Pathology Indications and Contraindications - 1

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fidelforde
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232095
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Pathology Indications and Contraindications - 1
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2013-09-01 00:50:50
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Massage Prep
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Massage exam prep Pathology Indications and Contraindications
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  1. If a client comes in and indicates the (s)he is depressed, which is the best course of action to take?

    A) Counsel the client
    B) Massage the client
    C) Suggest that the client enlist in the services of a Licensed Professional Counselor
    D) Ignore the client
    C) Suggest that the client enlist in the services of a Licensed Professional Counselor
    (this multiple choice question has been scrambled)
  2. What is the role of a massage therapist when consulting a doctor about particular medical conditions? The massage therapist should:

    A) decide on a course of treatment
    B) follow the doctor's prescribed course of treatment
    C) Make a diagnosis and refer the client out
    D) follow the clients directives
    B) follow the doctor's prescribed course of treatment
    (this multiple choice question has been scrambled)
  3. What should the massage therapist do if a client comes in for a massage and states (s)he is not feeling well?

    A) Give the client a pillow and a place to lay down
    B) Suggest the client call his/her physician
    C) Massage the client
    D) Diagnose the condition
    B) Suggest the client call his/her physician
    (this multiple choice question has been scrambled)
  4. Which of the following hydrotherapy applications is/are contraindicated for patient with heart condition?

    A) Salt glow
    B) Heat application that causes increase in heart rate and force of contraction
    C) Cold application that causes increase in heart rate and force of contraction
    D) All of the above
    D) All of the above
  5. How should a client who is HIV positive and displays no symptoms be treated?

    A) The client should be treated as any other massage client
    B) The therapist should wear gloves and a mask for protection
    C) The therapist should wear gloves alone for protection
    D) The client should be refused treatment
    A) The client should be treated as any other massage client
    (this multiple choice question has been scrambled)
  6. Which endangerment site must be avoided when working Gracilis?

    A) Femoral vein
    B) Jugular vein
    C) Sciatic vein
    D) Cubital vein
    A) Femoral vein

    Cubital vein - Opposite side of the elbow
    (this multiple choice question has been scrambled)
  7. Which condition is present when there is an abrasion that is red and hot?

    A) Sub-acute inflammation
    B) Sub inflammation
    C) Chronic Inflammation
    D) Acute inflammation
    D) Acute inflammation
    (this multiple choice question has been scrambled)
  8. How should the massage therapist proceed if the massage produces ecchymosis

    A) Deep effleurage
    B) Light effleurage
    C) Stop massaging in the affective area
    D) light petrissage
    C) Stop massaging in the affective area

    ecchymosis - discoloration of the skin resulting from bleeding underneath, typically caused by bruising.
    (this multiple choice question has been scrambled)
  9. What should the massage therapist do if a client presents with hight blood pressure that has not been treated by a physician and controlled?

    A) Schedule the client for a series of massage to lower blood pressure
    B) Refer the client to a physician
    C) Advise the client to use a sauna for the hydrotherapy benefits
    D) None of the options
    B) Refer the client to a physician
    (this multiple choice question has been scrambled)
  10. When working the axillary region, which endangerment site requires the massage therapist to use caution?

    A) Radial artery
    B) Vagus nerve
    C) Brachial artery
    D) Greater saphenous vein
    C) Brachial artery
    (this multiple choice question has been scrambled)
  11. Which endangerment site requires the massage therapist to use caution when massaging the Sternocleidomastoid muscle? 

    A) Common carotid artery
    B) Mastoid process
    C) Greater saphenous vein
    D) brachial artery
    A) Common carotid artery
    (this multiple choice question has been scrambled)
  12. Which endangerment site indicates that deep massage should be avoided in the antecubital fossa?

    A) Accessory nerve
    B) Ulnar nerve
    C) Axillary nerve
    D) Median nerve
    D) Median nerve

    antecubital fossa (inner elbow)
    (this multiple choice question has been scrambled)
  13. A 50 year old man informs the massage therapist that his right ankle is painfully swollen. and has been so for several week. What should the therapist do?

    A) Effleurage distal to the swelling
    B) Request that the client see his doctor for a diagnosis prior to receiving massage
    C) Effleurage proximal to the swelling
    D) Perform passive range of motion on the ankle to reduce pain and increase mobility
    B) Request that the client see his doctor for a diagnosis prior to receiving massage
    (this multiple choice question has been scrambled)
  14. Massage is contraindicated in which of the following conditions?

    A) Acute herpes
    B) Eczema
    C) Dandruff
    D) Psoriasis
    A) Acute herpes

    Psoriasis - a skin disease marked by red, itchy, scaly patches.
    (this multiple choice question has been scrambled)
  15. What should the massage therapist and client reports having suicidal thoughts?


