PART 4

GRAND BASIC REVIEW

Massage & Bodywork Massage & Bodywork ExaminationsExaminationsFor NCBTMBFor NCBTMB

STARFLEET ACADEMYSTARFLEET ACADEMY

1. Research indicates that many benefits of bodywork are derived through the nervous system. These effects are considered______. 

a. Reflexive 

b. Mechanical 

c. Placebo 

d. Energetic 

GENERAL REVIEW

2. Research has indicated that serotonin, cortisol, and norepinephrine are influenced by massage . What type of response is this?______. 

a. Hardening 

b. Mechanical 

c. Neuro-endocrine 

d. Gate control

GENERAL REVIEW

3. At a pain clinic, you prepare a presentation on the benefits of therapeutic applications of touch to an inter-disciplinary group of professionals including a medical doctor, nurse practitioner, nutritionist and psychologist. Of what value is research in the development of your presentation.?

a. Research describes a subjective experience 

b. Research is to be manipulated to validate your point 

c. Research provides objective validity to the statements of benefits presented.

 d. Research dispels the importance of an intuitive approach.

GENERAL REVIEW

4. The description of the probable progression of a disease pattern for an individual is the______. 

a. Etiology 

b. Diagnosis 

c. Prognosis 

d. Idiopathic nature.

GENERAL REVIEW

5. What is Pain? 

a. An absolute sigh of malignancy 

b. Only productive when chronic 

c. A subjective experience of the individual 

d. A major sign of a syndrome

GENERAL REVIEW

6. The exacerbation of an acute illness means the illness: 

a. Is beginnings to reverse to a healthy state 

b. Has become worse 

c. Is infectious 

d. Is becoming chronic

GENERAL REVIEW

7. The signs and symptoms reported to the physician assist in determining the: 

a. Diagnosis 

b. Exacerbation 

c. Entrainment 

d. Neoplasm

GENERAL REVIEW

8. The relationship of health, biorhythms and entrainment to applications of body work is: 

a. General support of biorhythms and entrainment by using rhythmic applications of

bodywork 

b. Support of circadian rhythms by bodywork but not ultradian rhythms 

c. Support of health by entrainment is not an issue in healthy states. 

d. Entrainment is the mechanism by which bodywork produces disorganization.

GENERAL REVIEW

9. A client informs the bodywork professional that they have a benign non-infectious chronic condition with acute periods, particularly when exposed to temperature and seasonal changes and changes in the sleep pattern. Which of the following best describes the clients' condition?

a. The client has a bacterial condition that occasionally becomes active but often goes into remission

 b. The client is sensitive to changes in circadian rhythms,

seasonal rhythms 

c. The client has a pre-cancerous condition that is viral in nature with a guarded prognosis

 d. The client experiences inflammation in neoplasms, which

results in acute periods of phantom pain.

GENERAL REVIEW

10. Positioning a client on their side is called: 

a. Supine position 

b. Prone position 

c. Lateral superior position 

d. Lateral recumbent position.

GENERAL REVIEW

11. The sternum is inferior to the: 

a. Pelvis 

b. Clavicles c. Diaphragm muscle d. Pancreas

GENERAL REVIEW

12. A client has a bruise on the bottom of their foot. How would you describe the location of the bruise in your charting? The bruise is located: 

a. On the dorsal side of the foot 

b. On the volar aspect of the foot c. On the plantar aspect of the foot d. On the caudad portion of the foot

GENERAL REVIEW

 13. A client is referred for bodywork with a regional contraindication that says: Avoid the posterior lateral area of the forearm just inferior to the elbow. Where is it contraindicated to work? 

a. The area just below the insertion of most of the extensors of the wrist. 

b. The olecranon process c. Volar aspect of the hand. d. The belly of the muscles of the anterior flexors of the wrist.

GENERAL REVIEW

14.The most basic level of structural organization of the body is?

 a. Cellular

 b. Tissue c. Organelle d. Chemical

GENERAL REVIEW

15. The thyroid, thymus, parathyroid, pineal are organs of what system? 

a. Endocrine 

b. Integumentary c. Digestive d. Lymphatic

GENERAL REVIEW

16. When considering the relationship between anatomy and physiology, which of the following is the most accurate statement? 

a. Anatomy is the function of the body parts and physiology is the structure of the body. 

b. Anatomy describes the structure and physiology describes function.

 c. Physiologic functions are best studied during dissection

and anatomy is best studied by observation. 

d. Physiology is core concrete while anatomy is more fluctuating.

GENERAL REVIEW

17. When identifying aspects that reflect the energetic forms of bodywork, which of the following are most accurate? 

a. Surface anatomy and histology. 

b. Organelles and systemic anatomy. 

c. Physiology and chemical interactions. 

d. Interphase and meiosis.

