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Quiz Session - Attempts With Random Questions

AMTA MBLEx (English) Exam Questions

Page 3 of 50

41.

What temperature should a massage room maintain?

  • 75 degrees Fahrenheit

  • 72 degrees Fahrenheit

  • 70 degrees Fahrenheit

  • 68 degrees Fahrenheit

Correct answer: 75 degrees Fahrenheit 

A massage room should be able to maintain a temperature of 75 degrees Fahrenheit. This ensures the comfort of the client and therapist. The temperature of the room is especially important during massage, as clients are usually not fully clothed, and can easily become chilled.

42.

When working with a client who has had multiple falls in the past year and is considered a fall risk, when is it appropriate to leave the client alone in the massage room?

  • Never

  • When they are sitting

  • When they are in side-lying position

  • When they are standing against a wall

Correct answer: Never

If a client is considered a fall risk (has had falls in the past, is unbalanced, feels unsteady, is using an assistive device for walking, etc), the client should never be left alone in the massage room. When a client is being treated by a massage therapist, the safety of that client is the massage therapist's responsibility. When the client is left alone, there is no one to ensure they do not fall and get injured. If the therapist must leave the room, someone else should be brought into the room to ensure the client does not fall. 

Even though a client will be more stable sitting or side-lying than standing, they can still fall from these positions and should not be left unattended. They will also be more stable while standing against a wall but are still at risk of falling and should not be left alone.

43.

When does the massage therapist collect objective data that is needed to develop an appropriate care plan?

  • During the physical assessment

  • During the discussion of the client's health history

  • After the goals are written

  • When the physician provides medical history

Correct answer: During the physical assessment

The massage therapist collects objective data needed to create the treatment plan during the physical assessment. The objective data may include information such as range of motion, posture, muscle testing, girth measurements, respiratory rate, etc.

The discussion of the client's health history is a way to collect subjective information. The massage therapist uses the objective data to help and write the client goals.

44.

When you are visually assess a client's gait, what are you looking for?

  • If their walking pattern is smooth and balanced

  • If their body is symmetrical

  • If their spine has proper curvature

  • If their muscles are restricting their movements

Correct answer: Whether their walking pattern is smooth and balanced

When you visually assess a client's gait, you are looking to see if their walking pattern is smooth and balanced. You should look for two main factors when assessing gait:

  1. Identify areas that move too much
  2. Identify areas that do not move enough

If you are assessing a client's posture, you are looking to see if their body is symmetrical.

If you are assessing a client's basic body structure, you are looking to see if their spine has proper curvature.

If you are assessing a client's restrictive range of motion, you are looking to see if their muscles are restricting their movements.

45.

What is an aseptic technique that destroys all organisms by means of heat?

  • Sterilization

  • Disinfection

  • Isolation

  • Bleaching

Correct answer: Sterilization

Sterilization destroys pathogens by means of heat. It can be performed utilizing a steam bath, extreme temperatures, or irradiation.

Disinfection destroys most pathogens on an inanimate object, typically by chemical means.

Bleaching an item is one form of disinfection.

Isolation is a technique that separates potentially infectious individuals or materials from uninfected individuals. Wearing personal protective apparel/equipment is one example of an isolation technique.

46.

All the following are present in muscles, except:

  • Light touch receptors

  • Muscle spindles

  • Golgi tendon organ

  • Nociceptors

Correct answer: Light touch receptors

Light touch receptors sense light touch and are primarily present in the skin. Muscles themselves are not sensitive to light touch. 

Muscle spindles sense changes in muscle length.

The Golgi tendon organ senses changes in the tension of a muscle.

Nociceptors transmit pain signals to the brain.

All of these structures are included in muscles.

47.

What type of pain is diffused around the site of origin, and not clearly localized?

  • Radiating

  • Phantom

  • Referred

  • Recurring

Correct answer: Radiating

Radiating pain is diffused around the site of origin, and not clearly localized.

Phantom pain is frequently experienced by clients who have undergone limb amputation. An individual with phantom pain feels as if they have pain in a body part they do not possess.

Referred pain occurs in an area distant from the site of the stimulus.

Recurring pain happens repeatedly and may occur in any area of the body.

48.

Which of the following is a benefit of massage for the digestive system?

  • It reduces constipation.

  • It increases the body’s oxytocin levels.

  • It decreases the body’s cortisol levels.

  • It promotes the release of endorphins.

Correct answer: It reduces constipation.

