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NYS Massage Boards > Practice Board > Flashcards

Practice Board Flashcards

1
Q

What action would give the most effective stretch for triceps?

A

Flexion of the elbow

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2
Q

Which actions will most effectively stretch gastroc?

A

Extension of the knee and dorsiflexion of the ankle

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3
Q

Which muscle is most responsible for impingement of brachial plexus?

A

Scalenes

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4
Q

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?

A

Dorsiflexion

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5
Q

Which muscle medially rotates the glenohumeral joint?

A

Subscapularis

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6
Q

Pronator quadratus is located nearest to what structure?

A

Wrist

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7
Q

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?

A

Postpone her massage and instruct her to see her MD

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8
Q

QL is tight bilaterally, which muscle would not be appropriate to include in stretching?

A

Rectus abdominus

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9
Q

Piriformis performs which of the following muscle actions?

A

Abduction & Lateral rotation

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10
Q

Which structures pass through the diaphragm?

A

Esophagus, trachea, and inferior vena cava

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11
Q

Which nerves do not extend from the brachial plexus?

A

Phrenic

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12
Q

When working the lower anterior leg, the leg should not be in what position?

A

Hyperextended

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13
Q

In order to practice shiatsu in NYS what is required?

A

A NYS massage license

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14
Q

A MT must fully explain the procedure and get informed consent when indraping for breast massage from

A

Female clients only

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15
Q

Which condition is friction most indicated?

A

Lateral epicondylitis

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16
Q

Abdominal vibration administration for constipation is not meant to do what?

A

Fatigue nerves

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17
Q

What best describes the client input on intake form?

A

Subjective

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18
Q

The best treatment for chronic Achilles tendonitis?

A

Dorsiflex the foot, apply friction to the tendon

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19
Q

Client has numbness in the foot, what is the best stroke to use?

A

Effleurage

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20
Q

What is the best palpate to right SCM?

A

Rotation of the head to left

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21
Q

When the head or neck is flexed, which muscle is primarily involved in extension of head and neck back to upright?

A

Trapezius

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22
Q

You have a new client who is a sufferer of type 1 diabetes, what do you have to look out for?

A

General integrity of the skin

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23
Q

In reflexology the big toe represents

A

Head

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24
Q

Female client with diabetes has edema in both legs, how should you perform massage?

A

Proximal to distal

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25
Q

When standing, what causes the venous system to flow properly, considering the effects of gravity?

A

Valves

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26
Q

Which meridian is located on the mid-sag plane of the body?

A

GV (governing vessel)

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27
Q

Which organ does the greatest amount of absorption during the digestion process?

A

Small intestine

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28
Q

Shin splits would involve which muscle?

A

Tib posterior

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29
Q

How many hours of continuing education are required by the state for re-registration of your license?

A

None

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30
Q

Which muscle, when in spasm, will raise the iliac crest?

A

Quadratus Lumborum

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31
Q

Which meridian is associated with Autumn?

A

LU

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32
Q

The purpose of vibration on the abdomen?

A

Stimulates intestines

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33
Q

What happens In depolarization?

A

Sodium ions rush in

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34
Q

According to the Five Element Theory the energy cycle begins with which meridian?

A

LU

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35
Q

You feel a lump on your clients back. You’re not sure it is, what do you do?

A

Work around the lump, mention it to the client and suggest they get it checked out

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36
Q

Which muscle is responsible for limited ROM to the right?

A

Right SCM

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37
Q

Oxygenated blood is found where?

A

Left atrium of the heart

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38
Q

A MT therapist is at the greatest risk by not doing what?

A

Following universal precautions

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39
Q

Cebum oil is a fluid of which system?

A

Integumentary

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40
Q

Client demonstrates ROM of shoulder and shows limited abduction, which muscle is chronically contracted?

A

Latisimus Dorsi

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41
Q

Which muscle is in the medial border of the scapula?

A

Rhomboids

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42
Q

Which stroke is best used for warming tissue and preparing it for deeper work?

A

Effleurage

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43
Q

Which tissue is avascular and has no nerve endings?

A

Cartilage

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44
Q

What is the most abundant type of tissue in the body?

A

Connective

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45
Q

What does light effluerage do?

A

Increase flow of superficial capillaries

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46
Q

If a client had subdeltoid bursitis, which movement would cause most pain?

