1.
Chi manifests itself as five interrelated elements of cosmological energy. which is the INCORRECT element of TCM.
Correct Answer
C. Wind
Explanation
In Traditional Chinese Medicine (TCM), Chi is believed to manifest as five interrelated elements of cosmological energy, namely fire, earth, wind, water, and wood. However, wind is not considered an element in TCM. The correct answer is wind.
2.
Your client has a subacute ankle sprain. What is the best stroke to facilitate recovery of this type of injury?
Correct Answer
C. Transverse friction
Explanation
Transverse friction is the best stroke to facilitate recovery of a subacute ankle sprain. This technique involves applying deep pressure across the affected area, which helps to break down scar tissue, improve circulation, and promote healing. By targeting the injured tissues directly, transverse friction can help reduce pain, inflammation, and stiffness, while also increasing range of motion and promoting tissue repair.
3.
Your client has psoriasis on his back. he desires a full body massage. What is the most appropriate course of action?
Correct Answer
C. Complete the massage but avoid the affected area
Explanation
Psoriasis is a chronic skin condition that is not contagious. Therefore, it is safe to proceed with a full body massage for the client. However, it is important to avoid massaging the area affected by psoriasis to prevent any discomfort or potential worsening of the condition. By completing the massage but avoiding the affected area, the client can still enjoy the benefits of the massage without any negative impact on their psoriasis.
4.
Your client explains that they have been diagnosed with phlebitis. What is the best response?
Correct Answer
B. Explain that you want to research and consult with her doctor because certain conditions are contraindicated; reschedule the massage
Explanation
The best response in this situation is to explain that you want to research and consult with the client's doctor because certain conditions, such as phlebitis, are contraindicated for massage. It is important to prioritize the client's health and safety, and rescheduling the massage allows for further assessment and guidance from a medical professional. Proceeding with caution or doing energy work instead of Swedish massage may not be appropriate without proper consultation and understanding of the condition.
5.
Shiatsu is an ancient oriental healing method, which includes:
Correct Answer
D. All of the above
Explanation
Shiatsu is an ancient oriental healing method that incorporates various techniques and principles. It involves balancing the chi or energy flow through the meridians, which are invisible channels in the body. Additionally, it takes into account the concept of yin and yang, which are the governing forces or energies within the universe. Moreover, diagnosis of illness in Shiatsu is done by examining the qualities of the pulse and the condition of the tongue. Therefore, the correct answer is "all of the above" as it encompasses all the mentioned aspects of Shiatsu.
6.
Which of the following conditions are contraindicated for massage?
Correct Answer
D. All of the above
Explanation
Massage therapy is contraindicated in the presence of abnormal lumps because massaging over them could potentially worsen the condition or cause further complications. Acute fever is also contraindicated for massage as it can indicate an active infection, and massaging in such cases can spread the infection or put additional stress on the body. Acute inflammation, such as phlebitis, diverticulitis, or cellulitis, is also contraindicated for massage because it can exacerbate the inflammation and cause pain or discomfort. Therefore, all of the given conditions are contraindicated for massage therapy.
7.
You suspect that your client has impetigo, what should you do?
Correct Answer
D. Explain what you suspect and politely reschedule the massage. suggest the client see her doctor for treatment
Explanation
If you suspect that your client has impetigo, it is important to communicate your concerns to the client and recommend that they see a doctor for treatment. Impetigo is a highly contagious skin infection that requires medical attention. Rescheduling the massage is necessary to prevent the spread of the infection to other clients. Cleaning the affected area with alcohol and massaging it or avoiding the area would not address the underlying issue or protect the client and others from potential harm.
8.
Your client has chronic low back problems. while prone, she complains of pain in the low back area. what should you do first?
Correct Answer
A. Place pillow under her abdomen
Explanation
When a client with chronic low back problems complains of pain while in a prone position, placing a pillow under her abdomen can help alleviate the discomfort. This position helps to reduce the strain on the lower back by slightly elevating the abdomen and promoting a more neutral spinal alignment. By providing support to the abdomen, the pillow helps to relieve pressure on the lumbar region, reducing pain and discomfort for the client.
9.
