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assesment 2

Multiple Choice Identify the letter of the choice that best completes the statement or answers the question. ____ 1. A disease that has a specific beginning, signs, and symptoms that develop quickly, lasts a short time,

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and then disappears is which of the following? a. Acute disease b. Chronic disease c. Long-term illness d. Short-term illness What is pain that is usually temporary, of sudden onset, and easily localized? (It can be a symptom of a disease process or a temporary aspect of medical treatment.) a. Visceral pain b. Acute pain c. Somatic pain d. Chronic pain What is the term for toward a center or point of reference? a. Efferent b. Centrifugal c. Afferent d. Centriole Meaning without shape, which of the following terms describes abnormal or undifferentiated cells that fail to mature into specialized cell types? a. Hypoplasia b. Hyperplasia c. Endoplasm d. Anaplasia What is the internal, periodic timing component of an organism, also known as? a. Circadian rhythm b. Biologic rhythm c. Biologic oscillator d. Seasonal rhythm Malignant, nonencapsulated cells that invade surrounding tissue are which of the following? (They often break away, or metastasize, from the primary tumor and form secondary masses.) a. Stroke b. Lymphoma c. Cancer d. Cyst Which of the following describes pain that continues or recurs over a prolonged time, usually for more than 6 months? (The onset may be obscure, and the character and quality of the pain change over time.) a. Acute pain b. Bright pain c. Somatic pain

d. Chronic pain ____ 8. What is the term for disease with a vague onset that develops slowly and lasts for a long time,

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sometimes for life? a. Chronic disease b. Acute disease c. Short-term illness d. Long-term illness What is a labeling of signs and symptoms by a licensed medical professional called? a. Prognosis b. Diagnosis c. Assessment d. Prescription An abnormality in functions of the body, especially when the abnormality threatens well-being is which of the following? a. Problem b. Condition c. Disease d. Syndrome An Ayurvedic concept that describes chemical processes in the body is which of the following? (The three types are Vata, Pitta, and Kapha. Also a physiologic function.) a. Reiki b. Chakra c. Mudra d. Dosha What is the term that refers to away from a center or point of reference? a. Efferent b. Afferent c. Origin d. Contraction A coordination or synchronization to an internal or external rhythm, especially when a person responds to certain patterns by moving in a coordinated manner to those patterns, is known as which of the following? a. Movement b. Entrainment c. Alignment d. Attunement What is the study of the factors involved in the development of disease, including the nature of the disease and the susceptibility of the person? a. Genealogy b. Pathology c. Etiology d. Pathophysiology What is the tract that is open at both ends through which abnormal connection occurs between two surfaces called? a. Tubule

b. Tunnel c. Gateway d. Fistula ____ 16. A self-regulating control system in the body that receives information, integrates that information,

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and provides a response to maintain homeostasis is which of the following? a. Feedback loop b. Response loop c. Reflex d. Reaction loop What is the method the body uses to mobilize different defense mechanisms when threatened by actual or perceived harmful stimuli? a. Stress syndrome b. General adaptation syndrome c. Negative feedback loop d. Positive feedback loop What is the term for the condition of homeostasis resulting in a state of physical, emotional, social, and spiritual well-being? a. Disease b. Remission c. Health d. Balance What is the term for an uncontrolled increase in the number of cells of a body part? a. Hyperplasia b. Anemia c. Hypoplasia d. Hydroplasia What is the term for an increased sensitivity to pain? a. Analgesia b. Hyperalgesia c. Hypoalgesia d. Hyperanalgesia A protective response of the tissues to irritation or injury that may be chronic or acute is known as which of the following? (The four primary signs are redness, heat, swelling, and pain.) a. Injury b. Anemia c. Inflammation d. Edema What is the continuation of chronic pain without active disease present or when chronic pain persists even with treatment called? a. Somatic pain b. Visceral pain c. Incorrigible pain d. Intractable pain What physiologic function blends the water and earth elements? a. Kapha dosha

b. Pitta dosha c. Vata dosha d. Chakra dosha ____ 24. What is the term for abnormal growth of new tissue (also called a tumor, may be benign or

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malignant)? a. Contusion b. Neoplasm c. Cyst d. Fibroid What organisms tat cause disease only when the immunity is low in a host? a. Invasive pathogens b. Intravenous pathogens c. Opportunistic pathogens d. Offensive pathogens What is the term for development of a disease? a. Pathology b. Etiology c. Physiology d. Pathogenesis What is the term for an unpleasant sensation (it is a complex, private experience with physiologic, psychologic, and social aspects and because it is subjective, it is often difficult to explain or describe)? a. Pain b. Signs c. Symptoms d. Syndrome What is the ability of the infectious agent to cause disease called? a. Pathology b. Pathogenicity c. Pathophysiology d. Etiology A form of pain or other sensation experienced in the missing extremity after a limb amputation is which of the following? a. Invisible pain b. Somatic pain c. Visceral pain d. Phantom pain What is a physiologic function that combines fire and water? a. Pitta dosha b. Kapha dosha c. Vata dosha d. Chakra dosha Pain felt in a surface area far from the stimulated organ is which of the following? a. Regional pain b. Referred pain

c. Visceral pain d. Somatic pain ____ 32. What is a reversal of signs and symptoms in chronic disease that can be temporary or permanent

