Practice Board Flashcards
(168 cards)
1
Q
What action would give the most effective stretch for triceps?
A
Flexion of the elbow
2
Q
Which actions will most effectively stretch gastroc?
A
Extension of the knee and dorsiflexion of the ankle
3
Q
Which muscle is most responsible for impingement of brachial plexus?
A
Scalenes
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
5
Q
Which muscle medially rotates the glenohumeral joint?
A
Subscapularis
6
Q
Pronator quadratus is located nearest to what structure?
A
Wrist
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
8
Q
QL is tight bilaterally, which muscle would not be appropriate to include in stretching?
A
Rectus abdominus
9
Q
Piriformis performs which of the following muscle actions?
A
Abduction & Lateral rotation
10
Q
Which structures pass through the diaphragm?
A
Esophagus, trachea, and inferior vena cava
11
Q
Which nerves do not extend from the brachial plexus?
A
Phrenic
12
Q
When working the lower anterior leg, the leg should not be in what position?
A
Hyperextended
13
Q
In order to practice shiatsu in NYS what is required?
A
A NYS massage license
14
Q
A MT must fully explain the procedure and get informed consent when indraping for breast massage from
A
Female clients only
15
Q
Which condition is friction most indicated?
A
Lateral epicondylitis
16
Q
Abdominal vibration administration for constipation is not meant to do what?
A
Fatigue nerves
17
Q
What best describes the client input on intake form?
A
Subjective
18
Q
The best treatment for chronic Achilles tendonitis?
A
Dorsiflex the foot, apply friction to the tendon
19
Q
Client has numbness in the foot, what is the best stroke to use?
A
Effleurage
20
Q
What is the best palpate to right SCM?
A
Rotation of the head to left
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
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
23
Q
In reflexology the big toe represents
A
Head
24
Q
Female client with diabetes has edema in both legs, how should you perform massage?
A
Proximal to distal
25
When standing, what causes the venous system to flow properly, considering the effects of gravity?
Valves
26
Which meridian is located on the mid-sag plane of the body?
GV (governing vessel)
27
Which organ does the greatest amount of absorption during the digestion process?
Small intestine
28
Shin splits would involve which muscle?
Tib posterior
29
How many hours of continuing education are required by the state for re-registration of your license?
None
30
Which muscle, when in spasm, will raise the iliac crest?
Quadratus Lumborum
31
Which meridian is associated with Autumn?
LU
32
The purpose of vibration on the abdomen?
Stimulates intestines
33
What happens In depolarization?
Sodium ions rush in
34
According to the Five Element Theory the energy cycle begins with which meridian?
LU
35
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
36
Which muscle is responsible for limited ROM to the right?
Right SCM
37
Oxygenated blood is found where?
Left atrium of the heart
38
A MT therapist is at the greatest risk by not doing what?
Following universal precautions
39
Cebum oil is a fluid of which system?
Integumentary
40
Client demonstrates ROM of shoulder and shows limited abduction, which muscle is chronically contracted?
Latisimus Dorsi
41
Which muscle is in the medial border of the scapula?
Rhomboids
42
Which stroke is best used for warming tissue and preparing it for deeper work?
Effleurage
43
Which tissue is avascular and has no nerve endings?
Cartilage
44
What is the most abundant type of tissue in the body?
Connective
45
What does light effluerage do?
Increase flow of superficial capillaries
46
If a client had subdeltoid bursitis, which movement would cause most pain?
Abduction
47
Which muscle extends the elbow?
Triceps
48
Weak abduction is caused by weakness in which muscle?
Deltoid
49
Client has a weakness in biceps, there is probably a lesion in which?
Brachial plexus
50
NYS state law requires that you?
Renew your registration every 3 years
51
Your client has moved. What should you do with their records?
Keep them for 6 years
52
If you’ve committed professional misconduct, what may be the outcome?
Revoked license
53
Where does the thoracic duct empty into?
Left subclavian vein
54
Why does manual lymph drainage need to be done lightly?
Deeper pressure restricts lymph flow
55
What do you call a site where veins and nerves are not protected by muscle?
Endangerment site
56
Where can deep friction cause the most damage?
Hyoid
57
Your client has pain from the medial epicondyle of the humerus to the middle of the radius, which muscle is implicated?
Pronator teres
58
Which lymph nodes are most affected in a partial mastectomy?
Axillary
59
Where would you find a saddle joint?
Hand
60
The brachial plexus and sternal notch are?
Endangerment sites
61
Client with untreated hypertension comes to you, what should you be cautious about?
