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A client comes to you complaining of pain in his right shoulder, he can't lay on the affected side and pain is most sever at night. The pain is at the insertion of the deltoid and also has some pain in the elbow. What condition would you treat your client for? Your Answer: Incorrect Correct Answer is: Frozen shoulder These are symptoms of Acute frozen shoulder, pain is gradual and stiffness is progressive. The acute stage can last 2 to 9 months. In intake interview check for anti-inflammatories. 2. Which of these is a reason for a suspension of your license? Your Answer: Incorrect Correct Answer is: All of the above All of the listed answers are reasons for a suspension of your license. 3. The Society of Trained Masseuses was formed in: Your Answer: Incorrect Correct Answer is: 1894 The Society of Trained Masseuses was formed in 1894. 4. The three structural joint types are synarthrotic, amphiarthrotic, and diarthrotic, what joints are amphiarthotic? Your Answer: Incorrect Correct Answer is: Pubic symphysis and intervertebral bodies Joint Function / Structure: Synarthrotic / Fibrous, Amphiarthrotic / Cartilaginous, Diarthrotic / Synovial. (SAD) Fibrous (S), cartilaginous (A) and Synovial (D). Amphiarthotic are the pubic symphysis and intervertebral bodies. 5. Where can you find the patellar tendon? Your Answer: Incorrect Correct Answer is: Inferior to the patella Patellar tendon or Ligament is inferior to the patella. Just superior the seemingly same tendon is called the Quadriceps tendon. 6. What would be the best self-care treatment you could give to your client with chronic plantar fasciitis? Your Answer: Incorrect Correct Answer is: Gradually return to non-weight bearing activities like swimming or bicycling and cold hydro to control inflammation You can also have your client heat their calf muscles before activity along with stretches after heat and after activity.

Make sure changes in footwear and non-weight bearing activities are encouraged for proper healing. 7. What type of ROM testing is used to pinpoint adhesions? Your Answer: Incorrect Correct Answer is: Active resisted In AR isometric exercise, the muscle contracts statically or isometricly, without any visible joint motion or muscle shortening. The client contracts the muscle, stress is placed on it, painfully pulling on the adhesion site where the frictions need to be applied in cross-fiber friction. All other answers are not ROM tests. Adson's assesses for thoracic outlet syndrome (TOS). Babinski's tests for spasticity within the central nervous system lesions. Bragard's assesses for meniscal tearing. 8. The superior third of the vertebral border and the superior angle of the scapula is the insertion site for which muscle? Your Answer: Incorrect Correct Answer is: Levator scapula The superior third of the vertebral border and superior angle of the scapula is the insertion site for the levator scapula. 9. Of the following groups of muscles choose the group that ABducts and ADducts the scapula? Your Answer: Incorrect Correct Answer is: ABduct: serratus anterior and pectoralis minor, ADduct: rhomboid major and minor The two scapula ABductors: Serratus anterior and pectoralis minor. The three scapula ADductors: Trapezius (middle), rhomboid major and minor. 10. Of the following epithelial membranes, which is exposed to air and is dry? Your Answer: Incorrect Correct Answer is: Cutaneous membrane The cutaneous membrane is your skin, the superficial epidermis composed of keratinizing stratified squamous epithelium and exposed to air being a dry membrane. Mucous membranes line all body cavities that open to the exterior (hollow organs; respiratory, digestive, urinary, and reproductive tracts) and is wet. Serous occur in pairs= parietal and visceral membranes line ventral body cavities closed to the exterior. 11. Which organ system is in charge of regulating body temperature and preventing water loss? Your Answer: Incorrect Correct Answer is: The Integumentary System The Integumentary System is made up of the skin, hair, nails, and sweat glands. Protecting the body, producing Vitamin D precursors, and preventing water loss are just a few functions of the Integumentary system. 12. In order to align connective tissue, what technique is used? Your Answer:

Incorrect Correct Answer is: Cross fiber friction over ligaments and tendons Bringing blood to the area along with aligning the fibers as they are in repair, will produce better function in the repaired ligament or tendon, and less scar tissue. The non-swedish technique is Cross-Fiber Friction, it is also known as the Cyriax Technique, but never called transverse technique. 13. The cervical spines Nuchal ligament is also known as? Your Answer: Incorrect Correct Answer is: Ligamentum nuchae The nuchal ligament is also known as the ligamentum nuchae. It is attached to the occipital protuberance and the spinous processes of C1 to C6, It becomes smaller at C7 and is known as the supraspinous ligament. The Nuchal ligaments job is to limit flexion. The other three cervical ligaments; transverse, apical, and alar are not palpable, but play an important part in stabilizing the joints between the occiput, C1 and C2. 14. What is the term for the posterior vertical ridge on the femur? Your Answer: Incorrect Correct Answer is: Linea aspera The linea aspera is the term for the posterior vertical ridge on the femur. 15. Of the following, which is the best choice for a scope of practice defined as a service provided to enhance the health, condition, and appearance of skin, hair, and nails? Your Answer: Incorrect Correct Answer is: Cosmetology Cosmetologist scope of practice is a service provided to enhance the health, condition, and appearance of skin, hair, and nails through the use of external preparations that are designed to cleanse and beautify. 16. Sinusitis is a respiratory pathology that is defined as a(n): Your Answer: Incorrect Correct Answer is: Acute or chronic inflammation of the paranasal sinuses Sinusitis is a respiratory pathology that is an acute or chronic inflammation of the paranasal sinuses. Chronic bronchitis is a respiratory pathology resulting in the production of purulent sputum for at least three months in a row over a consecutive two years. Emphysema is an enlargement of the air spaces distal to the terminal bronchioles and the destruction of the alveolar walls. Asthma is a chronic inflammatory disorder with bronchospasms (narrowing of the airways in the lungs), a condition that is reversible over time or following treatment. 17. What three landmarks do you palpate between to find the muscle belly of the deltoid? Your Answer: Incorrect Correct Answer is: Acromion, lateral 1/3 of the clavicle and deltoid tuberosity

The Acromion, lateral 1/3 of the clavicle and deltoid tuberosity forms a "V" shape on the arm. The deltoid is superficial, you should be able to feel the posterior and anterior fibers. 18. During your assessment in a frozen shoulder condition, you note when testing ROM passively, restrictions are felt on: Your Answer: Incorrect Correct Answer is: ABduction, medial and lateral rotation Passive (relaxed) Range of Motion (PROM or PR ROM) tests are done to gather information about the joint capsule and ligaments. Checking for hypo or hypermobility. PROM/PR ROM is limited by pain and restrictions. In frozen shoulder this test will show restrictions in ABduction along with lateral/external rotation, and medial/internal rotation. You may also notice muscle guarding at the end feel. 19. The application of principles, methods, and procedures of understanding, influencing, and predicting behavior for the purpose of diagnosis for treatment is within which occupation's scope of practice? Your Answer: Incorrect Correct Answer is: Psychology Psychology can be rendered to an individual, group, or an organization and involves the application of principles, methods, and procedures of understanding, influencing, and predicting behavior for the purpose of diagnosis for treatment. 20. What is the term for the enlarged area at the end of large bones? Your Answer: Incorrect Correct Answer is: Epiphysis Epiphysis is the term for the enlarged area at the end of large bones. 21. Which muscle inserts at the acromion process and the lateral 1/3 of the clavicle? Your Answer: Incorrect Correct Answer is: Trapezius The trapezius muscle inserts at the acromion process and lateral 1/3 of the clavicle as well as the spine of the scapula. It originates on the external occipital protuberance, superior medial portion of the nuchal line on th eocciput, ligamentum nuchae and spinous processes C7-T12. The deltoid origanates on the lateral 1/3 clavicle, acromion and spine of scapula. 22. What does Active ROM test? Your Answer: Incorrect Correct Answer is: The client's willingness and ability to contract muscles Passive ROM is done by the practitioner and tests the antagonistic muscles extensibility or stretch. Active ROM is preformed by the client and tests their abilities or willingness to move the agonists or prime mover muscles.

