FSMTB MBLEx Exam Questions

Page 8 of 50

141.

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.

142.

Which group of muscles are responsible for bringing the head backward, so the face points toward the sky?

  • Extensors

  • Flexors

  • Supinators

  • Pronators

Correct answer: Extensors

Extensors are the muscles that bring the head backward. A specific example includes splenius capitis and splenius cervicis.

Flexors are the muscles that bring the chin to the chest.

Supinators and pronators do not move the head.

143.

Which of the following produce(s) estrogen and progesterone?

  • Ovaries

  • Uterus

  • Fallopian tubes

  • Vagina

Correct answer: Ovaries

The ovaries are glands located in the lower abdomen and are part of the female reproductive system. They produce the sex hormones estrogen and progesterone, which control and regulate such functions as menstruation and pregnancy.

The uterus is located inferior and medial to the ovaries and is responsible for housing a developing fetus during pregnancy.

The fallopian tubes travel from the ovaries to the uterus, carrying eggs to the uterus during ovulation.

The vagina is a muscular canal that travels from the uterus to the exterior of the body. While the uterus, fallopian tubes, and vagina are all involved in reproduction, none of them produce estrogen or progesterone.

144.

Which of the following best describes a chronic disease?

  • A condition that develops slowly and is long-term

  • A condition that develops quickly and is long-term

  • A specific injury that requires casting

  • An intense disease that is short term

Correct answer: A condition that develops slowly and is long-term

A chronic disease is best described as one that develops slowly and is long-term. For example, multiple sclerosis and fibromyalgia are chronic diseases.

An acute disease is intense and short-term. An injury is not normally classified as a disease. 

145.

Which of the following are located in the lower extremity?

  • Tarsals and metatarsals

  • Carpals and metacarpals

  • Carpal and phalanges

  • Tarsals and carpals

Correct answer: Tarsals and metatarsals

The tarsals and metatarsals are located in the lower extremity. The tarsal bones are located in the ankle. They attach to the metatarsal bones, which make up the instep of the foot.

The carpal and metacarpal bones are located in the wrist and hand.

Both the hand and foot contain phalanges, which are the bones of the fingers and toes.

146.

Which of the following best describes a bone sinus?

  • An air cavity within the bone

  • A rounded hole in the bone

  • A shallow depression in the bone

  • A ridge on the edge of a bone

Correct answer: An air cavity within a bone

A bone sinus is an air cavity in the bone. Examples include the frontal sinuses, located in the skull.

A foramen is a rounded hole in the bone, such as the foramen of a vertebra, which allows the spinal cord to pass through the length of the spine. A fossa is a shallow depression in the surface or at the end of the bone, such as the infraspinous fossa of the scapula. A crest is a ridge on the edge or side of a bone, such as the iliac crest.

147.

Which of the following is not part of a normal gait sequence?

  • The ipsilateral arm moves forward during the leg swing

  • Following the heel strike, the weight rolls to the outside of the arch

  • The foot easily clears the floor during the leg swing

  • Achieving heel strike at initiation of stance phase

Correct answer: The ipsilateral arm moves forward during the leg swing

During a normal gait sequence, the contralateral (opposite) arm swings forward during the leg swing. If the client swings both the right (or left) arm and leg simultaneously, this may indicate musculoskeletal dysfunction of some kind. 

In a normal gait sequence, the foot will easily clear the floor during the leg swing. After this, the heel strike initiates the stance phase as the weight rolls to the outside of the arch.

148.

In regard to ethical massage practices, which of the following is an untrue statement?

  • Massage therapists should not refer their clients to other healthcare professionals

  • Massage therapists should identify and report unethical conduct of colleagues

  • Massage therapists should not display discrimination toward any client

  • Massage therapists should maintain client-therapist confidentiality

Correct answer: Massage therapists should not refer their clients to other healthcare professionals

Massage therapists should work within the scope of their practice and refer clients to other healthcare professionals when needed. The massage therapist should not answer a client's questions related to medical diagnosis and treatments, but should encourage them to ask a physician instead.

