Grand Basic Review

1. Massage & Bodywork Examinations For NCBTMB Grand Basic Review Part 4 STARFLEET ACADEMY

2. General Review 1. Research indicates that many benefits of bodywork are derived through the nervous system. These effects are considered______. a. Reflexive b. Mechanical c. Placebo d. Energetic

3. General Review 2. Research has indicated that serotonin, cortisol, and norepinephrine are influenced by massage . What type of response is this?______. a. Hardening b. Mechanical c. Neuro-endocrine d. Gate control

4. General Review • At a pain clinic, you prepare a presentation on the benefits of therapeutic applications of touch to an inter-disciplinary group of professionals including a medical doctor, nurse practitioner, nutritionist and psychologist. Of what value is research in the development of your presentation.? • a. Research describes a subjective experience • b. Research is to be manipulated to validate your point • c. Research provides objective validity to the statements of benefits presented. • d. Research dispels the importance of an intuitive approach.

5. General Review 4. The description of the probable progression of a disease pattern for an individual is the______. a. Etiology b. Diagnosis c. Prognosis d. Idiopathic nature.

6. General Review 5. What is Pain? a. An absolute sigh of malignancy b. Only productive when chronic c. A subjective experience of the individual d. A major sign of a syndrome

7. General Review 6. The exacerbation of an acute illness means the illness: a. Is beginnings to reverse to a healthy state b. Has become worse c. Is infectious d. Is becoming chronic

8. General Review 7. The signs and symptoms reported to the physician assist in determining the: a. Diagnosis b. Exacerbation c. Entrainment d. Neoplasm

9. General Review 8. The relationship of health, biorhythms and entrainment to applications of body work is: a. General support of biorhythms and entrainment by using rhythmic applications of bodywork b. Support of circadian rhythms by bodywork but not ultradian rhythms c. Support of health by entrainment is not an issue in healthy states. d. Entrainment is the mechanism by which bodywork produces disorganization.

10. General Review • A client informs the bodywork professional that they have a benign non-infectious chronic condition with acute periods, particularly when exposed to temperature and seasonal changes and changes in the sleep pattern. Which of the following best describes the clients' condition? • a. The client has a bacterial condition that occasionally becomes active but often goes into remission • b. The client is sensitive to changes in circadian rhythms, seasonal rhythms • c. The client has a pre-cancerous condition that is viral in nature with a guarded prognosis • d. The client experiences inflammation in neoplasms, which results in acute periods of phantom pain.

11. General Review 10. Positioning a client on their side is called: a. Supine position b. Prone position c. Lateral superior position d. Lateral recumbent position.

12. General Review 11. The sternum is inferior to the: a. Pelvis b. Clavicles c. Diaphragm muscle d. Pancreas

13. General Review 12. A client has a bruise on the bottom of their foot. How would you describe the location of the bruise in your charting? The bruise is located: a. On the dorsal side of the foot b. On the volar aspect of the foot c. On the plantar aspect of the foot d. On the caudad portion of the foot

14. General Review 13. A client is referred for bodywork with a regional contraindication that says: Avoid the posterior lateral area of the forearm just inferior to the elbow. Where is it contraindicated to work? a. The area just below the insertion of most of the extensors of the wrist. b. The olecranon process c. Volar aspect of the hand. d. The belly of the muscles of the anterior flexors of the wrist.

15. General Review • The most basic level of structural organization of the body is? • a. Cellular • b. Tissue • c. Organelle • d. Chemical

16. General Review 15. The thyroid, thymus, parathyroid, pineal are organs of what system? a. Endocrine b. Integumentary c. Digestive d. Lymphatic

17. General Review 16. When considering the relationship between anatomy and physiology, which of the following is the most accurate statement? a. Anatomy is the function of the body parts and physiology is the structure of the body. b. Anatomy describes the structure and physiology describes function. c. Physiologic functions are best studied during dissection and anatomy is best studied by observation. d. Physiology is core concrete while anatomy is more fluctuating.

18. General Review 17. When identifying aspects that reflect the energetic forms of bodywork, which of the following are most accurate? a. Surface anatomy and histology. b. Organelles and systemic anatomy. c. Physiology and chemical interactions. d. Interphase and meiosis.

19. General Review 18. A fracture that is a crack in the bone usually cased by repeated mechanical strain is a/an: a. Incomplete fracture b. Comminuted c. Spiral Fracture d. Stress Fracture

20. General Review 19. An air space in the facial bones is a: a. Sinus b.  Trabeculae c.  Foramen d. Meatus

21. General Review 20. Which set of bones represents the tarsal bones a. Tibia, talus hamate b.  Glenoid, trapezium c.  Cuneiform, cuboid, talus d. Ethmoid, vomer, calcaneus

22. General Review 21. Which of the following bone type has a medullary cavity? a. Flat bone b.  Sesamoid bone c.  Long bone d. Irregular bone

23. General Review 22. Of the following pathological conditions of the skeletal system, which one would most likely appear in a person 50 years or older. a. Legg-Calve’-Perthes Disease b.  Scheuermann’s Disease c.  Osteogenesis Imperfecta d. Osteoporosis

24. General Review 23. If a person has fragile bones, what type of bodywork would be the most safe and not require application adjustments? a. Shiatsu b.  Polarity c.  Deep tissue d. Sports Massage

25. General Review 24. The joint type which allows the most range of motion is: a. Amphiarthroses b.  Diathroses c. Synathroses  d. Synchondrosis

