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Massage

Question	Answer
18. In treating constipation with massage, where do you begin	Large instestine
9. For a massage therapist, which of the following is the most important aspect of personal hygiene	clean hands and nails
19. Which of the following techniques is most frequently used to enhance the level of relaxation during a massage	relaxed
15. Whats the best way to stretch the quadratuslumborum muscle	lateral trunk flex ion
19. Your client claims that he had a stroke last year. What is the proper course of action for massage	the client's doctor, and proceed with a gentle massage
What is the most important effect in the use of hydrotherapy	thermal changes to promote circulation
Who developed the movements known as Swedish massage	Per Henrick ling
What is the recommended treatment program for an elderly client compared with an average client	shorter, with more frequent massages
Which of the following statements is true regarding treatment for an elderly individual with fragile bones and very sensitive skin	a gentle, short massage may be beneficial
1. Which structure Is located in an endangerment site at.the anterior elbow	cubital vein R fiDM
5. If you are working the left SCM muscle and you client's head is turned to the left, the head was rotated into what direction	lpsilateral, The prefix "ipsi" means the same and "contra" means the opposite.
6. Which massage techniques helps to stretch and broaden soft tissue	petrissage and friction
11. Which of the following statements is true regarding the treatment of a client with low blood pressure	it is necessary to check with the client's doctor first and then proceed with caution
12. Why should prolonged immersion of a body part in cold water be avoided	it depresses cutaneous sensations, it depresses body fu nctions,it over-contracts muscles, all are correct
13. Which is not a contraindication of hydrotherapy	freshly shaved skin
14. Which of the following is not a contraindication of thermotherapy	muscle spasm, Thermotherapy is the application of heat for therapeutic purposes.
10. Which of the following techniques would be most beneficial for a client with edema	slow, repetitive effleurage
13. When assessing the current condition of a client, what is the main reason for observing the client's gait	.A.B\J;1J;;/l
17. Which of the following techniques is performed on a client without touching the body	REIKI
18. What could tapotement of the thoracic area do in the case of a client with pneumonia	increase expectoration lltii±i ; Ill!
20. Cryotherapy initially induces which localized circulatory condition	Vasoconstrictlon
l. Which of the following contributes to stress reduction during a massage	reduction of sympathetic activity
2. The shaking technique is a variation of which technique	VIBRATION
3. Which diagnostic tool in western medicine provides the most detailed view of any of the body's tissues	magnetic
4. What are the main therapeutic effects of petrissage	rehabilitation of weak muscles and drawing blood to the area
5. Yoga is an example of which form of stretching	sta tic (unassisted) stretching
6. Which of the following techniques Is the Western version of acupressure and shiatsu	trigger point therapy
7. What is the most widely recognized physiologic effect of massage	Increased blood a nd lymph circulation
s. A client is complaining of ankle pain, and the ankle appears swollen. The client requests that you pay special attention to the ankle. What is the best response	work proximal to the ankle and work reflex areas, avoiding the a nkle itself
10. The haking technique is performed with which movement	free wrist movement
il. Which of the following best explains why contracted muscles relax aer a massage	mechanical effect on muscle tone
15. For how long should wash your hands between clients	20-30 SECONDS, According to the Centers for Disease Control, wash your hands for at least for 20-30 seconds in order to apply adequate friction.
16. What stroke is most appropriate to use with abdominal massage	Effleurage
19. Which of the following would not be considered a recent development in alternative medicine	Acupuncture
2. )Nhat is the most common physiological effect of Swedish massage	increased blood flow
6. Muscle Energy Techniques utilize what method	isometric contraction with resistance
9. Which one of the following is not appropriate when confronted with an emotional release of crying by a client	leave room immediately to give the client privacy l
14. Which stroke is best to find sub-epidermal adhesions' SKIN ROLLING ' 15. Your client was stretching at a high school track. She bent over to touch her toes and t	Ballistic ,Ballistic stretching is done by bouncing into the stretch. ;,1
5. In which of the following conditions is it important to receive a doctor's approval before giving a massage	Carcinoma,A carcinoma is a malignant epithelial tissue tumor.
6. In which of the following conditions is the use of heat in hydrotherapy contraindicated	Inflammation
9. What is the initial procedure for an acute knee injury	rest, ice, compression and elevation
10. Why is it important to explain the draping procedure to the client	it adds to the client's confidence and privacy and
11. Which of the following describes passive joint movement	the therapist performs the movement with no help from the client
12. Which of the following statements is true regarding massage therapy for a client suffering from chronic fatigue syndrome	massage should be very light to promote rest and relaxation
13. Which of the following techniques that promotes relaxation is most widely used in massage therapy	Visualization' 14. A client rotating the head as far as possible to the left is an example of
16. What is the best approach to a client with scoliosis	srelt dvice from the client's doctor and proceed with caution
17. With which of the following conditions is massage ccntr;jindicated	Fever
18. Which of the following techniques immediately reduces the intensity of deep tissue massage	Vibration
19. A therapist's body mechanics are extremely important in preventing injury, fatigue and strain. Which of the following positions demonstrates good body mechanics	keeping the knees bent and the back straight
2. Which of the following techniques uses exercises to promote awareness or conscious control of the physiologic responses to stress, pain or disease	Biofeedback
4. A client lying in the supine position raises the knees for comfort. What might this indicate	ow-back pain
5. Massage is indicated in which of the following conditions	Spider veins
Ii 6. Which of the following is a general use or effect of heat	relief of cramps and muscle spasms
8. Which of the following techniques is described as a vigorous, rhythmic movement	Chucking (=throw)
9. How often should towels and sheets be laundered to prevent a rancid odor	the same day they are used
11. f or what type of burn is immersion in cold water contraindicated	third-degree burn
1. Which muscle most closely resembles gastrocnemius in terms of muscle actions	Plantaris,like gastrocnemius, plantaris crosses two joints and can flex the knee as well as plantarflex the ankle joint
2. Which muscle laterally rotates, medially rotates, extends and flexes	gluteus medius
3, Which muscles extend the leg	QuadricepsExtending the leg is the same as extending the knee.
4. What muscle keeps you in a squatted position when skiing	gluteus maximus
5. Which of the following muscles is deepest	transverse abdominis
6. Which of the following terms seen in muscle names means "shortest	brevis
7. Which muscle group would you find in the medial thigh region	Adductor,The adductors are in the medial thigh region and are innervated by the obturator nerve. (Except pectineus which is innervated by the femoral nerve.)
8. Which muscle inserts into the iliotibial band	glueusmaximus, Gluteus maximus and tensor fascia late insert into the iliotibial tract.
9. Which muscle Is the strongest extensor of the thigh	gluteus maxi mus
10. Which of the following would act as an antagonist to the tibialis a nterior	peroneus longus
from the joint. Which of the following stotements is most likely to be true	muscle Y will produce a stronger movement due to greater leverage
1. Which of the following acts as an antagonist ta the platysma	Masseter,Platysma opens the jaw and masseter closes it.
2. What muscle keeps you in a squatted position when skiing	gluteus maximus
4. Which of the following acts as an antagonist to the deltoid	Pectoralis major
9. Where does the short head of the biceps attach	coracoid process
10. Where are the lumbricalsfouild	foot; There are lumbrical muscles in both the foot and the hand.
20. Which of the following refers to the relative size of a musc!e	Vastus
1. Which of the following muscles that move the humerus is an axial skeleton muscle	latissmusdorsi
7. Which of the following originates on the transverse processes of the thoracic vertebrae	longissimusthoracis
9. Which muscle stabilizes the hip when walking	gluteusmedius, When walking or running, the gluteus medius contracts to keep the pelvis level and balanced when the opposite foot leavs the ground.
12, Which muscle passes in a groove behind the lateral malleolus and then moves distally to insert on the medical side of the foot	peroneus longus
13. Which muscle is considered the "key that unlocks the knee	popliteus,Thepopliteus muscle unlocks the knee by mediallf; rotating the tibia on the femur before it flexes the knee. --A.,
14. Which muscle inverts the ankle	tibialis anterior
11. What structures meet at the neuromuscular junction	ai1
12. Which muscle allows a standing patient to flex their right thigh and knee without the right torso dipping toward the floor	left gluteus medius, When the foot Is lifted off the floor, the opposite side gluteus medius contracts to keep the pelvis balanced and level.
15. Which muscle attaches posteriorly to the epicondyles of the femur	Gastrocnemius 16. Thin myofilaments of a striated muscle fiber are anchored to the
20. Which muscle can perform plantarflexion and eversion of the ankle joint	peroneuslongus, The peroneals perform eversion, while the tibialis muscles perform inversion.
1. Which muscle adducts the femur at the hip	Gracilis
3. Wliich muscle can evert the ankle joint	peroneusbrevis, All the peroneal muscle are evertors.
4. When you lift your foot off the ground, which muscle on the opposite side of the body contracts to maintain pelvic balanc	gluteusmedius, When the foot is lifted off the floor, the opposite side gluteus medlus contracts to keep the pelvis balanced and level.
6. Which muscle can be found on the lateral leg	Its tendon inserts on the medial side of the pla ntar surface of the foot.peroneuslongus,The peroneus longus wra ps around the lateral malleolus and crosses under the foot to reach its insertion at the 1st cuneiform and 1st metatarsal.
10. Which of the fol lowing muscles acts with piriformis to exter'nally rotate the hip	obturatorexternus,Piriformis and obturatorexternus are two of the six deep lateral rotators of the hip joint.
11. Which of these is true	skeletal muscle fibers are under voluntary control
18. Which of the following crosses two joints	rectusfemoris, Rectus femorirs is the quadriceps muscle that crosses both the hip and the knee.
19. Which of the following muscles can perform flxion and medial (internal) rotation of the hip	tensor fascia latae
4, What muscles are associated with the patellar tendon	semitendonosus and semimembranosus
5. With a patient with cystic fibrosis, what should you avoid doing	lowering the temperature of the room, A cystic fibrosis patient requires frequent clearance of pulmonary congestion (mucus). All choices except lowering the room tempersture will facilitate loosening of mucus and be appropriate.
10. A right hemiplegic with an inverted right foot suggests	spasticity !\
11. What is the first tissue attacked In osteoarthritis	Cartilage 12. Which of the following tumors is cancerous
14. What is the first-sign of diabetes mellitus	increased thirst
15. Which is an example of a spastic muscle condition	Parkinson's disease
15. What bones are involved with a Dupuytren's fracture	tibia, fibula, talus, A Dupuytren's fracture is a distal ankle fracture
19. Which nerve is involved in chewing	Trigemina!, trigeminal
6. Which is a manifestation of Parkinson's disease	fine tremors and spasticity
7, What does Dupuytren's contracture affect	palmar aspect of hand
8. Poliomyelitis is associated with which structure	lower motor neurons
11. Which Is not a symptom of hyperthyroidism	loss of body hair
12. A client is HIV+ and has had a few opportunistic infections. What would you also expect to find as part of the clinical picture	Lymphadenopathy Jfn.'lf§M!!'.f!l
14. What condition may develop in a patient who is a heavy smoker, has a history of hypertension and complains of cold hands and feet	Arteriosclerosis
15. Osteoporosis starts with breakdown of what tissue	collagen 16. A typical result of a stroke is
17. Which of the following diseases is characterized by a deficiency of antidiuretic hormone from the posterior pituitary g!and	diabetes insipldus Jli
1. Which of the following types of burns is characterized by open wounds with black cha rring and white patches of necrotic tissue	fourth·degree burn
2. Which hypertonic muscle might result in rotation of the ilium, causing a functional short leg	lliopsoas
4. Which muscle is affected when someone presents with shin splints	tibialis anterior
1.5. Which of the following is not a function of the lymphatic system	production n\" i
l. Which of the following terms describes the relationship of the thumb to the humerus	distal
8, Where does the piriformis muscle originate and insert	originates on the anterior sacrum; i nserts on the greater trochanter
10. Which class of lever is good for generating speed but poor for generating power	third-class lever lL The opening for the external ear canal is in which of the following bones
12. Which valves in the heart produce the strong "lubb," which is the first heart sound	atrioventricular valves 13, The fu nction of the dendrites on the neuron is to
15, What kind of bone makes up the main shaft of long bones and.the outer layer of other bones	compact bone !!m!iil'
17, What substance in the blood carries oxygen to other cells ofthe body	Hemoglobin
18, Which of the following is considered the pacemaker of the heart	sinoatrial node \ 19. What is the longest part of the digestive tract
and females	follicle-stimulating hormone and luteinizing hormone
2, What is the action of the minor and major rhomboid muscles	retraction and downward rotation of scapula
S, Which of the following muscles does not attach to the oscoxae	vastusmedialis, The oscoxae is the pelvis, which is made up of the ilium, ischiu m and pubic bones.
6, Which of the following is the proper sequence of blood flow through the heart	right atrium, pul monary semilunar valve, aorta, body
8. What is the sensory area on the skin for the axillary nerve	over the deltoid muscle on the lateral aspect of the shoulder
2. Which of the following represents poor body mechanics or poor positioning	spine bent over to increase leverage
movement of the shoulder (glenohumeral) joint	adduction · 1·
4. \Nhich of the following muscles does not help extend the shoulder joint	Trapezius
5, Which of the following neurotransmitters is released in the neuromuscular junction	Acetylcholine
7. What are the four muscles of mastication	masseter, medial pterygoid, lateral pterygoid and temporalis
10. What are the meninges	!Mi'ili'Jllt membranous layers or coverings that surround and protect the central nervous system
12. Which gland is positioned above the kidney and secretes epinephrine	adrenal gland';,..
14. Where in the brain is the body temperature regtlfl!ted	hypothalamus '"FJiDl!I
17, The medulla oblongata & in the brain stem contains which of the following centers	cardiac center
18. Which nerve roots make up the sciatic nerve	l4 through S3
gastrointestinal tract, helping to promote peristalsis and bowel regula rity	dietary fiber
12. Which of the following muscles inserts on the olecranon process	triceps brachli
13. Which part of the digestive system best absorbs nutrients	Small intestine !
change in length of skeletal muscles	Muscle spindle, Muscle spindles are involved in the myotatic stretch reflex.
10. The long head of the triceps originates between which two muscles	teres major and minor
action is difficult for him	lateral hip rotation .
12. When performing postural drainage on a patient, what are the complimentary massage strokes to use	vibration and tapotement,Vibratlon and tapotement are the strokes used to help clear the airways. They also work well in stimulating the healing of nerves.
14 A client comes in with torticollis and a note from their doctor. What is the first thing you do	take a medical history, A history should be taken on all clients, (even at sporting events). The assessment would follow.
15. In tapping a large area of the body, which massage maneuver is used	percussion
16. Which muscle would you strengthen to correct lateral patellar tracking	vastusmedialis, Weakness of the vastus medial is muscle causes chondromalacia patella (patellar maltracking syndrome).
