MBLEx Pratice Exam

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Kgarcia.9116
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302672
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MBLEx Pratice Exam
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2015-05-14 13:36:31
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Mblex massage therapy
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Mblex practice exam questions and answers
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  1. If a client is taking anti-inflammatories or blood thinners it is contraindicated to perform:

    A.) Effleurage
    B.) Rhythmic techniques
    C.) Trigger Point therapy
    D.) Friction techniques
    D.) Friction techniques

    Reasoning: Using aggressive friction techniques can cause pooling of blood and easy bruising.
    (this multiple choice question has been scrambled)
  2. Inaccuracies will occur in performing orthopedic testings if:

    A.) It is repeated too many times
    B.) There is too much movement
    C.) The clients concentration is broken
    D.) None of the above
    A.) It is repeated too many times

    Reasoning: When performing tests such as muscle lengthening, applying too many times will begin to stress the muscle and stretch it not just assess it. Or active resistive repeated more then three times can fatigue the muscle and give the appearance of decreased strength.
    (this multiple choice question has been scrambled)
  3. When performing a client assessment before treatments, an effective therapist will?

    A.) Utilize a gait assessment which is enough to determine your treatment plan
    B.) Forgo the assessments because it might cause pain
    C.) Push the client past their pain tolerance to determine which muscles are involved
    D.) Balance the neutral caring approach and the technical investigation approach
    D.) Balance the neutral caring approach and the technical investigative approach

    Reasoning: During assessments it is essential that you gain the trust of the client through your words and observations. Be observant to the client's facial expressions or tensing muscles during testing of a pathology.
    Don’t be afraid to perform an assessment because of pain. Knowing the actions that cause pain, limitations of ROM, willingness of client, and pain tolerance will help to know how to approach treatment. "Please stop
    the motion when the pain begins and return to neutral" Is used over and over again in active assessments.
    (this multiple choice question has been scrambled)
  4. What regulates the body temperature and is known as the thermostat of the body?

    A.) Hypothalamus
    B.) Cerebral cortex
    C.) Skin
    D.) Liver
    A.) Hypothalamus

    Reasoning: Through autonomic nervous system pathways, the hypothalamus continually regulates body temperature around a set point of 96¼ to 100¼ by
    initiating heat-loss or heat-promoting mechanisms. Also called Homeostasis.
    (this multiple choice question has been scrambled)
  5. Most long nerve fibers are covered with a whitish, fatty material that is called:

    A.) Nissel
    B.) Dendrites
    C.) Synapse
    D.) Myelin
    D.) Myelin

    Reasoning: Myelin has a waxy appearance that protects and insulates the fibers of the axon to increase the transmission rate of nerve impulses. Dendrites are part of the neuron that extend from the cell body to convey messages TOWARD the cell body.
    (this multiple choice question has been scrambled)
  6. Which of the following pathologies in not a condition of the Central Nervous System?

    A.) Seizures
    B.) Radial Nerve Lesions
    C.) Cerebral Palsy
    D.) Parkinsons
    B.) Radial Nerve Lesions

    Reasoning: Conditions of the Central Nervous Systems (CNS): Communication skills,
    ambulation aids, decubitus ulcers, seizures, hemiplegia, multiple sclerosis, Parkinsons, cerebral palsy, spinal cord injury, and
    poliomyelitis. Radial nerve lesions is a peripheral nervous system condition.
    (this multiple choice question has been scrambled)
  7. What are considered the main supportive components of the nervous system?

    A.) Fotons
    B.) Protons
    C.) Neurons
    D.) Axons
    C.) Neurons

    Reasoning: Neurons are the main structural component of the nervous system where much of the activity happens.
    (this multiple choice question has been scrambled)
  8. What is the main portion or the shaft of the bone called?
    Diaphysis
  9. The use of radiography to detect spinal subluxations and misalignment is within which scope of practice?
    Chiropractic
  10. Which of the following body systems is in charge of muscular development?

    A.) Lymphatic system
    B.) Digestive system
    C.) Endocrine system
    D.) Nervous system
    C.) Endocrine system

    Reasoning: The endocrine system releases growth hormone to insure normal muscle
    development. Thyroxine and catecholamine hormones regulate muscle metabolism. The muscular activity promotes catecholamine release and muscles mechanically protect endocrine glands.
    (this multiple choice question has been scrambled)
  11. The "Yellow Emperor's Classics of Internal Medicine", China's oldest Medical book, contained massage treatments for:

    A.) Neck pain
    B.) Paralysis and reduced circulation
    C.) Shoulder pain
    D.) Headaches
    B.) Paralysis and reduced circulation
    (this multiple choice question has been scrambled)
  12. In a passive ROM testing what two muscles are assessed when the foot is placed in inversion?

