Chapter 11 Complementary

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Fritz: Mosby's Fundamentals of Therapeutic Massage, 3rd Edition

Chapter 11: Complementary Bodywork Systems

MULTIPLE CHOICE

1. Water is used to:

a. relax and sometimes anesthetize the body. b. stimulate the body.

c. reduce or increase circulation.

d. all of the above.

ANS: D

REF: 453DIF: 2

2. Steam can be used to provide:a. relaxation and cleansing.

b. humidity and a breathing aid.

c. an antiseptic.


ANS: D

REF: 453DIF: 2

3. Maggie’s client is receiving a cold application to reduce swelling and stimulate blood cell production. She instructs the client to:

a. apply gel packs directly on the skin over the affected area.

b. try to keep the ice application in place for a minimum of 30 minutes to reach full

effect.c. refrain from any exercises that might cause pain after the cold application.


ANS: C

REF: 454

DIF: 3

Copyright © 2004 Mosby, Inc. All rights reserved.



4. Joachim has a client who has requested hydrotherapy. As he interviews her, he learns that

she has a circulatory disorder and is hoping that therapy “will help with comfort.” Joachim

should:a. suggest only cold temperatures, keeping in mind that a 10-degree difference is the

minimum needed to create stimulation and change in the circulation.

b. use heat therapy to increase circulation and decrease pain and tissue stiffness,keeping in mind the importance of checking the client’s comfort and thirst levels

frequently.

c. refrain from hot or cold hydrotherapy unless a physician’s permission is provided.d. do a and b, on sequential visits.

ANS: C

REF: 455DIF: 3

5. In preparing a mineral herb bath, Maggie sets the temperature for 91 degrees F. This

temperature is most likely to:a. be painful or uncomfortable.

b. produce goose flesh.c. feel like skin temperature.

d. redden the skin.

ANS: B

REF: 456

DIF: 2

6. P.R.I.C.E.:

a. is a first aid application that excludes the use of hydrotherapy, which would onlyincrease the inflammatory response. b. is not appropriate for soft tissue injuries, except in the case of sprains or strains.

c. stands for protection, rest, ice, compression, and elevation.

d. is accurately described in b and c.

ANS: C

REF: 456

DIF: 3

7. In trying to let the cat out, while keeping the dog in, Erin has just this moment slammed her

knee in the door. (“Don’t ask,” she says. “This happens a lot.”) Her friend Maggie helps by:

a. applying heat to increase the blood flow and stimulate therapeutic inflammation.

b. applying an ice application for a 45-minute period through four sensations:appreciation of cold, warming, ache or throbbing, and skin anesthesia.

c. applying ice by immersion in ice water, massaging the knee with ice packs.

d. alternating between a and c.

ANS: C


2



REF: 457

DIF: 3

8. Ellen’s doctor sends her for a massage because of some swelling in her extremities,

especially her ankles and legs. There is no inflammation or any other health or medication

cause. Which of the following statements is true of Ellen’s case?a. Edema may be caused by lack of exercise, excess salt, or Ellen’s menstrual cycle.

b. Ellen should be made aware that lymphatic drainage massage may increase her

blood pressure.c. Ellen should feel more energized for the first 24 to 48 hours after the massage,

making it easier for her to begin any needed increase in exercise.

d. All of the above are true.

ANS: A

REF: 461-463

DIF: 3

9. Theo is giving a lymphatic drainage massage to Ellen, who has edema, especially in the

lower limbs, and who has been referred for massage by her physician. Which of thefollowing is true, assuming that Theo follows correct methods of lymphatic drainage

massage?

a. The greater the amount of fluid in the tissue, the more rapid Theo’s massagemovements must be to stimulate peripheral lymphatic contractions.

b. Theo will move lymph toward the nearest cluster of lymph nodes by first

massaging swollen tissue farthest from the cluster, then massaging the area around

the nodes themselves last.c. The massage session begins with a pumping action on the thorax, after the client

exhales completely.d. All of the above are true.

ANS: C

REF: 463-64DIF: 3

10. Erika is giving a circulatory massage to a healthy client who has been under some

occasional stress. Which is true of the circulatory massage for this client?a. Erika should apply compression over the main arteries beginning proximally (near

the heart) and moving distally to the tips of the fingers or toes.

b. To encourage venous circulation, Erika should stroke these vessels from proximalto distal, using a gliding motion.

c. Gliding strokes over the veins should be long and smooth to enable the blood to

move from valve to valve.d. All of the above are true.