17. How would an injury to a lower motor neurons affect the peripheral nerves	flaccldity !fXiiiiit,J ; 'fG
1. What artery is found on the right side of the body but not on the left	brachiocephalic
2. Which Is a primary shoulder extensor	latissimusdorsi
3. How would you massage a patient who is finished with chemotherapy treatment!;	ligh't, moderate massag
3. What effect does the vagus nerve have on the hea rt rate	decreases the heart rate '
being worked on	biceps femoris
8. What type of muscle contraction is being demonstrated when a person returns to the floor during sit-ups	Eccentric
10. What is the strongest muscle for extension of the humerus	latissimusdorsi, triceps brachii 11. Nociceptors carry im pulses to the brain related to
13. Which of the following is located on the bottom of the foot	lymph plexus
16." What muscle along with gluteus medius and gluteus minimis helps with internal rotation	TFL
6. Which connects muscles to bones	tendons
· . .--.	ff,' i
9. What muscle should be rehabilitated with patellar maltracking syndrome	vastusmedialis 10. Impulses from the muscles are carried to the brain't>y
11. Which of the following flexes the trunk	rectus abdominus
12. Where do "rest and digest" impulses come from in the vertebral column	Craniosacral
14. Which of the following muscles in an anterior rotator	Subscapularis, In this case, we can assume tbat anterior rotator means medial rotator.
15. After the head is flexed, what muscle would return it to the neutral position	Trapezius
16. A patient has chronically rounded shoulders. Which tight muscle would you focus on	pectoralls major
18. How would you treat a patient with pre-event sports n;assage	mild stimulating effleurage
is initiated by the sympatheric nervous system.	incr!fased heart lae
initiated §y the symothetfc ;1ervous system	. .
2. A client actively moves his leg and feels pain, but when the sa me leg is passively stretched, there is no pain. What structure Is injured	MUSCLE
4. A patient presents with bilateral contraction of the QL What other muscle needs to be stretched	ERECTOR
5. Which part of the spine has the least amount of movement	THORACIC
6. Which of the following extends the elbow	anconeus
7. Transitional epithelium is found in what structure	urinary bladder
8. Which of the following nerves arise from the lumbosacral plexus	sciatic, obturator, femoral
9. What type of cell carries oxygen in the blood	Erythrocytes
10. If the sciatic nerve was injured, which movement would you not be able to do	knee flexion
liquid-like form	Thixotropy
3. Where is the lung meridian located	2" above the nipple and distal forearm
4. Client has blurred vision, temporal headaches, cannot turn head to the right, what element is most likely imp licated	Wood
5. How many points are on the Yin meridian of the Water element	27
6. Which are the functions of the Yang organs	store substances and secrete
8. Which point is proximal to pisiform on the wrist	Ht-7
9. Which points would you work to help with fluid transportation	BL-20, SP-3, Ll-4
10. Which point is directly lateral. to the spinal column at the occipital ridge	Bl-10
11. If a client has an occipital headache, which points would be most beneficial	GB20, GB12, BLlO 12. In the Earth element, the Yin meridian begins at the
13. What channel goes from heaven to earth	GB
15. A client has loose stools, nausea and cannot concentrate at work because he is worried about digestive problems. Using the generation cycle, which element would you tonify	FIRE
16. Which bony landmark can be used to find the upper burner Shu Point	spine of scapula level with BL 13 17. Which yang meridians begin on head and end on the legs
18. What is the beginning point for Fire Yang meridian	ulnar side of pinky
19. A female client has nausea, anemia, scanty menses and dull headache. Which meridians are involved	SP and LIV
20. What time does the Eastern cycle begin	3AM
21. Which meridian starts on the medial ,big toe and ends on lateral thorax	SP
22. Which meridians begin in the hand and end in the face	arm yang meridians
23. According to the control cycle, which controls heat	Kl
24. The Conception Vessel starts where	perineum %F.l (JttHifl.!
25. What organ is at peak at 2 p.m.	SI
26. A woman has a fractured L2 and L3 vertebrae, and is angry. What channels would you work on	LV a nd GB
27. Where is the lung meridian located	From pee to pal1·1
29. Which points would you use to disperse migraines	PC-7, ST-36 and BL-17
30. Which meridians have points on the face and head	MOST YANG
31. Wei chi is the prenatal chi and holds the constitution of the person. Where is this held	JN THE KIDNEYS
32. What is the Mu point for PC	CV-17
33. According to generation cycle which element should you tonify to support Metal	EARTH
34. What organ does the liver insult	LU
36. When passively moving foot from dosiflexion to plantarflexion, which meridians are you engaging	ST, LIV, GB
37. Which are general tonification points	ST-36, Ll-4, SP-6
38. With conjunctivitis, what element is involved	WOOD
39. In the 5-element theory, fire controls	METAL
40. In which finger is the meridian for the organ that separates pure from impure	ulnar side of the little finger
41. What direction in oriental anatomical position do yang channels flow	DOWNWARD
42. A 46 year-old man presents with a high fever and thi st. His eyes and face are red. He has scanty urine and constipation and is agitated. The tongue is red with a yellow coating. The pulse is full and rapid. The patient is most likely suffering from	full heat or excess yang
43. Which phrase does not describe yin energy	EMPTY
45. Metal channel corresponds to what season	AUNTUMN
46. Which phrase does not describe yin energy in meridians	HOT
Al . Which of following points is located on the palmar tip of the third finger	PC-9
48. Which point is found on the distal portion of peroneus longus	GB-40
49. Which of following points is located on the nail root of the second toe	ST45
50. Which channel in oriental medicine is most like the western lymphatic system	LU
51. What channel is for protein digestion	SP
52. Which organ cleans the blood	LIV
54. In the control cycie which of the following would cause the kidney to be deficient	excess Metal or weak Wood
55. Which channel should be tonified if a patient presents with fatigue and diarrhea, according to the Control cycle	EARTH
57. In Eastern philosophy, which two organs are organs of elimination	bladder and kidney
58. What controls liver	Metal
60. According to control cycle what cause Kidney deficiency	excessive SP, ST
61. Where is the beginning point of the yang channel of the earth element	just below the pupil
62. What is.the grandmother of metal	Fire
63. A 45 year old woman is irritable, experiencing irregular menses and has insomnia. What Western condition would this be	Menopause
90. What are the five elements in Eastern medicine	wood, fire, earth, metal, water
92. How are the governing and conception vessels brought together	by touching the tongue to the roof of the mouth
93. In the 5-element theory, which meridian is associated with 3 - Sam	LU
94. Flatulence with- no odor might be due to which meridi;rn being blocked	J=\Jlt large intestine
96. What meridians are stimulated when massaging the medial thigh	Kl,LIV,SP
97. If a client had a Colles' fracture, what yang meridian would you expect to be imbalanced	BL
98. A person with a chronic lung condition would benefit most from which Mu/Shu combination	LU-1, BL-13
99. Which meridian runs over the lateral collateral ligament	gall bladder
1. Which organ/meridian would be indicated with eczema and asthma	LU 5i'ill
2. When working on a client with upper back and cervical problems, you discover trigger points in the mid-upper trapezius and at the occipital ridge. Which TCM channel has points in these same areas	GALL BLADDER
3. What meridian runs over the erector spinae	BLADDER
4. In Eastern theory, what organ houses the mind	HEART
5. Which organ controls perspiration	HEART ff
6. Which of the following is the most yin	JING
12. What points would you work on for a respiratory condition	Lu 1and Bl 13
14. Too much thinking and concern for details might be a block in which meridian	SPLEEN 15. Which channel begins just below the eye and ends at the second toe
16. Where is the ancestoral Ki,Jing, stored	KIDNEY
17. Massage on which part of the body would most likely affect the kidney meridian	posterior to medial malleolus 18. Qi is the Chinese word for the energy flow of the meridian. The meridian that ends at the nose is the
19. Which gland is related to the third eye chakra	pineal gland
20. What two meridians have points on the pinky finger	heart and small intestine
22. What point is located 1.5 cun lateral to the lower border of L2	BL23
23. If somebody has black circles under their eyes, which element is involved	WATER
24. In the control cycle, if kidney energy is deficient, which organs would be responsible	excessive spleenstomach
26. Which two points are best avoided during pregnancy, or are to be contacted very lightly at most	CV-4 and SP-6
27. Which yin meridian begins on the foot and ends on the midaxillary line	SPLEEN
28. Someone reports weight loss due to poor nutrient absorption as well as a constantly dry mouth. What element might be most out of balance	EARTH
30. Which 3 meridians meet about 3 inches above the medial malleolus	LIV, SP, Kl
31. In the five element theory, Fire controls which phas-e	METAL
32. Which two channels begin on the great toe	LIVER AND SPLEEN
33. Manipulation of the medial aspect of the arm affects which organ	HEART
34. If a client has pain in the lateral compartment of the leg, what point do you avoid	GB38
35. Which of the following regulates sweat	LUNG
37. Where does the kidney meridian originate	plantar surface of the foot
38. The stomach meridian is located in between which muscles	rectus femoris and vastuslateralis
39. What points would benefit a client with knee pain	stomach 36, spleen 9
40. Which meridians have points on the face and head	GB AND ST
41. Which meridian is involved with a system, but does not have a corresponding organ	TRIPLE HEATER
42. Which of the following points is located on the palmar tip of the 3rd finger	HC9
44. Where is the lung meridian located	2" above the nipple and distal forearm
46. What emotion does wood represent in the 5 phase philosophy	ANGER
47. Which of the following is true about oriental massage	14 meridians flow on the superficial aspect of the body
48. According to Chinese theory, which meridians are least associated with elimination	LIV
49. Which meridian is lateral to midsagittal line of the pf.lsterior cervical vertebrae	BLADDER
50. Which of the following is a yin characteristic	FALLING
51. Which statement does not characterize the Oriental •.tiew of the body and disease	organs are considered more in terms of structure than function
52. The color yellow is associated with which element	EARTH
53. Winter is the season for which channel	BLADDER
54. Which of the following is a yang characteristic	HOT
56. Which of the following is the most yin	BLOOD AND JING
58. A client has dark circles under the eyes and night swe;a · What oriental element is involved	WOOD
61. What yin metal channel that begins at the lateral aspect of the clavicle and ends at the radial side of the thumb	LUNG
62. What channel starts at the axillary area	HEART
63. According to the cycle ohides, what meridian is dominant from 5pm-7pm	KIDNEY
64. What is the Shu point for the spleen	UB20
66. What time does the cycle of tides begin	3AM-5AM
68. Which meridian is lateral to the midsagittal line of the posterior cervical vertebrae	BLADDER
69. What point is located 3 tsun below the umbilicus	CV4
70. Which meridian is associated with tensor fascia latae	GB
71. A patient is constipated. What point do you press	ST25
72. Which organ opens to the root of the tongue	HT
73. Which element is associated with grief	METAL
74. What is the sense organ for the liver	EYES
75. What direction in oriental anatomical position do the yang channels flow	DOWNWARD
76. What meridian begins on the medial aspect of the great toe and ends on lateral thoracic	SP
77. Which meridian passes throu h the tibialis anterior	STOMACH
78. If fire is weak, what element should be strengthened	WOOD,You would add more wood to the fire.
79. Which channel begins and ends on the lateral 5th toe and the eye	BLADDER 8Gl. In the five element theory, fire controls
81. A patient comes in with fatigue, loose stools and a loss of appetite. According to the mother-child relationship in the creation cycle, what other element would you tonify	FIRE
82. What hour would be the height (the strongest) of the SI channel	2 p.m.
83. The stomach meridian flows in what direction	DOWN
85. Someone reports weight loss due to poor nutrient absorption as well as a constantly dry mouth. According to Eastern theory, which element might be most out of balance	EARTH
86. What element feeds Earth	FIRE
87. You would work on which meridian to help heal a torn anterior cruciate ligament	GALL BLADDER
88. What is the Mu point of kidney	GB25
89. According to the creation and control cycle, what two elements are affecting ki to tonify deficient fire	deficient wood, excessive fire
90. A client has conjunctivitis and excess wmry. What meridian do you work on	Gall bladder
91. How many yang meridians terminate on the plantar surface of the foot	Zero
92. Hearing loss in both ears would indicate a problem with which yin meridian	Kl
93. How many points are found on the kidney meridian	27
95. According to the creation cycle, which element might be strengthened in order to alleviate a decreased sense of smell, sinus congestion and eczema	EARTH
96. According to the control cycle, which of the following meridians is associated with the element that controls fire	KIDNEY
97. A 25 year-old is having trouble breathing, has asthma and is prone to bronchitis. Which channel is most likely affected	LUNG
98. A client has migraines. What meridians should you work on	LV AND GB
99. A client comes for massage with a doctor's referral. He has whiplash from a car accident 8 months ago. Which points could help relieve stiffness in the neck	BL 1CI and GB 20
2. Which meridian would be involved if a man had a collgh, a cold and sinus problems	LU
3. How many points are found on the yang channel of the metal element	20
5. What points would you use for someone with problems of insomnia and palpitations	HT-7 and CV-17
6. Which element controls the liver	METAL
7. In a client with a lateral ankle sprain,which meridian is affected	BL
8. If a patient perspires and has mind disturbance, what channel is in disharmony	HT
9. How do you access the flow of chi in the bladder channel in the sitting position	palpating Shu points
10. Which meridian would be used for a client with low back pain, lordosis and dark eye rings	BL
11. Where are the first and last points on the BL meridian	inner canthus of eye and lateral nail root of 5th toe
13. What ends the cycle of tides	LV
14. Which substance is most Yin	BLOOD
15. Which meridian would you work for tennis elbow	LI 16. Which element is associated with worry
19. Which of following points is located on the nail of the first toe	LV-1, SP-1
20. Metal channel corresponds to what season	Autumn
21. What organ is out of harmony if a patient has eye twitching, sciatica and temporal headaches	GB
22. Which meridians are for osteoarthritis	KID/BL
23. Which meridian has a point on the medial big toe	SP
24. The gall bladder meridian is found along what plane	Coronal
26. The gall bladder channel follows which plane	Frontal
27. How do you locate meridian points	feel for indentations
28. What emotion is associated with the kidney	Fear
29. Which meridian runs between the brachioradialis and flexor carpi radialis	Lung
30. Which word best describes yin energy	Contraction
31. Which meridian is on the most medial aspect of the chest	Kidney
32. To treat a client with low back pain and swelling in the lower leg, which channels would you work on	Bladder and kidney
33. How many yin meridians end on the .bottom of the foot	3
34. Which meridian has branches on the anterolateral aspect of the chest	Spleen
36. A client wants to reschedule her lunch time appointment because she has been experiencing a racing heart beat and panic each noon. Which element might be imbalanced	FIRE
37. Wei chi is the prenatal chi and holds constitution of the person. Where is it held	KID
38. What element is craving for sweet	EARTH
39. A client reports that he hardly ever sweats. You notice that his face is quite red. He says that he dreams frequently and that in fact his dreams disturb his sleep and he doesn't feel rested upon awaking. Which element might you think is most out of b	FIRE
40. A client has a history of strain and weakness along the medial side of the patella. According to the mother-child cycle, what elements might be depleted	Water and 'Nood
41. A client has dark circles under the eyes, night sweats and osteoporosis. What oriental element is involved	WATER
42. A patient had lumbar spine problems and was operated 3 weeks ago. He was bandaged all around the thorax and needed treatments to promote circulation. What channels would the therapists address away from the posterior lumbar	HT AND BL
43. A man in his early 40's works long hours, worries a lot, craves sweets and has mouth sores. What element should be strengthened	EARTH
44. Ina female client with headaches, which 2 points would help best	Ll-4, LIV-3
45. A client has fatigue, insomnia, lack of appetite, poor digestion, flatulence, diarrhea, sweating and irritability. According to TCM, these are all deficiency symptoms of what organ	SP
46. All Yang organs	move and excrete
47. Which of the following points are good for constipation	ST-36 and Ll-4
48. What bony feature is a landmark for the LU Shu point	medial end of spine of scapula
49. Client has low back pain and hearing loss, what element is involved	WATER
50. What element is disturbed if your client has problems with eyes and tendons	WOOD
51. What channel is the Controller of the Lung	FIRE
52. What is the order of the cycle of creation	Wood, Fire, Earth, Metal,Water
54. According to eastern theory, what is the time for the small intestine	1-3PM
55. Where is the lung meridian located	1st intercostal and distal 1st phalange
56. In a client who hardly ever sweats with a face that is quite red, which of the following sounds disturbed	SHEN
58. Which channel runs mid-sagittaly on the body	conception vessel
59. If a patient has an eating disorder and is pensive, what channel would you work on	Spleen 'tJt.ft
61. A patient comes to you after falling from a horse. Her third and fourth lumbar vertebrae are fractured. Which meridians should you focus on	Kidney and bladder
62. What points would you not work on a pregnant woman in her third trimester	Sp 6 and CV 4
64. Which channel is the mother of Earth	Fire
65. A client's medial elbow is damaged in an accident. Which meridians are affected	HT and SI
66. A woman bends at the waist while sitting on the floor. Her knees are straight and her fingers are stretched to reach the toes. What channel is affected	Bladder
67. Which Shu point is related to the upper burner	UB13
68. What is most yin	BLOOD AND JING
69. Which point is found on the distal portion of peroneus longus	gall bladder 40
70. How many yang organs are there	6
71. A mechanic is working on a car which falls off the blocks and strikes him in the center of his sternum. The alarm point for which channel has been hit	HEART PROTECTOR
