NCBTMB Special Populations and Treatment Adaptations 4

Question 1

A client with osteoporosis presents for massage. Which technique is most contraindicated for this population?

Accepted Answer

Deep percussion over the spine

Answer

Deep percussion over the spine is contraindicated in osteoporosis due to the risk of vertebral fractures.

Question 2

When working with a client who has lymphedema in the right arm, the therapist should:

Accepted Answer

Begin proximal and work toward the hand

Answer

Manual lymphatic drainage begins proximally to clear lymph nodes before moving distally, facilitating fluid movement toward the trunk.

Question 3

A pregnant client in her third trimester reports shortness of breath when lying supine. The best position for massage is:

Accepted Answer

Semi-reclined at 45 degrees on her left side

Answer

Left-lateral semi-reclined positioning reduces aortocaval compression and relieves shortness of breath in late pregnancy.

Question 4

A client receiving chemotherapy for breast cancer asks for a massage. Which consideration is MOST important before proceeding?

Accepted Answer

Obtain oncologist clearance and assess current blood counts

Answer

Oncology clearance and knowledge of current blood counts guide safe pressure and technique selection for clients undergoing chemotherapy.

Question 5

When massaging an infant, the therapist should adjust technique by:

Accepted Answer

Using very light pressure and slow, gentle strokes

Answer

Infant massage requires very light pressure and gentle strokes because neonatal skin and musculoskeletal structures are delicate.

NCBTMB Exam Practice Test