23. Which of the following forms would you file with the IRS if you had a contract with another company and was paid over $600 for your services? Your Answer: Incorrect Correct Answer is: 1099-Misc A 1099-Misc must be filled out with the IRS regarding information for every company. You should receive the filing information from each company before federal taxes are due. A W-9 must accompany the application or first CMS1500 form to insure proper paperwork procedures. 24. Where is the infraglenoid tubercle located on the scapula? Your Answer: Incorrect Correct Answer is: Lateral border Located on the superior aspect of the lateral border, and the attachment site for the long head of the triceps brachii, deep to the teres minor and posterior deltoid. 25. Which of the following is not a purpose of the vertebral column? Your Answer: Incorrect Correct Answer is: Support the legs To support the legs is not a purpose of the vertebral column. Rotation, distribution of weight for the trunk, and protecting the spinal cord are all purposes of the vertebral column. 26. What is the point of articulation for the humerus and the ulna? Your Answer: Incorrect Correct Answer is: Trochlea The trochlea is the point of articulation for the humerus and the ulna. 27. Which joint category is freely movable? Your Answer: Incorrect Correct Answer is: Diarthrosis Diarthrosis is one of the categories of joints. A more common term for a diarthrosis joint would be a synovial or freely movable joint. SAD/ Synarthrosis= immovable. Amphiarthrosis= slightly movable. Diarthrosis= Freely movable. 28. When there is a choking or breathing emergency and the person is conscious and unable to cough, speak or breath, you will need to: Your Answer: Incorrect Correct Answer is: Give back blows and abdominal thrusts

If a person is conscious and cannot cough, speak or breath it is safe to assume their airway is blocked. Give back blows and abdominal thrusts to open the airway. 29. Varicose veins is a circulatory condition that is defined as a(n): Your Answer: Incorrect Correct Answer is: Abnormally large and bulging vein caused by the impaired function of the venous valves Varicose (distended or dilated) veins are abnormally large and bulging veins caused by the impaired function of the venous valves. Hypertension is an elevation of blood pressure above the normal range for a prolonged time that increases the risk of stroke or heart attack. Congestive heart failure (heart failure) is the heart's inability to pump sufficient blood to supply the needs of the body. Thrombophlebitis is an inflammation of a superficial or deep vein that leads to the formation of a thrombus (fibrin-based clot). 30. Why are 8-12 ribs termed false ribs? Your Answer: Incorrect Correct Answer is: They do not attach to the sternum Ribs 8-12 are termed false ribs because they do not attach directly into the sternum. 8-10 connects to the cartilage of the rib above (vertebrochondral) and 11&12 are referred to as floating ribs or vertebral ribs with no anterior attachments.

1. The act of breathing is called? Your Answer: Incorrect Correct Answer is: Respiration Inhalation and exhalation together make respiration, which is breathing. Mechanical ventilation uses artificial methods to assist breathing. 2. ______ consists of plasma and cells? Your Answer: Incorrect Correct Answer is: Blood Blood consists of cells and plasma. 3. What three landmarks do you palpate between to find the muscle belly of the deltoid? Your Answer: Incorrect Correct Answer is: Acromion, lateral 1/3 of the clavicle and deltoid tuberosity The Acromion, lateral 1/3 of the clavicle and deltoid tuberosity forms a "V" shape on the arm. The deltoid is superficial, you should be able to feel the posterior and anterior fibers.

4. Of the following contraindications, which one is acceptable when using light and deep effleurage as a treatment technique? Your Answer: Incorrect Correct Answer is: Neuritis Light and deep effleurage contraindications: hyperesthesia (multiple injuries), severe pitted edema, and distal to inflammation or infection. Deep effleurage also has two more: newly formed scar tissue and not done repetitively on limbs of those with high blood pressure, varicose veins, or edema caused by a thrombus (clot or block in blood vessels). 5. What is the homeostatic relationship between the respiratory and integumentary systems? Your Answer: Incorrect Correct Answer is: A & B both The respiratory system provides oxygen to the skin cells to remove carbon dioxide through the gas exchange with blood. The integumentary system protects the respiratory organs. 6. While giving an assessment there are three types of questions you ask to obtain relevant information for the treatment plan; General, Specific, and Pain questions. Which of the following is a General question? Your Answer: Incorrect Correct Answer is: Are there any dietary contributions to the condition? General questions address the client's overall state of wellbeing. Family history of conditions, diet, exercise, occupation, hobbies, sleeping posture, level of stress, and current/past pathologies or injuries. 7. The autonomic nervous system controls? Your Answer: Incorrect Correct Answer is: All of the above The autonomic (involuntary) nervous system (ANS) has sympathetic and parasympathetic divisions that control glands, cardiac, and smooth muscle. The Somatic nervous system contains the CNS, PNS, and effector organs. 8. All of the following conditions are overuse injuries except: Your Answer: Incorrect Correct Answer is: Sprain/strain Overuse injuries include: Plantar fasciitis, periostitis/ compartment syndrome, tendinitis, bursitis, and frozen shoulder. 9. Which muscle originates on the superior portion of the spinous process of the second cervical vertebra? Your Answer: Incorrect Correct Answer is: Obliquus capitis inferior

The Obliquus capitis inferior originates on the superior portion of the spinous process on the axis or C2. It inserts on the inferior and posterior aspect of the transverse process of C1. 10. The pulmonary artery begins at _____________ and ends at _______________? Your Answer: Incorrect Correct Answer is: Right ventricle / lungs The pulmonary right and left arteries split from the pulmonary trunk, they carry oxygen-poor blood from the right ventricle to the lungs to pick up oxygen and drop off carbon dioxide. From there, four pulmonary veins send the oxygen-rich blood to the left atrium, this process is called pulmonary circulation. 11. Which is the term for the largest bone of the sternum? Your Answer: Incorrect Correct Answer is: Body The body is the term for the largest bone of the sternum. There are 3 fused bones that make up the sternum. The superior portion is the manubrium, just inferior= body of the sternum, and the third is the xiphoid process. 12. Hematopoiesis is defined as? Your Answer: Incorrect Correct Answer is: Blood cell formation Hemato=blood, poiesis= to make. Hematopoiesis is blood cell formation, occurs in the red bone marrow found mainly in flat bones; ribs, skull, pelvis, sternum and the epiphyses on the proximal ends of the humerus and femur. 13. There are four assessment tools used; Visual, Functional, Palpation, and Manual testing for treatment plans. What does a palpation assessment identify? Your Answer: Incorrect Correct Answer is: Changes in tissue texture and temperature Effective assessments identify both deviations from the norm and effective functioning, using Visual, Functional, Palpation, and Manual tests as tools. Visual assessment: Looks for bilateral symmetry and muscle deviations. Functional assessment is performed to determine restricted, exaggerated, painful movement patterns. Palpation is used to identify changes in tissue texture and temperature, locate areas of tenderness, or energy changes. Manual tests are used to determine what structure is involved, soft tissue, joint dysfunction, or muscle function. 14. The talocrural joint creates what two actions? Your Answer: Incorrect Correct Answer is: Plantarflexion and dorsiflexion The talocrural or true ankle joint, the malleoli of the tibia and fibula articulate with the talus. It is a hinge joint whose only actions are to produce plantarflexion (flexion) and dorsiflexion (extension).

15. Which muscle has its origin at the sternum and the cartilaginous attachments of the upper 6 ribs? Your Answer: Incorrect Correct Answer is: Pectoralis major The pectoralis major (sternal) muscle has its origin at the cartilaginous attachments of the upper 6 ribs. The medial third of the clavicle and the full length of the sternum. 16. Structural postural dysfunctions: Your Answer: Incorrect Correct Answer is: Cannot be altered by working with the soft tissue and fascia Structural postural dysfunctions pertains to altered bone shape due to malformation or pathological process. A Functional postural dysfunction pertains to soft tissue such as the muscles, ligaments, tendons and fascia that may be shortened or lengthened. Massage can help with functional but not the structural. 17. What is the term for the end of a bone that is farthest away from the trunk? Your Answer: Incorrect Correct Answer is: Distal epiphysis The distal (away from the origin of structure) epiphysis (rounded end of long bone) is the term for the end of a bone that is farthest away from the trunk. 18. 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. 19. Which of the following choices transports oxygen to the tissues of the body? Your Answer: Incorrect Correct Answer is: Hemoglobin Hemoglobin is the protein that bonds with oxygen and transports it in the blood. 20. Smooth, Cardiac, and Skeletal are all specialized types of which of the following four types of tissues? Your Answer:

Incorrect Correct Answer is: Muscle Tissue Muscle tissue shortens and contracts in a "twitch". There are two ways to describe muscle tissue, voluntary (you have to think about) and involuntary (you do not have to think about). Skeletal muscle is voluntary, smooth and cardiac is involuntary. 21. If pus is found in urine it is called pyuria, what is a possible cause? Your Answer: Incorrect Correct Answer is: Urinary tract infection Pyuria= pus or WBCs and bacteria caused by a urinary tract infection. Bilirubinuria= bile pigment in the urine can be caused by liver disease (hepatitis). Hematuria= RBCs in the urine can be caused by bleeding in the urinary tract due to trauma, kidney stones or infection. Hemoglobinuria= hemoglobins in the urine caused by various possibilities including a reaction to transfusions or hemolytic anemia. 22. What area of the os coxae do the nerves pass through to the perineum? Your Answer: Incorrect Correct Answer is: Lesser sciatic notch The lesser sciatic notch area of the os coxae is where the nerves pass through to the perineum. The perineum is defined as the surface region in both males and females between the pubic symphysis and the coccyx (pelvic floor). 23. What muscle is not part of the SITS rotator cuff muscle group? Your Answer: Incorrect Correct Answer is: Serratus anterior SITS or Rotator cuff muscles stabilize the glenohumeral joint: Supraspinatus, Infraspinatus, Teres minor and Subscapularis. 24. A stroke happens when the oxygen supply is cut off by: Your Answer: Incorrect Correct Answer is: An artery in the brain that is blocked or damaged When an artery in the brain is blocked or damaged causing a rupture that cuts off oxygen supply, it is termed a stroke or cerebrovascular accident. 25. Increasing blood pressure is a reflexive effect of what type of treatment technique done on the abdomen? Your Answer: Incorrect Correct Answer is: Petrissage 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, decreases hypertonicity, and increases glandular activity of skin. 26. What are you looking for when you are visually assessing individual movement patterns with ROM (range of motion) testing? Your Answer: Incorrect Correct Answer is: Normal function and possible dysfunction in movement Visual or Free ROM testing does not use resistance by the examiner. Assessing patterns of normal function and possible dysfunction are done by the client's movements working against gravity. Bilateral tests are done to ascertain bilateral asymmetry, weakness, pain, fatigue, binding, a heavy sensation, and the inability to assume the isolation position (10-30 sec.) or move into the opposite position. Contraindications to these tests are disk or joint dysfunctions, recent trauma, inflammation, and acute pain. 27. What type of change is the golgi tendon responsible for? Your Answer: Incorrect Correct Answer is: Muscle tension The golgi tendon organ is a type of sensory receptor that is located between a muscle and its tendon. It is a propriceptor in charge of muscle tone. 28. What group of five muscles work together to flex the wrist? Your Answer: Incorrect Correct Answer is: Flexor carpi radialis/ ulnaris, palmaris longus, flexor digitorum superficialis and profundus The five muscles that flex the radiocarpal joint (wrist): Flexor carpi radialis/ ulnaris, palmaris longus, flexor digitorum superficialis and profundus. 29. What proximal muscle of the humerus can supinate the forearm? Your Answer: Incorrect Correct Answer is: Biceps brachii The forearm is the proximal and distal radioulnar joints, they only produce supination and pronation. Supination: Biceps brachii, supinator and brachioradialis (assists). Pronation: pronator teres, pronator quadratus and brachioradialis (assists). 30. Which term would best describe the gluteal muscles in reference to the spine in anatomical body directions? Your Answer: Incorrect Correct Answer is: Caudal Caudal refers to the sacral region of the spinal column.

1. Insulin is released from the? Your Answer: Incorrect Correct Answer is: Pancreas The pancreas secretes insulin into the blood stream. Insulin is a protein that reduces blood glucose and its conterpart glucagon which is also secreted by the pancreas and raises blood glucose. 2. Dupuytren's Contracture is defined as a(n): Your Answer: Incorrect Correct Answer is: Palmar fascia flexion deformity of the fingers Dupuytren's contracture is a contracture of the palmar fascia causing a flexion deformity of the fingers. 3. What is the Greek name of the sesame seed shaped bones in the body? Your Answer: Incorrect Correct Answer is: Sesamoid The Greek word sesamoid means shaped like a sesame seed. They are found throughout the body, embedded in tendons, providing protection for the tendon and an increase in mechanical effectiveness. Located in the knee (patella), hands, and feet. 4. A first degree burn is caused by an external thermal agent and is termed a: Your Answer: Incorrect Correct Answer is: Superficial Burn Burns= (thermal agents) superficial burn, 1st degree on epidermis; partial-thickness burn, 2nd degree extends to dermis; full-thickness burn, 3rd degree epidermis, dermis, and subcutaneous tissue; and 4th degree is all tissue plus fascia, muscles, and bones. 5. The endocrine system? Your Answer: Incorrect Correct Answer is: Produces hormones and secretes them into the blood The endocrine system produces hormones and passes them into the blood stream. 6. To treat trigger points and check for fascial restrictions with Petrissage what type would be used as an assessment technique? Your Answer: Incorrect Correct Answer is: Skin rolling

Skin rolling= the skin is lifted between the thumb and fingers and gently rolled over the area being treated or assessed. 7. Of the following choices, which is a part of the brain? Your Answer: Incorrect Correct Answer is: All of the above All are parts of the brain and major components of the diencephalon (interbrain) between the cerebral hemispheres and the midbrain. 8. A client comes to you complaining of pain in his right side whenever he rotates to the left. During the massage you notice that he has well defined abdominal muscles. Your assessment with ROM showed a mild decrease in extension of his trunk, based on this information which muscle should you address? Your Answer: Incorrect Correct Answer is: External obliques External obliques rotate the trunk to the opposite side, flex bilaterally and laterally flex to the same side. The serratus does not work in rotation. 9. Choose the muscle that laterally rotates the humerus. Your Answer: Incorrect Correct Answer is: Teres minor The teres minor muscle laterally rotates the humerus. 10. Of the following body systems, which removes carbon dioxide from the blood? Your Answer: Incorrect Correct Answer is: Respiratory system The respiratory system supplies oxygen to the blood and removes carbon dioxide from it. The lymphatic system returns leaked plasma to the blood vessels after cleaning it and making it free of bacteria and other foreign matter. It is also a surveillance site for immune system cells. The cardiovascular system includes the heart that pumps blood and blood vessels that provide a conduit to circulate blood to all the body tissue. The endocrine system maintains homeostasis (hormones), controls growth and development, reproduction, and metabolism. 11. All of the following situations are appropriate to call 911, except? Your Answer: Incorrect Correct Answer is: Residing stomachache A residing stomachache does not constitute an emergency. Any time it is life threatening like breathing issues, head trauma, or possible heart complications, it is necessary to call the local emergency number. 12. What two muscles are complete synergists and part of the rotator cuff muscles?

Your Answer: Incorrect Correct Answer is: Infraspinatus and teres minor Complete synergists, all the same actions at all the same joints. Infraspinatus and teres minor (HEALS) Horizontal ABduction, extension, ADduction, lateral rotation, and stabilize the head of humerus in the glenoid cavity. 13. What bone would be described as flat, smooth, and triangular? Your Answer: Incorrect Correct Answer is: The scapula The scapula slides across the posterior surface forming the scapulothoracic (false) joint. It is triangular in shape and helps to stabilize the movement of the glenohumeral joint. 14. Which part of the brain is in charge of memory, will, and communication? Your Answer: Incorrect Correct Answer is: Cerebrum The cerebrum is the part of the brain that is in charge of memory, will, and communication, as well as reasoning and emotions. 15. How many curvatures are there in the spine? Your Answer: Incorrect Correct Answer is: 4 There are 4 curvatures in the spine. Cervical, thorasic, lumbar, and sacral. 16. Which bursa is affected by bench warmer bursitis? Your Answer: Incorrect Correct Answer is: Ischial bursa Also commonly referred to as "weavers bottom". Ischial bursitis is very localized with pain right over the ischial tuberosity. Some pain may also mimic sciatic down the posterior leg. Caused by sitting for long periods of time. It will be very painful for the client to stand on their toes. Bursa's reduce friction normally between tendons and bones, the only way to palpate a bursa if it is inflamed. BursITIS= inflammation of the bursa. Caused by overuse of the structures surrounding the bursa. 17. What is the insertion site for the SITS rotator cuff muscle group? Your Answer: Incorrect Correct Answer is: Greater and lesser tubercle of the humerus SIT (supraspinatus, infraspinatus and teres minor) all insert on the greater tubercle. Subscapularis inserts on the

lesser tubercle of the humerus. 18. There are four assessment tools used; Visual, Functional, Palpation, and Manual testing for treatment plans. What does a visual assessment determine? Your Answer: Incorrect Correct Answer is: Bilateral symmetry and muscle deviations Effective assessments identify both deviations from the norm and effective functioning, using Visual, Functional, Palpation, and Manual tests as tools. Visual assessment: Looks for bilateral symmetry and muscle deviations. Functional assessment is performed to determine restricted, exaggerated, painful movement patterns. Palpation is used to identify changes in tissue texture and temperature, locate areas of tenderness, or energy changes. Manual tests are used to determine what structure is involved, soft tissue, joint dysfunction, or muscle function. 19. What can you do for an injured person who is refusing your help? 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. 20. A wound is a disruption of the continuity of the skin, which type of wound has increased tissue loss with ragged edges? Your Answer: Incorrect Correct Answer is: Laceration Types of wounds: Abrasion= superficial with ragged edges, laceration= increased tissue loss with ragged edges, incision= clean with approximated edges (scalpel or glass), puncture= clean edges with small entry (can penetrate deep), animal bite= combination of crush, laceration, and puncture wounds, and burn= (thermal agents) superficial burn 1st degree on epidermis; partial-thickness burn 2nd degree extends to dermis; full-thickness burn 3rd degree epidermis, dermis, and subcutaneous tissue, and 4th degree is all tissue plus fascia, muscles, and bones. 21. While giving an assessment there are three types of questions you ask to obtain relevant information for the treatment plan; General, Specific, and Pain questions. Which of the following is a General question? Your Answer: Incorrect Correct Answer is: What do you do for hobbies and physical activities? Have the client show or describe their posture for each activity. General questions address the client's overall state of wellbeing. Family history of conditions, diet, exercise, occupation, hobbies, sleeping posture, level of stress, and current/past pathologies or injuries. 22. For better response to treating whiplash in the chronic stage, you should? Your Answer: Incorrect Correct Answer is: Avoid rapid increases in the range of motion treatments A gradual approach of ROM treatment and treating compensatory structures helps in reducing pain, trigger points, and hypertonicity for better recovery.