    A.) Fibularis (peroneus) longus and tibialis anterior
    B.) Fibularis (peroneus) longus and extensor digitorum longus
    C.) Tibialis antieror and tibialis posterior
    D.) Extensor hallucis longus and Extensor digitorum longus
    B.) Fibularis (peroneus) longus and extensor digitorum longus

    Reasoning: Passive ROM tests the antagonist muscles, in this case the muscles that Evert the foot. Active ROM and resistive ROM test the prime movers. Prime movers for Inversion= tibialis anterior /posterior, flexor
    digitorum longus, flexor hallucis longus, and extensor hallucis longus. Antagonists for Eversion= extensor digitorum longus, fibularis
    (peroneus) longus, and brevis.
    (this multiple choice question has been scrambled)
  13. How many curvatures are in the spine?
    4
  14. What system in the body regulates and maintains tissue fluids and combats disease?
    Lymphatic system
  15. What contains educational and ethical standards for your profession?

    A.) The AMTA
    B.) A business plan
    C.) The laws
    D.) The scope of practice
    C.) The laws

    Reasoning: The laws contain educational and ethical standards for your profession. The laws vary from state to state, sometimes even city to city. Some states still have no regulations.
    (this multiple choice question has been scrambled)
  16. Which muscle group is located between the SCM and anterior flap of the Trapezius and unilaterally rotates the head and neck to the opposite side?

    A.) Longissimus Capitis
    B.) Splenius Capitis
    C.) Scalenes
    D.) Subclavius
    C.) Scalenes

    Reasoning: Scalenes are sandwiched in between SCM (Sternocleidomastoid) and
    Trapezius; Splenius Capitis is deep to the Trapezius and Rhomboids rotates the head and neck to the same side.
    (this multiple choice question has been scrambled)
  17. What term is indicated when a client becomes emotional after meeting with their MT because their MT resembles a relative that has just passed away?

    A.) Dual relationship
    B.) Professional
    C.) Reflexive
    D.) Transference
    C.) Reflexive

    Reasoning: A reflexive response happens when fragile feelings are present because of situations or memories. Ask if alone time is needed before the massage begins or if they need to reschedule. They may also need the
    option, if available, to request another therapist.
    (this multiple choice question has been scrambled)
  18. The structure that carries deoxygenated blood to the lungs is:

    A.) Pulmonary arteries
    B.) Pulmonary veins
    C.) Inferior venae cavae
    D.) Abdominal aorta
    A.) Pulmonary arteries

    Reasoning: Pulmonary arteries carry blood away from the heart towards the lungs to pick up oxygen and unload carbon dioxide. Oxygen-rich blood is then returned to the left side of the heart (pulmonary circulation)
    (this multiple choice question has been scrambled)
  19. How many Kilocalories does each gram of fat produce?
    9
  20. When trying to determine if your client is in the acute or chronic stage of inflammation, when would pain manifest to the affected area?

    A.) Acute pain has a decrease in the morning, and chronic is without pain in the morning
    B.) Acute pain is constant and chronic has no pain
    C.) Acute pain is aggravated by specific activity chronic is activated by activity and when at rest
    D.) Acute pain is aggravated by activity and when at rest and chronic is only with specific activity
    D.) Acute pain is aggravated by activity and when at rest and chronic is only with specific activity
    (this multiple choice question has been scrambled)
  21. Out of all the muscles that attach to the humeroulnar and humeroradial joints, what muscle would be assessed when flexion is performed?

    A.) Palmaris longus
    B.) Ancones
    C.) Triceps brachii
    D.) All the above
    A.) Palmaris longus

    Reasoning: Flexion of the elbow: biceps brachii, brachialis, brachioradialis, flexor carpi radialis, flexor carpi ulnaris (assists), palmaris longus, pronator teres (assists), extensor carpi radialis longus and extensor carpi radialis brevis (assist). The triceps brachii and anconeus extend the elbow.
    (this multiple choice question has been scrambled)
  22. What body system maintains posture, produces body heat, and movement?
    Muscular
  23. Of the following choices, what would be a mechanical force causing a wound?

    A.) Extreme temperature
    B.) Trauma
    C.) Chemical source
    D.) Electrical source
    B.) Trauma
    (this multiple choice question has been scrambled)
  24. Palpation is always performed _________, starting with the unaffected side.

    A.) Bilaterally
    B.) Unilarterally
    C.) Medially
    D.) Ipsilaterally
    A.) Bilaterally

    Reasoning: Unaffected tissue is compared to the affected tissue being aware of anatomy and fiber direction.
    (this multiple choice question has been scrambled)
  25. All of the following muscles share the same attachment site:

    A.) Coracobrachialis, Pectoralis minor, and Brachialis
    B.) Pectoralis minor, Biceps brachii, and Brachialis
    C.) Brachialis, Coracobrachialis, and Biceps brachii
    D.) Biceps brachii, Coracobrachialis, and Pectoralis minor
    D.) Biceps brachii, Coracobrachialis, and Pectoralis minor

    Reasoning: The coracoid process of the scapula is the origin of the short head on
    biceps brachii and the coracobrachialis. This structure also is the insertion for pectoralis minor.
    (this multiple choice question has been scrambled)
  26. For treatment of a repeat client it is best to:

    A.) Change treatment plan every time
    B.) Assume treatment is working with out communicating with client
    C.) Review the client's health history (HH)/SOAP's and request feedback on effects of the treatment
    D.) Check notes and repeat last treatment
    C.) Review the client's health history (HH)/SOAP's and request feedback on effects of the treatment
    (this multiple choice question has been scrambled)
  27. What body system is in charge of regulating body temperature and transporting nutrients / hormones?
    Circulatory system
  28. To treat trigger points and check for fascial restrictions with Petrissage, what type would be used as an assessment technique?