ANS: A

REF: 465DIF: 3


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11. Joachim is applying reflexology methods. Which of the following is true?

a. Joachim knows that stimulating nerve endings on the feet and hands helps to

depress the release of endorphins. b. Joachim should advise the client that because of all the small bones and joints in

these extremities, hand and foot self-massage should not be encouraged.

c. Joachim cannot tell whether a reflexive point is overactive or underactive, so heshould alternately use both approaches and let the body choose which to respond to.

d. None of the above is true.

ANS: C

REF: 467

DIF: 3

12. Maggie is assessing connective tissue dysfunction in a physician-referred client in order to

plan the best massage possible. Maggie knows that:

a. muscle spasms around a joint can indicate a destabilized joint caused by

understretched connective tissue; it is not possible, however, to overstretchconnective tissue.

b. decreased muscle tension does not cause actual misalignment because the body canadjust to this condition—unlike increased tension, which is less controllable.

c. it can sometimes be acceptable to introduce therapeutic inflammation by

deliberately reinjuring tissue.d. all of the above are true.

ANS: C

REF: 468-469DIF: 3

13. Maggie has made use of deep transverse friction. This procedure:a. restructures connective tissue and increases circulation to the area.

b. induces an analgesic state.

c. should be followed by painlessly contracting the frictioned area using a broadeningcontraction.

d. is accurately described in a, b, and c.

ANS: DREF: 469

DIF: 2

14. Carol’s client is being treated for myofascial adhesions. Her physician has recommended

therapeutic massage. In administering this massage, Carol:

a. uses 15% to 20% more lubricant, to protect the myofascial tissue. b. uses primarily tapotement and abrupt compression.

c. stops and maintains pressure or tension if she senses movement in the myofascial

tissue and further understands that vasomotor responses on other parts of the skin

are nothing to be alarmed about.d. uses both a and b.


4



ANS: C

REF: 472

DIF: 2

15. Joachim is using a pressure technique to treat a trigger point. Which of the following is

true?a. This technique can end hyperirritability by mechanical disruption of sensory nerve

endings.

b. When using the direct pressure technique, the therapist must stop the compression just before spindle cell stimulation.

c. it is necessary to maintain pressure for at least 12 seconds.

d. Both a and c are true.

ANS: A

REF: 476

DIF: 3

16. Theo is applying acupressure while massaging a client. Which of the following is true?

a. Yang meridians are considered a “negative” charge and correspond with thefunctions of solid organs rather than hollow ones.

b. Yin meridians are associated with sympathetic autonomic nervous system

responses and hollow organs.c. Yin meridians concern functions that draw energy of sustenance and nurturing.

d. Both b and c are true.

ANS: CREF: 480

DIF: 2

17. In Chinese medical thinking, the five elements of nature:

a. include a yin-yang relationship between spleen and stomach.

b. include metal, represented by the lung and large intestine.c. include an outside circle—the “sheng” or “creative circle.”

d. include all of the above.

ANS: DREF: 481

DIF: 2

18. Which of the following is true of Ayurveda?

a. A dosha is a body chemical pattern—either wind, bile, or mucus.

b. Doshas combine to form ether, air, fire, water, and earth.c. Temperament is based on dosha dominance or influence.

d. All of the above are true.

ANS: DREF: 487

DIF: 2


5



19. Adam is applying the polarity method to a client. He must remember that:

a. brisk stimulation is to be avoided. b. he must not cross his hands over the client’s body.

c. force creates energy and blocks tension.

d. all of the above are true.

ANS: B

REF: 491DIF: 3

20. Maggie has started working in a resort spa, where she sometimes wraps the body as part of

some spa “packages.” She must keep in mind that:a. mylar foil is ideal for heat-generating treatment and because it is disposable.

b. space blankets are ideal because they can be reused and are easily disinfected.

c. lavender and jasmine added to massage oil can have a stimulating effect.

d. a and c are true.

ANS: AREF: 495

DIF: 2

21. A new massage graduate has just begun her first job in a local day spa. She has completed

her orientation on the properties of the various products used in the spa that are for sale,

and she has observed the various treatments other than massage that are used. It is

requested that she promote the sale of the products and encourage clients to experience theother treatments. She wonders if this is a dual role. Which of the following best explains

why it is not?a. She receives a commission on each product she sells. b. She does not use the products herself.

c. Management informs clients that products and services are marketed.

d. Management expects a sales quota each month for products and services.

