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 None 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 None 3. Regulating metabolism is the primary function of which of the following glands? pituitary hypothalamus thyroid spleen None 4. Inflammation of the small sack-like outpouchings in the sigmoid colon describes diverticulitis gastroenteritis cirrhosis hepatitis None 5. What is the basic filtering unit of a kidney? nephron sarcomere Bowman’s capsule Loop of Henle None 6. Which of the following is a function of the urinary system? regulates body temperature absorbs calcium bicarbonate regulates blood Ph secretes melatonin None 7. Which muscle assists in pumping blood back to the heart? rectus femoris soleus tibialis anterior quadratus lumborum None 8. Which condition is defined as an attack by the immune system on the synovial membranes of various joints? osteoarthritis spondylitis tenosynovitis rheumatoid arthritis None 9. What type of cyst is only located behind the knee? ganglion lipoma pilonidal Baker None 10. The common cold is caused by what type of infection? bacterial fungal viral parasitic None 11. Which receptor is most numerous in the fingertips and lips? Meissner Corpuscle Ruffini Corpuscle Krauss End Bulb Pacinian Corpuscle None 12. Which type of synovial joint is the glenohumeral? ball and socket gliding hinge and pin saddle None 13. Which of the following is an example of a synovial joint? humeroulnar pubic symphysis costochondral tibiofibular None 14. 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 None 15. An involuntary muscle contraction from excess sensory input is known as a contracture tetanic contraction muscle spasm twitch response None 16. A client has been diagnosed with bruxism. Which muscle should the practitioner primarily treat? supraspinatus pectoralis minor soleus masseter None 17. What type of muscle is rectus femoris? uniarticular biarticular triarticular quadarticular None 18. Which proprioceptors reflexively respond to slow tension by inhibiting muscle contractions? Golgi tendon organs muscle spindles Pacinian corpuscles Merkel's Discs None 19. What role does the right quadriceps play during right knee flexion? fixator synergist agonist antagonist None 20. Which of the following muscles has the longest tendon in the body? plantaris popliteus sartorius gracilis None 21. 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 None 22. What is the common attachment of the quadriceps muscle group? anterior superior iliac spine ischial tuberosity anterior inferior iliac spine tibial tuberosity None 23. 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 None 24. Which of the following is the most contagious condition? eczema psoriasis ringworm shingles None 25. 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. None 26. Which of the following is a form of hyperthyroidism? Graves' disease Hashimoto’s disease DiGeorge Syndrome Cushing Syndrome None 27. 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 None 28. 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 proceed with the massage when the client is ready to continue. Give the client the massage in a chair. None 29. Which form of arthritis causes loss of articular cartilage, especially in weight bearing joints? rheumatoid arthritis gouty arthritis osteoarthritis artioarthritis None 30. A client presents symptoms of sciatica. Which muscle should the practitioner primarily treat to alleviate her symptoms? gluteus medius iliopsoas obturator externus piriformis None 31. 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. None 32. 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 None 33. 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 None 34. What disease is caused by degeneration of the cerebrum and lack of dopamine production? Huntington’s Lou Gehrig’s Alzheimer’s Parkinson’s None 35. 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. None 36. Which hormone is associated with feelings of deep emotional connection and a peaceful state of mind? oxytocin melatonin cortisol thymosin None 37. Which of the following is an effect of bodywork? increases serotonin decreases dopamine activate sympathetic response inhibit parasympathetic response None 38. What is the term for the client’s belief that an ineffective treatment will be beneficial? placebo nocebo confirmation bias Barnum effect None 39. Which of the following is a benefit of massage? hyperemia pre-eclampsia hyponatremia cephalgia None 40. Which sequence is the best general guideline for massage application? general, specific, general specific, general, deep general, specific, deep deep, superficial, specific None 41. Which massage manipulation is most effective in transitioning from one area of the client’s body to another? rhythmic rocking compression friction gliding stroke None 42. Which massage manipulations require lubricant? compression percussion effleurage friction None 43. 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 None 44. What type of force occurs when two ends of a structure are pulled in opposite directions? torsion tensile bending shear None 45. What type of force occurs when the practitioner is twisting the soft tissue structures? compressive tensile torsion bending None 46. What type of force occurs during the application of friction? torsion tensile shear compressive None 47. Which sequence is the best general guideline for massage application? general, specific, deep superficial, deep, superficial specific, deep, general specific, general, specific None 48. 