What information should a RMT present to the client before treatment of trigger point

The client is informed that this technique may be painful

It is a professional misconduct to

Refuse treatment to a client who consistently comes late for appointments

A fracture of the distal radius

Internal rotation of humerus, no pain, some shortened muscles and some weakened muscles what combination explains

Weak - Infraspinatus, teres minor, short - teres major, pec major

Are massage therapists permitted to give vitamin information to a client

Therapist can educate clients about benefits of vit for improved health

RMT’s must report any sexual abuse by healthcare professionals

appropriate regulatory body depending on profession the abuser belongs to

The laws concerning allergy testing state that massage therapist

May not administer a test that could elicit a allergic response

Client received tx for 3 months and now has new medication, what actions to comply with current documentation

Ask about side effects of the pathology or meds + if client is changing to

After mastectomy, need to stimulate blood flow but has little success, CMTO states

Refer client to another health care provider

If a client states that she does not feel comfortable about having her abdomen massaged the MT

May suggest working through the sheet, client clothing and may leave out tx

Before getting off the table the client should be

Asked if he/she needs assistance

The effects of massage are physiological and psychological in nature what is psychological effect

Reflexive with the neurological systems

The test is used for assessment of a sprain of the anterior sacroiliac ligament s

Transverse anterior stress test

The professional organization responsible for increasing the awareness of MT as regulated health profession

Regulated massage therapist’s association of Ontario

When treating a client with moderate hypertension, what modification would you consider

Reduce time in the prone position

Objective assessment includes testing except

Presence on any internal pins or. Plates

While performing cervical quadrant test if dizziness or nystagmus occurs it indicates

Compression on the vertebral arteries

A positive gillets test would mean

PSIS stays in one place when the whip and knee are flexed

How do you test the length of Tibialis posterior

Dorsiflexion version of the ankle

The purpose of professional liability insurance is to insure the massage therapist against

