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1. Increasing skin metabolism is a reflexive effect of what type of treatment technique?

Your Answer: Incorrect Correct Answer is: Deep effleurage Deep effleurage mechanical effects: stretches veins and lymph vessels, + venous and lymph flow, + waste removal (lymph), moves nutrients through vessels, compresses and stretches fascia, warms superficial tissue and fascia, desquamation of dead skin cells. Reflexive effects: + parasympathetic NS response, - sympathetic NS response, + vasodilation, - heart rate, - blood pressure, slows breathing rate, generally relaxes muscles, + capillary space, - edema and - pain (gate theory), dilation lasts longer, deeper muscle relaxation, releases endorphins, + skin metabolism and + peripheral circulation. 2. Of the following physiological effects of direct pressure friction, which is reflexive? Your Answer: Incorrect Correct Answer is: Decreases spasm Direct pressure friction mechanical effects: Compresses and spreads tissue and temporary ischemia. Reflexive effects: Hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (through the NS or golgi tendon organon tendon), decreases pain, decreases spasm, increases vasodilation, increases peristalsis (on abdomen), affects meridians (shiatsu and acupressure), and decreases sinus congestion. Neuritis= nerve inflammation, it is contraindicated for all frictions. 3. Of the following physiological effects of direct pressure friction, which is mechanical? Your Answer: Incorrect Correct Answer is: Temporary ischemia Direct pressure friction mechanical effects: Compresses and spreads tissue and temporary ischemia. Reflexive effects: Hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (through the NS or golgi tendon organon tendon), decreases pain, decreases spasm, increases vasodilation, increases peristalsis (on abdomen), affects meridians (shiatsu and acupressure), and decreases sinus congestion. Neuritis= nerve inflammation, it is contraindicated for all frictions. 4. Of the following physiological effects, which is a reflexive effect for deep effleurage? Your Answer: Incorrect Correct Answer is: Slower breathing rate Deep effleurage mechanical effects: stretches veins and lymph vessels, + venous and lymph flow, + waste removal (lymph), moves nutrients through vessels, compresses and stretches fascia, warms superficial tissue and fascia, desquamation of dead skin cells. Reflexive effects: + parasympathetic NS response, - sympathetic NS response, + vasodilation, - heart rate, - blood pressure, slows breathing rate, generally relaxes muscles, + capillary space, - edema and - pain (gate theory), dilation lasts longer, deeper muscle relaxation, releases endorphins, + skin metabolism and + peripheral circulation. 5. When performing passive ROM, your client reports pain. The injury or restriction involved would most likely be: Your Answer: Incorrect

Correct Answer is: Articular Passive ROM is done by the practitioner and tests the antagonistic muscle's extensibility or stretch. In passive ROM the client is not using muscle strength. 6. After checking to make sure you are not in danger, you approach a car accident, which victim do you help first? Your Answer: Incorrect Correct Answer is: A female passenger that appears unconscious After assigning some one (when available) to call 911. Always check the unconscious victim for signs of breathing. Next, move onto the young adult with a cut arm, being aware of the female and the infant getting them to a calm status, instructing them to stay and wait for the paramedics to check them more fully. 7. What must you do for a fresh injury that may be a dislocation, fracture, sprain, or strain? Your Answer: Incorrect Correct Answer is: Rest, Immobilize, Cold, and Elevate R.I.C.E= Rest, Immobilize, Cold, and Elevate. Do not move or straighten the injury. Stabilize in the position found with a splint. Rotate Ice pack 20 min. on and 20 min off with a barrier between the ice and the skin. Elevate the injured part if it doesn't cause more pain. 8. While your client is seated, what position should the arm be in to be able to feel the antagonistic abilities of the posterior and anterior deltoid fibers? Your Answer: Incorrect Correct Answer is: Arm at their side with elbow flexed While placing your right hand on the deltoid, shake hands with your clients left hand. Make sure the elbow is at their side then ask them to medially and laterally rotate the arm against 30% resistance. The anterior fibers contract with medial rotation and the posterior fibers with lateral rotation. 9. Increasing vasodilation is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Heat rub friction Heat rub friction has one mechanical effect: heats the skin and warms tissue. Reflexive effects: hyperemia, increases vasodilations, increases local circulation, relaxes muscle, and decreases hypertonicity (because of the warmth). 10. The abdomen can be separated into four quadrants, which of the following is within the right lower quadrant (RLQ)? Your Answer: Incorrect Correct Answer is: Cecum, appendix, and right ovary/ tube RUQ: LiveR, gallbladdeR, duodenum, pancreas, right kidney, and hepatic flexure. RLQ: Cecum, appendix, and right ovary/ tube. LUQ: Stomach, spleen, left kidney, pancreas, and splenic flexure. LLQ: Sigmoid colon and left ovary/ tube.

11. When prioritizing victims of a construction site accident where several injuries occurred from a fall. Who would you help first? Your Answer: Incorrect Correct Answer is: The person who gets up and slowly stumbles away from the scene Check the scene, Call or assign a call to 911 and care for the victims. The person who is stumbling away may be in shock and the most hurt. Bring him close to the other victims to check for major injuries. Then perform first aid as needed. 12. Stimulating organs is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Tapotement Tapotement's mechanical effects: loosens mucus in thoracic cavity, temporary ischemia. Reflexive effects: hyperemia (secondary to ischemia), stimulation of the nervous system, muscles, vessels, skin, and also induces numbing effect if prolonged more then three minutes, increases muscle tone (contract/ relax response), brief vasoconstriction followed by vasodilation, increase in circulation, stimulates organs (lungs and abdominal organs/LB), increases gaseous exchanges, and increase cellular activity. 13. In acute and subacute stages of frozen shoulder the best way to reduce pain during a massage is to perform; Your Answer: Incorrect Correct Answer is: Diaphragmatic breathing Diaphragmatic breathing decreases sympathetic firing reducing pain. Sympathetic nervous system is fight-or-fight and Parasympathetic is rest-and-digest. Passive stretches and Active inhibition techniques are used to improve range of motion, Cross-fiber friction is for reducing adhesions not pain. 14. This technique should not be used repetitively on the limbs of a client with hypertension, heart disease, varicose veins, or edema caused by a thrombus in a vein? Your Answer: Incorrect Correct Answer is: Effleurage Repetitive use on limbs of clients with these pathologies could be life threatening due to increased blood flow (releasing a thrombus or exciting the heart). 15. Hyperemia is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Direct pressure friction Direct pressure friction mechanical effects: compresses and spreads tissue and temporary ischemia. Reflexive effects: hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (through the NS or golgi tendon organon tendon), decreases pain, decreases spasm, increases vasodilation, increases peristalsis (on abdomen), affects meridians (shiatsu and acupressure), and decreases sinus congestion. Neuritis= nerve inflammation, it is contraindicated for all frictions.

