his body. This is an example of _____.
A. Trigger Point
The term Idiopathic means _____.
C. Cause Unknown
Which of the following is NOT in the Code of Ethics of the National Certification Board of Therapeutic Massage and Bodywork (NCTMB)?
A. Inform clients, other health care practioners and the public of the scope of each session with any client you feel needs mental health
A male client comes to a massage clinic and insists on having a woman work on him. What is an appropriate course of action?
A. Comply with the request
Which of the following is NOT a symptom of Fibromyalgia?
B. Inflammation
After you give a client a message, he is ready to leave. He wants to give you a hug, but you feel uncomfortable. This is a example of _____.
A. Boundaries
Which should NOT be claimed as a result of massage therapy?
C. Weight Reduction
A client of the opposite gender begins to moan and caress the therapist's legs as he or she walks by. What is an appropriate course of action?
D. Tell him or her that he or she is being inappropriate and repeated or similar behavior will result in termination of the massage
Pre-event sports massage techniques include all of the following strokes EXCEPT
B. Circular Friction
A client is on the table and tells the therapist that the session must now be over. The client is not crying but is obviously upset about something. What is an appropriate course of action?
D. Comply with the request and ask if there is anything that the client needs once the client is dressed
When palpating the midline of the back, what structure is being palpated?
D. Spinous Processes
Contraindications for thermotherapy include all of the following EXCEPT
B. Kidney infection
Which of the following conditions could be relieved using manual lymphatic drainage techniques?
B. Edema accompanying a sprained ankle
During intake, which of the following best indicates that the client has the therapist's full attention?
B. Sitting and maintaining eye contact while the client is speaking
Which best describes passive motion?
C. Having the client remain relaxed while the therapist performs a motion on the client
Caution must be used when working on the axillary region due to the presence of which structure?
A. Brachial Artery
What is necessary for the process of blood clotting?
D. Vitamin K
Leaving the previous client's treatment records visible to the next client best describes a breach of _____.
C. Confidentally
If a client appears to have a seizure during the massage, what is the most appropriate course of action?
A. Try to place client on his or her side, provide light immobilization
to prevent them from falling of the table, and call 911 if the seizure
