Part 4 Flashcards

1
Q

The apprenticeship program consists of

a) 420 hours
b) 550 hours
c) 570 hours
d) 600 hours

A

c) 570 hours

additionally must complete CPR (cardiopulmonary resuscitation) training
150 academic hours = 50 hours anatomy, physiology, and structural kinesiology; 100 hours theory and demonstration
420 practical hours

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2
Q

How many years must a sponsoring massage therapist be licensed?

a) 2 years
b) 3 years
c) 4 years
d) 5 years

A

b) 3 years

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3
Q

Why is the pre-massage assessment and consultation important?

a) determines client needs
b) assesses for contra-indication
c) informs client what to expect
d) all of the above

A

d) all of the above

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4
Q

When applying compressive force, what body posture should you use?

a) asymmetrical stance
b) rigid body stance
c) flexed knee stance
d) symmetrical stance

A

a) asymmetrical stance

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5
Q

A neuro-psychiatric client is manic-depressive. What do you do?

a) treat him/her
b) do not treat him/her
c) consult his/her psychiatrist
d) consult his/her guardian

A

c) consult his/her psychiatrist

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6
Q

What type of gland secretes mostly water and waste products?

a) endocrine
b) eccrine
c) exocrine
d) sebaceous

A

b) eccrine

major sweat glands; found in virtually all skin; highest density in palm and soles, then head; much less trunk the extremities
controlled by SNS

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7
Q

What are the white cords or bands that serve to attach muscles to bones?

a) hyaline
b) ligaments
c) tendons
d) fibrocartilage

A

c) tendons

flexible but inelastic cord of strong fibrous collagen tissue

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8
Q

The fluid which surrounds the brain is

a) plasma fluid
b) cranial fluid
c) lymph fluid
d) cerebrospinal fluid

A

d) cerebrospinal fluid

protects brain and spinal cord from trauma
supplies nutrients to nervous system tissue
removes waste products from cerebral metabolism.

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9
Q

Which bone supports the tongue?

a) hyoid
b) pharynx
c) cervical
d) cricoid

A

a) hyoid

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10
Q

Which muscle aids in breathing?

a) costals
b) diaphragm
c) thoracic flexors
d) transverse abdominis

A

b) diaphragm

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11
Q

Your client was kicked in the calf and is in pain. What do you do?

a) massage carefully
b) refer to a physician
c) activate trigger points for pain
d) offer him two aspirin tablets

A

b) refer to a physician

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12
Q

What does the acronym RICE man?

a) rest, ice, comfort, elevate
b) relax, ice, compression, elevate
c) rest, ice, compression, elevate
d) relax, ice, comfort, elevate

A

c) rest, ice, compression, elevate

helps to reduce swelling; typically used for ankle sprains

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13
Q

The complex process by which food is used by a living organism is

a) anabolism
b) catabolism
c) mitosis
d) metabolism

A

d) metabolism

After we eat food, the digestive system uses enzymes to:
break proteins down into amino acids
turn fats into fatty acids
turn carbohydrates into simple sugars (for example, glucose)

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14
Q

Adipose tissue is

a) connective tissue
b) smooth tissue
c) epithelial tissue
d) fibrous tissue

A

a) connective tissue

four main types of tissue: muscle, epithelial, connective and nervous

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15
Q

When applying effleurage, the pressure throughout the stroke should be

a) up and down
b) hard
c) soft
d) even

A

d) even

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16
Q

The general direction of massage is

a) from proximal to distal in a centrifugal direction
b) from proximal to distal in a centripetal direction
c) from distal to proximal in a centrifugal direction
d) from distal to proximal in a centripetal direction

A

d) from distal to proximal in centripetal direction

centripetal = toward center of body; provides better mobilization of fluids to circulation
distal to proximal = extremeties to heart
veins carry blood towards heart; you want to push in the same direction as the blood flows thru the veins

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17
Q

Which muscle produces grating of the teeth?