    A) call the suicide prevention line
    B) refer the client to a mental health practitioner
    C) stop the massage and send the client away
    D) counsel the client
    B) refer the client to a mental health practitioner
    (this multiple choice question has been scrambled)
  16. Which accommodations might be necessary for a client with cystitis?


    A) frequent bathroom breaks
    B) massage is contraindicated for cystitis
    C) diaper drape
    D have drinking water available
    A) frequent bathroom breaks

    Cysto - badder
    (this multiple choice question has been scrambled)
  17. What should massage therapist avoid testing range of motion on the lower extremity of the supine client?


    A) hyper extending the knee
    B) lateral hip rotation flexion
    C) all of the options
    D) simultaneous knee extension and hip flexion
    A) hyper extending the knee
    (this multiple choice question has been scrambled)
  18. Which is the best course of treatment for client presents with swollen lymph nodes in the neck and groin?

    A) Passive range of motion
    B) Lymph drainage
    C) Alternate hot-cold hydrotherapy
    D) Referral to a doctor for diagnosis
    D) Referral to a doctor for diagnosis
    (this multiple choice question has been scrambled)
  19. During the assessment the massage therapist noticed that the client is breathing with rapid, shallow breaths. Which emotional state the client experiencing?


    A) Joy
    B) Anxiety
    C) Bordom
    D) Contentment
    B) Anxiety
    (this multiple choice question has been scrambled)
  20. Which type of exercise would be most beneficial to build and maintain bone density in a person with osteoporosis?

    A) Yoga
    B) Meditation
    C) Bone growth cannot be built or maintained
    D) Weight bearing exercise
    D) Weight bearing exercise
    (this multiple choice question has been scrambled)
  21. Which is the best approach for massage for someone with varicose veins that have become ulcerous?

    A) Effleurage distal to the site of the ulcer to encourage venous blood return
    B) Tapotement proximal and distal to the site of the ulcerous varicosities
    C) Massage for ulcerous varicosities is both locally and distally contraindicated
    D) Effleurage entire limb
    C) Massage for ulcerous varicosities is both locally and distally contraindicated

    ulcer - wound, open cut
    (this multiple choice question has been scrambled)
  22. Which course of treatment should the massage therapist follow for periostitis?

    A) Deep friction
    B) Deep effleurage
    C) Petrissage
    D) Refer to a doctor to rule out exertional compartment syndrome
    D) Refer to a doctor to rule out exertional compartment syndrome

    inflammation of the periosteum.
    compartment syndrome: life threatening condition. Nerves, blood vessels, and muscle(s) become compressed inside a closed space, or compartment. Leads to tissue death from lack of oxygenation.
    (this multiple choice question has been scrambled)
  23. Which cleanses but does not kill all pathogens?

    A) Asepsis
    B) Disinfectant
    C) Antiseptic
    D) Fumigant
    B) Disinfectant

    Asepsis - absence of bacteria, viruses, and other microorganisms.

    Fumigant - chemical substance used in fumigation

    Antiseptic - denoting substances that prevent the growth of disease
    (this multiple choice question has been scrambled)
  24. Which is the best medium for massaging acne scars?

    A) Lanolin
    B) Aloe Vera
    C) Cocoa butter
    D) Essential oils
    A) Lanolin

    fat extracted from sleep's wool, often used as a base in ointments and skin medication
    (this multiple choice question has been scrambled)
  25. Massage is indicated when which of the following is present?

    A) Fever
    B) Uncontrolled high blood pressure
    C) Anemia
    D) Acute mononucleosis
    C) Anemia
    (this multiple choice question has been scrambled)
  26. With the exception of Buerger's Disease, what is the best approach to take for vascular occlusive disease

    A) Refrain from massage
    B) Effleurage and light petrissage
    C) Effleurage only
    D) Vibration and tapotement
    A) Refrain from massage
    (this multiple choice question has been scrambled)
  27. When massaging a client, what should the therapist do when encountering an area with ecchymosis?

    A) Use light effleurage
    B) Avoid it and advise the client to consult a physician
    C) Massage every other day
    D) Use vibration
    B) Avoid it and advise the client to consult a physician

    ecchymosis - bruising
    (this multiple choice question has been scrambled)
  28. Why is massage contraindicated from someone with thrombophlebitis?

    A) Distal massage could lead to an increase in swelling
    B) massage is not contraindicated, use light effleurage
    C) The thrombus may dislodge and become an embolus, causing heart attach or stroke (embolism)
    D) movement of blood will spread infection
    C) The thrombus may dislodge and become an embolus, causing heart attach or stroke (embolism)
    (this multiple choice question has been scrambled)
  29. Which is the best treatment plan for a client who reports having abdominal pain?

