Practice Board Flashcards
What action would give the most effective stretch for triceps?
Flexion of the elbow
Which actions will most effectively stretch gastroc?
Extension of the knee and dorsiflexion of the ankle
Which muscle is most responsible for impingement of brachial plexus?
Scalenes
If a client experienced numbness on the sole of the foot and the movement of the toes is limited. What movement is likely to be involved?
Dorsiflexion
Which muscle medially rotates the glenohumeral joint?
Subscapularis
Pronator quadratus is located nearest to what structure?
Wrist
A woman who is 8 months pregnant has been coming monthly for massage and reports she has been experiencing visual disturbances, severe headaches, heartburn and elevated BP, what should you do?
Postpone her massage and instruct her to see her MD
QL is tight bilaterally, which muscle would not be appropriate to include in stretching?
Rectus abdominus
Piriformis performs which of the following muscle actions?
Abduction & Lateral rotation
Which structures pass through the diaphragm?
Esophagus, trachea, and inferior vena cava
Which nerves do not extend from the brachial plexus?
Phrenic
When working the lower anterior leg, the leg should not be in what position?
Hyperextended
In order to practice shiatsu in NYS what is required?
A NYS massage license
A MT must fully explain the procedure and get informed consent when indraping for breast massage from
Female clients only
Which condition is friction most indicated?
Lateral epicondylitis
Abdominal vibration administration for constipation is not meant to do what?
Fatigue nerves
What best describes the client input on intake form?
Subjective
The best treatment for chronic Achilles tendonitis?
Dorsiflex the foot, apply friction to the tendon
Client has numbness in the foot, what is the best stroke to use?
Effleurage
What is the best palpate to right SCM?
Rotation of the head to left
When the head or neck is flexed, which muscle is primarily involved in extension of head and neck back to upright?
Trapezius
You have a new client who is a sufferer of type 1 diabetes, what do you have to look out for?
General integrity of the skin
In reflexology the big toe represents
Head
Female client with diabetes has edema in both legs, how should you perform massage?
Proximal to distal
When standing, what causes the venous system to flow properly, considering the effects of gravity?
Valves
Which meridian is located on the mid-sag plane of the body?
GV (governing vessel)
Which organ does the greatest amount of absorption during the digestion process?
Small intestine
Shin splits would involve which muscle?
Tib posterior
How many hours of continuing education are required by the state for re-registration of your license?
None
Which muscle, when in spasm, will raise the iliac crest?
Quadratus Lumborum
Which meridian is associated with Autumn?
LU
The purpose of vibration on the abdomen?
Stimulates intestines
What happens In depolarization?
Sodium ions rush in
According to the Five Element Theory the energy cycle begins with which meridian?
LU
You feel a lump on your clients back. You’re not sure it is, what do you do?
Work around the lump, mention it to the client and suggest they get it checked out
Which muscle is responsible for limited ROM to the right?
Right SCM
Oxygenated blood is found where?
Left atrium of the heart
A MT therapist is at the greatest risk by not doing what?
Following universal precautions
Cebum oil is a fluid of which system?
Integumentary
Client demonstrates ROM of shoulder and shows limited abduction, which muscle is chronically contracted?
Latisimus Dorsi
Which muscle is in the medial border of the scapula?
Rhomboids
Which stroke is best used for warming tissue and preparing it for deeper work?
Effleurage
Which tissue is avascular and has no nerve endings?
Cartilage
What is the most abundant type of tissue in the body?
Connective
What does light effluerage do?
Increase flow of superficial capillaries
If a client had subdeltoid bursitis, which movement would cause most pain?
Abduction
Which muscle extends the elbow?
Triceps
Weak abduction is caused by weakness in which muscle?
Deltoid
Client has a weakness in biceps, there is probably a lesion in which?
Brachial plexus
NYS state law requires that you?
Renew your registration every 3 years
Your client has moved. What should you do with their records?
Keep them for 6 years
If you’ve committed professional misconduct, what may be the outcome?
Revoked license
Where does the thoracic duct empty into?
Left subclavian vein
Why does manual lymph drainage need to be done lightly?
Deeper pressure restricts lymph flow
What do you call a site where veins and nerves are not protected by muscle?
Endangerment site
Where can deep friction cause the most damage?
Hyoid
Your client has pain from the medial epicondyle of the humerus to the middle of the radius, which muscle is implicated?
Pronator teres
Which lymph nodes are most affected in a partial mastectomy?
Axillary
Where would you find a saddle joint?
Hand
The brachial plexus and sternal notch are?
Endangerment sites
Client with untreated hypertension comes to you, what should you be cautious about?
Doing deep abdominal work
What is the best position to put a client with bronchiecstasis to release phlegm?
Prone head down,
Feet elevated
An athlete comes to you with a cramp in gastrocnemius, you?
Place them into dorsiflexion
In which condition is ROM contraindicated?
Acute capulitis
What are the muscles of quiet (passive) inhalation?
External intercostals only
Which is the appropriate tx for client which had sx of the linea alba 1 week prior to tx?
Lymph drainage and effluerage
Best tx for chronic Achilles tendonitis?