Your client comes in with extremely painful whiplash. he was in an auto accident yesterday, his neck is very stiff and sore, and thinks massage will help. What is the best course of action?
Correct Answer
D. Refer to and reschedule the massage after his consulting with the pHysician
Explanation
The best course of action in this scenario is to refer the client to a physician and reschedule the massage. Since the client has been in an auto accident and is experiencing extreme pain and stiffness, it is important to prioritize their health and safety. Consulting with a physician will help determine the extent of the injury and any necessary medical treatment. It is crucial to avoid providing any massage treatment without proper medical guidance in such cases.
10.
Choose the incorrect statement.
Correct Answer
B. Yin is located on the posterior body and yang on the anterior
Explanation
The incorrect statement is that yin is located on the posterior body and yang on the anterior. In traditional Chinese medicine, yin and yang are opposite but complementary forces, but their location is not determined by the posterior or anterior body. Yin and yang can be found throughout the body and are not limited to specific regions.
11.
Kinesiology is the study of?
Correct Answer
B. Body movement and the relationship of groups of muscles and their movement
Explanation
Kinesiology is the study of body movement and the relationship of groups of muscles and their movement. This field focuses on understanding how muscles work together to produce movement and how different factors such as posture, strength, and flexibility affect the body's ability to move efficiently. By studying kinesiology, one can gain knowledge about the mechanics of movement and apply it to various areas such as sports, rehabilitation, and ergonomics.
12.
Which of the following statements is an incorrect statement?
Correct Answer
B. Trigger point therapy is a gently, energy technique quieting the nervous system
Explanation
The given answer is correct because trigger point therapy is not a gentle, energy technique that quiets the nervous system. Trigger point therapy is a form of massage therapy that focuses on relieving trigger points, which are tight knots of muscle fibers that can cause pain and discomfort. It involves applying pressure to these trigger points to release tension and alleviate pain, rather than using gentle energy techniques to quiet the nervous system.
13.
When massaging the anterior neck, what structure should be avoided:
Correct Answer
D. All of the above
Explanation
When massaging the anterior neck, all of the structures mentioned should be avoided. The carotid artery is a major blood vessel that supplies blood to the brain, and applying pressure to it can lead to serious complications such as stroke. The internal jugular vein is also an important blood vessel, and applying pressure to it can cause blood clot formation or damage to the vein. The vagus nerve is a crucial nerve that controls various functions in the body, and excessive pressure on it can cause discomfort or even dysfunction. Therefore, it is important to avoid all of these structures while massaging the anterior neck to ensure the safety and well-being of the individual.
14.
The term mentastics and hook up are terms used in?
Correct Answer
C. Trager
Explanation
The term "mentastics" and "hook up" are terms used in Trager. Trager is a bodywork approach that focuses on releasing physical and mental tension through gentle, rhythmic movements. Mentastics refers to the mental gymnastics or mental exercises that are incorporated into the Trager session to enhance body awareness and promote relaxation. "Hook up" is a term used in Trager to describe the process of connecting the mind and body, allowing for a deeper sense of integration and ease in movement.
15.
In TCM the organs are associated with certain elements. The organs associated with the earth element are:
Correct Answer
A. Spleen and stomach
Explanation
In Traditional Chinese Medicine (TCM), the organs are believed to be associated with certain elements. The earth element is associated with the spleen and stomach. These organs are considered to be part of the earth element because they are responsible for digestion and transformation of food, which is essential for nourishing the body and maintaining its stability. The spleen and stomach are also associated with the earth element because they are believed to govern the transportation and transformation of fluids and nutrients in the body.
16.
When massaging adductor longus and sartorius, what structures are to be avoided?
Correct Answer
A. Femoral triangle
Explanation
When massaging the adductor longus and sartorius muscles, it is important to avoid the femoral triangle. The femoral triangle is a region in the upper thigh where the femoral artery, femoral vein, and femoral nerve are located. Massaging in this area can potentially compress or damage these important structures, leading to complications such as bleeding, nerve damage, or impaired blood flow. Therefore, it is crucial to avoid massaging the femoral triangle to ensure the safety and well-being of the individual receiving the massage.
17.
A new client does not want to complete your intake questionnaire. What is the first thing you should do?
