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Questions:

1. Cond1.Condition management involves the use of massage methods to support any of the following clients except:

a.

Mary Ellen, whose chronic health condition often leaves her worried and exhausted.

b.

Jerry, whose foot injury is expected to change as a result of massage therapy, improving the shape of the foot musculature somewhat and improving his ability to walk longer distances on it.

c.

Brian, who is dealing with the stress of taking care of his father, who is dying, and whose brother disagrees with Brian’s decisions about his dad.

d.

Helena, who is fighting financial strain and adjusting to her diabetes diagnosis.

 

 

        2.   2.On noticing that her client, Mrs. Durer, has unusual edema surrounding one ankle, Jennifer is concerned and asks her to please consult her physician before coming back for a massage. Mrs. Durer’s doctor contacts Jennifer, saying that there is a contraindication to massage in this case. Jennifer knows that this may mean:

a.

Mrs. Durer must not receive a massage.

b.

Jennifer must avoid massaging the ankle only.

c.

Jennifer may massage the ankle area but with caution and perhaps supervision, carefully selecting the method, duration, pressure, and frequency.

d.

Any of the above are true.

 

 

 

        3.   3.Brenda had her first massage when her best friend treated her bridesmaids to time at a day spa shortly before the wedding. After that, Brenda returned once a month to treat herself while she went through a painful breakup with her fiancé. Now, however, she is visiting the spa to receive massage therapy as part of the healing process after a skiing accident. A description of Brenda’s progression is that she has moved from:

a.

condition management to palliative care.

b.

condition management to therapeutic change to palliative care.

c.

palliative care to condition management to therapeutic change.

d.

palliative care to condition management.

 

 

        4.   4.Which of the following is a way the massage professional can assist a client to implement a therapeutic change process?

a.

Support the client’s coping mechanisms.

b.

Provide pertinent information.

c.

Be part of a resource network.

d.

All of the above are true.

 

 

        5.   5.Jane is receiving therapeutic massage as part of her healing process. Once healing has been achieved, the end focus of massage, should it continue, will be:

a.

therapeutic change.

c.

gradual restoration of energy.

b.

condition management.

d.

palliative care.

 

 

        6.   6.Which of the following is the most effective approach if pathology is not present?

a.

Mind/body medicine

c.

Prevention

b.

Stress management

d.

All of the above

 

 

        7.   7.How does the body tend to perform under normal conditions?

a.

Physiological mechanisms inhibit the tendency of the body to function at its limits.

b.

Preference is to operate at peak levels of performance.

c.

It taps into long-term energy reserves.

d.

Reserves run low because restorative mechanisms are suppressed.

 

 

 

        8.   8.Janis complains of body aches and says, “When I woke up this morning, my throat felt like sandpaper, and now I am so hot. Do I feel hot to you?” All of these are categorized as:

a.

acute symptoms.

c.

a syndrome.

b.

chronic symptoms.

d.

objective, measurable signs.

 

 

        9.   9.Janis complains of fatigue and severe pain in her abdomen and arms, and she has a fever, elevated blood pressure, and skin eruptions that suggest shingles. All of these are categorized as:

a.

acute symptoms.

c.

a syndrome.

b.

chronic symptoms.

d.

objective, measurable signs.

 

 

      10.   10.Hannah is a new mother whose baby has croup and has been crying “almost nonstop,” she says. At first she was panicky, calling her mother and saying, “I don’t feel I can do this!” Her mother is planning to visit but could not get away immediately. However, knowing that her mom was coming, Hannah was able to push through for a few more days. By the time her mother arrived, Hannah was lying on the couch, exhausted.  The process that Hannah has been experiencing is that her:

a.

first response was the fight-or-flight stage of general adaptation syndrome.

b.

second reaction is the resistance reaction.

c.

exhaustion is the last stage of the general adaptation syndrome.

d.

All of the above are true.

 

 

      11.   11.A characteristic of inflammation is that it:

a.

should be avoided at all costs, if possible.

b.

is an attempt to minimize injury and promote healing.

c.

includes redness, swelling, pain, and chills.

d.

rarely leads to other issues if it is long-term.