ANS: C

REF: Entire Chapter

DIF: 3

22. A massage professional is concerned about his performance on a cruise line. Clients seem

satisfied, and he is booked for all of the available appointments. The supervisor is in chargeof the entire spa service and very busy. The massage therapist would like some sort of

validation from the supervisor on his performance. However, when he made this request,

the response was, “I will tell you if there is a problem.” What is likely the underlying issuewith the massage professional?

a. Self-esteem

b. Intimacy

c. Transferenced. Avoidance


6



ANS: A

REF: Entire Chapter

DIF: 3

23. During postural assessment, it becomes evident that the client is twisting into a torsion

pattern at both the shoulder girdle and pelvic girdle. Both are anteriorly rotated on the right.The problem is both short muscles and connective tissue. What is the best treatment plan?

a. Identify the major pain and symptom areas and concentrate stretching in these

locations.b. Identify the areas that are inhibited and long, and use massage to reduce spindle cell

firing.

c. Identify the attachment trigger points and treat them to lengthen tissue.

d. Apply massage methods to the short structures to address both neuromuscular andmyofascial shortening.

ANS: D

REF: Entire Chapter DIF: 3

24. A client has an outcome goal of being less stiff. Palpation assessment indicates that there is

mild superficial edema almost everywhere. Upon questioning, the client indicates that she

has been eating more salt than normal and has worked extensively in the garden the pastfew days. Which methods would best alleviate her stiffness?

a. Lymphatic drain

b. Myofascial release

c. Reflexologyd. Shiatsu

ANS: CREF: Entire Chapter

DIF: 3

25. A client is experiencing pain along her scapula down to the elbow and sometimes

extending into the little finger. She is also complaining of a sore throat, and her face is

puffy. Which meridian is most affected?

a. Spleenb. Kidney

c. Bladder

d. Small intestine

ANS: D


26. During palpation assessment, the massage practitioner notices that the area from the axilla,

down the anteromedial aspect of the arm, to the end of the little finger by the nail is tender to the touch on both sides. She suspects that a meridian pathway is the cause. Which of the

following questions should be asked?


7



a. Have you had any cardiac symptoms?

b. Have you been constipated?

c. Have you had any low back pain?d. Have your ears been ringing?

ANS: AREF: Entire Chapter

DIF: 3

27. An elderly client is beginning to experience signs of early stage Alzheimer’s disease. He is

very upset about the possibility of losing his independence. The stress symptoms are

aggravating the memory difficulties and confusion. What assessments would best identify

the area most likely to be addressed by massage to reduce the stress levels?a. Palpation of pulses and hot and cold of the extremities

b. Postural balance and gait assessment

c. Breathing pattern and upper chest breathing

d. Lower extremity firing patterns


DIF: 3

28. A client asks for an explanation for why a certain massage method is being used. The goal

for the massage is lymphatic drain. Which of the following best answers the client’s

question?

a. Mechanical movement of the skin helps fluid move into the lymph vessels.b. Reflexive drag of the tissue stimulates neurochemical responses, altering

circulation.c. Compressive force reflexively releases lymphatic pockets.d. The reflexive application of shear force alters movement of fluid from inside to

outside the cell.

ANS: A

REF: Entire Chapter

DIF: 3

29. During the history-taking aspect of the needs assessment, a client informs the massage

practitioner that she has been receiving acupuncture headaches. Which of the following

would be a likely treatment area due to yang meridian pathways in the head?a. Lung and liver

b. Gallbladder and bladder

c. Kidney and spleend. Heart and circulation

ANS: B



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30. When responding to history questions about past experience with massage, a new client

indicates that he has had shiatsu sessions. The client describes how the practitioner

palpated his abdomen. What was the practitioner doing?a. Identifying the various doshas

b. Working with long-term constipation

c. Performing reflexologyd. Assessing the hara

ANS: DREF: Entire Chapter

DIF: 3

31. A client has mild swelling around the left knee after playing basketball. This has beenoccurring for years since an auto accident damaged his knee. The biggest complaint is a

stiff, fat feeling the next morning. He does notice improvement when the massage therapist

uses lymphatic drain in the area. Which of the following main lymphatic nodes would

process the fluid moved during massage?a. Great saphenous

b. Inguinalc. Central axillary

d. Tracheal

ANS: B

REF: Entire Chapter

DIF: 3

32. A massage therapist wants to use massage to enhance the arterial circulation and also

support lymphatic drain. What is the challenge in applying this massage?a. Directionb. Frequency

c. Rhythm

d. Duration

ANS: A

REF: Entire Chapter

DIF: 3

33. A client was hit in the midback during a family touch football game. She experienced

hyperextension at the thoracolumbar junction and woke up this morning with musclespasms. She went to the doctor, who did not find any serious injury, prescribed muscle

relaxants, and indicated that massage should avoid the area. What other method could the

massage practitioner use to provide relief?a. Firing patterns

b. Integrated muscle energy

c. Reflexology

d. Trigger points


9



ANS: C

REF: Entire Chapter

DIF: 3

34. A client has chronic low back pain and finds that massage provides temporary relief. He

experiences the most benefit with a general massage that has a substantial compressiveforce and includes various muscle energy methods but that does not include trigger points

or acupressure. What is the most logical reason for the client not benefiting from point-

specific massage application?a. The client tenses up and guards during this type of application.

b. The client does not actively participate during the massage.

c. The client relaxes best with a meridian-based massage.

d. The client is nervous about the energy-based near-touch application.