Lawsuits if a client is injured in and accident on you r premises

The concept of the title protection for RMT’s means that

Only RMT’s hold to be qualified to practice MT in Ontario

The main supporting ligament of the atlantoaxial joint is

Transverse ligament of the atlas

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Massage Therapy MCQ 10

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Answers

1
What information should a RMT present to the client before treatment of trigger point
The client is informed that any degree of pain must be tolerated
client is informed that this technique may cause only a little discomfort
That this technique cannot be stopped until the pain is diminished
The client is informed that this technique may be painful
2
Myositis ossificans is a complication most commonly associated with
Acute tendinitis
Bursitis
Severe contusions
Grade 1 strain
3
It is a professional misconduct to
Remove client files from the clinic where therapist is renting office space
Refuse treatment to a client who consistently comes late for appointments
Charge a fee for providing medical - legal report
Refuse treatment to a client who is abusive to the therapist
4
Client is having a muscle spasm, what stretch technique would be effective in decreasing spasm
AF ROM
Agonist contract
Hold relax
Hold - relax with agonist contract
5
Active trigger points in this muscle would cause pain while walking and commonly causes nocturnal calf pain
Gastrocnemius
Quadriceps femoris
Soleus
Bicep femoris
6
Which of the following causes blood pressure to decrease by stimulating the kidney to excrete more sodium and water
Atrial naturetic peptide
Anti diuretic hormone
Aldosterone
Angiotensin II
7
A colles fracture is
A fracture of the distal ulna
A fracture of the proximal radius
A fracture of the distal radius
A fracture of the proximal ulna
8
Movement of the pelvis which keeps the centre of gravity from excessive movement up or down is called
Pelvic rotation
Medial pelvic tilt
Lateral pelvic tilt
Vertical pelvic shift
9
What is NOT cause of a muscle strain
Severe compression
Over use
Extreme contraction
Sudden over stretch
10
This is the normal end feel for Shoulder joint adduction
Tissue stretch
Hard capsular
Tissue approximation
Soft capsular
11
Internal rotation of humerus, no pain, some shortened muscles and some weakened muscles what combination explains
Weak - pec minor and major, short - teres minor and major
Weak - teres major, pec major short - Infraspinatus, teres minor
Weak - Infraspinatus, teres minor, short - teres major, pec major
Weak - teres minor and major short - Pectoralis minor and major
12
What is a natural opening in a bone through which nerves, blood vessels and ligaments
Foremen
Meatus
Tubercle
Fossa
13
This is an example of bone to bone end feel
Knee flexion
Meniscus tears
Elbow extension
Finger extension
14
Your client is 14yr old and has acne vulgaris located on her face the massage is
Is locally contraindicated
May be performed of she submits the recommendations letter from Dr
May be performed after obtaining and signing consent from parents
Is absolutely contraindicated
15
Are massage therapists permitted to give vitamin information to a client
Therapist can recommend vitamins to relieve specific conditions
Therapist can give specific information if they are selling vitamins
Therapists cannot give and information about vitamins
Therapist can educate clients about benefits of vit for improved health
16
RMT’s must report any sexual abuse by healthcare professionals
appropriate regulatory body depending on profession the abuser belongs to
Only of the offence is committed by another RMT
To the local police department
Only if the offence is committed by someone other than a RMT
17
The laws concerning allergy testing state that massage therapist
May administer scratch test for allergies
May administer allergy tests as long as a a separate receipt is issued
May not administer a test that could elicit a allergic response
May administer tests only under the supervision of a medical doctor
18
Client received tx for 3 months and now has new medication, what actions to comply with current documentation
End the session until there is an understanding of the CI’s of meds
Nothing is required
Ask about side effects of the pathology or meds + if client is changing to
MT cannot prescribe meds therefore therapist do not need to know about them
19
Which of the following best describes an olfactory hallucination that one may experience prior to a migraine with aura
Smelling flowers
Smelling burnt rubber
Smelling sulphur
Smelling toast
20
After mastectomy, need to stimulate blood flow but has little success, CMTO states
Refer client to another health care provider
Recommend a nutritional program
Try acupuncture without asking client
Continue treatment of SA until successful
21
Which of the following muscles will be stretched by lateral flexion of the torso
Contralateral QL
Erector spinae
Restus abdominals
Ipsilateral QL
22
If a client states that she does not feel comfortable about having her abdomen massaged the MT
