Deck 5: Musculoskeletal Pathologies

Question 1

A structural deformity in which the first metatarsophalangeal joint becomes medially displaced is called:

A)Bursitis
B)Bunion
C)Rheumatoid arthritis
D)Baker cyst

Answer 1

Bunion

Question 2

For a client with rheumatoid arthritis:

A)Massage is indicated only in periods of remission
B)Massage may reduce inflammation during a period of exacerbation
C)Massage is an absolute contraindication in all phases of RA
D)Massage is indicated over affected joints

Answer 2

Massage is indicated only in periods of remission

Question 3

A progressive bone disease marked by abnormal and excessive bone remodeling that results in weakened and deformed bones is called:

A)Myositis ossificans
B)Paget disease
C)Spondylitis
D)Osteomyelitis

Answer 3

Paget disease

Question 4

A client with spondylosis:

A)Spondylosis is contraindicated for massage
B)Will benefit from deep-tissue massage to realign vertebra
C)Should not be treated with stretching or joint mobilizations of involved vertebrae
D)Should be treated on the arms and legs only

Question 5

Chronic bursitis is:

A)A local contraindication for massage
B)Best treated with a 20-minute application of ice
C)Treated with deep frictions and mobilizations within the client's tolerance,and followed by ice application
D)An absolute contraindication

Question 6

A client diagnosed with osteomyelitis,a bone infection:

A)Should not receive massage until the infection is resolved and medical clearance is given
B)Is indicated for gentle massage without stretching or mobilizations
C)Should not receive massage in the affected area (local contraindication)
D)Would benefit from mobilizations to increase local circulation

Question 7

When treating a client with osteoarthritis:

A)Only use the side-lying position
B)Avoid joints that are red or hot to the touch
C)Apply deep stretches to lengthen the tissues crossing the affected joints
D)Use moderate to deep pressure

Question 8

Which of the following is a condition characterized by loss of normal bone density and subsequent increased susceptibility to fractures?

A)Hallux valgus
B)Scoliosis
C)Still disease
D)Osteoporosis

Question 9

A genetic disorder that causes abnormality in connective tissues and affects many body systems is called:

A)Crohn disease
B)Marfan syndrome
C)Compartment syndrome
D)Volkmann contracture

Question 10

An accumulation of synovial fluid behind the knee is called:

A)Osteosarcoma
B)Baker cyst
C)Ganglion cyst
D)Bunion

Question 11

Headaches,earaches,toothaches,and jaw pain are common symptoms for:

A)Fibromyalgia
B)Adhesive capsulitis
C)Compartment syndrome
D)Temporomandibular joint dysfunction

Question 12

Which of the following chronic conditions is characterized by progressive damage and eventual loss of articular cartilage (often called wear and tear arthritis)?

A)Lyme arthritis
B)Osteoarthritis
C)Rheumatoid arthritis
D)Polyrheumatica arthritis

Question 13

Which of the following is another term used to refer to osteoarthritis?

A)Lyme disease
B)Osteomyelitis
C)Osteochondrosis
D)Degenerative joint disease

Question 14

When treating a client with pes planus:

A)Avoid the lateral arch of the foot.
B)Use only the supine position.
C)Use deep gliding,kneading,and friction on the calf muscles.
D)Avoid ankle mobilizations.

Question 15

Which of the following muscles are most likely tight and need lengthening in a client with lordosis?

A)Abdominals
B)Shoulder protractors
C)Hip flexors
D)Knee flexors

Question 16

Inadequate mineralization of mature bones,causing them to become soft,flexible,and deformed,is called:

A)Osteomalacia
B)Osteoporosis
C)Osgood-Schlatter disease
D)Myositis ossificans

Question 17

Which of the following is inflammation of the bursae?