A massage benefits the digestive system by reducing constipation. Specific types of massage can target the large intestine, having a mechanical effect on this condition.

A massage benefits the endocrine system by increasing the body’s oxytocin levels, decreasing the body’s cortisol levels, and promoting the release of endorphins.

49.

This type of movement is involuntary but must occur at every joint to allow for a healthy functioning joint:

  • Joint play

  • Muscle play

  • Tendon play

  • Ligament play

Correct answer: Joint play

Joint play occurs when the two articular surfaces of a joint move in relation to one another. This movement is not reproducible by voluntary physiologic motion but is a vital part of healthy joint activity. When a joint becomes fibrotic, this type of movement is often restricted. 

Muscle play may be used to describe the mobility of a muscle, but this term is not widely used. Tendon and ligament play are not terms used to describe the mobility of a joint.

50.

When performing clinical massage, it is appropriate to:

  • Undrape only the area the therapist is working on at any given time

  • Leave the client fully covered by the top sheet at all times

  • Undrape half of the client's body at a time.

  • Respect a client's wishes if they ask the therapist to undrape them completely

Correct answer: Undrape only the area the therapist is working on at any given time

Clinical massage is performed to promote health and healing, with the side benefit of relaxation. In order to effectively perform massage on any given area of the body, it is important for the therapist to make skin-to-skin contact with the client.

By leaving the client fully covered by the top sheet at all times, the therapist reduces the effectiveness of the massage.

It is appropriate for the therapist to undrape the upper half of the client's body when working on their back; however, the therapist should only undrape one of the client's legs at the time and, in most situations, it is inappropriate to undrape the front of the client's chest.

Regardless of the client's request, it is completely inappropriate for the therapist to undrape an undressed client completely, as this may be considered sexual contact and therefore violates the massage therapist's code of ethics. Draping is often unnecessary when working on a fully-clothed client, as during chair massage.

51.

A massage therapist has just begun working in a new clinic. It quickly becomes apparent that one of his colleagues is known for dating many of his clients. As he works at the clinic longer, he also learns that this coworker also often dates several current clients at once. Other coworkers state this has been a pattern for the past eight years. What is the best course of action for the new massage therapist?

  • File a report with the state board

  • File a police report

  • Confront the colleague about his behavior

  • Accuse the employee of sexual misconduct at the next staff meeting

Correct answer: File a report with the state board

It is absolutely unethical for a massage therapist to engage in sexual contact with clients. The offending therapist cannot be given the benefit of the doubt, since he has demonstrated this pattern of behavior for nearly a decade. This is not an isolated incident. Therefore, it is unlikely that a conversation between the therapist and a colleague will cause him to stop. The massage therapist who notices this misconduct must take action because therapists are obligated to hold each other to high ethical standards.

Confronting the colleague would probably not be productive, for the reasons stated above. Publicly calling out the employee would be both inappropriate and ineffective. Filing a police report should not be the first step, especially since the therapist does not appear to be violent.

52.

Which is not a component of the four basic principles that constitute the code of ethics for massage professionals?

  • Respect for economy

  • Respect for the dignity of people

  • Responsible caring

  • Integrity in relationships

Correct answer: Respect for economy

The four basic principles that constitute the code of ethics for massage professionals include:

  1. Respect for the dignity of people: massage therapists will maintain respect for the interests, dignity, rights, and needs of all clients, staff, and colleagues.
  2. Responsible caring: Competent, quality client care will be provided at the highest standard possible.
  3. Integrity in relationships: At all times, the professional will behave with integrity, honesty, and diligence in practice and duties.
  4. Responsibility to society: Massage professionals are responsible and accountable to society and shall conduct themselves in a manner that maintains high ethical standards.

53.

During a session, a client reports she has been having new pain in her right shoulder. She denies any injury or specific event that caused this. When asked to describe the pain, she states it is a "vague" pain and cannot pinpoint a specific spot. She uses her entire hand and moves over her entire shoulder and pectoral region when asked to describe where the pain is. She also states that sometimes it is hard to tell where the pain is.

What is the most likely underlying cause of the client's pain?

