Massage and Bodywork Licensing Examination FREE MBLEx Test Client Assessment and Planning Questions and Answers 2 — Questions and Answers
Question 1: During a client intake, which finding would require a massage therapist to obtain physician clearance before proceeding with treatment?
- Recent deep vein thrombosis diagnosis (Correct answer)
- Mild tension headache
- Chronic low back stiffness
- General work-related stress
Correct answer: Recent deep vein thrombosis diagnosis
Deep vein thrombosis is an absolute contraindication requiring physician clearance due to the risk of embolism.
Question 2: A client reports numbness and tingling radiating down their left arm during the initial assessment. What is the most appropriate next step?
- Refer the client for medical evaluation before proceeding (Correct answer)
- Begin gentle effleurage on the affected arm
- Apply deep tissue work to the cervical spine
- Document the symptom and continue with the scheduled session
Correct answer: Refer the client for medical evaluation before proceeding
Numbness and tingling radiating down the left arm may indicate a cardiac or neurological issue requiring immediate medical evaluation.
Question 3: Which assessment technique involves the therapist passively moving a client's joint through its available motion to evaluate joint integrity?
- Passive range of motion testing (Correct answer)
- Active range of motion testing
- Manual muscle testing
- Postural assessment
Correct answer: Passive range of motion testing
Passive range of motion testing is performed by the therapist moving the joint without client effort to assess joint end-feel and integrity.
Question 4: When developing a treatment plan, what does the acronym SOAP stand for in clinical documentation?
- Subjective, Objective, Assessment, Plan (Correct answer)
- Standard, Observation, Analysis, Protocol
- Symptom, Outcome, Action, Prognosis
- Summary, Observation, Assessment, Procedure
Correct answer: Subjective, Objective, Assessment, Plan
SOAP stands for Subjective, Objective, Assessment, and Plan, which is the standard clinical documentation format.
Question 5: A client presents with bilateral shoulder elevation and forward head posture during postural analysis. Which muscle group is most likely shortened?
- Upper trapezius and pectoralis major (Correct answer)
- Rhomboids and middle trapezius
- Latissimus dorsi and teres major
- Infraspinatus and posterior deltoid
Correct answer: Upper trapezius and pectoralis major
Elevated shoulders and forward head posture typically indicate shortened upper trapezius and pectoralis major muscles.
Question 6: A returning client reports that previous deep pressure work caused bruising. How should the therapist modify the treatment plan?
- Reduce pressure intensity and reassess tissue response throughout the session (Correct answer)
- Continue with the same pressure since bruising is a normal response
- Switch entirely to energy work techniques
- Cancel the appointment and refer to a physician
Correct answer: Reduce pressure intensity and reassess tissue response throughout the session
Reducing pressure and monitoring tissue response is the appropriate modification to prevent further bruising while still providing therapeutic benefit.
During a client intake, which finding would require a massage therapist to obtain physician clearance before proceeding with treatment?