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 be composed of five interrelated elements of cosmological energy, namely fire, earth, wind, water, and wood. However, wind is not considered as one of the elements 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. Transverse friction massage involves applying pressure to the affected area in a perpendicular direction to the muscle fibers. This technique helps to break down scar tissue, increase blood flow, and promote healing. It can also help reduce pain and improve range of motion.
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
The most appropriate course of action is to complete the massage but avoid the affected area. Psoriasis is not contagious, so there is no need to reschedule the massage. Asking the client to cleanse the area thoroughly with bacterial soap and massaging the area may irritate the psoriasis further. Therefore, avoiding the affected area while still providing a full body massage is the best option.
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 to the client that you want to research and consult with her doctor because certain conditions, such as phlebitis, are contraindicated for massage. It is important to prioritize the client's safety and well-being, and rescheduling the massage allows for proper assessment and guidance from the client's healthcare provider.
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 encompasses various practices. It involves balancing the chi or energy flow in the body through the meridians, which are invisible channels. Additionally, it takes into account the concepts of yin and yang, which are governing forces of energy in the universe. Furthermore, Shiatsu practitioners diagnose illnesses by examining the qualities of the pulse and the condition of the tongue. Therefore, the correct answer is "all of the above" as all these elements are integral to the practice of Shiatsu.
6.
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 suggest that they see a doctor for treatment. Impetigo is a highly contagious skin infection that requires medical attention. Continuing with the massage could potentially spread the infection to other areas of the body or to other clients. Therefore, it is best to reschedule the massage and prioritize the client's health and well-being.
7.
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
Placing a pillow under the client's abdomen while in a prone position can help to relieve pressure on the low back area and provide support. This can help to alleviate the pain experienced by the client with chronic low back problems. By providing this additional support, it can help to improve the client's comfort and potentially reduce their pain levels.
8.
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
It is important to prioritize the client's safety and well-being. Whiplash can be a serious condition that may require medical attention. Referring the client to consult with a physician before proceeding with the massage ensures that any underlying injuries or complications are properly assessed and addressed. This approach demonstrates a responsible and cautious approach to the client's condition.
9.
Circle the incorrect statement
Correct Answer
B. Yin is located on the posterior body and yang on the anterior
Explanation
The correct answer is "yin is located on the posterior body and yang on the anterior." This statement is incorrect because yin is associated with the posterior body and yang is associated with the anterior body. Yin represents the passive, dark, and feminine energy, while yang represents the active, light, and masculine energy.
10.
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 correct answer states that trigger point therapy is a gentle energy technique that quiets the nervous system. However, this statement is incorrect. Trigger point therapy is actually a form of manual therapy that involves applying pressure to specific points in the muscles to alleviate pain and tension. It does not involve energy techniques or quieting the nervous system.
11.
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 oxygenated blood to the brain, and applying pressure on it can lead to serious consequences such as stroke or damage to the brain. The internal jugular vein is also an important blood vessel that carries deoxygenated blood from the brain back to the heart, and applying pressure on it can disrupt blood flow. The vagus nerve is a crucial nerve that controls various functions in the body, and stimulating or compressing it can lead to unwanted effects on heart rate, blood pressure, and other bodily functions. Therefore, it is important to avoid massaging these structures to ensure the safety and well-being of the individual.
12.
The term mentastics and hook up are terms used in
Correct Answer
C. Trager
Explanation
The term "mentastics" is a unique concept developed by Milton Trager, the founder of Trager Approach. It refers to a series of gentle, rhythmic movements that aim to increase body awareness and promote relaxation. "Hook up" is another term used in Trager, which refers to the process of connecting and integrating different parts of the body to achieve a sense of wholeness and balance. Therefore, the correct answer is Trager, as these terms are specific to this bodywork modality.
13.
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 play a vital role in digestion and the transformation of food into nutrients, which nourishes the body. The spleen is responsible for extracting nutrients from food, while the stomach is responsible for breaking down food. Therefore, spleen and stomach are the correct organs associated with the earth element in TCM.
