Massage and Bodywork Licensing Examination MBLEx Client Assessment and Treatment 1

Question 1

During passive range of motion assessment of the shoulder, the therapist notes a firm, leathery resistance at end range of external rotation.
This type of end-feel most likely suggests which condition?

Accepted Answer

Capsular fibrosis consistent with adhesive capsulitis

Answer

Significant joint effusion causing a boggy end-feel

Answer

Bone-on-bone contact from degenerative joint changes

Answer

An acute bursitis with protective muscle guarding

Question 2

A massage therapist observes during postural assessment that a client has a pronounced anterior pelvic tilt. Which muscle pattern is most consistent with this postural deviation?

Accepted Answer

Shortened hip flexors and inhibited gluteal muscles

Answer

Shortened hamstrings and weak erector spinae

Answer

Weak hip flexors and hypertonic hip abductors

Answer

Hypertonic adductors and lengthened iliotibial band

Question 3

A client describes deep, diffuse, achy pain in the upper trapezius that is difficult to localize and sometimes radiates toward the temporal region. To confirm the presence of myofascial trigger points, which assessment technique is most appropriate?

Accepted Answer

Palpation of taut bands to elicit a local twitch response

Answer

Passive cervical lateral flexion to assess capsular end-feel

Answer

Resisted shoulder elevation to isolate muscle weakness

Answer

Dermatome mapping along the C3–C4 nerve distribution

Question 4

During a client intake, a therapist reviews the health history and notes the client is taking warfarin. Which assessment finding is most critical to evaluate before beginning treatment?

Accepted Answer

Presence of unexplained bruising or skin discoloration

Answer

Active cervical range of motion and end-feel quality

Answer

Bilateral grip strength for neurological comparison

Answer

Resting heart rate and blood pressure values

Question 5

A therapist performs a postural and gait assessment and observes the client's left foot externally rotates during the swing phase of walking. Which muscle should be prioritized in the palpatory assessment for hypertonicity?

Accepted Answer

Left piriformis and external hip rotators

Answer

Left tensor fasciae latae

Answer

Left tibialis anterior

Answer

Left medial gastrocnemius

Question 6

A massage therapist palpates increased tissue temperature, a palpable nodule at the left levator scapulae insertion, and restricted cervical right lateral flexion. In a SOAP note, where should these specific findings be recorded?

Accepted Answer

Objective section, as they are measurable observations made by the therapist

Answer

Subjective section, as they reflect the client's reported symptoms

Answer

Assessment section, as they represent the therapist's clinical diagnosis

Answer

Plan section, as they inform the treatment strategy selected