NCBTMB NCBTMB MCQ 4 — Questions and Answers
Question 1: Which type of muscle fiber is characterized by slow contraction speed, high endurance, and aerobic metabolism?
- Type IIb (fast-twitch glycolytic)
- Type IIa (fast-twitch oxidative)
- Type I (slow-twitch oxidative) (Correct answer)
- Type III (intermediate twitch)
Correct answer: Type I (slow-twitch oxidative)
Type I (slow-twitch) fibers are rich in mitochondria and myoglobin, making them highly resistant to fatigue and ideal for sustained postural work.
Question 2: Which reflex, when activated, causes the muscle being stretched to relax and its antagonist to contract?
- Stretch reflex (myotatic reflex)
- Reciprocal inhibition
- Golgi tendon organ reflex (Correct answer)
- Flexor withdrawal reflex
Correct answer: Golgi tendon organ reflex
The Golgi tendon organ (GTO) reflex causes autogenic inhibition—relaxation of the agonist—when tension in the tendon exceeds a threshold.
Question 3: A massage therapist discovers a client has not disclosed a recent diagnosis of cancer. The therapist should:
- Proceed with a standard deep tissue session
- Refuse all future treatment
- Consult with the client's oncologist and adjust the treatment plan appropriately (Correct answer)
- Only work on the extremities
Correct answer: Consult with the client's oncologist and adjust the treatment plan appropriately
Oncology massage requires physician consultation to determine safe pressure, areas to avoid, and session modifications based on treatment stage.
Question 4: The term 'effleurage' describes which massage technique?
- Rapid rhythmic percussion movements
- Slow gliding strokes applied with consistent pressure (Correct answer)
- Kneading and lifting of soft tissue
- Sustained compression on a trigger point
Correct answer: Slow gliding strokes applied with consistent pressure
Effleurage consists of slow, gliding strokes that follow the direction of venous and lymphatic flow to promote circulation and warm up tissue.
Question 5: Which plane of the body divides it into anterior and posterior sections?
- Sagittal plane
- Transverse plane
- Coronal (frontal) plane (Correct answer)
- Oblique plane
Correct answer: Coronal (frontal) plane
The coronal (frontal) plane runs vertically and divides the body into front (anterior) and back (posterior) sections.
Question 6: A client reports sharp, shooting pain down the posterior leg following lumbar spine compression. This pattern is most consistent with:
- Piriformis syndrome
- Sciatica from nerve root compression (Correct answer)
- Iliotibial band syndrome
- Hamstring strain
Correct answer: Sciatica from nerve root compression
Sciatica from lumbar nerve root compression (commonly L4–S1) produces sharp, radiating pain along the sciatic nerve distribution down the posterior leg.
Question 7: Under NCBTMB standards, informed consent means the client:
- Signs a generic liability waiver
- Is informed of treatment goals, techniques, and the right to refuse or stop at any time (Correct answer)
- Agrees to a fixed number of sessions upfront
- Consents only at the initial intake
Correct answer: Is informed of treatment goals, techniques, and the right to refuse or stop at any time
Informed consent requires explaining the nature, purpose, and potential effects of treatment and affirming the client's right to refuse or withdraw consent at any point.
NCBTMB NCBTMB MCQ 4
Which type of muscle fiber is characterized by slow contraction speed, high endurance, and aerobic metabolism?