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called? a. Acute phase b. Regeneration c. Remission d. Reduction What are the objective changes that someone other than the client or patient can observe and measure? a. Symptoms b. Assessments c. Evaluations d. Signs What are the four groups of air-filled spaces that open into the internal nose and function to lighten the weight of the skull, making it easier to hold the head up and help in the production of sound? a. Sinus b. Sulcus c. Synthesis d. Suture What is pain that comes from the stimulation of receptors in the skin or stimulation of receptors in skeletal muscles, joints, tendons, and fasciae? a. Visceral pain b. Somatic pain c. Referred pain d. Diffused pain Any external or internal stimulus that requires a change or response to prevent an imbalance in the internal environment of the body, mind, or emotions is which of the following? a. Pressure b. Strain c. Stress d. Tension What are diseases with characteristics between acute and chronic? a. Hyperacute b. Hypoacute c. Hypochronic d. Subacute What are the subjective changes noticed or felt only by the client or patient? a. Signs b. Assessments c. Somatic pain d. Symptoms What is the physiologic function formed from ether and air? a. Pitta dosha b. Vata dosha

c. Kapha dosha d. Chakra dosha ____ 40. What is a quality of organisms that readily cause disease? a. Strength b. Potency c. Virulent d. Communicable ____ 41. Pain that results from the stimulation of receptors or an abnormal condition in the internal organs is

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called which of the following? a. Somatic pain b. Superficial pain c. Deep pain d. Visceral pain Although Milton is expected to recover from the car accident, for now, to give his surgical wounds time to heal, he is in an induced coma to keep him still during recovery. If this coma is considered a yin state, what will be a yang state in his healing? a. Natural sleep b. A natural coma, as opposed to this induced one c. Natural methods of relaxation and meditation d. Physical therapy In the ancient healing model of Ayurveda, what does the Kapha dosha do? a. Blends the water and earth elements b. Divides the cells c. Is a combination of fire and water d. Represents transformation Jillian is studying the feedback loop system. She should feel more confident about grasping this subject if she states which of the following? a. A signal traveling toward a particular point of reference is an efferent signal. b. Positive feedback reverses the original stimulus and thus stabilizes physiologic function to help us maintain our constant environment. c. The pain-spasm-pain cycle is a negative feedback loop. d. The mechanism that keeps contractions occurring during labor and delivery is an example of positive feedback. What is a biologic rhythm that repeats itself every 90 minutes to every few hours? a. Circadian b. Ultradian c. Seasonal d. Entrainment What is the term for a disease that can be transmitted from one person to another? a. Communicable b. Acute c. Subacute d. Chronic What is the study of the frequency, transmission, occurrence, and distribution of disease in human being?

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Etiology Epidemiology Pathology Diagnosis What is the term for a group of objective and subjective changes in a pathologic condition? a. Syndrome b. Sign c. Symptom d. Biochemical lesion The doctor is explaining to Jack how he might expect his disease to progress, as well as its probable outcome. What is this explanation? a. Diagnosis b. Remission c. Prognosis d. Pathogenicity What type of lesion is caused by an antigen, antibody, abnormal enzyme, or hormone that is altered sufficiently to serve as an aid in predicting a persons susceptibility to a specific disease? a. Biochemical b. Structural c. Cancerous d. Rickettsiae Organisms that cause disease only when immunity is low are which of the following pathogens? a. Virulent b. Infectious c. Viral d. Opportunistic What are pathogenic plantlike organisms that lack chlorophyll called? a. Viruses b. Flukes c. Fungi d. Bacteria Hyperplasia is which of the following? a. Abnormal tissue growth from uncontrolled cell division b. A union of cells c. Caused by a type of neoplasm d. A benign tumor of adipose tissue Elis lab test results show that there is evidence of anaplasia in some of his cells. From this, his doctor knows which of the following? a. Eli does not have cancer. b. At least some of Elis cells are reproducing abnormal and undifferentiated cells that fail to mature into specialized types. c. Eli has an encapsulated tumor that may interfere with function by blocking functional tissue or pressing on pain-sensitive structures. d. Elis cells contain chemicals that affect genetic activity to speed recovery from an infection or injury.

____ 55. What are key signs in the inflammatory response? a. Heat and redness b. Swelling c. Pain d. All of the above ____ 56. Theo has an infection with inflammation. His doctor explains that with the inflammation, she will

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expect to see evidence of all of the following except which of the following? a. Changes in blood circulation b. Stasis in vessel wall permeability c. A white blood cell response d. Release of inflammatory mediators Stacey cuts her finger while slicing an apple and experiences an intense but short-lived, sharp local superficial pain. What is this pain called? a. Chronic b. Somatic c. Deep d. Visceral Antons gallstones have him doubled over. He is experiencing which of the following types of intense pain? a. Somatic b. Visceral c. Referred d. Intractable chronic Jillian has pain on the right side of her neck. If this is a referred visceral pain, she may need to be referred for diagnosis to rule out dysfunction in which of the following? a. Lung or diaphragm b. Stomach or gallbladder c. Kidney or heart d. Liver or gallbladder Amys doctor explains that her phantom pain is which of the following? a. Experienced as a result of deep spiritual experience b. Experienced in response to intense psychotherapy c. Experienced frequently after an amputation d. Imaginary pain occurring in a person who fears an imagined disease or condition When does biofeedback relieve pain? a. When a needle is inserted along specific body meridians b. When pressure is applied along certain body meridians c. When a relaxing mental picture is focused on d. When the individual learns to inhibit the impulses ascending the pain pathways When has Tony reached his pain threshold? a. When he begins to experience enough relief that he can carry on a conversation in a normal tone of voice b. When his pain receptors first begin to fire c. When he has reached his limit of pain tolerance d. When communication with his pain receptors is successfully interrupted by

