NCBTMB Special Populations and Treatment Adaptations 2

Question 1

A client taking antihypertensive medication is finishing a massage session. What should the therapist advise?

Accepted Answer

Rise slowly from the table to prevent orthostatic hypotension

Answer

Stand up quickly to get blood flowing again

Answer

Drink cold water immediately after sitting up

Answer

Resume vigorous activity immediately to maintain the blood pressure benefits

Question 2

Which precaution is most important when working near a total hip replacement?

Accepted Answer

Avoid extreme ranges of motion to prevent joint dislocation

Answer

Avoid all massage above the waist

Answer

Apply deep pressure directly over the surgical scar to prevent fibrosis

Answer

Use vigorous joint mobilization to prevent adhesions

Question 3

A client with multiple sclerosis experiences Uhthoff's phenomenon. What does this mean for the treatment plan?

Accepted Answer

Avoid elevating the client's body temperature during the session

Answer

Vigorous tapotement can trigger a relapse

Answer

Heat applications should be used to relax spastic muscles

Answer

The client needs extra blankets to stay warm throughout the session

Question 4

A client has peripheral neuropathy in both feet. What is the primary massage concern?

Accepted Answer

The client may not accurately perceive pain or pressure in the affected areas

Answer

Applying extra pressure to stimulate nerve regeneration

Answer

Massage will permanently worsen the neuropathy

Answer

The client will experience excessive ticklishness due to hypersensitivity

Question 5

A client who is 6 weeks post-mastectomy asks for a full-body massage. What is the most important consideration for the arm on the affected side?

Accepted Answer

Check for signs of lymphedema and use only very light strokes on the arm

Answer

Apply vigorous tapotement to stimulate remaining lymph nodes

Answer

Completely avoid the arm for at least one year post-surgery

Answer

Deep tissue massage is preferred to prevent fibrosis in the axilla

Question 6

How does regular massage therapy primarily benefit clients with anxiety disorders?

Accepted Answer

It activates the parasympathetic nervous system, reducing physiological stress responses

Answer

It permanently corrects neurotransmitter imbalances associated with anxiety

Answer

It primarily resolves the cognitive distortions associated with anxiety

Answer

It is contraindicated because touch can trigger anxiety responses

Question 7

A client with significant obesity schedules a massage. Which adaptation is most appropriate?

Accepted Answer

Use additional bolsters and adjust table height for proper body mechanics

Answer

No adaptation is needed; standard protocols apply to all body types

Answer

Double the depth of pressure to effectively reach underlying muscles

Answer

Refuse treatment due to heightened cardiovascular risk