NCBTMB Special Populations and Treatment Adaptations 5

Question 1

When performing massage on a client with a pacemaker, the therapist should:

Accepted Answer

Avoid strong vibration or percussion near the device site

Answer

Strong vibration or percussion near an implanted pacemaker can potentially interfere with the device's function.

Question 2

A client with fibromyalgia reports widespread pain rated 7/10. Which approach is MOST appropriate?

Accepted Answer

Light-to-moderate pressure with client feedback throughout

Answer

Fibromyalgia clients are hypersensitive to pain, so light-to-moderate pressure with ongoing feedback prevents post-massage flare-ups.

Question 3

A client with multiple sclerosis (MS) reports heat sensitivity. The therapist should:

Accepted Answer

Keep the room cool and avoid hot packs or hydrotherapy

Answer

Heat can temporarily worsen MS symptoms by slowing nerve conduction, so a cool environment and avoiding thermotherapy is essential.

Question 4

When working with a client who has a known latex allergy, the massage therapist must:

Accepted Answer

Use latex-free gloves and ensure all equipment is latex-free

Answer

Using latex-free gloves and equipment prevents allergic reactions ranging from contact dermatitis to anaphylaxis.

Question 5

A postpartum client 3 weeks after cesarean section requests abdominal massage. The therapist should:

Accepted Answer

Obtain medical clearance before working near the incision site

Answer

A healing cesarean incision requires medical clearance before any local abdominal massage to avoid disrupting tissue repair.

NCBTMB Exam Practice Test