MBLEX Practice Exam 1 Name Expected Graduation Month/Year Email (Results will be sent here) Phone 1. Which of the following terms is heat transferred from a higher temperature source to a lower temperature source through direct contact? convection conduction conversion radiation 2. A client’s lower back pain returns within three hours of receiving a massage. What organ may be the cause of the referred pain? bladder kidney stomach gallbladder 3. Regulating metabolism is the primary function of which of the following glands? pituitary hypothalamus thyroid spleen 4. Inflammation of the small sack-like outpouchings in the sigmoid colon describes diverticulitis gastroenteritis cirrhosis hepatitis 5. What is the basic filtering unit of a kidney? nephron sarcomere Bowman’s capsule Loop of Henle 6. Which of the following is a function of the urinary system? regulates body temperature absorbs calcium bicarbonate regulates blood Ph secretes melatonin 7. What nerve is commonly compressed in carpal tunnel syndrome? radial ulnar median musculocutaneous 8. Which muscle assists in pumping blood back to the heart? rectus femoris soleus tibialis anterior quadratus lumborum 9. Which condition is defined as an attack by the immune system on the synovial membranes of various joints? osteoarthritis spondylitis tenosynovitis rheumatoid arthritis 10. What type of cyst is only located behind the knee? ganglion lipoma pilonidal Baker 11. The common cold is caused by what type of infection? bacterial fungal viral parasitic 12. Which receptor is most numerous in the fingertips and lips? Meissner Corpuscle Ruffini Corpuscle Krauss End Bulb Pacinian Corpuscle 13. Which type of synovial joint is the glenohumeral? ball and socket gliding hinge and pin saddle 14. Which of the following is an example of a synovial joint? humeroulnar pubic symphysis costochondral tibiofibular 15. Which muscle attaches to the posterior tibia and distal phalanges of toes 2 through 5? flexor digitorum brevis extensor digitorum brevis flexor digitorum longus extensor digitorum longus 16. An involuntary muscle contraction from excess sensory input is known as a contracture tetanic contraction muscle spasm twitch response 17. A client has been diagnosed with bruxism. Which muscle should the practitioner primarily treat? supraspinatus pectoralis minor soleus masseter 18. What type of muscle is rectus femoris? uniarticular biarticular triarticular quadarticular 19. Which proprioceptors reflexively respond to slow tension by inhibiting muscle contractions? Golgi tendon organs muscle spindles Pacinian corpuscles Merkel's Discs 20. What role does the right quadriceps play during right knee flexion? fixator synergist agonist antagonist 21. Which of the following muscles has the longest tendon in the body? plantaris popliteus sartorius gracilis 22. A client complains of weak ankles and pain in the lateral malleolus. She states she turns her ankle inwards and sprains it often. Which muscles should the practitioner primarily treat? extensor longus and brevis peroneus longus and brevis gastrocnemius and soleus flexor and extensor halluces 23. What is the common attachment of the quadriceps muscle group? anterior superior iliac spine ischial tuberosity anterior inferior iliac spine tibial tuberosity 24. Which of the following symptoms is the primary concern when treating a client with Lyme Disease? joint inflammation loss of coordination poor circulation limited mobility 25. Which of the following is the most contagious condition? eczema psoriasis ringworm shingles 26. A client states she was diagnosed with Cushing Syndrome last week. What is the best course of action for the practitioner to take? Reschedule the client when medic al clearance is obtained. Light effleurage on the client’s legs to reduce lymphedema. Rhythmic effleurage entire body to decrease cortisol levels. Reduce the session to ½ hour and focus on stretching fascia. 27. Which of the following is a form of hyperthyroidism? Graves' disease Hashimoto’s disease DiGeorge Syndrome Cushing Syndrome 28. A client, who is 20 weeks (about 4 and a half months) pregnant, states she was diagnosed with diabetes by her physician yesterday. Which type of diabetes was she diagnosed with? Type 1 Secondary insipidus gestational 29. A client with diabetes states he is becoming dizzy during the massage session. What should the practitioner do? Discontinue the session and reschedule. End the session and call 911. Give the client candy and continue. Give the client the massage in a chair. 