A

Abduction

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47
Q

Which muscle extends the elbow?

A

Triceps

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48
Q

Weak abduction is caused by weakness in which muscle?

A

Deltoid

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49
Q

Client has a weakness in biceps, there is probably a lesion in which?

A

Brachial plexus

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50
Q

NYS state law requires that you?

A

Renew your registration every 3 years

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51
Q

Your client has moved. What should you do with their records?

A

Keep them for 6 years

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52
Q

If you’ve committed professional misconduct, what may be the outcome?

A

Revoked license

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53
Q

Where does the thoracic duct empty into?

A

Left subclavian vein

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54
Q

Why does manual lymph drainage need to be done lightly?

A

Deeper pressure restricts lymph flow

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55
Q

What do you call a site where veins and nerves are not protected by muscle?

A

Endangerment site

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56
Q

Where can deep friction cause the most damage?

A

Hyoid

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57
Q

Your client has pain from the medial epicondyle of the humerus to the middle of the radius, which muscle is implicated?

A

Pronator teres

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58
Q

Which lymph nodes are most affected in a partial mastectomy?

A

Axillary

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59
Q

Where would you find a saddle joint?

A

Hand

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60
Q

The brachial plexus and sternal notch are?

A

Endangerment sites

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61
Q

Client with untreated hypertension comes to you, what should you be cautious about?

A

Doing deep abdominal work

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62
Q

What is the best position to put a client with bronchiecstasis to release phlegm?

A

Prone head down,
Feet elevated

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63
Q

An athlete comes to you with a cramp in gastrocnemius, you?

A

Place them into dorsiflexion

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64
Q

In which condition is ROM contraindicated?

A

Acute capulitis

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65
Q

What are the muscles of quiet (passive) inhalation?

A

External intercostals only

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66
Q

Which is the appropriate tx for client which had sx of the linea alba 1 week prior to tx?

A

Lymph drainage and effluerage

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67
Q

Best tx for chronic Achilles tendonitis?

A

Deep friction followed by active stretching

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68
Q

Abduction is

A

A limb moves away from the mid-sag line

69
Q

Client with an unknown disease comes and is seeking relief through MT, you

A

Ask for permission to contact their MD and
Look up disease in medical book

70
Q

How is a massage beneficial to a client with hemophilia?

A

Decreases stress and promotes relaxation

71
Q

What do you tell a client with type a diabetes to do after a massage?

A

Look out for signs of hypoglycemia

72
Q

According to NYS, a LMT can tx a client with any kind of disease or condition and should do what prior to tx?

A

Ask for clients permission to contact MD

73
Q

Which is not an effective tx for talipes equinovarus? (Club foot)

A

Taping the foot into eversion

74
Q

What is thixotrophy?

A

Adding heat to connective tissue to make it softer and more fluid

75
Q

What stroke is best tx for facial paralysis?

A

Stroking up from chin to cheekbones

76
Q

For a client with IBS you would not work on their abdomen if they where experiencing what symptoms?

A

Diarrhea

77
Q

What mostly affects fascial sheaths?

A

Craniosacral

78
Q

Client has cancer and is making a full recovery, underwent chemo 3 Mo ago want massage to tx fatigue, what is best tx?

A

Moderate Swedish

79
Q

Best stroke for scar tissue?

A

Friction

80
Q

Pregnancy tx?

A

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

81
Q

Sprained ankle?

A

Edema around the ankle (or knee) treat…
Acute-apply ice
Effluerage to the joint
Proximal, distal, proximal

82
Q

What is the best stroke for joints, ligaments, and bony prominents?

A

Friction

83
Q

Best tx for kyphosis?

A

Hunch back
Pecs are shortened, leaving the rhomboids weak
So plan is lengthened pecs and strengthen rhomboids

84
Q

Best tx for lordosis?

A

Sway back
Hip flexors are tight and glutes are weak
Plan is to lengthen hip flexors and strengthen glutes

85
Q

Spondylolysis vs Spondylolisthesis

A

Lysis=a fracture in the vertebrae

Listhesis=vertebrae becomes anteriorly displaced (L4,L5)

86
Q

What is ankylosing spondylitis?

