NCBTMB Pathology and Contraindications 3

Question 1

A client with acute thrombophlebitis in the right calf presents for massage. What is the correct action?

Accepted Answer

Avoid massage entirely and refer to physician

Answer

Acute thrombophlebitis is a systemic contraindication because massage could dislodge the clot and cause a pulmonary embolism.

Question 2

Which skin condition is a local contraindication but NOT a systemic contraindication to massage?

Accepted Answer

Impetigo lesion on the forearm

Answer

Impetigo is a localized bacterial skin infection requiring avoidance of that area only, while the rest of the body can be massaged.

Question 3

A client reports they finished radiation therapy for breast cancer six months ago and feel well. How should the therapist proceed?

Accepted Answer

Obtain physician clearance before proceeding with massage

Answer

Post-cancer clients require physician clearance to ensure massage is appropriate given their current health status and treatment history.

Question 4

Which of the following best describes a 'endangerment site' in massage therapy?

Accepted Answer

An area where nerves and blood vessels are superficial and vulnerable to pressure

Answer

Endangerment sites are areas where nerves, arteries, or organs are close to the surface and can be damaged by inappropriate pressure.

Question 5

A client with type 2 diabetes requests deep tissue massage on both feet. What is the primary concern?

Accepted Answer

Peripheral neuropathy reducing ability to report pain or pressure

Answer

Diabetic peripheral neuropathy impairs sensation, so clients may be unable to accurately report if pressure is too intense, risking tissue damage.

NCBTMB Exam Practice Test