ANS: A

REF: Entire Chapter

DIF: 3

35. In Chinese medicine, Si zhen is the term used for the traditional method of physicalexamination. These methods include:

a. muscle testing.

b. establishing rapport.c. palpation.

d. SOAP charting.


DIF: 3

36. During assessment, the massage therapist notices that a client has a greenish color and sour

smell. Which of the five elements may be out of balance?

a. Pittab. Metal

c. Doa yin

d. Wood

ANS: D

REF: Entire Chapter

DIF: 3

37. A client is three years post-breast cancer treatment. She has made significant lifestyle

changes. She regularly meditates and practices qi gong and tai ji quan. Based on thisinformation, which of the following methods would she appreciate being added to the

general massage?

a. Trigger point therapy

b. Meridian massagec. Myofascial release

d. Polarity


10



ANS: B


38. A client has multiple tender areas around the joints. Which of the point systems would bestaddress the situation?

a. Trigger point

b. Reflexologyc. Ayurveda

d. Polarity


DIF: 3

39. A massage practitioner has been very busy. She has seen an increase in her client base, andat the end of the day she finds that she does not want to touch any more. This is especially

distressing to her pet cat, who enjoys being petted. If considering polarity therapy theory,which of the major body currents is out of balance?

a. Wood

b. Spleenc. Root chakra

d. Air

ANS: DREF: Entire Chapter

DIF: 3

40. A client is sleeping during the massage while in the supine position. She had indicated

during the assessment interview that her stomach was a bit upset. If using polarity, which

reflex association would you use to address the issue but not wake the client?a. Sole of the foot in the area of the arch

b. The points around the nose

c. Tips of the fingers

d. Rotation of the wrist and ankle

ANS: A


41. A client is discussing with his massage therapist a “massage-intense” vacation he is planning to take. He will be traveling to the location and spending two weeks. What is the

client describing?

a. Medical massage

b. Thalassotherapyc. Destination spa

d. Day spa


11



ANS: C


42. A method used to tone or sedate acupuncture points without the use of needles is called:a. trigger point therapy.

b. acupressure.

c. myofascial release.d. tructural integration.

ANS: B

REF: 479DIF: 1

43. ________is a term that encompasses all the various forms of massage, movement, and

other touch therapies.a. Technique

b. Bodywork c. Treatment

d. Therapy

ANS: B

REF: 451

DIF: 1

44. Which of the following is a circulatory system that depends on the pumping action of the

skeletal muscle?a. Lymphaticb. Respiratory

c. Arterial

d. All of the above

ANS: D

REF: 465

DIF: 1

45. A specific rehabilitation technique that creates therapeutic inflammation by creating a

specific, controlled reinjury of tissues by applying concentrated therapeutic movement thatmoves the tissue against its grain over only a very small area is called:

a. skin rolling.

b. effleurage.c. deep transverse friction.

d. superficial collateral friction.

ANS: CREF: 468

DIF: 1


12



46. Which of the following hydrotherapy methods would be best to use during general massage

to support parasympathetic response?a. Contrast baths

b. Steam

c. Warm compressd. Tonic friction

ANS: CREF: 456

DIF: 2

47. A client is experiencing lingering muscle spasms from muscle strain caused by coughing.Which is the most appropriate hydrotherapy application?

a. Hot pack

b. Cold pack

c. Salt rubd. Sponging

ANS: A

REF: 454

DIF: 2

48. The spa environment is using a variation of bodywork called stone therapy. Which of the

following methods best describes the hot and cold aspect of this method?

a. Polarityb. Acupressure

c. Hydrotherapyd. Tensegrity

ANS: C

REF: 454DIF: 3

49. Which is the most important when using hydrotherapy methods?

a. Safetyb. Depth of pressure

c. Frequency

d. Duration

ANS: A

REF: 455DIF: 2

50. Which is the best hydrotherapy application if mineral salts are also used?

a. Pack b. Sponge

c. Shower


13



d. Bath

ANS: DREF: 456

DIF: 2

51. Systemic massage most relates to:

a. polarity.

b. lymphatic drainage.c. energy-based modalities.

d. meridian massage.