It is true that massage therapists should identify and report unethical conduct of their colleagues, which can be done through the employer or even the local governing body. Massage therapists should treat all clients equitably, without discrimination. Massage therapists are ethically and legally obligated to keep their clients' information confidential.

149.

What type of immunity is obtained after an individual has had a specific disease?

  • Acquired immunity

  • Allergy

  • Antibody

  • Acquired immunodeficiency

Correct answer: Acquired immunity

Acquired immunity is resistance to a specific disease developed by people who have acquired the disease. The body is able to build up antibodies to the specific antigen related to that disease.

An allergy is a state of hypersensitivity to a particular substance with an overreaction of the immune system. An antibody is an immune protein produced by the body in response to a specific antigen. Acquired immunodeficiency is a group of symptoms caused by the transmission of a virus that causes a breakdown in the immune system (such as AIDS).

150.

When assessing a client for fluid imbalance, what is the first step the massage therapist should take?

  • Ask the client if the tissue feels stiff, fat, or distended

  • Ask the client for their history regarding injury or swelling to the area

  • Observe the tissue for changes in color

  • Palpate for heat over the area

Correct answer: Ask the client if the tissue feels stiff, fat, or distended 

When assessing for fluid imbalance, the therapist should ask about the client's subjective experience before performing a physical assessment. The first step is to ask how the tissue feels. The answer to this question can direct the therapist to a specific area of the body. If the answer is no, then the therapist can palpate to ensure that no swelling is present.

Observation and palpation should only occur after talking with the client about how the tissue feels and their history.

151.

A massage therapist secures a contract to work for Relax Your Body, an independently owned mobile massage therapy service. She will be paid per client visit rather than an hourly wage.

What type of employment is this?

  • Independent contractor

  • Sole proprietor

  • Partnership

  • Employee

Correct answer: Independent contractor

When an individual works as a contract employee, paid for work completed and not by the hour, they are classified as an independent contractor. An independent contractor is legally self-employed. Benefits of working as an independent contractor include more flexibility and the ability to set working hours.

If an individual owns their own business, they are a sole proprietor. 

If an individual has a business arrangement with one or more individuals, that individual operates under a partnership.

If an individual is employed by a company that withholds taxes and pays them by the hour, they are an employee.

152.

What is rheumatoid arthritis?

  • An autoimmune disorder that affects joints, causing inflammation and degeneration

  • A disorder that affects joints with inflammation and degeneration as a result of mechanical forces

  • A viral infection that creates swelling in soft tissue structures

  • The inflammation of white blood cells

Correct answer: An autoimmune disorder that affects joints, causing inflammation and degeneration

Rheumatoid arthritis is characterized by swelling of the joints in the hands, feet, and other parts of the body. It is a result of inflammation and overgrowth of the synovial membranes and other joint tissues. It is an autoimmune disorder. Massage is beneficial for generalized gentle stress reduction and long-term management of symptoms.

153.

Which of the following options is not a component of a business plan?

  • References

  • Executive summary

  • Market analysis

  • Financial plan

Correct answer: References

Although it is important to have high-quality professional references, they are not required in a business plan. These are typically required for a resume.

A business plan should include an executive summary, a company summary, a list of products/services, a market analysis, strategy and implementation, a management summary, a financial plan, a marketing plan, business cards, and a website.

154.

If an individual has a blood clot within his blood vessel, what does he have?

  • Thrombus

  • Varicose veins

  • Spider veins

  • Arrhythmia

Correct answer: Thrombus

If an individual has a blood clot within his blood vessel, he has a thrombus. This is a very serious condition because blood clots are prone to dislodge and travel to the brain or lungs. A client who you suspect may have a thrombus should always be referred to a physician. Contraindications for massage can be regional or general depending on the severity and location, but the therapist must wait for the client to be cleared by a doctor before performing massage. 

Varicose veins are veins in the lower leg that are swollen. Spider veins are a dense network of veins. Arrhythmia is an irregular heartbeat.

155.

A newly graduated massage therapist has an interest in palliative care, and wants to specialize in oncology massage. Of the following options, which is the best course of action for this therapist to take? 