23. Hypermobility is a joint dysfunction and defined as: Your Answer: Incorrect Correct Answer is: An increased degree of motion at the joint Hypermobility is an increased degree of motion at the joint. Hypomobility is a loss of motion and normal joint play movement at the joint. Temporomandibular joint dysfunction or disorder (TMJD), is a disorder of the muscles of mastication and associated structures. Degenerative disc disease is a degeneration of the annular fibers of the intervertebral disc. 24. Deoxygenated blood returns to the? Your Answer: Incorrect Correct Answer is: Right atrium The first place blood enters in the heart is the right atrium. Deoxygenated blood from the body, superior and inferior vena cava enters the right atrium, then is pumped through the tricuspid valve, right ventricle, pulmonary valve, pulmonary artery, right/left lung, right/left pulmonary veins, left atrium, mitral valve, left ventricle, aortic valve, and aorta. Remember the Arteries=Away, Veins=to heart. A before V for Atrium/Ventricle and valves between corresponding sections. 25. The spinal nerve plexus serving the wrist and many hand muscles is the: Your Answer: Incorrect Correct Answer is: Brachial plexus Brachial plexus (C5-T1)- Ulnar nerve serves the wrist and many hand muscles. Damage to the ulnar nerve results in the inability to spread the fingers apart (claw hand). 26. Being conscious of your intent to the services that you provide and utilizing good judgment in regards to any application provided by massage, is critical under what code of ethic? Your Answer: Incorrect Correct Answer is: Scope of practice and appropriate techniques Scope of practice and appropriate techniques governs adequate training, qualifications and the intent of services. 27. When performing a lymphatic massage, you lightly brush: Your Answer: Incorrect Correct Answer is: Towards the nodes Lymphatic massage is always directed TOWARD the lymph nodes. Gentle rippling stimulation is first applied away from the nodes then you lightly brush towards the lymphs. 28. Decreasing the heart 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. 29. Decreasing adhesions is a mechanical effect is 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). 30. Of the following physiological effects of tapotement, which is reflexive? Your Answer: Incorrect Correct Answer is: Increases muscle tone 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.

1. What two muscles work together to extend the elbow? Your Answer: Incorrect Correct Answer is: Triceps brachii (all heads) and anconeus The only two extensor muscles for the elbow: Triceps brachii (all heads) and anconeus. 2. Where does the posterior/inferior portion of the right atrium receive blood from? Your Answer: Incorrect Correct Answer is: Inferior vena cava The posterior/inferior portion of the right atrium receives blood from the inferior vena cava. 3. Which muscle has its origin at the inferior border of the ribs and inserts into the superior border of the rib above, depressing the ribs?

Your Answer: Incorrect Correct Answer is: Internal intercostals The internal intercostal muscles have their origin at the inferior border of the ribs and insertions at the superior border of the rib above. They help with forced expiration depressing the ribs. The muscle fibers run IN towards the midline, thought of visually as an extension of the internal oblique fibers. 4. The Axial Skeleton includes all of the following except? Your Answer: Incorrect Correct Answer is: Clavicle The clavicle is part of the Pectoral Girdle in the Appendicular Skeleton. 5. What joint has biaxial movement? Your Answer: Incorrect Correct Answer is: Saddle Ball and socket are joints that articulate on a multiaxial or universal movement on all planes including rotation, like the shoulder. The elbow and interphalangeal joints are hinge on a uniaxial plane of flexion and extension no rotation. Condyloid and saddle are biaxial (metacarpophalangeal and carpometacarpal) and plane, translational or gliding (intercarpal/tarsal). 6. Nerves are found in which layer of skin tissue? Your Answer: Incorrect Correct Answer is: Dermis The dermis layer is rich in blood vessels, nerves, hair follicles, and sebaceous glands. 7. What is another term for the "head" of the rib? Your Answer: Incorrect Correct Answer is: Capitulum The capitulum is another term used for the head of the rib. 8. What binds the ribs to the sternum? Your Answer: Incorrect Correct Answer is: Costal cartilage Costal (hyaline) cartilage binds the ribs to the sternum. This allows flexability for the rib cage to expand and contract while protecting the lungs and heart. 9. What is the term for the area inferior to the spine of the scapula?

Your Answer: Incorrect Correct Answer is: Infraspinous fossa The infraspinous fossa is the surface below the spine of the scapula, origin of the infraspinatus. A superficial muscle with its medial portion deep to the trapezius and lateral deep to the posterior deltoid inserting onto the greater tubercle of the humerus. It's a glenohumeral joint stabilizer and a direct synergist with teres minor. HEALS= Horizontal ABduction, Extension, ADduction, Lateral rotation, and Stabilize. 10. The ______ consists of the metatarsals and the tarsals? Your Answer: Incorrect Correct Answer is: Longitudinal arch The longitudinal arch has lateral and medial sides that form a triangle with the transverse arch. The calcaneus and the heads of the first and fifth metatarsals outline this triangle. 11. What muscle has its insertion at the clavicle? Your Answer: Incorrect Correct Answer is: Subclavius The subclavius muscle has its insertion at the clavicle. The Sternocleidomastoid originates on the top of the manubrium and medial 1/3 of clavicle, it inserts on the mastoid process and lateral/superior nuchal line of the occiput. So in this case the beginning of SCM is the origin and the end is the insertion. 12. There are two divisions of the skeleton, which are axial and appendicular, the _________ is part of the axial? Your Answer: Incorrect Correct Answer is: Sternum The axial; cranium, vertebral column, ribs, sternum and hyoid bone. The appendicular; shoulder or pectoral (scapula & clavicle) and hip or pelvic girdles with upper and lower limbs. 13. Which cells in the body fight infection and eliminate waste? Your Answer: Incorrect Correct Answer is: White blood cells White blood cells eliminate waste and fight infection also known as leukocytes. 14. Hair follicles are found in which layer of the skin tissue? Your Answer: Incorrect Correct Answer is: Dermis The epidermis (epithelium) is the tough protective layer that is avascular (no blood supply or nerves). Strata layers,

deep to superficial; stratum basale, spinosum, granulosum, lucidum, and corneum. The dermis is rich in blood vessels the dense connective tissue layers; upper papillary and deep reticular, also contains nerves. 15. Anabolism is an example of: Your Answer: Incorrect Correct Answer is: The formation of protein molecules from amino acids Anabolism is the energy-requiring building phase of metabolism in which simpler substances are combined to form more complex substance. 16. Which ribs are termed false ribs? Your Answer: Incorrect Correct Answer is: 8-12 Ribs 8-12 are termed false ribs because they do not attach directly into the sternum. 8-10 connects to the cartilage of the rib above (vertebrochondral) and 11&12 are referred to as floating ribs or vertebral ribs with no anterior attachments. 17. Where can you find the Iliopectineal bursa? Your Answer: Incorrect Correct Answer is: Anterior aspect of the coxal joint The Iliopectineal bursa is located on the anterior aspect of the coxal joint and has the ability to be impinged by the iliopsoas muscles. 18. This muscle originates at the transverse processes of the thoracic vertebrae and the articular processes of the lower cervicals? Your Answer: Incorrect Correct Answer is: Semispinalis capitis The semispinalis capitis muscle originates at the transverse processes of the thoracic vertebrae and the articular processes of the lower cervicals. The insertion is on the spinous process of the upper thoracic, cervicals 2-7 and superior nuchal line of the occiput. 19. The ______ bone is suspended in the neck? Your Answer: Incorrect Correct Answer is: Hyoid The hyoid bone is suspended in the neck by cartilage and ligaments. 20. Which muscle raises the lip? Your Answer: Incorrect