 

 

      12.  12. Maggie’s doctor recommends massage for her prolonged inflammation. The best reason for this is that:

a.

the stimulation resulting from the massage activates release of the body’s own antiinflammatory agents.

b.

certain types of massage increase the inflammatory process.

c.

massage may facilitate dilution of the irritant by increasing lymphatic flow.

d.

All of the above are true.

 

 

      13.  13. Knowing that massage can increase the inflammatory process, Theo explains to a client that:

a.

massage must almost always be avoided until inflammation has healed.

b.

such an increase from massage can actually be therapeutic in certain cases.

c.

massage should be used only if healing mechanisms have been suppressed.

d.

the release of the body’s own antiinflammatory agents is inhibited by massage.

 

 

      14.  14. Erin’s client complains of frequent, sometimes continuous, pain on the right side of her neck and her right rib cage, front to back. Yet there seems to be no direct muscle pain or tightness. An accurate realization for Erin is that this client may be experiencing:

a.

kidney issues and should be referred to a physician.

b.

projected pain from a compressed nerve.

c.

referred pain from her liver and gallbladder and should be referred to a physician.

d.

phantom pain from a missing limb.

 

 

 

      15.   15.Eileen uses massage therapy to relieve her chronic battle with panic attacks. Her massage therapist, Liza, realizes that in Eileen’s case, massage most likely helps specifically by:

a.

enervating the senses to induce ANS hyperactivity.

b.

restricting breathing to prevent hyperventilation.

c.

reducing a tendency for breathing pattern disorder.

d.

stimulating an inflammatory response.

 

 

      16.   16.Tina’s roommate has had a stressful day, so Tina massages her face and scalp. When she presses on the area inferior to the ear, her roommate cries out in pain. This is most likely a sign that:

a.

her roommate is experiencing referred pain from a deep, visceral pain site.

b.

her roommate is stuck in the vicious pain-spasm-pain cycle.

c.

Tina has applied pressure to an endangerment site.

d.

Tina’s touch has reproduced her roommate’s intractable pain at this site.

 

 

      17.  17. In which of the following pathologies would stress management be best managed by massage?

a.

Kidney failure

c.

Surgical complications

b.

Congestive heart failure

d.

Fibromyalgia

 

 

      18.   18.A client continues to feel pain caused by a whiplash injury 3 years earlier. Massage targeted at reducing tension in the neck and low back seems to provide relief for a couple of days, and then the pain begins to return. What type of pain is the client experiencing?

a.

Intractable

c.

Chronic

b.

Phantom

d.

Acute

 

 

      19.  19. A client has been referred for management of chronic pain. He describes the pain as radiating and by gesturing, he can trace the path of the pain. He is describing pain resulting from what cause?

a.

Impingement

c.

Muscular contusion

b.

Organ referral

d.

Immune response

 

 

 

      20.   20.Temporary, sudden onset, and easily localized describe what type of pain?

a.

Acute

c.

Deep

b.

Chronic

d.

Superficial

 

 

 

      21.   21.When massage produces an opposing effect, as occurs with medications, it is called:

a.

irritation.

c.

congestion.

b.

antagonism.

d.

dilation.

 

 

 

      22.   22.A feeling of uneasiness, usually connected with an increase in sympathetic arousal responses, is described as:

a.

fear.

c.

delusion.

b.

anxiety.

d.

depression

 

 

 

      23.   23.Insidious onset, recurring for indefinite periods, diffuse and poorly localized describe what type of pain?

a.

Acute

c.

Subacute

b.

Chronic

d.

Sublocalized

 

 

 

      24.   24.The process of counterbalancing a defect in body structure or function is called:

a.

compensation.

c.

equalization.

b.

compendium.

d.

homeostasis.

 

 

 

      25.  25. The use of massage methods to support clients who are unable to undergo therapeutic change but who wish to function as effectively as possible under the given circumstances is called:

a.

condition management.

c.

palliative care.

b.

subtherapeutic change.

d.

neuromuscular facilitation.

 

 

 

      26.   26.Any condition that renders a particular treatment improper or undesirable would be called a(n):

a.

referral.

c.

contraindication.

b.

indication.

d.

transference.