Correct Answer
C. Continue to ask questions, if the client gives you all the necessary information, proceed with massage
Explanation
The correct answer is to continue to ask questions and proceed with the massage if the client provides all the necessary information. This is because the intake questionnaire is important for understanding the client's medical history, any injuries or conditions, and their preferences. However, if the client is able to provide all this information verbally, it may be acceptable to proceed with the massage. It is important to ensure that all necessary information is obtained to provide a safe and effective massage.
18.
Your client is lying in the supine position and complains of low back pain. What should you do first?
Correct Answer
C. Place pillow under knees
Explanation
Placing a pillow under the client's knees is the first step to take when they are lying in the supine position and experiencing low back pain. This action helps to relieve pressure on the lower back by slightly flexing the hips and reducing strain on the lumbar spine. It can also help to maintain the natural curvature of the spine and promote proper alignment while the client is lying down. This simple adjustment can provide some immediate relief and increase comfort during the massage session.
19.
Relaxation of contracted muscles the following massage can best be explained by:
Correct Answer
D. The affect on never impulses involved in resetting musle tone
Explanation
The correct answer is the effect on nerve impulses involved in resetting muscle tone. Massage can help reset muscle tone by stimulating the nerve impulses that control muscle contraction and relaxation. This can help relax contracted muscles and restore them to their normal tone. Endorphin release may also occur during massage, but it is not the primary mechanism by which muscle tone is reset. The mechanical effects on muscle tone and the removal of toxins from muscle tissue can be beneficial, but they do not directly explain how muscle tone is reset.
20.
Your client has a large, dark mole on his back. You have noticed a sudden change in appearance and size. What should you do?
Correct Answer
C. Explain to him that you have noticed a sudden change in the moles appearance; suggest he may want to have a doctor examine it just to be on the safe side. (avoid immediate area)
Explanation
The correct answer is to explain to the client that you have noticed a sudden change in the mole's appearance and suggest that he may want to have a doctor examine it just to be on the safe side. This is the appropriate course of action because sudden changes in the appearance and size of moles can be indicative of skin cancer. It is important to prioritize the client's health and well-being by encouraging them to seek medical attention for further evaluation and diagnosis. Additionally, avoiding massaging the immediate area is advised to prevent any potential harm or discomfort to the client.
21.
Your client has varicose veins. Circle the incorrect statement.
Correct Answer
C. It is ok to massage the area if you use very light gliding strokes
Explanation
The incorrect statement is "it is ok to massage the area if you use very light gliding strokes." Massage is generally contraindicated for clients with varicose veins, as it can potentially worsen the condition by increasing blood flow and pressure in the affected veins. It is important to obtain the client's doctor's approval before performing any massage techniques on the area.
22.
Range of motion is best determined by:
Correct Answer
A. Joint movement assessment
Explanation
The range of motion refers to the extent to which a joint can move in various directions. Joint movement assessment involves evaluating the joint's ability to move through its full range of motion. By observing and measuring the joint's movement, healthcare professionals can determine the extent of any restrictions or limitations. This assessment provides valuable information about the joint's mobility and helps in diagnosing conditions or injuries that may affect the range of motion. Palpation of the affected area, myofascial release techniques, and stretching are also important in assessing and improving range of motion, but joint movement assessment specifically focuses on evaluating the joint's mobility.
23.
The mechanical effects of massage include:
Correct Answer
A. Disruption of adhesions and stretching the muscle
Explanation
Massage can have mechanical effects on the body, including the disruption of adhesions and stretching of the muscles. Adhesions are areas of tissue that have become stuck together, often due to injury or inflammation. By applying pressure and manipulating the muscles, massage can help break up these adhesions, improving range of motion and reducing pain. Additionally, stretching the muscles during a massage can help lengthen and relax tight or contracted muscles, further increasing flexibility and reducing discomfort.
24.
A therapist must be concerned with personal hygiene at all times. The most important hygiene habit is:
Correct Answer
C. Clean hands and nails
Explanation
A therapist must prioritize personal hygiene to ensure a safe and comfortable environment for their clients. Clean hands and nails are crucial as they come into direct contact with the clients during treatments. Maintaining clean hands and nails helps prevent the spread of germs and bacteria, reducing the risk of infections. It also reflects professionalism and shows respect for the clients' well-being. While unscented deodorant and oral hygiene are important, they do not have the same direct impact as clean hands and nails in maintaining a hygienic and professional environment.
