1. Work1.Working in research, Erika comes to the conclusion that
as a massage therapist, she would like to move from a method orientation to a focus on physiological outcomes. In other words,
she should focus on:
a. |
Rolfing rather than on deep tissue techniques. |
b. |
enhanced immune function rather than deep tissue
massage. |
c. |
Swedish massage rather than on shiatsu. |
d. |
reflexology rather than myofascial methods. |
2. 2.Research has proven that the effects of massage include that it:
a. |
improves all clinical measures in all skin diseases
except impetigo and pediatric eczema. |
b. |
promotes healing of psychiatric problems, though
not yet evidenced in patients with eating disorders. |
c. |
reduces stress and improves sleep patterns in
the therapist. |
d. |
decreases the effectiveness of the immune system. |
3. 3.The phenomena that best demonstrate the effect of massage on the body-mind is that it:
a. |
stimulates the secretion of certain neurotransmitters,
hormones, and endogenous chemicals while also stimulating ANS functions. |
b. |
stimulates proprioceptive nerve endings and
stretches musculotendinous structures to stimulate reflex mechanisms, Golgi tendon organs, and spindle receptors. |
c. |
compresses vessels, changing the internal pressure
and releasing vasodilators, which opens the capillaries, thus shifting the autonomic vascular reflexes. |
d. |
suppresses the parasympathetic division of the
nervous system while also stimulating the heart rate. |
;
4. 4.Rachel’s client has been feeling less pain in her healing broken shoulder, but now she comes
in and says she is exhausted and her pain is back in full force. Rachel recognizes that her client is experiencing:
a. |
Bell’s law in action. |
c. |
Hilton’s Law. |
b. |
Cannon’s Law of Denervation. |
d. |
Law of intensity. |
5. 5.Andreas’ client Philip has been having massage on a regular basis when one day he blurts out,
“I can’t believe it! My pinched nerve feels better week after week—it’s because of you, Andreas!”
What is the most likely reason Philip’s nerve impingement has improved?
a. |
Andreas should not take credit; the truth is
that he should not have administered massage therapy had he known about the nerve impingement. If something has changed, Philip
should be urged to see his physician. |
b. |
Massage displaces bits of deteriorating cartilage
or bone chips that can press on a nerve. |
c. |
Andreas’ work has realigned small bones
that move out of place and press on certain nerves. |
d. |
Andreas’ work has changed muscle tension,
relieving pressure on the nerve. |
6. 6.Erika is trying to help a patient pinpoint the source of the pain near and around her shoulder joint.
However, Mrs. Hicks keeps saying, “I don’t know. I just can’t tell for sure. It’s like when I go to
the dentist and I can’t always tell which molar hurts, you know?” Erika nods sympathetically, knowing that this
is because:
a. |
when excitation increases, it is propagated
upward, and reactions take place through centrifugal nerves coming from the higher cord segments. |
b. |
the nerve trunk that supplies the joint also
supplies the muscles of the joint and the skin over the insertions of the muscles. |
c. |
motor reaction manifests not only on the irritated
side but also in similar muscles on the opposite side of the body. |
d. |
when an impulse has passed through a certain
set of neurons, it will tend to take the same course on future occasions. |
7. 7.Which of the following systems does not involve a type of circulation?
a. |
Respiratory |
c. |
Nervous |
b. |
Endocrine |
d. |
Lymphatic |
8. 8.Which of the following is a result of breathing pattern disorder?
a. |
Blood levels of carbon dioxide fall. |
b. |
The blood becomes more acidotic. |
c. |
The blood becomes more alkalinic. |
d. |
Blood levels of oxygen in the brain rise. |
9. 9.Tensegrity of the body form is exemplified by:
a. |
inflexibility or shortening in one tissue affecting
the structure and movement in other parts. |
b. |
structural consequences for the entire organism
do not upset the energy system or biofield. |
c. |
the energetic system can be affected, but the
structure remains unaffected. |
d. |
restrictions in one part have no effect in other
areas. |
10. 10.Theo’s client is sent by her physician to receive massage for overall chronic body pain, even
though the physician states that he cannot find the cause of the pain. Which
of the following should Theo consider in designing the client’s treatment plan?