ANS: BREF: 457

DIF: 2

52. Which aspect of the lymphatic system is most directly affected by massage?a. Spleen

b. Lymph nodesc. Lymphoid tissue

d. Lymph capillaries

ANS: C

REF: 463

DIF: 3

53. Which is not a causal factor for edema?

a. Lack of exerciseb. Salt intakec. Inflammation

d. Meditation

ANS: D

REF: 462

DIF: 1

54. Which of the following is a major general contraindication to massage primarily for

lymphatic drain?

a. Menstrual cycleb. Kidney disease

c. Diet

d. Joint swelling

ANS: B

REF: 436

DIF: 2

55. In order to effectively move the lymph fluid in the vessels to the appropriate drainage


14



areas, which of the following is most important?

a. Rhythm

b. Frequencyc. Direction

d. Pumping

ANS: C

REF: 463

DIF: 2

56. Which of the following is a difference between lymphatic drain and supporting arterial

circulation when giving a massage?

a. Directionb. Oscillations

c. Shear force

d. Frequency

ANS: A

REF: 464-465DIF: 2

57. Which of the following are most similar?a. Hydrotherapy and polarity

b. Lymphatic drain and venous return

c. Reflexology and lymphatic drain

d. Arterial support and lymphatic drain

ANS: BREF: 465DIF: 2

58. Which of the following statements is most correct?a. The lymphatic system can be targeted exclusively with massage.

b. The body fluids are not a major target of massage treatment plans.

c. It is very difficult to avoid influencing blood and lymph movement during massage.

d. Massage that addresses connective tissue does not influence the blood movement.

ANS: C

REF: 457DIF: 2

59. What is the importance of joint movement during venous return?a. It pumps the lymphatic fluid.

b. It compressed the veins, facilitating movement.

c. It assesses for blockage.

d. It changes arterial pressure.

ANS: B


15



REF: 465

DIF: 1

60. A client feels stiff but is unable to obtain relief from stretching, so she has requested a more

effective approach to the massage. Which of the following treatment plans would be the

best choice?a. Muscle energy methods with lengthening

b. Lymphatic drain and support for the circulatory system

c. Polarity and hydrotherapyd. Shiatsu and qi gong

ANS: B

REF: 463DIF: 2

61. When assessing for the need to target the lymphatic and circulatory systems, which of the

following is the most effective assessment method?a. Palpation

b. Applied kinesiologyc. Passive movement

d. Near touch

ANS: A

REF:

DIF: 3

62. If a client has very flexible ankles and often complains of lower leg aching, which of thefollowing would be the most likely cause?a. Connective tissue binding

b. Connective tissue laxity

c. Connective tissue shorteningd. Dystonia

ANS: B

REF: 468DIF: 2

63. A client has a scar that is binding to the underlying tissue. The client feels the restrictionwhen attempting to fully flex the adjacent joint. Which of the following methods would

reduce the binding?

a. Trigger point b. Lymphatic drain

c. Transverse friction

d. Reflexology

ANS: C

REF: 468


16



DIF: 2

64. A client has had recent shoulder surgery to repair a rotator cuff injury. Which of thefollowing massage applications would have the potential to stimulate healing in the area

without disturbing the surgical area?

a. Massage of the foot near the small toeb. Massage of the foot at the larger toe

c. Massage of the foot in the center of the longitudinal arch

d. Massage of the heel

ANS: A

REF: 466

DIF: 2

65. A client loves to have her feet massaged. She says it is the best part of the session and

reports that she feels light on her feet and tingly all over. The best part, she says, is when

all the joints in the foot are moved and the massage therapist applies deep broad-basedcompression into the arch. Which of the following statements is most correct in response to

the client’s inquiring as to why this is the case?a. The point system of reflexology

b. The extensive nerve distribution to the foot

c. The arterial plexus in the sole of the footd. The simple joint complex of the foot

ANS: B

REF: 467DIF: 2

66. An athlete feels in better contact with the floor after a thorough foot massage. Which of thefollowing best explains this benefit of massage?

a. Flexor withdrawal reflex

b. Achilles tendon reflexc. Proprioceptive reflex

d. Contralateral reflex

ANS: CREF: 467

DIF: 2

67. A client is taking an anti-inflammatory medication. Which of the following connective

tissue methods are contraindicated?

a. Tissue movementb. Myofascial methods

c. Deep transverse friction

d. Inhibitory pressure

ANS: C

REF: 469


17



DIF: 2

68. Which of the following most resembles connective tissue?a. Hammer and drill

b. Gelatin and plastic wrap

c. Rivers and streamsd. Flowers and herbs

ANS: BREF: 471

DIF: 2

69. When considering the tensegric form of the body, which of the following is most correct?a. The body skin is the major element of tensegrity.

b. The tension factors are the myofascial unit.

c. The compression element is not present.

d. Compression elements are like a tent canvas.