a) masseter
b) mandibulis
c) pterygoids
d) temporalis

A

c) pterygoid muscles (a.k.a. wing muscles)

4 (main) muscles involved in mastication:
temporalis, masseter, medial pterygoid, lateral pterygoid

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18
Q

Contraction of the diaphragm muscle is basically for

a) digestion
b) inspiration
c) expiration
d) defecation

A

b) inspiration

separates thoracic cavity from abdomen; main muscle of respiration; Contraction of the diaphragm (moves down) expands the lungs during inspiration; expansion of lungs increases their volume and decreases pressure inside the lungs; this causes air to be sucked in; when diaphragm relaxes and expands (moves up) this increases volume in lungs, pushing air out; the phrenic nerve controls the diaphragm

inspiratoon is also aided by the intercostals, SCM and pectoralis minor

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19
Q

Which muscle abducts the scapula?

a) serratus anterior
b) trapezius
c) subscapicularis
d) infraspinatus

A

a) serratus anterior

forward rotation of the arm and to pull the scapula forward and around the rib cage

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20
Q

What do you do if you are working on a client and he/she complains of pain where you are working?

a) Say “no pain, no gain”
b) back off and communicate to ensure comfort
c) stop the massage
d) only work on areas which don’t cause pain

A

b) back off and communicate to ensure comfort

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21
Q

Which endagerment site is located at the anterior of the elbow?

a) olecranon
b) cubital fossa
c) axillary
d) humerus

A

b) cubital fossa

contains the median nerve. the brachial artery. the tendon of biceps brachii

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22
Q

Which technique should not be used for cramps?

a) effleurage
b) petrissage
c) friction
d) vibration

A

c) friction

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23
Q

In the prone position a cushion is placed under the ankles to prevent

a) extreme dorsiflexion
b) hyperflexion
c) extreme pronation
d) extreme plantar plexion

A

d) extreme plantar flexion

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24
Q

What is the more mobile and distal end of a muscle called?

a) synergist
b) insertion
c) origin
d) prime mover

A

b) insertion

that end of the muscle that attaches to the freely moving bone of its joint; Movement happens at joints, where one bone acts freely as the other remains relatively stationary

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25
Q

Which plexus controls the hips, thighs and knees?

a) sacral
b) femoral
c) iliac
d) lumbar

A

a) sacral

part of the lumbosacral plexus and emerges from the lumbar vertebrae and sacral vertebrae (L4-S4)

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26
Q

Dorsiflexion means to move the foot

a) downward
b) backward
c) inward
d) outward

A

b) backward (up and back, towards the shin)

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27
Q

Which is not a characteristic of skeletal muscles?

a) controlled by will
b) striated muscles
c) elastic
d) none of the above

A

d) none of the above

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28
Q

The adductor pollicis

a) draws thumbs to fingers
b) draws the arms to the body
c) draws the fingers together
d) draws the legs to the body

A

a) draws thumbs to fingers

pollicis from Latin pollex = thumb

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29
Q

Which is the largest organ of the boy

a) stomach
b) large intestines
c) liver
d) none of the above

A

d) none of the above

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30
Q

Which is the best technique for locating pain?

a) effleurage
b) petrissage
c) compression
d) friction

A

a) effleurage (combined with palpation in my opinion)

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31
Q

Which muscle of the lower extremities crosses two joints?

a) rectus femorus
b) peroneus longus
c) vastus femorus
d) gastrocnemeus

A

d) gastrocnemius (back of lower leg)

crosses knee and ankle joint

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32
Q

Which part of the brain controls vital functions

a) cerebrum
b) cerebellum
c) brain stem
d) diencephalon

A

c) brain stem

messages between brain and rest of body; controls basic body functions like breathing, swallowing, heart rate, blood pressure, consciousness, feeling awake or sleepy

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33
Q

The functional unit of the kidneys is the

a) renal corpuscle
b) nephron
c) glamerulus apparatus
d) Bowman’s capsule

A

b) nephron

regulate water and soluble substances by filtering the blood, reabsorbing what is needed and excreting the rest as urine