30. Which form of arthritis causes loss of articular cartilage, especially in weight bearing joints? rheumatoid arthritis gouty arthritis osteoarthritis artioarthritis 31. A client presents symptoms of sciatica. Which muscle should the practitioner primarily treat to alleviate her symptoms? gluteus medius iliopsoas obturator externus piriformis 32. What is the best way for the practitioner to proceed with a client who is diagnosed with gastroesophageal reflux disease? Treat the client in a semi-reclined position Perform colonic massage on a client in a clockwise direction. Advise clients to take their medication immediately before treatment. Massage client within two hours of the client having eaten. 33. A client presents with thoracic outlet syndrome. Which muscles should the practitioner primarily treat? splenii and suboccipitals pectoralis major and latissimus dorsi scalenes and pectoralis minor biceps brachii and supraspinatus 34. A client presents with Crohn disease that is in remission. In which area of the body should the practitioner avoid applying deep pressure? abdominal legs arms chest 35. What disease is caused by degeneration of the cerebrum and lack of dopamine production? Huntington’s Lou Gehrig’s Alzheimer’s Parkinson’s 36. A client presents with a diagnosis of asthma. What is the best course of action for the practitioner to take? Use a hypoallergenic lotion Turn the temperature down in the treatment room Treat primarily in prone position Diffuse eucalyptus oil in the treatment room. 37. Which hormone is associated with feelings of deep emotional connection and a peaceful state of mind? oxytocin melatonin cortisol thymosin 38. Which of the following is an effect of bodywork? increases serotonin decreases dopamine activate sympathetic response inhibit parasympathetic response 39. What is the term for the client’s belief that an ineffective treatment will be beneficial? placebo nocebo confirmation bias Barnum effect 40. Which of the following is a benefit of massage? hyperemia pre-eclampsia hyponatremia cephalgia 41. Which sequence is the best general guideline for massage application? general, specific, general specific, general, deep general, specific, deep deep, superficial, specific 42. Which massage manipulation is most effective in transitioning from one area of the client’s body to another? rhythmic rocking compression friction gliding stroke 43. Which massage manipulations require lubricant? compression percussion effleurage friction 44. What are the five kinds of mechanical force that affect the tissues of the body? compression, tension, bending, shear, and torsion gravity, effleurage, petrissage, compression, and friction magnetism, radiation, chemicals, metabolism, levers walking, breathing, jumping, sleeping, eating 45. What type of force occurs when two ends of a structure are pulled in opposite directions? torsion tensile bending shear 46. Regarding boundaries, effective communication must be assertive, proactive, and Enthusiastic Gentle Consistent Aggressive 47. What type of force occurs when the practitioner is twisting the soft tissue structures? compressive tensile torsion bending 48. What type of force occurs during the application of friction? torsion tensile shear compressive 49. Which sequence is the best general guideline for massage application? general, specific, deep superficial, deep, superficial specific, deep, general specific, general, specific 50. Which type of force is the most beneficial in increasing connective tissue pliability and affecting golgi tendon organs and muscle spindle cells? shear compression torsion bending 51. What type of force is the most beneficial to lengthen muscles and stretch tissue? shear torsion tension bending 52. Which of the following statements belongs in the P section of the SOAP note charting format? The client states her mid-back is very sore. The practitioner notices the client has slouched posture. The client states she has been diagnosed with fibromyalgia. The practitioner recommends after session care. 53. Which of the following is outside a practitioner’s scope of practice? slow effleurage strokes to stimulate serotonin secretion vigorous cross fiber friction to reduce scar tissue formation forceful compression to realign vertebral subluxations passive stretching to increase joint range of motion 54. Which of the following is within the scope of practice of a N.C. practitioner? Recommend the client perform a pectoralis major stretch to alleviate back pain. Tell the client they are deficient in potassium and eat a banana. Tell the client to take 4g of vitamin C to boost their immune system. Recommend the client perform rowing exercises to alleviate back pain. 55. A client calls and states she sprained her right ankle today and would like to schedule a massage for the injured area. How soon should the practitioner schedule the massage for the injured area? later the same day 24 hours 48 hours 72 hours 56. Which landmarks should a practitioner utilize when assessing a client’s posture from an anterior view of the mid sagittal plane? iliac crest and acromion process nasal septum