72. What point is located in the prominence of the vastusmedialis muscle	SP10
73. Which phalanges are associated with the metal element	thumb and index finger
74. Which yang meridian is on the anterior aspect of the body	ST
75. In western medicine, the spleen is the largest lymphatic organ. What is it in Eastern medicine	SJ
77. What is the sea of Qi	CV17
78. With an autoimmune problem, what channels you work on	LU and TW
79. What meridian responsible for transportation and transformation of fluids	SPLEEN
80. Which channel in oriental medicine is most likely the western lymphatic system	SJ
81. Which meridian is strongest at 7 pm	PC
82. What wouid you avoid for a pregnant client	Ll-4 and SP-6
83. What points are on occipital ridge	UB-10
84. The shu point for the large intestine is found where	BL-25
85. What channel is disturb if your patient has bloated pelvis and swollen breast before period	SP
86. Which organ relates to the season of Autumn	Lung
90. A patient arrives with a cough. What element is involved	Metal
91. What connects meridians	lo meridians
93. What modality uses pressure points	Jin shin do,Acupressure, Shiatsu , all are correct
94. Which element is associated with ligaments and tendons	Wood
95. What organ is the mother of the Earth element	Ht
96. What points would you be palpating if you were on the occipital ridge	GB 12, GB 20, BLlO
97. Where is the fast point of the bladder meridian located	inner canthus of the eye
98. Where does the superficial aspect of the lung meridian begin	pectoralis major
1. What time does the Large Intestine channel work at its peak	5 - 7 am
266. For which of the following symptoms should a client be referred to a physician	Pitting edema fiilJil17J
267. Which is layer of the epidermis is closest to the stratum corneum	stratum lucidum )!a.fl iii.
268. What type of joints are found between vertebrae	Gliding
269. Which muscle would be paralyzed if the sciatic nerve were severed	Biceps femoris
272. Which is not a normal element of blood	Fibroblasts
274. Which of the following has the most slow-twitch muscle fibers	Soleus
276. When giving massage, which of the following is not true	the patient should be under 65 years of age
278. Which technique is used for the purpose of distributing lubricant evenly	Effleurage
280. Which of the following is a gliding joint	facet joints
Gliding joints exist where flat surfaces of bones meet, as with the facet joints, the intercarpal joints and intertarsal joints. 281.Where is the best place to start abdominal massage for constipation	descending colon
286. Which aims most specifically to passively stretch muscle	Effleurage 287.At the wrist, the radius articulates with the
288. How should massage be given to reduce swelling	proximal to the swelling, then distal then proximal
289. Which condition is contraindicated for massage	Jaundice
295. What's the most effective stroke to use on a healed proximal phalangeal fracture	Friction
296. The gall bladder meridian is found on what plane	Corona
297. Which meridian is on the most medial aspect of the chest	Kidney
298. Yin meridians flow in which direction	inferior to superior
299. Which part of the small intestines is greatest in length	Ileum
301. Which of the following joints is a hinge joint	Elbow
303. Which is the la rgest gland of the body	Liver
304. Which Is not part of the acetabulum	Capitulu m
305. Deep friction to adhesions is best followed by	light sedative effleurage 306 Which bone is not part of the cranium
307. Which is the most elastic tissue	Yellow ligaments
310. Which stroke milks muscles of wastes from overexertion	Petrissage 311.
What type of muscle contraction Is being demoMtrated when a person returns to the floor during sit-ups	Eccentric An eccentric contraction occurs anytime movement is in the direction of gravity.
312. If a client has a patch of psoriasis on their skin. what should you do	massage, if there is no broken skin
313. Which of the following lifts the ribs with inhalation	serratusposterior
315. Which part of the tibia is not covered by muscle	Anteromedial
317. Which of the following is a saddle joint	Thumb 317a. Where would you find a saddle joint
321. Where is the hyoid bone found	in the anterior neck region
322. What bone is·part of the axial skeleton	Sacrum
323. The saglttal plane divides the body in which parts	Side to side
324. The tendons of which musdes form the Achilles' tendon	gastrocnemius, soleus and plantaris
325. Where are the intercostals muscles found	bewteen the ribs
326. Which structure supports the body in the sitting position	ischial tuberosity
327. Venous blood is found in which vessel	pu
329. If one hip is held higher than the other, what muscle is probably tight on the high side	quadratus lumborurn
If one hip is held higher than the other, what muscle is probably tight on the high side	!uITlborum
331. Massage is contraindicated when what is pnesent	Red and swelling
332. The wrist joint is made up of which two bones	radius and scaphoid '
335. Which gland is not located in the skin	tubular lii'if it,J ; 'if!J
B7. Which is not in the mediastinum(iliilJiliZl'iiJ ll\l) r.i	lungs
339.A client has been referred to you by their doctor. They were referred for neck massage for pain resulting from a whiplash they suffered 6 months ago. What muscle is directly affected by the condition	Scalenes
340. What is the best treatment for Dupuytren's contractu re	effleurage, petrissage and friction
341. Which is an example of a gliding joint	Wrist
342. Which of the following is a type of white fibrous tissue	Ligament
3411. Immediately after exercise, which is the most beneficial effect of body massage	promotes recovery of fatigue
345. How many ribs does the sternum articulate with	14(7pairs of ribs)
348. Which joint has 2 semilunar cartilages	Knee
3SOA. Which of the following is a sesamoid bone	PATELLA
351. The acromion process is part of which bone	Scapular
352. Which muscle depresses the shoulder and is attached to the humerus	latissimus dorsi 3S3. Which type of wound is often deep, jagged and irregular
354. Skeletal muscle is approximately what percent of the body weight	40%
356. A client presents with a "winged" scapula. What muscle is over stretched	serratus anterior
357. A major function of the cruciate ligament in the knee is to prevent excessive movement in what direction	forward and backward
358. The acromion process is part of which bone	Scapula
360. Where are nephrons located	Kidneys
361. Which stroke would you use for neuralgia on a person that cannot tolerate effleurage	vibration and nerve tapping
Erb's paralvsis is due to a lesion of which cervical nerve	5
Carbohydrate digestion starts in the mouth with salfvary amylase. Fat and protein digestion begins in the stomach. Where does protein digestion begin	stomachs
368.With general massage which strokes a re least used	tapotement and vibration
370. What 2 bones articulate with the clavicle	scapula and sternum
374. Massage may be most therapeutic for which condition	chronic rheumatoid arthritis 37S. In abdominal massage the correct position is
376. Which of the following covers a muscle fiber	Endomysium
377. Which technique is best used on an acute cervical muscle strain following trauma to the neck	light massage given in the fiber direction
378. Which muscles are adductors	pectoralis and latissimus dorsi
380. What extends the ulna on the humerus	Triceps
381. Which is a manifestation of Parkinson's disease	fine tremors and spasticity
384. Which bone does not articulate with a thoracic vertebral body	Clavicle
385. In treating a patient with kyphosis, which muscle or muscles should the massage thera pist try to stretch and relax	pectorals
386. Which of the following sinuses is not paranasal	Mandibular Which is not considered a paranasal sinus
387. How should you address a mild hematoma	work around it with caution
389. Which is part of the central nervous system	Cerebellum
-'positioned	Supported
391. Which muscle extends the head	Trapezius
What occurs with Still's disease	spleen and lymph enlargement
393. Which muscles are affected in a back spasm	erector spinae
395. Which of the following is a postural muscle	upper trapezius
396. With shin splints, what muscles should be massaged	tibialis posterior and tibialis anterior
397. Where are the lumbricals found	foot and ha nd
401. Which of the following attaches to the greater trochanter	gluteus medius
402. What muscle supinates the forearm	biceps brachil
Elceps brachii can flex and supinate the forearm, as well as flex the shoulder joint. 403.Which is part of the central nervous system	cerebellum
407.To prevent bed sores, which stroke would you use	effleurage and.petrissage away from the pressure area
409.Where would you massage a Colles' fracture recently out of a cast	finger kneading and wrist massage
410. Which muscle bends the hands towards the wrist	flexor carpi radialis
	from the mandible to the hairline
412. What is involved with paraplegia	paralysis of 2 lower extremities
414. Erb's paralysis is due to a lesion of which cervical root	5
417. Which condition may be aided by massage	varicose ulcer
419. Where can you contact the rhomboids	T3-T8
420. The liver is located in which quadrant	UPPER RIGHT
421. Which of the following muscles does not cross 2 joints	SOLEUS
422. Where is pronator quadratus found	at the anterior wris
425. What is the best way to contact the psoas	with anterior deep abdominal work
426. Which of the following is not a part of a cell	VALINE tlltllt!ll' S!lii
427. If the condition of tissues significantly changes during a massage, what should the massage practitioner not do	note the change and continue the treatment
428. In addition to massage, which is most helpful in increasing lymph flow	Exercise
429. Which of the following tumors is cancerous	SACROMA
431. Which nerve is Involved in moving the eyeball laterally	Abducens
432. What part of the brain regulates temperature	hypothalamus 433.Which of the following lifts the ribs in inhalation
434. Which of the following is not a granular leukocyte	Lymphocytes
435. What is the best stroke for peripheral neuritis	Vibration
437. Which muscle would not be useful to stretch along with the quadratus lumborum	rectus abdominus
438. What stroke would be good for finding trigger points	ROLLING
441. What nerves make up the brachia! plexus	CS·Tl
442. Which stroke is appropriate for massaging the SCM	Effleurage
443. Which nerve(s) originate from the brachia! plexus	long thoracic, ulnar, radial, all are correct
444. Which nerve supplies the tibialis anterior	deep peroneal
445.Which of the following is a primary muscle used during restful breathing	internal intercostals 446.For a general relaxation massage, how should the hips and knees be positioned
449. Which extensor muscle is attached to the little finger	digiti quintus (minimi)
450. What structure allows muscles to glide over bony processes	bursae il,(
451. What stroke would be most effective on chronic irritation of the brachioradialis' proximal attachment	FRICTION
452.Whlch of th'e following muscles, if chronically contracted, can cause sciatic pain	PIRIFORMIS
453. What is the best treatment to restore range of motion for Colles' fracture	FRICTION
454. Which stroke is best for the belly ofa muscle	Petrissage
455. Where do you massage at an area of local venostasis	roximal to it, then distal and then proximal
456. Your client wants to see you two times a week and is asking you to bill your massage through the chiropractor next door.;What should you do	inform the client that you cannot bill through the D.C. and work out a different plan
457. Anaerobic respiration results in a build-up of which of the following	lactic add
458. What is the upper attachment of the sartorius muscle	anterior superior iliac spine
459. What stroke is best to break up scar tissue in the muscle belly	cross fiber friction
460. In what direction is effleurage given	Centripetal
461. Which of the following muscles crosses two joints	rectus femoris
463. Which type of receptor measures the amount a muscle is stretched	muscle spindle
464. Piriformis can perform which action at the hip	EXTENTION
465. A client has an irregularly-shaped mole on her back. What do you do	avoid the mole and refer her to a physician
466. What is the most appropriate stroke for edema in the lower leg and foot	light effleurage
467. What nerve is affected with carpal tunnel syndrome	MEDIAN
469. How many pairs of spinal nerves are there	31
470. If the client experiences pain on resisted flexion of the knee, what muscle may be torn	Semimembranosus
471.What vertebrae are most affected from kyphosis	Thoracic
472. What stroke is best to break up scar tissue in the muscle belly	cross fiber friction
473. How often must one renew a New York State massage therapy license	NEVER
475. For how long must a NYS licensed massage therapist maintain client records	6 YRS 476.Weakness of which muscle would cause weak shoulder abduction
477. Why is tapotement indicated for pre-event sport massage	it stimulates the superficial nerves
479. What is the name for the shaft of a long bone	Diaphysis
480. Which of the following are the receptors for light touch	Meissner's corpuscles
482. Which of the following make up the central nervous system	SRAIN AND SPINAL CORD
,\&3. Which of the following attaches at the pes anserine	semitendonosis. gracilis, Sartorius Vllhich of the following is part of the pes anserine
Which of the following is not part of the "pes anserine	rectus femoris
48. What action is most limited with an achilles' tendon rupture	PLANTARFLEXION
485. Where is levator scapula contacted	Cl-C4
486. What is the order in which urine flows	kidney, ureter, bladder. urethra
487. What nerves are involved in the fight or flight response	Sympathetic
488.Wh3t is the best stroke to resolve muscle cramping	COMPRESSION
489. For which clients should universal precautions be used	ALL CLIENTS
490. How should one work with a client who has severe varicose veins	avoid the varicosity and massage as usual
491. What nerve is responsible for the sensation of pain in the medial arm and hand	ULNAR
492. How should massage be given to a client with facial paralysis	from the chin upwards 493.During a movement, the synergist
498. Which of the following terms describes inflammation of a nerve root	radiculitis[rtlllldikjullllaitis]
499. What muscle is implicated when the client has pain on resisted medial rotation of the shoulder	Subscapularis
soo. In a client with a lateral ankle sprain, what muscle is directly affected	peroneus longus Often, when patients sprain their ankle, they also injure peroneus longus.