ANS: BREF: 471

DIF: 2

70. When viewing the body as an interconnected tensegric form, which aspect does massage

most influence?

a. The tension units

b. The reflex pointsc. The elimination process

d. The exercise process

ANS: A

REF: 471

DIF: 2

71. During assessment, a massage practitioner identifies asymmetry in the shoulders and hips.

There seems to be a tight band from the right anterior aspect of the shoulder to the left

anterior iliac spine. If the location of individual muscles cannot describe this relationship,then which of the following is the most likely explanation?

a. The nature of the neurochemical response

b. The reflexive withdrawal from a pain responsec. The fascial network

d. The meridian system

ANS: D

REF: 471

DIF: 2


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72. When studying the application of connective tissue massage, a student notices that the

direction of the strokes is usually lateral to medial or medial to lateral instead of proximal

to distal or distal to proximal. Why?a. This best addresses the fluid movement of the tissue.

b. This best addresses the assessment of trigger points in the tissue.

c. This provides the most effective drag on the fascia.d. This is the primary direction of the meridians.

ANS: CREF: 470

DIF: 2

73. A massage therapist palpates a trigger point in the axilla. Which of the following is themost likely muscle involved?

a. Subscapularis

b. Abductor hallucis

c. Masseter d. Multifidus

ANS: A

REF: 475

DIF: 1

74. A massage therapist palpates a trigger point in the posterior thigh. Which of the following

is the most likely muscle involved?

a. Adductor longusb. Illocostalis

c. Bicep femorisd. Supraspinatus

ANS: C

REF: 475DIF: 1

75. During palpation assessment, a massage therapist identifies an area of skin reddening,

localized edema, and temperature change. What has she found?a. Scar tissue

b. Joint play disruption

c. Muscle laxityd. Trigger point

ANS: DREF: 474

DIF: 2


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76. A client has multiple trigger points in the anterior thorax muscles, which are primarily in

the belly, and has localized trigger points along the attachments of the scapula. Which is

the best treatment plan?a. Use myofascial release in the scapular region and stretch, and then monitor the

change in the trigger points.

b. Treat the trigger points in the thorax aggressively, and then stretch the posterior back muscles.

c. Treat the trigger points in the thorax with the least aggressive methods that are

effective, and monitor the trigger points in the posterior region.d. Treat only the latent trigger points, anterior and posterior, and stretch all muscles

involved.

ANS: CREF: 476

DIF: 2

77. After using positional release on a trigger point in the pectoralis minor, the massagetherapist is having difficulty moving the arm and shoulder to lengthen the area. What

would be the best alternative?a. Local tissue lengthening and stretching with bending force

b. Ice massage instead of stretching

c. Repeating the original treatment without lengtheningd. Having the client stretch the area

ANS: A

REF: 476DIF: 2

78. Which of the following statements is most correct?a. Only layer two muscles develop trigger points.

b. Trigger points in the extensors are seldom beneficial.

c. Trigger points are not part of resourceful compensation patterns.d. Trigger points may be an aspect of appropriate compensation patterns.

ANS: D

REF: 476DIF: 2

79. In the shiatsu methods, the energy should be balanced. If there is too much energy in anarea, it is called:

a. Toa

b. Ch’ic. Jitsu

d. Kyo

ANS: CREF: 477

DIF: 1


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80. Which of the following is part of both the Chinese and shiatsu theory?

a. Meridians b. Kyo

c. Dosha

d. Chakra

ANS: A

REF: 477DIF: 1

81. Which of the following meridians is primarily responsible for respiration in the shiatsu

method?a. Large intestine

b. Spleen

c. Lung

d. Triple heater

ANS: CREF: 477

DIF: 1

82. If the spleen meridian were kyo, what would a typical symptom be?

a. Being timid

b. Craving sweets

c. Sticking feeling in the mouthd. Obsessed with details

ANS: DREF: 478

DIF: 2

83. If the kidney meridian were jitsu, what would be a typical symptom?

a. Anxiety

b. Workaholic behavior

c. Low back ached. Reproductive problems

ANS: BREF: 478

DIF: 2


21



84. The main difference in acupuncture and acupressure is:

a. It’s a case of meridian theory vs. five element theory.

b. Acupressure substitutes pressure for needle insertion.c. One uses kyo/jitsu, and the other, yin/yang.

d. One uses points, and the other, reflexes.