A)Synovitis
B)Bursitis
C)Spondylolisthesis
D)Tendonitis

Question 18

A client with patellofemoral syndrome who has little to no local swelling may benefit most from:

A)Intensive mobilization of the cuboid
B)Deep gliding,kneading,friction,and myofascial release to the arch of the affected foot
C)Strengthening the lateral rotators of the hip
D)Deep gliding,kneading,friction,and myofascial release to the affected quadriceps and hamstrings

Question 19

A synonym for patellofemoral syndrome is:

A)Chondromalacia patellae
B)Sacroiliac syndrome
C)Tibiofibular syndrome
D)Iliofemoral syndrome

Question 20

Anterior displacement of the vertebra,usually in the lumbar spine,is called:

A)Kyphosis
B)Strain
C)Osteomyelitis
D)Spondylolisthesis

Question 21

Which of the following is a break in a bone?

A)Separation
B)Dislocation
C)Contusion
D)Fracture

Question 22

Myofascial pain syndrome is associated with:

A)Tightening of the palmar fascia
B)Absence of the thoracolumbar fascia
C)The presence of localized trigger points
D)Muscular atrophy

Question 23

Which of the following represents joint trauma that stretches or tears ligaments without bone displacement?

A)Dislocation
B)Strain
C)Separation
D)Sprain

Question 24

Septic arthritis,an infection in a joint,is:

A)Locally contraindicated for massage at the affected joint
B)Locally contraindicated for massage in the affected limb
C)Locally contraindicated for massage if the client has a fever
D)An absolute contraindication for massage until the condition has resolved and medical clearance is given

Question 25

Massage for a client with de Quervain tenosynovitis,a condition affecting the radial side of the wrist,is:

A)An absolute contraindication
B)An absolute contraindication if local inflammation is present
C)Always a local contraindication
D)Locally contraindicated if inflammation is present

Question 26

Lyme disease,which begins with a bull's eye rash,occurs when one is bitten by a tick carrying:

A)Human papillomavirus
B)Borrelia burgdorferi bacteria
C)Dermatophytes
D)Staphylococcus bacteria

Question 27

Inflammation of a tendon is called:

A)Myositis
B)Fasciitis
C)Osteitis
D)Tendinitis

Question 28

A strain is an injury to:

A)A ligament
B)A muscle or its tendon
C)Fascia
D)A joint capsule

Question 29

Which of the following statements is NOT true when treating a client diagnosed with fibromyalgia syndrome?

A)Though clients often request deep tissue massage,this may exacerbate pain.
B)The treatment plan should be identical from session to session to ensure consistent progress.
C)Working slowly from the most superficial layer then into deeper layers is an optimal treatment plan.
D)Tender points should be deactivated carefully and slowly.

Question 30

A shortening of a muscle that causes a joint to become fixated in a flexed position is called:

A)Cachexia
B)Atrophy
C)Degeneration
D)Contracture

Question 31

Which of the following choices is NOT a consideration for massage of a ligament sprain?

A)Deep stretching may be beneficial for healing the ligament.
B)Avoid massage for 72 hours,and use only ICE (ice,compression,elevation)during this time.
C)After the acute stage,apply cross-fiber friction to realign ligament fibers.
D)Treatments of shorter duration are indicated initially until the client becomes accustomed to pressure.

Question 32

Which of the following treatment plan(s)is/are best for a client with tendinitis in the chronic stage?

A)Cross-fiber friction to the affected tendon followed by ice application
B)ICE (ice,compression,elevation)only
C)Gentle gliding strokes to increase circulation
D)Tendinitis is a local contraindication in the chronic stage.

Question 33

Chronic,systemic,inflammatory arthritis leading to calcification and fusion of the joints is called:

A)Myositis ossificans
B)Ankylosing spondylitis
C)Rheumatoid arthritis
D)Lyme disease

Question 34

Which of the following is NOT a type of headache?