Correct Answer is: Levator labii superioris The levator labii superioris muscle raises the lip. The depressor labii inferioris muscle lowers the lip. 21. What word would you use to describe the jaw moving posteriorlly? Your Answer: Incorrect Correct Answer is: Retraction Retraction (retreat) would be the best way to describe the act of moving the jaw posteriorly. It is a transverse plane movement with its opposite action as protraction (protrude), moving anteriorly. Used only when talking about the head, jaw, scapula, and clavicle. 22. What is the insertion site for the SITS rotator cuff muscle group? Your Answer: Incorrect Correct Answer is: Greater and lesser tubercle of the humerus SIT (supraspinatus, infraspinatus and teres minor) all insert on the greater tubercle. Subscapularis inserts on the lesser tubercle of the humerus. 23. What movement would best describe the chin extending forward? Your Answer: Incorrect Correct Answer is: Protraction Protraction (protrude) would best describe the act of extending the head and chin in an anterior position on a transverse plane. Its opposite action is retraction (retreat), moving posteriorly. Used only when talking about the head, jaw, scapula, and clavicle. 24. Glucose is also known as: Your Answer: Incorrect Correct Answer is: Blood sugar Normal blood glucose levels are 80 to 120mg/100ml of blood for homeostasis. Glucose is the principal sugar in the blood it is the major breakdown product of carbohydrates. It helps form ATP. When glucose levels rise the liver removes it from the blood and stores it as glycogen, then when levels fall they are broken down into glucose again and released into the blood. 25. What connects the radius and ulna? Your Answer: Incorrect Correct Answer is: Interosseous membrane Interosseous membrane is a fibrous membrane that connects the radius and ulna. 26. Where does the fibula articulate with the talus?

Your Answer: Incorrect Correct Answer is: Lateral malleolus The fibula articulates with the talus at the lateral malleolus. 27. The glenohumeral joint is freely movable and is functionaly classified as: Your Answer: Incorrect Correct Answer is: Diarthrotic Joint Function / Structure: Synarthrotic / Fibrous, Amphiarthrotic / Cartilaginous, Diarthrotic / Synovial. (SAD) Fibrous (S), cartilaginous (A) and Synovial (D). 28. Blood that is unoxygenated moves into the lungs through the? Your Answer: Incorrect Correct Answer is: Pulmonary artery Blood travels into the lungs from the pulmonary artery. This is the only artery (away from heart) in the body that carries unoxygenated blood 29. The hip joint is what type of joint? Your Answer: Incorrect Correct Answer is: Ball and socket The ball and socket joints articulate on a multiaxial or universal movement on all planes including rotation, like the shoulder. The elbow and interphalangeal joints are hinge on a uniaxial plane of flexion and extension, no rotation. 30. Bilateral flexion of the cervical spine is an action performed by which of these muscles? Your Answer: Incorrect Correct Answer is: Longus capitis Flexion of the cervical spine: Sternocleidomastoid, Anterior scalene, Longus capitis and Longus colli all bilaterally. All others listed do Extension.

1. A _________ is issued from a regulating agency or the state in which you practice. Your Answer: Incorrect Correct Answer is: License A license can be obtained from regulating agencies as well as several individual states with their own licensure requirements. However, not all states have regulations.

2. Hyperkyphosis is an increase in the normal kyphotic curve that protracts the scapula and head-forward tilt, it is termed a: Your Answer: Incorrect Correct Answer is: Postural dysfunction Postural dysfunctions include; pes planus, iliotibial band contracture, patellofemoral syndrome, hyperlordosis, hyperkyphosis, and scoliosis. Fascial and muscle imbalances may be functional and structural. 3. What is the large bone that forms the base of the cranium? Your Answer: Incorrect Correct Answer is: Occipital bone The occipital bone is the large bone that forms the base of the cranium. 4. Which chronic pathology would be contraindicated for a hot pack? Your Answer: Incorrect Correct Answer is: Edema Applying heat to an inflamed area is always contraindicated. 5. All the rotators of the vertebral column work together unilaterally, what are they? Your Answer: Incorrect Correct Answer is: Multifidi, rotators, external and internal obliques The four muscles that work together unilaterally for the rotation in the vertebral column: Multifidi (to the opposite side), rotators (to the opposite side), external (to the opposite side) and internal (to the same side) obliques. 6. The alimentary canal is also called the: Your Answer: Incorrect Correct Answer is: Gastrointestinal (GI) tract The GI or gastrointestinal tract is also called the alimentary canal. It is a hollow muscular tube that is open on both ends and winds through the ventral body cavity. The organs of the canal; mouth, pharynx, esophagus, stomach, small intestine, and large intestine. 7. Of the following major common elements that make up the human body, which element, in its ionic form, influences the pH of the body fluids? Your Answer: Incorrect Correct Answer is: Hydrogen

Oxygen (O) is a major organic and inorganic molecule component. As gas, it is essential in oxidation of glucose and other food fuels to produce ATP (cellular energy). Carbon (C) is the primary element in ALL organic molecules, including; carbohydrates, proteins, nucleic acids, and lipids. Hydrogen (H) in its ionic form influences the pH of body fluids, it is also the component of most organic molecules. Nitrogen (N) is a component of the organic genetic material; proteins and nucleic acids. 8. The spinous process of C2 is the origin for which of these muscles? Your Answer: Incorrect Correct Answer is: Rectus capitis posterior major The rectus capitis posterior major originates at the spinous process of C2, aiding in the actions of head extension and lateral flexion. It inserts on the lateral aspect of the inferior nuchal line on the occiput. 9. Where on the humerus do the muscles of the forearm attach? Your Answer: Incorrect Correct Answer is: Lateral epicondyle The lateral epicondyle is the point on the humerus where the extensor muscles attach. Medial epicondyle= flexors. 10. The purpose of the pleural membrane is to: Your Answer: Incorrect Correct Answer is: Produce pleural fluid The pleural membrane produces pleural fluid that provides a slippery serous secretion that allows the lungs to glide easily over the thorax wall during breathing movements. 11. What abnormal substance is found in the urine when the condition is called Hemoglobinuria? Your Answer: Incorrect Correct Answer is: Hemoglobin RBCs= hematuria, WBCs and bacteria or pus= pyuria. Proteins= proteinuria or albuminurial, Hemoglobin= hemoglobinuria. 12. Each kidney in the urinary system has an adrenal gland sitting on top and is part of what system? Your Answer: Incorrect Correct Answer is: Endocrine The adrenal glands are part of the endocrine system which releases hormones. 13. Nerves are found in which layer of skin tissue? Your Answer: Incorrect

Correct Answer is: Dermis The dermis layer is rich in blood vessels, nerves, hair follicles, and sebaceous glands. 14. The movement that brings the arm closer to the midline is: Your Answer: Incorrect Correct Answer is: ADduction ADding to the midline. 15. Choose the ligament in the cervical spine that limits lateral flexion and rotation? Your Answer: Incorrect Correct Answer is: Alar ligament Alar (winged in Latin) arises from the C1 apex of the dens on both sides of the apical ligament and extends to the lateral rim of the foramen magnum of the occiput. It limits lateral flexion and rotation, part of the Occipitoaxial ligament complex. * Occipitoaxial Ligament * Alar Ligaments (2) * Apical Ligament 16. If an assessment or diagnosis has already been made for your client it is best to: Your Answer: Incorrect Correct Answer is: Achieve your own understanding of the clients' condition For a safe, effective massage therapy treatment it is always best to accumulate your own understanding by performing tests, asking questions and palpating effected tissue. 17. What is the term for the area that connects the greater and lesser trochanters of the femur? Your Answer: Incorrect Correct Answer is: Intertrochanteric crest The intertrochanteric crest or line is the term for the area that connects the greater and lesser trochanters of the femur. 18. Two important hormones produced by the pancreas are? Your Answer: Incorrect Correct Answer is: Insulin and glucagon Insulin and glucagon are produced by the pancreas to regulate blood sugar. Insulin helps feed the cells by breaking down the sugars and glucagon maintains the sugars at proper levels. 19. Which of the following massage profession methods is an approach of applied kinesiology? Your Answer: Incorrect

Correct Answer is: Touch of health Applied kinesiology (works mostly with reflexive mechanisms): Touch of health, three-in-one concepts, applied physiology, and educational kinesiology (not an all-inclusive list). All other methods are Energetic (biofield) approaches that initiate the reflexive response. 20. You witness a car accident and after checking the scene, you approach to check the victims. Which person do you need to help first? Your Answer: Incorrect Correct Answer is: A passenger of a car that is not moving and appears to be unconscious Assigning some one (when available) to call 911. Always check the unconscious victim for signs of breathing. Next, move onto the driver with a cut face, being aware of the other driver and his status instructing them to stay and wait for the paramedics to check them more fully. 21. A PA of your client shows a mild flexion of the head, what muscle would be shortened? Your Answer: Incorrect Correct Answer is: Bilateral anterior scalenes Flexion brings the body into the fetal position. The anterior muscles of the cervical spine will be shortened. Bilateral anterior scalene, SCM, longus capitis and longus colli. 22. Which is NOT a type of tissue in the body? Your Answer: Incorrect Correct Answer is: Monokines Monokines is an immune response chemical mediator secreted by macrophages. Primary tissue types are epithelial, connective, muscle, and nervous. 23. This group of muscles work together to bilaterally extend and unilaterally rotate the vertebral column to the opposite side: Your Answer: Incorrect Correct Answer is: Multifidi and rotatores Bilaterally the multifidi and rotatores extended the vertebral column and unilaterally they rotate the vertebral column to the opposite side. 24. What muscle would you be assessing with a severe upward rotation of the scapulothoracic joint? Your Answer: Incorrect Correct Answer is: Upper and lower fibers of the trapezius Upward rotation of the scapulothoracic joint is only performed by the upper and lower fibers of the trapezius. 25. The eye socket is also called the?