GENERAL REVIEW

18. A fracture that is a crack in the bone usually cased by repeated mechanical strain is a/an: 

a. Incomplete fracture 

b. Comminuted 

c. Spiral Fracture 

d. Stress Fracture

GENERAL REVIEW

19. An air space in the facial bones is a: 

a. Sinus 

b.  Trabeculae

c.  Foramen

d. Meatus

GENERAL REVIEW

20. Which set of bones represents the tarsal bones 

a. Tibia, talus hamate 

b.  Glenoid, trapezium

c.  Cuneiform, cuboid, talus

d. Ethmoid, vomer, calcaneus

GENERAL REVIEW

21. Which of the following bone type has a medullary cavity?

 a. Flat bone

 b.  Sesamoid bone

c.  Long bone

d. Irregular bone

GENERAL REVIEW

22. Of the following pathological conditions of the skeletal system, which one would most likely appear in a person 50 years or older. 

a. Legg-Calve’-Perthes Disease 

b.  Scheuermann’s Disease

c.  Osteogenesis Imperfecta

d. Osteoporosis

GENERAL REVIEW

23. If a person has fragile bones, what type of bodywork would be the most safe and not require application adjustments? 

a. Shiatsu 

b.  Polarity

c.  Deep tissue

d. Sports Massage

GENERAL REVIEW

24. The joint type which allows the most range of motion is: 

a. Amphiarthroses 

b.  Diathroses

c. Synathroses 

d. Synchondrosis

GENERAL REVIEW

25. The involuntary movement that occurs between joint surfaces is called: 

a. Hypermobility 

b.  Anatomic range of motion

c.  Osteokinematic

d. Joint play

GENERAL REVIEW

26. The glenohumeral joint consists of the humerus and: 

a. Scapula 

b.  Clavicle

c.  Radius

d. Ulna

GENERAL REVIEW

27. A major ligament supporting the medial aspect of the tibiotalar joint is the: 

a. Tibial collateral ligament 

b.  Deltoid ligament

c.  Coracohumeral ligament

d. Labrum ligament

GENERAL REVIEW

28. An athlete whose major sport is basketball received an impact injury to the medial aspect of the knee. There is not much swelling or loss of function ; however, the knee is tender when palpating the lateral side. What type of injury to what structure is probable? 

a. Dislocation with micro tearing to the patellar ligament. 

b.  3rd degree sprain to the lateral collateral ligament.

c.  1st degree sprain to the lateral collateral ligament.

d. 2nd degree sprain to the medial collateral ligament.

GENERAL REVIEW

29. A client has sprained their ankle multiple times in the past 10 years. The plastic range of the connective tissue structures in this area has been increased. What pathological condition might this client be experiencing? 

a. Hypermobility 

b.  Avulsion

c.  Hypomobility

d. Adhesive Capsulitis

GENERAL REVIEW

30. The stimulus at which the first noticeable muscle contraction occurs is called the: 

a. Static force 

b.  Maximal stimulus

c.  Threshold stimulus

d. Tone pattern

GENERAL REVIEW

31. A muscle that produces the majority of movement is called a/an 

a. Agonist 

b.  Antagonist

c.  Fixator

d. Synergist

GENERAL REVIEW

32. The muscles that function to flex the elbow are: 

a. Brachialis, brachioradialis, pronator teres 

b.  Triceps brachii, coracobrachialis, teres major

c.  Pronator quadratus, brachioradialis, coracobrachialis

d. Brachialis, brachioradialis, teres major

GENERAL REVIEW

33. A muscle synergistic to the triceps brachii is the: 

a. Pronator quadratus 

b.  Flexor carpi radialis

c.  Palmaris longus

d. Aconeus

GENERAL REVIEW

34. A client is having difficulty with diffuse pain in the lumbar region mostly on the left side. During assessment, it is noticed that the swing phase of the gait cycle is restricted on the left. What muscle(s) is implicated. 

a. Hamstrings 

b.  Quadriceps

c.  Psoas

d. Quadratus

GENERAL REVIEW

35. Which of the following is a function of muscles? 

a. Support production of red blood cells 

b.  Generate heat

c.  Supply calcium to the blood

d. Sense positional change

GENERAL REVIEW

36. A motor neuron and all the muscle fibers that it controls are called a: 

a. Neuromuscular junction 

b.  Synergist

c.  Motor unit

d. Endomysium

GENERAL REVIEW

37. What is an Aponeurosis? 

a. The outer layer of connective tissue that surrounds a muscle

 b.  A cord of fibrous connective tissue that anchors a

muscle to a bone

c.  A sheath that surrounds a tendon and a muscle

d. A broad flat tendon that attaches muscle to bone or other tissue.

GENERAL REVIEW

38. What is the innervation of the latissimus dorsi muscle? 

a. The subscapular nerve 

b.  The axillary nerve

c.  The thoracodorsal nerve

d. The median nerve

GENERAL REVIEW

39. The muscle described as having its origin at the posterior sacrum, coccyx and iliac crest and insert at the gluteal tuberosity of the femur and iliotibial band is the: 

a. Gluteus minimus 

b.  Tensor fasciae latae

c.  Gluteus Maximus

d. Piriformis

GENERAL REVIEW

40. The muscle most often implicated in sciatica is the: 

a. Pronator quadratus 

b.  Psoas minor

c.  Piriformis

d. Semimembranosus

GENERAL REVIEW

41. A trigger point in the deltoid would likely refer pain to the: 

a. Upper arm and down lateral side of arm 

b.  Neck behind the ear, temple, and subscapular area

c. Side and back of the chest 

d. Dorsal forearm into the dorsal hand

GENERAL REVIEW

42. A force applied to a lever to overcome resistance is called the: 

a. Equilibrium 

b.  Fulcrum

c.  Acceleration

d. Effort

GENERAL REVIEW

43. What does the gait cycle describe? 

a. The relationship between postural and phasic muscles 

b.  A series of events that sequences the phases of walking

c. Adaption to changing joint positions 

d. The rotation around an axis to support locomotion

GENERAL REVIEW

44. What is being identified when the end feel of a joint is hard (normal function indicates a soft end feel)? 

a. Anatomic barrier 

b.  Physiologic barrier

c.  Pathologic barrier

d. Joint play

GENERAL REVIEW

45. What is the advantage of a third class lever? 

a. Speed 

b.  Mechanical advantage

c.  Slow acceleration

d. Mechanical disadvantage

GENERAL REVIEW

46. A client often experiences soreness the day after a resistance training routine with weights. Which of the following types of muscle contraction is the likely cause of this tenderness? 