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34
Q

The most widely recognized physiological effect of massage is

a) therapeutic healing
b) removal of oil and dry skin
c) toning of muscles
d) increased blood circulation

A

d) increased circulation

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35
Q

The recommended stroke for the treatment of the stump end of an amputee is

a) vibration
b) tapotement
c) effleurage
d) none of the above

A

b) tapotement

stimulates nerve endings, aids in decongestion and increases local blood flow. It also tones the atrophied muscles and relieves pain

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36
Q

Myofascial release is a specialized massage technique which

a) often uses skin rolling to prepare the tissue
b) is initially applied with deep pressure and gradually decreasing pressure
c) warms the tissue and releases restriction between layers of connective tissue
d) none of the above

A

c) warms the tissue and releases restriction between layers of connective tissue

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37
Q

Excessive accumulation of fluid within the interstitial spaces causing swelling is called

a) edema
b) hematoma
c) hemorrhage
d) contusion

A

a) edema

38
Q

The tough fibrous bands which connect bones together

a) tendons
b) joint sutures
c) hyaline
d) ligaments

A

d) ligaments

tough fibrous band of connective tissue that serves to support the internal organs and hold bones together in proper articulation at the joints

39
Q

What responds to the unconscious sense of position and movement?

a) oculomotor nerves
b) auto-somatic receptors
c) proprioception
d) vestibulocochlear nerves

A

c) proprioception

mediated by proprioceptors = mechanosensory neurons located within muscles, tendons, and joints

40
Q

What type of bone is the hip

a) smooth
b) flat
c) round
d) concave

A

b) flat

41
Q

What does the longus colli do?

a) extends back
b) flexes shoulder
c) bends trunk
d) rotates spine

A

d) rotates spine (neck)

42
Q

What is the function of the splenius capitis?

a) rotates head
b) dorsiflexes head
c) bilateral flexion of the neck
d) pronates the head

A

a) rotates the head

involved in movements such as shaking the head

43
Q

What does the acronym SOAP mean?

a) sight, observation, action, plan
b) subjective, observation, action, procedure
c) subjective, objective, assessment, plan
d) sight, objective, assessment, procedure

A

c) subjective, objective, assessment, plan

44
Q

What is the lateral recumbent position?

a) the body lies either on the right or left side
b) leaning the body to one side
c) sitting in a reclined position with arms extended
d) body slightly inclined and arms lateral

A

a) the boy lies either on the right or left side (aka recovery position or lateral decubitus position)

used in first aid to prevent aspiration (getting vomit into the lungs)

45
Q

Migraine headache pain is believed to be caused by

a) pinched nerves
b) interneural entrapment
c) dilation of cranial vessels
d) nerve innervation

A

c) dilation of cranial vessels

Migraine is a vascular headache believed to be caused by blood flow changes and certain chemical changes in the brain leading to a cascade of events, including constriction of arteries supplying blood to the brain and the release of certain brain chemicals

46
Q

What manipulation “milks” waste products out of tissue?

a) effleurage
b) petrissage
c) compression
d) friction

A

b) petrissage

increases circulation, tissue elasticity, removes waste products from muscles

47
Q

During your assessment you notice that your client has a fever. What do you do?

a) proceed with massage with caution
b) do not massage
c) consult their physician
d) consult your PMT

A

b) do not massage

48
Q

One of the regions of the abdomen is

a) thorax
b) stomach
c) inguinal
d) epigastric

A

d) epigastric

the epigastrium (or epigastric region) is the upper central region of the abdomen

thorax = above abdomen

49
Q

The lower back is also referred to as the

a) dorsal
b) lumbar
c) sacral
d) suprailiac

A

b) lumbar

50
Q

What covers, separates and gives form to muscles?

a) epithelium
b) areola
c) fascia
d) fasicle bundles

A

c) fascia

band or sheet of connective tissue, primarily collagen

51
Q

Muscle tissue stimulated repeatedly without rest will experience

a) atrophy
b) hypertrophy
c) fatigue
d) insomnia

A

c) fatigue

52
Q

Which muscle moves the arm in hyperextension of the shoulders?