and pubic symphysis greater trochanter and lateral malleolus mastoid process and coracoid process 57. A practitioner vigorously treats a client’s lipoma, mistaking it for a trigger point. This is an example of… abuse turpitude malfeasance neglect 58. Which landmarks should a practitioner utilize when assessing a client’s posture from the coronal plane? iliac crest and acromion process nasal septum and pubic symphysis greater trochanter and lateral malleolus mastoid process and coracoid process 59. Which of the following terms describes gathering information about a client’s condition and symptoms? prognosis assessment diagnosis education 60. Prior to the massage, the practitioner explains to the client the proposed treatment techniques and outcomes. This process is best defined as a part of informed consent health history intake SOAP Documentation boundary management 61. A client presents with intermittent numbness and tingling in the right thumb, index, and middle finger. Which test should the practitioner conduct? Phalen Patrick Thomas Ober 62. A practitioner treats a cyst with compression and friction, mistaking it for a trigger point. This is an example of abuse maleficence beneficence neglect 63. An adult female client asks the practitioner, “How much vitamin C should I take a day to boost my immune system?” What is the best response from the practitioner? My other female clients take 1000 mg per day. The current RDA is 75 mg for an adult female. Vitamin C really does not boost immunity. I recommend you take 1000 mg divided up throughout the day. 64. A client states the reason for seeking a massage today is because their right arm goes numb while sleeping at night. Which category of charting does this information go under? subjective objective assessment planning 65. What type of posture most commonly occurs with an anterior pelvic tilt? rounded back flat back kyphotic-lordotic sway back 66. What type of posture commonly occurs from sitting for extended periods of time? kyphotic-lordotic rounded back sway back flat back 67. What muscle is shortened in forward head posture? levator scapula sternohyoid splenius capitis sternocleidomastoid 68. What is the term for traditional Chinese massage? Nuat Boran Huang-ti Shiatsu Amma 69. What is the Japanese term for a specific energy point? Tsubo Kyo Jitsu Hora 70. A client discloses a diagnosis of multiple sclerosis. Which massage modality would be contraindicated? Himalayan stone Deep tissue Myofascial Cold therapy 71. What modality is most appropriate for fragile skin? Structural integration Bamboo sticks Chair massage Swedish 72. A client with a blood pressure reading of 145/95 should not receive which modality? Deep tissue Craniosacral Structural integration Himalayan 73. A client requests lighter pressure during a massage, the practitioner continues to go deeper, stating it is necessary to achieve the client’s goals for the session. What has just occurred? abuse beneficence neglect assertiveness 74. Which term is defined as a form of regulation that is required by law to practice massage and provides the greatest level of public protection? licensure certification registration verification title protection 75. Which of the following statements is phrased as the best way to refuse a potential client your services? You really remind me of my former boyfriend whom I have issues with right now, so I will have to refer you to someone else. I am not comfortable working with you because I had an uncle who was killed by an Iraqi in the Gulf War, so it is best I refer you elsewhere. I was abused by two ex-husbands, and I am working on issues with men right now so let me give you the names of other practitioners. I do not believe my skills are developed enough to give you the standard of care you deserve, so let me give you the names of practitioners with more experience. 76. What is the most appropriate comment for a practitioner to say to a client? Your traps are very tight. Have you lost weight? Your shoulder range of motion is limited. I like your tattoo. 77. A client purchases a gift certificate for her husband. A month later the client comes for her afternoon appointment and states, “My husband mentioned he was coming in for his massage this morning, how did it go?” What is the best practitioner response? You will need to ask him. He really enjoyed the massage. I’m not sure how he felt about it. He ended up rebooking another session. 78. Which of the following is within a practitioner’s scope of practice? Persuade clients to share emotional content. Process client emotions. Inquire where the client feels the emotion in their body. Evoke emotional responses intentionally. 