a. Concentric contraction 

b.  Eccentric contraction

c.  Isometric contraction

d. Isotonic contraction

GENERAL REVIEW

47. A physician refers a client for therapeutic bodywork. The client is experiencing pain and reduced mobility in the shoulders, which has been occurring for three weeks. On month prior, the client began a new job in a factory that requires static positioning of the lower body and repetitive activity with the upper body. What is the likely classification of neuromuscular dysfunction? 

a. First degree, stage one functional tension 

b.  First degree, stage three structural change

c.  Third degree, stage three structural change

d. First degree, joint dysfunction

GENERAL REVIEW

48. What is the main neurotransmitter affecting muscle? 

a. Serotonin 

b. Histamine 

c.  Dopamine

d. Acetylcholine

GENERAL REVIEW

49. What is a nerve that transmits the signal to the central nervous system? 

a. Motor 

b.  Efferent

c.  Afferent

d. Cranial

GENERAL REVIEW

50. Which of the following nerves is part of the brachial plexus? 

a. Median 

b.  Lateral femoral cutaneous

c.  Obturator

d. Posterior femoral cutaneous

GENERAL REVIEW

51. Which of the following sensory receptors detects changes in muscle length? 

a. Chemoreceptors 

b.  Photoreceptors

c.  Nociceptors

d. Proprioceptors

GENERAL REVIEW

52. What nerve is often irritated in long distance bicycle riding? 

a. Phrenic 

b.  Muscular-cutaneous

c.  Thoracodorsal

d. Pudendal

GENERAL REVIEW

53. Meditation practices that make use of touching the thumb and fingers together are stimulating the Primary: 

a. Motor area of the frontal lobe 

b.  Visual of the occipital lobe

c.  Somato sensory area of the parietal lobe

d. None of the above

GENERAL REVIEW

54. Therapeutic use of scent, sometimes called aromatherapy, stimulates which type of receptor? 

a. Nociceptors 

b.  Chemoreceptors

c.  Mechanoreceptors

d. Thermal receptors

GENERAL REVIEW

55. A person has experienced a series of stressful events over the past three days. He is having difficulty falling asleep and his tolerance to noise had decreased, thus causing him to become very frustrated and angry. Bodywork benefits to assist this client would: 

a. Support the release of adrenaline 

b.  Sustain the affect of serotonin

c.  Promote sympathetic dominance

d. Reduce nociceptor sensitivity

GENERAL REVIEW

56. A client has symptoms that seem to indicate nerve pain. Assessment suggests compression syndrome. What would be an appropriate action? 

a. Use aggressive traction techniques to release the impingement.

 b. Support sympathetic dominance through the use of

heavy tapotement in the area of the compression. 

c. Refer the client for evaluation and treatment of the osseous structure impinging the nerve. 

d. Suggest the client receive three sessions before seeing a physician.

GENERAL REVIEW

57. Therapeutic massage may be a beneficial part of a comprehensive treatment plan for Parkinson's disease since research indicates that: 

a. Dopamine levels are influenced during massage. 

b.  Re-myelination is encouraged with ongoing massage intervention.

c.  The limbic system is stimulate during massage.

d. Peripheral nerve regeneration is stimulated for 24 hours post massage.

GENERAL REVIEW

58. What is the sac around the heart that secretes a lubricating fluid to prevent frictions from the movement of the heart. 

a. Atrium 

b.  Epicardium

c.  Myocardium

d. Pericardium

GENERAL REVIEW

59. To what do renal arteries supply blood? 

a. The pancreas 

b.  The kidneys

c.  The liver

d. the stomach

GENERAL REVIEW

60. A client has systolic pressure of 112 mmhg. What is being measured? 

a. Maximal pressure when the ventricles relax 

b.  Pressure that occurs when the ventricles relax

c.  Maximal pressure when the ventricles contract

d. Increased blood pressure and cardiac output

GENERAL REVIEW

61. Arteriosclerosis of the coronary arteries is a form of: 

a. Congestive heart failure 

b.  Hypertension

c.  Bradycardia

d. Coronary heart disease

GENERAL REVIEW

62. What is the relationship between bar receptors and the medulla? 

a. Receptors detect blood pressure and relay the information to the cardio-regulatory centers in the medulla.

 b. Receptors that transmit signals form a AV node to the

medulla to regulate heart rate.

c. The medulla adjusts hematopoiesis through regulation of the baroreceptors.

d. A negative feedback loop between the baroreceptors and the medulla regulate clotting.