A

Bones are calcified and infused. No ROM
Plan is semi-reclining work w/client comfort

87
Q

Dupythen Contracture

A

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

88
Q

Exocrine vs Endocrine

A

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)

89
Q

Lymes Disease

A

Best stroke is friction apply lighter to moderate pressure
*doxycycline~ability to make ligaments and tendons more laxed

90
Q

Temporomandibular Disorder (TMJ)

A

*can do intraoral massage to relieve TMJ

91
Q

Constipation Abdominal Massage

A

*clear the way first
(L) splenic flexure
(R) appendix hepatic flexure

Transverse colon
clockwise

92
Q

Pregnancy

A

1st trimester- no deep sacral work or abdominal massage should be done

93
Q

What is relaxin?

A

Responsible for increase in pelvic flexibility and allowing the cervix to start relaxing

94
Q

Decubitus Ulcers

A

Pressure Sores- perform massage by pushing the blood flow from the outside in-center towards the ulcers
Local contraindication

95
Q

Acute phase of Trauma

A

Do not touch

96
Q

Abdominal massage

A
  1. Splenic flexure-down descending
  2. Hepatic flexure-across transverse
  3. Appendix-upascending

Clockwise

97
Q

Carpal Bones

A

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”

98
Q

Tooth

A

Gomphosis joint

Does not move

99
Q

Appendix

A

Located in right lower quadrant of abdominal area

100
Q

Acute

A

Do not touch

Contraindicated

101
Q

Not in LMT scope of practice?

A

Reiki, Alexander technique, felenkrais method

102
Q

Record keeping

A

6 years
Unless a minor or until they are 22

103
Q

Cancer

A

Seek the recommendation of the clients physician or NP after obtaining consent from patient/client

104
Q

Rheumatoid va osteoarthritis

A

RA autoimmune presents bilaterally

OA wear and tear presents laterally

105
Q

Impetigo

A

Absolute contraindication

106
Q

Female breast massage

A

Client must be fully informed and give consent before the therapist unsealed the breast for treatment

107
Q

Scabies

A

Contraindication

108
Q

Piriformis syndrome

A

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

109
Q

Peripheral neuritis

A

Also known as nerve damage

Massage can be performed over affected area. Adjust pressure

110
Q

Meningitis

A

Massage is postponed

111
Q

Golfers elbow

A

Medial epicondylitis=irritation of the common flexor tendons at the medial humeral epicondyle

Use deep friction

112
Q

Edema

A

Swelling caused by an imbalance in the distribution of body fluids

Place affected area above the heart level, pressure gradually moving towards lymphatic flow

113
Q

Dupuytrens contracture

A

Fibrosis of the palmar fascia, causing tissue to shorten & thicken “claw hand”

Deep massage & gentle stretching

114
Q

Herniated disc

A

Protrusion of nucleus pulposus through a tear in the annulus fibrosis

Possibly postpone massage or light pressure

115
Q

Diabetes Mellitus

A

Type 1:lack of insulin
Type2: insulin resistant caused by obesity

116
Q

Cystic Fibrosis

A

Genetic disorder causing hupersecrection to produce mucus and saliva

Avoid prone, assess clients vitality
Lighter pressure, slower speed

117
Q

Contracture

A

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

118
Q

Congestive Heart Failure

A

Left side =resp. Difficulties, pulmonary edema
Right side= vein distinction, neck region
Acute= local contraindication
Chronic=adjust position, pressure

119
Q

Colles fracture

A

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

120
Q

Chrondromalacia patella

A

Patellofemoral syndrome
Softening of the articular cartilage on the posterior patella (knee)

Thigh muscles in both shortened and lengthened positions

121
Q

Carpal Tunnel Syndrome

A

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

122
Q

Bursitis

A

Inflammation of the bursae
Acute: local contraindication
Chronic: position for comfort. Adjust pressure and passive ROM movements

123
Q

Bells Palsy

A

Nuerologic condition of the facial nerve VII that causes weakness or paralysis of one side

Light effluerage & Peter’s sage on face, directed upward

124
Q

Ankylosing spondylitis

A

Arthritis that causes fusing of joints, usually vertebrae & sacroiliac

Side lying, gentle slow speed

125
Q

Ankle sprain

A

Ligament is torn or stretched

Acute =local contraindication
Chronic=cross fiber friction

126
Q

Anatomical Snuff Box

A

Extensor pollicis longus
Extensor pollicis brevis
Extensor pollicis longus

Long muscles of thumb, posterior muscles of forearm

127
Q

Osteoarthritis
Vs
Rheumatoid Arthritis

A

Osteo= unilateral normal west and tear

Rheumatoid =bilateral autoimmune

128
Q

Pregnancy

A

In the 1st trimester, no deep sacral work or abdominal massage should be done
2nd &3rd lay them on their left side

129
Q

Blood thinners (anticoagulants?)