 

 

 

      27.   27.A condition characterized by a decrease in vital functional activity and by mood disturbances involving exaggerated emptiness, hopelessness, and melancholy or of unbridled high energy with no purpose or outcome is called:

a.

delusion.

c.

anorexia.

b.

anxiety.

d.

depression

 

 

 

      28.   28.Cutaneous distribution of spinal nerve sensations is the definition of  a:

a.

myotome.

c.

chakra.

b.

dermatome.

d.

receptor.

 

 

 

      29.   29.Which of the following is described as an in-between state in which one is “not healthy” but also “not sick?”

a.

Acute phase

c.

Irritation

b.

Subacute phase

d.

Dysfunction

 

 

 

      30.  30. An area of the body where nerves and blood vessels are not well protected by muscle and connective tissues and are therefore susceptible to damage by deep, sustained pressure are referred to as:

a.

somatic plexuses.

c.

endangerment sites.

b.

danger zones.

d.

sensory receptors.

 

 

 

      31.   31.The type of tumor that tends to spread to other regions of the body is said to be:

a.

benign.

c.

parasitic.

b.

malevolent.

d.

malignant.

 

 

 

      32.   32.The migration of cancer cells is called:

a.

mentalis.

c.

malignancy.

b.

metastasis.

d.

malice.

 

 

 

      33.   32.A client wishes to receive a non-specific, relaxing massage on her birthday as a special treat to herself. Which of the following is the most appropriate type of treatment for her to receive?

a.

Palliative care

c.

Conditional management

b.

Therapeutic change

d.

Regional indication

 

 

 

      34.   33.A treatment plan for general full-body massage with the outcome goal of relaxation would be considered:

a.

palliative care.

c.

condition management.

b.

therapeutic change.

d.

physiological change.

 

 

      35.   34.A client finds it difficult to quantify the benefits of massage. He just knows that he feels better when he receives a massage once a week. Which of the following best describes the client’s experience?

a.

Therapeutic change

c.

Objective outcomes

b.

Subjectively reported benefits

d.

Palliative care

 

 

      36.   35.A massage practitioner is using the clinical reasoning model to help determine the appropriate approach to care. One of the facts she is considering is the current stress load of the client, who has a new job and is going to graduate school. If this stress were the deciding factor, which of the following would be the massage approach?

a.

Therapeutic change

c.

Palliative care

b.

Condition management

d.

Maintaining peak performance

 

 

 

      37.   36.A massage therapist has been working with a client while he was undergoing chemotherapy treatment for lung cancer. The client is now in remission. The most likely next step is massage care progressing from:

a.

therapeutic change to condition management.

b.

condition management to palliative care.

c.

palliative care to condition management.

d.

regression from therapeutic change to condition management.

 

 

 

      38.   37.If the word healthy means the ability to adapt and respond, then the word pathology would mean the:

a.

inability to adapt and respond.

b.

continuum between peak performance and injury.

c.

absence of functioning limits.

d.

storage of adequate energy reserves.

 

 

      39.   38.When considering the scope of practice of massage, which of the following is the most applicable when pathology is present?

a.

Massage is indicated, with attention to specific pathologic symptoms.

b.

Functioning limits are compromised, so palliative care is the appropriate option.

c.

The training may not be sufficient to deal with complex disease conditions.

d.

Disease stresses the adaptive mechanisms and does not allow for peak performance.

 

 

 

      40.  39. A client seems a bit pale and fatigued. What question would the massage practitioner be concerned with in applying massage?

a.

Is illness present?

b.

Is injury an issue?

c.

Would a risk factor be compromised?

d.

What is the ability to resolve the syndrome?

 

 

 

      41.   40.Which of the following risk factors for disease does massage influence most strongly?

a.

Genetics

c.

Stress

b.

Age

d.

Preexisting condition

 

 

           

 

      42.   41.During assessment, the massage practitioner notices that the client’s left knee is swollen and warm. When the client is asked more about the knee, he indicates that he was walking on some large rocks and slipped. He did not fall but felt his knee strain a bit. What cautions does this condition present?

a.

General adaptation syndrome

c.

Referred pain

b.

Inflammatory response

d.

Phantom pain

 

 

 

      43.   42.A client has indications of inflammation with localized pricking and throbbing pain. What condition is most likely?

a.

Kidney infection

c.

Referred trigger point pain

b.

Muscle cramp

d.