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chemical or alternative pain management techniques Remy gladly reaches for the heating pad tonight, knowing that heat does which of the following? a. Increases blood flow and washes away pain-producing chemicals b. Decreases swelling by vasoconstriction c. Stimulates release of endogenous opioids d. All of the above In order, what is the sequence of stages in the general adaptation syndrome? a. General adaptation; fight-or-flight; resistance reaction b. Fight-or-flight; general adaptation; exhaustion reaction c. Resistance reaction; fight-or-flight; exhaustion reaction; recovery and general adaptation d. Fight-or-flight; resistance reaction; exhaustion reaction During her massage, Luisas body is able to entrain. What does that mean? a. It is able to achieve a state of increased physical fitness, almost as if she were in training. b. Her massage is the opposite of stress, enabling her body to retrain (entrain) itself to let go of all forms of stress. c. Her body is able to organize and synchronize biologic rhythms in response to the soothing pattern the massage establishes. d. Her body is able to entrain itself into a state of either relaxed resistance or controlled exhaustion. Research has validated that massage is effective as part of the treatment process for many different health-related conditions. It is the general full-body massage approach that is effective as opposed to many specific applications, although specific methods in massage are important but best combined with general massage. Why? a. Massage supports homeostatic processes. b. Massage generates a positive feedback loop. c. The Ayurvedic chakras are inhibited during massage. d. The unified methods of yin yang, pitta, kapha and vata doshas suppress entrainment. One of the principles of massage especially for relaxation is focused rhythmic application in a quiet environment. Music may be part of the physiologic influence. What physical phenomenon is involved? a. Chakras b. Entrainment c. Epidemiology d. Assessment A client has an area of scar tissue that is adhered sufficiently to the underlying tissue so that the client experiences some binding sensations. The massage practitioner is using friction to decrease the bind. Which of the following is the underlying physiologic mechanism responsible for the change in the tissue? a. Fistula b. Carcinogens c. Hyperplasia d. Inflammation

____ 69. A massage therapist is employed by a pain management clinic. The success has been very good and

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the doctors are encouraged. There has been an increase in pain tolerance in a significant number of patients. Which of the following methods would easily combine with massage and support pain management by interacting with the limbic system and endocrine system? a. Placebo method b. Acupuncture c. Aromatherapy d. Hypnosis In a multidisciplinary approach to pain management, if massage is used for the body and medication is used for the spirit, which of the following addresses the mind? a. Surgical techniques b. Hypnosis c. Acupressure d. Hydrotherapy A massage therapist notices during assessment that a client is having increased hair loss, the muscles are tense, and an eye muscle is twitching. Which of the following is likely increased? a. Epinephrine and glucocorticoids b. Digestive secretions c. Peristalsis d. Life cycle A massage therapist is taking some continuing education classes that are altering his body mechanics, making them more effective. This has been a challenge and at first his perception of the instruction was less than positive; however, slowly he is seeing the benefits. What is this massage therapist experiencing? a. Shift in perceptions and resourceful adaptation b. Nonproductive stress response c. Hypothalamic overload d. Alarm response A massage therapist has been in practice for 25 years. She became a massage therapist in her mid20s and is now just over 50 years old. During this time she has had two babies, a serious health event, and a major surgery and is not happy, productive, and secure in her outcome for the rest of her life. Her grandmother lived to be 98 years old and she wants to be productive in advanced years as well. What is being described? a. The general adaptation syndrome b. Risk factors of the stress response c. Various stages of the life cycle d. Adaptation to immune suppression Which of the following is true about the various healing arts presented in this text? a. Are ineffective because they cannot explain homeostasis b. Deal only with the parts of the body, not the whole person c. Use their own terminology to describe homeostasis d. Keep the elements of nature separate from the body What is a feedback loop? a. The major cause of disease b. A contribution to maintaining homeostasis

c. A disruption of our self-regulation d. A sensor, a control center, and an effector ____ 76. What can massage and other forms of bodywork and movement therapies do? a. Cause pathogenesis, which will reverse the development of disease b. Support the body in maintaining and returning to a healthy state c. Support the various pathologies in the body d. Not affect the abnormal functions of disease states ____ 77. What is the inflammatory response? a. A major cause of disease in the body b. A combination of processes that attempt to minimize tissue injury c. Always separate from immune reactions d. Three primary signs: heat, exudation, and cell regeneration ____ 78. What are risk factors? a. The major cause of disease b. Unable to be affected by changes in lifestyle or activities c. Influences that can put a person at risk for developing disease d. Due to a person's activities, never inherited ____ 79. What is hypersensitivity to pain called? a. Hyperalgesia b. Intractable c. Bright pain d. Voluntary splinting ____ 80. Referred pain may be a reason to do which of the following? a. Use deeper pressure on the area of referral. b. Refer a client to a physician for a diagnosis. c. Disrupt signals from the cerebral cortex. d. Initiate the reflex contraction. ____ 81. Which of the following is true of people who experience excessive or ongoing stress? a. Should not have bodywork while under the stress. b. Will not have panic or anxiety attacks. c. Can have a decrease in immune function. d. Are always receiving too much exposure to stimuli. ____ 82. Working in research, Erika comes to the conclusion that as a massage therapist, she would like to

move from a method orientation to a focus on physiologic outcomes. In other words, she should move from: a. a focus on Rolfing to a focus on deep tissue technique. b. a focus on deep tissue massage to a focus on enhanced immune function. c. a focus on Swedish massage to a focus on shiatsu. d. all of the above. ____ 83. Research has proven that massage: a. improves all clinical measures in all skin diseases except impetigo and pediatric eczema. b. promotes healing of psychiatric problems, though not yet evidenced in patients with eating disorders. c. reduces stress and improves sleep patterns in the therapist.