GENERAL REVIEW

63. A client has mild angina pectoralis due to hyperthyroidism. What conditions may result in cautions that require modification to bodywork applications? 

a. Increased edema 

b.  Increase in pain as a result of muscular exertion

c.  Increased hypertension

d. Increased tendency to bruising

GENERAL REVIEW

64. What are the lymphoid tissues that are located in the oral cavity and pharynx? 

a. Cervical nodes 

b.  Cisterna chili

c.  Tonsils

d. Paratoid nodes

GENERAL REVIEW

72. The inflammatory response is part of what type of immune response? 

a. Development of antigens 

b.  Homeopathy

c.  Nonspecific immunity

d. Opportunistic invasion

GENERAL REVIEW

73. What is another term for hypersensitive immune response? 

a. Immune deficiency 

b.  Antibody

c.  Neuro-immuno-modulation

d. Allergy

GENERAL REVIEW

74. A client is immunodeficient due to chemotherapy. They have been referred for polarity therapy as a means of supporting treatment. What precautions may be necessary to protect this client? 

a. Isolation 

b.  Use of a face mask

c.  Avoid direct physical contact

d. Cytotoxic precautions

GENERAL REVIEW

75. An important function of the immune system is to differentiate between natural and normal components of the body and abnormal substances of foreign substances. If the immune system begins to attack itself, which of the following conditions might occur? 

a. Osteoarthritis 

b.  Flue

c.  Hepatitis

d. Rheumatoid arthritis

GENERAL REVIEW

76. The primary gas expelled during exhalation is: 

a. Oxygen 

b. Carbon monoxide

c. Carbon dioxide

d. Hydrogen

GENERAL REVIEW

77. What is another name for the trachea? 

a. Windpipe 

b.  Vocal folds

c.  Meatus

d. Pharynx

GENERAL REVIEW

78. What is the primary muscles(s) that produce quiet inspiration? 

a. Anterior scalene 

b.  Diaphragm

c.  Internal intercostals

d. Abdominals

GENERAL REVIEW

79. The gas exchange between blood and tissues is called: 

a. Pulmonary respiration 

b.  Quiet inspiration

c.  External respiration

d. Internal respiration

GENERAL REVIEW

80. Emphysema results in a client’s decreased ability to exhale. Often, the accessory respiratory muscles used for inhalation are strained. What would be a reason for this condition? 

a. Since the lungs hold residual air, the chest becomes barrel shaped and the diaphragm and intercostals are not able to

function as efficiently. 

b. Because oxygen in the blood increases, the person begins to hyperventilate, causing them to sue the accessory muscles. 

c. The inability to exhale results in a decrease in lung pressure, therefore inhibiting the movement of the intercostals.

d. The increase in vital capacity increases pressure against the diaphragm, thus inhibiting the ability to contract.

GENERAL REVIEW

81. During general assessment procedures, it is identified that the client is breathing with rapid shallow breaths that require the use of the accessory muscles of inspiration. The client may be experiencing what type of emotional state? 

a. Contentment 

b.  Anxiety

c.  Boredom

d. Depression

GENERAL REVIEW

82. The rhythmic contraction of smooth muscle in the intestine is called: 

a. Peritonitis 

b.  Mastication

c.  Ingestion

d. Peristalsis

GENERAL REVIEW

83. Hepatitis and cirrhosis are diseases of the: 

a. Pancreas 

b.  Liver

c.  Stomach

d. Large intestines

GENERAL REVIEW

84. What type of food is broken down by amylase in the saliva? 

a. Carbohydrate 

b.  Fats

c.  Proteins

d. Amino acids

GENERAL REVIEW

85. If the mucous membrane that lines the abdominal cavity becomes inflamed, then it is called: 

a. Gastroenteritis 

b.  Reflux esophagitis

c.  Peritonitis

d. Diverticulitis

GENERAL REVIEW

86. What is an essential organic compound to manufacture cholesterol-based hormones?

 a.  Glactose

b.  Tryptophan

c.  Triglycerides

d. Disaccdcharides

GENERAL REVIEW

87. A client has eaten a meal that has resulted in intestinal gas. Massage methods to encourage ________ may help. 

a. Ingestion 

b.  Parasympathetic dominance

c.  Sympathetic dominance

d. Histamine release

GENERAL REVIEW

88. Oxytocin is secreted by the: 

a. Thyroid 

b.  Hypothalamus

c.  Pituitary

d. Ovaries

GENERAL REVIEW

89. Androgens are secreted by the: 

a. Adrenals 

b.  Pancreas

c.  Pituitary

d. Thymus

GENERAL REVIEW

90. What endocrine gland is also part of the lymphatic system? 

a. Pancreas 

b.  Parathyroid

c.  Pineal

d. Thymus

GENERAL REVIEW

91. Melatonin is implicated in: 

a. Sleep regulation 

b.  Insulin distribution

c.  Blood calcium regulation

d. Graves disease

GENERAL REVIEW

92. A client whose occupation is an emergency medical technician and firefighter may encounter a strain with what endocrine function?