Deep friction followed by active stretching
Abduction is
A limb moves away from the mid-sag line
Client with an unknown disease comes and is seeking relief through MT, you
Ask for permission to contact their MD and
Look up disease in medical book
How is a massage beneficial to a client with hemophilia?
Decreases stress and promotes relaxation
What do you tell a client with type a diabetes to do after a massage?
Look out for signs of hypoglycemia
According to NYS, a LMT can tx a client with any kind of disease or condition and should do what prior to tx?
Ask for clients permission to contact MD
Which is not an effective tx for talipes equinovarus? (Club foot)
Taping the foot into eversion
What is thixotrophy?
Adding heat to connective tissue to make it softer and more fluid
What stroke is best tx for facial paralysis?
Stroking up from chin to cheekbones
For a client with IBS you would not work on their abdomen if they where experiencing what symptoms?
Diarrhea
What mostly affects fascial sheaths?
Craniosacral
Client has cancer and is making a full recovery, underwent chemo 3 Mo ago want massage to tx fatigue, what is best tx?
Moderate Swedish
Best stroke for scar tissue?
Friction
Pregnancy tx?
Always put client on the left side to prevent vena cava syndrome
Or
Put a wedge under the right hip to tilt client to the left side
Sprained ankle?
Edema around the ankle (or knee) treat…
Acute-apply ice
Effluerage to the joint
Proximal, distal, proximal
What is the best stroke for joints, ligaments, and bony prominents?
Friction
Best tx for kyphosis?
Hunch back
Pecs are shortened, leaving the rhomboids weak
So plan is lengthened pecs and strengthen rhomboids
Best tx for lordosis?
Sway back
Hip flexors are tight and glutes are weak
Plan is to lengthen hip flexors and strengthen glutes
Spondylolysis vs Spondylolisthesis
Lysis=a fracture in the vertebrae
Listhesis=vertebrae becomes anteriorly displaced (L4,L5)
What is ankylosing spondylitis?
Bones are calcified and infused. No ROM
Plan is semi-reclining work w/client comfort
Dupythen Contracture
Contraction of the muscle fibers of the palmer fascia
Plan is friction w/client pain tolerated, massage and movement into the palm of the hand
*contractures can happen any where in the body FRICTION and MOVEMENT
Exocrine vs Endocrine
Exo=secretes their products into ducts and empty into body cavities (ex. Sebaceous gland, oil)
Endo=ductless gland that secretes the hormones into the surrounding fluids, blood, cells (ex. Adrenal, pineal, pituitary)
Lymes Disease
Best stroke is friction apply lighter to moderate pressure
*doxycycline~ability to make ligaments and tendons more laxed
Temporomandibular Disorder (TMJ)
*can do intraoral massage to relieve TMJ
Constipation Abdominal Massage
*clear the way first
(L) splenic flexure
(R) appendix hepatic flexure
Transverse colon
clockwise
Pregnancy
1st trimester- no deep sacral work or abdominal massage should be done
What is relaxin?
Responsible for increase in pelvic flexibility and allowing the cervix to start relaxing
Decubitus Ulcers
Pressure Sores- perform massage by pushing the blood flow from the outside in-center towards the ulcers
Local contraindication
Acute phase of Trauma
Do not touch
Abdominal massage
- Splenic flexure-down descending
- Hepatic flexure-across transverse
- Appendix-upascending
Clockwise
Carpal Bones
8 bones
Scaphoid is most commonly broken
Proximal Row- scaphoid lunate triquetrum pisiform
Distal row- trapezium trapezoid capitate humate
“Some Like Twisted Parts Trapped Taped and Closed Hard”
Tooth
Gomphosis joint
Does not move
Appendix
Located in right lower quadrant of abdominal area
Acute
Do not touch
Contraindicated
Not in LMT scope of practice?