    A.) Skin rolling
    B.) Light effleurage
    C.) Lymphatic drainage
    D.) Vibration
    A.) Skin rolling

    Reasoning: Skin rolling= the skin is lifted between the thumb and fingers and gently rolled over the area being treated or assessed.
    (this multiple choice question has been scrambled)
  29. In a ninth century temple carving in India, who can be found getting a massage?
    Buddha
  30. Choose from the following the definition of profession?

    A.) An occupation requiring training and specialized study
    B.) Skilled touch delivered to achieve a specific outcome with the recipient reimbursing for services rendered
    C.) A group of interacting elements that function as a complex whole
    D.) Replicating structures or functions that intertwine and influence each other
    A.) An occupation requiring training and specialized study

    Reasoning: Profession is defined as: An occupation requiring training and specialized study.
    (this multiple choice question has been scrambled)
  31. The literal translation of shiatsu is:

    A.) Finger pressure
    B.) Static pressure
    C.) Light pressure
    D.) Hot pressure
    A.) Finger pressure

    Reasoning: Shi= finger, atsu= pressure. There is no needling involved with shiatsu
    massage. Pressure is applied along points on the meridians to create a healthy flow of ki.
    (this multiple choice question has been scrambled)
  32. What is the connective tissue called within the medullary cavity?
    Bone marrow
  33. The hamstring muscles from lateral to medial are?
    Biceps femoris, semitendenosus, and semimembranosus
  34. Each state has varying regulations, which of the following is the best overall definition of scope of practice?

    A.) The adherence to professional status, methods, standards, and character
    B.) The knowledge base and practice parameters of a profession
    C.) A group of interacting elements that function as a complex whole
    D.) A collection of tactile sensations that arise from sensory stimulation for the skin and deeper structures of the body
    B.) The knowledge base and practice parameters of a profession
    (this multiple choice question has been scrambled)
  35. If a client comes to you with a headache that has referred pain, it is most likely a:

    A.) Cluster headache
    B.) Chronic paroxysmal hemicrania
    C.) Tension headache
    D.) Migraine
    C.) Tension headache

    Reasoning: Tension headaches have bilateral pain, migraine, cluster and chronic paroxysmal hemicrania have unilateral pain. Tension headaches are caused by trigger points with referral pain.
    (this multiple choice question has been scrambled)
  36. In acute conditions it is best to do all of the following except?

    A.) Reduce or remove protective muscle spasms
    B.) Reduce pain and decrease sympathetic nervous system firing
    C.) Treat any compensating structures and maintain local circulation
    D.) Reduce inflammation and edema
    A.) Reduce or remove protective muscle spasms

    Reasoning: Reflex muscle guarding is due to a local tissue injury present in acute stages of a condition. The muscle spasm serves to functionally splint the injured structures, reducing movement, and preventing further
    injury. Removing could cause longer recovery time.
    (this multiple choice question has been scrambled)
  37. What are the three steps to follow in an emergency?
    Check-Call-Care
  38. What does Lymphatic drainage technique reduces?
    Edema and pain
  39. What is the declaration of the general principles of acceptable, ethical, and professional behavior by which massage therapists agree to conduct their practice?
    Code of ethics
  40. Rationale: Code of ethics= general principles for professional behavior.
  41. The deltopectoral triangle sites of caution consist of:
    Cephalic vein, clavicular artery, and pectoral nerve

    *The border structures that make up the deltopectoral triangle are the clavicle, deltoid, and pectoralis major and contain the cephalic vein, clavicular artery, and pectoral nerve.
  42. A cramp is?
    a prolonged muscle spasm
  43. What body system produces blood cells and stores minerals?
    Skeletal
  44. For the effectiveness of the massage, a comfortable balance of communication from both the client and the therapist is:

    A.) Determined by client
    B.) Up to the therapist
    C.) Covered on the intake form
    D.) Ideal for treatment
    D.) Ideal for treatment
    (this multiple choice question has been scrambled)
  45. What is the name of the French surgeon (1510-1590) who wrote a book on massage and its surgical application for patients?
    Ambroise Pare
  46. A client comes to you with pain and dizziness when they turn their neck, they think the pain could be from a small MVA last week. When you perform your ROM testing you notice extreme muscle weakness and they complain of difficulty swallowing. What should you do?