25.
The primary goal of post-event sports massage is to:
Correct Answer
A. Re establish circulation which aids in recovery from negative affects of activity
Explanation
The primary goal of post-event sports massage is to re-establish circulation, which aids in recovery from the negative effects of activity. This is because intense physical activity can cause muscle soreness, inflammation, and the accumulation of metabolic waste products. By re-establishing circulation, sports massage helps to flush out these waste products and deliver fresh oxygen and nutrients to the muscles, promoting faster recovery and reducing muscle soreness. Additionally, improved circulation can also help to reduce inflammation and calm nervous tension, further aiding in the recovery process.
26.
Massage would be indicated for?
Correct Answer
A. Post acute bursitis
Explanation
Massage would be indicated for post acute bursitis. Bursitis is inflammation of the bursa, which is a fluid-filled sac that cushions and lubricates joints. Massage can help reduce pain and inflammation, improve circulation, and promote healing in the affected area. In the post-acute phase, when the initial inflammation has subsided but there may still be lingering pain and stiffness, massage can be beneficial in relieving symptoms and promoting recovery. It is important to note that massage should be performed by a trained professional and tailored to the individual's specific condition.
27.
Massage affects the body in a number of ways. choose the incorrect statement
Correct Answer
C. Massage breaks up and reduces cellulite
Explanation
This statement is incorrect because massage does not break up and reduce cellulite. Cellulite is caused by the accumulation of fat deposits beneath the skin, and massage cannot directly target or eliminate these deposits. While massage can improve circulation and lymphatic drainage, which may have some temporary smoothing effects on the skin, it does not permanently reduce cellulite.
28.
The most widely recognized physiological effect of massage is
Correct Answer
D. Increase in blood and lympH circulation
Explanation
Massage therapy has been shown to increase blood and lymph circulation in the body. This is due to the manipulation and pressure applied to the soft tissues, which helps to stimulate the blood vessels and lymphatic system. Increased circulation can have several positive effects on the body, including improved delivery of oxygen and nutrients to the tissues, removal of waste products, and enhanced immune function. By promoting better circulation, massage can help to improve overall health and wellbeing.
29.
Your client complains of a muscle cramp in her gastroc. select the treatment which is useful in reducing muscle cramping:
Correct Answer
D. Reciprocal inhibition stretching technique
Explanation
The reciprocal inhibition stretching technique is useful in reducing muscle cramping. This technique involves contracting the muscle opposite to the one that is cramping. By doing so, it helps to relax and relieve tension in the cramping muscle. This technique can help to restore balance and alleviate the muscle cramp.
30.
Massage can reduce stress; the reduction in stress can be contributed to:
Correct Answer
D. The reduction of parasympathetic activity
Explanation
Massage can reduce stress by reducing parasympathetic activity. The parasympathetic nervous system is responsible for promoting relaxation and rest. When it is overly active, it can lead to increased stress and anxiety. By reducing parasympathetic activity, massage helps to restore balance in the nervous system, allowing the body to relax and reduce stress.
31.
Delayed muscle soreness can result from sporadic exercise activities:
Correct Answer
D. Massage removes the build up of lactic acid in the tissue
Explanation
Massage can remove the build-up of lactic acid in the tissue. Lactic acid is a byproduct of anaerobic metabolism that can accumulate in muscles during intense exercise. This build-up can contribute to muscle soreness and fatigue. Massage can help to increase blood flow and circulation, which can aid in the removal of lactic acid from the muscles. By removing lactic acid, massage can help to reduce muscle soreness and improve recovery time after exercise.
32.
All soft tissue is controlled by the:
Correct Answer
C. Nervous system
Explanation
The nervous system is responsible for controlling and coordinating all the functions of the body, including the soft tissues. It consists of the brain, spinal cord, and nerves, which transmit signals to and from different parts of the body. The nervous system controls the movement of muscles, regulates organ function, and enables us to sense and respond to our environment. Without the nervous system, the soft tissues would not be able to function properly, making the nervous system the correct answer.