a. |
The true usefulness of massage, in this case,
is psychological only. |
b. |
Hyperstimulation should be avoided because the
cause is unknown. |
c. |
The principle of counterirritation may result
in some benefit here. |
d. |
Massage on any trigger points the client has
will be ineffective. |
11. 11.Kimmie is recovering from a car accident, and her surgeon and physical therapist have recommended
massage therapy to improve her circulation. The effect of massage on circulation is caused by:
a. |
autonomic vascular reflexes. |
b. |
emptied venous beds and lowered venous pressure. |
c. |
release of histamine. |
d. |
All of the above are true. |
12. 12.Leeli is attempting to use connective tissue massage to alter the “ground substance”
in the superficial and deep fascial sheaths, ligaments, and tendons. She understands that the ground substance:
a. |
is a collagenous or reticular type of fiber. |
b. |
liquefies on agitation and reverts to gel when
standing. |
c. |
responds to abrupt pressure but resists slow,
sustained pressure. |
d. |
is unresponsive to mechanical massage methods. |
13. 13.Which of the following demonstrates the gate-control theory?
a. |
If a large-diameter fiber is stimulated, it
encourages small-diameter fibers to transmit signals. |
b. |
TENS use should be prohibited in the case of
sharp pain. |
c. |
If Alexander quickly massages his stubbed toe,
he can help it to hurt a lot less. |
d. |
Stimulation of large-diameter fibers, such as
through rubbing, increases the sensation of pain. |
14. 14.What do the energy therapies have in common?
a. |
Periodic entrainment of brain waves |
b. |
Whole-body biomagnetic emissions that align
with the Schumann resonances in the earth’s atmosphere |
c. |
The use of terrestrial and extraterrestrial
rhythms produced by cyclic astronomic activities |
d. |
All of the above are true. |
15. 15.Aletha defends her use of energy methods effectively when she cites the mechanisms of:
a. |
entrainment. |
b. |
the piezoelectric properties of connective tissue. |
c. |
nervous system stimulation and neuroendocrine
responses. |
d. |
all of the above. |
16. 16. Massage has benefits for many different people, ages, activities, and conditions because it:
a. |
targets the sympathetic coherence of restorative
capacity. |
b. |
interacts with a specified targeted pathology. |
c. |
is a general constitutional method that supports
homeostasis. |
d. |
reduces the adaptive capacity of the immune
system. |
17. 17.During visual assessment, the massage therapist notices that the client repeatedly rubs an area
on his left shoulder. He also describes a sense of chronic tension in the same area. What principle is used when the massage
therapist employs techniques to manage the unpleasant sensations in the shoulder?
a. |
All-or-none |
c. |
Toughening/hardening |
b. |
Hyperstimulation analgesia |
d. |
Conservation withdrawal |
18. 18.A client is seeking massage to augment a weight-loss program. He has 70 lb to lose. His focus is
lifestyle change, and his major overeating problem seems to stem from mild anxiety, particularly at night. Which of the following
is the best treatment plan?
a. |
A massage 2 times per week for 1 hour in the
morning before exercise; the general massage is targeted at management of soreness caused by exercise. |
b. |
A 1-hour massage 2 times per week in the evening
for 3 months; the general massage focuses on fluid dynamics and increases in dopamine. |
c. |
A 1-hour massage 2 times per week in the evening
for 6 months; then a reevaluation is made for support of serotonin levels and restorative sleep. |
d. |
A 1-hour massage 1 time per week at midday;
the massage targets whatever current conditions exist for a 6-month period. |
19. 19.Which of the following is a complex set of behaviors that leads to overbreathing in the absence
of a pathologic condition
a. |
Hyperstimulation analgesia |
c. |
Parasympathetic pattern |
b. |
Neuropleural stimulation |
d. |
Breathing pattern disorders |
20. 20.The ability to focus the mind by screening out sensation is called:
a. |
desensitizing. |
c. |
controlling. |
b. |
centering. |
d. |
metacognition. |
21. 21.Which of the following techniques is the application of pressure into the body to spread tissue
against underlying structures?
a. |
Tapotement |
c. |
Vibration |
b. |
Compression |
d. |
Shaking |
22. 22.What tissue type in the body provides support, structure,
space, and stabilization, and plays a role in scar formation?
a. |
Epithelial |
c. |
Connective |
b. |
Muscular |
d. |
Nervous |
23. 23.A parasympathetic survival pattern that is similar to “ playing possum,” or hibernation,
is called:
a. |
conservation withdrawal. |
c. |
sleep patterning. |
b. |
hypomobilization. |
d. |
conservation hibernation. |
24. 24.Which of the following is a hormone produced by the adrenal glands that is released during long-term
stress?
