CH 6 Indications & Contraindications PDF

CH 6 - Indications & Contraindications Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. If a client has unusual edema surrounding one ankle that is a contraindication for massage, it means that the massage therapist a. cannot perform massage on...

CH 6 - Indications & Contraindications Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. If a client has unusual edema surrounding one ankle that is a contraindication for massage, it means that the massage therapist a. cannot perform massage on the client. b. must avoid massaging only the client’s ankle. c. may massage the client’s ankle area but with caution and perhaps supervision. d. Any of the above could be true. ____ 2. Which way can the massage professional assist a client in implementing therapeutic change? a. Supporting the client’s coping mechanisms b. Providing pertinent information c. Being part of a resource network d. All of the above ____ 3. A client is receiving therapeutic massage as part of his or her healing process. Should he or she continue with massage after healing is complete to maintain health, the massage will be considered a. therapeutic change. b. restorative care. c. condition management. d. palliative care. ____ 4. Which approach is the most healthy if pathology is not present? a. Mind/body medicine b. Stress management c. Prevention d. All of the above ____ 5. How does the body tend to perform under normal conditions? a. Physiological mechanisms inhibit the body from functioning at its limits. b. Preference is to operate at peak levels of performance. c. It taps into long-term energy reserves. d. Reserves run low because restorative mechanisms are suppressed. ____ 6. A client complains of body aches and says, “When I woke up this morning, my throat felt like sandpaper, and now I am so hot. Do I feel hot to you?” All of these are categorized as a. acute symptoms. b. chronic symptoms. c. inflammatory signs. d. objective signs. ____ 7. Collectively, fatigue, severe pain in the abdomen and arms, and skin eruptions that look like shingles are classified as a. acute symptoms. b. chronic symptoms. c. a syndrome. d. a cancer. ____ 8. Hannah is a new mother whose baby has been crying almost nonstop. However, knowing that her mom is coming to help in a few days, Hannah keeps going. By the time her mother arrives, Hannah is lying on the couch, exhausted. The process Hannah has been experiencing is that her a. first response was the fight-or-flight reaction of general adaptation syndrome. b. second phase is the resistance reaction. c. exhaustion is the last reaction of the general adaptation syndrome. d. All of the above are true. ____ 9. Maggie’s doctor recommends massage for her prolonged inflammation. The best reason for this is that a. massage activates release of the body’s own antiinflammatory agents. b. certain types of massage increase the inflammatory process. c. massage may facilitate dilution of the irritant by increasing lymphatic flow. d. All of the above are true. ____ 10. Pain on the right side of the neck and right rib cage, front to back describes a. kidney issues and the client should be referred to a physician. b. projected pain from a compressed nerve. c. referred pain from the gallbladder and the client should be referred to a physician. d. phantom pain from a missing limb. ____ 11. Massage therapy to relieve panic attacks most likely helps by a. enervating the senses to induce ANS hyperactivity. b. restricting breathing to prevent hyperventilation. c. reducing a tendency for breathing pattern disorder. d. stimulating an inflammatory response. ____ 12. Pain resulting from pressing an area inferior to the ear is most likely a sign of a. referred pain from a deep, visceral pain site. b. the pain-spasm-pain cycle. c. pressure to an endangerment site. d. intractable pain at this site. ____ 13. For which pathology would stress be best managed by massage? a. Kidney failure b. Congestive heart failure c. Surgical complications d. Fibromyalgia ____ 14. A client continues to feel pain caused by a whiplash injury 3 years earlier. Massage targeted at reducing tension in the neck and low back seems to provide relief for a few days, and then the pain begins to return. What type of pain is the client experiencing? a. Intractable b. Phantom c. Chronic d. Acute ____ 15. Which situation causes chronic pain that radiates and follows a specific path? a. Impingement b. Organ referral c. Muscular contusion d. Immune response ____ 16. Obscure onset, recurring for indefinite periods, and diffuse and poorly localized describe what type of pain? a. Acute b. Chronic c. Subacute d. Sublocalized ____ 17. The process of counterbalancing a defect in body structure or function is called a. compensation. b. compendium. c. equalization. d. homeostasis. ____ 18. The use of massage to support clients who are unable to undergo therapeutic change but who wish to function as effectively as possible under the given circumstances is called a. condition management. b. subtherapeutic change. c. palliative care. d. neuromuscular facilitation. ____ 19. Which term means any condition that renders a particular treatment harmful? a. Referral b. Indication c. Contraindication d. Transference ____ 20. A condition characterized by mood disturbances involving exaggerated emptiness, hopelessness, melancholy, or unbridled high energy with no purpose or outcome is called a. delusion. b. anxiety. c. anorexia. d. depression. ____ 21. Cutaneous distribution of spinal nerve sensations, or nerve map, is the definition of a a. myotome. b. dermatome. c. chakra. d. receptor. ____ 22. Which state is described as in between “not healthy” and “not sick?” a. Acute phase b. Subacute phase c. Irritation d. Dysfunction ____ 23. An area of the body where nerves and blood vessels are not well protected by muscle and connective tissues that is susceptible to damage by deep, sustained pressure is referred to as a. a somatic plexus. b. a danger zone. c. an endangerment site. d. an inflammatory condition. ____ 24. Increased pain response or pain being more painful than it should be is called a. acute. b. neuralgia. c. hyperalgesia. d. localized. ____ 25. Which condition is NOT a medical emergency? a. Stroke b. Heart attack c. Anaphylaxis d. Diabetes ____ 26. Pain due to a stimulus that does not usually provoke pain is called a. allodynia. b. hyperalgia. c. nociception. d. sensitization. ____ 27. A client wishes to receive a nonspecific, relaxing massage on her birthday as a special treat to herself. Which approach is the most