14.
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 an anatomical region located in the upper thigh, and it contains important structures such as the femoral nerve, femoral artery, and femoral vein. Massaging in this area can potentially compress or damage these structures, leading to complications such as nerve or vascular injury. Therefore, it is crucial to avoid massaging the femoral triangle to ensure the safety and well-being of the individual receiving the massage.
15.
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
It is important to gather necessary information about the client's health and any specific needs or concerns before proceeding with a massage. If the new client does not want to complete the intake questionnaire, the therapist should continue to ask questions to gather the necessary information. If the client provides all the necessary information during the questioning, the therapist can proceed with the massage. However, it is important to note that having a completed intake questionnaire is ideal for proper assessment and to ensure the client's safety and well-being.
16.
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 be taken when a client complains of low back pain while lying in the supine position. This helps to reduce strain on the lower back by maintaining a neutral spine position and relieving pressure on the lumbar region. It provides support and promotes proper alignment, which can alleviate discomfort and prevent further aggravation of the pain.
17.
Relaxation of contracted muscles following massage can best be explained by
Correct Answer
D. The affect on never impulses involved in resetting musle tone
Explanation
The relaxation of contracted muscles following a massage can be best explained by the effect on nerve impulses involved in resetting muscle tone. During a massage, the pressure and manipulation of the muscles stimulate the nerve endings, which in turn send signals to the brain. These signals help to reset the muscle tone and release any tension or tightness in the muscles. This process allows for the relaxation and relief of muscle tension experienced after a massage.
18.
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 response because a sudden change in appearance and size of a mole can be a potential sign of skin cancer. It is important to encourage the client to seek medical attention to ensure early detection and appropriate treatment if necessary.
19.
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 statement "it is ok to massage the area if you use very light gliding strokes" is incorrect because massaging varicose veins, even with light strokes, can potentially worsen the condition by increasing blood flow and pressure in the affected veins. It is generally advised to avoid massaging varicose veins without proper medical guidance.
20.
Range of motion is best determined by
Correct Answer
A. Joint movement assessment
Explanation
The range of motion refers to the extent of movement that a joint can achieve. Joint movement assessment involves evaluating the ability of a joint to move through its full range of motion. This assessment helps determine any limitations or restrictions in joint mobility. By observing and measuring the joint's movement, healthcare professionals can identify any abnormalities or dysfunctions that may be present. Therefore, joint movement assessment is the most effective method for determining the range of motion in a joint.
21.
The mechanical effects of massage include
Correct Answer
A. Disruption of adhesions and stretching the muscle
Explanation
The mechanical effects of massage include disruption of adhesions and stretching the muscle. Adhesions are abnormal connections between tissues that can restrict movement and cause pain. Massage helps break down these adhesions, allowing for improved range of motion and reduced pain. Additionally, stretching the muscles during massage helps to lengthen and relax them, further enhancing flexibility and reducing tension.
22.
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 maintain a professional and clean environment for their clients. Clean hands and nails are particularly important as therapists often use their hands during treatments, and dirty hands or long nails can harbor bacteria or cause discomfort to clients. Maintaining clean hands and nails helps prevent the spread of germs and ensures a safe and hygienic experience for both the therapist and the client.
23.
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 the recovery from the negative effects of activity. During physical activity, muscles can become tight and tense, and blood flow may be restricted. By re-establishing circulation through massage techniques, the muscles receive fresh oxygen and nutrients, while waste products are removed. This helps to reduce muscle soreness, inflammation, and promotes faster recovery. Additionally, increased circulation can also help to warm the tissues and calm nervous tension.
24.
Massage would be indicated for
Correct Answer
A. Post acute bursitis
Explanation
Massage would be indicated for post-acute bursitis because massage therapy can help reduce pain, inflammation, and stiffness associated with bursitis. It can also improve circulation, promote healing, and increase range of motion in the affected area. By targeting the muscles, tendons, and soft tissues surrounding the inflamed bursa, massage can provide relief and support the recovery process.