d. all of the above. ____ 84. Which of the following phenomena best demonstrates the effect of massage on the body-mind

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phenomenon? a. It stimulates the secretion of certain neurotransmitters, hormones, and endogenous chemicals while also stimulating ANS functions. b. It stimulates proprioceptive nerve endings and stretches musculotendinous structures to stimulate reflex mechanisms, Golgi tendon organs, and spindle receptorsand increases circulation. c. It compresses vessels, changing the internal pressure and releasing vasodilators, which opens the capillariesthus shifting the autonomic vascular reflexes. d. All of the above play a part in the body/mind phenomenon. Andreass client, Philip, has been having massage on a regular basis when one day he blurts out, I cant believe it! My pinched nerve feels better week after weekits because of you, Andreas! What is the most likely reason Philips nerve impingement has improved? a. Andreas should not take credit; the truth is, he should not have administered massage therapy had he known about the nerve impingement. If something has changed, Philip should be urged to see his physician. b. Massage displaces bits of deteriorating cartilage or bone chips that can press on a nerve. c. Andreass work has realigned small bones that move out of place and press on certain nerves. d. Andreass work has changed muscle tension, relieving pressure on the nerve. Which of the following is not a result of breathing pattern disorder? a. Blood levels of carbon dioxide fall. b. The blood becomes more acidotic. c. The blood becomes more alkalinic. d. Blood levels of oxygen fall. Tensegrity of the body form: a. is responsible for explaining how the inflexibility or shortening in one tissue affects the structure and movement in other parts. b. has structural consequences for the entire organism but cannot upset the energy system or biofield. c. affects the energetic system while the structure remains unaffected. d. a and b. Theos client is sent by her physician to receive massage for overall chronic body pain, even though the physician states that he cannot find the cause of the pain. Theo realizes that: a. the true usefulness of massage, in this case, is psychological only. b. hyperstimulation should be avoided since the cause is unknown. c. the principle of counterirritation may have some benefit here. d. all of the above. Kimmie is recovering from a car accident and her surgeon and physical therapist have both recommended massage therapy to improve her circulation. The effect of massage on circulation is caused by: a. autonomic vascular reflexes. b. emptied venous beds and lowered venous pressure.

c. release of histamine. d. all of the above. ____ 90. Leeli is attempting to use connective tissue massage to alter the ground substance in the superficial

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and deep fascial sheaths, ligaments, and tendons. She understands that: a. this ground substance is a collagenous or reticular type fiber. b. this ground substance liquefies on agitation and reverts to gel when standing. c. this ground substance responds to abrupt pressure but resists slow, sustained pressure. d. b and c are true. Which of the following demonstrates the gate-control theory? a. If a large-diameter fiber is stimulated, it prevents small-diameter fibers from transmitting signals. b. TENS should be prevented in the case of sharp pain. c. If Alexander can quickly, vigorously, squeeze and massage his stubbed toe, he can help it to hurt a lot lessbut hes got to act fast. d. a and c What do the energy therapies have in common? a. Periodic entrainments of brain waves b. Whole-body biomagnetic emissions with the Schumann resonances in the earths atmosphere c. Use of terrestrial and extraterrestrial rhythms produced by cyclic astronomic activities d. All of the above Which of the following explanations best describes why massage has benefits for many different people, ages, activities, and conditions? a. Massage targets the sympathetic coherence of restorative capacity. b. Massage interacts with a specified targeted pathology. c. Massage is a general constitutional method that supports homeostasis. d. Massage reduces the adaptive capacity of the immune system. During visual assessment, the massage therapist notices that the client repeatedly rubs an area on the left shoulder. He also describes a sense of chronic tension in the same area. What will the therapist use to manage the unpleasant sensations from the shoulder? a. Lymphatic drain b. Hyperstimulation analgesia c. Reflexology d. Percussion A client is seeking massage to augment a weight loss program. He has 70 lbs to lose. His focus is lifestyle change, and the major overeating problem seems to stem from mild anxiety, particularly at night. Which of the following is the best treatment plan? a. Massage 2 times per week for 1 hour in the morning prior to exercise. General massage targeted to exercise soreness management. b. One-hour massage 2 times per week in the evening for 3 months. General massage focusing on fluid dynamics and increases in dopamine. c. One-hour massage 2 times per week in the evening for 6 months and then reevaluate to support serotonin levels and restorative sleep.

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exist for a 6-month period. Which of the following is a complex set of behaviors that leads to overbreathing in the absence of a pathologic condition? These disorders are considered a functional syndrome because all the parts are working effectively; therefore, a specific pathologic condition does not exist. a. Hyperstimulation analgesia b. Neuropleural stimulation c. Pleurisy d. Breathing pattern disorders The ability to focus the mind by screening out sensation is called: a. desensitizing. b. centering. c. controlling. d. metacognition. Which of the following techniques is the application of pressure into the body to spread tissue against underlying structures but can also be described as the exertion of inappropriate pressure on nerves by hard tissue (e.g., bone)? a. Tapotement b. Compression c. Vibration d. Shaking _____ is the most abundant tissue type in the body; it provides support, structure, space, stabilization, and scar formation. a. Adipose tissue b. Elastic tissue c. Connective tissue d. Nervous tissue A parasympathetic survival pattern that is similar to playing possum or hibernation is called: a. conservation withdrawal. b. hypomobilization. c. sleep patterning. d. conservation hibernation. _____ is a stress hormone produced by the adrenal glands that is released during long-term stress. An elevated level indicates increased sympathetic arousal. a. Cortisol b. Serotonin c. Pitocin d. Epinephrine Superficial stimulation that relieves a deeper sensation by stimulating different sensory signals is called: a. sensory input. b. counterirritation. c. counter pressure. d. cross fiber friction.