    A.) Send them to a physical therapist
    B.) Refer them to another MT
    C.) Treat them for whiplash and refer them to a chiropractor
    D.) Thoroughly document the initial assessment and refer client to a physician for assessment before massage treatment
    D.) Thoroughly document the initial assessment and refer client to a physician for assessment before massage treatment

    Reasoning: To avoid aggravation of possible fractures or dislocations it is best to
    first obtain a physician's assessment. Motor Vehicle Accident (MVA).
    (this multiple choice question has been scrambled)
  47. Which technique is specifically intended to disrupt and break down existing and forming adhesions in muscles, tendons, and ligaments?

    A.) Craniosacral therapy
    B.) Muscle approximation
    C.) Cross-fiber friction
    D.) GTO
    C.) Cross-fiber friction

    reasoning: By using compression and motion the therapist's fingers or thumb do not
    slide over the skin, instead the superficial tissues are moved over the
    deeper ones.
    (this multiple choice question has been scrambled)
  48. What technique is used to reduce edema, ease pain, lower the chance of scar tissue formation, and remove metabolic waste secondary to edema and inflammation?
    Lymphatic drainage
  49. All information given is confidential on a health history intake form unless?

    A.) The client gives specific written permission
    B.) You feel it is your duty to share client information for legal reasons
    C.) Their HCP asks for it
    D.) Treatments are complete and they are no longer a client
    A.) The client gives specific written permission

    Reasoning: State laws vary as to the amount of time you need to keep inactive client information. At any rate you must at all times keep any and all information confidential unless given written permission from client. HCP= Health Care Provider.
    (this multiple choice question has been scrambled)
  50. A spasm is:
    An involuntary, sustained contraction of a muscle
  51. If you cut your finger or have an open hangnail you must use a ___________ during the massage.

    A.) Band-aid
    B.) Gauze strip
    C.) Reusable glove
    D.) Finger cot
    D.) Finger cot



    Reasoning: Finger cot is the best answer.
    Would you want a reused glove, nasty band aid, or gauze strip on your body? Protect all involved with proper, comfortable tools.
    (this multiple choice question has been scrambled)
  52. If your client has a moderate anterior pelvic tilt what three muscles would be shortened?

    A.) Iliacus, psoas major and rectus femoris
    B.) Adductor magnus, gluteus maximus and gluteus medius
    C.) Biceps femoris, sartorius and gluteus medius
    D.) Biceps femoris, gluteus maximus and semitendinosus
    A.) Iliacus, psoas major and rectus femoris

    Reasoning: Anterior pelvic tilt (downward rotation)= short flexors and long extensors. ASIS pulled inferior.
    (this multiple choice question has been scrambled)
  53. The word massage is derived from:
    Greek
  54. What is the purpose of a treatment description?

    A.) Create trust
    B.) Create informed health care consumers
    C.) Create rapport
    D.) All of the above
    B.) Create informed health care consumers

    Reasoning: Communicate to client the advantages of the treatment and what they can do after the visit to make lasting differences in their condition.
    (this multiple choice question has been scrambled)
  55. When a person wears high heel shoes, what muscle is shortened?
    Gastrocnemius
  56. You have performed a postural assessment on your client who was in a marathon three days ago, both legs have mild lateral rotation, what
    muscle would be short and hypertonic?

    A.) TFL
    B.) Gracilis
    C.) Piriformis
    D.) Gluteus minimus
    C.) Piriformis

    Reasoning: Lateral or external rotation indicates that the lateral rotators are tight. A tight piriformis can also endanger the sciatic nerve. Another major muscle for lateral rotation is the Gluteus maximus (all fibers).
    (this multiple choice question has been scrambled)
  57. You are assessing your clients thumb and find that there is pain on extension and ABduction, what muscle is indicated?

    A.) Abductor pollicis longus
    B.) Extensor pollicis brevis
    C.) Abductor pollicis brevis
    D.) Extensor pollicis longus
    A.) Abductor pollicis longus

    Reasoning: The ABductor pollicis longus performs both extension and ABduction.
    (this multiple choice question has been scrambled)
  58. A client presents left-side torticollis, what muscle would be shortened and most effected?

    A.) Left pectoralis major
    B.) Left SCM
    C.) Right SCM
    D.) Right pectoralis major
    B.) Left SCM

    Reasoning: Torticollis is a condition affecting the head and neck area. The head and neck will be laterally flexed on the affected side and the face will be turned away from the affected side. The SCM (sternocleidomastoid)
    unilaterally rotates the head and neck to the opposite side and laterally flexes the head and neck to the same side and is the main
    offender in torticollis.
    (this multiple choice question has been scrambled)
  59. What is the name of the two brothers who introduced Swedish Massage to the United States in 1856?
    Dr. Charles Fayette Taylor and Dr. George Henry Taylor
  60. The body's molecule for energy is:

    A.) GH
    B.) ATP
    C.) FSH
    D.) OXY
    B.) ATP

    Reasoning: ATP (adenosine triphosphate): an important compound used as the source of intracellular energy; cellular energy. GH= growth hormone / OXY= Oxytocin / FSH= follicle stimulating; all of these hormones are produced by the pituitary gland.
    (this multiple choice question has been scrambled)
  61. A person who is lying prone would be?