 a. Pancreas

 b. Adrenals 

c.  Pineal

d. Tissue hormone production

GENERAL REVIEW

93. Of the following nonwestern concepts, which most likely correlates to the endocrine system? 

a. Aura 

b.  Chakra

c.  Acupuncture

d. Marma

GENERAL REVIEW

94. Hair follicles are found in what area of the skin? 

a. Superficial fascia layer 

b.  Stratum basale

c.  Dermis

d. Epidermis

GENERAL REVIEW

95. Which of the following is a contagious skin pathology? 

a. Corn 

b.  Psoriasis

c.  Scleroderma

d. Scabies

GENERAL REVIEW

96. Why is healthy skin an import aspect of immune functions? 

a. Skin is alkaline 

b.  Skin is a protective barrier

c.  Melanocytes secrete hydrochloric acid

d. The temperature of the skin immobilizes bacteria

GENERAL REVIEW

97. What are the glands in the skin involved in sweating to cool the body? 

a. Sebaceous glands 

b.  Eccrine glands

c.  Apocrine glands

d. Ceruminous glands

GENERAL REVIEW

98. Which of the following sensory receptors found in the skin would be most sensitive to light touch forms of bodywork? 

a. Meissner’s corpuscles 

b.  Ruffini’s end organs

c.  Merkel’s disks

d. Hair-follicle receptors

GENERAL REVIEW

99. During the bodywork session, you notice that the client is sweating excessively, the skin is warm and moist, and appears red and flushed. In addition, the client seems agitated, has some edema, and slightly bulging eyes. What endocrine pathology may the skin and other signs and symptoms indicate? 

a. Cushing's disease 

b.  Hyperthyroidism

c.  Diabetes

d. Scleroderma

GENERAL REVIEW

100. What is the basic filtering unit of the kidney? 

a. Cystitis 

b.  Nephron

c.  Ureter

d. Renal hilus

GENERAL REVIEW

101. A procedure that filters blood through an external source is used for those with progressive renal failure. What is this process called? 

a. Hemodialysis 

b.  Juxtaglomerular apparatus

c.  Micturition

d. Urinalysis

GENERAL REVIEW

102. A client has stress incontinence. Which bodywork method may be uncomfortable for them? 

a. Vibration of the kidneys 

b.  Passive range of motion

c.  Compression to the lower abdomen

d. Compression to the kidney meridian

GENERAL REVIEW

103. When do secondary sexual characteristics appear? 

a. Menstruation 

b.  Parturition

c.  Puberty

d. Androgyny

GENERAL REVIEW

104. Which of the following contraceptive methods may indict a regional contraindications? 

a. Birth control pills 

b.  Vasectomy

c.  Intrauterine device

d. Spermicidal agent

GENERAL REVIEW

105. Stress reduction forms of bodywork would have the greatest therapeutic effect in what condition? 

a. Prostate disorders 

b.  Bartholin cyst

c.  Gonorrhea

d. Infertility

GENERAL REVIEW

106. What is the spreading of a pathogen by particles in the air? 

a. Opportunistic invasion 

b.  Person to person contact

c.  Invasion by ingestation

d. Transmission by inhalation

GENERAL REVIEW

107. Sanitary procedures prevent the spread of pathogenic organism by what method of aseptic protocol? 

a. Environmental contact 

b.  Hand washing

c.  Latex gloves

d. Sanitation with rickettsia

GENERAL REVIEW

108. A client coughs into their hands during the session. There is no opportunity for the client to wash their hands before leaving the area. What sanitary procedures would the professional need to do before the next client? 

a. Disinfect the table and change the linens 

b.  Wash their hands and forearms with hot soapy water

c.  Disinfect any object touched by the client

d. Spray the area with disinfectant to clear the air

GENERAL REVIEW

109. A bodywork professional is providing an orientation for a new therapists in the facility. What correct safety rule might they explain? 

a. Do not work in a dark room 

b.  Make sure that throw rugs are place over tile surfaces

c.  Candles are appropriate lighting

d. Empty ashtrays into the general trash when cleaning

GENERAL REVIEW

110. What would an antagonistic response of bodywork to a medication mean? 

a. The methods uses may support the actions of the medication 

b. The methods used may negate the action of the medication

c. The medication dosage may be able to be reduced if bodywork is used regularly

d. The use of body work in this situation is absolutely contraindicated

GENERAL REVIEW

111. The ability to endure sustained stress is related to which aspect of the general adaption syndrome? 

a. The resistance phase 

b. The alarm phase

c. The exhaustion phase

d. The chronic phase

GENERAL REVIEW

112. A client informs you that they have been taking two aspirins every four to six hours for a mild ankle sprain for the past two days. What modifications to the bodywork approach may need to be made? 

a. Use of lubricant many need to be modified to reduce increased skin sensitivity caused by the aspirin. 

b. Compression would be the methods of choice since the aspirin would increase the potential for blood clotting.

c. Intensity of compressive force for the methods used my need to be reduced to prevent bruising since aspirin thins the blood and decreases clotting ability

d. Only energetic methods would be advisable to avoid an inflammatory response.