16. Of the following physiological effects of linear or circular friction, which is mechanical? Your Answer: Incorrect Correct Answer is: Increases muscle extensibility Linear or circular friction mechanical effects: broadens and stretches muscle tissue, temporary ischemia, decrease in fascial adhesions, and increase muscle extensibility. Reflexive effects: hyperemia (secondary to ischemia), relaxes muscles, decreases hypertonicity (by the nervous system or if done on a tendon, golgi tendon organ), and increases circulation. 17. What would be the best treatment for a client that gets a cramp in the hamstring group while on your table? Your Answer: Incorrect Correct Answer is: Reciprocal inhibition with compression on the hamstring Reciprocal inhibition (RI)= contraction of the opposing muscle or muscle group and stretching the involved muscle or muscle group. RI along with direct pressure on the prime muscle will help it to relax. 18. A new client comes to you requesting a full hour massage on his back, what should you do? Your Answer: Incorrect Correct Answer is: Honor their request The client is coming to you and knows what they want, be flexible and build rapport and confidence with the client so they will want to return. 19. What is the most widely recognized benefit of massage? Your Answer: Incorrect Correct Answer is: Improved relaxation and circulation Improved relaxation and circulation is the most recognized and accepted as a benefit of massage. 20. Hyperemia is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Linear or circular friction Linear or circular friction mechanical effects: broadens and stretches muscle tissue, temporary ischemia, decrease in fascial adhesions, increase muscle extensibility, and breaks up & reforms scar tissue (only mech effect not shared with linear or circular friction). Reflexive effects: hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (by the nervous system or if done on a tendon, golgi tendon organ), and increases circulation. 21. The abdomen can be separated into four quadrants, which of the following is within the left lower quadrant (LLQ)? Your Answer: Incorrect

Correct Answer is: Sigmoid colon and left ovary/ tube RUQ: LiveR, gallbladdeR, duodenum, pancreas, right kidney, and hepatic flexure. RLQ: Cecum, appendix, and right ovary/ tube. LUQ: Stomach, spleen, left kidney, pancreas, and splenic flexure. LLQ: Sigmoid colon and left ovary/ tube. 22. A pre-event sports massage is primarily used to: Your Answer: Incorrect Correct Answer is: Stimulate the muscles and get them "pumped up" By stimulating the muscles, you get them "pumped up" and more flexible, it also reduces the risk of injury and increases body awareness. 23. What would be the best self-care treatment plan for a client with acute bursitis in the shoulder? Your Answer: Incorrect Correct Answer is: Rest from activity and ice With acute bursitis, instruct client to rest from activity, elevate and ice the effected limb. Isometric exercise are recommended as soon as the client can tolerate them. BursITIS= inflammation of the bursa. Bursa's reduce friction normally between tendons and bones, the only way to palpate a bursa if it is inflamed. Caused by overuse of the structures surrounding the bursa. 24. Stimulating synovial activity is a mechanical effect of what type of treatment technique applied over the sacrum? Your Answer: Incorrect Correct Answer is: Coarse vibration Coarse vibration's mechanical effects: loosens mucus in thoracic cavity and stimulates synovial activity (applied over sacrum). Reflexive effects: penetrating stimulation. 25. Where can you find synarthrotic joints? Your Answer: Incorrect Correct Answer is: Skull The skull, sternum and rib 1, the distal tibiofibular joints are all classified as synarthrotic joints. Synarthroses- syn= together, arthro= joint (immovable joints) Sutures (seams) are only in the skull. 26. Increasing circulation and nutrition to the joints is a mechanical effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Swedish gymnastics Swedish gymnastic's mechanical effects: stretches muscles, increases circulation and nutrition to joints (active), increases waste removal (active), decreases adhesions, and increases ROM and flexibility. Reflexive effects: stimulates the nervous system, increases blood pressure, increases body temperature, and affects proprioception (body awareness).

27. What behavior might you expect with a client who reports being abused as a child? Your Answer: Incorrect Correct Answer is: Both A and C Be aware of the reactions to your touch and adjust the massage accordingly. Reactions to healthy touch vary with every individual. 28. Relaxing the muscles and decreasing hypertonicity (HT) is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Fine vibration Fine vibration has no mechanical effect. Reflexive effects: sedation of the nervous system, decrease pain, relaxes muscles, decreases hypertonicity, and stimulates abdominal organs (lower back and abdomen applications). 29. Slowing the breathing rate is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Light and Deep Effleurage Light effleurage has no mechanical effects. It has 10 reflexive effects and six of them deal with blood flow. + parasympathetic NS response, - sympathetic NS response, + vasodilation, - heart rate, - blood pressure, slows breathing rate, generally relaxes muscles, + capillary space, - edema and - pain (gate theory). Deep effleurage mechanical effects: stretches veins and lymph vessels, + venous and lymph flow, + waste removal (lymph), moves nutrients through vessels, compresses and stretches fascia, warms superficial tissue and fascia, desquamation of dead skin cells. Reflexive effects (same as light plus): dilation lasts longer, deeper muscle relaxation, releases endorphins, + skin metabolism and + peripheral circulation. 30. Western Massage gliding strokes are performed: Your Answer: Incorrect Correct Answer is: Centripetal Centripetal= Towards heart Centrifugal= Away from heart.

