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Quiz Session - Attempts With Random Questions

FSMTB MBLEx Exam Questions

Page 3 of 50

41.

What type of insurance covers the expenses associated with injuries that occur on your property and result in litigation?

  • Liability

  • Renter's

  • Medical

  • Homeowners

Correct answer: Liability

Liability (professional liability and premises liability) insurance is required to cover the expenses that are associated with injuries that occur on your property and result in litigation.

Your homeowners insurance usually includes liability insurance; however, it may not cover incidents that are related to your business. Renter's insurance covers theft and property damage to a space you rent. Medical insurance covers a patient's medical care.

42.

Healthy connective tissue allows for mobility within a muscle or joint. What substance allows for this?

  • Elastin

  • Collagen

  • Fibrocartilage

  • Hyaline cartilage

Correct answer: Elastin

Elastin is a fibrous tissue that allows for greater mobility and flexibility in connective tissue.

Collagen provides greater stability to connective tissues, rather than allowing for flexibility. Fibrocartilage is a dense connective tissue that allows for little movement. It forms the ears and is found in the intervertebral disks. Hyaline cartilage covers the articular surfaces of the ends of bones in freely movable joints. 

43.

What is kinesiology?

  • The study of movement

  • A synonym for anatomy

  • Gait analysis

  • The study of physiology

Correct answer: The study of movement

By definition, kinesiology is the study of movement. It brings together the study of anatomy, physiology, physics, and geometry in order to explain human movement. It uses principles of mechanics, musculoskeletal anatomy, and neuromuscular physiology.

Gait analysis is an assessment tool during which the therapist uses principles of kinesiology to understand the body mechanics of a client. This is an activity that relies on a deep understanding of kinesiology, which is a much larger area of study.

44.

The peripheral nervous system is composed of which of the following?

  • The spinal nerves and cranial nerves

  • The brain and spinal cord

  • The brain and cranial nerves

  • The spinal cord and spinal nerves

Correct answer: The spinal nerves and cranial nerves

The peripheral nervous system is composed of spinal nerves and cranial nerves. It includes 12 pairs of cranial nerves and 31 pairs of spinal nerves. It is divided into the somatic nervous system and the autonomic nervous system.

The central nervous system is composed of the brain, the spinal cord, and the meninges. The meninges are three layers of connective tissue that cover and protect the brain and spinal cord.

45.

What joint movement is taking place when someone points their foot to the floor?

  • Plantar flexion

  • Dorsiflexion

  • Pronation

  • Supination

Correct answer: Plantar flexion

Plantar flexion is the joint movement that takes place when someone points their foot to the floor. Plantar flexion is a necessary motion for walking, as the toes propel the leg away from the ground when swinging the back leg forward.

Dorsiflexion is the opposite movement when the toes are pointing to the ceiling.

Pronation is when the palms are turned down, or when the ankle is rotated so the arch of the foot collapses toward the ground.

Supination is when the palms are turned up, or when the ankle is rotated, so the weight is disproportionately placed on the outer edge of the foot.

46.

When attempting to maximize the amount of drag during a gliding technique, what should the therapist do?

  • Use no oil or lotion.

  • Mildly reduce the amount of oil or lotion used.

  • Significantly increase the use of oil or lotion.

  • Make no change in the amount of oil or lotion as this is entirely dependent on client preference.

Correct answer: Use no oil or lotion.

Oil and lotion are lubricants. In order to maximize the amount of drag (or friction) on tissue during a technique, lubricant should not be used. Drag is considered how much pull is applied to tissue and can be used to elongate connective tissue. 

While the type and amount of oil or lotion used is partially based on client preference, a change must be made in order to maximize the amount of drag during the use of a gliding technique. Any increase in the use of oil or lotion would reduce the amount of drag on the tissue.

47.

Which of the following is not a benign skin condition?

  • Melanoma

  • Psoriasis

  • Scleroderma

  • Contact dermatitis

Correct answer: Melanoma

Melanoma is a type of malignant skin cancer. If the therapist notices any change to a mole or existing skin condition, the client should be referred to a physician immediately.

Benign skin conditions include psoriasis, scleroderma, and most moles. Moles are pigmented, fleshy growths of skin. Any change to a mole may be a sign of cancer. Psoriasis is chronic inflammation of the skin with scaly plaques. Scleroderma is an autoimmune disease that causes skin hardening. Contact dermatitis is inflammation that occurs in response to an external agent.

48.

Which of the following can compromise a massage therapist's ability to provide the highest level of care?