SOL Patellar tendor>itis directly effects which of the following muscles	rectus femoris
S02. \f1/here is pronator quadratus found	at the anterior wrist crease
S04. A client is prone. How are his knees usually positioned during the massage	FLEXED
508. Where is the linea aspera located	posterior femur S09. Where is the scaphold bone located
SlO.Which of the following bony landma rks cannot be palpatcd	occipital condyle
.511. What is the actions of piriformis	and abduction
512. Where is the pronator teres located	from medial humeral epicondyle to proximal radius
513. Which of the following is true about resisted joint movements	they increase lymphatic flow to the area S14. What muscles are used for quiet inspiration
Which muscle contracts during quiet inspiration	diaphragm
SlS. Where in the vertebral column is the most motion possible	cervical spin
516. Which of the following stops a cramp in the gastrocnemius	resisted dorsiflexion S17. Osteoarthritis affects which of the following tissues first
S18. What accounts for a client feeling cool during a massage	massage increases vasodilation
519. What is the correct treatment for myositis of tibialis anterior	ice and elevation
520. What muscle ipsilaterally bends the head and contralaterally rotates it	SCM
522. Which of the following is located in the upper left quadrant of the abdomen	SPLEEN 523.Trigger point work is contraindicated for which of the following areas
524. What tissue surrounds the diaphysis of a bone	Periosteum
526.lf a client has restricted shoulder abduction due to a tight muscle, what muscle is tight	Latissismus S27. Which of the following attaches to the medial sca pula
528. Which muscles are involved in temporo-mandibular joint syndrome	masseter and buccinators
529. Which of the following flexes and pronates the forearm	pronator teres
530. If you haftiobturator nerve damage, what motion of the hip would you have trouble doing	adduction
532. What lii.>eps blood from flowing backwards	Valves
S35. In what position is the trapezius most evident	shrugging the shoulders
537. Which muscle helps with both pronation and supination of the forearm	Brachioradialis
S39. While you are performing passive medial rotation of the shoulder, you find limitation of motion. Which muscle is affecting thiS'·action	lnf raspinatus
540. Which muscle adducts the scapula	Rhomboids
541. Which muscle is the strongest abductor of the shoulder	Deltoid
S46. Which bony landmark is found inferior to the clavicle, medial to the shoulder joint	coracoid process
548. Which tendon is palpable at the lateral crease of the knee	biceps femoris
The biceps femoris muscle inserts into the fibula just distal to the lateral knee crease. S48A.Which of the following muscles Inserts onto the fibula	BICEPS FEM ORIS
551. Which is the most abundant tissue in the body	Connective 552.Where is oxygenated blood found
553. Which stroke best improves circulation	Eff!eurage
554. A woman in the late stage of HIV comes for circulation improvement to her legs. She suffers from neuralgia, headaches and nausea. Which treatment is most appropriate	polarity therapy
555. Which of the following is a sesamoid bone	patella
556. Which bone is in the proximal row of carpal bones	lunate
557. What stroke stimulates or sedates local nerves	Vibration SSS. Which condition would require friction
>59. Monosynaptic, ocular, righting and vasomotor are all examples of: reflexes 560.The occipital condyles articulate with which bone	Atlas
Witwhich structure do the occipital condyles articulate with	atlas The,occiput articulates with the Cl vertebrae.
561. How many spinal nerves are there	62 There a re 31 pairs of spinal nerves and 62 total.
563; How can you stretch the triceps	Flex elbow
S64'1>what is the proper positioning for a client who is 8 months pregnant	side-lying on the left side 56S'.What is the best stroke for dislodging phlegm from the lungs
566'Which would not benefit from passive range of motion (PROM)	acute rheumatoid arthritis
567. With osteoarthritis, degenera tion occurs In what tissue	articular cartilage
568. V\ll)at a re the special needs of children under 18 who want massage	they need parental consent to receive massage
569.Which stroke would you apply to the patella margin	Friction
570. What direction should effleurage be given in	centripetal 571.Where is sebum found
572. Which of the following makes up the anterior wall of the abdomen	rectus abdominus
574. Extreme caution should be used with which of the following	Edema
576. Which of the following muscles laterally rotates the humerus	lnfraspinatus
577. Which muscle flexes the ·knee and plantarflexes the ankle	Gastromemius
578. What is the best stroke for assisting the return of normal range of motion after being in a cast	friction and passive
579. Which is the most superficial, lateral abdominal muscle	external oblique
581. When can a massage therapist release records without a client's consent	when subpoenaed by the court
584. Which of the following is illegal i'l New York	equine massage .
586. Which of the following carries oxygen	Erythrocytes
587. Where does supination and pronation take place	at the radioulnar joints "58R Which of the following nerves arises from the bachial plexus
589. Why is light pressure used for lymphatic ma>sage	because deep pressure compresses the lymph capillaries
593. What tissue is found on the shaft of long bones	Periosteum
594. Which muscle supinates	biceps brachii
595. Where would petrissage be applied most affectively	Thighs
596. What causes decubitus ulcers	bony prominences
597. What stroke best breaks up adhesions in the muscle belly	TRANSVERSE FRICTION
598.A client has an injury in the sub-acute phase and says he con't handle deep work. What might be the best stroke for increasing joint mobility.	FRICTION
599.lNhich claim can most appropriately be made for the benefits of massage	INCREASE CIRCULATION
601. One of the effects of massage is vasodilatation. Which of the following might a client most likely feel on the surface of the skin during or following massage	COLO
602. A fem. ale clientith diabetes has ede.ma in both legs. How should you perform massage	PROXIMAL TO DISTAL 603. A client has ne ralgia and can't stand effleurage. Which strokes would provide the best alternative treatment
604. What digestive organ is most responsible for detoxification	LIVER
608.When there's an equal force of resistance given to a clients muscle contraction, it's called	ISOMETRIC
609. Which stroke is effective in moving waste material from muscles	petrissage
610.Which systemic condition affects movable joints	rheumatoid arthritis (RA)
611. What t.reatment is most affective for client with osteoporosis	active exercise
612. Which ofr;he following releases antibodies in response to antigens in the blood	lymphocytes, 613. What isJhe state of a muscle in normal posture
.' 616.When standing, what causes the venous system to flow properly, considering the effects of gravity	VALVES
617.A client comes in.With a migraine. Which treatment would be most inappropriate	Tapotement
518. What body syses derive the greatest benefit from massage	cardiovascular and lymphatic 619.Wh¥' rhuscle can pronate and supinate the forearm
620. Whatskin conditions are most contagious	scabies, impetigo, pediculosis
622. When bones of a joint are disarranged, what protective measure does the body do first	protective spasm of surrounding muscles
623. Which muscle, when in spasm, will raise the iliac crest	quadratus lumborum
624. If a client falls and hits her head while in your office, what's the best thing to check	HER BREATHING 625.Which muscle helps with flexion of the knee and lateral rotation of the hip
626. Where is the insertion of peroneus longus	1st cuneiform bone and base of the first metatarsal
627. What stroke best breaks up,adhesions in the muscle belly	transverse frictioncerebellum 628.Which area is most responsible for. egulating motor coordination in the body
629. What muscle is responsible in the disorder of "foot drop	tibialis anterior
630. Which joint is both stabilized and moved by the rotator cuff muscles	glenohumeral joint
'63i. What happens to the diaphragm on expiration	It relaxes
Which bone of the foot is likely to develop bone spurs	Calcaneus 633. Which of the following muscles is an adductor
''You can do!or them	allow flexible time for their visit
637. What stroke is most appropriate to use in abdominal massage	Effleurage 638. Which is a deep abdominal muscle
539. Which muscle medially rotates the glenohumeral joint	Subscapularis
640. Where is the greatest cone. entration of sweat glands	soles of feet and palms of hands
. f643. A first-time client has deep varicose veins in both legs. What is the best procedure to follow	don't massage and
'.,54\Ln what form do muscles store energy for later use	Glycogen
i'i4S. The axillary nerves control which movement	abduction of shoulder
46. What c'ond.ition does a lack of or ineffective insulin Involve	diabetes mellitus r,iij
647. If a client periences numbness on the sole of the foot and the movement of the toes is limited, what nerve is likely to be most iiivolved	TIBIAL
64S·A therapist puts a client at greatest risk by doing which of the following	neglecting to wash hands
the best treatment for a client's varicose veins	do general massage and avoid the area ich muscle is most responsible for impingement of the brachial plexus
''lfuvhich is a gliding joint	FACET
653. Which condition i n a client requires the therapist to use extreme caution when treating	Phlebitis
massage to address his fatigue. What is the best treatment	MODERATE SWEDISH
656. Which drug is used to produce sleep	'l'i
658. A client is recovering from a Celle's fracture. When the cast is removed, which is best to do	knead the hand and fingers
662. What is a floating, moving blood clot called	embolus tt'f , tt
663. Which of the following drugs Is used to reduce allergic reactions	Antihistamine
664. What kind of immunity is developed when a baby inherits antibodies across the placenta and through the mother's breast milk	passive, naturally acquired immunity
NSAIDs means non-steroidal anti-inflammatory drugs. They are usually taken orally. 666_ What is a substa nce used to treat or prevent diseases or conditions	DRUG
667. Which muscles would you address to access the patella tendon	vastus lateralis and vastus medialis 668.
contracted	latissimus dorsi
670.Which muscle attaches most superiorly on the scapula's axillary border	TERES MINOR
673. What is an undesirable and unavoidable reaction produced by a drug	SIDE EFFECT 674. Tendons attach
681.What should you do if a client has a grand mal seizure during a massage	protect the clien 682. What muscle flexes the trunk
690. A woman is on a treadmill with an 8% incline and has pain in her buttocks. What muscle could be implicated	gluteus maximus
691.A woman who is 7 months pregnant reports that she has been experiencing visual disturbances, severe headaches, heartburn and elevated blood pressure. What should you do	postpone the massage and instruct her to see her M.D 692.When the head or neck is flexed, which muscle is primarily involved in extension of head and neck back to the upright position
693. Which of the following Is a systemic joint disease	rheumatoid arthritis (RA) 694. What type or category does tapping and hacking fall into
695. You feel a lump on your client's back and are not sure what it Is. What do you do	work around the lump, mention it to the client and suggest they get it checked out
697. Which structures pass through the diaphragm	esophagus, inferior vena cava, aorta 698. What is the best position to palpate the right SCM
699. Which stroke is best used for warming tissue and preparing them for deeper work> Effleurage 700. The vagus nerve does what to the heart rate	Decrease
701. What treatment is most effective for acute bursitis	Rest and ice
702. What is the best treatment for chronic Achilles tendonitits	deep frictions followed by active stretching 703. Which is a phasic muscle
704. What does light effleurage do	increase flow in superficial capillaries
705. Which of these does the greatest amount of absorptions during the digestive process	Small intestine 706. When working the lower anterior leg, the knee shouid be in which posit;on
707.ln order to practice Shiatsu in NYS, what is required	a NYS massage license 708. Piriformis performs; abduction and lateral rotation
711. Shin splints would involve which muscle	tlbialis a nterior
717. What is the best treatment for chronic Achilles tendonitis	dorslflex the foot and apply friction to the tendon 718. Which is an appropriate treatment for a client which had surgery of the linea alba one week prior to treatment
719. Oxygenated blood is found where	left atrium of heart
720. When treating a decubitis ulcer on the skin, what treatment would be best	f riction from the periphery to the edges of the ulcer
721. Where is cerebral spinal fluid found	In the subarachnoid space and ventricles 722.What lymph nodes are located just anterior to the ear
, 723. Which is not a normal element of blood	Fibroblasts
724. What muscle can be treated on the posterior lateral thigh	biceps femoris
725. What muscle would you find medial and deep to the erector spinalis	Multifidis
7L6. Where is the upes anserine" located	proximal tibia
Where is the pes anserine located	PROXIMAL TIBIA, The pes anserine is located just medial to the tibial tuberosity. 727. What stroke would be good for finding trigger points
728. What actions are performed by the piriformis muscle	abduction and lateral rotation
73la. A patient comes to you with talipes equinovarus. Which would you not do	talipes equinovarus
732. What is the term used for an increased blood flow in tissues	hyperemia 733.NJhat is an increase in the size of a m.uscle called
734. Which of the following stretches the quadratus lumborum	Knee to chest 735. Where are the intercostals muscles found
736.What region of the vertebral column do "fight or flight" impulses come from	Thoracolumbar
737. What muscle attaches posteriorly to the condyles of the femur	Gastroai\ mius
Where does the gstrocnemius'MusCre oJiginate	femoral condyle . .-'1'-1' -,_.
738. What nerve causes numbness to the face	Trigeminal ;·· '"
740. Which disease is due to a significant loss of neurotransmitter in the brain	Parkinso's 741. Which helps soft tissue glje over bony areas
742. What is the role of the massage therapist in medical massage	follow the "'"""·>h••n'l'·n•
761. What;fs a deeubitus ulcer	a skin ulcer from prolonged pressure on the same spot
762.When'pronating the forearm, what happens	The radial head pivots In the radial notch 763. wti'a gland is located directly in front of the ear
765. WheA frictioning the medial epicondyle of the humerus, which muscle group will be most effected	WRIST FLEXOR 766. When performing CPR on a 5 year old child you would use
767. Which is not an action of the latissimus dorsi	FLEXION
769. Where is a saddle joint found	at the carpometacarpal of pollicis
770. When applying passive range of motion {PROM) for a prolonged period of time, what effect does it have on the body	cause the muscle to shorten
771. What coni!ifltih is indicated for using a massage chair rather than a table	LOW BACK PAIN 772. What would be the best technique for lymphedema
773. What is the condition where there Is.an elaggerated posterior to anterior curve i n the thoracic vertebrae	Hyperkyphosis
774. Which of the following carries oxygenated blood	pulmonary vein 775. Where does thoracic duct empty into
776. What muscle performs external trunk rotation	external oblique
•1.71o What would be the best thing to do to prevent joint stiffness in a subacute ankle sprain	FR ICTION
178, What is the largest part of the intestines	COLON
780. Which muscle inserts superiorly on the axillary border of the scapula	TERES MINOR
organ	. is
2. Ari inability to walk a straight line may indicate damage to which cranial nerve	vestibulocochlear lilJ /ii]!
5. Taste sensation is mediated by which cranial nerves	facial and glossopharyngeal '2&'DllJl(,j
12. Which of the following terms does not apply to how light rays are processed by the eyes	Dispersion ll!!Jili . i!T.ilfi
19. Which lobe-function pairing is incorrect	frontal lobe - sensory interpretation
20. Which of the following terms does not apply to how l ght rays are processed by the eyes	Dispersion
21. The rectus eye muscle that moves the eyeball laterally in the horizontal plane is innervated by which cranial nerve	abducens !il
B. When slowly sitting down in a chair, how are muscles being worked	quadriceps, eccentrically
24. Which of the following muscles does not cause internal shoulder rotation	lnfrasplnatus
25. Where would diverticulitis occur	large intestine
28. What Is the correct route that a bolus of food would travel	pyloris lil!Jfl. ileocecal liil!lii11'!Jlii valve ll!lm. anus
32. Which is not an example of mechanical digestion	use of bile to emulsify fats '11.11'..
37. What does the integumentary system consist of	the skin and its derivatives fil l
40.What is the appendix attached to	Cecum 1§'.iil'ilffil
41.What structure contains both voluntary and involuntary muscle	Esophagus itlii. . llfil
44. Whece is amylase produced	mouth
45. What are the main excretory organs of the body	lungs, kidneys, skin and alimentary canal .51'l 1t.lii.
'15. Which plane divides the body into anterior and posterior portions	Coronal
54. Which muscle abducts the hip	gluteus medius
S.Your client's shoulders are hunched forward. What muscle would be tight	serratus anterior
56. Which muscle does not extend the shoulder	Anterior deltoid
sf.. Where does the iliacus muscle insert	Less trochanter
2. Which of theses muscles receives innervation from a cranial nerve	Trapezius, Trapezius is Innervated by
4. Which of the following muscles can extend and laterally rotate the humerus	DELTOID
s. A march fracture is a hairline stress fracture of what bone	5th metatarsal ,A march fracture, also known as
6. Which of the following muscles can extend the elbow	triceps brachii
7. What nerve causes numbness to the face	Trigeminal, The trigeminal nerve supplies sensation to the face while the facial nerve controls movement of the facial muscles.
