MMT VI Test

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Question 1 of 40

Objective assessment is*

A

measurable

B

logical

C

the client’s symptoms

D

found on the initial client history intake form

Question 2 of 40

When we review the client’s history and assessments we can determine*

A

the reason for their appointment

B

therapy contraindications

C

a treatment plan

D

all of the above

Question 3 of 40

Documentation with SOAP notes for every massage therapy session*

A

is in every state massage therapy law

B

is included in massage therapy textbooks as standard of practice

C

required by professional liability insurance companies

D

b & c

Question 4 of 40

Clients can be given a copy of their chart due to*

A

common courtesy

B

massage therapy board regulations

C

“right to access laws”

D

all of the above

Question 5 of 40

Informed consent form should be signed*

A

by the client (or client’s parent or guardian) prior to the session

B

in blue ink

C

while the client is still clothed

D

all of the above

Question 6 of 40

Informed consent includes*

A

the draping policy

B

client’s complaints

C

“right to refuse” statement

D

A & C

Question 7 of 40

The client history interview*

A

is important for asking detailed questions about client health maladies and complaints

B

aids in identifying therapy contraindications

C

should be noted and signed by the therapist on an intake form

D

all of the above

Question 8 of 40

Limited range of motion may be caused by*

A

soft tissue restrictions (hypertonicity, fascial glueing, scar tissue)

B

subluxations and joint pathology

C

weak musculature

D

all of the above

Question 9 of 40

The steps to evaluate AROM are*

A

tell the client what to do, have them stretch maximally, measure

B

demonstrate the movement, client does the movement 5-10 times to activate the muscle, measure without stretching, ask about pain

C

use heat first on the muscles, measure the range as they stretch

D

measure after the client does the movement 5-10 times, assess only painful movements

Question 10 of 40

In limited range of motion the _____________ are often restricting the movement and require more assessment through palpation.*

A

agonists

B

antagonists

C

flexors

D

extensors

Question 11 of 40

The “guarding” noted during passive range of motion may be caused by*

A

arthritis, lax ligaments and subluxation

B

body memory of being “in charge” of one’s own movements

C

unable to relax because of sympathetic dominance from injury, stress and or pain

D

all the above

Question 12 of 40

If neck flexion is limited, the muscles that may be restricting flexion are*

A

scalenes

B

sternocleidomastoids

C

posterior paraspinals

D

A & B

Question 13 of 40

If neck extension is limited, the muscles that may be restricting extension are*

A

scalenes

B

sternocleidomastoids

C

posterior paraspinals

D

A & B

Question 14 of 40

To measure shoulder flexion and extension observe the client in the*

A

sagittal plane

B

coronal plane

C

frontal plane

D

transverse plane

Question 15 of 40

Which muscle does NOT extend the shoulder*

A

triceps

B

supraspinatus

C

infraspinatus

D

posterior deltoid

Question 16 of 40

The arm position to measure shoulder rotation is*

A

anatomical position with the shoulder flexed

B

shoulder and elbow both flexed

C

shoulder abducted and elbow flexed

D

shoulder adducted, forearm pronated

Question 17 of 40

Which two shoulder rotators have it’s origin on the posterior body ()a. and insertion on the anterior body?*

A

infraspinatus, subscapularis

B

mid deltoid, triceps

C

latissimus dorsi, teres major

D

teres minor, trapezius

Question 18 of 40

When measuring shoulder rotation instruct the client to*

A

stretch into the movements as far as possible

B

move only the glenohumeral joint without engaging the scapula

C

tell you if holding the testing position and doing the movement causes their pain

D

B & C

Question 19 of 40

While measuring wrist flexion, it is important for the therapist to*New Question

A

position the forearm in supination

B

line up the goniometer on the ulnar side

C

straighten the fingers so they are not flexed

D

all of the above

Question 20 of 40

Limited wrist extension usually indicates*

A

the extensors are weak and atrophied

B

the extensors are injured

C

the flexors are hypertoned and shortened

D

the carpals are sprained

Question 21 of 40

Hip flexion is in normal range @*

A

90 degrees (knee flexed), 120 degrees (knee not flexed)

B

90 degrees (knee not flexed), 120 degrees (knee flexed)

