NCBTMB Client Assessment and Treatment 5

Question 1

A client with osteoporosis is seeking massage. Which technique should be avoided to prevent pathological fracture?

Accepted Answer

Deep compression over the vertebral column

Answer

Osteoporosis weakens bone density, making the vertebral column vulnerable to fracture under direct deep pressure or compression.

Question 2

A client presents with a herniated disc at L4-L5 with radiating pain down the left leg. This pattern of nerve root compression is called:

Accepted Answer

Sciatica

Answer

Sciatica describes pain radiating along the sciatic nerve distribution from the lumbar spine into the leg, commonly caused by L4-L5 or L5-S1 disc herniation.

Question 3

During gait assessment, a client demonstrates excessive hip drop on the left side during right stance phase. This indicates weakness in:

Accepted Answer

Left hip abductors (gluteus medius)

Answer

The Trendelenburg sign occurs when the stance-side hip abductors (gluteus medius) are weak and cannot stabilize the pelvis, causing the opposite hip to drop.

Question 4

A client asks about the difference between a sprain and a strain. The therapist correctly explains that a sprain involves:

Accepted Answer

Overstretching or tearing of a ligament at a joint

Answer

Sprains affect ligaments (bone-to-bone), while strains affect muscles or tendons (muscle-to-bone).

Question 5

Which of the following best defines 'myofascial trigger point'?

Accepted Answer

A hyperirritable spot in skeletal muscle that refers pain to a distant site when compressed

Answer

A myofascial trigger point is a hyperirritable nodule in a taut band of muscle that produces referred pain, local tenderness, and autonomic phenomena when stimulated.

NCBTMB Exam Practice Test

NCBTMB Exam Practice Test

NCBTMB Client Assessment and Treatment 5