8. With chronic swelling of the patella, what should be done	effleurage proximal to the knee
9. Which of these muscles does not cross two joints	Brachioradialis
1. Which of the following is a muscle of mastication	TEMPORALIS, The muscles of mastication (chewing) l
2. The cribriform plate is a specialized portion of which bone	ethmoid bone, Olfactory nerves pass through the cribriform plate of the ethmoid bone.
3. Which of the following muscles is not found in the "anatomical snuff box" region	extensor digiti miniml, The anatomical sn uffbox is a triangular deepening on the radial, dorsal aspect of the hand at the level of the carpal bones, specifically, the scaphold and trapezium bones forming the floor. The name originates from
#NAME?	radioulnar
S. An agonist is working agains; tha antagoni;t. Which is the best description for a synergist	works with the agonist to do the same action
6. A client is lying on the table complaining of pain in her right leg. You undrape it and discover that the leg is red, swollen a nd not. What would be the best thing for you to do next	stop massage and refer to a specialist
2. Which circular muscle leads from the stomach into the duodenum	pyloric sphincter lll!Hlf.!i!!'lftfL, The
3. For which condition would having your client in a seated position be best	severe back pain. If a client is in too much pain to lie down, chair massage may be an option.
4. In an athlete with an injured gracilis muscle, which would be the best exercise to strengthen it	squeeze a pillow between the knees, Any resisted abduction will strengthen the adductor muscles. Squeezing a pillow between the knees does abduct the hips/groin.
5. A client develops bruises while you are massaging them. What should you do	stop massage and refer to an
6, If a client has a calf cramp during the massage, what should a therapist do	provide active resistance to client's dorsiflexion, Having a client dorsiflex the ankle will create reciprocal Inhibition, which may relax the gastrocnemius.
ll. What would be the goal in treating a patient with a skin graft with finger kneading	loosen the graft
10. What do you do if a client has 3 large moles on their back	massage above and below and mention them to the client
1. What cells differentiate into plasma cells producing.antibodies	B-cell lymphocytes
2. What tissues does friction primarily effect	deep tissue underlying superticial tissue
3. A first time client has diabetes mellitus. Which would you do	give f ull body massage, . 4, To. evaluate the ROM of a join would you do
7. If quadratus lumborum (Ql) is tight bilaterally, which muscle would not be appropriate to stretch	rectus
8. What best describes the client's input on an intake form	SUBJECTIVE
9. You have a new client that is a sufferer of Type 1diabetes. What do you have to look out for	general integrity of the skin, Dia betics may have decreased sensation in the extremities due to poor circulation. look
10. Your client has asthma with congestion and upper back pain, what techniques would be most appropriate	friction and tapotement
11. Which best describes the direction of effleurage	centripetal roJ1t_,BlJ
12. If a person has a stroke, which of the following will likely occur	Hemiplegia
13. What stroke would be best to find sub-epidermal adhesions	ROLLING
14. Your client is sixty-four and on Coumadin. To avoid bruising what should you avoid	deep petrissage, Coumadin is a blood-thinner which may interfere with clotting.
15. Which is the most easily palpated tissue	scar tissue
3. What would be a benefit of vibration applies to the abdomen	invigorate nerves
4. Which is true regarding the golgi complex	it sorts, packages and delivers proteins, The Golgi complex or Golgi apparatus is responsible for manufacturing, warehousing and shipping certain cellular products, particularly those from the endoplasmic reticulum (ER). The Golgi complex modifies many pr
6. What carpal bone would be felt on the medial side of the wrist crease	pisiform i!llifl'
What Is affected with thoracic outlet syndrome	sensation to the arm,biceps reflex, extension of the elbow,
9. Which is not a major ligament of the hip joint	lnguinofemoral
10. Which muscle is known as the "hip hiker	quadratus lumborum
2. What plexus is involved with thoracic outlet syndrome	BRACHIAL
3. Which muscle is attached to the greater trochanter	gluteus medius
4. What is the function of the anterior horn of the spinal cord	sends voluntary impulse to musle
6. What is a function of a synergist muscle	assist the agonist
7. What is a systemic disease affecting the joints	rheumatoid arthritis
8. What is a common result of inflammation	Adhesions
9. Which muscle is medial and deep to the erector spine	Multifidius 10. Which would result in a decrease in heart rate
uptake by the cells	INSULIN
1. What is the name of the small gland situated beneath the hypothalamus in the brain, also called the master gland	Pituitary
2. Which of the following is the cartilaginous structure that contains the vocal cords and a small protrusion of cartilage commonly called the Adam's apple	Larynx
4. If a client has contracted muscles and lack of circulation how would the tissue feel	COOL
5. When frictloning the medial eplcondyle of the humerus, which muscle group would you be affecting the most	FLEXOR
6. The taste buds located on the back of the tongue are attributed to which taste	BITIER, Contrary to popular understanding that different tastes map to different areas of the tongue, taste qualities are found in all areas of the tongue, although some regions are more sensitive than others.
7. Which of the following is not a characteristic of lymph nodes	they release hormones
8. Which of the following is a muscle that works against another muscle or performs the opposite movement	Antagonist
9. Where are the pharyngeal tonsils located	below the nasopharynx
10. What system carries blood to all parts of the body and removes waste products	Circulatory
11. Goniometry is a system for measuring	JOINT ROM
12. Where is the adrenal gland located in reference to the kidney	Superior
13. What kind of massage do you do on an athlete before a sporting event	SUPERFICIAL.Ideally, before an athletic event, massage should be superficial with rapid strokes to stimulate and invigorate the body for activity.
;s. Rockir. ti'>e potient would stimulate which system	Parasympathetic, Rocking usually provides relaxation,
3. Which of the following is a bowtie-shaped gland in the neck just below the larynx	thyroid gland
4. What is the network of capillaries in the kidneys where filtration of the blood takes place	glomeruli 'lil'J'J;J
5. Which of the following is the term used to describe the study of disease	PATHOLOGY
What is the science of the structure of the body and its parts	Anatomy
What is the muscular tube that carries food from the pharynx to the stomach	Esophagus
What is the name of the network of tubules in the cytoplasm responsible for packaging and shipping proteins to various areas of the cell	endoplasmic reticulum 1
Which receptor, found in muscles, provides information about the length or change in length of skeletal muscles	muscle spindles
Which of the following is not an electrolyte	adamantinum (Am+)
7. Which of the following is not a process in blood clot formation	stem cells are differentiated
8. What structure is affected in osteoarthritis	articular cartilage
and drains into the left subclavian vein	thoracic duct
12. Which is the colored part of the eye that controls the amount of light that comes into the eye by dilating or constricting the pupil	IRIS
13. Which are the best strokes for locating trigger points	SHORT GLIDING
14. What is the name of the curved projections along the lateral sides of the nasal cavities that filter out dust particles and warm and humidify the incoming air	nasal conchae
1. What is the name of the internal mucous membrane through which the body absorbs digested substances into the blood	Mucosa, Mucosa is moist tissue that lines certain parts of the inside of the body, including the nose, mouth, lungs, and the urinary and digestive tracts. Glands in the mucosa release a thick fluid called mucus.
1. What is the name of the inner zone of the kidney that contains the renal pyramids	renal medulla
3. What structure prevents liquid and food from entering the larynx when swallowing	epiglottis ER
4. Which of the following is the lowest portion of the stomach that contains a sphincter of the same name	pylorus l!l!lfl
5. What is the "breaking down" phase of metabolism	catabolism 1!1¥
hours after an event	post-event massage
10. Which of the following is not among the many benefits of using water in therapy	it is expensive and hard to acquire
1. What valve connects the large intestine to the small intestine	ileocecal valve
3. Which of the following terms is defined as the attitudes and beliefs related to one's profession a nd how they are manifested through image, business practices and educational accomplishments	Professionalism
5. In an area that regulates or legislates massage therapy, it is the responsibility and obligation of a nyone licensed or certified in that area to adhere to those regulations. It is unprofessional and unlawful to provide services contrary to those law	legal and ethical standards
6. What category of burns and in what percentage has an extremely high mortality rate	third-degree burns on 50% or more of the body surface
7. What is not considered a general effect of heat application	reduced inflammation
8. A business owner is required by the internal revenue service to pay income taxes based on estimated income. In what time frame are these income taxes to be paid	on a quarterly basis
9. Which term relates to how an individual's attitudes are portrayed in that person's attire1 business setting, cammuri!cation and behaviors according to the perspective of the profession and its clients	professional image
10. What is an Individual bone cell is called	Osteocyte
1. What are the four pockets or chambers in the brain where cerebral spinal fluid is produced	ventricle .'iY
4. Your client has moved. What should you do with their records	keep them for 6 years
5. What is the term for a sustained contraction of a muscle, also called a muscle spasm	tetanus f)jJXl
6. Which of the following describes inflammation of the stomach mucosa	Gastritis
8. Which of the following statements Is not true about synovlal joints	they are also cal led synarthroses
9. What Is the naml;j;pf a benign tumor of the smooth muscle In the uterus that occurs in 20% to 30% of women older than age 30	uterine fibroid
10. which of the following is released at the neuromuscular junction to initiate muscle contraction	acetylcholine Z
2. Which of the following Is an endangerment site	int€f1ciHo the ear ·
3. What is the group of widely used medications for pain rel!uction, anti-inflammatibn and fever control	A common medication in this group is as(ilirin. salicyla! l!lllll;
mvs1tardial Infarction or stroke	heparin llf . , . , .
6. Which of the following is an anxiety disorder that can deVeiop following a terrifying event in which grave physical harm occurred or was threatened	post-traumatic stress disorder
7. What are the tiny gaps in the myelin sheath at which the action potential is relayed olong the neuron	node' of Ranvier
931.ln the anatomical position, which of the following structures faces anteriorly	subscapular Iossa
932. When massaging adductor longus and sartorius, what structures are to be avoided	Femoral triangle
935. Which structure does not pass through an opening in the diaph,agm	trachea The trachea and. lungs are located completely above the diaphragm.
9.36 What muscles o< the lee	Deltoid
940. Accidentally hitting your "funny bone," would affect which nerve	Ulnar nerve
94i. When massaging the anterior neck, what structure should be avoided	carotid artery
945. All nerves which supply the lower leg are derived from which nerve	Femoral
946. Which structure would most likely be damaged with a plantar flexion and inversion injury	peroneus longu 947. Which massage stroke may generalty be used between any of the other strokes
area. What would be the best treatment	trigger point therapy
949.Which hypertonic muscle might result in rotation of the ilium causing a functional short leg	The iliopsoas
950. Torticolis effects what muscle	Sternocleidomastoid
951. Which of the following muscles would be found in the hypothenar region	abductor digiti minimi
952. Which are you never allowed to include in an advertisement	a guarantee of results 953. Knuckling along the erector spinae will facilitate
954. When treating chronic swelling due to a dislocated knee, which technique is required on the thigh	Effleurage 955. What bone does the tongue attach to
956. Which stroke is appropriate for massaging the SCM	Effleurage
957. Which stroke moves tissue under the skin but not the skin directly	friction 958. Which of these muscles does not attach to ribs
958a.Which scapula muscle inserts at the medial border of the scapula	Rhomboids
960. Which joint allows for only flexion and extension	ginglymus l!X!;R
961. Friction is indicated for which of the following conditions	chronic epicondylitis
962. Friction at the lateral epicondyle of the humerus would affect which muscle	extensor carpi radialis brevis The extensor carpi radia'lis brevis is the muscle most involved with tennis elbow (lateral epicondylitis).
963. What type of joint is the glenohumeral	ball and socket
964. If a person were "pigeon toed" what muscle would be affected	tensor fascia lata
965. Which structure would most likely be sprained with an ankle plantar flexion and inversion injury	anterior talofibular ligament
SE;E.V\lhat kind of inj1J!")' tom;nonly causes tetanus	17.i.JX\. puncture
967. What would the pulse and skin temperature be of someone who is in shock	rapid, weak pulse, cold and clammy skin
968. Which is not a sign of dehydration	increased blood pressure
969. If the head is laterally flexed to the left and rotated to the right, which muscle is tight	leftsternocleidomastoid 970 What muscle aids most in the elimination of fecal waste
The diaphragm muscle is used when bearing down, which helps with defecation. 971. What circulates blood back to the heart from the extremities	skeletal muscle
972. Which of these muscles crosses two joints and can act on both the elbow and the shoulder	biceps brachii
975. What muscle opposes serratus anterior	RHOMBOID5
BS1. ;r	a muscle
862. Which"of these is a proximal carpal	lunate
863.\Nhich disease is a form of infectious inflammation	Osteomyelitis
8&4. With which condition would you exercise the most caution	a client on blood-thinners 865.Who can share a percentage of your earnings from massage therapy
869. Which muscle turns the palm towards the ceiling when the elbow is flexed	biceps brachii
870. Which combination of massage strokes is best used to treat congestion in the respiratory system	percussion and
871. Which is required by NYS law	registration renewal every three years
872. Your client with low back pain is prone. What should be done first is she is complaining of pain in the low back area	place a pillow under her abdomen
875.Which of the following is not a type of membrane	fibrous 876.Which nerve innervates !he diaphragm
87S Which layer of the epidermis 1s closest to the stratum corneum	stratum lucidum
881.Which of the following is part of the peripheral nervous system	C•anial nerve 882.The heel bone is also called the
883.While working the superior angle of the scapula, your client feels pain. Which muscle is lnvolved	levator scapula
884.Which muscle periorms abduction, flexion and lateral rotation	sartorius
885.W hich part of the intestines is the longest	Ileum
886. Your client recently suffered an extremely painful whiplash from an accident the day before. His neck is very stiff and sore. What should you do	refer to a physician and reschedule the massage
887. Weal	serratus anterior A weak serratus anterior will cause winging of the scapula.
888. Which of the following is an inappropriate treatment for migraines	heat packs to the head 889. Which is the principle type of movement used in tapotement
890.Which organ is most efficient at regulating body temperature	Skin The skin contains sweat glands which help regulate temperature.
892 Which strokes are most effective to achieve postural drainage	vibration and tapotement
893. Which muscle performs both plantarilexion at the ankle and flexion at the knee	Gastrocnemius
895. Which muscle is part of the ITS	tensor fascia latae
896. With which condition will a patient have the bronchioles constricted with wheezing	asthma
Polyphagia (frequent eating), polydipsia (frequent thirst) and polyuria (frequent urination) are signs of diabetes. 898. Which of the following contains oxygenated blood	left atrium
899. What disease may result in weakness of the quadriceps and calf muscles, years after the original infection occurred	Polio
900. Which is not a coxal joint	Tibiofemoral
901. Which striated muscle in not attached proximally to bone	the heart Cardiac muscle, like skeletal muscle is striated.