1. What is the best way to access the rhomboid muscles while your client is in the prone position? Your Answer: Incorrect Correct Answer is: With their hand in the small of his back The rhomboids major and minor originate on the spinous processes of C7-T5 and inserts on the medial border of the scapula. The best way to access them is to place your clients hand in the small of his back and palpate the fibers that run oblique or at an angle like a christmas tree off the spine deep to the trapezius. Have your client press their elbow up towards the ceiling resisting 30% of their strength, this will tighten the traps as well but you will feel the oblique fibers.

2. When draping in a massage you always cover the: Your Answer: Incorrect Correct Answer is: Pelvic area A male client has the option of being draped over the chest area. 3. Increasing waste removal is a mechanical effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Swedish gymnastics Swedish gymnastic's mechanical effects: stretches muscles, increases circulation and nutrition to joints (active), increases waste removal (active), decreases adhesions, and increases ROM and flexibility. Reflexive effects: stimulates the nervous system, increases blood pressure, increases body temperature, and affects proprioception (body awareness). 4. What would be the best self-care treatment you could give to your client with acute plantar fasciitis? Your Answer: Incorrect Correct Answer is: Cold hydro 3-4 times per day to control inflammation and rest from activities In acute care it is always best to rest from activities and use cold hydro and elevate to control inflammation. 5. Relaxing muscles and decreasing hypertonicity (HT) is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Heat rub friction Heat rub friction has one mechanical effect: heats the skin and warms tissue. Reflexive effects: hyperemia, increases vasodilations, increases local circulation, relaxes muscle, and decreases hypertonicity (because of the warmth). 6. What would be the most effective hydrotherapy treatment for a chronic injury? Your Answer: Incorrect Correct Answer is: Vascular flush A contrast application of cold and hot hydro, vasoconstriction, and vasodilation. With chronic end on heat, with sub-acute end on cold, using a 1-3 min. ratio. 7. In order to palpate the contraction of serratus anterior using resistive techniques with your client in supine position, what position should the arm be in? Your Answer: Incorrect Correct Answer is: Flexed shoulder with the fist raised to the ceiling The serratus anterior is only superficial under the axilla or armpit between the pectoralis major and latissimus dorsi. It is a well defined muscle in fighters because of the actions it is in charge of: ABduction and depression of the scapula, it also

holds the medial border of the scapula tight against the rib cage. With the Flexed shoulder and fist towards the ceiling, you can place one hand on the serratus and the other on the fist. Ask your client to alternate between pushing up towards the ceiling against your 30% resistance and then relaxing. 8. This massage technique is applied superficially, the tissue is not compressed and only the minimum amount of pressure is used to make contact with the tissue? Your Answer: Incorrect Correct Answer is: Effleurage Effleurage is often used as an introductory or closing technique. It is also used to palpate differences in temperature. 9. Of the following physiological effects which is a mechanical effect for Swedish gymnastics? Your Answer: Incorrect Correct Answer is: Increases circulation and nutrition to joints Swedish gymnastics mechanical effects: stretches muscles, increases circulation and nutrition to joints (active), increases waste removal (active), decreases adhesions, and increases ROM and flexibility. Reflexive effects: stimulates the nervous system, increases blood pressure, increases body temperature, and affects proprioception (body awareness). 10. When you are done with a client, what is the best way for them to get up off the table? Your Answer: Incorrect Correct Answer is: Rolling onto their side and slowly sitting up The best and safest way to get up off the table after a relaxing massage is to roll onto their side and slowly sit up. 11. After checking to make sure you are not in danger, you approach a car accident, which victim do you help first? Your Answer: Incorrect Correct Answer is: A female passenger that appears unconscious After assigning some one (when available) to call 911. Always check the unconscious victim for signs of breathing. Next, move onto the young adult with a cut arm, being aware of the female and the infant getting them to a calm status, instructing them to stay and wait for the paramedics to check them more fully. 12. Of the following physiological effects of direct pressure friction, which is mechanical? Your Answer: Incorrect Correct Answer is: Compresses and spreads tissue Direct pressure friction mechanical effects: Compresses and spreads tissue and temporary ischemia. Reflexive effects: Hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (through the NS or golgi tendon organon tendon), decreases pain, decreases spasm, increases vasodilation, increases peristalsis (on abdomen), affects meridians (shiatsu and acupressure), and decreases sinus congestion. Neuritis= nerve inflammation, it is contraindicated for all frictions. 13. With your client in side-lying, what action is used to locate the pectoralis minor?

Your Answer: Incorrect Correct Answer is: Depression of the scapula The pectoralis minor depresses and ABducts the scapula while tilting it anteriorly. Hold and support the relaxed elbow in a flexed position and pull it anteriorly while using your outside arm to palpate using the thumb, slowly slide under the surface of the pectoralis major against the ribcage onto the fiber of the pec minor. Ask your client to depress the scapula slowly down towards the hip so you can feel the pectoralis minor fibers. 14. When checking an ill or injured person for signs of life, never check for more than: Your Answer: Incorrect Correct Answer is: 10 seconds To check for signs of life: open the airway; tilt head, lift chin and check for movement and breathing for no more than 10 seconds 15. Stimulating the nervous system is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Swedish gymnastics Swedish gymnastic's mechanical effects: stretches muscles, increases circulation and nutrition to joints (active), increases waste removal (active), decreases adhesions, and increases ROM and flexibility. Reflexive effects: stimulates the nervous system, increases blood pressure, increases body temperature, and affects proprioception (body awareness). 16. What is the best position to properly access the common extensor tendon of the elbow? Your Answer: Incorrect Correct Answer is: Placing the forearm in slight flexion The tendon placed in this position can be found distal to the lateral epicondyle. The tendon is found when the forearm moves between pronation and supination. 17. To integrate your entire body within your manual manipulations utilizing all your tools, it is best to? Your Answer: Incorrect Correct Answer is: All of the above All will help to develop a dynamic application of your mechanics, for successful use and longevity of your body's tools for manual therapy. 18. Which of the following are contraindications when working on trigger points associated with tension headaches? Your Answer: Incorrect Correct Answer is: All of the above