A

Bruising is going to happen
Light pressure, caution with circulation

130
Q

Palmar interossi

A

Muscle of the hand
(Anterior)

131
Q

Boil

A

Furuncle
Deeply infected hair follicle

132
Q

Largest organ of the body?

A

Skin

133
Q

Osteomalacia Patella Sundrome

A

Softening of the bone around the patella

134
Q

Linens

A

Wash them in a 10% bleach solution
1 part bleach to 10 parts water

135
Q

Raynauds

A

Losss of circulation to fingers and toes

Temporary aschemic ~lose of blood flow

136
Q

Deepest Stroke

A

Vibration (rocking, jostling)

137
Q

Where do all wrist extensors originate from?

A

Lateral epicondyle

138
Q

Who invented cross fiber friction?

A

Dr. James Cyriax

139
Q

Cystic fibrosis

A

Do not change temperature in room
Allow for postural drainage PRONE
Tapotement, vibration

140
Q

Appendicular skeleton

A

Clavicle
Scapula
Pelvis
Arms, hands
Legs, feet

141
Q

Avial skeleton

A

Skull
Vertebrae
Sacrum
Coccyx
Sternum
Ribs
Hyoid bone

142
Q

Of the cervical vertebrae, which are most atypical?

A

C1, C2, C7

143
Q

On a skeleton placed in the anatomical position, which of the following structures faces anteriorly?

A

Subscapular fossa

144
Q

The primary function of yellow bone marrow is:

A

Triglyceride storage

145
Q

Which of the following bones is not part of the axial skeleton?

A

Clavicle

146
Q

Which of the following bones is characterized by the presence of a diaphysis, an epiphysis, articular cartilage and a medullary cavity?

A

Tibia

147
Q

Which bone is not part of the knee joint?

A

Fibula

148
Q

An amphiarthrosis is:

A

A slightly movable joint

149
Q

Where the two pubic bones come together, the joint that forms is:

A

Amphiarthrotic

150
Q

The proximal end of the femur articulates with the:

A

Acetabulum

151
Q

The auditory meatus is located in the:

A

Temporal bone

152
Q

Which of the following is part of the elbow joint?

A

Trochlear notch of the ulna

153
Q

The coronoid and olecranon fossae are depressions found on the:

A

Humerus

154
Q

Locating the last rib, posterior iliac crest and the transverse processes of the lumbar vertebrae will help you to isolate which muscle tissue?

A

quadratus lumborum

155
Q

The erectors lie deep in the lumbar region to what connective tissue structure?

A

thoracolumbar aponeurosis

156
Q

When exploring between the scapulae, through which muscle tissue must you palpate to access the erector spinae fibers?

A

trapezius and rhomboids

157
Q

What part of the muscle is on the more movable bone or attachment during contraction?

A

Insertion

158
Q

Which of the following indicates a normal differential count in a healthy adult?

A

65% neutrophils, 25% lymphocyter, 6% monocytes, 3% eosinophils, 1% basophils

159
Q

What is the arterial anastomosis at the base of the brain?

A

Circle of Willis

160
Q

The distal and proximal extremities of a bone are the:

A

Epiphysel

161
Q

How many pairs of cranial nerves are in the body?

A

12

162
Q

How many pairs of nerves are in the sacral plexus?

A

5

163
Q

The substance released at axonal endings to propagate a nervous impulse is called a:

A

Neurotransmitter

164
Q

The autonomic nervous system is divided into:

A

Sympathetic and parasympathetic nervous systems

165
Q

The terminal portion of the spinal cord is known as:

A

Cauda equina

166
Q

Which is part of the central nervous system?

A

Cerebellum

167
Q

Which is not a part of the central nervous system?

A

Cranial nerves

168
Q

A deficiency of vitamin B12 results in:

A

Pernicious anemia

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