25.
Massage affects the body in a number of ways. circle the incorrect statement
Correct Answer
C. Massage breaks up and reduces cellulite
Explanation
The given statement "massage breaks up and reduces cellulite" is incorrect. Massage does not have a direct impact on reducing cellulite. Cellulite is caused by the accumulation of fat deposits beneath the skin, and massage alone cannot break up or reduce these deposits.
26.
The most widely recognized physiological effect of massage is
Correct Answer
D. Increase in blood and lympH circulation
Explanation
Massage therapy has been found to increase blood and lymph circulation. During a massage, the pressure applied to the body helps to stimulate the flow of blood and lymphatic fluid. This increased circulation allows for the delivery of oxygen and nutrients to the tissues, while also aiding in the removal of waste products and toxins from the body. Improved circulation can have numerous benefits, including reduced muscle tension, enhanced immune function, and overall improved health and well-being.
27.
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 a useful treatment for reducing muscle cramping. This technique involves contracting the muscle opposing the cramping muscle, which helps to relax and lengthen the cramping muscle. By doing so, it reduces the tension and spasm in the gastroc muscle, alleviating the cramp. Light vibration to the muscle and surrounding area may help to relax the nerves, but it may not directly address the cramping. Tapotement is a massage technique that involves rhythmic tapping, which may not specifically target the cramping muscle. Unassisted stretching of the affected muscle may provide temporary relief but may not effectively address the underlying cause of the cramp.
28.
Delayed muscle soreness can result from sporadic exercise activities. circle the incorrect statement
Correct Answer
D. Massage removes the build up of lactic acid in the tissue
Explanation
The statement "massage removes the build up of lactic acid in the tissue" is incorrect. While massage can improve circulation and help with the removal of metabolic byproducts, it does not directly remove lactic acid from the tissue. Lactic acid is naturally cleared from the muscles through the bloodstream and other metabolic processes.
29.
All soft tissue is controlled by the
Correct Answer
C. Nervous system
Explanation
The nervous system is responsible for controlling all soft tissues in the body. It sends signals and commands to the muscles, organs, and other tissues, allowing them to function properly. The nervous system consists of the brain, spinal cord, and nerves, which work together to transmit electrical impulses and coordinate the body's movements and responses. Without the nervous system, the soft tissues would not be able to receive instructions and would not be able to carry out their functions effectively. Therefore, the nervous system is the correct answer.
30.
Before massaging, the physicians recommendation is extremely important in certain conditions which include
Correct Answer
D. All of the above
Explanation
The physician's recommendation is extremely important before massaging in certain conditions such as circulatory problems, cancer, and herniated disc. These conditions require special care and consideration during a massage to avoid any potential harm or complications. Therefore, it is crucial to consult with a physician to ensure the safety and effectiveness of the massage therapy in these cases.
31.
Psychological effects of massage include
Correct Answer
D. None of the above
Explanation
The given answer "none of the above" is correct because the listed options do not accurately represent the psychological effects of massage. Psychological effects of massage include reduced stress and anxiety, improved mood, relaxation, and increased feelings of well-being. These effects are not related to cellular metabolism, localized skin hyperemia, or an increase in skin temperature.
32.
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 pounding on the body. It is generally not recommended to be used over the upper lumbar area, inferior to the ribs. This is because the upper lumbar region is close to vital organs such as the kidneys and liver, and vigorous tapping could potentially cause harm or discomfort. It is important to exercise caution and avoid using tapotement in this specific area to ensure the safety and well-being of the client.
33.
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 helps to improve blood circulation and lymphatic flow, which can aid in reducing swelling and promoting healing. By gradually working towards the injured area, the massage therapist can also assess the extent of the injury and adjust the pressure and technique accordingly.
34.