A tension headache is a muscle contraction or myofascial pain associated with trigger points. During a tension headache to avoid kick back pain, do not work to deep. Stay away from any vigorous techniques. Apply ischemic compressions slowly. After working on trigger points it is best to follow it up with heat, slow passive stretching and pain-free full active range of motion. 19. Decreasing pain is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Fine vibration Fine vibration has no mechanical effect. Reflexive effects: sedation of the nervous system, decrease pain, relaxes muscles, decreases hypertonicity, and stimulates abdominal organs (lower back and abdomen applications). 20. Of the following physiological effects of tapotement, which is reflexive? Your Answer: Incorrect Correct Answer is: Increases gaseous exchanges Tapotement's mechanical effects: loosens mucus in thoracic cavity, temporary ischemia. Reflexive effects: hyperemia (secondary to ischemia), stimulation of the nervous system, muscles, vessels, skin and also induces numbing effect if prolonged more then three minutes, increase muscle tone (contract/ relax response), brief vasoconstriction followed by vasodilation, increase in circulation, stimulates organs (lungs and abdominal organs/LB), increases gaseous exchanges, and increases cellular activity. 21. What is the best position to palpate the superior angle of the scapula? Your Answer: Incorrect Correct Answer is: Sidelying with scapula superiorly elevated towards the head The best way to palpate the superior angle is to have your client in sidelying position with the scapula superiorly elevated towards the head, its located between the ribs deep to the trapezius. You can feel the superior angle better when it is away from the ribcage. Insertion of the Levator scapula. 22. Increasing peripheral circulation is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Deep effleurage Deep effleurage mechanical effects: stretches veins and lymph vessels, + venous and lymph flow, + waste removal (lymph), moves nutrients through vessels, compresses and stretches fascia, warms superficial tissue and fascia, desquamation of dead skin cells. Reflexive effects: + parasympathetic NS response, - sympathetic NS response, + vasodilation, - heart rate, - blood pressure, slows breathing rate, generally relaxes muscles, + capillary space, - edema and - pain (gate theory), dilation lasts longer, deeper muscle relaxation, releases endorphins, + skin metabolism and + peripheral circulation. 23. To palpate the lower fibers of the trapezius, draw a line from the spine of the scapula to? Your Answer: Incorrect

Correct Answer is: The spinous process of T-12 Follow the shafts of the last (12th) floating rib to locate the thorasic or T-12. You can palpate the spinous process just inferior. Starting origin for the trapezius. To feel the superficial fibers, have your prone client hold their arms in front of them like superman. 24. What would be the best definition for Reciprocal Inhibition? Your Answer: Incorrect Correct Answer is: An isometric contraction of an antagonist to relax the agonist that holds a cramp or spasm Isotonic= moving contraction, Isometric= non-moving contraction. The cramp or spasm is in the agonist, so you must contract the antagonist using resistance and holding it until the pain dissipates. 25. Which of the following physiological effects is a reflexive component of petrissage? Your Answer: Incorrect Correct Answer is: Increases blood pressure (on abdomen) Petrissage mechanical effects: Stretches veins and lymph vessels, increases venous flow, increases waste removal, decreases adhesions, moves interstitial fluids and stretches and broadens muscle fibers. Reflexive effects: Slow strokes relax the nervous system, fast strokes stimulate the nervous system, increases peristalsis (on abdomen), increases blood pressure (on abdomen), affects proprioception, decrease hypertonicity, and increases glandular activity of skin. 26. Stimulating and relaxing muscles is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Jostling or shaking Jostling or shaking mechanical effects: stimulates synovial activity (applied over sacrum). Reflexive effects: stimulates or relaxes muscles (depending on the depth and rhythm), decreases muscle guarding or tonicity, and hyperemia (secondary to ischemia). 27. Western Massage gliding strokes are performed: Your Answer: Incorrect Correct Answer is: Centripetal Centripetal= Towards heart Centrifugal= Away from heart. 28. Of the following physiological effects of direct pressure friction, which is reflexive? Your Answer: Incorrect Correct Answer is: Relaxes muscles and decreases hypertonicity Direct pressure friction mechanical effects: Compresses and spreads tissue and temporary ischemia. Reflexive effects: Hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (through the NS or golgi tendon organon tendon), decreases pain, decreases spasm, increases vasodilation, increases peristalsis (on abdomen), affects meridians (shiatsu and acupressure), and decreases sinus congestion. Neuritis= nerve inflammation, it is contraindicated

for all frictions. 29. The best type of oil to use to keep from staining your linens is: Your Answer: Incorrect Correct Answer is: Water-dispersible oil Mineral oil clogs pores and is a byproduct in the production of gasoline. Olive oil is a good base but stays in sheets. Water-dispersible oil washes out easier for better maintenance of sheets and is great for the skin as well. 30. Who would you help first when injuries at a construction site occurred? Your Answer: Incorrect Correct Answer is: A male stumbling from the scene Check the scene, assigning some one (when available) to call 911 and care for the victims. The person who is stumbling away may be in shock and the most hurt. Bring him close to the other victims to check for major injuries. Then perform first aid on the broken/ bleeding arm then check the others.