Reiki, Alexander technique, felenkrais method
Record keeping
6 years
Unless a minor or until they are 22
Cancer
Seek the recommendation of the clients physician or NP after obtaining consent from patient/client
Rheumatoid va osteoarthritis
RA autoimmune presents bilaterally
OA wear and tear presents laterally
Impetigo
Absolute contraindication
Female breast massage
Client must be fully informed and give consent before the therapist unsealed the breast for treatment
Scabies
Contraindication
Piriformis syndrome
Sciatic nerve entrapment
Deep effluaeage and friction over the femoral attachment and Piriformis
Laterally rotate hip and flex knee and work muscle in shortened position
Peripheral neuritis
Also known as nerve damage
Massage can be performed over affected area. Adjust pressure
Meningitis
Massage is postponed
Golfers elbow
Medial epicondylitis=irritation of the common flexor tendons at the medial humeral epicondyle
Use deep friction
Edema
Swelling caused by an imbalance in the distribution of body fluids
Place affected area above the heart level, pressure gradually moving towards lymphatic flow
Dupuytrens contracture
Fibrosis of the palmar fascia, causing tissue to shorten & thicken “claw hand”
Deep massage & gentle stretching
Herniated disc
Protrusion of nucleus pulposus through a tear in the annulus fibrosis
Possibly postpone massage or light pressure
Diabetes Mellitus
Type 1:lack of insulin
Type2: insulin resistant caused by obesity
Cystic Fibrosis
Genetic disorder causing hupersecrection to produce mucus and saliva
Avoid prone, assess clients vitality
Lighter pressure, slower speed
Contracture
Permanent shortening of muscle or soft tissue that causes a joint to be in a flexed, fixates position
Wringing, cross fiber friction and compression over trigger points
Congestive Heart Failure
Left side =resp. Difficulties, pulmonary edema
Right side= vein distinction, neck region
Acute= local contraindication
Chronic=adjust position, pressure
Colles fracture
Complete fracture of the radius bone close to the wrist
Acute=local contraindication
Proximal and distal to the fracture to promote circulation and reduce edema
Chrondromalacia patella
Patellofemoral syndrome
Softening of the articular cartilage on the posterior patella (knee)
Thigh muscles in both shortened and lengthened positions
Carpal Tunnel Syndrome
Compression of the median nerve within the carpal tunnel
Forearm muscles and muscles in the palm of the hand
Stretch anterior and posterior forearm muscles
Bursitis
Inflammation of the bursae
Acute: local contraindication
Chronic: position for comfort. Adjust pressure and passive ROM movements
Bells Palsy
Nuerologic condition of the facial nerve VII that causes weakness or paralysis of one side
Light effluerage & Peter’s sage on face, directed upward
Ankylosing spondylitis
Arthritis that causes fusing of joints, usually vertebrae & sacroiliac
Side lying, gentle slow speed
Ankle sprain
Ligament is torn or stretched
Acute =local contraindication
Chronic=cross fiber friction
Anatomical Snuff Box
Extensor pollicis longus
Extensor pollicis brevis
Extensor pollicis longus
Long muscles of thumb, posterior muscles of forearm
Osteoarthritis
Vs
Rheumatoid Arthritis
Osteo= unilateral normal west and tear
Rheumatoid =bilateral autoimmune
Pregnancy
In the 1st trimester, no deep sacral work or abdominal massage should be done
2nd &3rd lay them on their left side
Blood thinners (anticoagulants?)
Bruising is going to happen
Light pressure, caution with circulation
Palmar interossi
Muscle of the hand
(Anterior)
Boil
Furuncle
Deeply infected hair follicle
Largest organ of the body?
Skin
Osteomalacia Patella Sundrome
Softening of the bone around the patella
Linens
Wash them in a 10% bleach solution
1 part bleach to 10 parts water
Raynauds
Losss of circulation to fingers and toes
Temporary aschemic ~lose of blood flow
Deepest Stroke
Vibration (rocking, jostling)
Where do all wrist extensors originate from?
Lateral epicondyle
Who invented cross fiber friction?
Dr. James Cyriax
Cystic fibrosis
Do not change temperature in room
Allow for postural drainage PRONE
Tapotement, vibration
Appendicular skeleton
Clavicle
Scapula
Pelvis
Arms, hands
Legs, feet
Avial skeleton
Skull
Vertebrae
Sacrum
Coccyx
Sternum
Ribs
Hyoid bone
Of the cervical vertebrae, which are most atypical?
C1, C2, C7
On a skeleton placed in the anatomical position, which of the following structures faces anteriorly?
Subscapular fossa
The primary function of yellow bone marrow is:
Triglyceride storage
Which of the following bones is not part of the axial skeleton?
Clavicle
Which of the following bones is characterized by the presence of a diaphysis, an epiphysis, articular cartilage and a medullary cavity?
Tibia
Which bone is not part of the knee joint?
Fibula
An amphiarthrosis is:
A slightly movable joint
Where the two pubic bones come together, the joint that forms is:
Amphiarthrotic
The proximal end of the femur articulates with the:
Acetabulum
The auditory meatus is located in the:
Temporal bone
Which of the following is part of the elbow joint?
Trochlear notch of the ulna
The coronoid and olecranon fossae are depressions found on the:
Humerus
Locating the last rib, posterior iliac crest and the transverse processes of the lumbar vertebrae will help you to isolate which muscle tissue?
quadratus lumborum
The erectors lie deep in the lumbar region to what connective tissue structure?
thoracolumbar aponeurosis
When exploring between the scapulae, through which muscle tissue must you palpate to access the erector spinae fibers?
trapezius and rhomboids
What part of the muscle is on the more movable bone or attachment during contraction?
Insertion
Which of the following indicates a normal differential count in a healthy adult?
65% neutrophils, 25% lymphocyter, 6% monocytes, 3% eosinophils, 1% basophils
What is the arterial anastomosis at the base of the brain?
Circle of Willis
The distal and proximal extremities of a bone are the:
Epiphysel
How many pairs of cranial nerves are in the body?
12
How many pairs of nerves are in the sacral plexus?
5
The substance released at axonal endings to propagate a nervous impulse is called a:
Neurotransmitter
The autonomic nervous system is divided into:
Sympathetic and parasympathetic nervous systems
The terminal portion of the spinal cord is known as:
Cauda equina
Which is part of the central nervous system?
Cerebellum
Which is not a part of the central nervous system?
Cranial nerves
A deficiency of vitamin B12 results in:
Pernicious anemia