None of the options
Should prescribe medication to relieve the constipation
May suggest working through the sheet, client clothing and may leave out tx
Must massage the abdomen to relieve constipation
23
Consent to treat must include the following criteria
It must be written and signed
It must be written and voluntary
In must be informed and verbal
In must be verbalized and signed
24
As a MT you suggest to your client to preform push ups will strengthen the
Pectoralis minor
Biceps brachii
Pectoralis major
Latissimus dorsi
25
Before getting off the table the client should be
Asked if the draping is secure
Asked about pain caused by techniques during the session
Asked about comfort level
Asked if he/she needs assistance
26
The effects of massage are physiological and psychological in nature what is psychological effect
Activate the lymphatic system
Better vascular flow
Adhesions release
Reflexive with the neurological systems
27
Which one of the following best describes a situation where feelings toward client can get in the way of helping client
Counter transference
Transference
Projection
Repression
28
This symptom is common at the second trimester of pregnancy ad requires modifications of position during Tx
Supine hypotension
Frequent urination and incontinence
Nausea
Low blood pressure
29
Your client has a carrying angles of more than 15 degree contains is called
Golfer’s elbow
Cubitus Valgus
Cubitus varus
Medial epicondylitis
30
The test is used for assessment of a sprain of the anterior sacroiliac ligament s
Approximation test
Sacroiliac rocking
Transverse anterior stress test
Ipsilateral prone kinetic test
31
The professional organization responsible for increasing the awareness of MT as regulated health profession
Registered massage therapy association of Ontario
Regulated massage therapists association of Ontario
regulated health professional act of Ontario
Regulated massage therapist’s association of Ontario
32
It’s is a normal A-ROM for the pronation of elbow complex
140 - 150 degrees
110 -120 degrees
25 - 30 degrees
80 - 90 degrees
33
When a client lies prone feet over end of table, and therapist squeezes call muscle and zero plantar flexion indicates
Achilles tendon rupture
Second degree flat foot
First degree flat foot
Third degree flat foot
34
When treating a client with moderate hypertension, what modification would you consider
Take bold pressure 15 min into treatment
Apply heat to the feet to direct circulation for the heart
Reduce time in the prone position
Apply a cool compress to the forehead
35
A MT prepares to conduct a manual muscle test of the hip flexors, assuming grade is poor what position is best
Prone
Side lying
Supine
Standing
36
Objective assessment includes testing except
Central neurological condition
Range of motion of joints and muscles
Presence on any internal pins or. Plates
Presence of any acute, sub acute, and chronic condition
37
Which technique is NOT the best choice for the sport inter- competition massage
Cupping
Point hacking
Tapping
Pinching
38
In regards to mandatory reporting to the CMTO which of the following in NOT mandatory to report
Sexual abuse from any other health care practitioner
Suspect elder abuse
Suspected child abuse
Suspected spousal abuse
39
During the lowering phase of a chin up exercise on a bar what muscle is contracting
Bicep brachii eccentrically
Bicep brachii concentrically
Triceps eccentrically
Triceps brachii isometrically
40
What is the most common form of headaches
Vascular headaches
Migraines
Tension headaches
Cluster headaches
41
While performing cervical quadrant test if dizziness or nystagmus occurs it indicates
Pressure on cervical nerves
Compression on the vertebral arteries
Pressure on the cervical nerve roots
Intrathecal space occupying lesion
42
Patella is facing forward, medial aspect of knees +medial malleolus of both limbs, if knees touch but ankles do not
Genu varus
Genu recurvatum
Genu opponenus
Genu valgum
43
What does a positive sign for Homan’s test indicate
Achilles tendon rupture
Deep vein thrombosis
Poor arterial blood supply to the lower limb
Neuroma or stress fracture
44
This test may be used for assessing the tear of transverse numeral ligament
Cozen’s test
Golfers elbow test
Yegarson’s test
Mill’s test
45
A positive gillets test would mean
ASAI stays in one place when the knee and hip are flexed
PSIS moves inferiority when hip and knee is flexed
ASIS moves inferiority when knee and hip are flexed
PSIS stays in one place when the whip and knee are flexed
46
Massage therapist checks a clients deep tendon reflex and finds it normal, what is the grade
3
2
4
0
47
How do you test the length of Tibialis posterior
Planter flexion Eversion
Dorsiflexion and inversion of ankle
Plantar flexion inversion of the ankle
Dorsiflexion version of the ankle
48
Contraction of the gluteus Maximus will cause which movement
Flexion
Internal rotation
Abduction
Extension
49
The purpose of professional liability insurance is to insure the massage therapist against
Loss of income due to unemployment or illness
Lawsuits if a client is injured in and accident on you r premises