79. Which of the following is within the scope of a practitioner’s duties in a therapeutic relationship? Provide non-agreed-upon treatments the practitioner considers to be within the scope of practice Use your own authority to enhance, and never endanger the client’s well-being Discount how the power differential is affecting the client. Use the power differential to tailor treatment to suit the practitioner’s needs. 80. Which of the following is one of the five major interpersonal boundary types? emotional cultural religious economic 81. In discussing a boundary issue with a client, what is the best form of communication to establish protocol? assertive passive defensive aggressive 82. Which factor is the most primary consideration in determining scope of practice? educational training the law competency self-Accountability 83. As a method of communication with a client, electronic messages can best be effective and appropriate as a method to resolve a conflict. when you are concerned about the privacy of your comments. when passing along facts or links. when you wish to convey information that you would not say in person. 84. Which of the following is a recommended step for HIPAA Compliance? Keep a client’s spouse informed of all treatment plans. Keep appointment books from the view of anyone, except those directly involved with client care Make sure all office staff, including administrative and financial staff, are completely aware of a client’s PHI. Do not present the client with notices of your Privacy Policies. They are private. 85. Which of the following is a sign of transference? The client expresses a sincere thank you and purchases another treatment package. The client asks for advice and exercise options to work on at home that will coincide with the agreed upon treatment plan. The client frequently asks you questions in areas that you have previously explained are not in your scope of practice. The client refers her friends and family to you for treatment. 86. When may a therapeutic relationship extend beyond the practitioner and client to include other people? when the practitioner is male, and the female client is married. when the client is attending counseling sessions regarding past trauma. when the practitioner feels it is within his authority include other persons in establishing a treatment plan. when the client is a minor. 87. What does HIPAA stand for? Health Insurance Portability and Accountability Act Health Insurance Privacy and Accountability Act Health Investigation Privacy and Accountability Act Health Investigation Protection and Authorization Act 88. Which of the following is an acceptable measure to take for HIPAA compliance? Keep appointment book in front desk lobby. Have clients sign a waiver of consent form. Keep client files accessible in treatment room. Have clients sign a marketing authorization form. 89. Which of the following forms of regulation is the most restrictive and provides the greatest level of public protection? title protection registration certification licensure 90. One advantage to product sales within a practitioner’s business is that they increase the power differential between the client and practitioner. provide clients with products to extend treatment benefits to home. decrease the power differential between the client and practitioner. create additional tax obligations and paperwork for the practitioner. 91. Before investing in marketing materials, the first thing a practitioner should do is invest in a demographic study of the surrounding area look at the marketing materials for every other practitioner in town check city, county, and state laws regarding marketing regulations. hire a professional photographer to take pictures of you and your clients. 92. The legal theory underlying most civil lawsuits filed by clients against exploitative healthcare practitioners is integrity formalism negligence moralism 93. The National Labor Relations Act was created to protect employer rights against unlawful suits protect employee rights to organize protect employer rights for hiring practices protect employee rights for gender equality 94. What is the term for taking two steps when walking? leg advancement step length stride length gait cycle 95. What is the most appropriate comment for a practitioner to say to a client? Your traps are really tight. Have you lost weight? Your shoulder range of motion is limited. I like your tattoo. 96. What is the meaning of the suffix -algia? inflammation grow condition pain 97. What is the meaning of the suffix -emia? cell blood condition excessive flow healing 98. Which prefix means against or opposed? ab- anti- ad- ante- 99. You must file federal income tax if your net income is more than $600 $400 $200 $100 100. Sliding fee scales are different than normal fee scales in that the fee is higher lower variable published 101. Barter exchanges function like a bank hospital learning institution information center Time's up