    A.) On their side with knees drawn up
    B.) On the dorsal surface of their body
    C.) On the ventral surface of their body
    D.) None of the above
    C.) On the ventral surface of their body

    Reasoning: Prone means lying on their stomach or the ventral/anterior part of their body face down.
    (this multiple choice question has been scrambled)
  62. Which of the following choices are part of the endocrine system?

    A.) Gonads, pharynx, and larynx
    B.) Pancreas, thyroid, and bile
    C.) Adrenal, gonads, and thyroid
    D.) Thyroid, pharynx, and adrenal
    C.) Adrenal, gonads, and thyroid

    Reasoning: The endocrine system glands; pineal, pituitary, thyroid, parathyroid,
    thymus, adrenal, pancreas, ovaries and testes. Pharynx and larynx are part of the respiratory system.
    (this multiple choice question has been scrambled)
  63. What is Projection?
    Applying your own current feelings, emotions, or motivations onto another person
  64. Who can request health history information without written consent of the client?
    Anyone by Court Order
  65. Which of the following causes of wounds is a thermal force?

    A.) Friction
    B.) Chemical
    C.) Pressure
    D.) Trauma
    B.) Chemical

    Reasoning: Causes of wounds: Thermal sources (extreme temperatures, chemical and
    electrical resulting in a burn). Mechanical forces (trauma, pressure, friction, or sheer forces from an impact between the body and object, or inside body). Types of wounds: Abrasion, laceration, incision, puncture, animal bite, and burns.
    (this multiple choice question has been scrambled)
  66. What is the best hydro treatment for a client with fibromyalgia?

    A.) Heliotherapy
    B.) Fomentation
    C.) Vasoflush
    D.) Ice
    B.) Fomentation

    Reasoning: Fomentation= Hot moist hydro applied to ease pain. Heliotherapy= therapeutic exposure to sunlight. Ice has the possibility of intensifying the pain.
    (this multiple choice question has been scrambled)
  67. What forearm muscle would be assessed when both pronation and supination are performed?
    Brachioradialis
  68. Generally, any technique applied in a slow, rhythmical, and repetitive manner will evoke a relaxation response and ___________.

    A.) Decrease sympathetic nervous system firing
    B.) Increase sympathetic nervous system firing
    C.) Decrease parasympathetic nervous system firing
    D.) Increase both the sympathetic and parasympathetic firing
    A.) Decrease sympathetic nervous system firing
    (this multiple choice question has been scrambled)
  69. A trigger point is:
    A hyperirritable spot in the soft tissue that often exhibits a predictable referral pain pattern. Do not over-treat or use vigorous techniques to avoid "kick back" pain.
  70. Your client suffers from hyperglycemia, this is a result of:
    High blood glucose levels
  71. Which system of the body would regulate the blood pH and exchange gases?
    Respiratory system
  72. When assessing the radiocarpal joint, what muscle group would you lengthen to release or decrease mild extension at the wrist?

    A.) Ulnar deviators
    B.) Flexors
    C.) Extensors
    D.) Radial deviators
    C.) Extensors

    Reasoning: Relax the prime movers= extensors of the radiocarpal joint; Extensor carpi radialis longus/brevis, extensor carpi ulnaris and extensor digitorum.
    (this multiple choice question has been scrambled)
  73. A(n) _____ molecule is the primary source for energy in metabolism?
    ATP
  74. What two muscles attach to the xiphoid process?
    Rectus abdominus and diaphragm
  75. What action is used to assess scapulohumeral rhythm at the scapula or scapulothoracic joint?

    A.) Downward rotation
    B.) Abduction
    C.) Adduction
    D.) Upward rotation
    B.) Abduction

    Reasoning: Scapulothoracic rhythm is the ratio of motion between the scapulothoracic articulation and the glenohumeral joint, as the arm ABducts through full range. It tests for all joints of the shoulder
    (this multiple choice question has been scrambled)
  76. Muscles supply ______ to the bones.
    Protection
  77. To reduce symptoms, some massage treatments can be temporarily uncomfortable, such as friction. It is best to:

    A.) Work through treatment knowing that the treatment is painful, but for the best
    B.) Work within the clients pain tolerance
    C.) Have the client focus to help with pain
    D.) Use plenty of lotion
    B.) Work within the clients pain tolerance
    (this multiple choice question has been scrambled)
  78. What body system detects sensations and controls movements?
    Nervous system
  79. What are the three phases in acute inflammation?
    1:Change in vascular flow (vasodilation), 2: change in vascular permeability (flood site with WBCs, nutrients and lymph fluid=edema) and 3: cellular events: margination, sticking, diaphedesis, chemotaxis, phagocytosis.
  80. A client comes to you with neck pain. When conducting your postural assessment you notice the head and neck are side bent towards the left, the face turned to the right and left shoulder raised. What is the name
    of this pathology?