When massaging your clients 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 to ensure their safety and comfort. The cubital area of the elbow should be avoided as it contains the ulnar nerve, which is sensitive and can cause discomfort if compressed or irritated. The medial brachium, which refers to the inner side of the upper arm, should also be avoided to prevent any potential discomfort or pain. Lastly, the ulnar notch of the elbow, which is a depression on the inner side of the elbow joint, should be avoided as well. Therefore, all of the above areas should be avoided during a massage session.
35.
Tapotement (percussion) techniques are described below: circle the incorrect description
Correct Answer
D. Chucking/popping
Explanation
The incorrect description in the given options is "chucking/popping". Tapotement (percussion) techniques involve rhythmic movements such as hacking/cupping, slapping/tapping, and pincement/beating, which are all valid techniques used in massage therapy. However, "chucking/popping" does not accurately describe any tapotement technique and is therefore the incorrect option.
36.
Massage can reduce pain by
Correct Answer
D. All of the above
Explanation
Massage can reduce pain by affecting the cause, nociceptive stimulation. Nociceptive stimulation refers to the activation of pain receptors in response to tissue damage or inflammation. Massage can help reduce pain by addressing the underlying cause and promoting healing. Additionally, massage can affect the processing of noxious stimulation, which refers to how the brain perceives and interprets pain signals. By altering the processing of these signals, massage can help reduce the intensity or perception of pain. Furthermore, massage can affect the conduction of pain impulses, which refers to the transmission of pain signals along nerve fibers. By promoting relaxation and reducing muscle tension, massage can help interrupt the transmission of pain impulses, leading to pain relief. Therefore, all of the above statements are correct explanations for how massage can reduce pain.
37.
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 numbs the area. This numbing effect interrupts the transmission of pain signals to the brain, providing temporary relief. Additionally, the cold temperature can also reduce inflammation and swelling, further contributing to pain reduction. Therefore, ice massage's impact on the conduction of pain impulses makes it an effective method for pain relief.
38.
Your client suffers from emphysema. massage may
Correct Answer
D. All of the above
Explanation
Massage can provide temporary relief for clients with emphysema by reducing anxiety and stress caused by breathing difficulties. It can also relax the contracted musculature of the accessory muscles that are involved in assisted breathing. Additionally, massage can temporarily increase rib cage mobility by relaxing the intercostal muscles. Therefore, all of the above options are valid explanations for why massage may benefit clients with emphysema.
39.
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
The client has edema, which is the accumulation of excess fluid in the body tissues. Slow, rhythmical gliding strokes would be the most appropriate for this condition as they help to promote lymphatic drainage and reduce swelling. This technique involves gentle, continuous movements that aid in the movement of fluid towards the lymph nodes, facilitating its elimination from the body. Tapotement and kneading strokes may be too stimulating and could potentially exacerbate the edema. Fast, rhythmical gliding strokes may not provide the necessary pressure and rhythm to effectively address the client's condition.
40.
The most widely used massage stroke is
Correct Answer
C. Gliding
Explanation
Gliding is the most widely used massage stroke because it is a smooth and continuous movement that helps to relax the muscles and improve circulation. It involves using long, flowing strokes with moderate pressure, which allows the therapist to cover larger areas of the body and provide a soothing and calming effect. This stroke is often used at the beginning and end of a massage session to warm up or cool down the muscles. Additionally, gliding strokes help to spread the massage oil or lotion evenly on the skin, making it easier for the therapist's hands to glide smoothly over the body.
41.
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 most effective treatment for fibromyalgia. This type of massage targets the fascia, a connective tissue that surrounds and supports muscles, helping to alleviate pain, reduce muscle tension, and improve overall mobility. Light vibration and percussive strokes may not provide the same level of relief for fibromyalgia symptoms. Therefore, connective tissue massage is considered the best treatment option for this condition.
42.