  • Visceral pain stemming from the liver

  • Somatic pain from the deltoid

  • Somatic pain from a trigger point in the upper trapezius

  • Visceral pain stemming from the heart

Correct answer: Visceral pain stemming from the liver

Visceral pain is a result of organ dysfunction. This pain often presents as referred pain, located far away from the actual site of the organ. It is vague, poorly localized, and no injury is associated with its onset. The client using her entire hand over the shoulder area, and her statement that it is difficult to identify the location of the pain tells the therapist that the pain may be of visceral origin. The liver and gall bladder will refer pain to the right shoulder. In this scenario, it would be appropriate to also refer the client to a physician for further diagnosis. 

Somatic pain comes from the musculoskeletal system and is usually specific and easily localized. Therefore, pain stemming from the deltoid would likely present directly over the deltoid. A trigger point in the upper trapezius may refer pain to the side of the head, but this would be a more specific pain. Visceral pain from the heart would most likely present in the left shoulder and arm, rather than the right upper extremity.

54.

What is the position of the shoulder to the elbow?

  • Proximal

  • Distal

  • Plantar

  • Superficial

Correct answer: Proximal

Proximal is a directional term that describes an area closer to the trunk of the point of origin. The shoulder is proximal to the elbow joint.

Distal describes an area that is situated further away from the trunk or than the point of origin. The ankle is distal to the knee.

Plantar indicates the sole of the foot.

Superficial describes an area closer to the surface of the body than the point of origin. The trapezius is superficial to the intercostals.

55.

What is the study of the cause of a disease?

  • Etiology

  • Pathology

  • Oncology

  • Neuropathy

Correct answer: Etiology

Etiology is the study of the cause of a disease. For example, pneumonia can be caused by bacteria, viruses, or fungi. 

Pathology is the study of a disease itself, including its symptoms and associated prognosis.

Oncology is the study of cancer.

Neuropathy is nerve dysfunction, and usually refers to nerve pain. 

56.

Which of the following terms is used to describe shortness of breath?

  • Dyspnea

  • Emphysema

  • Apnea

  • Hyperventilation

Correct answer: Dyspnea

Dyspnea is the term used to describe shortness of breath. It is the sensation of difficult or uncomfortable breathing.

Emphysema is a disease with increased air retention due to tissue deterioration in the lung alveoli.

Apnea is the term used when a person temporarily stops breathing.

Hyperventilation is when a person takes excessively deep, fast respirations that can result in fainting.

57.

If a treatment area is described as proximal to a given anatomical point, which area of the body is being described?

  • Closer to the client's trunk

  • Further away from the client's trunk

  • Toward the opposite side

  • Closer to the client's head

Correct answer: Closer to the client's trunk

Proximal is a directional term that describes an area closer to the trunk of the point of origin. The shoulder is proximal to the elbow joint.

Distal describes an area that is situated further away from the trunk or than the point of origin. The ankle is distal to the knee. Contralateral describes a region on the opposite side. The left arm is contralateral to the right arm. Superior describes a region closer to the head. The shoulders are superior to the hips. 

58.

A therapist's client has suffered an injury. Which of the following is not considered a stage of healing?

  • Intermediate

  • Subacute

  • Acute

  • Remodeling

Correct answer: Intermediate

The stages of an injury may be classified as follows: 

  1. Acute (Inflammatory)
  2. Subacute (Repair)
  3. Chronic (Maturation and Remodeling)

"Intermediate" phase is not a commonly-used term.

59.

In most healthy adults, how long is the small intestine?

  • 24–30 feet

  • Half the size of the large intestine

  • 40–100 feet

  • Proportionally, as long as they are tall

Correct answer: 24–30 feet

In most healthy adults, the small intestine is 24–30 feet long. It is called the "small" intestine because its diameter is smaller than that of the large intestine. The small intestine is much thinner but much longer than the large intestine. 

60.

Which of the following are white, anaerobic muscle fibers that fatigue comparatively quickly?

  • Fast-twitch fibers

  • Slow-twitch fibers

  • Intermediate-twitch fibers

  • Motor units

Correct answer: Fast-twitch fibers

Fast-twitch fibers are white, anaerobic muscle fibers that fatigue comparatively quickly. They belong to larger motor units that activate when the nervous system calls for powerful rapid motion. Their fatigue is due to the build-up of lactic acid.

Slow-twitch fibers are red, aerobic muscle fibers that fatigue comparatively slowly. They contract more slowly and with less intensity than fast-twitch fibers, and they do not produce lactic acid.

Intermediate-twitch fibers, found in the limbs, combine the qualities of slow-twitch and fast-twitch fibers. They contract rapidly and with moderate force.

Motor units are made up of all the muscle fibers innervated by a single neuron.

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