    A.) Impetigo
    B.) Torticollis
    C.) Lordosis
    D.) Bent neck
    B.) Torticollis

    Reasoning: The definition for Torticollis is an abnormal positioning of the head and neck relative to the body.
    (this multiple choice question has been scrambled)
  81. The ___________________ ethical code would be violated if you left a chart open on the counter?

    A.) Conduct
    B.) Confidentiality
    C.) Professional Practice
    D.) Behavior
    B.) Confidentiality

    Reasoning: All health intake and soap forms should be kept filed away from the public eye, regulating the client confidentiality agreement.
    (this multiple choice question has been scrambled)
  82. The endocrine system __________________.

    A.) Is a rarely used system in the autonomic structure
    B.) Produces hormones and secretes them into the blood
    C.) Is responsible for hemoglobin transport
    D.) Involves the fingernails and skin
    B.) Produces hormones and secretes them into the blood
    (this multiple choice question has been scrambled)
  83. When scheduling your client for their next massage, it is better to:

    A.) Schedule them when you have a spot and they can call to change if there is a problem
    B.) Automatically have them on the same day and same time, billing the insurance even if they don't come
    C.) Ask for their day and time preference
    D.) Show them your schedule and have them pick the best time
    C.) Ask for their day and time preference
    (this multiple choice question has been scrambled)
  84. Which plane divides the body into right and left equal halves?

    A.) Midsagittal
    B.) Sagittal
    C.) Frontal
    D.) Transverse
    A.) Midsagittal

    Reasoning: Midsagittal or median can be viewed as a midline dividing the body into
    right and left halves. Sagittal is a vertical cut but not in equal halves. Transverse= horizontal, superior/inferior, and frontal or
    coronal is anterior/posterior.
    (this multiple choice question has been scrambled)
  85. A prolonged deficiency in _______ may cause an enlarged thyroid or weight gain.
    Iodine
  86. The muscle that performs opposite actions of the prime mover is an:
    Antagonist
  87. What type of ROM testing is used to pinpoint adhesions?
    Active resisted
  88. Hydrotherapy is a form of complementary therapy that combines well with
    massage, one therapeutic use is analgesic which means a(n):

    A.) Pain relief
    B.) Reduction in sensation
    C.) Reduction in fever
    D.) Reduction of swelling
    A.) Pain relief

    Reasoning: Analgesic= pain relief or killer can be with hot, warm, and cold applications.
    (this multiple choice question has been scrambled)
  89. A(n) ____________ compression is a static compression applied by the
    therapist's thumbs, fingertips, or olecranon to a trigger point?

    A.) Ischemic
    B.) Valvular
    C.) Intrinsic conduction
    D.) InNervation
    A.) Ischemic

    Reasoning: A trigger point is a hyperirritable spot, usually within a taut band of skeletal muscle or its fascia. While staying within the client's pain tolerance, the pressure used is sufficient to temporarily cause local ischemia in the tissue.
    (this multiple choice question has been scrambled)
  90. Returning a patient to health through the correction of imbalance using acupuncture, herbal therapy, dietary therapy, and massage are all treatments included in:

    A.) Qi gong
    B.) Massage Therapy
    C.) Traditional Chinese medicine
    D.) Shiatsu
    C.) Traditional Chinese medicine

    Reasoning: Traditional Chinese medicine (TCM) is an ancient Chinese system of
    medicine that relates the philosophies of vital life energy (Qi) and Yin/Yang to the presence of wellness or illness.
    (this multiple choice question has been scrambled)
  91. The endocrine system contains?

    A.) Pituitary, adrenal, and thyroid glands
    B.) Lymph nodes and lymph vessels
    C.) Skin, hair, and sweat glands
    D.) Gonads and genitals
    A.) Pituitary, adrenal, and thyroid glands
    (this multiple choice question has been scrambled)
  92. Which is an example of practicing good business ethics?

    A.) Showering everyday
    B.) Keeping nails and hands clean
    C.) Being honest and confidential
    D.) Wearing appropriate clothing
    C.) Being honest and confidential

    Reasoning: Being honest and confidential is the only professional ethic listed. All of the other choices are forms of personal hygiene.
    (this multiple choice question has been scrambled)
  93. Decreasing muscle spasm and increasing the resting length of muscles is an effect of:

    A.) Mechanical stimulation of golgi tendon organs
    B.) Mechanical stimulation of the muscle spindle cells
    C.) Reflexive stimulation of golgi tendon organs
    D.) Chemical stimulation of golgi tendon organs
    A.) Mechanical stimulation of golgi tendon organs

    Reasoning: The golgi tendon organs are proprioceptive nerve receptors located in
    the tendons near the junction with the muscle. Mechanical stimulation will help decrease muscle spasm and increase the resting length of an acute injury.
    (this multiple choice question has been scrambled)
  94. You have a client who stands at his workstation on his feet 8-10 hours a day. A PA shows mild increase in thoracic kyphosis, what muscle needs to be strengthened?