a) rhomboids
b) deltoids
c) trapezius
d) latissimus dorsi

A

d) latissimus dorsi

largest muscle in the upper body
arm hyperextension = pulling arms behind the back

53
Q

The distal end of the descending colon connects to the

a) transverse colon
b) sigmoid colon
c) large intestines
d) rectum

A

b) sigmoid colon (aka pelvic colon)

part of the large intestine that is closest to the rectum and anus
large intestine = colon
cecum –> ascending colon –> transverse c –> descending c –> sigmoid c.

54
Q

How many bones does the body contain?

a) 206
b) 220
c) 212
d) 226

A

a) 206

55
Q

The movement of blood through the arteries, veins and back to the heart is called

a) cardiovascular flow
b) arterial venus flow
c) blood vascular flow
d) circulatory system

A

d) circulatory system

56
Q

The proportion of creosol or lysol suitable for cleaning bathrooms and floors is

a) 5% to 10%
b) 20% to 25%
c) 15% to 20%
d) 25% to 30 %

A

a) 5% to 10%

57
Q

What may occur if percussion is applied for prolonged periods of time?

a) increased blood circulation
b) temporary paralysis
c) fatigue
d) hypersensitivity

A

b) temporary paralysis

58
Q

Lymphatic vessels eventually return tissue fluid to the

a) thymus
b) bloodstream
c) right lymphatic duct
d) thoracic duct

A

b) bloodstream

59
Q

What is the function of the abductor pollicis?

a) draws thumbs to fingers
b) draws fingers away from thumbs
c) draws fingers to thumbs
d) draws thumb away from fingers

A

d) draws thumb away from fingers

60
Q

Lightly stroking the body with the hand is called

a) aura stroking
b) light stroking
c) feathering
d) pincement

A

c) feathering

61
Q

The tissue that contains fat cells, blood vessels, hair follicles and nerve endings is the

a) reticular layer
b) myofascia
c) epidermal layer
d) epicardial

A

a) reticular layer

lower layer of the dermis, under papillary dermis, dense irregular connective tissue; usually much thicker than papillary dermis.

62
Q

Which manipulation is used for stimulating the nerves?

a) effleurage
b) petrissage
c) friction
d) cupping

A

d) cupping

type of deep tissue massage; helps with pain, inflammation, blood flow, relaxation and well-being

63
Q

The gluteus medius and the gemullar obturator are in the

a) back
b) thigh
c) hip
d) neck

A

c) hip

64
Q

The vagus nerve supplies the

a) heart and lungs
b) veins
c) diaphragm
d) inguinal

A

a) heart and lungs

65
Q

What moves the head in a bilateral movement to the opposite side?

a) platysma
b) trapezius
c) sternocleidomastoid
d) rectus capitis

A

c) sternocleidomastoid

one of the largest and most superficial cervical muscles; rotation of head, flexion of neck

66
Q

What is the integument?

a) membrane
b) connective tissue
c) muscle
d) skin

A

d) skin

67
Q

What is the glenohumeral __?

a) shoulder joint
b) elbow joint
c) distal end of the humerus
d) humeral bone

A

a) shoulder joint

one of four joints that comprise the shoulder complex
glenohumeral, acromioclavicular, scapulothoracic, the sternoclavicular joint

68
Q

What does the clavicle connect to?

a) femur
b) radius
c) cervicle
d) humerus

A

d) humerus

69
Q

What are neurons?

a) spinal cells
b) brain cells
c) nerve cells
d) cranial cells

A

c) nerve cells

a specialized cell transmitting nerve impulses

70
Q

What is the function of the nervous system?

a) receives sensory information
b) controls and coordinates the body
c) excites and calms the body
d) controls nervous tension

A

b) controls and coordinates the body

71
Q

Skeletal or voluntary muscles must also be

a) striated
b) smooth
c) isometric
d) mitochondric

A

a) striated

contractile fibrils in the cells are aligned in parallel bundles, so that their different regions form stripes;
cardiac muscle is involuntary and striated and smooth muscle is involuntary and non-striated

72
Q

Blood flows toward the heart through the

a) aorta
b) carotid artery
c) vena cava
d) brachio-cephalic artery

A

c) vena cava

carries deoxygenated blood into heart; inferior vena cava (carries blood from lower body); superior vena cava (carries blood from head, arms, and upper body).