ANS: B

REF: 479

DIF: 2

85. According to Chinese medicine theory, the meridians are associated with:

a. Doshas

b. Kyoc. Organs

d. The 15 main meridians

ANS: CREF: 479

DIF: 2

86. If the liver meridian is yin, its paired yang meridian is:

a. Large intestine b. Heart

c. Lung

d. Gallbladder

ANS: D

REF: 481DIF: 2

87. The two meridians associated with the earth element are:

a. Lung/large intestine b. Liver/gallbladder

c. Heart/lung

d. Spleen/stomach

ANS: D

REF: 481

DIF: 1


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88. If a client is displaying sympathetic dominance, this could be referred to as:

a. yang.

b. ether.c. vitta.

d. five elements.

ANS: A

REF: 480

DIF: 2

89. If metal controls wood, then which of the following is correct?

a. Wood controls fire.

b. Water controls wood.c. Earth controls water.

d. Fire controls earth.

ANS: CREF: 483

DIF: 1

90. If a client is experiencing bloating and it has been determined that there is over-activity in

the earth element, stimulation of which element could control earth to decrease thesymptoms?

a. Metal

b. Fire

c. Water d. Wood

ANS: DREF: 483

DIF: 2

91. If the track of the bladder meridian is painful during massage, which other meridian that

functions as the yin aspect of the water element would also be painful?

a. Spleen

b. Kidneyc. Liver

d. Small intestine

ANS: D

REF: 482

DIF: 2


23



92. During assessment, a massage therapist is considering the emotional and mental influences

of a client’s symptoms. What is this called in Chinese theory?

a. Qi qingb. Doa yin

c. Wu zang

d. Si shi

ANS: A

REF: 484DIF: 2

93. What color is associated with the metal element?

a. Greenb. Red

c. White

d. Blue

ANS: C

REF: 484DIF: 1

94. During palpation assessment, a massage therapist identifies an area on the skin that isdamp, hot, and gets red when rubbed. The area is near a joint and on a meridian path. He

decides the area is an acupuncture point that should be sedated. Which of the following is

the most correct method?

a. Tapotement along the path of the meridian and tapping on the point b. Sustained inhibitory pressure until the sensation in the point changes

c. Ice massage along the referred pain pathway, with stretchingd. Skin rolling and myofascial stretching along the meridian pathway

ANS: B

REF: 486DIF: 2

95. Which of the following bodywork systems includes massage of about 100 pointsconcentrated at the junction of muscles, ligaments, and joints?

a. Polarity

b. Shiatsuc. Reflexology

d. Ayurveda

ANS: D

REF: 487

DIF: 2


24



96. Which of the following is unique to the Ayurvedic system?

a. Tridosha theory

b. Yin yangc. Kyo/jitsu

d. Color therapy

ANS: A

REF: 487

DIF: 1

97. Principles of Ayurveda are included in which of the following?

a. Hydrotherapy

b. Systemic massagec. Myofascial release

d. Polarity therapy

ANS: DREF: 489

DIF: 1

98. The five major body currents in the polarity therapy system are:

a. Root, spleen, heart, throat, brow b. Ether, air, fire, earth, water

c. Wood, fire, metal, earth, water

d. Vitta, kapha, pitta, dosha, meridian

ANS: B

REF: 489DIF: 2

99. Which of the following is the most correct statement?

a. Polarity therapy does not treat specific illness or disease but instead identifies blocked energy and releases it.

b. The tridosha system is most related to circulation and connective tissue function

and does not include the chakra theory.

c. The polarity therapy is a unique system as opposed to an eclectic component of methods.

d. Acupuncture is usually used exclusively to treat dysfunction in the kyo/jitsu system.

ANS: A

REF: 477, 492

DIF: 3

100. In polarity therapy, which of the following works together in the ether current?

a. Yellow, grains, fruits

b. Sky blue, hearing, pure air c. Cooling, connecting, yin

d. Warmth, orange, taste


25



ANS: B

REF: 489DIF: 2

101. In polarity, what forms the central neutral energy axis?a. The long vertical currents

b. The positive and negative contacts

c. The head and spinal columnd. The finger and toe contacts

ANS: C

REF: 489DIF: 2

102. Which of the following is an essential treatment principle of polarity?

a. It has a concrete treatment sequence.b. The polarity protocol is applied without alteration.

c. The professional has no attachment to the outcome.d. The methods can be intense and painful.

ANS: CREF: 489

DIF: 2

103. If the massage practitioner is incorporating polarity therapy concepts and is gently holdingthe little finger and the little toe on the left, which is the most correct statement?

a. He is balancing the ether current.b. He is shifting positive polarity to neutral.c. He is balancing the chakras.

d. He is balancing the earth current.

