NCBTMB NCBTMB MCQ 3 — Questions and Answers
Question 1: Which massage technique is most appropriate during the acute phase of a muscle strain?
- Deep friction massage
- Myofascial release
- Lymphatic drainage (Correct answer)
- Vigorous petrissage
Correct answer: Lymphatic drainage
Lymphatic drainage reduces swelling and supports healing during the acute phase without traumatizing inflamed tissue.
Question 2: The rotator cuff is composed of which four muscles?
- Supraspinatus, infraspinatus, teres major, subscapularis
- Supraspinatus, infraspinatus, teres minor, subscapularis (Correct answer)
- Deltoid, supraspinatus, infraspinatus, teres minor
- Supraspinatus, deltoid, teres minor, subscapularis
Correct answer: Supraspinatus, infraspinatus, teres minor, subscapularis
SITS—Supraspinatus, Infraspinatus, Teres minor, and Subscapularis—form the rotator cuff that stabilizes the glenohumeral joint.
Question 3: A SOAP note's 'O' (Objective) section should contain:
- Client's reported pain level
- Practitioner's treatment plan
- Observable and measurable findings from assessment (Correct answer)
- Client's health history
Correct answer: Observable and measurable findings from assessment
The Objective section documents what the practitioner observes and measures, such as range of motion, posture, or palpation findings.
Question 4: Which of the following best describes the piezoelectric effect relevant to massage therapy?
- Muscles generate heat during contraction
- Mechanical pressure on connective tissue generates an electrical charge that can alter tissue behavior (Correct answer)
- Nerves transmit pain signals faster under pressure
- Fascia becomes more rigid when cooled
Correct answer: Mechanical pressure on connective tissue generates an electrical charge that can alter tissue behavior
The piezoelectric effect describes how mechanical deformation of collagen fibers in connective tissue generates small electrical currents that influence cellular activity.
Question 5: When performing massage on a client who is in their first trimester of pregnancy, the therapist should:
- Avoid all massage until the second trimester
- Position the client only in the supine position
- Obtain physician clearance and avoid known reflex points linked to uterine stimulation (Correct answer)
- Use only deep pressure to relieve tension
Correct answer: Obtain physician clearance and avoid known reflex points linked to uterine stimulation
First-trimester massage is generally safe with physician clearance, but practitioners should avoid reflex points (e.g., SP6, BL60) associated with uterine stimulation.
Question 6: Which bone is the most commonly fractured bone in the wrist after a fall on an outstretched hand?
- Lunate
- Hamate
- Scaphoid (Correct answer)
- Triquetrum
Correct answer: Scaphoid
The scaphoid is the most frequently fractured carpal bone and is notorious for poor healing due to limited blood supply.
Question 7: The endangerment site located in the posterior triangle of the neck contains which critical structure?
- Carotid artery only
- Brachial plexus, subclavian artery, and lymph nodes (Correct answer)
- Vagus nerve and thyroid gland
- Internal jugular vein and cervical plexus
Correct answer: Brachial plexus, subclavian artery, and lymph nodes
The posterior triangle of the neck contains the brachial plexus, subclavian artery, and lymph nodes, making deep unguided pressure risky.
NCBTMB NCBTMB MCQ 3
Which massage technique is most appropriate during the acute phase of a muscle strain?