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

Antihypertensive medications combined with massage's vasodilatory effects can cause a sudden drop in blood pressure upon standing, known as orthostatic hypotension.

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

After hip replacement, surgical protocols restrict motion to prevent dislocation of the prosthetic joint, and massage therapists must respect these movement limitations.

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

Uhthoff's phenomenon is the temporary worsening of MS symptoms with elevated body temperature, so heat applications or overheating must be avoided.

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

Peripheral neuropathy reduces or distorts sensation, so the client cannot reliably report if pressure is too intense, increasing the risk of undetected injury.

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

Removal of axillary lymph nodes during mastectomy impairs lymph drainage and creates risk for lymphedema; the arm must be treated with minimal pressure.

NCBTMB Exam Practice Test

NCBTMB Exam Practice Test

NCBTMB Special Populations and Treatment Adaptations 2