  • Seek out additional training in oncology massage

  • Seek out additional training in geriatric massage

  • Get a job as an orderly at a hospice

  • None of the above

Correct answer: Seek out additional training in oncology massage

A newly graduated massage therapist who wants to specialize in oncology massage should seek out additional training in this area. A therapist should be actively engaged in continuing education throughout their career. Those who want to specialize in pregnancy massage, geriatric care, sports massage, etc., should also seek out further education before practicing with these populations.

While this therapist may benefit from training in geriatric massage, this training may or may not teach them about oncology massage. Getting a job as an orderly would certainly be educational, but it is better for them to work in their chosen field.

156.

A 78-year-old client who fell one month ago is currently receiving a massage. The client lost her balance and fell on her back, which has been sore ever since. She has been cleared by her physician of all serious pathology. The focus during sessions has been relaxation, so the massage therapist has lit traditional candles to provide a calming environment. At the beginning of the session, before the client has a chance to sit down, the therapist leaves the room briefly to answer a coworker's question, then returns to the room and begins the massage.

What is unsafe about this scenario?

  • Leaving the room, lighting candles

  • Treating after a fall

  • Working with a 78-year-old client

  • Lighting candles, treating after a fall

Correct answer: Leaving the room, lighting candles

This client should be considered a fall risk since she recently had a fall. As a result, this client should never be left alone in the room, especially while standing. Additionally, open flames should never be present in a massage room due to the risk of a fire. This includes open-flame candles and incense. 

While caution should be used when treating a client after a fall, she has already been cleared by her physician, so the therapist may proceed with massage. Caution should be used when working with older clients, but this client's age is not a reason to refuse treatment.

157.

Which of the following would be the most beneficial to implement in a clinic in order for massage therapists to improve their clinical skills?

  • Self-written assessment of current strengths and weaknesses

  • Monthly performance reviews

  • Productivity bonuses

  • High client volume

Correct answer: Self-written assessment of current strengths and weaknesses 

Regular self-reflection is an important part of any career. It is beneficial for massage therapists to take the time to reflect on their work, considering their strengths and growth areas. This may inform which continuing education the therapist chooses to take, thus improving their clinical skills. 

Monthly performance reviews may or may not facilitate the improvement of a therapist's skills. Often, this practice simply promotes rule-following instead of inspiring the therapist to seek further education. Productivity bonuses encourage a therapist to see more clients, increasing client volume and revenue, but this does not incentivize clinical improvement. On the contrary, it may contribute to therapist burnout.

158.

A client has injured a non-contractile structure that originates on the posterior aspect of the tibia and inserts on the surface of the talus. What type of structure is this?

  • Ligament

  • Tendon

  • Muscle

  • Fascia

Correct answer: Ligament

Ligaments attach bone to bone. This particular ligament is the posterior tibiotalar ligament. Ligaments stabilize joints and prevent excessive motion, guide motion, and contain sensory receptors. 

Tendons are a continuation of muscles that attach to bone. Muscles are contractile structures with fascia woven into their structure. Fascia, like a ligament, is a form of connective tissue.

159.

Which of the following media outlets does not impact the professionalism of the massage therapy field?

  • None of these

  • Facebook

  • Personal blog

  • Twitter

Correct answer: None of these

Ethical and professional behavior need to be considered with the use of all forms of social media. Information that is available to the public affects the image of the massage therapy profession as a whole. Professionalism and ethical behavior are essential on social media.

160.

Percussive techniques are an excellent way to stimulate muscle tone. When performing percussion over the lateral aspect of the lower ribs, which of the following structures might be damaged?

  • Kidney

  • Carotid artery

  • Aorta

  • Liver

Correct answer: Kidney

Aggressive percussion (tapotement) to the client's lateral lower ribs risks damaging the kidney. Percussion is sometimes an appropriate technique to use in this area, but should be performed lightly and with great caution.

The liver and aorta could be damaged during abdominal massage, and the carotid artery could be damaged during massage inferior to the ear. Neither of these areas is likely to benefit from tapotement.