a. |
Cortisol |
c. |
Pitocin |
b. |
Serotonin |
d. |
Epinephrine |
25. 25. Superficial stimulation that relieves a deeper sensation by stimulating different sensory signals
is called:
a. |
conservation withdrawal. |
c. |
counterpressure. |
b. |
counterirritation. |
d. |
cross-fiber friction. |
26. 26.Lack of motor control, clumsiness, inability to decide what to attend to, and boredom can all result
from low levels of which of the following?
a. |
Serotonin |
c. |
Dopamine |
b. |
Epinephrine |
d. |
Pitocin |
27. 27.Neurochemicals that elevate mood, support satiety, and modulate pain are called:
a. |
hormones. |
c. |
endocrine glands. |
b. |
neurotransmitters. |
d. |
enkephalins and endorphins. |
28. 28.Which of the following is the term for the coordination of movements or their synchronization with
a rhythm?
a. |
Shaking |
c. |
Rocking |
b. |
Entrainment |
d. |
Tapotement |
29. 29.Pathologic pressure placed on a nerve or vessel by soft tissue is considered to be:
a. |
a trigger point. |
c. |
compression. |
b. |
entrapment. |
d. |
a tender point. |
30. 30.Activation, arousal, alertness, and alarm chemicals of sympathetic arousal functions and behaviors
are all activated by what neurochemical?
a. |
Serotonin |
c. |
Dopamine |
b. |
Epinephrine |
d. |
Lactosin |
31. 31. A method of testing a hypothesis is called a(n):
a. |
test. |
c. |
treatment. |
b. |
experiment. |
d. |
study. |
32. 32.Pain impulses passing through a hypothetic mechanism at the level of the spinal cord to reach the
lateral spinothalamic system describe which of the following?
a. |
Nerve response theory |
c. |
Reciprocal inhibition |
b. |
Gate-control theory |
d. |
Post isometric relaxation |
33. 33.What is the process that calls into play the three stages of the body’s response to stress?
a. |
Anxiety process |
c. |
Fight, flight, or fear response |
b. |
General adaptation syndrome |
d. |
Stress syndrome |
34. 34.The hormone that promotes cell division and in adults is implicated in the repair and regeneration
of tissue is:
a. |
oxytocin. |
c. |
dopamine. |
b. |
cortisol. |
d. |
growth hormone. |
35. 35.What is a method of teaching the body to deal more effectively with stress (sometimes also called
toughening)?
a. |
Splinting |
c. |
Hardening |
b. |
Guarding |
d. |
Holding |
36. 36.Techniques that directly affect the soft tissue by normalizing the connective tissue or moving body
fluids and intestinal contents involve which of the following methods?
a. |
Reflexive |
c. |
Involuntary |
b. |
Chemical |
d. |
Mechanical |
37. 37.Structures located primarily in the belly of the muscle that respond to both sudden and prolonged
stretches are called:
a. |
muscle spindles. |
c. |
Golgi apparatus. |
b. |
cochlear implants. |
d. |
Nissl bodies. |
38. 38.Before entering the massage room, a practitioner calms herself and begins to focus on the massage
she will perform. What is she doing?
a. |
Centering |
c. |
Formulating the hypothesis |
b. |
Clinical reasoning |
d. |
Moving beyond the science |
39. 39.According to current research, a valid explanation of the benefits of massage is an increase in:
a. |
blood pressure. |
c. |
serotonin function. |
b. |
cortisol levels. |
d. |
sympathetic dominance. |
40. 40.If groups of massage therapists are wishing to replicate a study, they need details of the:
a. |
hypothesis. |
c. |
method. |
b. |
data. |
d. |
All of the above are true. |
41. 41.A client is being treated for anxiety and chronic pain. Massage has been a valuable part of the
treatment plan, especially for the anxiety. Which of the following would best describe this outcome?
a. |
Mechanical effects |
c. |
Toughening |
b. |
Neuroendocrine influences |
d. |
Placebo effects |
42. 42.A massage therapist finds herself especially relaxed after working with a client who is expecting
a baby in 3 months. The mother-to-be is happy to have this baby and radiates the pregnancy glow. Which of the following explains
the massage therapist’s response?