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movement, such as hand writing), conscious selective selection (what to pay attention to), mood (in terms of inspiration), possibility, intuition, joy, and enthusiasm. If the level is low, the opposite effects are seen, such as lack of motor control, clumsiness, inability to decide what to attend to, and boredom. a. Serotonin b. Epinephrine c. Dopamine d. Pitocin Neurochemicals that elevate mood, support satiety (reduce hunger and cravings), and modulate pain are called: a. hormones. b. neurotransmitters. c. endocrine glands. d. enkephalins and endorphins. _____ is the coordination of movements or their synchronization to a rhythm. a. Shaking b. Entrainment c. Rocking d. Tapotement Pathologic pressure placed on a nerve or vessel by soft tissue is considered to be: a. a trigger point. b. entrapment. c. compression. d. a tender point. _____ is a neurochemical that activates arousal mechanisms in the body; these include the activation, arousal, alertness, and alarm chemical of the fight-or-flight response and all sympathetic arousal functions and behaviors. a. Serotonin b. Epinephrine/adrenaline c. Dopamine d. Lactosin A(n) _____ is a method of testing a hypothesis. a. test b. experiment c. treatment d. study In _____, pain impulses pass through a hypothetical mechanism at the level of the spinal cord to reach the lateral spinothalamic system. Stimulating (rubbing, massaging) fibers helps to suppress the sensation of pain, especially sharp pain. a. nerve response theory b. gate control theory c. reciprocal inhibition d. post-isometric relaxation

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alarm reaction, the resistance reaction, and the exhaustion reaction). a. Anxiety process b. General adaptation syndrome c. Fight, flight, or fear response d. Stress syndrome _____ is a hormone that promotes cell division; in adults it is implicated in the repair and regeneration of tissue. a. Oxytocin b. Cortisol c. Dopamine d. Growth hormone _____ is a method of teaching the body to deal more effectively with stress; sometimes called toughening. a. Splinting b. Guarding c. Hardening d. Holding _____ are techniques that directly affect the soft tissue by normalizing the connective tissue or moving body fluids and intestinal contents. a. Reflexive methods b. Chemical methods c. Involuntary methods d. Mechanical methods Structures located primarily in the belly of the muscle that respond to both sudden and prolonged stretches are called: a. muscle spindles. b. cochlear implants. c. Golgi apparatus. d. Nissl bodies. Prior to entering the massage room, a practitioner calms herself and begins to focus on the massage she will perform. What is she doing? a. Centering b. Clinical reasoning c. Formulating the hypothesis d. Moving beyond the science If groups of massage therapists are wishing to replicate a study, what information do they need? a. Details of the hypothesis b. Details of the intuition c. Details of the experiment d. Details about the subjective quality of massage A client is being treated for anxiety and chronic pain. Massage has been a valuable part of the treatment plan, especially for the anxiety. Which of the following would best describe this outcome? a. Mechanical effects b. Neuroendocrine influences

c. Toughening d. Placebo effects ____ 118. A massage therapist finds herself especially relaxed after working with her client, who is expecting a

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baby in three months. The mother-to-be is happy to have this baby and radiates the pregnancy glow. Which of the following explains the massage therapists response? a. The art of massage b. Sympathetic dominance c. Dopamine increase d. Entrainment A professional football player is the backup quarterback. This means that even though he will likely not play in the game, he has to be constantly ready. Which of the following is most true? a. He has increased oxytocin due to the alarm reaction. b. He is in the resistance reaction phase of the general adaptation syndrome. c. His conservation withdrawal mechanisms are overactive. d. He is battling state-dependent memory. An ex-smoker still craves cigarettes on occasion. One day he finds himself searching for hidden packs of cigarettes he thought he had. He could not find any but found that the craving went away after he received a massage. Why? a. His dopamine normalized. b. The state-dependent memory dissipated. c. Massage was a placebo. d. Massage stimulated growth hormone. A clients spouse is in the military and has just been deployed overseas. The client misses his spouse but finds massage eases the longing and helps her remain productive in spite of the loneliness. Why? a. Increase in epinephrine b. Decrease in entrainment c. Stimulation of oxytocin d. Reduction of the alarm reaction A client has an arthritic knee and finds that rubbing a cream on it that makes it feel cool helps the aching. Which of the following best explains this response? a. Reduction of impingement b. Somatic reflex stimulation c. Placebo affect d. Counter irritation Which of the following self-help methods most interacts with the autonomic nervous system? a. Stretching b. Breathing c. Weight training d. Nutritional supplements A client has been referred for massage by a chiropractor. The client is being treated for an impingement that is causing headaches. The treatment orders request that massage address the muscles that can be contributing to this condition. Which area is being impinged? a. Palmar plexus b. Plantar plexus c. Cervical plexus

d. Sacral plexus ____ 125. A client has cold feet. Which of the following massage outcomes should improve the situation? a. Increase in arterial circulation b. Decrease in venous circulation c. Increase in hyperstimulation analgesia d. Increase in lymphatic flow ____ 126. A physician is especially pleased with the outcome of low back chronic pain and the patients