1. What three structures form the femoral triangle border? Your Answer: Incorrect Correct Answer is: Inguinal ligament, sartorius and adductor longus The inguinal or femoral region is also known as the femoral triangle. The three borders are: inguinal ligament, sartorius and adductor longus. The peripheral structures that are superficial in this area are the femoral artery, vein and nerve (avoid long compressions). 2. Of the following physiological effects of direct pressure friction, which is reflexive? Your Answer: Incorrect Correct Answer is: Increases peristalsis (on abdomen) Direct pressure friction mechanical effects: Compresses and spreads tissue and temporary ischemia. Reflexive effects: Hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (through the NS or golgi tendon organon tendon), decreases pain, decreases spasm, increases vasodilation, increases peristalsis (on abdomen), affects meridians (shiatsu and acupressure), and decreases sinus congestion. Neuritis= nerve inflammation, it is contraindicated for all frictions. 3. To orient the technique of cross-fiber friction at right angles to the fibers of the structures being treated, it is essential to: Your Answer: Incorrect Correct Answer is: Have a working knowledge of anatomy Using cross-fiber friction treatment requires prior consent to treat with the knowledge that it can be painful and deep. Open communication and preparation of the tissue are essential for proper use of this technique.

4. Of the following physiological effects, which is a mechanical effect for deep effleurage? Your Answer: Incorrect Correct Answer is: Moves nutrients through vessels Deep effleurage mechanical effects: stretches veins and lymph vessels, + venous and lymph flow, + waste removal (lymph), moves nutrients through vessels, compresses and stretches fascia, warms superficial tissue and fascia, desquamation of dead skin cells. Reflexive effects: + parasympathetic NS response, - sympathetic NS response, + vasodilation, - heart rate, - blood pressure, slows breathing rate, generally relaxes muscles, + capillary space, - edema and - pain (gate theory), dilation lasts longer, deeper muscle relaxation, releases endorphins, + skin metabolism and + peripheral circulation. 5. What is the acronym for the universal treatment of sprains and strains? Your Answer: Incorrect Correct Answer is: RICE RICE= Rest, Ice, Compress, and Elevate. 6. In a ninth century temple carving in India, who can be found getting a massage? Your Answer: Incorrect Correct Answer is: Buddha Buddha is depicted in a ninth century temple carving in India getting a massage. The Hindi term champna means to press or massage and is highly thought to be the origin of the word shampooing, a word used by English writers to describe a wash, rub, or lathering of the hair. 7. Penetrating stimulation is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Coarse vibration Coarse vibration's mechanical effects: loosens mucus in thoracic cavity and stimulates synovial activity (applied over sacrum). Reflexive effects: penetrating stimulation. 8. Decreasing blood pressure is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Light and Deep Effleurage Light effleurage has no mechanical effects. It has 10 reflexive effects and six of them deal with blood flow. + parasympathetic NS response, - sympathetic NS response, + vasodilation, - heart rate, - blood pressure, slows breathing rate, generally relaxes muscles, + capillary space, - edema and - pain (gate theory). Deep effleurage mechanical effects: stretches veins and lymph vessels, + venous and lymph flow, + waste removal (lymph), moves nutrients through vessels, compresses and stretches fascia, warms superficial tissue and fascia, desquamation of dead skin cells. Reflexive effects (same as light plus): dilation lasts longer, deeper muscle relaxation, releases endorphins, + skin metabolism and + peripheral circulation. 9. Which stroke is used to begin and end a swedish massage?

Your Answer: Incorrect Correct Answer is: Effleurage Effleurage= to glide, stroke or touch lightly. 10. What would be the best technique for a client with stress? Your Answer: Incorrect Correct Answer is: Trigger point treatments Decreasing muscular tension by trigger point therapy, can be uncomfortable during treatment but will reduce referred pain and enhance relaxation. Therapists must not apply repeated pressure on any artery. A stimulating or aggressive massage will induce the opposite desired effect. 11. To reduce symptoms, some massage treatments can be temporarily uncomfortable, such as friction. It is best to: Your Answer: Incorrect Correct Answer is: Work within the clients pain tolerance Always adjust treatment to clients pain tolerance. Communicate that pain is involved but it can be stopped at any time. Using breathwork along with treatments will help decrease pain during treatment and help to relax muscles more effectively. Include self-care for client in the exit interview including water and stretches to help alleviate the possibility of pain after treatment, always discuss the benefits of the treatment. 12. Stimulating organs is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Tapotement Tapotement's mechanical effects: loosens mucus in thoracic cavity, temporary ischemia. Reflexive effects: hyperemia (secondary to ischemia), stimulation of the nervous system, muscles, vessels, skin, and also induces numbing effect if prolonged more then three minutes, increases muscle tone (contract/ relax response), brief vasoconstriction followed by vasodilation, increase in circulation, stimulates organs (lungs and abdominal organs/LB), increases gaseous exchanges, and increase cellular activity. 13. What is the best way to access the rhomboid muscles while your client is in the prone position? Your Answer: Incorrect Correct Answer is: With their hand in the small of his back The rhomboids major and minor originate on the spinous processes of C7-T5 and inserts on the medial border of the scapula. The best way to access them is to place your clients hand in the small of his back and palpate the fibers that run oblique or at an angle like a christmas tree off the spine deep to the trapezius. Have your client press their elbow up towards the ceiling resisting 30% of their strength, this will tighten the traps as well but you will feel the oblique fibers. 14. With your client in side-lying, what action is used to locate the pectoralis minor? Your Answer:

Incorrect Correct Answer is: Depression of the scapula The pectoralis minor depresses and ABducts the scapula while tilting it anteriorly. Hold and support the relaxed elbow in a flexed position and pull it anteriorly while using your outside arm to palpate using the thumb, slowly slide under the surface of the pectoralis major against the ribcage onto the fiber of the pec minor. Ask your client to depress the scapula slowly down towards the hip so you can feel the pectoralis minor fibers. 15. Relaxing muscles and decreasing hypertonicity (HT) is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Linear or circular friction Linear or circular friction mechanical effects: broadens and stretches muscle tissue, temporary ischemia, decrease in fascial adhesions, increase muscle extensibility, and breaks up & reforms scar tissue (only mech effect not shared with linear or circular friction). Reflexive effects: hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (by the nervous system or if done on a tendon, golgi tendon organ), and increases circulation. 16. When dealing with an injury, whether it is a dislocation, fracture, sprain or strain, what must be done? Your Answer: Incorrect Correct Answer is: All of the above R.I.C.E= Rest, Immobilize, Cold and Elevate. Do not move or straighten the injury. Stabilize in the position found with a splint. Rotate Ice pack 20 min. on and 20 min off with a barrier between the ice and the skin. Elevate the injured part if it doesn't cause more pain. 17. Creating a numbing effect if applied longer then three minutes is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Tapotement Tapotement's mechanical effects: loosens mucus in thoracic cavity, temporary ischemia. Reflexive effects: hyperemia (secondary to ischemia), stimulation of the nervous system, muscles, vessels, skin, and also induces numbing effect if prolonged more then three minutes, increases muscle tone (contract/ relax response), brief vasoconstriction followed by vasodilation, increase in circulation, stimulates organs (lungs and abdominal organs/LB), increases gaseous exchanges, and increase cellular activity. 18. If a client is requesting a massage to decrease the acute pain from periostitis or compartment syndrome in both legs, what would be the best treatment? Your Answer: Incorrect Correct Answer is: Place client in prone and with cold packs on both calf's perform lymph drainage techniques bilaterally starting at the sacrum Acute periostitis and compartment syndrome produces pain in the lower leg due to trauma, poor technique, overtraining, improper footwear, and running on uneven or hard surfaces. Always use cold hydro for acute inflammation heat will only increase the inflammation. Lymph drainage to reduce inflammation ending proximal to acute area and utilizing the rest of the massage as a relaxation can aid the healing process.

19. In acute and subacute stages of frozen shoulder the best way to reduce pain during a massage is to perform; Your Answer: Incorrect Correct Answer is: Diaphragmatic breathing Diaphragmatic breathing decreases sympathetic firing reducing pain. Sympathetic nervous system is fight-or-fight and Parasympathetic is rest-and-digest. Passive stretches and Active inhibition techniques are used to improve range of motion, Cross-fiber friction is for reducing adhesions not pain. 20. Of the following physiological effects, which is a mechanical effect for deep effleurage? Your Answer: Incorrect Correct Answer is: Increases venous and lymph flow Deep effleurage mechanical effects: stretches veins and lymph vessels, + venous and lymph flow, + waste removal (lymph), moves nutrients through vessels, compresses and stretches fascia, warms superficial tissue and fascia, desquamation of dead skin cells. Reflexive effects: + parasympathetic NS response, - sympathetic NS response, + vasodilation, - heart rate, - blood pressure, slows breathing rate, generally relaxes muscles, + capillary space, - edema and - pain (gate theory), dilation lasts longer, deeper muscle relaxation, releases endorphins, + skin metabolism and + peripheral circulation. 21. If a client has chronic low back pain, which muscle would be stretch weakened and given as homework for strengthening? Your Answer: Incorrect Correct Answer is: Rectus abdominus Strengthening the abdominal muscles or core, will relieve the shortened QLs and ESGs, creating a better balance between these muscle structures. 22. As the tissue heals from a wound or burn, modifications of hydrotherapy treatments are required when applying to the affected area because of: Your Answer: Incorrect Correct Answer is: Hypersensitivity to temperature extremes Hypersensitivity with newly formed tissue may damage the affected area. With burns, there is also a possibility of the inability to dissipate heat. 23. Branches of the brachial plexus and subclavian artery pass through what two muscles? Your Answer: Incorrect Correct Answer is: Anterior and middle scalenes The anterior and middle scalenes have a little passageway for the brachial plexus and subclavian artery. 24. Of the following physiological effects, which is a reflexive effect for jostling and shaking?

Your Answer: Incorrect Correct Answer is: Hyperemia Jostling or shaking mechanical effects: stimulates synovial activity (applied over sacrum). Reflexive effects: stimulates or relaxes muscles (depending on the depth and rhythm), decreases muscle guarding or tonicity and hyperemia (secondary to ischemia). 25. What can you do in order to properly treat an acute muscle spasm? Your Answer: Incorrect Correct Answer is: Cold hydrotherapy Spasm= involuntary and sustained muscle contraction (stretch the antagonist muscle and contract agonist). Most acute injuries will be followed by inflammation, hot hydro is contraindicated for any stage of inflammation. Cold hydro reduces symptoms of heat and inflammation. 26. What would be the best action for your client to resist in finding the latissimus dorsi's lateral border, when the client is in prone position with the arm off the side of the table? Your Answer: Incorrect Correct Answer is: Medial rotation Grasp the latissimus dorsi's lateral tissue with your thumb and fingers of one hand at the lateral border of the scapula. Use the other to place on the palm side of the forearm for medial rotation resistance. You will be able to follow the latissimus dorsi superiorly to the armpit or axilla and inferiorly to the ribs. The fibers of both the latissimus dorsi and teres major are distinguishable during medial rotation, lats are lateral and teres major is medial they are complete synergist. 27. For treatment of fibrotic areas, the techniques are applied which direction? Your Answer: Incorrect Correct Answer is: Cross-fiber Cross-fiber direction or in the direction of the restriction. 28. If you are working with acute acquired torticollis, what should you avoid? Your Answer: Incorrect Correct Answer is: Passively stretching the spasmodic muscles In acquired torticollis using passive stretching on the spasmodic muscles is a contraindication. GTO= golgi tendon organ release. O/I= origin and insertion technique. SCM= sternocleidomastoid. 29. Of the following physiological effects of linear or circular friction, which is mechanical? Your Answer: Incorrect Correct Answer is: Broadens and stretches muscle tissue

Linear or circular friction mechanical effects: broadens and stretches muscle tissue, temporary ischemia, decrease in fascial adhesions, and increase muscle extensibility. Reflexive effects: hyperemia (secondary to ischemia), relaxes muscles, decreases hypertonicity (by the nervous system or if done on a tendon, golgi tendon organ), and increases circulation. 30. Increasing circulation and nutrition to the joints is a mechanical effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Swedish gymnastics Swedish gymnastic's mechanical effects: stretches muscles, increases circulation and nutrition to joints (active), increases waste removal (active), decreases adhesions, and increases ROM and flexibility. Reflexive effects: stimulates the nervous system, increases blood pressure, increases body temperature, and affects proprioception (body awareness).