Deep skin wound

 

 

 

      44.   43.A massage therapist is giving a presentation to the local lung cancer support group. Which of the following statements can the massage therapist most accurately say?

a.

Cancer presents a regional contraindication to massage that can be managed by avoiding the affected area.

b.

Cancer presents general contraindications requiring caution and supervision.

c.

Massage for those with cancer is contraindicated while receiving radiation therapy.

d.

Massage during chemotherapy is indicated but only for immune support.

 

 

 

      45.   44.A massage therapist notices that a client has a mole on his shoulder that has changed in appearance. Which of the following is the best way for the massage therapist to describe this to the client?

a.

“The mole on your shoulder is exhibiting one of the warning signs of cancer. You need to see your doctor.”

b.

“The mole on your shoulder looks like a basal carcinoma—better get it checked today.”

c.

“The mole on your shoulder has looked somewhat different for the last couple of weeks. I suggest you see your doctor for evaluation.”

d.

“The mole on your shoulder has changed somewhat, so I will watch it for further cancer signs and keep you informed.”

 

 

 

      46.   45.A client is being treated for high blood pressure and has been taking a new medication to control the levels. After the last two massage sessions, he has been a bit dizzy and very tired. The most likely reason is that the massage and the medication are:

a.

synergistic.

c.

antagonistic.

b.

inhibitory.

d.

malignant.

 

 

 

      47.   46.A client has psoriasis that is being treated by various medications, all of which suppress the immune system somewhat. Psoriasis is not a contagious skin condition, so what, if any,  cautions are necessary for this client?

a.

There are no general contraindications but there are local contraindications for the skin.

b.

The inflamed skin could greatly benefit from massage but only if deep pressure is used.

c.

The inflamed skin should not be massaged; otherwise, there are no other concerns.

d.

There are general cautions concerning systemic and local infection.

 

 

 

      48.   47.Which of the following characterizes endangerment site areas?

a.

Joints

c.

Bellies of muscles

b.

Adipose tissue

d.

Gluteals

 

 

 

      49.   48.Implementing a therapeutic change process requires which of the following events?

a.

Maintenance of the current condition, with less suffering

b.

Expenditure of energy and resources

c.

Continued deterioration of the client’s symptoms

d.

Weekly sessions for an extended period

 

 

 

      50.   49.The body/mind link is best understood as:

a.

having no physiological basis.

b.

participating in cerebral spinal fluid movement.

c.

being separate from hormone interplay.

d.

associating with the autonomic nervous system.

           

      51.   50.The benefits of massage can be characterized as:

a.

subjective and objective.

c.

having little supportive research.

b.

entirely subjective.

d.

being entirely biomechanic.

 

 

 

 

      52.   51.Which of the following should be kept in mind about pathology?

a.

Massage does not significantly affect physiological function.

b.

The underlying causes of disease are easy to determine.

c.

Massage professionals have to have a strong knowledge base of it.

d.

Clients should always be believed when they say that their health is excellent.

 

 

 

      53.   52.Which of the following is not a major risk factor to consider when performing massage?

a.

Income

c.

Lifestyle

b.

Age

d.

Environment

 

 

      54.   53.The general adaptation syndrome was described by:

a.

Hans Tagether.

c.

John Yates.

b.

Tiffany Field.

d.

Hans Selye.

 

 

 

      55.   54.Which of the following characterizes the sensation of pain?

a.

Their receptors adapt easily.

b.

Nociceptors are the hormones that result from pain.

c.

Hyperalgesia is the normal response to gentle touch.

d.

The sensations are classified as acute, chronic, or intractable.

 

 

 

      56.  55. Endangerment sites are characterized by:

a.

requiring deep, sustained pressure so as to minimize damage.

b.

including the axillary and umbilicus areas.

c.

including the second and third ribs.

d.

being reflexes of organs, not of nerves and blood vessels.

 

 

 

      57.   56.Contraindications to massage include:

a.

any condition that could render massage undesirable or improper.

b.

primarily avoidance of massage with few cautions.

c.

circulation enhancement, pain control, and musculoskeletal discomfort.

d.

any conditions that do not require analgesics.

 

 

 

      58.   57.Which of the following is not necessarily a reason for referral?

a.

Bleeding and bruising

c.

Being overweight

b.

Inflammation and fever

d.

Lumps and tissue changes

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