Swelling of the distal interphalangeal joints is called Heberden's nodes. They are a sign of osteoarthritis and are caused by formation of osteophytes (calcific spurs) of the articular Uoint) cartilage in response to repeated trauma at the joint. 904. Whi	7
Cranial nerve VII is the facial nerve and is responsible for muscles of facial expression. 905. Poliomyelitis is related to which structure	lower motor neuron
Since the lower motor neuron is affected, flaccidity is the result, which is what we see with polio. 906.Which type of joint is the shoulder joint	ball and socket
Which type of joint is the most mobile	ball and socket
907. Which of the following heart valves controls the flow of blood from the ventricle to the aorta	semiulnar Blood moves from the left ventricle to the aorta by passing through the aortic smilunar valve.
908. Which mu;cle would be affected if the tibial nerve was d"magecf	e"trcco >nlus
The tibial nerve scpp!ies the mucn intludes gastrocnemius, soles and tibialis posterior. 909 Whirh rnusde flexes the knee and laterally rotates the thigh	Sartorius
914. Which condition is present when there is injury to the ulnar nerve at the elbow	inability to flex fingers 915. Protrusion of the stomach into the mediastinal cavity above the diaphragm is called
917. Which statement is true regarding the treatment of chronic rheumatoid arthritis	friction around a joint shauld not be painful
919. Which massage technique Is usually indicated for acute atrophic arthritis	massage is contraindicated 920. The connective tissue that covers the entire muscle is called
8. · Lyme's disease, Still's disease and rheumatoid arthritis are considered what type of diseases	Automimmune
9. Which of the following is an adductor	Gracilis
10. Which bone is in direct contact with the tympanic membrane	Malleus l!iil'
8. What system contains the cisterna chyli	Lymphatic
10. The obturator nerve supplies which muscle group	ADDUCTOR The obturator nerve supplies the add.uctors of the hip/groin.
11. When the head is flexed and extended, such as when saying yes and no, which muscle performs this movement	Sternocleldomastoid
13. If the spinal cord was severed at the level of T3, what would be the result	Paraplegia ,If there is a serious injury to the spinal cord below the level of the brachiaIplexus {CS-Tl), the arms would be functional but both legs would be paralyzed. This is called paraplegia.
14. Which muscle can perform plantarflexion and eversion of the ankle joint	PERONEOU LONGUS, The
15. What bony landmark can not be palpated	occipital condyle
What is the movement of gases from a higher to lower concentration called	DIFFUSION J!;
What quadriceps muscle attaches to the anterior inferior iliac spine {AllS) of the pelvis	RECTUS FEMORIS
3. What of the following is a non-inflammatory disease	osteoarthdtis With osteoarthritis, there is rarely
s. Where would a hiatal hernia be found	umbilicus
5. Which of the following is not insulated with myelin and therefore appears grey	THE CELL BODY, Cell bodies
6. Which organelle is responsible for cellular energy production	mitochondria i
6. Cutting the median nerve will result in the inability to do what	FLEX THE THUMB, The muscles of the thumb
7. Dupuytren's contracture involves what strutt\Jre	palmar aponeurosis. Dupuytren's contracture is sometimes called "palmar fasciitis." . ""
'" Wt>at is a bundle of mucle fibers called	Fascicle
9. An "ape hand" deformity is due to damage to which nerve	MED.IAN
10. Which stroke is best for tendinous attachments	FRICTION
10. When applying effleurage strokes, how should pressure be ad!Tlll'listered throughout each stroke	EVENLY
13. Which is not a type of friction	Pincement
14. With which of the following conditions would a massage therapist have to use extreme caution when treating	impetigo, hematoma, phlebitis
4. Where is deoxygenated blood found	The pulm.onary artery is the only artery that carries deoxygenated blood.
7. Which muscle best assists in both pronation and supination of the forearm	Brachioradialis
injury	tilt the head back and lift the chin
14. Which is not a common consequence with peripheral nerve lesions	SWOLLEN JOINTS
15. Which of the following strokes is indicated to reduce swelling	Effleurage is the treatment of choice for swelling or edema.
1. If a patient has unilateral fAcial paralysis, inability to shut one eye and a droopy corner of the mouth, which cranial nerve is damaged	FACIAL,These symptoms describe Bell's palsy, a lesion of cranial nerve VII.
2. Which muscle can elevate the ribs to assist with inspiration	PECTORALIS MINOR, Pectoralis minor is an accessory muscle of breathing. It can lift up on the ribs to assist with inspiration when a patient is having trouble breathing.
3. Which of the following best characterizes Parkinson's disease	fine tremors and rigidity
4. Which of the following could result in tingling sensations in the hand	thoracic outlet syndrome
5. Your client was referred by a physician with a herniated disc at -L2. She is having pain and stiffness in the lumbar area. Which of the following treatments is indicated	cross fiber friction on the iliolumbar ligaments, Light friction to the iliolumbar ligaments, in the area of LS, may provide some relief.
6. Which of the following is a hip flexor	lliopsoas, Major hip flexors include psoas, rectus femoris and iliacus.
7. Which of the following would be treated with the most caution	acute rheumatoid arthritis
981.Which of the following is not a function of saliva	to initiate protein digestion
984.What muscle is involved with the compression of the brachia! plexus	Scalenes 985. A patient giving you a history of their problem is considered to be
986. The largest abundance of sweat glands are found under the scalp and in the neck	FALSE The bands and feet have the greatest concentration of sweat glands.
muscle could be involved	levator scapula
988. Which is a function of the epithelial tissue	Ecretion,protection,absorption, all are correct 989. Weakness of which muscle causes "drop foot
9SO With the exception of Buerger's disease, what is the best approach with vascular occlusive disease	NO MASSAGE
994. Which patient would most benefit from deep friction	fibrosing,nkylosis
Where does Guyon's canal syndrome occur	WRIST
997. Which is not one of the four principal tissue types	BONE TISSUE
998. Which is true of massage for Pott's disease	it is contraindicated in the acute phase
2. This condition is also called rider's strain, as you might develop this after riding a horse	It involves a strain of the groin muscles. adductor tendonltis
4. The sympathetic and parasympathetic nervous system are subdivisions of which system	Autonomic
5. Which muscle attaches to the tuberosity of the tibia	RECTUS FEMORIS, All four quadriceps muscles Insert into the tibial tuberosity via the patellar ligament.
7. Which pairing of nerve and organ innervation is incorrect	abducens nerve - facial muscles The abducens nerve Innervates the eye but not the facial muscles.
9. What structure Is not found in the popliteal Iossa	deep peroneal nerve
10. Which of the following bones is characterized by the presence of a diaphysis. an epiphysis, articular cartilage and a medullary cavity	TIBIA
2. What muscle is a main postural muscle	TRAPEZIUS
	palmaris longus
The p'>lmaris longus tendon can be seen running down the center of the wrist into the hand, when the wrist if flexed. 5.Which can a massage therapist use In their practice	Goniometer
6. Which of the following muscles does not flex the elbow joint	Anconeus
7. Which muscles make up the medial and lateral borders of the cubital Iossa	brachioradialis and pronator teres The cubltal Iossa is the triangular area on the anterior view of the elbow. Its superior boundary is an imaginary
8. Injury to the medial elbow would involve which nerve	ULNAR
l. The rhomboid muscles perform what action	retraction and downward rotation
2. At what joint does the axial skeleton articulate with the apperidicular skeleton	Sternoclavicular
10. Which would be the least effective muscle to address for plantar fasciitis	biceps femoris
11. Which muscle originates on the iliac crest, inserts into the IT band and performs flexion and abduction	TFL
12. Which muscle would be effected if the superficial peroneal·nerve were damaged	PERONEOUS LONGUS
13. Your client cannot fully extend is knee. Which muscle, if chronically contracted may be inhibiting his ability to extend the knee	5emimembranosis, The hamstring muscles flex the knee. If they are extremely tight, they may limit knee extension.
1. Which of the following are organs of the integumentary system	SKIN,HAIR ANO NAILS
3. Which muscle does not perform flexion	vastus lateralis Vastus laterals is a quadriceps muscle that performs
does it primarily affect	the vertebral column
12. Which of the following is not a gland of the endocrine system	Sebaceous
15. What muscle is involved in the compression of the brachial plexus	SCALENE
16. What muscles should be released in thoracic outlet syndrome	SCAELEN ANO PEC MINOR 17. Which tissue is avascular and lacks nerve endings
18. The posterior pituitary gland secretes what to regulate fluid and electrolytes	ADH, ADH is antidiuretic hormone.l151]1
19. Which stroke would be best to find subepidermal adhesions	SKIN ROLLING
20. What should never be in a massage therapist's advertisement	pictures of the undraped human form.unsubstantiated claims,a guarantee of treatment results.all are correct
4. Which type of fracture is found in the ankle	Pott's fracture is also called Oupuytren's fracture.
6. Which of the following may result in suspension or revocation of your NYS massage therapy license	being convicted of a felony
7. In treating kyphosis. which muscle or muscles should be relaxed and stretched	pectoralis major, With
8. Your client is experiencing pain, numbness and occasional tingling in their thigh and calf. Whith of the following would most likely be the cause of their symptoms	a chronically tightened piriformis, A tight piriformis may compress the sciatic nerve.
9. Which of the following may be a sign of a systemic disorder	pain and swelling in both ankles 10. Friction is the best technique for
11. Which of the following spinal areas has the least amount of movement	TS-T8, Because the ribs stabilize the
14. Which of the quadriceps muscles crosses two joints	RECTUS Fi
15. What would prevent extension of the cervical spine	used cervical vertebrae,tight SCM muscles,tight
1. What structure is located between the small and large intestine	ileocecal valve @lli!\ilj , @llll.illli
2. Your client complains of a muscle cramp in her gastrocnemius. Which would be best to reduce the cramp	a reciprocal inhibition stretching technique, A reciprocal inhibition technique would inhibit the cramped muscle and theoretically cause it to relax.
5. A patient gets cool lying on a massage table due which of the following effects of massage	Vasodilation Heat is lost from the b.ody due to vasodilation.
7. Which muscle is not part of the abdominal muscle group	Multifidi, The acronym "REIT" lists the muscles of the abdomen
1. Which of the following would you find in a client undergoing menopause	HOT FLASHES
2. What are the bones that make up the ox coxae	ilium, pubis, ischium, The os coxae, made up of the ilium, ischium and pubis, is also called the innominate bone.
3. How would you treat a patient with venostasis but without obstruction	[llvilllnil111st!llsisj DJ!!!
9. Which bone is not one of the three divisions of the sternum	olecranon process, The body, also called the
5. What gland is located directly in front of the ear	PAROTOID
6. Which of these muscles would be involved with compression of the brachia! plexus	SCALENE
7. Which structures carry impulses toward the brain	afferent nerves, Impulses are incoming and sensory. Efferent impulses are outgoing and motor.
8. A client has pain from the medial epkondyle to the proximal radius. What muscle is involved	PRONATOR TERES
9. Pain in the lateral clavicle would refer to what joint	Acromioclavicular
10. Where is the hormone epinephrine '/	t J
1. Paresthesia or numbness running into the fourth and fifth fingers involves what nerve	Ulnar
3. Which of the following may be legally stated in your advertising brochure	that massage therapy benefits health
5. What specialized nerve ending is designed to detect the amount of tension placed on a muscle	golgi tendon organ, The muscle spindles are located near the belly of the muscle and sense stretch. The golgi tendon organs are found in tendons and detect tension.
6. What muscle is deep to the gastrocnemius and is associated with strong plantarflexion of the foot	Soleus
8. How should a patient be positioned when treating excess mucus in the lungs. as found with cystic fibrosis and bronchioestasis	head lower than the torsoHaving the feet and torso higher than the head helps drain mucus while percussion is performed.
9. What happens during nerve depolarization	sodium ions rush in
10. When a patient has a gran ma! seizure during your massage, you should	allow them unrestrained
1. If you contract tibialis anterior and tibialis posterior together, what would be the action	inversion Since both muscles invert the foot, inversion would be the result if both muscles contracted together.
2. What blood vessel carries oxygenated blood to the liver	hepatic artery, Two blood vessels enter the liver; the hepatic artery carrying oxygen and the portalvein carrying deoxygenated blood from the digestive organs.
3. For a licensed massage therapist, which action is not considered professional misconduct	practicing
5. What is the origin of the rectus femoris muscle	'anterior inferior illiac spine
6. Which of the following is not part of the distal row of the carpals	triquetrum .
7. Where are erythrocytes formed	red bone marrow, Erythrocytes (red blood cells) are formed inside bone
into the fingers and possibly reduce the force and strength of the radial pulse	thoracic outlet syndrome
3. In reflexology, where would the large intestine be found	IN BOTH FEET '
4. The nerve impulse is sent to the cell body from which of the following	dendrite tJHil
11. What is the best stroke for directly working over the splne	SKIN ROLLING, Skin rolling can be done over the spine to lift and grasp the skin and subcutaneous tissue.
8. What muscle is used when the head is rotated to the left and tilted to the right	right SCM, The SCM muscle tilts the nead to the same (lpsilateral) side and rotates it to the opposite (contralateral) side.
10. Where should massage be applied to first when treating a patient with edema of the elbow joint	THE ARM
1. What other artery, besides the radial, enters the hand at the wrist	ULNAR
4. What muscle group is directly affected by patellar tendonitis	O'uadric.ps
5. !f you discover someone illegally practicing massage, who shml d you report thi'to	Office of Professional Discipline
6. Which is the most common type of vascular headache	Migraine
If friction is applied too deeply, what would be the response of the medulla	respirations would decrease,
What happens during the refractory period of nerve impulse transmlssion	NO IMPULSE, The refractory • period is the time during which no impulses can be conducted because the nerve needs to restore Its polarized state before it can propagate an impulse again.
Which of the following is an infectious skin disease	IMPETIGO i!&!§
With an acute lateral ankle strain, what structure is involved	peroneus longus, With a lateral ankle injury, the anterior talofibular ligament and peroneus longus muscles may be damaged. Since this question mentions a "sprain," the peroneus muscle would be the best answer.
Which of the following Is the most highly Individualized for each person	CONNECTIVE TISSUE
What muscle would be overstretched when a client has an anterior pelvic tilt and hyperlordosis	rectus abdominis '
8. Which strokes milk the muscle of accumulated waste products due to excessive exercise	Petrissage
11. If the client has sciatic nerve damage, what action would he have trouble with	PlANTAFLEXION OF THE FOOT
12 When bleeding occurs, which component hastens the repair of the vessel wall	Platelets
14. For which condition is the application of ice within the first 24 hours contraindicated	intercostal neuralgia 15. Which set of conditions would be contraindicated for massage
1. Which condition causes severe lightning-like pain in the face that comes in short bursts	Episodes may last for hours and then subside for weeks or months. Tic doloreux is also called trigeminal neuralgia.
lO. Massage Is said to stimulate what part of the nervous system	Parasympathetic
1. Which combination of massage techniques is best suited to relieve edema	effleurage and kneading
2. Which nerve supplies the hamstring muscle group	SCATICA
3. A carpenter comes to your office with pain at the coronoid process of his right ulna from hammering all day. What muscle is involved	Brachialis, The brachialis is an elbow flexor and inserts into the coronoid process of the ulna. If the pain was at the olecranon process, triceps brachia would be the involved muscle.