Your Answer: Incorrect Correct Answer is: Orbital Orbital is the word used, to refer to the area around the eye. 26. Moving the neck laterally and elevating the scapula are actions of which of these muscles? Your Answer: Incorrect Correct Answer is: Levator scapula Moving the neck laterally and elevating the scapula are actions of the levator scapula. 27. How many bones are contained in the cervical spine? Your Answer: Incorrect Correct Answer is: 7 There are 7 bones in the cervical spine C1-C7. 28. Which muscle stabilizes the glenohumeral joint? Your Answer: Incorrect Correct Answer is: All of the above All of the choices are muscles that stabilize the glenohumeral joint. Also commonly known as the shoulder joint. 29. The effleurage stroke is used to: Your Answer: Incorrect Correct Answer is: Assess tissue and distribute lubricant Effleurage= to glide, stroke, or touch lightly. Starts and ends the massage, assesses tissue, and distributes lubricant. 30. The connective tissue within the medullary cavity is called? Your Answer: Incorrect Correct Answer is: Bone marrow Bone marrow is the connective tissue in the medullary cavity of the bone.

1. Which chronic pathology would be contraindicated for a hot pack? Your Answer: Incorrect

Correct Answer is: Edema Applying heat to an inflamed area is always contraindicated. 2. What would be the most beneficial exercise you could recommend as homework for a client with Osteoporosis? Your Answer: Incorrect Correct Answer is: Weight bearing and resistance training Bones are a living tissue, continuously breaking down old bone and replacing it with new. Osteoporosis has an imbalance between the breaking down and restoration of bone. To help strengthen the muscles and attachments, weight bearing exercise and resistance training is the most beneficial exercise for prevention and treatment. 3. Human immunodeficiency virus (HIV) is defined as a(n): Your Answer: Incorrect Correct Answer is: Virus that causes acquired immune deficiency syndrome Human immunodeficiency virus (HIV) is a virus that causes acquired immune deficiency syndrome (AIDS). 4. A client with tension headaches comes to you for help. Your PA shows that she has a slight head forward posture and limited ROM in flexion of the neck. What three muscles are indicated for treatment? Your Answer: Incorrect Correct Answer is: ESGs, Splenii, and scalenes Working TPs and tension out of the major flexors and anterior scalenes of the neck. Erector Spinae Group (ESGs), levator scapula, upper trapezius, and splenius help a conrolled, smooth, eccentric contraction of flexion. 5. There are five muscles that work together to depress the mandible, what are they? Your Answer: Incorrect Correct Answer is: Geniohyoid, mylohyoid, stylohyoid, digastric and platysma The five muscles that depress the mandible: Geniohyoid, mylohyoid, stylohyoid, digastric (fixed hyoid) and platysma (assists). 6. Which of the following body systems is in charge of regulating body temperature and transporting nutrients / hormones? Your Answer: Incorrect Correct Answer is: Circulatory The Circulatory System transports hormones, waste products, nutrients, and gases. As well as regulating body temperature and the immune system. 7. If a person does not produce enough ______________ they will likely be ________________.

Your Answer: Incorrect Correct Answer is: Insulin / hyperglycemic Lack of insulin will produce hyperglycemia. Hyperglycemia= excessively high levels of glucose in the blood. 8. What muscle would be stretch weakened if your client has a moderate decrease in horizontal ABduction of the glenohumeral joint? Your Answer: Incorrect Correct Answer is: Infraspinatus Horizontal ABduction= Infraspinatus, deltoid (posterior) and teres minor. 9. When assessing the radiocarpal joint, what muscle would you lengthen to release moderate radial deviation at the wrist? Your Answer: Incorrect Correct Answer is: Extensor carpi radialis longus Relax the prime movers= ABductors or radial deviation; Extensor carpi radialis longus/brevis and flexor carpi radialis. 10. Cyanosis is common during heart failure and severe breathing disorders causing skin, blood, nail beds, and mucous membranes to appear blue. This is due to: Your Answer: Incorrect Correct Answer is: Poorly oxygenated hemoglobin Cyanosis is a bluish coloration of the mucous membranes and skin caused by deficient oxygenation of the blood. 11. 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). 12. As a person inhales, the diaphragm will? Your Answer: Incorrect Correct Answer is: Contract and create a negative pressure drawing air into the lungs Inhalation (inspiration) expands the chest laterally, elevating the rib cage and depressing/flattening the diaphram, stretching the lungs and enlarging the thoracic volume, this creates negative pressure to draw air into the lungs. Exhalation (expiration) depresses the chest, reducing the lateral dimension of the rib cage and elevating the diaphragm into a dome, relaxing the stretch on the lungs to decrease the volume and raise pressure to draw air out of

the lungs. 13. Of the following definitions, which would be the best choice for professional touch? Your Answer: Incorrect Correct Answer is: Skilled touch delivered to achieve a specific outcome with the recipient reimbursing for services rendered Professional touch is defined as; Skilled touch delivered to achieve a specific outcome with the recipient reimbursing for services rendered. 14. What is the name of the muscles between the ribs? Your Answer: Incorrect Correct Answer is: Intercostals The intercostal spaces are the spaces between the ribs. Inter=between, costal=ribs. 15. Which type of pain is from muscles, tendons, joints, and periosteum? Your Answer: Incorrect Correct Answer is: Deep somatic pain Deep somatic pain is from the muscles, tendons, joints, and periosteum. It is more diffuse than cutaneous pain, deep somatic pain can refer to other areas of the body. The referral patterns are based on the embryological development of the musculoskeletal system. 16. Of the following physiological effects which is a reflexive effect for deep effleurage? Your Answer: Incorrect Correct Answer is: Increases vasodilation 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. 17. Which of the blood cells is responsible for clotting blood? Your Answer: Incorrect Correct Answer is: Platelets Platelets come together in a clump to form clots because of a series of chemical reactions within the body. 18. While giving an assessment there are three types of questions you ask to obtain relevant information for the treatment plan; General, Specific, and Pain questions. Which of the following is a Pain question?

Your Answer: Incorrect Correct Answer is: Exactly where is the pain? Pain can be defined and understood differently from one client to the next. Asking specific pain questions can help you determine how you will proceed with treatments. Where, when, and descriptions of how long/ how often, what aggravates the pain, and other symptoms along with the pain are all useful insights. 19. Choose from the following, the one that is not part of the urinary system functions? Your Answer: Incorrect Correct Answer is: Breaks food down for absorption into the blood The urinary system rids the body of nitrogenous wastes and regulates water, electrolyte, and acid base balance of the blood. The digestive system breaks food down for absorption into the blood. 20. The front of the body is known as? Your Answer: Incorrect Correct Answer is: Anterior Anterior is front, posterior is back, lateral is side, toward feet is inferior, toward head is superior. 21. The inNervation of rhomboid major: Your Answer: Incorrect Correct Answer is: Dorsal scapular C5 The inNervation of rhomboid major is at dorsal scapular C5, the same inNervation for the rhomboid minor. 22. Which would be the inNervation of the deltoid? Your Answer: Incorrect Correct Answer is: C5, 6 axillary nerves The inNervation of the deltoid occurs at C5, 6 axillary nerves. 23. What is inflammation of the joints most commonly termed? Your Answer: Incorrect Correct Answer is: Arthritis Arthritis is inflammation of the joints. 24. Which system regulates the digestive systems activity? Your Answer: Incorrect