GENERAL REVIEW

113. Which of the following is an absolute contraindication to massage type bodywork methods? 

a. Chronic pain 

b. Benign lump

c. Asthma

d. Shock

GENERAL REVIEW

114. When signs and symptoms of pathological conditions are present without the diagnosis of a qualified medical professional, then what is indicated? 

a. A referral for diagnosis 

b. Categorization as a absolute contraindication

c. Identification of risk factors

d. Development of a treatment plane for compensation patterns

GENERAL REVIEW

115. A nurse involved in hospice care is interested in introducing palliative forms of bodywork as part of the services offered. What would be an indication for the benefit of this type of work in the hospice setting? 

a. Reversal of degenerative processes 

b. Decreased pain perception

c. Restoration of optimum homeostasis

d. Support of the alarm phase of the general adaption syndrome

GENERAL REVIEW

116. What is it called when a bodywork professional takes a history and performs a physical assessment to identify benefits of treatment and provide information for developing a care plan? 

a. Needs assessment 

b. SOAP charting

c. Informed consent

d. Objective assessment

GENERAL REVIEW

117. The client reports at the beginning of the massage that they did not sleep well and are fatigued. This information is recorded in what section of the SOAP chart? 

a. S 

b. O

c. A

d. P

GENERAL REVIEW

118. A bodywork professional identifies that a client exhibits pain when the left lumber area is palpated. This information is recorded in what section of the SOAP chart? 

a. S 

b. O

c. A

d. P

GENERAL REVIEW

119. Care plan development is based on the information obtained during the needs assessment, applicable benefits of bodywork, general description of methodology to be used, time frames and: 

a. Textbook protocols 

b. Informed consent

c. Narrative reporting

d. Client Goals

GENERAL REVIEW

120. Assessment procedures that include observation of the clients' gravitational line, balance and symmetry in various positions is considered: 

a. Gait assessment 

b. Palpation assessment

c. Posture assessment

d. Need assessment

GENERAL REVIEW

121. During postural assessment, a forward head position is observed. What assessment method could be used to assess for tender areas within the muscles resulting from this postural deviation? 

a. Palpation 

b. Muscle testing

c. Observation

d. ROM

GENERAL REVIEW

122. You are teaching a patient how to massage an active eight month old baby. What equipment would provide the most safety? 

a. Table 

b. Mat

c. Chair

d. Supports

GENERAL REVIEW

123. What is the method of massage that reflects the concept of Swedish gymnastics? 

a. Tapotement 

b. Shaking

c. Petrissage

d. Passive range of motion

GENERAL REVIEW

124. What is the massage method that requires lubricant for effective application? 

a. Tapotement 

b. Friction

c. Effleurage

d. Compression

GENERAL REVIEW

125. During the history taking process, a client indicates that they have psoriasis on their legs an arms. They are concerned that they will not be able to have massage since they are not able to have lubricant applied and that since some of the areas are irritated and cannot be touched. What methods would best serve this client? 

a. Jostling joint movement, muscle energy and lengthening 

b. Compression, friction and kneading

c. Rocking, active range of motion and effleurage

d. Petrissage, passive range of motion and tapotement

GENERAL REVIEW

126. What is a form of percussion? 

a. Rocking 

b. Hacking

c. Chucking

d. Jostling

GENERAL REVIEW

127. What is the relationship between post isometric relaxation methods and reciprocal inhibition methods? 

a. Both are forms of passive range of motion 

b. Both are Osteokinematic movements

c. Both require approximation

d. Both are muscle energy techniques

GENERAL REVIEW

128. A client describes the type of massage session they would like to receive as rhythmic and organized sequence. They enjoy moderate use of massage oil but not talc. They prefer to be non-participating since the goal for the session is to achieve a pleasurable deep relaxation. What methods would you use? 

a. Effleurage, compression, active range of motion 

b. Petrissage, tapotement, shaking

c. Rocking, effleurage, petrissage

d. Friction, compression, postisometric relaxation

GENERAL REVIEW

129. A regular client usually enjoys an hour session. In this session, however, they inform you that they are pressed for time and need to complete the session in 45 minutes. What will need to be adjusted? 

a. Depth of pressure 

b. Speed

c. Rhythm

d. Duration

GENERAL REVIEW

130. In which way do wellness approaches to bodywork differ from medical approaches? 

a. Wellness approaches focus on reducing suffering 

b. Medical approaches are mainly palliative

c. Wellness approaches focus on remedial intervention

d. Medical approaches are remedial and palliative

GENERAL REVIEW

131. With what approach is Randolph Stone credited? 

a. Myofascial release 

b. Orthobionomy

c. Polarity

d. Trager

GENERAL REVIEW

132. In the Polarity Therapy system, which of the following concepts is most correct? 

a. Each of the fingers and toes carries either a positive or negative charge 

b. Precise positioning of the body into direction of ease restores balance

c. Structural imbalance is relate to shortening in the myofascial system

d. The use of kata is the basis for intervention

GENERAL REVIEW

133. What is the therapeutic application of cryotherapy? 

a. Ice 

b. Steam

c. Heat

d. Compresses

GENERAL REVIEW

134. Deep transverse friction and Bindegewebmassage are what type of approach? 

a. Hydrotherapy 

b. Reflexology

c. Integrated

d. Connective tissue

GENERAL REVIEW

135. What is the system that uses various forms of positioning as described by Dr. Lawrence Jones and formalized and modified by Dr. Arthur Lincoln Pauls? 

a. Myofascial release 

b. Orthobionomy

c. Polarity

d. Trager

GENERAL REVIEW

136. What is one of the major physiologic effects of hydrotherapy? 

a. Manual lymphatic drainage 

b. Vasodilatation/vasoconstriction

c. Structural integration

d. Shifts in fascial viscosity

GENERAL REVIEW

137. A client has a repetitive strain pain from a work environment. Even though the client is not classified as a specific population, what approaches would be most applicable? 