a. |
The art of massage |
c. |
Dopamine increase |
b. |
Sympathetic dominance |
d. |
Entrainment |
43. 43.A client has been stressed for a long time. She is taking care of both a grandson and an elderly
parent. Recently she has been increasingly fatigued and despondent. It is most likely that she is:
a. |
in the alarm phase of the general adaptation
syndrome. |
b. |
generating too many endorphins. |
c. |
entering the exhaustion phase of the general
adaptation syndrome |
d. |
stuck in the resistance reaction. |
44. 44.A professional football player is the backup quarterback. This means that even though he will probably
not play in the game, he has to be ready constantly. The most accurate description of his physiologic state is that he:
a. |
has increased oxytocin levels because of the
alarm reaction. |
b. |
is in the resistance reaction phase of the general
adaptation syndrome. |
c. |
has conservation withdrawal mechanisms that
are overactive. |
d. |
is battling state-dependent memory. |
45. 45.An ex-smoker still craves cigarettes on occasion. He realizes that the cravings go away after he
receives a massage. Why would this occur?
a. |
His dopamine normalized. |
c. |
Massage was a placebo. |
b. |
The state-dependent memory dissipated. |
d. |
Massage stimulated growth hormone. |
46. 46.A client’s spouse is in the military and has just been deployed overseas. The client misses
his spouse but finds that massage eases the longing and helps him to remain productive in spite of the loneliness. This is
because the massage has what effect on him?
a. |
Increase in epinephrine |
c. |
Stimulation of oxytocin |
b. |
Decrease in entrainment |
d. |
Reduction of the alarm reaction |
47. 47.A client has an arthritic knee and finds that rubbing a cream on it that makes it feel cool helps
the aching. Which of the following best explains this response?
a. |
Reduction of impingement |
c. |
Placebo effect |
b. |
Somatic reflex stimulation |
d. |
Counterirritation |
48. 48.Which of the following self-help methods most strongly interacts with the autonomic nervous system?
a. |
Stretching |
c. |
Weight training |
b. |
Breathing |
d. |
Nutrition supplements |
49. 49.A client has been referred for massage by a chiropractor. The client is being treated for an impingement
that is causing headaches. The treatment orders request that massage address the muscles that could be contributing to this
condition. The muscles that should be massaged are ones associated with which of the following plexuses?
a. |
Palmar |
c. |
Cervical |
b. |
Plantar |
d. |
Sacral |
50. 50.A client has cold feet. Which of the following massage outcomes should improve the situation?
a. |
Increase in arterial circulation |
c. |
Increase in hyperstimulation analgesia |
b. |
Decrease in venous circulation |
d. |
Increase in lymphatic flow |
51. 51.A physician is especially pleased with the outcome for chronic low back pain and the patient’s
response to massage. This outcome is best explained by the fact that the massage application:
a. |
influenced immunity. |
b. |
reduced trigger point activity. |
c. |
decreased endorphin and serotonin responses. |
d. |
addressed the all-or-none response. |
52. 52.A client has been diagnosed with breathing pattern disorder. Massage would be most beneficial in
addressing this situation by increasing:
a. |
sympathetic influence on the breathing. |
b. |
the mechanical effects of the tensegrity. |
c. |
optimal function of the thorax. |
d. |
tone in the gastrointestinal system. |
53. 53.Typically, massage addresses what aspect of the connective tissue?
a. |
Ground substance |
c. |
Cell membranes |
b. |
Cerebrospinal fluid |
d. |
Tendon organs |
54. 54.A client has had difficulty resolving inflammation. Therefore, her doctor has advised that which
of the following methods be avoided?
a. |
Energy-based modalities |
c. |
Transverse friction |
b. |
Agitation of the ground substance |
d. |
Entrainment |
55. 55.Which of the following principles relates most closely to the biofield system’s influence
through massage?
a. |
Circulation shifts |
c. |
Hyperstimulation |
b. |
Spiritual influence |
d. |
Tensegrity |
56. 56.Which of the following are most similar?
a. |
Motor points and meridians |
b. |
Piezoelectric properties and cortisol |
c. |
Biologic oscillators and cervical plexus impingement |
d. |
Magnetic brain waves and therapeutic inflammation |
57. 57.Clients are preparing for a bowling tournament. They are receiving a massage 24 hours before competition.