Correct Answer is: Nervous The nervous system ANS, particularly the parasympathetic (rest and digest) division regulates the digestive system. 25. A slightly movable joint is known as: Your Answer: Incorrect Correct Answer is: Amphiarthrotic Joint Function / Structure: Synarthrotic / Fibrous, Amphiarthrotic / Cartilaginous, Diarthrotic / Synovial. (SAD) Fibrous (S), cartilaginous (A) and Synovial (D). 26. Which muscle group is located between the SCM and anterior flap of the Trapezius and unilaterally rotates the head and neck to the opposite side? Your Answer: Incorrect Correct Answer is: Scalenes Scalenes are sandwiched in between SCM and Trapezius; Splenius Capitis is deep to the Trapezius and Rhomboids rotates the head and neck to the same side. 27. What portion of the heart does the venae cavae transport unoxygenated blood to? Your Answer: Incorrect Correct Answer is: Right atrium The superior AND inferior vena cava transport blood back to the right atrium of the heart. Both the superior and inferior vena cava are known as the Venae cavae. 28. What two muscles attach to the xiphoid process? Your Answer: Incorrect Correct Answer is: Rectus abdominus/diaphragm Rectus abdominus inserts and the diaphragm originates on the xiphoid process. 29. Which muscle adducts and medially rotates the humerus? Your Answer: Incorrect Correct Answer is: All of the above The teres major, latissimus dorsi and pectoralis major ADducts and medially rotates the humerus. 30. The _______________ is the insertion for three of the four rotator cuff muscles; supraspinatus, infraspinatus, and teres minor? Your Answer: Incorrect

Correct Answer is: Greater tubercle Lesser tubercle is the insertion of the fourth rotator cuff muscle, the subscapularis. All the other rotator muscles insert on the greater tubercle. The Intertubercular groove is between the greater and lesser tubercle and houses the long head tendon of the biceps brachii. 1. What level of severity is a contusion if there is bleeding/ swelling with some pain and muscle weakness? Your Answer: Incorrect Correct Answer is: Moderate contusion The classifications for the three levels of severity for contusions; Mild= minor crush, minimal bleeding, and mild discomfort; Moderate= moderate crush with bleeding/ swelling and difficult to use because of pain and muscle weakness; Severe= severe crush with rapid bleeding/ swelling and cannot use because of significant pain and muscle weakness. 2. 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. 3. 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. 4. A 22-year-old student started getting frequent headaches about a month ago, her chief complaint is the neck and shoulder pain. The headaches start about mid-day and continue until she goes to bed, about three times a week each lasting around 12 hours. What type of headache would this indicate? Your Answer: Incorrect Correct Answer is: Tension Tension= a muscle contraction type headache. Sinusitis= pain and inflammation in the sinuses. Migraine= early morning onset, sensitivity to light, sound, and smell. Cluster= 1-6 headaches per day. 5. Which of the following choices transports oxygen to the tissues of the body?

Your Answer: Incorrect Correct Answer is: Hemoglobin Hemoglobin is the protein that bonds with oxygen and transports it in the blood. 6. What set of muscles help to assist the temporalis and masseter with the movement of the mandible? Your Answer: Incorrect Correct Answer is: Medial and lateral pterygoids The medial & lateral pterygoid are located on the interior mandible acting like a mirror to the masseter. Both pterygoids protect and unilaterally they deviate laterally to the opposite side. Bilaterally the medial pterygoid elevates the mandible. 7. Which of the following physiological effects is a reflexive component of petrissage? Your Answer: Correct 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. 8. What major endocrine hormone promotes retention of water by the kidneys? Your Answer: Incorrect Correct Answer is: ADH ADH (antidiuretic hormone) is released by the posterior pituitary gland to promote retention of water from the kidneys. It is regulated by the hypothalamus in response to a water or salt imbalance. 9. Which system regulates the digestive systems activity? Your Answer: Incorrect Correct Answer is: Nervous The nervous system ANS, particularly the parasympathetic (rest and digest) division regulates the digestive system. 10. What following general conditions are absolute contraindications for massage? Your Answer: Incorrect Correct Answer is: Diabetic coma or insulin shock Diabetic coma and insulin shock are absolute contraindications (CI=inappropriate) to massage treatments. Between asthma attacks are ok but during an attack it is CI. Ectopic pregnancy is a local CI, the rest of the body is ok to treat. 11. Any repeated activity, occupational or recreational, can lead to an/a:

Your Answer: Incorrect Correct Answer is: Overuse injury An overuse injury occurs when repetitive microtrauma overloads a tissue's ability to repair itself. 12. What action is used to assess scapulohumeral rhythm at the scapula or scapulothoracic joint? Your Answer: Incorrect Correct Answer is: ABduction Scapulothoracic rhythm is the ratio of motion between the scapulothoracic articulation and the glenohumeral joint, as the arm ABducts through full range. It tests for all joints of the shoulder. 13. What is missing in this list of levels of organization in the human body? Organelle, Cell, _______, Organ, Organ system and Organism. Your Answer: Incorrect Correct Answer is: Tissue The level of organization in the human body is Organelle, Cell, Tissue, Organ, Organ System, and Organism. 14. Which definition is for occupation? Your Answer: Incorrect Correct Answer is: A productive or creative activity that serves as one's regular source of livelihood An occupation is a productive or creative activity that serves as one's regular source of livelihood. 15. ___________ is the lack of blood flow to a specific area? Your Answer: Incorrect Correct Answer is: Ischemia Ischemia= Voiding blood from the tissue. 16. The best way to locate joint capsule adhesions is to use: Your Answer: Incorrect Correct Answer is: Active resisted and palpation Knowledge of anatomy is essential to orient such techniques as cross-fiber friction, at the right angles to the fibers of the structure being treated. Active resisted and palpation are good at locating adhesions in the tendon. Positive active and stabilizing passive are made up. 17. What muscles would be assessed with neck extension?

Your Answer: Incorrect Correct Answer is: Upper trapezius, levator scapula, splenius capitis/cervicis and cervical ESG's Bilateral extension; Upper traps, levator scap, splenii and ESG's (spinalis, longissimus and iliocostalis). 18. What is the homeostatic relationship between the nervous and integumentary systems? Your Answer: Incorrect Correct Answer is: All of the above The nervous system regulates the blood vessels diameter, interprets cutaneous sensations, activates sweat glands and arrector pili muscles for thermoregulation. The integumentary system protects the nervous system organs and cutaneous sensory receptors of nerve innervations of the skin. 19. When a person has an allergic reaction the body will release ______________? Your Answer: Incorrect Correct Answer is: Histamines Histamines are released by the body's immune system to combat what it feels is a threat. 20. Which of the following physiological effects is a mechanical component of cross-fiber friction? Your Answer: Incorrect Correct Answer is: Breaks up and reforms scar tissue 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, decreases hypertonicity (by the nervous system or if done on a tendon, golgi tendon organ), and increases circulation. 21. What schedule form do you file if you have a business partner? Your Answer: Incorrect Correct Answer is: K To comply with proper filing procedures a schedule K is required when in a partnership. 22. With regard to directional terms, the feet would be considered? Your Answer: Incorrect Correct Answer is: Distal The feet would most likely be distal or inferior. 23. Which gland is in charge of the growth and development of the body?

Your Answer: Incorrect Correct Answer is: The pituitary gland The pituitary gland is known as the master gland because it manufactures and regulates the hormones that regulate all of the other glands. 24. Of the following choices, which is the fluid that resides in the spaces between the body's cells? Your Answer: Incorrect Correct Answer is: Interstitial fluid Interstitial fluid is in between the body's cells. Intracellular is in the cells and intravascular is in the veins and arteries. 25. The application of principles, methods, and procedures of understanding, influencing, and predicting behavior for the purpose of diagnosis for treatment is within which occupation's scope of practice? Your Answer: Incorrect Correct Answer is: Psychology Psychology can be rendered to an individual, group, or an organization and involves the application of principles, methods, and procedures of understanding, influencing, and predicting behavior for the purpose of diagnosis for treatment. 26. Of the following physiological effects of tapotement, which is reflexive? Your Answer: Incorrect Correct Answer is: Brief vasoconstriction followed by vasodilation 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. 27. While giving an assessment there are three types of questions you ask to obtain relevant information for the treatment plan; General, Specific, and Pain questions. Which of the following is a Specific question? Your Answer: Incorrect Correct Answer is: Can you describe to me the injury, was it trauma-induced or gradual? Specific questions focus on the chief or primary complaint. When, how, what was done for treatment, was there a physician's diagnosis, medications, and was it trauma-induced or gradual onset? 28. 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. 29. Improving range of motion of affected joints and treating trigger points: Your Answer: Incorrect Correct Answer is: Further breaks the pain cycle Massage techniques that improve range of motion and reduce trigger points address the source of pain and stop the nociceptive (painful) nerve firing also increasing circulation levels. 30. Which muscle laterally rotates the humerus? Your Answer: Incorrect Correct Answer is: Infraspinatus The infraspinatus muscle externally rotates the humerus. 1. The axial skeleton is comprised of? Your Answer: Incorrect Correct Answer is: The cranium, vertebral column, ribs, sternum, and hyoid bone The axial is the cranium, vertebral column, ribs, sternum and hyoid bone. The appendicular is all the bones in the extremities arms, legs, scapula, clavicle, and pelvic girdle. 2. Which of the following choices are glands belonging to the endocrine system? Your Answer: Incorrect Correct Answer is: Gonads, adrenal, and thyroid The major endocrine glands are: Pineal, hypothalamus, pituitary, thyroid, parathyroid, thymus, adrenal, pancreas, and gonads. Calcitonin and androgen are hormones. 3. This organ is grossly affected by changes during pregnancy? Your Answer: Incorrect Correct Answer is: Uterus Stretched and under stress. 4. What muscles would be treated in compartment syndrome or periostitis for the anterior compartment? Your Answer: Incorrect Correct Answer is: Tibialis anterior, extensor digitorum and extensor hallucis longus