ANS: D

REF: 490-491

DIF: 2

104. In polarity therapy, the toes and fingers most correspond to what?

a. Abdomen

b. Headc. Chest

d. Legs

ANS: B

REF: 491

DIF: 1

105. During assessment, the client informs the massage therapist that he has been craving fruit

and nuts. To balance the appropriate current, which fingers and toes would be held?


26



a. Large toe and thumb

b. Little toe and little finger

c. Second toe and second finger d. Not toes and finger, but palm and sole

ANS: CREF: 489

DIF: 2

106. During polarity therapy application, which of the following is not correct?

a. Keep the client centered between the practitioner’s hands.

b. Do not cross the hand on the client’s body.

c. Do not force the energy flow.d. When the energy block releases, direct the energy to the dysfunction.

ANS: D

REF: 491-492DIF: 2

107. Which of the following is most correct?

a. Massage and polarity therapy combine easily.

b. Massage should be separate from most bodywork modalities.c. Polarity is an easy system that requires short-term study.

d. Combining Asian methods and polarity methods is not effective.

ANS: AREF: Entire Chapter

DIF: 3

108. The spa environment that would be most accessible to the general public and would

provide the potential for long-term retention clientele for the massage practitioner is:

a. resort spa.b. adventure spa.

c. day spa.

d. destination spa.

ANS: C

REF: 492

DIF: 2

109. One of the essential principles in the spa environment is:

a. therapeutic change.b. conditional management.

c. pampering.

d. polarity.

ANS: C

REF: 493


27



DIF: 1

110. Which of the following methods is often found as part of spa services?a. Hydrotherapy treatments

b. Insurance authorization

c. Physical therapyd. Psychology

ANS: AREF: 494

DIF: 1

111. A massage practitioner is working in a spa on a cruise ship. Which of the following professionals would likely be a co-worker?

a. Physical therapist

b. Cosmetologist

c. Athletic trainer d. Nutritionist

ANS: B

REF: 493

DIF: 3

112. A massage therapist has been working in a medical wellness spa and is considering various

continuing education courses. Which of the following would best fit in with this

environment and massage application?a. Esthetician

b. Nutritionc. Aromatherapyd. Athletic training

ANS: CREF: 495

DIF: 3

113. The effects of water are primarily:a. mechanical.

b. placebo.

c. reflexive.d. palliative.

ANS: CREF: 453

DIF: 1

114. R.I.C.E. as a first aid treatment:a. increases recovery time and muscle spasm.

b. is appropriate for most soft tissue injuries.


28



c. stands for recovery, ice, circulation, and exercise.

d. is best applied 24 hours after the injury.

ANS: B

REF: 456

DIF: 1

115. When doing specific lymph drain massage:

a. the client may feel ill for 48 hours after the session. b. no additional training is required to work with lymphedema.

c. it is not a specific therapeutic intervention.

d. the therapist uses deep sustained pressure.

ANS: A

REF: 457

DIF: 1

116. Circulatory massage:

a. should be done only on those with cardiovascular problems. b. for venous circulation begins at the fingertips.

c. is indicated on varicose veins.

d. over arteries uses compression.

ANS: D

REF: 465

DIF: 1

117. In reflexology, the big toe represents:a. the foot. b. the lungs.

c. the head and neck.

d. the hara.

ANS: C

REF: 466

DIF: 1

118. With connective tissue work:

a. stretching, pulling, and applying pressure may provide benefits. b. overstretching tissues at joints will cause joint stability.

c. the work is best done without any other methods.

d. it is not necessary to use any form of muscle energy methods before stretching.

ANS: A

REF: 468

DIF: 1

119. Cross-fiber frictioning:


29



a. is used mainly in cranial release methods.

b. should be localized to one specific area.

c. requires lubrication to reduce the adhesions.d. should last no more than 3 seconds.

ANS: BREF: 468

DIF: 1

120. A trigger point is found in a muscle:

a. and can be aggravated only by physical stress or trauma.

b. and is considered a large area of hypotonicity.

c. that attaches to the skeletal system.d. that is only of the phasic type.

ANS: C

REF: 473DIF: 1

121. Yin and yang:

a. reflect only the body, not the mind.

b. work only on the reproductive systems of the male or female.c. pair meridians so that yin meridians are on the left and yang meridians are on the

right.

d. reflect sympathetic and parasympathetic activities.

ANS: D

REF: 480DIF: 1

122. Polarity:

a. encompasses some of the theory base of Oriental medicine and Ayurveda. b. uses rocking methods but does not focus movement at the joints.

c. is a specific method for treating disease.

d. works independent of the energy system of the body.

ANS: A

REF: 489

DIF: 1


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Chapter 11 Complementary