Circle the incorrect answer. the purpose of gliding strokes is to
Correct Answer
A. Stretch the fascia
Explanation
The purpose of gliding strokes is to stretch the fascia. Gliding strokes involve smooth and continuous movements along the muscles and tissues, which helps to elongate and stretch the fascia. This can improve flexibility, relieve tension, and promote better movement and functionality of the muscles and joints. It is not about determining the client's pain tolerance, evaluating soft tissue, or enhancing blood and lymphatic flow.
43.
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 deep pressure and circular movements to the affected area. This technique helps to break up adhesions between muscle fibers and connective tissues, promoting increased blood flow and flexibility in the muscle. Kneading also helps to relieve muscle tension and improve overall muscle function.
44.
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 is because friction involves applying pressure and using small circular or back-and-forth movements, which can effectively penetrate deeper layers of tissue. By targeting these specific areas, friction can help to break up adhesions, release tension, and improve mobility in the joints. It is often beneficial in post-event sports massage as it can help to alleviate muscle soreness and promote faster recovery. Friction is not only applied perpendicular to the muscle fiber but can also be applied in different directions depending on the desired outcome.
45.
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 approach allows the therapist to have full control over the movement, ensuring that it is done safely and without any active participation from the client. The therapist takes the responsibility of applying the necessary force and guiding the joint through its range of motion, allowing the client to passively experience the movement without exerting any effort. This technique is commonly used in physical therapy to improve joint flexibility, reduce muscle tension, and promote relaxation.
46.
When evaluating ROM, you ask your client to rotate his head as for to the right as he can. this type of movement is considered to be
Correct Answer
C. Active
Explanation
In this scenario, the client is asked to rotate their head as far to the right as they can. This type of movement is considered to be active because the client is voluntarily and independently performing the movement without any external assistance or resistance. It does not involve any passive manipulation or resistance from an external source. Therefore, the correct answer is active.
47.
Your client has tight shortened leg muscles from cycling. cycling is his primary form of exercise. you would recommend which of the following activies
Correct Answer
C. Aerobics
Explanation
Aerobics would be the recommended activity for the client with tight shortened leg muscles from cycling. Aerobic exercises involve continuous and rhythmic movements that increase heart rate and improve cardiovascular fitness. These exercises also help in stretching and strengthening muscles, which can be beneficial for the client's leg muscles. Additionally, aerobics can provide a good overall workout and help prevent muscle imbalances caused by repetitive cycling movements.
48.
Reciprocal inhibition is a form of stretching which requires the client to
Correct Answer
D. Contract the antagonist to muscle being stretched, allowing the muscle being stretched to relax
Explanation
Reciprocal inhibition is a technique used in stretching where the client contracts the antagonist muscle to the one being stretched. This contraction helps to relax the muscle being stretched, allowing for a deeper stretch. By engaging the antagonist muscle, it sends a signal to the stretched muscle to relax, promoting increased flexibility and range of motion. This technique is commonly used in various stretching and rehabilitation exercises to improve muscle flexibility and reduce muscle tension.
49.
Your client is an amputee. the recommended stroke for treating the stump is
Correct Answer
B. Tapotement
Explanation
Tapotement is a recommended stroke for treating the stump of an amputee. Tapotement involves rhythmic tapping or pounding movements, which can help stimulate blood circulation, reduce muscle tension, and improve nerve function in the stump area. This technique can also provide sensory input and desensitize the stump, helping to alleviate any discomfort or pain. Additionally, tapotement can help break up scar tissue and promote healing in the stump. Overall, tapotement is an effective stroke for improving the overall health and function of the stump in amputees.
50.
Your client is suffering from lymphedema as a result of post operative trauma & bed rest. massage can reduce edema in this situation becuase the results can produce
Correct Answer
D. All of the above
Explanation
Massage can reduce edema in lymphedema by promoting movement of the edema fluid from the tissues to the blood. This movement helps to decrease swelling and improve circulation. Additionally, massage can increase urine output, which aids in the removal of excess fluid from the body. Lastly, massage can also increase blood flow to the affected area, which further helps to reduce edema. Therefore, all of the above statements are true and explain why massage can be beneficial in reducing edema in this situation.