Compartment syndrome or periostitis produces pain in the lower leg due to trauma, poor technique, overtraining, improper footwear, and running on uneven or hard surfaces. The anterior compartment consists of the tibialis anterior, extensor digitorum and extensor hallucis longus. 5. Which muscle is also commonly called the "boxers muscle"? Your Answer: Incorrect Correct Answer is: Serratus anterior The serratus anterior muscle is also commonly called the "boxers muscle" because ABducts and depresses the scapula. Making the punching motion possible at the shoulder girdle. It also holds the scapula against the rib cage and if the scapula is fixed it can act in forced inhalation. 6. Which bone in the body is known as the "Razor's Edge"? Your Answer: Incorrect Correct Answer is: Ulna The ulna shaft runs along the posterior medial aspect of the forearm. Many muscles are located next to the shaft of the ulna but the edge of the ulna is superficial and palpable, the "Razor's Edge". 7. What is another term for tricuspid valve? Your Answer: Incorrect Correct Answer is: Right atrioventricular valve The right atrioventricular valve is another term for tricuspid valve. 8. Of the following, which is not a function of the endocrine system? Your Answer: Incorrect Correct Answer is: Emotional responses The endocrine system maintains homeostasis (hormones), controls growth and development, reproduction, and metabolism. The emotional responses are a function of the nervous system. 9. The cerebrum is the? Your Answer: Incorrect Correct Answer is: Superior right and left hemispheres The cerebrum is the largest part of the brain consisting the right and left cerebral hemispheres. Including frontal, parietal, temporal and occipital lobes. It is the most superior portion of the three; cerebral hemisphere, diencephalon and cerebellum. 10. Decreasing the chance of injury and muscle soreness is an effect for what type of massage: Your Answer:

Incorrect Correct Answer is: Both A and B These are physical and mental effects of sports massage. 11. What is the area of the muscle called that is attached to the movable bone? Your Answer: Incorrect Correct Answer is: Insertion The insertion is the area of the muscle that is attached to a movable bone. The insertion moves toward the origin in contraction. The origin attaches to immovable or less movable bone. 12. Cyanosis is common during heart failure and severe breathing disorders causing skin, blood, nail beds, and mucous membranes to appear blue. This is due to: Your Answer: Incorrect Correct Answer is: Poorly oxygenated hemoglobin Cyanosis is a bluish coloration of the mucous membranes and skin caused by deficient oxygenation of the blood. 13. What muscle has its insertion at the mastoid process and the superior nuchal line? Your Answer: Incorrect Correct Answer is: Sternocleidomastoid The Sternocleidomastoid muscle has its origin at the medial 1/3 clavicle and the top of the manubrium on the sternum. Its insertion is on the mastoid process and lateral superior nuchal line. 14. The fetus grows in the mothers? Your Answer: Incorrect Correct Answer is: Uterus The fetus grows in the uterus. The cervix is the opening at the base of the uterus. 15. A common name used for a decubitus ulcer is: Your Answer: Incorrect Correct Answer is: Bedsores Any restriction of the normal blood supply to the skin results in cell death, and if severe or prolonged enough, skin or decubitus ulcers occur. 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. If Hemoglobin is found in urine it is called hemoglobinuria, what is a possible cause? Your Answer: Incorrect Correct Answer is: Transfusion reaction or hemolytic anemia Hemoglobinuria= hemoglobins in the urine caused by various possibilities including a reaction to transfusions or hemolytic anemia. Bilirubinuria= bile pigment in the urine can be caused by liver disease (hepatitis). Pyuria= pus or WBCs and bacteria caused by a urinary tract infection. Hematuria= RBCs in the urine can be caused by bleeding in the urinary tract due to trauma, kidney stones, or infection. 18. These Leukocytes WBCs kill parasitic worms and increase during allergy attacks? Your Answer: Incorrect Correct Answer is: Eosinophils Eosinophils function to kill parasitic worms, increase during allergy attacks, can phagocytes antigen-antibody complexes, and inactivate some inflammatory chemicals. They account for 1-4% of WBCs. The anatomy: red coarse cytoplasmic granules, figure-8 or bilobed nucleus stains blue-red. Erythrocytes are RBCs and Platelets are neither red nor white and are used for clotting. 19. Lateral epicondylitis and extensor tendinosis are also known as? Your Answer: Incorrect Correct Answer is: Tennis elbow Tennis elbow is the lateral extensor, golfer's elbow; medial flexor tendinosis. Tenosynovitis (inner surface) and tenovaginitis (outer surface) are other names given to paratendinitis: inflammation of the paratendon or tendon sheath. 20. What is the term for the action of bringing a raised arm down to the side of the body? Your Answer: Incorrect Correct Answer is: ADduction ADduction is the term for the action of bringing a raised arm down to the side of the body. 21. Of the following physiological effects which is a reflexive effect for deep effleurage? Your Answer: Incorrect Correct Answer is: Increases vasodilation

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. 22. Which joint category is freely movable? Your Answer: Incorrect Correct Answer is: Diarthrosis Diarthrosis is one of the categories of joints. A more common term for a diarthrosis joint would be a synovial or freely movable joint. SAD/ Synarthrosis= immovable. Amphiarthrosis= slightly movable. Diarthrosis= Freely movable. 23. Breathing normal is also known as: Your Answer: Incorrect Correct Answer is: Eupnea Eu= Normal Pnea= Breathing. 24. What is the best hydro treatment for a client with fibromyalgia? Your Answer: Incorrect Correct Answer is: Fomentation Fomentation= Hot moist hydro applied to ease pain. Heliotherapy= therapeutic exposure to sunlight. Ice has the possibility of intensifying the pain. 25. What joint has uniaxial movement? Your Answer: Incorrect Correct Answer is: Hinge The elbow and interphalangeal joints are hinge on a uniaxial plane of flexion and extension no rotation. Condyloid and saddle are biaxial (metacarpophalangeal and carpometacarpal) and plane, translational or gliding (intercarpal/tarsal). Ball and socket are joints that articulate on a multiaxial or universal movement on all planes including rotation, like the shoulder. 26. What muscles would be assessed with neck extension? Your Answer: Incorrect Correct Answer is: Upper trapezius, levator scapula, splenius capitis/cervicis and cervical ESG's Bilateral extension; Upper traps, levator scap, splenii and ESG's (spinalis, longissimus and iliocostalis). 27. The urinary system functions to:

Your Answer: Incorrect Correct Answer is: Rid the body of nitrogenous wastes, and regulate water, electrolyte as well as acid-base balance of the blood The urinary system rids the body of nitrogenous wastes and regulates water, electrolyte, and acid base balance of the blood. The reproductive system ensures continuity of the species by producing offspring. The endocrine system maintains homeostasis (hormones), controls growth and development, reproduction, and metabolism. The respiratory system supplies oxygen to the blood and removes carbon dioxide from it. 28. Each kidney in the urinary system has an adrenal gland sitting on top and is part of what system? Your Answer: Incorrect Correct Answer is: Endocrine The adrenal glands are part of the endocrine system which releases hormones. 29. How many chambers does the heart have? Your Answer: Incorrect Correct Answer is: 4 There are 4 chambers in the heart. Right atrium, right ventricle, left atrium, and left ventricle. 30. What is the homeostatic relationship between the integumentary and urinary systems? Your Answer: Incorrect Correct Answer is: All of the above The integumentary system protects urinary organs along with excretion of salts and nitrogenous wastes through sweat. The urinary system activates vitamin D made by the keratinocytes and disposes of nitrogenous wastes of integumentary or skin metabolism.