C

90 degrees (knee flexed)

D

120 degrees (knee not flexed)

Question 22 of 40

While measuring hip rotation*

A

instruct the client to lift the thigh off of the table to get the full range

B

assist the client with the movement if it is difficult for them to do

C

instruct the client not to lift the thigh off of the table

D

line up the goniometer with the femur

Question 23 of 40

Pain is*

A

the sensation of hurting through the body/mind

B

interpreted individually according to life experiences

C

is an alarm system that something is wrong

D

all of the above

Question 24 of 40

The neurotransmitter associated with the sensation of pain is*

A

oxytocin

B

endorphins

C

substance P

D

dopamine

Question 25 of 40

Subjective pain symptoms can become measurable and objective when*

A

asking the client to numerically rate the pain intensity

B

noting the presence of pain during special tests, AROM, PROM, ambulation and massage therapy

C

rating pain during activities of daily living

D

all the above

Question 26 of 40

Activities of daily living assessments

A

are evaluated by the therapist

B

tell the therapist what the client does during the day

C

assists in setting lifestyle goals for progress as well as pain relief

D

B & C

Question 27 of 40

Which pain assessment is most related to the therapist’s palpation skills?*

A

TP and tp location

B

client history

C

performing special tests

D

performing friction

Question 28 of 40

Poor posture inhibits the normal efficient mechanical balance required*

A

to do activities of daily living

B

to remain upright against the force of gravity

C

to exercise

D

to be strong

Question 29 of 40

If posture is asymmetric ___________ can lead to overuse, weakness and pain.*

A

sleeping

B

walking

C

massage

D

all the above

Question 30 of 40

____________________ is the sense of where the body is and what it is doing.*

A

Intuition

B

Kinesthetic process

C

Proprioception

D

Compensation

Question 31 of 40

The following can result from chronic hypertoned muscle except _______.*

A

ischemia and lymphatic sluggishness

B

nutritional deficiency to the muscle tissue

C

hypermobility of joints

D

pain and functional weakness

Question 32 of 40

Muscle hypertonicity feels dense and sometimes even hard. This tone pathology can be caused by*

A

trigger points and hypertension

B

stress and overuse

C

poor posture, injury and pain

D

B & C

Question 33 of 40

Soft tissue texture or STT is*

A

a measurement of muscle strength

B

a measurement of atrophy

C

a measurement of muscle tone

D

a trigger point assessment

Question 34 of 40

Hypertoned muscle is best labeled on an STT chart by*

A

general location or region

B

by individual muscle

C

by joint proximity

D

all of the above

Question 35 of 40

Trigger points form*

A

at the origin and insertions of a muscle

B

between the superficial fascia and a muscle

C

at a neuromuscular junction

D

at acupuncture points

Question 36 of 40

A good example of chronically hypertoned muscles from poor posture is*

A

the ankle flexors

B

paraspinal muscles

C

rotator cuff

D

abdominal muscles

Question 37 of 40

Choose the best objective note for SOAP documentation.*

A

FBSM given with heat to back and neck. PROM to neck and shoulders. See modalities below.

B

C/O neck pain, insomnia and chronic stress headaches. Wants pain relief today.

C

Heat to neck followed by one set (X 10) of neck AROM out of pain range, twice daily until next apt.

D

Moderate guarding of all neck PROM, HT noted with latent TPs on BL sub-occipitals during palpation.

Question 38 of 40

Choose the best subjective note for SOAP documentation

A

FBSM given with heat to back and neck. PROM to neck and shoulders.

B

C/O neck pain, insomnia and chronic stress headaches. Wants pain relief

C

Heat to neck followed by one set (X 10) of neck AROM out of pain range, twice daily until next apt.

D

Moderate guarding of all neck PROM, HT noted with latent TPs on BL sub-occipitals during palpation.

Question 39 of 40

Under the “A” or Action SOAP notes, documentation is about*

A

suggestions for future therapy

B

a referral to a physician

C

what modalities were given and the results of the therapy

D

client complaints and requests for therapy

Question 40 of 40

Using body charts to mark and modality lists to check, helps your SOAP notes*

A

be complete

B

be concise

C

be more narrative

D

B & C

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