They know they will perform best if they are in the zone. The treatment plan that is best for this outcome includes massage:
a. |
targeting connective tissue pliability. |
c. |
optimizing nervous system balance. |
b. |
focused on the fluid balance. |
d. |
increasing digestive function. |
58. 58. Intuition is:
a. |
a sensation that cannot be defined. |
b. |
knowing something without going through a rational
thinking process. |
c. |
an ability that defies definition. |
d. |
incompatible with the scientific method. |
59. 59.Because massage affects physiology, it can be:
a. |
considered uninfluenced by intuition. |
c. |
studied by the scientific method. |
b. |
invalidated by the scientific method. |
d. |
replaced by machine applications. |
60. 60.The responses by the nervous system and the effects of massage on it are:
a. |
mechanical. |
c. |
negligible. |
b. |
nonspecific. |
d. |
reflexive. |
61. 61. Neuroendocrine chemicals influenced by massage include:
a. |
dopamine and serotonin. |
c. |
plasma and parasympathetic. |
b. |
cortisol and epidermis. |
d. |
oxytocin and pacinian. |
62. 62.Much of the body-mind connection takes place through:
a. |
somatic nervous system activity. |
c. |
proprioception. |
b. |
autonomic nervous system activity. |
d. |
the general adaptation syndrome. |
63. 63.Entrainment is characterized by:
a. |
synchronization with a rhythm. |
b. |
seldom being influenced by massage. |
c. |
being independent of external influences. |
d. |
having little effect on homeostasis. |
64. 64.An accurate portrayal of entrapment is that it:
a. |
occurs only with small nerves. |
b. |
can cause muscle pain but not breathing difficulties. |
c. |
interrupts the pain-spasm-pain cycle and initiates
relaxation. |
d. |
is commonly caused when soft tissue binds a
nerve. |
65. 65.The effect of excessive prolonged stress includes:
a. |
stopping the parasympathetic response from occurring. |
b. |
being a contraindication for hyperstimulation
analgesia. |
c. |
causing the release of cortisol. |
d. |
supporting immune function. |
66. 66.The two aspects of connective tissue most affected by massage are:
a. |
thixotropy and cutaneovisceral response. |
b. |
ground substance and fibers. |
c. |
plastic range and Meissner corpuscles. |
d. |
piezoelectricity and Merkel disks. |
67. 67.One of the most widely recognized physiologic effects of massage is:
a. |
muscle relaxation from compression. |
b. |
an increase in fascial adhesions. |
c. |
enhancement in blood and lymph circulation. |
d. |
release of myofascial trigger points. |
68. 68.An experiment in which the subjects do not know whether they are receiving an experimental treatment
or a placebo and in which the researchers and the participants are not aware of which subjects receive the treatment until
after the study is completed is classed as showing:
a. |
bias. |
c. |
a hidden variable. |
b. |
blinding. |
d. |
adverse effects. |
69. 69.In an experimental study, the group that does not receive treatment is called the:
a. |
control. |
c. |
placebo effect. |
b. |
clinical trial. |
d. |
hypothesis. |
70. 70.The process of allocating subjects to an experimental or a control group, with the subjects having
an equal chance of ending up in either group, is called:
a. |
bias. |
c. |
statistical power. |
b. |
random assignment. |
d. |
placebo. |
71. 71.The method most appropriate for examining studies that investigate the same question and use similar
methods to measure relevant variables is called:
a. |
cohort research. |
c. |
risk assessment. |
b. |
hypothesis determination. |
d. |
meta-analysis. |
72. 72.The scientific method has eight primary steps, which include: defining the question; locating resources
and gathering information and materials; forming a hypothesis (or hypotheses); planning data collection methods; organizing
and analyzing the data; interpreting the data and drawing conclusions; and communicating the results. What other step is necessary?
a. |
Subjective assessment |
c. |
Collecting data |
b. |
Documentation |
d. |
Treatment plan development |
73. 73.When reading a research paper to get an overview of the content, the best place to find this would
be the:
a. |
methods section. |
c. |
results. |
b. |
abstract. |
d. |
literature review. |
74. 74.The section of a research report that provides a detailed account of the methodology used to carry
out the study, identifies the various research procedures used at different stages, and explains them in such detail that
the study can be replicated by others is called the:
a. |
discussion section. |
c. |
methods section. |
b. |
abstract. |
d. |
conclusion section. |
75. 75.What part of a research paper would answer the question, “Is the purpose of the study identified
by means of a detailed formulation of the research question?”
a. |
Research method |
c. |
Risk section |
b. |
Statistics |
d. |
Introductory section |