    A.) Rectus abdominus
    B.) Pectoralis major
    C.) Pectoralis minor
    D.) Rhomboid major
    D.) Rhomboid major

    Reasoning: Kyphosis shortens the anterior muscles and stretch weakens the posterior
    (thoracic) muscles. The pectoralis minor should be lengthened first opening up the shoulder girdle, relaxing the hypotonic short and releasing the stretch on the lengthened muscles.
    (this multiple choice question has been scrambled)
  95. Which of the following pathologies is not a musculoskeletal injury?

    A.) Strain/sprain
    B.) Wounds and burns
    C.) Pes planus
    D.) Fracture
    C.) Pes planus

    Reasoning: Musculoskeletal injuries: Scar tissue, wounds/ burns, contusions, strains, sprains, cruciate/ meniscal injuries, dislocations, fracture, and whiplash. Pes planus is a postural dysfunction.
    (this multiple choice question has been scrambled)
  96. What muscle would you be assessing with a severe downward rotation of the scapulothoracic joint?

    A.) Trapezius (lower fibers)
    B.) Levator scapula
    C.) Pectoralis minor
    D.) Trapezius (upper fibers)
    B.) Levator scapula

    Reasoning: Downward rotation of the scapulothoracic joint= Levator scapula, rhomboid major and minor.
    (this multiple choice question has been scrambled)
  97. What bone in the body does not articulate with other bones?
    Hyoid
  98. What is the term for the end of a bone that is closest to the trunk?
    Proximal epiphysis
  99. Leaving a client's health history document lying on the counter during a massage is:

    A.) Breaching client confidentiality laws
    B.) Permitted if you are in a hurry
    C.) Ok if you are not busy
    D.) Not something to be worried about
    A.) Breaching client confidentiality laws
    (this multiple choice question has been scrambled)
  100. The muscle approximation technique uses the reflex effect of these cells to reduce tone or spasm in a muscle?

    A.) Golgi tendon
    B.) Muscle spindle
    C.) Memory
    D.) Mitochondria
    B.) Muscle spindle

    Reasoning: Muscle approximation or bringing the ends of the muscle closer together,
    lessens the stretch on the muscle spindles reducing muscle tone and spasm.
    (this multiple choice question has been scrambled)
  101. Of the following groups which is in charge of ABduction and ADduction of the radiocarpal joint?

    A.) ABduction: Extensor carpi radialis longus / brevis, ADduction: Extensor digitorum and Biceps brachii
    B.) ABduction: Palmaris longus, ADduction: Extensor carpi ulnaris and flexor carpi ulnaris
    C.) ABduction: Extensor carpi radialis longus / brevis, ADduction: Extensor carpi ulnaris and biceps brachii
    D.) ABduction: Extensor carpi radialis longus / brevis, ADduction: Extensor carpi ulnaris and flexor carpi ulnaris
    D.) ABduction: Extensor carpi radialis longus / brevis, ADduction: Extensor carpi ulnaris and flexor carpi ulnaris

    Reasoning: The three muscles that ABduct (radial deviation) the wrist or radiocarpal joint: Extensor carpi radialis longus / brevis and flexor carpi radialis. The two muscle in charge of ADducting or ulnar deviation of the radiocarpal joint (wrist): Extensor carpi ulnaris and flexor carpi ulnaris.
    (this multiple choice question has been scrambled)
  102. A new client comes to you requesting a full hour massage on his back, what should you do?

    A.) Agree to their request, but massage other hypertonic sections as well
    B.) Honor their request
    C.) Inform them that you will always massage the whole body and to find another therapist
    D.) Inform them of the benefits of a full body massage and talk him into one
    B.) Honor their request

    Reasoning: The client is coming to you and knows what they want, be flexible and build rapport and confidence with the client so they will want to return.
    (this multiple choice question has been scrambled)
  103. Any repeated activity, occupational or recreational, can lead to an/a:

    A.) Postural dysfunction
    B.) Musculoskeletal
    C.) Overuse injury
    D.) Joint dysfunction
    C.) Overuse injury

    Reasoning: An overuse injury occurs when repetitive microtrauma overloads a tissue's ability to repair itself.
    (this multiple choice question has been scrambled)
  104. Adhesive capsulitis is another name for which pathology?
    Frozen shoulder
  105. Which ribs are termed the floating ribs?
    11 & 12
  106. The "anatomical stirrup" is comprised of what two muscles?
    Tibialis anterior and fibularis (peroneus) longus

    • Note: The attachment site for both these muscles is on the Medial cuneiform and base of the first metatarsal. The support of the anatomical stirrup (fibularis (peroneus) longus and tibialis anterior) helps prevent the
    • collapse of the transverse arch.
  107. A lack of vitamin D, pain resulting from inflammation, and direct or indirect trauma of infection can cause:

    A.) Prolonged eccentric contractions
    B.) Muscle spasm and cramps
    C.) Prolonged concentric contractions
    D.) Trigger Points
    B.) Muscle spasm and cramps

    Reasoning: Spasm= an involuntary, sustained contraction of a muscle. A cramp is a common or lay term for painful, prolonged muscle spasm. Vitamin D helps to make enzymes that transport calcium which is necessary for normal muscle contractions. TPs are caused by mechanical or postural stresses.
    (this multiple choice question has been scrambled)
  108. In anatomical position, which bone of the forearm is lateral?
    Radius
  109. If your client has a moderate posterior pelvic tilt what three muscles would be lengthened?