Doing deep abdominal work
62
What is the best position to put a client with bronchiecstasis to release phlegm?
Prone head down,
Feet elevated
63
An athlete comes to you with a cramp in gastrocnemius, you?
Place them into dorsiflexion
64
In which condition is ROM contraindicated?
Acute capulitis
65
What are the muscles of quiet (passive) inhalation?
External intercostals only
66
Which is the appropriate tx for client which had sx of the linea alba 1 week prior to tx?
Lymph drainage and effluerage
67
Best tx for chronic Achilles tendonitis?
Deep friction followed by active stretching
68
Abduction is
A limb moves away from the mid-sag line
69
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
70
How is a massage beneficial to a client with hemophilia?
Decreases stress and promotes relaxation
71
What do you tell a client with type a diabetes to do after a massage?
Look out for signs of hypoglycemia
72
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
73
Which is not an effective tx for talipes equinovarus? (Club foot)
Taping the foot into eversion
74
What is thixotrophy?
Adding heat to connective tissue to make it softer and more fluid
75
What stroke is best tx for facial paralysis?
Stroking up from chin to cheekbones
76
For a client with IBS you would not work on their abdomen if they where experiencing what symptoms?
Diarrhea
77
What mostly affects fascial sheaths?
Craniosacral
78
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
79
Best stroke for scar tissue?
Friction
80
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
81
Sprained ankle?
Edema around the ankle (or knee) treat…
Acute-apply ice
Effluerage to the joint
Proximal, distal, proximal
82
What is the best stroke for joints, ligaments, and bony prominents?
Friction
83
Best tx for kyphosis?
Hunch back
Pecs are shortened, leaving the rhomboids weak
So plan is lengthened pecs and strengthen rhomboids
84
Best tx for lordosis?
Sway back
Hip flexors are tight and glutes are weak
Plan is to lengthen hip flexors and strengthen glutes
85
Spondylolysis vs Spondylolisthesis
Lysis=a fracture in the vertebrae
Listhesis=vertebrae becomes anteriorly displaced (L4,L5)
86
What is ankylosing spondylitis?
Bones are calcified and infused. No ROM
Plan is semi-reclining work w/client comfort
87
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
88
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)
89
Lymes Disease
Best stroke is friction apply lighter to moderate pressure
*doxycycline~ability to make ligaments and tendons more laxed
90
Temporomandibular Disorder (TMJ)
*can do intraoral massage to relieve TMJ
91
Constipation Abdominal Massage
*clear the way first
(L) splenic flexure
(R) appendix hepatic flexure
Transverse colon
*clockwise*
92
Pregnancy
1st trimester- no deep sacral work or abdominal massage should be done
93
What is relaxin?
Responsible for increase in pelvic flexibility and allowing the cervix to start relaxing
94
Decubitus Ulcers
Pressure Sores- perform massage by pushing the blood flow from the outside in-center towards the ulcers
Local contraindication
95
Acute phase of Trauma
Do not touch
96
Abdominal massage
1. Splenic flexure-down descending
2. Hepatic flexure-across transverse
3. Appendix-upascending
Clockwise
97
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”
98
Tooth
Gomphosis joint
Does not move
99
Appendix
Located in right lower quadrant of abdominal area
100
Acute
Do not touch
Contraindicated
101
Not in LMT scope of practice?