Lawsuits if a client is injured by your treatment
Damage due to fire or flooding of your office
50
The concept of the title protection for RMT’s means that
RMT’s must always be addressed by their surnames
Only RMT’s hold to be qualified to practice MT in Ontario
Only RMT’s may preform massage
RMT’s may work only in collaboration with other practitioners
51
The main supporting ligament of the atlantoaxial joint is
Transverse ligament of the atlas
Anterior longitudinal ligament
Apical ligament
Longitudinal ligament of the atlas
52
Sensory distribution of each nerve root is called
Sclerotome
Dermatome
Myotome
Neurotome
53
A MT treating client with pronator teres syndrome, to stretch this muscle
Elbow extension and pronation
Elbow flexion and pronation
Elbow extension and supination
Elbow an wrist extension
54
The purpose of the health history form is to collect which of the following information
Blood pressure
Observation findings
Timing and nature of injuries
Palpatory results
55
Osteoarthritis is a group of chronic condition affecting articular cartilage and bone, best describes
Condition of the CNS
Postural dysfunction
Overuse injury
Joint dysfunction
56
Client is experiencing bursitis at the greater trochanter what would NOT elicit pain
Isometric contraction of hip flexors
Passive adduction of hip
Palpation of greater trochanter
Active resisted lateral rotation to hip
57
A client who is booked for massage therapy misses her appointment, regulation on charging for missed visit
Therapist is not permitted to issue a receipt for missed appointment
Receipt must clearly state that fee was charged for the missed appointment
Therapist is not permitted to charge a fee for a missed appointment
Therapist should not book client for any further massage treatments
58
The most important principles of massage is
Caudal, cranial, caudal
Superficial, deep , superficial
Deep, deeper, deepest
Centripetal, centrifugal, centripetal
59
A client with a C6 nerve root lesion will potentially experience weakness with
Elbow flexion and wrist extension
Elbow flexion and wrist flexion
Elbow extension and wrist flexion
Elbow extension and wrist extension
60
What of the following causes depolarization of the axon
Potassium moving out
Sodium moving in
Chloride moving in
Magnesium moving out
61
You discontinue your business and after a period of time your client wishes to see their file who do they contact
Custodian of health history
CMTO
You, the former massage therapist
Ministry of health
62
Which of the following business names would be acceptable
Joints are us
Kneading hands
King street therapy centre
Thorough thumpers
63
Approximately ……. Degrees of hip flexion is a positive sign of contracted hip flexors
60 - 90
30 - 40
10 - 30
0-20
64
New Clint with whiplash, no CI’s to tx, MT states she apply ice to area , client states Dr said heat?
Change her treatment to use heat
Explain to the client why she is proposing to use ice
Tell client Dr gave bad advice
Tell the client she must have misunderstood Dr
65
Which of the following is a positive sign for the shoulder depression test
Pain at the wrist
Decreased pain
Step deformity at the AC joint
Increased pain
66
All three scalene uncles can refer pain to which girdle region of the shoulder
Lateral, posterior, anterior
Lateral
Anterior
Posterior and anterior
67
CMTO standards of practice state that performing massage on an adult with the genital area undraped is
Permitted at any time only when written consent is received
Permitted when a therapist is performing labour-support massage + consent
Always considered sexual abuse
Permitted only when the client + therapist the same sex + consent obtained
68
This test is good for assessing of bicipital tendonitis
Empty can test
Crank test
Speeds test
Adson’s test
69
Which organs are both gonads and endocrine glands
Cervix
Ovaries
Testes
Ovaries and testes
70
The normal caring angle in males is
0 degrees
10 - 15 degrees
45 degrees
5-10 degrees
71
Schwann cells differ from oligodendrocytes is that
Schwann cells form myelin and oligodendrocytes do not
Schwann cells form sheath around one axon oligodendrocytes several axon
Schwann cells are in PNS and CNS, oligodendrocytes in CNS
Schwann cells form myelin around dendrites , oligodendrocytes on axons
72
Which of the following is a function of CMTO
To provided support through the colleague contact program
To provided professional liability insurance to massage therapists
To develop business promotional strategies for massage therapists
To develop establish and maintain standards of practice
73
Included with the regulated health professions act are
Speech pathologists, massage therapists, and medical radiation tech
Acupuncturists, massage therapist, chiropractors
Dieticians, pharmacists and homeopaths
Chiropodists, nutritionalist, consultant and DR’s
74
What is the grade of strain where the gap between the muscles fibres can be felt
Grade 3
Grade 1
Grade 2
Grade 4
75
What carpal bone is #9
Hamate
Trapezium
Pisiform
Trapezoid
76
The lateral fissure separates the ……… from the rest of the cerebrum