A)Trigeminal
B)Tension
C)Migraine
D)Cluster

Question 35

Inflammation of a tendon (tendinitis)where it attaches to the bone is called:

A)Bursitis
B)Sprain
C)Epicondylitis
D)Tenosynovitis

Question 36

The condition marked by shortening and thickening of the palmar fascia that may cause digits 3-5 to be pulled into a flexed position is called:

A)Disuse atrophy
B)Plantar fasciitis
C)Dupuytren contracture
D)Myofascial pain syndrome

Question 37

A muscle that appears small,loose,and flattened with reduced strength is considered:

A)Fibrosed
B)Atrophied
C)Hypertonic
D)Strained

Question 38

Which of the following occurs when bones are temporarily displaced at the joint with complete loss of contact between their articulating surfaces?

A)Fraction
B)Concussion
C)Dislocation
D)Separation

Question 39

Contracture of the hand,fingers,and wrist resulting from reduced blood flow to the affected muscles is called:

A)Paget disease
B)Volkmann contracture
C)Ganglion
D)Rheumatoid arthritis

Question 40

The deposition of calcium in soft tissue that has been traumatized by an injury is called:

A)Myositis ossificans
B)Reye syndrome
C)Osteoarthritis
D)Muscular dystrophy

Question 41

Which of the following is a benign mass consisting of a thin fibrous capsule enclosing clear,gelatinous fluids and usually located on a wrist?

A)Hypodermal cyst
B)Sagacious cyst
C)Ganglion cyst
D)Campbell cyst

Question 42

Your client was rear ended in heavy traffic two days ago and has a stiff neck but no other symptoms.She stated that her head was thrown back,then forward.How should you proceed?

A)Treat the flexors and extensors of the neck.
B)Treat the lateral flexors of the neck.
C)Postpone the massage for at least 72 hours after the injury,and then treat the flexors and extensors of the neck,followed by ice application.
D)Postpone the massage for at least 72 hours after the injury,and then treat the lateral flexors of the trunk,followed by heat application.

Question 43

Which of the following is a lateral curvature in the normally straight vertical line of the spine,usually in the thoracic region?

A)Kyphosis
B)Scoliosis
C)Lordosis
D)Spinulosis

Question 44

Which of the following is/are injuries related to prolonged repetitive or constant motion,usually combined with compressive forces?

A)Repetitive strain injuries
B)Compartment syndromes
C)Torticollar injuries
D)Congestive joint failure

Question 45

When treating a client with Osgood-Schlatter disease (patellar tendinitis at the tibial tuberosity):

A)Mobilizations are indicated in all phases.
B)Use friction around the knee to reduce adhesions once inflammation has abated.
C)Strengthening the quadriceps will help relieve tension on the tibial tuberosity.
D)Do not use a bolster under the knees when treating the quadriceps.

Question 46

Which of the following is a condition involving spasms of the sternocleidomastoid muscles?

A)Torticollis
B)Anterior triangle syndrome
C)Tetanus
D)Compartment syndrome

Question 47

Which of the following is associated with diffuse soft tissue pain and the presence of multiple tender points?

A)Muscular pain disorder
B)Fibromyalgia syndrome
C)Huntington disease
D)Bilateral myelodysplasia

Question 48

A collection of rare genetic muscle diseases characterized by skeletal muscle atrophy is called:

A)Muscular myogenesis
B)Muscular hypertrophy
C)Muscular sclerosis
D)Muscular dystrophy

Question 49

Which of the following groups of muscles are also commonly involved in torticollis?

A)Pectoralis major and minor,serratus anterior,and rhomboids
B)Rectus femoris,vastus intermedius,vastus lateralis,and vastus medialis
C)Scalenes,trapezius,and splenius muscles
D)Quadratus lumborum,iliopsoas,hamstrings,and paraspinals

Question 50

A disorder of the shoulder joint and its capsule,which then becomes inflamed and eventually stiff or frozen,is called:

A)Compartment syndrome
B)Frozen tendinitis
C)Sprain syndrome
D)Adhesive capsulitis