33.
Before massaging, the physician's recommendation is extremely important in certain conditions which include:
Correct Answer
D. All of the above
Explanation
Before massaging, the physician's recommendation is extremely important in certain conditions such as circulatory problems, cancer, and herniated disc. These conditions can be sensitive and require special attention and caution during a massage. Therefore, it is crucial to consult with a physician before proceeding with a massage to ensure the safety and well-being of the individual with these conditions.
34.
Psychological effects of massage include:
Correct Answer
D. None of the above
Explanation
The given options suggest that the psychological effects of massage include increased cellular metabolism, localized skin hyperemia, or an increase in skin temperature. However, the correct answer is "none of the above." This implies that the psychological effects of massage do not include any of the mentioned options. It is important to note that massage primarily focuses on the physical aspects of the body rather than psychological effects.
35.
Tapotement should not be used over the:
Correct Answer
B. Upper lumbar, inferior to ribs
Explanation
Tapotement is a massage technique that involves rhythmic tapping or striking movements. It is not recommended to use tapotement over the upper lumbar area, inferior to the ribs. This is because the area is close to vital organs such as the kidneys and liver, and the forceful tapping could potentially cause harm or discomfort. It is important to be cautious and avoid using tapotement in sensitive areas to ensure the safety and well-being of the client.
36.
When massaging an injured limb, you should start:
Correct Answer
A. Proximal to the injury
Explanation
When massaging an injured limb, it is recommended to start proximal to the injury. This means that the massage should begin closer to the body and gradually move towards the injured area. Starting proximal to the injury allows for better blood circulation, which can help reduce swelling and promote healing. It also helps to prevent further damage to the injured area by avoiding direct pressure on it.
37.
When massaging your client's upper extremities, what areas should be avoided?
Correct Answer
D. All of the above
Explanation
When massaging a client's upper extremities, it is important to avoid certain areas for their safety and comfort. The cubital area of the elbow should be avoided as it contains important nerves and blood vessels. The medial brachium, which refers to the inner part of the upper arm, should also be avoided to prevent any potential discomfort or injury. Additionally, the ulnar notch of the elbow, which is a bony prominence on the inner side of the elbow, should be avoided to prevent any unnecessary pressure or pain. Therefore, all of the above areas should be avoided during a massage session.
38.
Tapotement (percussion) techniques are described below:
Correct Answer
D. Chucking/popping
39.
Massage can reduce pain by:
Correct Answer
D. All of the above
Explanation
Massage can reduce pain by affecting the cause of pain, nociceptive stimulation. Nociceptive stimulation refers to the activation of pain receptors in response to tissue damage or injury. Massage can also affect the processing of noxious stimulation, which involves how the brain interprets and responds to pain signals. Additionally, massage can affect the conduction of pain impulses, which refers to how pain signals are transmitted from the site of injury to the brain. Therefore, all of the above options are correct explanations for how massage can reduce pain.
40.
Ice massage is effective in reducing pain because:
Correct Answer
A. It affects the conduction of pain impulses
Explanation
Ice massage is effective in reducing pain because it affects the conduction of pain impulses. When ice is applied to the affected area, it causes vasoconstriction, which reduces blood flow and slows down the conduction of pain signals. This helps to numb the area and reduce the sensation of pain. Additionally, the cold temperature can also help to reduce inflammation and swelling, further contributing to pain relief.
41.
Your client suffers from emphysema. Massage may:
Correct Answer
D. All of the above
Explanation
Massage may have multiple benefits for a client suffering from emphysema. Firstly, it can temporarily reduce anxiety and stress caused by changes in the client's breathing patterns. Secondly, it can help relax the contracted musculature of the accessory muscles that are involved in assisted breathing. Lastly, massage can temporarily increase rib cage mobility by relaxing the intercostal muscles. Therefore, all of the above statements are correct, and massage can provide these benefits for a client with emphysema.
42.
Which of the following statements is incorrect?
Correct Answer
C. Light vibration is the best stroke for stimulating the tissue
Explanation
The statement "light vibration is the best stroke for stimulating the tissue" is incorrect. While light vibration can be used in massage therapy, it is not considered the best stroke for stimulating the tissue. Tapotement, which involves rhythmic tapping or percussive movements, is generally considered more effective for stimulating the tissue.