73
Q

Where is food primarily digested?

a) stomach
b) large intestine
c) transverse colon
d) small intestine

A

d) small intestine

3 main regions of small intestine: duodenum, jejunum, ileum.

74
Q

Muscles that assist a prime mover are called

a) agonists
b) synergists
c) complements
d) antagonists

A

b) synergists

stabilises a joint around which movement is occurring, which in turn helps the agonist function effectively

75
Q

The underlying layer of the skin is

a) epidermis
b) stratum granulosum
c) dermis
d) sub-dermal layer

A

c) dermis

epidermis (outermost): waterproof barrier; creates skin tone
dermis: tough connective tissue, hair follicles, sweat glands.
subcutaneous tissue (hypodermis): made of fat and connective tissue

76
Q

Applying compression on the cervical region, medulla oblongata, and along the spinal column affects the

a) autonomic nervous system
b) brain
c) cerebral spinal system
d) central nervous system

A

d) central nervous system

77
Q

Wringing, rolling and chucking are primarily used to massage the

a) arms an legs
b) neck
c) back
d) stomach

A

a) arms and legs

78
Q

The suffix “in” normally indicates a

a) enzyme
b) condition
c) protein
d) vein

A

c) protein

79
Q

What type of draping is preferable for a male in the supine position?

a) loose draping
b) tight draping
c) smooth draping
d) flat draping

A

a) loose draping

80
Q

If you break contact and now want to re-establish contact, you should tell the client you will be touching him/her because

a) you must have informed consent
b) you may startle the client
c) the client may want to sleep
d) you don’t need to tell the client

A

b) you may startle the client

81
Q

What is an abnormal mass of proliferating cells called?

a) sarcotropic
b) mitosis
c) cytogenesis
d) neoplasm

A

d) neoplasm

82
Q

Which letters indicate a carbohyrate?

a) ose
b) ase
c) ate
d) carb

A

a) ose

83
Q

The phrenic nerve enervates the

a) larynx
b) pharynx
c) diaphragm
d) trachea

A

c) diaphragm

84
Q

Which muscle keeps the spine erect?

a) sacrospinalis
b) supra-spinatus
c) longus posterior
d) dorsi-major

A

a) sacrospinalis

85
Q

A large rounded process on a bone is called

a) meatus
b) trochanter
c) tuberosity
d) foramen

A

c) tuberosity

moderate prominence where muscles and connective tissues attach.

86
Q

To move the distal end of an extremity while the proximal end remains fixed is

a) external rotation
b) circumduction
c) proximal rotation
d) distal rotation

A

b) circumduction

87
Q

Which muscle abducts and horizontally flexes the humerus?

a) deltoid
b) triceps
c) biceps
d) serratus anterior

A

a) deltoid

88
Q

What is a dangerous condition during pregnancy characterized by high sodium levels, edema and toximia?

a) parturitum
b) acetabulum
c) dysnatia
d) pre-eclampsia

A

d) pre-eclampsia

There may be no symptoms. High blood pressure and protein in the urine are key features. There may also be swelling in the legs and water retention, but this can be hard to distinguish from normal pregnancy.

89
Q

What muscle laterally flexes the trunk of the body?

a) vastus lateralis
b) quadratus lumborum
c) oblique externus abdominis
d) rectus abdominis

A

b) quadratus lumborum

90
Q

What is inflammation of a vein?

a) neuritis
b) phlebitis
c) myelitis
d) neuralgia

A

b) phlebitis