26. General Review 25. The involuntary movement that occurs between joint surfaces is called: a. Hypermobility b.  Anatomic range of motion c.  Osteokinematic d. Joint play

27. General Review 26. The glenohumeral joint consists of the humerus and: a. Scapula b.  Clavicle c.  Radius d. Ulna

28. General Review 27. A major ligament supporting the medial aspect of the tibiotalar joint is the: a. Tibial collateral ligament b.  Deltoid ligament c.  Coracohumeral ligament d. Labrum ligament

29. General Review 28. An athlete whose major sport is basketball received an impact injury to the medial aspect of the knee. There is not much swelling or loss of function ; however, the knee is tender when palpating the lateral side. What type of injury to what structure is probable? a. Dislocation with micro tearing to the patellar ligament. b.  3rd degree sprain to the lateral collateral ligament. c.  1st degree sprain to the lateral collateral ligament. d. 2nd degree sprain to the medial collateral ligament.

30. General Review 29. A client has sprained their ankle multiple times in the past 10 years. The plastic range of the connective tissue structures in this area has been increased. What pathological condition might this client be experiencing? a. Hypermobility b.  Avulsion c.  Hypomobility d. Adhesive Capsulitis

31. General Review 30. The stimulus at which the first noticeable muscle contraction occurs is called the: a. Static force b.  Maximal stimulus c.  Threshold stimulus d. Tone pattern

32. General Review 31. A muscle that produces the majority of movement is called a/an a. Agonist b.  Antagonist c.  Fixator d. Synergist

33. General Review 32. The muscles that function to flex the elbow are: a. Brachialis, brachioradialis, pronator teres b.  Triceps brachii, coracobrachialis, teres major c.  Pronator quadratus, brachioradialis, coracobrachialis d. Brachialis, brachioradialis, teres major

34. General Review 33. A muscle synergistic to the triceps brachii is the: a. Pronator quadratus b.  Flexor carpi radialis c.  Palmaris longus d. Aconeus

35. General Review 34. A client is having difficulty with diffuse pain in the lumbar region mostly on the left side. During assessment, it is noticed that the swing phase of the gait cycle is restricted on the left. What muscle(s) is implicated. a. Hamstrings b.  Quadriceps c.  Psoas d. Quadratus

36. General Review 35. Which of the following is a function of muscles? a. Support production of red blood cells b.  Generate heat c.  Supply calcium to the blood d. Sense positional change

37. General Review 36. A motor neuron and all the muscle fibers that it controls are called a: a. Neuromuscular junction b.  Synergist c.  Motor unit d. Endomysium

38. General Review 37. What is an Aponeurosis? a. The outer layer of connective tissue that surrounds a muscle b.  A cord of fibrous connective tissue that anchors a muscle to a bone c.  A sheath that surrounds a tendon and a muscle d. A broad flat tendon that attaches muscle to bone or other tissue.

39. General Review 38. What is the innervation of the latissimus dorsi muscle? a. The subscapular nerve b.  The axillary nerve c.  The thoracodorsal nerve d. The median nerve

40. General Review 39. The muscle described as having its origin at the posterior sacrum, coccyx and iliac crest and insert at the gluteal tuberosity of the femur and iliotibial band is the: a. Gluteus minimus b.  Tensor fasciae latae c.  Gluteus Maximus d. Piriformis

41. General Review 40. The muscle most often implicated in sciatica is the: a. Pronator quadratus b.  Psoas minor c.  Piriformis d. Semimembranosus

42. General Review 41. A trigger point in the deltoid would likely refer pain to the: a. Upper arm and down lateral side of arm b.  Neck behind the ear, temple, and subscapular area c. Side and back of the chest  d. Dorsal forearm into the dorsal hand

43. General Review 42. A force applied to a lever to overcome resistance is called the: a. Equilibrium b.  Fulcrum c.  Acceleration d. Effort

44. General Review 43. What does the gait cycle describe? a. The relationship between postural and phasic muscles b.  A series of events that sequences the phases of walking c. Adaption to changing joint positions  d. The rotation around an axis to support locomotion

45. General Review 44. What is being identified when the end feel of a joint is hard (normal function indicates a soft end feel)? a. Anatomic barrier b.  Physiologic barrier c.  Pathologic barrier d. Joint play

46. General Review 45. What is the advantage of a third class lever? a. Speed b.  Mechanical advantage c.  Slow acceleration d. Mechanical disadvantage

47. General Review 46. A client often experiences soreness the day after a resistance training routine with weights. Which of the following types of muscle contraction is the likely cause of this tenderness? a. Concentric contraction b.  Eccentric contraction c.  Isometric contraction d. Isotonic contraction

48. General Review 47. A physician refers a client for therapeutic bodywork. The client is experiencing pain and reduced mobility in the shoulders, which has been occurring for three weeks. On month prior, the client began a new job in a factory that requires static positioning of the lower body and repetitive activity with the upper body. What is the likely classification of neuromuscular dysfunction? a. First degree, stage one functional tension b.  First degree, stage three structural change c.  Third degree, stage three structural change d. First degree, joint dysfunction

49. General Review 48. What is the main neurotransmitter affecting muscle? a. Serotonin b. Histamine  c.  Dopamine d. Acetylcholine

50. General Review 49. What is a nerve that transmits the signal to the central nervous system? a. Motor b.  Efferent c.  Afferent d. Cranial