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 None 49. What type of force is the most beneficial to lengthen muscles and stretch tissue? shear torsion tension bending None 50. 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. None 51. 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 None 52. 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. None 53. 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 None 54. 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 None 55. A practitioner vigorously treats a client’s lipoma, mistaking it for a trigger point. This is an example of… abuse turpitude malfeasance neglect None 56. 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 None 57. Which of the following terms describes gathering information about a client’s condition and symptoms? prognosis assessment diagnosis education None 58. 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 None 59. 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 None 60. A practitioner treats a cyst with compression and friction, mistaking it for a trigger point. This is an example of abuse maleficence beneficence neglect None 61. 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. None 62. 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 None 63. What type of posture most commonly occurs with an anterior pelvic tilt? rounded back flat back kyphotic-lordotic sway back None 64. What type of posture commonly occurs from sitting for extended periods of time? kyphotic-lordotic rounded back sway back flat back None 65. What muscle is shortened in forward head posture? levator scapula sternohyoid splenius capitis sternocleidomastoid None 66. What is the term for traditional Chinese massage? Nuat Boran Huang-ti Shiatsu Amma None 67. What is the Japanese term for a specific energy point? Tsubo Kyo Jitsu Hora None 68. A client discloses a diagnosis of multiple sclerosis. Which massage modality would be contraindicated? Himalayan stone Deep tissue Myofascial Cold therapy None 69. What modality is most appropriate for fragile skin? Structural integration Bamboo sticks Chair massage Swedish None 70. A client with a blood pressure reading of 145/95 should not receive which modality? Deep tissue Craniosacral Structural integration Himalayan None 71. 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 None 72. 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 None 73. 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. None 74. 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. None 75. 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. None 76. 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. None 77. 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. None 78. Which of the following is one of the five major interpersonal boundary types? emotional cultural religious economic None 79. In discussing a boundary issue with a client, what is the best form of communication to establish protocol? assertive passive defensive aggressive None 80. Which factor is the most primary consideration in determining scope of practice? educational training the law competency self-Accountability None 81. 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. None 82. 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. None 83. 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. None 84. 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. None 85. 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 None 86. 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. None 87. Which of the following forms of regulation is the most restrictive and provides the greatest level of public protection? title protection registration certification licensure None 88. 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. None 89. 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. None 90. The legal theory underlying most civil lawsuits filed by clients against exploitative healthcare practitioners is integrity formalism negligence moralism None 91. 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 None 92. Regarding boundaries, effective communication must be assertive, proactive, and Enthusiastic Gentle Consistent Aggressive None 93. What is the term for taking two steps when walking? leg advancement step length stride length gait cycle None 94. What social media interaction is appropriate for a practitioner and a client? Practitioner accepts a friend request to their personal social media account from a client’s personal social media account Practitioner verbally invites a client to follow and share their massage practice’s social media accounts Practitioner “likes” a picture of their client snorkeling on vacation Practitioner sends a friend request from their personal social media account to a client’s personal social media account None 95. What is the meaning of the suffix -algia? inflammation grow condition pain None 96. What is the meaning of the suffix -emia? cell blood condition excessive flow healing None 97. Which prefix means against or opposed? ab- anti- ad- ante- None 98. You must file federal income tax if your net income is more than $600 $400 $200 $100 None 99. Sliding fee scales are different than normal fee scales in that the fee is higher lower variable published None 100. Barter exchanges function like a bank hospital learning institution information center None Time's up