43.
Your client has edema and has a doctor's ok for massage. Your treatment plan would use which of the following strokes?
Correct Answer
D. Slow, rhythmical gliding
Explanation
Slow, rhythmical gliding strokes would be used in the treatment plan for a client with edema and a doctor's approval for massage. This type of stroke helps to promote lymphatic drainage and improve circulation, which can be beneficial in reducing swelling and fluid retention associated with edema. The slow and rhythmic nature of the strokes allows for gentle pressure and encourages relaxation, making it suitable for this specific condition.
44.
The most widely used massage stroke is:
Correct Answer
C. Gliding
Explanation
The most widely used massage stroke is gliding. Gliding, also known as effleurage, involves long, smooth, and continuous strokes that help to warm up the muscles and promote relaxation. It is commonly used at the beginning and end of a massage session to prepare the body for deeper techniques or to bring the client back to a state of calm. Gliding strokes help to increase blood circulation, reduce tension, and create a soothing sensation for the recipient.
45.
Fibromyalgia may be best treated by:
Correct Answer
A. Connective tissue massage (myofascial release, friction, kneading)
Explanation
Connective tissue massage, which includes techniques such as myofascial release, friction, and kneading, may be the best treatment for fibromyalgia. These techniques can help alleviate pain, reduce muscle stiffness, and improve overall flexibility and range of motion. By targeting the connective tissues, which are often affected in fibromyalgia, this type of massage therapy can provide relief and improve the quality of life for individuals with this condition. Light vibration and percussive strokes may not be as effective in addressing the specific symptoms and underlying issues associated with fibromyalgia.
46.
The purpose of gliding strokes is to:
Correct Answer
A. Stretch the fascia
Explanation
Gliding strokes in massage therapy are used to stretch the fascia, which is the connective tissue that surrounds muscles, bones, and organs. By applying gentle and continuous pressure along the body, these strokes help to elongate and release tension in the fascia, improving flexibility and range of motion. This can also help to break up adhesions and scar tissue, promoting better circulation and overall tissue health.
47.
The best stroke to free adhesions in the muscle belly is:
Correct Answer
B. Kneading
Explanation
Kneading is the best stroke to free adhesions in the muscle belly because it involves applying pressure and manipulating the muscle tissue with a squeezing and rolling motion. This technique helps to break up adhesions, increase blood flow, and promote relaxation and flexibility in the muscle. Friction, gliding, and tapotement strokes may have their own benefits, but they may not be as effective in specifically targeting and releasing adhesions within the muscle belly.
48.
Friction is:
Correct Answer
A. Primarily used to reach deeper tissue, especially around the joint spaces and bony prominances
Explanation
Friction is primarily used to reach deeper tissue, especially around the joint spaces and bony prominences. This technique involves applying pressure and rubbing the tissues in a circular or back-and-forth motion. By using friction, massage therapists can target specific areas that may be deeper within the body, such as muscles close to the joints or areas with bony prominences. This technique can help to break down adhesions, improve flexibility, and alleviate pain or tension in these specific areas.
49.
Passive joint movement includes:
Correct Answer
C. Having the client remain relaxed while the therapist stretches and moves the body part
Explanation
Passive joint movement refers to a technique where the client remains relaxed while the therapist stretches and moves the body part. This allows the therapist to have full control over the movement without any active participation from the client. The other options, such as having the client participate by contracting the muscles involved or having the client perform a motion with the assistance of the therapist, involve active involvement from the client, which is not characteristic of passive joint movement. Therefore, the correct answer is having the client remain relaxed while the therapist stretches and moves the body part.
50.
When evaluating ROM, you ask your client to rotate his head as far to the right as he can. This type of movement is considered to be:
Correct Answer
C. Active
Explanation
When evaluating ROM (Range of Motion), asking the client to rotate their head as far to the right as they can is considered to be an active movement. In an active movement, the client is able to perform the movement on their own without any assistance or resistance. This indicates that the client has control over their muscles and is able to voluntarily move their head without any external assistance.