1. What acronym is used for the signs of inflammation? Your Answer: Incorrect Correct Answer is: SHARP SHARP= five cardinal signs of inflammation, swelling, heat, a loss of function, redness, and pain. 2. In cryotherapy, what would be the vascular response? Your Answer: Incorrect Correct Answer is: Vasoconstriction Cryo=Frozen. Vasodilation occurs as a thermal response. 3. Of the following physiological effects, which is a reflexive effect for deep effleurage? Your Answer: Incorrect Correct Answer is: Increases parasympathetic nervous system response Deep effleurage mechanical effects: stretches veins and lymph vessels, + venous and lymph flow, + waste removal (lymph), moves nutrients through vessels, compresses and stretches fascia, warms superficial tissue and fascia, desquamation of dead skin cells. Reflexive effects: + parasympathetic NS response, - sympathetic NS response, + vasodilation, - heart rate, - blood pressure, slows breathing rate, generally relaxes muscles, + capillary space, - edema and - pain (gate theory), dilation lasts longer, deeper muscle relaxation, releases endorphins, + skin metabolism and + peripheral circulation. 4. Which muscle would you stretch to relieve a runner who is complaining of a hamstring spasm? Your Answer: Incorrect Correct Answer is: Hamstring

Always check to make sure that the runner has not suffered an injury, removing protective spasms or reflexive muscle guarding is contraindicated. Stretch the prime mover for relief. 5. What bony landmark is closest to the pain location of a person with golfer's elbow? Your Answer: Incorrect Correct Answer is: Medial epicondyle Golfer's elbow is also known as common flexor tendinosis and medial epicondylitis. Pain is felt at the medial epicondyle along with a weak grip. 6. To assist in venous return and milk the tissue, which of the following strokes would be most effective? Your Answer: Incorrect Correct Answer is: Petrissage Petrissage= to knead. Used as a beginning stroke for deeper work, to increase circulation, help break up adhesions, help stretch and relax muscle tissue, improve peristalsis (intestine contractions), decrease muscle hypertension. 7. Penetrating stimulation is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Coarse vibration Coarse vibration's mechanical effects: loosens mucus in thoracic cavity and stimulates synovial activity (applied over sacrum). Reflexive effects: penetrating stimulation. 8. What is the best position to palpate the superior angle of the scapula? Your Answer: Incorrect Correct Answer is: Sidelying with scapula superiorly elevated towards the head The best way to palpate the superior angle is to have your client in sidelying position with the scapula superiorly elevated towards the head, its located between the ribs deep to the trapezius. You can feel the superior angle better when it is away from the ribcage. Insertion of the Levator scapula. 9. Decreasing pain is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Light and Deep Effleurage Light effleurage has no mechanical effects. It has 10 reflexive effects and six of them deal with blood flow. + parasympathetic NS response, - sympathetic NS response, + vasodilation, - heart rate, - blood pressure, slows breathing rate, generally relaxes muscles, + capillary space, - edema and - pain (gate theory). Deep effleurage mechanical effects: stretches veins and lymph vessels, + venous and lymph flow, + waste removal (lymph), moves nutrients through vessels, compresses and stretches fascia, warms superficial tissue and fascia, desquamation of dead skin cells. Reflexive effects (same as light plus): dilation lasts longer, deeper muscle relaxation, releases endorphins, + skin metabolism and + peripheral circulation.

10. All of the following are variations in friction except: Your Answer: Incorrect Correct Answer is: Pincement Friction= Direct pressure, linear / circular friction, cross fiber friction, and heat rub. Pincement is a variation of tapotement. 11. If you were to start at the anterior flap of the upper trapezius and move anteriorly, what order would you palpate the following muscles? Your Answer: Incorrect Correct Answer is: Trapezius, levator scapula, posterior, middle and anterior scalenes The order is trapezius, levator scapula, posterior, middle and anterior scalenes. 12. If a person does not consent to you giving them emergency care, what should you do? Your Answer: Incorrect Correct Answer is: Do not give care and call 911 A person must consent if they are conscious. Call 911 and wait to see if they become unconscious then begin care. 13. A(n) ____________ compression is a static compression applied by the therapist's thumbs, fingertips, or olecranon to a trigger point? Your Answer: Incorrect Correct Answer is: Ischemic A trigger point is a hyperirritable spot, usually within a taut band of skeletal muscle or its fascia. While staying within the client's pain tolerance, the pressure used is sufficient to temporarily cause local ischemia in the tissue. 14. Increasing circulation is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Tapotement Tapotement's mechanical effects: loosens mucus in thoracic cavity, temporary ischemia. Reflexive effects: hyperemia (secondary to ischemia), stimulation of the nervous system, muscles, vessels, skin, and also induces numbing effect if prolonged more then three minutes, increases muscle tone (contract/ relax response), brief vasoconstriction followed by vasodilation, increase in circulation, stimulates organs (lungs and abdominal organs/LB), increases gaseous exchanges, and increase cellular activity. 15. With your client in side-lying, what action is used to locate the pectoralis minor? Your Answer: Incorrect