a. Equine massage 

b. Sports massage

c. Corporate stress management

d. Chronically ill

GENERAL REVIEW

138. A client would like to support the bodywork session with self-help measures. What approaches would be best to present to the client? 

a. Craniosacral therapy and Trager 

b. Polarity and Rolfing

c. Reflexology and hydrotherapy

d. Structural Integration and Manual Lymphatic Drainage

GENERAL REVIEW

139. A client is not comfortable in a passive role. They find more benefit if they are able to participate actively in the session. They are active in various forms of recreational sports and often feel stiff. They are particularly interested in enhancing their ability to stretch. What method would be the most appropriate for this client? 

a. Hellerwork 

b. Reflexology

c. Trigger Point Therapy

d. Muscle Energy Technique

GENERAL REVIEW

140. What is the income generated by business activities? 

a. Net income 

b. Gross income

c. Expanse income

d. Overhead income

GENERAL REVIEW

141. What type of insurance provides coverage if a person is injured in a fall at a place of business. 

a. Disability insurance 

b. Product liability insurance

c. Professional liability insurance

d. Premise liability insurance

GENERAL REVIEW

142. Developing a mission statement, professional goals, and steps for implementing a marketing plan are some of the components of: 

a. A business plan 

b. Structure for identifying a target market

c. Strategic plan for client retention

d. Professional alliance plan

GENERAL REVIEW

143. What is used to record business expenses? 

a. Balance sheet 

b. Disbursement ledger

c. Cash flow forecast

d. Income ledger

GENERAL REVIEW

144. What is an example of a deductible business expense? 

a. Overall automobile expenses 

b. Tuition fees for training in a new field

c. Home office expenses for a room that is occasionally used for bodywork

d. Continuing education to improve professional skills

GENERAL REVIEW

145. A bodywork professional in affiliation with a health and fitness resort is experiencing frustration with the client base. They have been in practice for one year and average 15 sessions per week with few repeat clients. They find it disturbing that the is little opportunity for follow-through to work toward goals with clients in the resort environment. What might be the difficulty with this situation? 

a. Lack of motivation 

b. Burnout

c. Inappropriate target market

d. Ineffective media advertising

GENERAL REVIEW

146. A new graduate of therapeutic massage is considering two career opportunities. One is with a chiropractor as an employee at 40 hours per week and a set salary that is comparable to the person’s previous earnings. The other is an independent contractor affiliation with a new holistic health clinic where they would pay a percentage of their earnings for rent and expenses. What would be an example of a pro and con for each? 

a. Pro: employee-defined hours, Con: little flexibility in work hours. Pro: independent contractor flexibility in scheduling. Con: Fluctuating income. 

b. Pro: employee-stable income. Con: must follow treatment orders. Pro: independent contractor-stable income. Con: defined work hours.

c. Pro employee-ability to flex hours. Con: portion of federal tax withholding paid by employer. Pro: independent contractor-no need to maintain income and expense records. Con: rent based on percentage of income.

d. Pro: employee-supervision. Con: no direct decision making in marketing strategies. Pro: independent contractor-direct decision making in marketing strategies. Cone: unable to deduct business expenses.

GENERAL REVIEW

147. What defines the practice parameters of a particular profession? 

a. Code of ethics 

b. Standards of practice

c. Scope of practice

d. Informed consent

GENERAL REVIEW

148. Providing bodywork services and selling products might be considered: 

a. Dual roles 

b. Breach of confidentiality

c. Lack of informed consent

d. Expansion of a needs assessment

GENERAL REVIEW

149. According to the NCBTMB Code of Ethics, draping is used to: 

a. Provide warmth 

b. Prevent the professional from developing counter transference

c. Ensure safety, comfort and privacy

d. Prevent sexual behavior of the client

GENERAL REVIEW

150. What is the goal of the NCBTMB Code of Ethics 

a. Support limitations of practice 

b. Provide specific guidelines for professional practice

c. Supersede existing codes of ethics with one that creates universal professional standards

d. Protect the integrity of the profession and safeguard the interest of individual clients.

GENERAL REVIEW

151. A client expresses feeling of connectedness-much like they felt for a special friend that they have not seen in years-and lingers after the massage session. The professional is a bit uncomfortable with this occurrence of transference. What has resulted might be: 

a. Dual roles 

b. Informed consent issue

c. Violation of standard practice

d. Professional boundary issue

GENERAL REVIEW

152. A new professional is uncertain about how to interact with a client with multiple goals for the session. They wonder if some of the request are within their scope of practice or might be dual roles. What support might they seek? 

a. Conflict management 

b. Classes on communication skills

c. Supervision/mentoring

d. Business consultant

GENERAL REVIEW

153. Pretend that you are a bodywork professional who has concerns about the behavior of a fellow practitioner. The peer seems to be over scheduling and constantly late for appointments. You have heard complaints from clients in the waiting room and now some of the clients want to schedule with you instead. What skill would help you solve this ethical dilemma? 

a. Right of refusal 

b. Narrative reporting

c. Conflict management

d. Needs assessment

GENERAL REVIEW

154. A bodywork professional has been working with a sports medicine rehabilitation center for six months. They have realized that it would be beneficial if they provided more input about the clinic’s patients at weekly meetings. The physician in charge of the meetings is very forceful but fair, and concerned about both patients and the professionals who work together. The bodywork professional is a bit intimated by this authority figure and therefore hesitates to speak up at the meetings. Consequently, valuable information is not shared. What might be happening? 

