NCBTMB Pathology and Contraindications Questions and Answers

Question 1

A new client arrives for an appointment and during the intake, you observe a localized area on their lower leg that is red, hot, swollen, and tender to the touch.
The client mentions it started a couple of days ago after a small cut.
Which of the following conditions is most likely present, and what is the appropriate course of action?

Accepted Answer

Cellulitis; postpone the massage and refer the client to a physician immediately.

Answer

Bruising; proceed with the massage but avoid the immediate area.

Answer

A varicose vein; use light, soothing strokes over the area to improve circulation.

Answer

Dermatitis; apply hypoallergenic lotion and proceed with the massage.

Question 2

A client with a history of rheumatoid arthritis (RA) requests a deep tissue massage to alleviate muscle stiffness. They mention they are currently experiencing a 'flare-up' with significant joint pain, warmth, and swelling in their hands and knees. What is the most appropriate action for the therapist to take?

Accepted Answer

Suggest a gentle, soothing relaxation massage, completely avoiding the inflamed joints.

Answer

Perform a deep tissue massage as requested, focusing on the stiff muscles around the affected joints.

Answer

Refuse treatment entirely until the client is no longer in a flare-up.

Answer

Apply cold packs to the inflamed joints before proceeding with a moderate pressure massage.

Question 3

Which of the following is considered an absolute and systemic contraindication for massage, meaning no massage should be performed on any part of the body?

Accepted Answer

A client with a fever of 101°F and body aches.

Answer

A localized, non-contagious psoriatic lesion on the elbow.

Answer

A two-week-old hematoma on the thigh.

Answer

Chronic, well-managed hypertension.

Question 4

A client's health history form indicates a past diagnosis of deep vein thrombosis (DVT) six months ago. They state their doctor has cleared them for physical activity and they are no longer on anticoagulant medication. During the massage, the therapist notices one calf is slightly warmer and more swollen than the other. What is the therapist's most prudent course of action?

Accepted Answer

Immediately stop the massage, explain the potential risks calmly, and advise the client to contact their physician before rescheduling.

Answer

Assume it is muscular and use deep effleurage on the calf to reduce the swelling.

Answer

Continue the massage but avoid working on the lower legs entirely.

Answer

Use very light lymphatic drainage strokes on the swollen calf to help move the fluid.

Question 5

A client presents with pitting edema in both lower legs. When the therapist presses a finger into the swollen tissue, the indentation remains for several seconds. The client is not aware of any specific medical diagnosis causing the issue. This condition is a significant contraindication because it often indicates an underlying systemic pathology of which organ system?

Accepted Answer

Cardiovascular System

Answer

Integumentary System

Answer

Muscular System

Answer

Endocrine System

Question 6

Which of the following skin conditions is a highly contagious bacterial infection, presenting as blisters or sores, that serves as an absolute contraindication for massage in the affected area and may require postponement of the entire session?

Accepted Answer

Impetigo

Answer

Eczema

Answer

Psoriasis

Answer

Rosacea