Correct Answer is: Depression of the scapula The pectoralis minor depresses and ABducts the scapula while tilting it anteriorly. Hold and support the relaxed elbow in a flexed position and pull it anteriorly while using your outside arm to palpate using the thumb, slowly slide under the surface of the pectoralis major against the ribcage onto the fiber of the pec minor. Ask your client to depress the scapula slowly down towards the hip so you can feel the pectoralis minor fibers. 16. Increasing vasodilation is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Direct pressure friction Direct pressure friction mechanical effects: compresses and spreads tissue and temporary ischemia. Reflexive effects: hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (through the NS or golgi tendon organon tendon), decreases pain, decreases spasm, increases vasodilation, increases peristalsis (on abdomen), affects meridians (shiatsu and acupressure), and decreases sinus congestion. Neuritis= nerve inflammation, it is contraindicated for all frictions. 17. Decreasing fascial adhesions is a mechanical effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Cross-fiber friction Cross-fiber friction mechanical effects: broadens and stretches muscle tissue, temporary ischemia, decrease in fascial adhesions, increase in muscle extensibility, and breaks up and reforms scar tissue. Reflexive effects: hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (by the nervous system or if done on a tendon, golgi tendon organ), and increases circulation. 18. Palpation of temperature, muscle tone, tenderness, and texture are incorporated with which swedish technique? Your Answer: Incorrect Correct Answer is: Effleurage Effleurage= French "effleurer", to glide or touch lightly. This technique prepares the tissue for deeper work. 19. To integrate your entire body within your manual manipulations utilizing all your tools, it is best to? Your Answer: Incorrect Correct Answer is: All of the above All will help to develop a dynamic application of your mechanics, for successful use and longevity of your body's tools for manual therapy. 20. Dilation lasting longer is a reflexive effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Deep effleurage Deep effleurage mechanical effects: stretches veins and lymph vessels, + venous and lymph flow, + waste removal

(lymph), moves nutrients through vessels, compresses and stretches fascia, warms superficial tissue and fascia, desquamation of dead skin cells. Reflexive effects: + parasympathetic NS response, - sympathetic NS response, + vasodilation, - heart rate, - blood pressure, slows breathing rate, generally relaxes muscles, + capillary space, - edema and - pain (gate theory), dilation lasts longer, deeper muscle relaxation, releases endorphins, + skin metabolism and + peripheral circulation. 21. What is another word for rubbing toward the heart? Your Answer: Incorrect Correct Answer is: Anatripsis Anatripsis is another word for rubbing toward the heart. 22. Temporary ischemia is a mechanical effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Linear or circular friction Linear or circular friction mechanical effects: broadens and stretches muscle tissue, temporary ischemia, decrease in fascial adhesions, increase muscle extensibility, and breaks up & reforms scar tissue (only mech effect not shared with linear or circular friction). Reflexive effects: hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (by the nervous system or if done on a tendon, golgi tendon organ), and increases circulation. 23. Of the following physiological effects of coarse vibration, which is mechanical? Your Answer: Incorrect Correct Answer is: Loosens mucus in thoracic cavity Coarse vibrations mechanical effects: loosens mucus in thoracic cavity and stimulates synovial activity (applied over sacrum). Reflexive effects: penetrating stimulation. 24. What is the best position to palpate the supraspinatus muscle belly? Your Answer: Incorrect Correct Answer is: Prone With client in the prone position, sit at the head of the table with right hand finding the scapula spine and left had gently supporting the arm just above the elbow (the arm is along side the body). After finding the scapula spine with the right hand move superior onto the fossa of the supraspinatus. you will need to palpate through the relaxed trapezius fibers to the fibers that are parallel to the scapula spine. To insure you are on the muscle belly, have your client gently alternate between ABducting and relaxing the shoulder. 25. Repetitive activities that include forceful radial deviation and supination such as wheelchair athletes and racquet sports can cause injury to the: Your Answer: Incorrect Correct Answer is: Common extensor tendon The common extensor tendon injury is caused by repetitive forceful movements such as radial deviation and supination

in sport involving a racquet and poor techniques to wheelchair athletes, plumbers and meet cutters, also known as lateral epicondylitis or tennis elbow. 26. To bring the coracoacromial ligament closer to the surface, what action will roll the humeral head anteriorly, pressing the ligament forward? Your Answer: Incorrect Correct Answer is: Extension Extending the arm rolls the head of the humerus anteriorly, pressing the coracoacromial ligament forward. 27. Moving superficial layers of tissue over deep layers of tissue effecting underlying structures, is defined as: Your Answer: Incorrect Correct Answer is: Friction Friction= a stroke that compresses soft tissue into underlying structures. Can be static, linear, circular, or cross fiber and can also be done by rubbing the skin briskly. 28. A cyclist complains during a post-event massage that there is a lot of pain in the gluts. She also reports feeling a pop during a sprint and it hurts when she walks up-stairs. She asks you to work on them. What should you do? Your Answer: Incorrect Correct Answer is: Suggest that she go to the medical tent and return for a massage, if given the ok Never massage a fresh injury without consent from the medical staff. You could exacerbate the injury, taking longer for it to heal. 29. Mechanical pressure of massage techniques on the veins and lymphatics creates: Your Answer: Incorrect Correct Answer is: An increases in circulation Mechanical centripetal pressure of techniques increase venous return and can mechanically empty venous beds, lower venous pressure, and increase capillary flow. 30. Broadening and stretching muscle tissue is a mechanical effect of what type of treatment technique? Your Answer: Incorrect Correct Answer is: Cross-fiber friction Cross-fiber friction mechanical effects: broadens and stretches muscle tissue, temporary ischemia, decrease in fascial adhesions, increase in muscle extensibility, and breaks up and reforms scar tissue. Reflexive effects: hyperemia (secondary to ischemia), relaxes muscles and decreases hypertonicity (by the nervous system or if done on a tendon, golgi tendon organ), and increases circulation.