Integrated MBLEx Question Bank · Set 4

Clinical application, tools, medications, business, practical safety and muscle reasoning.

1. Client taking an anticoagulant has extensive easy bruising. Best massage consideration? A ignore medication B increase friction C modify pressure and consider bleeding/bruising risk D tell them to skip medication

C. Do not advise changing prescribed medication.

2. A percussion massage device is being considered over a recently fractured region. Best response? A high setting B avoid inappropriate mechanical loading C use until numb D heat first

B. Tools do not override tissue-healing precautions.

3. Which is most important before hot-stone application? A stone color B intact sensation and thermal safety C client age alone D amount of oil

B. Temperature feedback and skin/circulatory status matter.

4. Temporary circular discoloration after suction/cupping proves toxins were removed. True or false?

False. Discoloration does not demonstrate toxin removal.

5. An employee classification is determined solely by what the contract calls the worker. True or false?

False. Actual legal classification depends on applicable tests and working relationship.

6. Revenue minus expenses equals: A cash flow B profit C liability D scope

7. A client record and a business tax receipt are: A identical records B different record categories serving different purposes C never retained D both SOAP notes

8. Which muscle is innervated by long thoracic nerve? A serratus anterior B deltoid C rhomboid D latissimus

9. Which nerve innervates latissimus dorsi? A axillary B thoracodorsal C dorsal scapular D femoral

10. Which muscle is the major exception to the typical hamstring tibial-division innervation pattern?

Short head of biceps femoris, supplied by the common fibular division of sciatic nerve.

11. Gluteus maximus nerve? A superior gluteal B inferior gluteal C obturator D femoral

12. TFL nerve? A superior gluteal B inferior gluteal C tibial D obturator

13. Which muscle is both a knee extensor and hip flexor? A vastus medialis B rectus femoris C soleus D semimembranosus

14. Which muscle dorsiflexes and inverts the foot? A tibialis anterior B fibularis longus C gastrocnemius D soleus

15. Fibularis longus is innervated by: A tibial B deep fibular C superficial fibular D femoral

16. The safest pressure principle around the anterior neck is: A deeper is more effective B precision and anatomical caution replace indiscriminate depth C carotid pressure is relaxing D work directly on trachea

17. Which muscle is supplied by CN XI for motor function? A SCM B masseter C diaphragm D tibialis anterior

A. SCM and trapezius receive motor innervation from spinal accessory nerve.

18. A client becomes dizzy when sitting up after massage while taking antihypertensives. Best immediate approach? A rush them upright B allow a slow safe transition and monitor C deep neck work D ignore it

B. Orthostatic symptoms are a safety concern.

19. Insulin use makes which symptom cluster important to recognize? A hypoglycemia B fracture C tinea D bursitis

20. A massage therapist should infer a client's diagnosis solely from an anticonvulsant prescription. True or false?

False. Many drugs have multiple indications.

21. A suspicious unilateral hot swollen calf should receive: A calf split B percussion C no massage and medical evaluation D heat

C. Possible DVT.

22. Which routine region requires special awareness of the femoral triangle? A anterior upper thigh B scalp C posterior forearm D foot

23. Which region requires special awareness of popliteal fossa? A posterior knee B temple C upper arm D chest

24. Which routine technique should not involve concentrated pressure directly on spinous processes? A spinal walk B palm press C finger weave D plantar path

A. Work alongside the spine with appropriate contact.

25. Secure draping should be treated as: A optional hospitality B part of technical competency C only needed for exams D unnecessary with consent

26. If behind on routine timing, what should be reduced first? A safety B consent C unnecessary repetitions D secure draping

27. A client asks you to diagnose why their shoulder clicks. Best response? A diagnose labral tear B describe findings and recommend evaluation if indicated C guarantee it's harmless D manipulate until it stops

28. Which business practice is unethical? A truthful service description B cure guarantee C expense tracking D secure records

29. A therapist interviews a job candidate. Questions should primarily be: A unrelated personal questions B job-related and consistently applied C about protected traits D gossip

30. Why reassess after massage? A prove therapist theory B determine response and guide future strategy C diagnose disease D maximize billing

31. A tool creates more concentrated force than the hand. What changes? A nothing B application risk may increase C contraindications disappear D consent is unnecessary

32. A client has reduced thermal sensation. Paraffin should be: A hotter B approached with significant caution/avoided when safe feedback is inadequate C used without checking D applied to open wounds

33. Which deep hip rotator is innervated by obturator nerve? A obturator externus B piriformis C quadratus femoris D superior gemellus

34. Which abdominal muscle rotates the trunk contralaterally? A external oblique B internal oblique C transversus only D rectus femoris

35. Which muscle's posterior fibers retract the mandible? A temporalis B masseter C deltoid D SCM

36. What should happen when a client withdraws consent for pectoral work after the drape is already set? A continue B stop/cover/modify immediately C cite intake form D persuade

37. The IT band is: A muscle B dense connective tissue C nerve D artery

38. Massage over an acute bacterial cellulitis area is: A appropriate B contraindicated locally/systemically depending presentation; medical treatment is needed C required for drainage D a way to diagnose bacteria

39. Which is a reasonable massage record statement? A 'I cured sciatica' B 'Client reported less discomfort with cervical rotation after session' C 'Definite herniated disc' D 'Toxins released'

40. Best general MBLEx strategy when two options seem plausible?

Choose the option that best protects safety, respects consent/scope, and directly addresses the information given without inventing a diagnosis.