Frontal lobe
Occipital lobe
Temporal lobe
Parietal lobe
77
……. Is the universal treatment of strains and sprains
SHARP
RICE
HEALS
SOAP
78
Supine hypotension is commonly caused by
Retention of fluid
Compression of inferior vena cava against the lumbar spine by fetus
Influence of relaxing
Presence of progesterone in the blood
79
This test is the best for assessing a torn transverse humeral ligament
Yergason’s
Speeds
Allen’s
Adson’s
80
An MT receives her Ontario certificate of registration from CMTO she is requires to keep certificate
Displayed in primary place of business
Safety stored with her files for at least 10 years
In her home where CMTO has her address
With her at all times
81
What action is taken against a MT who is found guilty of insurance fraud in the course of an investigation by CMTO
Mandatory suspension of certificate of practice for a minimum of five years
A fine or other penalties that he discretion of the CMTO
Loss of malpractice insurance
A minimum fine $25 000.00
82
Client with lumbar disc herniation what muscles do you treat for muscle spasm due to attachment to lumbar vertebrae
QL, erector spinae, multifidus and psoas major
External oblique, multifidus, glute med, erector spinae
Psoas major, Piriformis, oblique muscles and glute max
Piriformis, erector spinae, glute med and min
83
Which of the following is NOT a symptom of type 1 diabetes
Excessive weight loss
Poly dips is
Gradual onset
Polyphasic
84
Kathy advises RMT that she does not want anymore treatments but mother and Doctor feel she needs it legally
RMT can use her own discretion depending on the client progress
RMT continues treatment until doctor discharges client
RMT can continue to treat with written consent from the client mother
RMT cannot continue to treat once the client has withdrawn consent
85
What degree of flat foot is mark apex of medial ankle, plantar 1st metatarsal, no weight bearing and tuberosity falls
2nd degree flat foot
3rd degree flatfoot
1st degree flat foot
Achilles tendon rupture
86
What type of joint is the 1st sternocostal joint
Primary cartilaginous
Plane
Saddle
Secondary cartilaginous
87
Which of the following is the most appropriate test to identify a Achilles rupture
Buerger’s test
Thompson’s test
Mortons
Anterior drawer
88
One of the functions of the RMTAO is to
Provided disability and extended health insurance as part of the membership
Train instructors for clients and massage colleges
Support professional development of MT’s with conventions and seminars
Consult with the massage schools to develop curriculum and OSCE testing
89
Where do you palpate the dorsal pedal pulse
Between the 1st and 2nd metatarsals
Behind the lateral malleolus
Behind the medial malleolus
Between the 3rd and 4th metatarsals
90
What document has been created by regulated provinces to standardize MT education is called the
Inter-provincial competency document
Interjurisdictional competency document
Interjudicial competency document
Interregional competency document
91
Stretch your client anterior deltoid, using agonist contract PNF, what muscle is the best muscle to contract
Medial head of tricep
Bicep brachii
Anterior deltoid
Posterior deltoid
92
Which condition is an important CI of the stretch listed in the standards of practice
Instability of the structures or tissue
Condition of the muscle rigidity due to neurological disorder
Chronic stage of inflammation
Older than 60 years old
93
Which kidney hormone controls blood pressure
Calcitriol
Renin
Erythropoietin
Testosterone
94
What action is preformed in the Saginal plane
Abduction of hip while supine
External rotation of the hip while prone
Extension of the hip while standing
Internal rotation of the hip while supine
95
With proper training in acupuncture a MT can
Do acupuncture exclusively and still call MT on receipt
Do acupuncture to clients but must write separate receipt
Do acupuncture with massage tx call massage therapy
Never do acupuncture
96
A MT may discontinue treatments to a client if
Clients spouse calls and states they do not wish their spouse to have tx
He/she has taken a part time job teaching and cutting back hours
The chiropractor says that no further treatments are needed
The client has a disagreeable personality
97
What is the most common cause of a contusion injury
Direct external trauma to a muscle
Muscle contraction against too much resistance
Gradual muscle overuse
Over stretching of ligament outs tissue
98
Which of the following movements will apply a stretch to the plantar fascia
Passive relaxed plantar flexion with over pressure
Passive relaxed extension with over pressure
Active free plantar flexion weight bearing
Active resisted dorsiflexion
99
The difference between the pulmonary artery and pulmonary vein is that the pulmonary artery has
No endothelium
Oxygenated blood
Thicker walls
Valves
100
The health care consent act is binding for all of the following therapists
Regulated health professionals in ontario
Regulated health professional act
Health practitioners in Canada
Health practitioners in ontario

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