a. There may be a feeling of a power differential by the bodywork professional

 b. The physician might be exhibiting countertransference

c. The bodywork professional may be disassociating

d. The physician may be involved in discrimination

GENERAL REVIEW

155. When a female client prefers to have a female bodywork professional, what type of issue is being displayed? 

a. Culture 

b. Gender

c. Diversity

d. Intimacy

GENERAL REVIEW

156. Touch that conveys sexuality is considered: 

a. Hostile 

b. Age related

c. Cultural

d. Erotic

GENERAL REVIEW

157. A terminal illness is one where care is: 

a. Focused on maintenance of the condition 

b. To support rehabilitation

c. Intermittent

d. Palliative

GENERAL REVIEW

158. An amateur who competes in weekly competitions requests that sports massage be used in a restorative approach supporting recovery. When would be the best time to schedule the session. 

a. Prior to the competition 

b. During competition

c. Within 24 hours after the competition

d. Three days after competition

GENERAL REVIEW

159. A long-term client has experienced a series of difficult events. During the past few sessions, you notice that they seem to be giving up hope that things will improve. Any type of inner peace is lacking. What may be disrupted? 

a. Spirituality 

b. Denial

c. Transference

d. Professional relationship

GENERAL REVIEW

160. A client is displaying defensive behavior after as stressful incident at work. During the session, they seem to not be able to provide accurate feedback about pain and deny that they feel agitated. What is the client utilizing? 

a. Coping strategies 

b. Post traumatic stress disorder

c. Parasympathetic dominance

d. State dependent memory

GENERAL REVIEW

161. A client has been referred for stress management to support chronic pain management methods. The client injured one leg in an accident and now uses a cane for help in walking. What accommodations might be required for this client. 

a. Methods to provide myofascial stretching 

b. No music to reduce background noise

c. Use of a mat instead of a table

d. Barrier free access

GENERAL REVIEW

162. A pair of young parents are struggling with a fussy infant. They are becoming frustrated because they cannot soothe the baby. What would be an approach to bodywork that you might use to help the parents better interact with their infant? 

a. Scheduling 30 minute sessions where you provide infant massage

 b. Schedule a series of sessions where you teach

the parents infant massage

c. Identify which parent is most stressed and schedule weekly massage sessions for this parent

d. Schedule weekly one hour massage session where you provide infant massage

GENERAL REVIEW

163. A bodywork professional is satisfied with their professional and personal life, but a bit concerned about their stamina since their professional practice has become busier. The wish to develop strategies to cope with this situation before it results in difficulties. They have determined that most of the stress if physical. What wellness measure could they explore to help restore a feeling of balance? 

a. support effective sleep 

b. Reevaluate defensive measures

c. Explore their self concept

d. Seek professional counseling

GENERAL REVIEW

164. What method is appropriate when interacting with clients who discuss personal issues and concerns with the bodywork professional that are not directly related to the bodywork session? 

a. Interactive problem solving 

b. Compassionate listening

c. Dissociative integration

d. Spiritual support

GENERAL REVIEW

165. What unit of measurement is used to locate acupuncture points? 

a. Marmas 

b. Kyo

c. Cun

d. Tsubos

GENERAL REVIEW

166. What are channels of energy that flow up and down the body with relationship to the internal organs? 

a. Five elements 

b. Chakras

c. Kundalini

d. Meridians

GENERAL REVIEW

167. What is the meridian or vessel that is located on the ventral aspect of the body along the mid-sagittal plane? 

a. Bladder meridian 

b. Pericardium

c. Concerning vessel

d. Central vessel

GENERAL REVIEW

168. Which meridian energy is most directly related to resistance to mental stress and blood purification? 

a. Kidney 

b. Lung

c. Liver

d. Heart

GENERAL REVIEW

169. In the five element theory, the earth element consists of what yin component? 

a. Bladder 

b. Stomach

c. Spleen

d. Lung

GENERAL REVIEW

170. Kyo and jitsu are diagnosed through palpation of the Hara in what system? 

a. Ayurveda 

b. Acupuncture

c. Shiatsu

d. Brahmand

GENERAL REVIEW

171. To what are the marmas similar? 

a. Acupuncture points 

b. Moxibustion

c. Kata

d. Doshas

GENERAL REVIEW

172. What would be a common aspect of the eastern or traditional methods? 

a. Points on the body used for therapeutic purposes 

b. Primary use in health care system

c. Originated in Japan

d. Doshas

GENERAL REVIEW

173. A client is interested in traditional Eastern forms of bodywork. You are primarily trained in western application of therapeutic massage. The client enjoys the use of various oils, and seems to concentrate tension around the joints. To which system of bodywork might you refer them? 

a. Shiatsu 

b. Ayurvedic massage

c. Amma

d. Acupressure

GENERAL REVIEW

174. A client is experiencing excessive mucus production in both the respiratory tract and the large intestine with occasional morning diarrhea. They easily cry. Which of the Five Elements of Asian theory might be reflecting imbalance. 

a. Wood 

b. Fire

c. Metal

d. Water

GENERAL REVIEW