    A) Massage everything except the low back
    B) Refuse to massage
    C) Massage everything except the abdomen
    D) Refer the client to a physician
    D) Refer the client to a physician
    (this multiple choice question has been scrambled)
  30. For what type of headache is massage an effective analgesic treatment?

    A) Chronic tension
    B) Massage is ineffective as an analgesic
    C) Acute migrane
    D) Chronic psychogenic
    A) Chronic tension
    (this multiple choice question has been scrambled)
  31. Which is the best course to follow when signs and symptoms of pathological condition are present, but no diagnosis by a qualified medical profession has been made?

    A) Proceed with he massage
    B) Develop a treatment plan to address the signs and symptoms
    C) Consider the signs and symptoms as an absolute contraindication for massage
    D) Refer the client to his/her Doctor to seek a diagnosis
    D) Refer the client to his/her Doctor to seek a diagnosis
    (this multiple choice question has been scrambled)
  32. Which massage techniques are performed on the back, and are most effective for encouraging the expectoration of mucus in the lungs?

    A) Cupping & Tapotement
    B) Friction & Tapotement
    C) Effleurage & Vibration
    D) Vibration & Petrissage
    A) Cupping & Tapotement
    (this multiple choice question has been scrambled)
  33. What is recommended for acute stage of tennis elbow?

    A) Apply heat to increase blood flow
    B) Alternate application of heat and cold
    C) Massage and active range of motion exercise
    D) Rest and application of ice
    D) Rest and application of ice
    (this multiple choice question has been scrambled)
  34. Which is the best initial course of treatment for a dislocated elbow?

    A) Gentle range of motion exercise to increase mobility
    B) Massage
    C) P.R.I.C.E. (protection, rest, ice, compression, elevation)
    D) Resistance exercise to increase strength
    C) P.R.I.C.E. (protection, rest, ice, compression, elevation)
    (this multiple choice question has been scrambled)
  35. Is massage for constipation indicated or contraindicated?

    A) Indicated
    B) Contraindicated
    A) Indicated
  36. Is massage indicated or contraindicated for a person with chronic rheumatiod arthritis?

    A) Indicated
    B) Contraindicated
    A) Indicated
  37. After obtaining a detailed history about edematous knee, which is the best stroke to use if the massage therapist determines the massage is indicated?

    A) light effleurage in the direction of lymph flow
    B) Vibration and tapotement around the joint
    C) Friction around the joint
    D) Light effleurage in the opposite direction of lymph flow
    A) light effleurage in the direction of lymph flow
    (this multiple choice question has been scrambled)
  38. Which massage technique can prove beneficial for tenosynovitis (inflammation of tendon and sheath)

    A) Vibration
    B) Effleurage
    C) Transverse friction
    D) Tapotement
    C) Transverse friction
    (this multiple choice question has been scrambled)
  39. In case of venostasis where no obstruction is present, which is indicated?

    A) Light effleurage proximal to the affected area
    B) Deep effleurage distal to the affected area
    C) Massage at and around the affected area at the discretion of the massage therapist
    D) Massage is contraindicated for venostasis
    A) Light effleurage proximal to the affected area

    veno- vein
    venostasis - condition of slow blood flow in the veins
    (this multiple choice question has been scrambled)
  40. If a client presents with chronic shoulder pain that has gotten worse over time and now includes tingling in the arm and hand, what should the massage therapist do?

    A) Massage using heat
    B) Massage and recommend OTC pain killers
    C) Massage and refer to primary health care professional
    D) Massage and recommend range of motion and hydrotherapy
    C) Massage and refer to primary health care professional
    (this multiple choice question has been scrambled)
  41. When massaging medially in the area between the Biceps brachii and Triceps brachii which nerve might be endangered?

    A) Median
    B) Saphenous
    C) Phrenic
    D) Sciatic
    A) Median

    Phrenic nerve 

    (this multiple choice question has been scrambled)
  42. Which is the best protocol to follow for a client with Athlete's foot?

    A) Massage the feet last
    B) Apply alcohol to the feet prior to massaging
    C) Massage the feet only after applying medicated foot powder
    D) Do not massage the feet
    D) Do not massage the feet
    (this multiple choice question has been scrambled)
  43. What should be done for the client who is sweating and complains of chest pain radiating to the left side?

    A) Stop the massage
    B) Lighten the pressure on the left side of the body
    C) Call 911
    D) Rush the client to the hospital
    C) Call 911
    (this multiple choice question has been scrambled)
  44. How should the massage therapist react if a client complains of pain during and as a result of the massage?