4. Which should you do If you witness someone collapse and no other bystanders are available to help	check
5. The pituitary is housed in what bony area	sella turcica,l!lli The sella turcica, an anatomical landmark of the sphenold bone, protects the pituitary gland.
6. With the client prone and the posterior aspect of the leg up, how should the foot be positioned	SUPPORTED
7. Which travels through the ventral root of the spinal cord	MOTOR NEURON
8. What is not an effect of contrast baths	marked decrease of blood flow locally and reflexively
,;. Which of the following muscles inserts under the chin	Platysma, The platysma muscle runs from the
1.What is produced as a result of anaerobic cellular respiration	lactic acid, When glucose is used to make energy (ATP), this is called anaerobic metabolism and lactic acid is produced.
2. Which of the following is not a result of exercise	increase in the number of muscle fibers
3. What is the best treatment for a person with a skin ulcer	effleurage working from the periphery inward
4. Which is the best stroke to increase circulation for flaccid paralysis	Effleurage
5. What is at the lateral end of the spine of the scapula	ACROMION
6. Which massage maneuver is used when tapping a large area of the body	PERCUSSION
7. What type of treatment is applied for a calf spasm	dorsiflexion with resistance, Having the patient dorsiflex will create reciprocal inhibition and may cause the gastrocnemius spasm to lessen.
8. If a person comes in saying that she sprained her ankle yesterday, what would you recommend for home care	elevate and ice every 30 minutes
9. What is the best stroke to soften scar tissue	FRICTION
10. for how long should a massage therapist wash their hands	20SECONDS., The CDC recommends hand washing for 20 seconds.
3. The long head of the triceps originates between these two muscles	TERES MAJOR AND MINOR
6. What is the best way to massage facial paralysis	FROM CHIN UPWARDS
7. Which of the following is not indicated as a form of treatment for an acute sprain or strain	fomentation '!A
I! Which of the following is not a form of tapotement	ROLLING
9. A client has limited shoulder =>bductlon. 1.Vhich muscle can restrict the action	PECTORAUS MAJOR
1. Which type of joint is found between the articulating surfaces of vertebrae	GLIDING, The facet joints that connect vertebrae are flat and are, therefore gliding joints.
4. Which is most beneficial for a patient with osteoporosis	weight-bearing exercise, Weight-bearing exercises are indicated to counteract or prevent osteoporosis. AROM and PROM represent active range of motion and passive range of motion exercise.
6. Which is the best stroke for chronic congestion	percussion with vibration
9. Which is not a compression technique	Tapotement
10. Which of the following is not an effect of massage	breaks up and reduces cellulite
12. Which part of the therapist's body is used the least when giving a massage	ELBOW 13.·Which is not a compression technique
14. With which condition will a patient have the bronchioles constricted with wheezing	ASTHMA
15. Which of the following conditions are contraindicated	abnormal lumps,acute inflammation,acute fever,
1. Which of the strokes given below should be used on a person with neuralgia that cannot tolerate effleurage	vibration and nerve tapping
2. Which is a contraindication for a hot. full immersion bath	cardiovascular disease, Heart disease and
5. Which of the following is not a form of tapotement	ROLLING
6. Which of the following does not describe effleurage	deep tissue work
7. Which type of cartilage is a precursor to endochondral bone	hyaline )!a.Jl
10, Which of the following would be least appropriate when treating myasthenia gravis	active exercise, Myasthenia gravis !!l.liEIJJ1.7f;JJ is characterized by significant muscle weakness. Active exercise would not be beneficial when the disease is active.
2. Peripheral neuropathy and decreased arterial circulation in the extremities is associated with which degenerative disease	Diabetes
3. What would be a negative complication of massaging a person with thrombophlebitis	creating an embolism
4. Which of the following muscles attaches to the acromion process of th scapula	DELTOID
S. With chronic swelling of the patella, what should be done	effleurage proximal to the knee
7. What best describes the technique of Rolling	structural integration
10. Which tissue is avascular	CARTILAGE
3. How is subdeltoid bursitis treated	with heat and exercise if it is subacute or chronic
6. A cluster headache belongs to which category	Vascular, Cluster headache, also known as histamine headache, is a form of neurovascular headache.
9. Which two components are responsible for the hardness and pliability of bone	mineralized salts and
2. Which of theses muscles receives innervation from a cranial nerve	Trapezius, Trapezius is innervated by cranial nerve XI, the spinal accessory nerve.
4. Which of the following muscles can extend and laterally rotate the humerus	DELTOI D
s. A march fracture is a hairline stress fracture of what bone	5th metatarsal ,A march fracture, also known as
6. Whkh of the following muscles can extend the elbow	triceps brachii
7. What nerve causes numbness to the face	Trigeminal, The trigeminal nerve supplies sensation to the face while the facial nerve controls movement of the facial muscles.
8. With chronic swelling of the patella, what should be done	effleurage proximal to the knee
9. Which of these muscles does not cross two joints	Brachioradialis .
l. Which of the following is a muscle of mastication	TEMPORALIS, The muscles of mastication (chewing} include the TMJ muscles
z. The cribrifo rm plate is a specialiied portion of which bone	ethmoid bone, Olfactory nerves pass through
3. Which of the following muscles is not found in the "anatomical snuff box" region	extensor digiti minimi, The a natomical snuffbox is a triangular deepening on the radial, dorsal aspect of the hand at the level of the carpal bones. specifically, the scaphoid and trapeiium bones forming the floor. The name originates from the use of th
4. I n pronation and supination, what joints are affected both proximally and distally	radioulnar
s. An agonist is working against. the antagonist. Which is the besr description for a synergist	works with the agonist to do the same action
6. A client is lying on the table complaining of pain in her right leg. You und rape it and discover that the leg is red, swollen and hot. What would be the best thing for you to do next	stop massage and refer to a specialist
7. If quadratus lumborum (QL) is tight bilaterally, which muscle would not be a ppropriate to stretch	rectus
8. What best describes the client's input on an intake form	SUBJECTIVE
9. You have a new client that is a sufferer of Type 1diabetes. What do you have to look out for	general integrity of the skin, Diabetics may have decreased sensation in the extremities due to poor circulation. Look for cuts or bruises on their skin in order to prevent them from worsening.
10. Your client has asthma with congestion and upper back pain, what techniques would be most appropriate	friction and tapotement
11. Which best describes the direction of effleurage	centripetal (EJ1t.'0'1
12. If a person has a stroke, which of the following will likely occur	Hemiplegia
13. What stroke would be best to find sub-epidermal adhesions	ROLLING
14. Your client is sixty-four and on Coumadin. To avoid bruising what should you avoid	deep petrissage, coumadin is a blood-thinner which may interfere with clotting.
15. Which is the most easily palpated tissue	scar tissue
2. Which circular muscle leads from the stomach into the duodenum	pyloric sphincter lilllflf.H<.JH11., The
3. For which condition would having your client in a seated position be best	severe back pain. If a client is in too much pain to lie down, chair massage may be an option.
4. In an athlete with an Injured gracilis muscle, which would be the best exercise to strengthen it	squeeze a pillow between the knees, Any resisted abduction will strengthen the adductor muscles. Squeezing a pillow between the knees does abduct the hips/groin.
s. A client develops bruises while you are massaging them. What should you do	stop massage and refer to an
8. What would be the goal in treating a patient with a skin graft with finger kneading	loosen the graft
10. What do you do if a client has 3 large moles on their back	massage above and below and mention them to the client
l. What cells differentiate into plasma cells producing.antibodies	B-cell lymphqcytes
2. What tissues does friction primarily effect	deep tissue underlying superficial tissue
3. A first time client has diabetes mellitus. Which would you do	give full body
4. To evaluate the ROM of a j would you do	PROM, POM_is passive irufJful to evlu.ate range of range of moti
3. What would be a benefit of vibration applies to the abdomen	invigorate nerves
4. Which is true regarding the golgi complex	it sorts, packages and delivers proteins, Th e Golgi com plex or Golgi apparatus is responsible for manufacturing, warehousing and shipping certain cellular products, particularly those from the endoplasmic reticulum (ER). The Golgi complex modifies many
6. What carpal bone would be felt on the medial side of the wrist crease	pisiform liii!'
7. What are tl'e bumps on either side of the ankle called	Malleoli
8. What area contains the least amount of lymph nodes	CRANIAL
9. Which \issue is the most plentiful in the body	CONNECTIVE, Connective tissue also includes bone, blood and fat (adipose
10. You wake up in the morning with a sore throat. Your client has a low immunity level. What should you do	call the
13. What muscle performs medial rotation of the humerus	Subscapularis
14. What is the antagonist to serratus anterior	Rhomboids,Serratus anterior protracts the scapula and the rhomboids
Which is in the proximal row of carpals	scaphoid l!Hflli. be proximal row of carpals contains the sca phoid (navicull')
Which stroke is the best treatment for facial paralysis	stroking up from chin to cheekbones What should you avoid the first time you treat a client with fibromyalgia
What is the current protocol for the treatment of cancer	massage with caution
What is a myoma	a tumor of muscle tissue
16. If there is restricted shoulder abduction due tn a tight muscle, what muscle is tight	Latissimus 17. When is a person with HIV considered disabled
19. Which of the following are sensitive to deep pressure	Meissner corpuscle
20. What organ detoxifies	Jiver
1. Which disease is characteri>.ed by resting tremors and a mask-like face	Parkinson's
3. Which of the following valves separates the large and small intestines	lliocecal
6. A 25 year old female with tennis elbow comes to you. What else besides massage can help her	Cryotherapy
7. What structure prevents food from going down the trachea when eating	epiglottis !
8. If there is pain with active movement but not with passive movement, what does this probably indicate	muscle/tendon issue
9. Which tissue is vascular and has no nerve endings	Adipose
10. Which of the following attaches to the medial scapula	Rhomboid 11. The basic building blocks of proteins are
12. Which is not an inflammation-based illness	Osteoarthritis
16. What joint is a hinge joint	Knee
18. With active stretching, asking the patient to contract the antagonist muscle in order to effect a further stretch is an example of what principle	reciprocal inhibition
6. Which type of receptor measures the amount a muscle is stretched	muscle spindle
8. Which muscle Ehes to both the medial eplcondyle and the proximal radius	pronatorteres
9. Which glands produce hormones that effect calcium storage in the body	thyroid and parathyroid 10. What is the bumpy bone that you can feel at the back of the elbow
11. When standing. what has the greatest effect in causing the venous system to flow properly, considering the effects of gravity	valves
12. Which disease is characteri2ed by the loss of the elastic recoil of the lung tissue due to cigarette smoking	Emphysema 13.. Movement, maintaining posture, creating heat and maintaining organ volume are all functions of the
14. What passes through the intervertebral foramina of the thoracic vertebrae	spinal nerves
15. When you give rescue breaths, how much air should you blow into the victim	enough to make the chest rise gently
17. what actit·dpes th illary',nerv -e'rform	abductio"r( -iirY.,nere Su,ppl,les
18. Which carpal is palpated at the medial end of the wrist orease	Pisiform
a "core	acne vulgaris['aeknllMllllllgerisJ {}'ii'l11Hl!i
20. What should be avoided in a client with a migraine headache	Tapotement
4. Which muscle attaches to both the medial epicondyle and the proximal radius	pronatorteres
5. When pronating the forearm, what happens	the radial head pivots in the radial notch, During pronation and supination. the only bone that moves is the radius.
6. Which gland is the "master gland	pituitary 1!¢.Bll
&. Which of the following is a predisposing factor of disease	nutrition/diet
,. If you had damage to the obturator nerve, which motion would you have trouble performing	Adduction, The obturator nerve supplies the adductors of the hip joint.
9. Facial paralysis is due to a lesion in which cranial nerve	Facial
10. Which of the following fractures occurs when a bone protrudes through open skin	compound fracture
11. A woman experiences pain while on a treadmill with an 8 degree incline. Which muscle is affected	gluteusmaximus, The gluteus maximus is a powerful extensor of the hip joint. A treadmill set at an 8 degree incline is like climbing a hill, and the gluteus maximus will be needed.
12. If the adrenal cortex is producing too much cortisol because of hypersecretion of adrenocorticotropic hormone {ACTH), which of the following conditions will develop	Cushing's disease
13. What is the medical name for surgical removal of the uterus	hysterectomy 71!.'Wl!ll\. (
14. w;_;,"vi ci.e"ro11ow1ng w·;I most likely develop if a person lies in bed without shifting or moving and experiences prolonged pressure over bony prominences	decubitus ulcers Wltti
15. Peripheral neuropathy and decreased arterial circulation in the extremities is associated with which degenerative disease	Diabetes
16. Which of the following conditions is characterized by pain in the chest that radiates down the left arm	angina pectoris
breast milk	passive, naturally acquired immunity
3. A staggering gait, slurred speech and poor coordination are associated with which part of the brain	Cerebellum
4. What is a good treatment for a woman with a history of lymphedema	manual lymph drainage
6. If a person complains of lightning-like pain into the pinky after hitting their inner elbow, which nerve is irritated	Ulnar, The nerve that supplies the medial forearm Is the ulnar nerve. It is sometimes referred to as the "funny bone," which isn1t a nerve at alt What nerve!
7. Which of the following terms is used to describe a condition that is intense, has a sudden onset, and is of short duration	Acute
10. Which of the following muscles might need to be considered in assessment of chondromalacia patella	rectusfemoris,Chondromalacia is often due to weakness of the vastusmedialis muscle. Of the choices given, rectus femoris. another quadriceps muscle, is the best choice.
12. Warts tit are benign neoplasms that are due to infection by which contagious organism	Virus
16. Which muscle is most responsible for impingement of the brachia! plexus	upper trapezius
18. A patient is experiencing numbness at the wrist. Other than carpal tunnel syndrome, what other structure might be Involved	brachia! plexus
19. f-lypertonicity of which muscle can put excess pressure on the sciatic nerve resulting in pain or numbness radiating down the posterior thigh and leg	Piriformis
1. Warts are benign neoplasms that are due to infection by which contagious organism	Virus
3. A client with a medical history of diabetesis sweating and talking Incoherently. What would you encourage them to drink	Orange juice
10. Which disease is characterized by resting tremors and a mask-like face	Parkinson's
11. What is a type of medication widely used to decrease pain and reduce inflammation	NSAIDS are non-steroidal anti inflammatory drugs.
17. How many pairs of nerves are in the sacral plexus	5,The sacral plexus is formed by the lumbosacral trunk (L4 and LS), the a nterior division of Sl, and portions of the 52 and 53 nerves.
21. Which is part of the central nervous system	Cerebellum, The brain and spinal cord make up the central nervous system. The cerebellum is part of the brain.
3. How many pairs of spinal nerves are in the body	3lpairs
S. Where does the cerebrospinal ti!i'i!fllli\l fluid originate	choroid plexus M
10. During the repolarization phase of an action potential. which of the following is the primary activity	potassium ions are flowing out of the cell, Potassium ions have the greatest effect on the charge of the neuron.
