FREE NCBTMB Pathology and Contraindications Questions and Answers

Question 1

A new client reports having osteoporosis. Which of the following is the most appropriate modification for their massage session?

Accepted Answer

Utilize gentle pressure and avoid forceful movements.

Answer

Use firm, deep strokes to release chronic muscle tension.

Answer

Incorporate vigorous stretching to increase joint flexibility.

Answer

Avoid all forms of tapotement.

Question 2

A client presents with a localized area on their calf that is red, warm to the touch, swollen, and painful. They mention the pain does not change with movement. Which of the following conditions might be present, and what is the correct course of action?

Accepted Answer

Deep Vein Thrombosis (DVT); immediately stop the session and refer the client for emergency medical evaluation.

Answer

A muscle strain; apply deep tissue massage to the area.

Answer

Varicose veins; use light, circulatory strokes over the area.

Answer

A simple contusion; apply cold packs and proceed with the massage, avoiding the immediate area.

Question 3

Which of the following is considered a systemic contraindication for massage, requiring the therapist to postpone the session?

Accepted Answer

A fever of 101°F (38.3°C).

Answer

A small, localized sunburn on the shoulder.

Answer

Psoriasis with a few non-inflamed patches on the elbows.

Answer

A healing paper cut on the finger.

Question 4

A client with a history of cancer, currently undergoing chemotherapy, has requested a massage. Which modification is essential for the therapist to implement?

Accepted Answer

Use unscented lotion and light pressure, avoiding areas with ports or tumors.

Answer

Perform a 90-minute deep tissue massage to address all their aches.

Answer

Focus the massage directly over known tumor sites to promote healing.

Answer

Insist on using aromatherapy with strong essential oils for relaxation.

Question 5

A client presents with a highly contagious bacterial skin infection characterized by red sores that can blister and ooze, primarily around the nose and mouth. Which of the following conditions is described, and how should the massage therapist proceed?

Accepted Answer

Impetigo; reschedule the appointment until the infection has completely resolved.

Answer

Eczema; proceed with the massage using hypoallergenic lotion.

Answer

Psoriasis; avoid the affected areas but massage the rest of the body.

Answer

Rosacea; use light, gentle strokes on the face and body.

Question 6

Pitting edema is identified when pressure on a swollen area leaves a persistent indentation. This finding is a significant precaution for massage because it often indicates:

Accepted Answer

An underlying systemic condition such as heart, kidney, or liver disease.

Answer

A simple muscle strain that would benefit from flushing strokes.

Answer

Benign fluid retention from a high-salt meal.

Answer

Normal post-exercise inflammation.