    A.) Biceps femoris, gluteus maximus and semitendinosus
    B.) Gluteus maximus (all fibers), gluteus medius and ADductor magnus
    C.) Iliacus, psoas major and biceps femoris
    D.) Iliacus, psoas major and rectus femoris
    D.) Iliacus, psoas major and rectus femoris

    Reasoning: Posterior pelvic tilt (upward rotation)= short extensors an long flexors. ASIS (Anterior Superior Iliac Spine) pulled superior.
    (this multiple choice question has been scrambled)
  110. A hypertonic muscle will _____ when applying acute pressure with deep strokes.

    A.) Roll
    B.) Tense
    C.) Release
    D.) Spasm
    C.) Release

    Reasoning: Muscle spindle cells are the major sensory organ of muscles and aid in the control of movement. When severe or acute pressure is applied, the spindle cells send a message to the central nervous system increasing the tension of the skeletal muscle. The muscle spindle cells react to the pressure by releasing the tension because of the overload of activity, giving up and relaxing. Hence the reason why deep tissue or
    cross fiber friction is so effective.
    (this multiple choice question has been scrambled)
  111. Which of the following choices would the sympathetic nervous system control?

    A.) Constriction of blood vessels
    B.) Lowered respiratory rate
    C.) Pupillary responses
    D.) Slowing down the heart; intestinal activity
    A.) Constriction of blood vessels

    Reasoning: Constriction of blood vessels and increased blood pressure are results of stimulus to the sympathetic nervous system. Slowing down the heart and respiratory rate would come from stimulation of the parasympathetic.
    (this multiple choice question has been scrambled)
  112. Your client sits at a computer for more than 10 hours a day Monday through Friday, what five muscles of the hip and thigh are shortened?

    A.) Iliacus, psoas major, semitendinosus, semimembranosus and gluteus medius
    B.) Iliacus, psoas major, rectus femoris, sartorius and gluteus medius
    C.) Iliacus, gluteus maximus, biceps femoris, sartorius and gluteus medius
    D.) Gluteus maximus, biceps femoris, semitendinosus, semimembranosus and gluteus medius
    B.) Iliacus, psoas major, rectus femoris, sartorius and gluteus medius

    Reasoning: When in a sitting position, the hip flexors are shortened: Iliacus, psoas major, rectus femoris, sartorius and gluteus medius (anterior fibers). Lengthened extensors: Gluteus maximus, biceps femoris,
    semitendinosus, semimembranosus and gluteus medius (posterior fibers).
    (this multiple choice question has been scrambled)
  113. How many pairs of nerves branch off of the spine?
    31

    Note*: There are 31 pairs of nerves branching off of the spine. 8 cervical nerves, 12 thoracic nerves, 5 lumbar nerves, 5 sacral nerves, and 1 coccageal nerve off the spinal cord.
  114. Generally this technique rhythmically compresses and releases the tissue and creates kneading and stretching of tissue layers:
    Petrissage
  115. If you were talking about the integumentary system, you would be discussing?
    The skin, nails, hair and sweat glands
  116. It is important for truth in advertising in all the following except:

    A.) Referrals
    B.) Repeat business
    C.) Quarterly taxes
    D.) Professional integrity
    C.) Quarterly taxes

    Reasoning: Taxes are not part of advertising.
    (this multiple choice question has been scrambled)
  117. What form would you file with the IRS if you had a contract with another company and was paid over $600 for your services?
    1099-Misc
  118. Consent to treat is:

    A.) Not required for the client's insurance
    B.) Not required unless you feel it is necessary
    C.) Required by law for therapists regulated under the health care act
    D.) Required to be filled out each massage
    C.) Required by law for therapists regulated under the health care act

    Reasoning: The consent to treat or informed consent, is stating that the client
    understands and agrees to what the therapist is suggesting for treatment.
    (this multiple choice question has been scrambled)
  119. ______ muscle is not under our conscious control and is termed involuntary?
    Smooth
  120. What is the most common cause of death among those who have experienced a burn?
    Sepsis

    • Note*: Sepsis is the most common cause of death in those who have been burned because of the increased risk of infection due to the loss of the protective barrier. As a result of deeper burns, an accompanied affect
    • is the immune function is depressed. Periostitis and compartment syndromes produce pain in the lower leg. Hyperkyphosis is the increase in normal thoracic kyphotic curve.

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