What best describes pain that has no known physical cause?

1. A. Neuroglia
2. B. Psychosomatic
3. C. Visceral
4. D. Phantom

Correct Answer: B
Psychosomatic pain is often caused by emotional distress and thus has no know physical cause. Psychosomatic pain can be a result from a broken heart after a break up, feelings of being inadequate or from any number of depressive thought patterns.

A 56 year old client enters the office for their appointment and complains of deep pain in their thigh. The client states that the pain feels like it is on the bone. The client also states that they have a mild fever and feel nauseous. The client is a diabetic. A closer inspection of the affected leg shows signs of redness and swelling and that the client is feverish. Which of the following actions should you take as the practitioner of this client?

1. A. Massage client and suggest an NSAID
2. B. Massage client and instruct to seek medical attention soon
3. C. Cancel appointment and send them home
4. D. Cancel appointment and have the client seek immediate medical attention

Correct Answer: D
Massage is contraindicated for fever and/or inflamed, swollen tissue. Osteomyelitis is a very serious infection that can result in amputation or possible death. Canceling the appointment and advising the client to seek immediate medical attention is the best course of action.

A 27 year old client presents with pins and needles type sensation around her elbow and down towards the back of her hand. Her profession is as a social worker and she is often faced with troubling scenarios. She has limited neck rotation range of motion and is taking quick, shallow breaths. Postural assessment does not show any obvious distortions. Which nerve is responsible for the sensation in the client??s elbow and down towards the back of the hand?

1. A. Radial
2. B. Uinar
3. C. Median
4. D. Sciatic

Correct Answer: A
The radial nerve runs a path from the brachial plexus between the scapula and the rib cage and through the tricep muscle along the posterior arm and through the
extensors of the forearm and into the back of the hand.

Choose the best example of transference out of the following:

1. A. A client who is angry at the new charges proposed by a massage therapist
2. B. A massage therapist who is extra friendly with a client who shares the same hobbies
3. C. A massage therapist who receives extra gifts as a form of affection from a client
4. D. A massage therapist asks a client to a therapeutic seminar

Correct Answer: C
A client that expresses feelings above and beyond the typical role as a client is seen as demonstrating transference. Being overly special can be seen as a red flag, especially in early stages of the therapeutic relationship.

What is the function of a bulboid corpuscle?

1. A. Detect changes in temperature
2. B. Receptor which responds to pressure
3. C. Contract to stand hairs straight along body
4. D. Mucous membranes in the skin

Correct Answer: A
A bulboid corpuscle is a cutaneous thermo-receptor which detect changes in temperature and relay the message to the CNS.