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response to massage. Which of the following would best account for this outcome? a. Massage application to influence immunity b. Massage application to reduce trigger point activity c. Massage application to decrease endorphin and serotonin response d. Massage application to address the all-or-none response A client has been diagnosed with breathing pattern disorder. In which way would massage be most beneficial in addressing this situation? a. Increasing sympathetic influence on the breathing b. Increasing mechanical affects of the tensegrity c. Increasing optimal function of the thorax d. Increasing tone in the gastrointestinal system Typically, massage addresses which aspect of the connective tissue? a. Ground substance b. Cerebrospinal fluid c. Interstitial fluid d. Tendon organs A client has had difficulty resolving inflammation. Therefore, her doctor has advised that which of the following methods be avoided? a. Energy-based modalities b. Agitation of the ground substance c. Transverse friction d. Entrainment Which of the following principles relates most to biofield systems influence by massage? a. Circulation shifts b. Spiritual influence c. Hyperstimulation d. Tensegrity Which of the following are most similar? a. Motor points and meridians b. Piezoelectric properties and cortisol c. Biological oscillators and cervical plexus impingement d. Magnetic brain waves and therapeutic inflammation A client is preparing for a bowling tournament. They are receiving a massage 24 hours before competition. They know they will perform best if they are in the zone. Which of the following treatment plans is best for this outcome? a. Massage targeting connective tissue pliability b. Massage focused on the fluid balance c. Massage optimizing nervous system balance

d. Massage increasing digestive function ____ 133. Responses and effects of massage on the nervous system: a. are mechanical. b. are not specific. c. are negligible. d. are reflexive. ____ 134. Neuroendocrine chemicals influenced by massage include: a. dopamine and serotonin. b. cortisol and epidermis. c. plasma and parasympathetic. d. oxytocin and pacinian. ____ 135. Much of the body/mind connection takes place: a. through somatic nervous system activity. b. through autonomic nervous system activity. c. through proprioceptors. d. as a result of the general adaptation syndrome. ____ 136. Entrainment: a. is synchronization to a rhythm. b. is seldom influenced by massage. c. is independent of external influences. d. has little effect on homeostasis. ____ 137. Entrapment: a. does not occur at major nerve plexuses. b. will cause muscle pain but not breathing difficulties. c. interrupts the pain-spasm-pain cycle and initiates relaxation. d. is frequently caused by soft tissue binding a nerve. ____ 138. Excessive prolonged stress: a. will stop the parasympathetic response from occurring. b. is contraindicated for hyperstimulation analgesia. c. causes the release of cortisol. d. supports immune function. ____ 139. The two aspects of connective tissue most affected by massage are: a. thrixtropic and cutaneovisceral. b. ground substance and fibers. c. plastic range and Meissners corpuscles. d. piezoelectric and Merkels discs. ____ 140. One of the most widely recognized physiologic effects of massage is: a. compression. b. an increase in fascial adhesions. c. enhancement in blood and lymph circulation. d. myofascial trigger points. ____ 141. Condition management involves the use of massage methods to support any of the following clients

except: a. Mary Ellen, whose chronic health condition often leaves her worried and exhausted.

b. Jerry, whose foot injury is expected to change as a result of massage therapy,

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improving both the shape of the foot musculature somewhat, as well as his ability to walk longer distances on it. c. Brian, who is dealing with the stress of taking care of his father, who is dying, and whose brother disagrees with Brians decisions about his dad. d. Helena, who is fighting both financial strain and adjusting to her diabetes diagnosis. Concerned on noticing that her client, Mrs. Durer, has unusual edema around one ankle, Jennifer asked her to please consult her physician before coming back for a massage. Mrs. Durers doctor does indeed contact Jennifer, saying that there is a contraindication to massage in this case. Jennifer knows that this may mean: a. Mrs. Durer must not receive a massage. b. Jennifer must avoid massaging the ankle only. c. Jennifer may massage the ankle area, but with caution and perhaps supervision, selecting the method, duration, pressure, and frequency carefully. d. any of the above. Brenda had her first massage when her best friend treated her two bridesmaids (Brenda and another woman) to a day spa the day before the wedding. After that she kept coming back once a month to treat herself while she went through a painful breakup with her own fianc. Now, however, she is coming to receive massage therapy as part of the healing process after her skiing accident. a. Brenda is an example of a patient who receives massage for condition management first and now receives it for palliative care while she recovers. b. Brenda has moved from condition management (in the first two situations) to therapeutic change. c. Brenda has moved from palliative care, to condition management, to therapeutic change. d. Brenda has moved from palliative care to condition management. Massage has not yet been proven to be medically valued for therapeutic change. The system that is improved by direct biomechanical responses to manipulations is the _____ system. a. nervous b. elimination c. circulation d. respiratory Jane is receiving therapeutic massage as part of her healing process. Once healing is achieved, the end focus of massageshould it continuewill be: a. therapeutic change. b. condition management. c. gradual restoration of energy. d. palliative care. Which is the most effective approach if pathology is not present? a. Mind/body medicine. b. Stress management. c. Prevention. d. All are effective in this state.

____ 147. In normal conditions: a. physiologic mechanisms inhibit the tendency to function at the bodys limits. b. the bodys normal tendency is to operate at peak levels of performance. c. the body taps into energy reserves. d. the bodys reserves run low because restorative mechanisms are not called on to ____ 148.