12. Which of the meninges is in contact with the brain and spinal cord	Pia mater,Thepia mater is the innermost layer of the meninges and is in contact with the brain and spinal cord.
14. How many pairs of cranial nerves are in the body	12
19. During the depolarization phase of an action potential, which of the following situations exists	the inside of the membrane is becoming more positive with respect to the outside, .The inside of a nerve cell has a charge of·70mV when resting. When depolarization occurs, sodium rushes into the cell and make it more positive.
21. Accidentally hitting your "funny bone," would affect which nerve	Ulnar
1. What nerve is affected by pressure into the axilla from hanging the arm over a chair or from pressure when using crutches	Radial
2. Which happens with stimulation of the sympathetic nervous system	pupils dilate
4. Which part of the brain regulates temperature and thirst	hypothalamus .lift!!l
5. Damage to which cranial nerve would result in drooping of the outer lip	Facial
6. Paraplegic paralysis affects what area of the body	lower torso mi 'f
7. Which part of the brain is the relay station for all sensations except smell	thalamus .liHN
10. Which proprioceptor, when stimulated by tension, causes a lengthening of it's associated muscle	golgi tendon organ
12. Injury to the medial elbow would affect which nerve	Ulnar
17. What does median nerve damage result in	inability to flex fingers
18. Where does the cerebrospinal fluid circulate	subrachnoid spaces 11.lJ lilt"Ffi'g suba rachnoid 19. The part of the brain controlling the "vital functions" is the
20. What causes sweating	sympatheic nerve impulses
21. Which lobe of the brain contains the optic center	occipital
23. Which is part of the autonomic nervous system	sympathetic ganglion
2. What nerve supplies the hamstrings	Sciatic
3. What type of neurons conduct impulses from the central nervous system to visceral effectors	autonomic motor
4. Where do all nerves which supply the lower leg derive from	lumbosacral plexus
19. Which of the following is not true regarding cerebrospinal fluid	it acts as a neurotransmitter in the brain
W1iich is tr1e regarding the local effect of cold therapy	Vasoconstriction
Which o! the following would give long-term benefits to a client with osteoporosis	active exercise Which r;nuscles can be found at the vertebral border of the scapula
;t, '-'Yat are the bony prominences found when palpating down the center of the spine	spinous processes
s. Which muscles are innervated by the axillary nerve	deltoid and teres minor
6. With act've stretching, asking the patient to contract the antagonist muscle to effect a further stretch is an example of what principle	reciprocal inhibition
8. What would active resisted exercise be indicated for	muscle strengthening
3. If the hamstring muscles are contracted, what action can you not perform	extenstion
10. Your client has pain with resisted abduction of the shoulder. Which muscle may be injured	, supraspinatus 11, Which gland shrinks in size as we age
12. During the session, your whiplash client experiences sharp shooting pain bilaterally in their arms. What should you do	refer the client back to the physician
13. Which is considered a form of massage therapy by NY state	rolfing
14. What is the insertion for the peroneus longus muscle	1st cuneiform and 1st metatarsal 15. U
16. Where are nephrons located	kidney
17. Which nerve is affected with carpal tunnel syndrome	median
18. Which of the following signifies a temporary deficiency of blood to a cell ortissue	,ischemia !illlfn,'ta
19. Which bone is part of the appendicular skeleton	Humerus, The appendicular skeleton consists of the extremity bones and the pectoral (scapula and 'clavicle) and pelvic girdles.
3. Which of the following would be treated with the most c;;ution	acute rheumatoid arthritis
4. The brachia! plexus is directly affected by which of the following pathologies	thoracic outlet syndrome • !.c
S. What accounts for a client feeling cool during a massage	massage increases vasodilatation - 'l
6. Which kind of bones are found in the phalanges of the feet	Long bone,Any bone with the length greater then its width ,
find	spasm in the pterygoid muscles
9. Where is the center of motor control located	The cerebellum controls posture, balance and muscular coordination.
17. After the stomach, where does the digested food move	Duodenum
18. How is massage beneficial to a client with hemophilia Jin!it	decreases stress and promotes relaxation 19. Where does blood go after it leaves the digestive organs
20. Achilles tendonitis would directly affect which of the following muscles	Gastrocnemius
1. Which part of the vertebral column is most flexible	CERVICAL
2. What is the process by which white blood cells are manufactured	Leukopoeisis
3. What is the upper attachment of rectus femoris	anterior inferior iliac crest
4. What is an abnormal shortening of a muscle called	CONTRACTURE
5. What vertebrae are most affected from excess kyphosis	Thoracic
6. Which muscles would you address to assess the patella tendon	vastusmedialis and lateralis
7. Where is the flexor pollicisbrevis muscle located	HAND
8. An eighty year old man is referred for massage. He has a severe kyphosis, lower back pain and uses hearing aids in both ears. What other medical condition would he most likely be suffering from	osteoporosis '\!I' Jlll
9. Which is not a sign of dehydration	increased saliva flow
12. What substance initiates the sliding filament mechanism	CALCIUM
13. What nerve innervates tibialisposterior	TIBIA The muscles of the calf region are innervated by the'tibial nerve, 14. What are pain receptors called
15. What type of material are the intervertebral discs made of	fibrocartilage fibrocartilage !f $X'lil'
13. What muscle runs mainly under the chin	digastric =ll!!IDL ""'F ljjjli'\i ltf'l;'I
20. What landmark is found on the posterior femur	lineaaspera, The lineaaspera is the "rough line" on the posteri6r surface o
1. In the lymphatic system, the thoracic duct empties its contents at what location of the venous nervous system	leftsubclavian vein The thoracic duct drains the entire left side of the body as well as the right lower extremity and
11. In a client with a fractured scaphoid bone, where is the injury located	proximal row of carpals 12. Where should one massage when treating Dupytren's contracture
13. If a client presents with an anterior pelvic tilt, what muscle is overly tight	psoas
14. If the client experiences pain on resisted flexion of the knee, what muscle may be torn	Semimembranosis
I j 2. The deltoid muscle is innervated by which nerve	axillary,The deltoid and teres minor muscles are innervated by the axillzrv nerve.
1. What nerve can be irritated by excess friction applied to the posterior knee region	TIBIAL
4. To evaluate the active range of motion of a joint, what would you have the client do	perform the motion
15. Which of the following are the receptors for light touch	Meissner's corpuscles, For the most part, light touch is detected '
16. Which muscle is not an adductor	biceps brachii
6. Which of the following muscles are flexors	psoas, rectus femoris, rectus abdominus
_63...W;; musclei thelngest musr;!e inthe body	Sartorius
64. When slowly sitting down in a chair. how are muscles being worked	quadriceps, eccentrically
65. What is the largest muscle in the body	gluteus maxirnus
66. Which muscle is not a part of the shoulder girdle group	Brachioradialis
67. Which muscle is also known as the "hip hiker	quadratus lumborum
68. The tibialis anterior performs what action(s)	inversion and dorsiflexion The tibialis anterior muscle is best stretched by
69. Which muscle is used when whistling	Buccinators
Which muscle is contracted when you open your eyes (elevate the upper eyelid)	levator palpebrae superiorls
	Sa.Which of the following tests could be used to assess for the strength of the hamstrir.gs
76. Which muscle is attached to (inserts on) the corners of the mouth	Risorius
78. The adductor longus originates on which bone	anterior pubic bone
What kind of contraction results in tension without any movement	isometric
83. Which muscle depresses the ribs	internal intercostals
86. The word	ancillary
93. The stomach meridian is located between which pair of muscles	rectus femoris and vastus lateralis
94. Where does the kidney meridian originate	plantar surface of the foot
%. Which meridian has a point on the medial big toe	spleen
97. Where does the superficial aspect of the lung meridian begin	Pee major
98. What are tsubos	Acupoints
102. To treat a client with low back pain and swelling in the lower leg, which channel would you treat	Bladder and kidney
105. The gall bladder meridian is found on what plane	Carnal
106. Applying pressure on the lung meridian releases energy in which muscle	Soleus 107.Which meridian is lateral to the midsagittal line of the cervical vertebrae
110. In Traditional Chinese Medicine, which of the following considered a Yin (Zang) organ	Heart
111. Massage on which part of the body would most likely affect the kidney meridian	posterior to medial malleolus
.112. Which meridian rules circulation	Pericardium 113. Yin meridians are considered
114. If a client complains of dry eyes and blurry vision, what meridian is out of baiance	Liver
115. Which meridian is least associated with elimination	stomach
116. Which meridian has a point on the ulnar side of the ring finger	Triple warmer 117. How many yin meridians end on the bottom of the foot
118. Which meridian is on the most medial aspect of the chest	Kidney
119. First and last points of which meridian are on the hand and face	gall bladder
120. Where are the first and last points on the bladder meridian located	Head and foot
121. Whichword best describes yin energy	Contraction
123. Heavy tapotement is done on which type of muscles	Striated Sl eletal muscle is striated muscle.
1	4. The primary effect of increasing venous drainage is to
129,. What can cause rickets flil{ll!(pj in children	lack of Vitamin D
Athlete	s foot is called tinea pedis.
151. Which skin condition is contagious	i mpetigo Jlt.j§jjij
158.Which of the following is contagious and is a contraindication for massage	scabies 11f flt ; 11f !M
160. In which burn classification are the skin and subcutaneous tissues destroyed	Third
161. Which extensor inserts into the 3rd metacarpal bone of the hand	extensor carpi radialis brevis 162. Which extensor muscle inserts into 4 phalanges
163. Which muscle adducts, medially rotates and extends the shoulder joint	Teres major
Which of the following muscles does not medially (internally) rotate the shoulder joint	pectoralis minor The pectoralis minor does not,aach to the umerus, and therefore, cannot rotate it.
164. Which condition is present in a right hemiplegic with an inverted foot	Spasticity
165. Which condition presents when thenfis an injury of the ulnar nerve at the elbow	Flaccidity 166. In alcoholic neuritis, the deficiency of what vitamin plays a key role
1.n alcoholic neuritis, the deficiency of which vitamin seems to play an important role	thiamine !tBl
167. Parkinson's disease characteristically has what symptoms	fine tremors and muscular rigidity
168. If the client experiences pain on resisted flexion of the knee, what muscle may be involved	Semimembranosus
which system	autonomic
173. What stroke would be most effective when working on the brachioradialis muscle's insertion at the styloid process	Friction
175. Which is an example of a fungal infection	athlete's foot
the main flexors of the phalanges are flexor digitorum superficial is and flexor digitorum profundus. 177. With sub-deltoid bursitis, which movement of the shoulder would be the most painful	Abduction 178. Achilles tendonitis involves which of the following muscles
The gastrocnemius, soleus' and plantaris all merge into the achilles tendon. 179. Which muscle adducts the femur at the hip joint	quadratus femoris
180. Tightness and shortening of which muscle could cause an anterior pelvic tilt	psoas 181.What is an exaggerated lumbar curve called
A hyperlordosis almost always coexists with an anterior pelvic tilt. 182. Which is not a form of tapoteme t	Rolling
183. Lymph from which body region does not drain through inguinal nodes	Lumbar area
,The lumbar area is above the inguinal nodes, therefore it does not drain into it. l 184. Which connective tissue tumor is malignant	Sarcoma
' 185. Which muscle adducts, medially rotates and extends the shoulder joint	Teres major
·\ 186. Which nerve fibers are affected in trigeminal nerve neuralgia	motor fibers to the TMJ muscles and sensory fibers to
187. Wh•t emotion does wood represent	Anger
llss. Blood cells are produced in what tissue	Cancellous fl'&11l'
i9o.What is the upper attachment of rectus femoris	anterior inferior iliac spine
What is the origin of the rectus femoris muscle	the AllS
191. To whom do you report the illegal massage practice	Office of Professional Discipline
192. What is name given to the muscle contraction that maintains the body's normal posture	tonus
194. Wh t Is the best stroke for massaging the intercostal muscles	Friction
195. Which muscle does not cross two joints	Brachlalis
196. What Is the primary function of epithelial tissue	Secretion
197. Which of the following is needed for muscle contraction	Glucose
202. What area of the brain does Parkinson's disease effect	basal ga nglia
203. What is the process by which white blood cells are formed	leukopoiesis 8.rfnl
204. Which is not a type of connective tissue	squamous epithelium llZ.1
205. Which is not a complication that arises during administration of basic life support	cervical subluxation
207. A relaxing effect on a muscle can be achieved with the application of which temperature	Heat
208. For which condition is massage specifically contraindicated	peripheral neuritis J\!J E!ll
209. Which carpal bone is found in the proximal row	lunate ll£ JI
212. Your client Is unable to turn their head to the right. What muscle could be stuck in contraction preventing this rotation	left splenius cervicus
213. How should subdeltoid bursitis be treated	if subacute or chronic, witti heat and exercise
214. What nerve Is affected with Bell's palsy	Facial
215.'Whlch massage technique is indicated for acute rheumatoid arthritis	none, it is contraindicated
218. What Is the effect of massage for chronic tenosynovitis	frees tissue adhesions
219. Which of the following can be palpated at the lateral edge of the popliteal crease	biceps femoris
222.Which technique is beneficial .when treating chronic swelling due to a dislocated knee	effleurage
223.Which is the best position for a patient with bronchiectasis	lying prone with feet elevated and 'head lowered
224.What Is the approach to help relieve chronic swelling of the patella	effleurage proximal to the knee
225.Which muscle is not affected in a back spasm	latissimus dorsi
228. n what situation is chest percussion contralndlcated	generalized osteoporosis
229. What type of movement is primarily used in tapotement	striking 230.
Which statement is true·rega_rqlng the areas treated with medical massage	treat the affected and adjacent areas 231.Which of the following is the most common neurotransmitter
233. Which of the'following carries oxygenated blood	pulmonary vein 233a
234. In addition to massage, which is helpful In inereasing lymph flow	Exercise
235. Which combination of massage strokes is best suited to treat edema	effleurage and kneading
236. When treating chronic rheumatoid arthritis, which is true	friction around joints should never be painful 237.Massage is c
242. With first aid for choking, what do you have the victim do	Cough
243 Wat ;hould you assess for when working with a client who has diabetes	skin integrity ' ;_44. Which ; not found in the dermis
247. Which are bones or landmarks of the skull	ethmold, sphenoid and mastoid process 248,What Is the average amount of blood in an adult
56. At which joint does the axial skeleton articulates with the upper appendicular skeleton	Sternoclavicular
258. What is the correct order of urine flow	kidney, ureter, bladder, urethra
259. On wnat bone is the lateral malleolus found	Fibula
260. What is tile position of the chin with a tight right SCM muscle	Chin to the left
262. Which muscle faterally and medially rotates, abducts and flexes	gluteus medius
263. Which gland is found in the sella turclca i;t¥.l(	Pituitary
264. Which structure is found in the Inner ear	Cochlea, vestibule ,semici rcular canals, all are correct
265. The appendix is located in which a bdominal region	Lower right
7. When massaging a client with Bell's palsy, what area of the body should be massaged with caution	anterior to the ea;, The pa rotid gla nds are located anterior to the ear and may be injured with deep massage.
18. In treating constipation with massage, where do you begin	Large instestine

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