NCBTMB Pathology and Contraindications 5

Question 1

A pregnant client in her second trimester requests massage. Which position is SAFEST for this client?

Accepted Answer

Side-lying with support bolsters

Answer

Side-lying is the safest and most comfortable position for pregnant clients as it avoids uterine pressure on the vena cava and accommodates the growing abdomen.

Question 2

Which of the following describes a RELATIVE contraindication to massage?

Accepted Answer

A condition requiring special precautions, modifications, or physician clearance

Answer

A relative contraindication means massage may be performed with appropriate modifications, precautions, or medical clearance rather than being absolutely forbidden.

Question 3

Massage is contraindicated over varicose veins primarily because:

Accepted Answer

Pressure can damage already weakened venous valves and potentially dislodge clots

Answer

Varicose veins have incompetent valves and fragile walls; direct massage pressure risks valve damage and could mobilize any thrombus present.

Question 4

A client with fibromyalgia reports an 8/10 pain level and severe fatigue today. The therapist should:

Accepted Answer

Modify the session to very gentle techniques or reschedule if the client is in a flare

Answer

Fibromyalgia flares warrant reduced pressure and gentler techniques, as aggressive massage during a flare can worsen symptoms significantly.

Question 5

Which of the following BEST describes why massage is contraindicated with acute appendicitis?

Accepted Answer

Abdominal massage could rupture the inflamed appendix, causing peritonitis

Answer

Abdominal massage over an acutely inflamed appendix risks rupture, which would spill intestinal contents into the peritoneal cavity causing life-threatening peritonitis.

NCBTMB Exam Practice Test

NCBTMB Exam Practice Test

NCBTMB Pathology and Contraindications 5