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function effectively. Janis complains of body aches and says, When I woke up this morning, my throat felt like sandpaper, and now I am so hot. Do I feel hot to you? All of these comprise: a. acute symptoms. b. chronic symptoms. c. a syndrome. d. objective, measurable signs. Janis complains of fatigue, severe pain on her abdomen and arms, and she has a fever, elevated blood pressure, and skin eruptions that suggest shingles. All of these comprise: a. acute symptoms. b. chronic symptoms. c. a syndrome. d. objective, measurable signs. Maggies doctor recommends massage for her prolonged inflammation. The best reason for this is that: a. the stimulation from the massage activates a release of the bodys own antiinflammatory agents. b. certain types of massage increase the inflammatory process. c. massage may facilitate dilution of the irritant by increasing lymphatic flow. d. all of the above. Knowing that massage can increase the inflammatory process, Theo explains that: a. massage must almost always be avoided until the inflammation is healed. b. this can actually be therapeutic. c. massage should only be used if healing mechanisms have been suppressed. d. a and c. Erins client complains of frequent, sometimes continuous pain on the right side of her neck and her right rib cage, front to back. Yet there seems to be no direct muscle pain or tightness. Erin realizes that: a. this client may be having liver or gallbladder pain and should be referred to a physician. b. this patient is experiencing radiating pain because deep somatic pain is radiating, but never referred. c. this client may be experiencing referred pain, which occurs at a site distant from the painful stimulus. d. a and c. Eileen uses massage therapy to relieve her chronic battles with panic attacks. Her massage therapist, Liza, realizes that in Eileens case, massage most likely helps specifically by: a. enervating the senses to induce ANS hyperactivity. b. restricting breathing to prevent hyperventilation. c. reducing a tendency toward breathing pattern disorder.

d. all of the above. ____ 154. In which of the following pathologies would stress management be best managed by massage? a. Kidney failure b. Congestive heart failure c. Surgical complications d. Fibromyalgia ____ 155. A client continues to suffer from pain from a whiplash injury three years ago. Massage targeted to

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reducing tension in the neck and low back seems to provide relief for a couple of days, and then the pain begins to return. What type of pain is the client experiencing? a. Intractable b. Phantom c. Chronic d. Acute A client has been referred for management of chronic pain. He describes the pain as radiating, and when gesturing, he can trace a path of the pain. He is describing pain from what cause? a. Impingement b. Organ referral c. Muscular contusion d. Immune response _____ is a symptom of a disease condition or a temporary aspect of medical treatment. It acts as a warning signal because it can activate the sympathetic nervous system. It usually is temporary, of sudden onset, and easily localized. The client frequently can describe the pain, which often subsides without treatment. a. Acute pain b. Chronic pain c. Deep pain d. Superficial pain _____ occurs when massage produces the opposite effect, such as with medications. a. Irritation b. Antagonism c. Congestion d. Dilation A feeling of uneasiness, usually connected with an increase in sympathetic arousal responses, is: a. fear. b. anxiety. c. delusion. d. depression. _____ is pain that persists or recurs for indefinite periods, usually for longer than 6 months. It frequently has an insidious onset, and the character and quality of the pain changes over time. It frequently involves deep somatic and visceral structures. This pain usually is diffuse and poorly localized. a. Acute pain b. Chronic pain c. Sub-acute pain d. Sub-localized pain

____ 161. The process of counterbalancing a defect in body structure or function is called: a. compensation. b. compendium. c. equalization. d. functional counterbalancing. ____ 162. The use of massage methods to support clients who are unable to undergo a therapeutic change but

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who wish to function as effectively as possible under a set of circumstances is called: a. Condition management b. Sub-therapeutic change c. Palliative care d. Neuromuscular facilitation A condition characterized by a decrease in vital functional activity and by mood disturbances of exaggerated emptiness, hopelessness, and melancholy or of unbridled high energy with no purpose or outcome is called: a. delusion. b. anxiety. c. anorexia. d. depression. A _____ is defined as cutaneous (skin) distribution of spinal nerve sensation. a. myotome b. dermatome c. chakra d. cutaneous receptor A(n) _____ is an in-between state in which one is not healthy but also not sick (i.e., experiencing disease). a. acute phase b. sub-acute phase c. chronic condition d. dysfunction Which of the following can be defined as any area of the body where nerves and blood vessels surface close to the skin and are not well protected by muscle or connective tissue; therefore, deep, sustained pressure into these areas could damage these vessels and nerves? a. Cutaneous nerve distribution b. Danger zone c. Endangerment site d. Sensory receptors The type of tumor (cancer) that tends to spread to other regions of the body is: a. benign. b. malevolent. c. parasitic. d. malignant. Migration of cancer cells is called: a. mentalis. b. metastasis. c. malignancy.

d. malice. ____ 169. A client wishes to receive a massage on her birthday as a special treat to herself. Which of the

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following is appropriate? a. Palliative care b. Therapeutic change c. Conditional management d. Regional indication A treatment plan for general full body massage with the outcome goal of relaxation would be considered: a. Palliative care b. Therapeutic change c. Condition management d. Physiologic change A client finds it difficult to quantify the benefits of massage. He just knows that he feels better when he receives a massage once a week. Which of the following best describes the clients experience? a. Therapeutic change b. Subjectively reported benefits c. Objective outcomes d. Palliative care A massage practitioner is using the clinical reasoning model to help her decide the appropriate approach to care. One of the facts she is considering is the current stress load of the client, who is involved in both a new job and going to graduate school. If this were the deciding factor, which of the following would be the massage approach? a. Therapeutic change b. Condition management c. Palliative care d. Maintaining peak performance If healthy means ability to adapt and respond, then pathology would mean: a. inability to adapt and respond. b. continuum between peak performance and injury. c. absence of functioning limits. d. adequate energy reserves. When considering a wellness scope of practice for massage, which of the following most applies when pathology is present? a. Massage is indicated with attention to specific pathological symptoms. b. Functioning limits are now compromised, and palliative care is the appropriate option. c. The training may not be sufficient to deal with complex disease conditions. d. Disease stresses the adaptive mechanisms and does not allow peak performance. A client seems a bit pale and fatigued. What would be the concern for massage application? a. Is illness present? b. Is injury an issue? c. Would a risk factor be compromised? d. What is the ability to resolve the syndrome? Which of the following risk factors for disease does massage most influence?

a. b. c. d. ____ 177.