  • Working in an environment that makes the therapist feel unsupported

  • Having other friends who are massage therapists

  • Having drinks while out with friends on a Saturday night when the therapist does not work until Monday

  • Competing in a triathlon four days before returning to work

Correct answer: Working in an environment that makes the therapist feel unsupported

To provide the highest level of care, a massage therapist must strive to maintain their own physical, emotional, and mental well-being when working with clients. If the therapist is very unhappy at work, as much as he or she tries, this still may come through in treatment and affect the type of treatment any client receives. This should be avoided if at all possible. 

Having other friends who are also massage therapists would likely be beneficial to client care as these friends can serve as a support system. Drinking alcohol is perfectly acceptable, as long as the effects are not still present when the therapist is at work. Competing in a triathlon may result in the therapist being tired or sore, but they should be ready to return to work after a few days.

49.

Which massage technique is used to make initial contact with the client?

  • Holding

  • Compression

  • Stroking

  • Effleurage

Correct answer: Holding

Holding, or resting position, is a static massage technique used to make initial contact with the client. When the therapist simply places their hands against the client's skin, they establish trust and mutual respect.

Compression is used to apply pressure to a single area of the body at a time. Effleurage, also known as stroking, is a gliding technique.

50.

Why is it important to trust your first impression when palpating?

  • The sensory receptors in the hand adjust to stimulus quickly.

  • The second time, palpating is often done with more pressure.

  • The hands can fatigue quickly with palpation.

  • The client typically cannot tolerate palpation for a longer period of time.

Correct answer: The sensory receptors in the hand adjust to stimulus quickly.

The hand is a highly innervated area, and the brain dedicates a large sensory area to it. Therefore, the hand is a very effective palpation tool, but the sensory receptors can adjust very quickly. This is why we stop noticing gloves or clothing after a while; the sensory receptors have adjusted to them. Therefore, if you palpate once, then again, and again, the sensation will be different, and the information your hand receives becomes less and less accurate. Trust the first impression. 

The second time an area is palpated is not always necessarily done with more pressure; pressure is changed based on the structures the therapist is trying to palpate (deeper for deeper tissue). The hands do not necessarily fatigue with palpation, and this is not a reason to rush palpation. While some areas may be sensitive for clients, palpation should be generally tolerable.

51.

Of the following options, which should be documented in a client's medical record?

  • A statement that the client was informed of benefits and risks before treatment

  • A statement that the client's social life was discussed

  • The names of the client's children

  • A statement that the risks and benefits of treatment were discussed after treatment

Correct answer: A statement that the client was informed of benefits and risks before treatment 

Many things should be documented in the client's record. One of the most important is a statement that the risks and benefits of the treatment were discussed with the client before any treatment was initiated. This further ensures that the client made a fully informed decision and affirmed their consent before participating in treatment. 

The benefits and risks should be discussed before the treatment, not after. It is inappropriate to document information that is not pertinent to the client's care (such as the client's social life and/or the names of client's children).

52.

A client presents with symptoms of TOS. What symptoms might they exhibit, and is massage indicated?

  • Tingling pain in the arm; indicated

  • Shooting pain in the thigh; indicated

  • Numbness in the hand; contraindicated

  • Migraines; indicated

Correct answer: Tingling pain in the arm; indicated

Thoracic outlet syndrome (TOS) is caused by the muscular compression of nerves and/or blood vessels in the shoulder, causing pain, tingling, and numbness in the shoulder, arm, forearm, and/or portions of the hand. Massage is indicated for clients with this condition.

TOS has no impact on the nerves of the thigh.

Although numbness in the hands may be a symptom of TOS, massage is not contraindicated.

Migraines may or may not be correlated with tight muscles of the neck and shoulders, in which case they could occur in a client who also has TOS; however, migraines are not a symptom of TOS.

53.

What is the process of energy loss caused by friction when tissues are loaded and unloaded?

  • Hysteresis

  • Creep

  • Load

  • Thixotropy

Correct answer: Hysteresis

Hysteresis is the process of energy loss caused by friction when tissues are loaded and unloaded. The tissues produce heat as they are loaded and unloaded, which happens with on-and-off pressure. Creating hysteresis reduces stiffness and improves tissue extensibility.

Creep is the continued deformation of a viscoelastic material under constant load. Load is the degree of force applied to a particular area. Thixotropy is a quality of colloids, in which rapid force increases the rigidity of the tissue.

54.

Which of the following best describes the movement of an antagonist muscle?

  • The antagonist works against the primary muscle.

  • The antagonist supports the primary muscle.

  • The antagonist is the primary muscle affected by contraction.

  • The antagonist is the prime mover.

Correct answer: The antagonist works against the primary muscle.

The antagonist is the muscle that opposes the action of the agonist by lengthening and controlling the movement. 

The agonists are muscles that are responsible for the primary movement. The synergist is the muscle that assists the agonist by holding a part of the body steady, providing leverage.  Although muscles do contract, they are not called contractors.