    A) Stop the massage
    B) Only work areas in which the client does not feel pain
    C) Say: "No pain, no gain" and continue
    D) Lighten the pressure and continue the massage
    D) Lighten the pressure and continue the massage
    (this multiple choice question has been scrambled)
  45. Which of the following conditions might benefit from cupping?

    A) Acute bacterial tracheitis
    B) Chronic headache
    C) Bronchiectasis
    D) Acute bronchitis
    C) Bronchiectasis
    (this multiple choice question has been scrambled)
  46. Which massage technique are used to alleviate respiratory congestion?

    A) Deep muscle massage with shaking
    B) Intermittent compression with skin rolling
    C) Percussion and shaking
    D) Kneading and cross fiber friction
    C) Percussion and shaking
    (this multiple choice question has been scrambled)
  47. Which technique might stimulate expectoration in a client with chronic respiratory disease?

    A) Compression
    B) Vibration
    C) Percussion
    D) Effleurage
    C) Percussion
    (this multiple choice question has been scrambled)
  48. What massage techniques is appropriate for chronic swelling of the patella?

    A) Tapotement
    B) Vibration
    C) Friction
    D) Effleurage
    D) Effleurage
    (this multiple choice question has been scrambled)
  49. What massage technique is contraindicated for muscle for muscle cramps?

    A) Tapotement
    B) Effleurage
    C) Petrissage
    D) Friction
    A) Tapotement
    (this multiple choice question has been scrambled)
  50. Which technique is most effective for breaking up scar tissue?

    A) Petrissage
    B) Friction
    C) Effleurage
    D) Tapotement
    B) Friction
    (this multiple choice question has been scrambled)
  51. Of the chosen given, which is the best technique to use on intercostal muscle?

    A) Tapotement
    B) Petrissage
    C) Friction
    D) Vibration
    C) Friction
    (this multiple choice question has been scrambled)
  52. Which is the best massage technique to use around the patella?

    A) Friction
    B) Petrissage
    C) Tapotement
    D) Vibration
    A) Friction
    (this multiple choice question has been scrambled)
  53. Which are the most therapeutic massage for spastic hemiplegia?

    A) Tapotement and vibration
    B) Deep effleurage and vibration
    C) light effleurage and stretching
    D) Petrissage and stretching
    C) light effleurage and stretching

    Hemiplegia is a condition in which the limbs on one side of the body have severe weakness.
    (this multiple choice question has been scrambled)
  54. Which condition might benefit abdominal massage? 

    A) Diverticulitis
    B) Constipation
    C) Incontinence
    D) Ulcerative colitis
    Diverticulitis - inflammation of a diverticulum, esp. in the colon, causing pain and disturbance of bowel function.

    Incontinence - involuntary leakage

    Ulcerative colitis - chronic inflammatory disease of the large intestine and rectum
  55. In which direction should the Scalenes be massaged

    A) Downward and medially
    B) Upward and laterally
    C) Downward and and laterally
    D) Upward and medially
    C) Downward and and laterally

    "Toward the heart" and laterally toward the insertion at the first and second rib
    (this multiple choice question has been scrambled)
  56. What does deep tissue massage create to relieve muscle spasm?

    A) Hypermia and increase local circulation
    B) Increased systemic circulation
    C) Increased nociception
    D) None of these options
    A) Hypermia and increase local circulation

    Hypermia - increase of blood flow to different tissues of the body
    (this multiple choice question has been scrambled)
  57. For which steps is deep friction especially beneficial?

    A) Fibrous ankylosis
    B) Spastic paralysis
    C) Poliomyelitis
    D) Varicose veins
    A) Fibrous ankylosis

    Fibrous ankylosis - reduces joint mobility
    (this multiple choice question has been scrambled)
  58. Which is the most therapeutic massage technique to use for chronic sprain?

    A) Tapotement
    B) Vibration
    C) Effleurage
    D) Transverse friction
    D) Transverse friction
    (this multiple choice question has been scrambled)
  59. Which two massage techniques best relieve muscle cramps?

    A) Effleurage and vibration
    B) Effleurage and Stretching
    C) Tapotement and effleurage
    D) Friction and tapotement
    B) Effleurage and Stretching
    (this multiple choice question has been scrambled)
  60. What is the best course to follow for a client who has recently experienced a heart attack?

    A) Massage is contraindicated for several weeks after a heart attack
    B) Obtain a Doctor's release to massaging
    C) Deep friction to the Pectoral muscle
    D) Tapotement on the Pectoral and back muscle
    B) Obtain a Doctor's release to massaging
    (this multiple choice question has been scrambled)
  61. Which conditions might benefit from deep friction?