appropriate type of treatment for her to receive? a. Palliative care b. Therapeutic change c. Conditional management d. Regional indication ____ 28. A treatment plan for general full-body massage with the goal of relaxation would be considered a. palliative care. b. therapeutic change. c. condition management. d. physiological change. ____ 29. Which concept quantifies the benefits of massage? a. Therapeutic change b. Objective criteria c. Expert opinion d. Palliative care ____ 30. Which massage approach is best for a client experiencing a great deal of stress over an extended time period? a. b. c. d. Therapeutic change Condition management Palliative care Maintaining peak performance ____ 31. Pathology means that the body is a. unable to adapt and respond. b. in the continuum between peak performance and injury. c. has an absence of functioning limits. d. storing adequate energy reserves. ____ 32. In the scope of practice of massage, which approach is the most applicable when pathology is present? a. Referral of the client to his physician may be necessary. b. Function is limited, so palliative care is the appropriate option. c. Training is always sufficient to deal with complex disease conditions. d. Disease stresses the adaptive mechanisms and does not allow for peak performance. ____ 33. A client seems a bit pale and fatigued. What question would the massage practitioner be concerned with in applying massage? a. Is illness present? b. Is injury an issue? c. Would a risk factor be compromised? d. What is the ability to resolve the syndrome? ____ 34. Which risk factor for disease does massage influence most strongly? a. Genetics b. Age c. Stress d. Preexisting condition ____ 35. During assessment, the massage practitioner notices that the client’s left knee is swollen and warm. When the client is asked more about the knee, he indicates that he was walking on some large rocks and slipped. He did not fall but felt his knee strain a bit. What cautions does this condition present? a. General adaptation syndrome b. Inflammatory response c. Referred pain d. Phantom pain ____ 36. A client has indications of inflammation with localized pricking and throbbing pain. What condition is most likely? a. Kidney infection b. Muscle cramp c. Referred trigger point pain d. Deep skin wound ____ 37. Which statement can a massage therapist most accurately say regarding cancer and massage? a. Cancer presents caution, adaptation, and possible supervision. b. Cancer presents universal contraindication to massage. c. Massage for those with cancer is contraindicated while receiving radiation therapy. d. Massage during chemotherapy is indicated but only for immune support. ____ 38. A massage therapist notices that a client has a mole on his shoulder that has changed in appearance. Which way is the best for the massage therapist to describe this to the client? a. “The mole on your shoulder is exhibiting one of the warning signs of cancer. You need to see your doctor before you can receive massage.” b. “The mole on your shoulder looks like a basal carcinoma—better get it checked today.” c. “The mole on your shoulder has looked somewhat different for the last couple of weeks. I suggest you see your doctor for evaluation.” d. “The mole on your shoulder has changed somewhat, so I will watch it for further signs and keep you informed.” ____ 39. A client is being treated for high blood pressure and has been taking a new medication to control it. After the last two massage sessions, he has been a bit dizzy and very tired. The most likely reason is that the massage and the medication are a. synergistic. b. inhibitory. c. antagonistic. d. malignant. ____ 40. A client has psoriasis that is being treated by various medications, all of which suppress the immune system somewhat. What cautions are necessary for this client? a. There are no general contraindications, but there are local contraindications for the skin. b. The inflamed skin could greatly benefit from massage, but only if deep pressure is used. c. The inflamed skin should not be massaged; otherwise, there are no concerns. d. There are general cautions concerning systemic and local infection. ____ 41. Which areas of the body are endangerment sites? a. Joints b. Adipose tissue c. Bellies of muscles d. Gluteals ____ 42. Implementing therapeutic change requires which event? a. Maintenance of the current condition, with less suffering b. Expenditure of energy and resources c. Continued deterioration of the client’s symptoms d. Weekly sessions for an extended period ____ 43. The body/mind link is best understood as a. having no physiological basis. b. participating in cerebral spinal fluid movement. c. being separate from hormone interplay. d. associating with the autonomic nervous system. ____ 44. The benefits of massage can be characterized as a. subjective and objective. b. entirely subjective. c. having little supportive research. d. being entirely biomechanic. ____ 45. Which approach should be kept in mind about pathology? a. Massage does not significantly affect physiological function. b. The underlying causes of disease are easy to determine. c. Massage professionals must be well informed about it to refer or adapt massage. d. Clients should always be believed when they say that their health is excellent. ____ 46. A description of endangerment sites is that they a. require deep, sustained pressure to minimize damage. b. include the axillary and umbilicus areas. c. include the second and third ribs. d. are reflexes of organs, not of nerves and blood vessels. ____ 47. Contraindications to massage include a. any condition that could render massage harmful. b. avoidance of massage with few cautions. c. circulation enhancement, pain control, and musculoskeletal discomfort. d. any conditions that do not require analgesics. ____ 48. Which situation is not necessarily a reason for referral? a. Bleeding and bruising b. Inflammation and fever c. Being overweight d. Lumps and tissue changes ____ 49. A client has a long-term condition that causes chronic pain. When he or she receives a massage on a weekly basis the client reports improved sleep. What category of care does this client need? a. Condition management b. Therapeutic change c. Compression stress d. Increased frequency ____ 50. The point where a stimulus is perceived as painful is known as a. transduction. b. transmission. c. threshold. d. tolerance. CH 6 - Indications & Contraindications Answer Section MULTIPLE CHOICE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 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