55.

A massage therapist in a hospital setting is working with a client who has a respiratory infection. It is known that, with this infection, the droplets expelled with a cough or sneeze only travel one foot away from the client. Would the use of a mask help protect the therapist from the spread of this infection?

  • Yes, since the droplets only travel one foot away from the client.

  • No, the mask will have no effect.

  • Yes, since droplets are not capable of causing an infection.

  • No, since the massage therapist is not immunocompromised.

Correct answer: Yes, since the droplets only travel one foot away from the client.

A mask should be used when working with clients who have diseases that can be transmitted via large-particle droplets. Droplet transmission occurs when a person exhales, coughs, or sneezes. To protect oneself from this type of transmission, a mask should be used. When performing massage, a mask is effective for droplets that travel less than three feet. Examples of these types of infections are the flu, measles, the common cold, and strep throat. 

The mask absolutely does have an effect and is an important precaution in this situation. Droplets are capable of transmitting infections. The massage therapist's health has no bearing on the possibility of contagion, although an immunocompromised therapist may be at greater risk after contracting a disease.

56.

For which of the following conditions is massage therapy best indicated?

  • Lymphedema

  • Kidney disease

  • Congestive heart failure

  • Liver failure

Correct answer: Lymphedema

Massage therapy is indicated for lymphedema, so long as the practitioner has appropriate training in this type of massage and condition. Depending on the severity of the condition, medical supervision may be needed. 

For individuals with kidney disease, congestive heart failure, liver failure, and systemic infection, extreme caution and medical supervision are required. In most cases, massage is contraindicated for these clients. 

57.

A client with lymphedema undergoes a hydrotherapy session which includes an immersion bath. Afterward, she notices a significant reduction in the swelling in her legs. What is the most likely reason for this?

  • The hydrostatic pressure of water aids in lymphatic flow.

  • The temperature of the water aids in lymphatic drainage.

  • The hydrostatic pressure of the water stimulates the autonomic nervous system.

  • The hydrostatic pressure of the water reduces static flow.

Correct answer: The hydrostatic pressure of water aids in lymphatic flow.

When a body part is submerged in water, the water exerts pressure against the body; this is known as hydrostatic pressure. This pressure presses on both the venous and lymphatic systems which helps to drain stagnant fluid. This ultimately results in decreased fluid retention in the legs (or whatever region is affected). 

While the temperature of the water does have an effect on the body, it does not promote lymphatic drainage. The hydrostatic pressure will stimulate the autonomic nervous system and the central nervous system, but this is not the mechanism through which fluid is drained from the affected area. It is the hydrostatic pressure of the water on the lymphatic system that allows for improved movement and drainage.

58.

Which of the following best explains why it is important to document your work and keep files?

  • Liability insurance requires full documentation of clients

  • The NCTMB requires documents for all clientele

  • Work documents are required for recertification

  • Work documents are needed for your portfolio

Correct answer: Liability insurance requires full documentation of clients

It is important to keep records of your work as a therapist because most forms of liability insurance require the therapist to keep documentation. Your records may also be helpful in tracking your personal income and expenses, validating your business to the IRS, and tracking your professional experience.

59.

A client comes to the clinic with reports of back pain. The massage therapist notices a significant lateral curvature of the spine. What might this condition be?

  • Scoliosis

  • Kyphosis

  • Lordosis

  • Spasmodic torticollis

Correct answer: Scoliosis

Scoliosis occurs when a significant lateral curvature of the spine is present and is often diagnosed at a younger age. Massage can be a beneficial part of treatment for this condition; however, regional contraindications do exist. 

Kyphosis is a significantly increased convexity of the spine (the person will be hunched forward), while lordosis is a significantly increased concavity of the spine (typically in the low back, presenting as a significant arch). Spasmodic torticollis occurs when the muscles on one side of the spine remain contracted, causing pain and rotation (more common in infants and young children). None of these conditions involve a lateral curve of the spine.

60.

All of the following statements are true of fascia except:

  • It is a network of connective tissue that protects muscles from inflammation.

  • It is a network of collagen and elastic fibers.

  • It is a network of fibers embedded in ground substance.

  • It is a network of fibers found throughout the body, supporting various kinds of tissue.

Correct answer: It is a network of connective tissue that protects muscles from inflammation.

Fascia does not protect muscles from inflammation. On the contrary, fascia is a major location of inflammatory processes. 

Fascia is a network of connective tissue made up of collagen and elastic fibers embedded in ground substance. It is found throughout the body, and it supports many kinds of tissue. For example, layers of fascia surround every muscle as well as every individual muscle cell. It also supports the viscera.

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