    A) Acute patellar inflammation
    B) Collateral ligament sprain
    C) Edema of the knee
    D) Torn Achilles tendon
    B) Collateral ligament sprain

    Edema - excess of watery fluid collecting in the cavities or tissues of the body
    (this multiple choice question has been scrambled)
  62. What is the best course of action to take for acute cervical muscle strain?

    A) Rest, Ice, Compression, Elevation (RICE)
    B) light effleurage administered transversely to long muscle fibers
    C) light effleurage administered longitudinally to long muscle fibers
    D) Deep effleurage administered longitudinally to long muscle fibers
    A) Rest, Ice, Compression, Elevation (RICE)
    (this multiple choice question has been scrambled)
  63. Of the answers given, which is the best massage technique for sub-acute ankle inflammation?

    A) Light effleurage proximal to the ankle, using centripetal strokes
    B) Deep effleurage proximal to the ankle, using centripetal strokes
    C) Deep effleurage distal to the ankle, using centrifugal strokes
    D) light effleurage distal to the ankle, using centrifugal strokes
    A) Light effleurage proximal to the ankle, using centripetal strokes

    Centripetal massage means - blood is massaged toward the heart
    (this multiple choice question has been scrambled)
  64. Of the answers given, which massage technique is best suited to address edema?

    A) Petrissage toward the heart
    B) Deep effleurage away from the heart
    C) Light effleurage toward the heart
    D) Circular friction
    C) Light effleurage toward the heart

    edema - t means swelling due to fluid retention
    (this multiple choice question has been scrambled)
  65. When treating bronchiectasis, how should the client be positioned?

    A) Prone with feet elevated and head up
    B) Supine with feel elevated and head down
    C) Supine with feet elevated and head up
    D) Prone with feel elevated and head down
    D) Prone with feel elevated and head down
    (this multiple choice question has been scrambled)
  66. After a routine of resistance with weights, one might feel sore. What would most likely be the cause of tenderness?

    A) Concentric muscle contraction
    B) Eccentric muscle contraction
    C) Isometric muscle contraction
    D) Isotonic muscle contraction
    B) Eccentric muscle contraction

    Eccentric muscle contraction: lengthening of the muscle as it develops tension and contracts to control motion performed by an outside force

    Concentric muscle contraction : shortening of the muscle as it develops tension and contracts to move a resistance

    (this multiple choice question has been scrambled)
  67. What is the best course of action for the massage therapist to take when a client reports a surgical scar with radiating distal to the area?

    A) Refer the client to his/her primary car physician
    B) Massage proximal to the site
    C) Massage using deep friction
    D) Massage distal to the site
    A) Refer the client to his/her primary car physician
    (this multiple choice question has been scrambled)
  68. Of those listed, which muscle is weak or inhibited in hyperlordosis?

    A) Rectus abdominus
    B) Quardratus lumborum 
    C) None of these options
    D) Quadriceps femoris
    • A) Rectus abdominus
  69. Of those listed, which muscle is tonic (short and tight) in hyperlodosis?

    A) Vastus lateralis
    B) Rectus Femoris
    C) Biceps femoris
    D) Rectus Abdominus
    B) Rectus Femoris

    (this multiple choice question has been scrambled)
  70. For a client with hyperkyphosis, which of the following muscles should the massage therapist lengthen and relax?

    A) Trapezies
    B) Rhomboid major and minor
    C) Erector spinae
    D) Pectoralis mayor and minor
    D) Pectoralis mayor and minor

    (this multiple choice question has been scrambled)
  71. For a client with hyperlodosis, which of the following muscles should the massage therapist try to lengthen and relax?

    A) Quadratus lumborum
    B) Rectus abdominus
    C) External oblique
    D) Hamstring group
    A) Quadratus lumborum

    (this multiple choice question has been scrambled)
  72. Why might the muscles of the gridle and neck be targeted in the massage treatment for someone with carpal tunnel syndrome?

    A) Some symptoms of nerve compression at Pectoralis minor can be similar to median nerve compression a the wrist.
    B) Some symptoms of nerve compression between the anterior and middle scalenes can be similar to median nerve compression at the wrist
    C) Discomfort in the hand and wrist can lead to hypertonicity of muscle in the affected arm and shoulder
    D) All of the above
    D) All of the above
  73. Which of the conditions is contraindicated for massage?

    A) Fatigue
    B) Fever
    C) Lover back pain
    D) Hay fever
    B) Fever
    (this multiple choice question has been scrambled)

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