Reiki, Alexander technique, felenkrais method
102
Record keeping
6 years
Unless a minor or until they are 22
103
Cancer
Seek the recommendation of the clients physician or NP after obtaining consent from patient/client
104
Rheumatoid va osteoarthritis
RA autoimmune presents bilaterally
OA wear and tear presents laterally
105
Impetigo
Absolute contraindication
106
Female breast massage
Client must be fully informed and give consent before the therapist unsealed the breast for treatment
107
Scabies
Contraindication
108
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
109
Peripheral neuritis
Also known as nerve damage
Massage can be performed over affected area. Adjust pressure
110
Meningitis
Massage is postponed
111
Golfers elbow
Medial epicondylitis=irritation of the common flexor tendons at the medial humeral epicondyle
Use deep friction
112
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
113
Dupuytrens contracture
Fibrosis of the palmar fascia, causing tissue to shorten & thicken “claw hand”
Deep massage & gentle stretching
114
Herniated disc
Protrusion of nucleus pulposus through a tear in the annulus fibrosis
Possibly postpone massage or light pressure
115
Diabetes Mellitus
Type 1:lack of insulin
Type2: insulin resistant caused by obesity
116
Cystic Fibrosis
Genetic disorder causing hupersecrection to produce mucus and saliva
Avoid prone, assess clients vitality
Lighter pressure, slower speed
117
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
118
Congestive Heart Failure
Left side =resp. Difficulties, pulmonary edema
Right side= vein distinction, neck region
Acute= local contraindication
Chronic=adjust position, pressure
119
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
120
Chrondromalacia patella
Patellofemoral syndrome
Softening of the articular cartilage on the posterior patella (knee)
Thigh muscles in both shortened and lengthened positions
121
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
122
Bursitis
Inflammation of the bursae
Acute: local contraindication
Chronic: position for comfort. Adjust pressure and passive ROM movements
123
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
124
Ankylosing spondylitis
Arthritis that causes fusing of joints, usually vertebrae & sacroiliac
Side lying, gentle slow speed
125
Ankle sprain
Ligament is torn or stretched
Acute =local contraindication
Chronic=cross fiber friction
126
Anatomical Snuff Box
Extensor pollicis longus
Extensor pollicis brevis
Extensor pollicis longus
Long muscles of thumb, posterior muscles of forearm
127
Osteoarthritis
Vs
Rheumatoid Arthritis
Osteo= unilateral normal west and tear
Rheumatoid =bilateral autoimmune
128
Pregnancy
In the 1st trimester, no deep sacral work or abdominal massage should be done
2nd &3rd lay them on their left side
129
Blood thinners (anticoagulants?)
Bruising is going to happen
Light pressure, caution with circulation
130
Palmar interossi
Muscle of the hand
(Anterior)
131
Boil
Furuncle
Deeply infected hair follicle
132
Largest organ of the body?
Skin
133
Osteomalacia Patella Sundrome
Softening of the bone around the patella
134
Linens
Wash them in a 10% bleach solution
1 part bleach to 10 parts water
135
Raynauds
Losss of circulation to fingers and toes
Temporary aschemic ~lose of blood flow
136
Deepest Stroke
Vibration (rocking, jostling)
137
Where do all wrist extensors originate from?
Lateral epicondyle
138
Who invented cross fiber friction?
Dr. James Cyriax
139
Cystic fibrosis
Do not change temperature in room
Allow for postural drainage PRONE
Tapotement, vibration
140
Appendicular skeleton
Clavicle
Scapula
Pelvis
Arms, hands
Legs, feet
141
Avial skeleton
Skull
Vertebrae
Sacrum
Coccyx
Sternum
Ribs
Hyoid bone
142
Of the cervical vertebrae, which are most atypical?
C1, C2, C7
143
On a skeleton placed in the anatomical position, which of the following structures faces anteriorly?
Subscapular fossa
144
The primary function of yellow bone marrow is:
Triglyceride storage
145
Which of the following bones is not part of the axial skeleton?
Clavicle
146
Which of the following bones is characterized by the presence of a diaphysis, an epiphysis, articular cartilage and a medullary cavity?
Tibia
147
Which bone is not part of the knee joint?
Fibula
148
An amphiarthrosis is:
A slightly movable joint
149
Where the two pubic bones come together, the joint that forms is:
Amphiarthrotic
150
The proximal end of the femur articulates with the:
Acetabulum
151
The auditory meatus is located in the:
Temporal bone
152
Which of the following is part of the elbow joint?
Trochlear notch of the ulna
153
The coronoid and olecranon fossae are depressions found on the:
Humerus
154
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
155
The erectors lie deep in the lumbar region to what connective tissue structure?
thoracolumbar aponeurosis
156
When exploring between the scapulae, through which muscle tissue must you palpate to access the erector spinae fibers?
trapezius and rhomboids
157
What part of the muscle is on the more movable bone or attachment during contraction?
Insertion
158
Which of the following indicates a normal differential count in a healthy adult?
65% neutrophils, 25% lymphocyter, 6% monocytes, 3% eosinophils, 1% basophils
159
What is the arterial anastomosis at the base of the brain?
Circle of Willis
160
The distal and proximal extremities of a bone are the:
Epiphysel
161
How many pairs of cranial nerves are in the body?
12
162
How many pairs of nerves are in the sacral plexus?
5
163
The substance released at axonal endings to propagate a nervous impulse is called a:
Neurotransmitter
164
The autonomic nervous system is divided into:
Sympathetic and parasympathetic nervous systems
165
The terminal portion of the spinal cord is known as:
Cauda equina
166
Which is part of the central nervous system?
Cerebellum
167
Which is not a part of the central nervous system?
Cranial nerves
168
A deficiency of vitamin B12 results in:
Pernicious anemia
