NCBTMB Client Assessment and Treatment 3

Question 1

During intake, a client mentions chronic fatigue, cold intolerance, and weight gain. The therapist should recognize these as possible symptoms of:

Accepted Answer

Hypothyroidism

Answer

Hypothyroidism is characterized by a slowed metabolism, presenting as fatigue, cold intolerance, and unexplained weight gain.

Question 2

A client reports a 'pins and needles' sensation along the lateral forearm and into the thumb and index finger. Which nerve is most likely involved?

Accepted Answer

Radial nerve

Answer

The radial nerve supplies the posterior forearm and the dorsal surface of the thumb and first two fingers, matching this distribution.

Question 3

When assessing a client's breathing patterns, paradoxical breathing (chest falls on inhalation) may indicate:

Accepted Answer

Diaphragmatic dysfunction or respiratory distress

Answer

Paradoxical breathing, where the chest moves opposite to normal mechanics, can indicate diaphragm dysfunction or serious respiratory compromise.

Question 4

A client has a visibly swollen, hot, and reddened joint in the knee following a sports injury two days ago. The appropriate response is to:

Accepted Answer

Avoid the area and recommend physician evaluation

Answer

Acute inflammation with heat, redness, and swelling is a local contraindication; massage could worsen tissue damage and the client needs medical evaluation.

Question 5

Which muscle is most commonly assessed for trigger points that refer pain to the temporal region and mimic tension headaches?

Accepted Answer

Upper trapezius

Answer

Upper trapezius trigger points classically refer pain up the posterior neck and into the temporal region of the head.

NCBTMB Exam Practice Test

NCBTMB Exam Practice Test

NCBTMB Client Assessment and Treatment 3