NCBTMB Pathology and Contraindications 4

Question 1

Which type of fracture would be classified as a SYSTEMIC contraindication to massage?

Accepted Answer

An acute fracture with internal bleeding and shock

Answer

An acute fracture accompanied by internal bleeding and shock is a medical emergency and a systemic contraindication until the client is medically stabilized.

Question 2

A therapist notices a client has a rash with clearly defined borders, redness, and vesicles on one side of the torso following a dermatomal pattern. The therapist should:

Accepted Answer

Recognize possible herpes zoster and refer the client to a physician

Answer

A dermatomal rash with vesicles is characteristic of herpes zoster (shingles), which is contagious and requires medical referral before massage.

Question 3

Why is massage contraindicated directly over a malignant tumor site?

Accepted Answer

It may stimulate lymphatic flow and potentially spread cancer cells

Answer

Massage over a malignant tumor can stimulate local circulation and lymphatic flow, potentially facilitating metastasis to other areas.

Question 4

A client on warfarin (Coumadin) therapy wants a deep tissue massage. The MAIN concern is:

Accepted Answer

Increased risk of bruising or internal bleeding due to anticoagulation

Answer

Warfarin is a blood thinner that impairs clotting, making clients susceptible to bruising or internal bleeding from deep tissue pressure.

Question 5

In which stage of wound healing is massage MOST beneficial and safe to apply near the area?

Accepted Answer

Proliferative/remodeling stage (days to weeks post-injury)

Answer

During the proliferative and remodeling stage, gentle massage can help align collagen fibers and reduce excessive scar tissue formation.

NCBTMB Exam Practice Test

NCBTMB Exam Practice Test

NCBTMB Pathology and Contraindications 4