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Genetics Age Stress Preexisting condition During assessment, the massage practitioner notices that the clients left knee is swollen and warm. When the client is asked more about the knee, he indicates that he was walking on some large rocks and slipped. He did not fall but felt his knee strain a bit. What cautions does this condition present? a. General adaptation syndrome b. Inflammatory response c. Illness d. Phantom pain A client has indications of inflammation with localized pricking and throbbing pain. What condition is most likely? a. A kidney infection b. A muscle cramp c. Referred trigger point pain d. A deep skin wound A massage therapist is giving a presentation to the local lung cancer support group. Which of the following statements is most true? a. Cancer presents a regional contraindication that can be managed by avoiding the affected area. b. Cancer presents general contraindications requiring caution and supervision. c. Massage for those with cancer is contraindicated while receiving radiation therapy. d. Massage during chemotherapy is indicated but only for immune support. A massage therapist notices that a client has a mole on his shoulder that has changed in appearance. Which of the following is the best way to describe this to the client? a. The mole on your shoulder is exhibiting one of the warning signs of cancer. You need to see your doctor. b. The mole on your shoulder looks like a basal carcinomabetter get it checked today. c. The mole on your shoulder has looked somewhat different the last couple of weeks. I suggest you see your doctor for evaluation. d. The mole on your shoulder has changed somewhat, so I will watch it for further cancer signs and keep you informed. When considering endangerment site areas, which of the following is most true? a. Many of the areas are near joints. b. The arteries are not a major concern. c. The belly of the muscles is a major location. d. The gluteal area is a major area for endangerment sites. The implementation of a therapeutic change process requires: a. maintenance of the current condition with less suffering. b. energy and resource expenditure. c. continued deterioration of clients symptoms. d. weekly sessions for an extended period. The body/mind link is best understood:

a. b. c. d. ____ 184.

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as having no physiologic basis. through cerebral spinal fluid movement. as separate from hormone interplay. in autonomic nervous system association. The benefits of massage: a. can be subjective and objective. b. are entirely subjective. c. have little supportive research. d. are entirely biomechanic. The following statement is true: a. Massage does not significantly affect physiologic function. b. The underlying causes of disease are easy to determine. c. Massage professionals need to know about pathology. d. Always believe clients if they say that their health is excellent. The following is NOT a major risk factor: a. syndrome b. age c. lifestyle d. environment The general adaptation syndrome was described by: a. Hans Tagether. b. Tiffany Field. c. John Yates. d. Hans Selye. With regard to pain sensation: a. Pain receptors adapt easily. b. Nociceptors are the hormones that result from pain. c. Hyperalgesia is the normal response to gentle touch. d. They are classified as acute, chronic, or intractable. Endangerment sites: a. need deep, sustained pressure to minimize damage. b. include the axillary and umbilicus area. c. include the second and third ribs. d. refer to organ reflexes, not nerve and blood vessels. Contraindications to massage include: a. any condition that could render massage undesirable or improper. b. primarily avoidance of massage with few cautions. c. circulation enhancement, pain control, and musculoskeletal discomfort. d. any conditions that do not require analgesics. The following is/are NOT necessarily a reason for referral: a. Bleeding and bruising b. Inflammation and fever c. Overweight d. Lumps and tissue changes Which massage professional is engaged in assessment?

a. Carol, who is making sure that her one-time cruise ship client has no

contraindications for a massage.


b. Theo, who is trying to determine whether a client should be referred to a medical

professional.
c. Maggie, who is trying to design the best massage for her client, based on input

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from the client on his expectations. d. All three of these people are engaged in assessment. Which massage therapist is engaged in the objective aspect of assessment? a. Carol is careful to let her client finish speaking so that she doesnt feel rushed in sharing with Carol her aches and pains. b. Theos client has used a medical term in describing trouble shes been having with her leg; Theo wants to be certain they have the same understanding of this term, so he asks the client to describe her condition in her own words. c. Maggie notices a slight asymmetry in her clients posture when he walks to the table. d. Each of these individuals is using objective assessment. Theo is assessing his clients posture in the standing position. As he is guiding the client in using the symmetric stance, he notices that, with her eyes closed, she rotates her head slightly. Theo realizes from this that: a. she is trying to feel more balanced. b. she has a muscular imbalance. c. she has internal postural imbalances from positional receptors. d. all of the above are true. Maggie attempts to assess joint movement in her client. She keeps in mind that joint movement is measured: a. from the neutral line of the anatomic position. b. in number of degrees of flexion, extension, adduction, and abduction. c. in degrees of internal and external rotation. d. in all of the above ways. In massaging her clients joint, Carol encounters a hard, bony end-feel that occurs before the normal range of motion. This is most likely to indicate: a. pain rather than physical barrier to range of motion. b. degenerative joint disease or malunion of a joint after a fracture. c. the presence of edema. d. any of the above. Ellen is palpating the ligaments. In order to not confuse a ligament with a tendon, she reminds herself that: a. with the joint in a neutral position, if muscles are isometrically contracted, the tendon moves, but the ligament does not. b. ligaments feel like bungee cords; they are never flat, whereas tendons sometimes are. c. with the joint in a neutral position, if muscles are isometrically contracted, the ligament moves, but the tendon does not. d. b and c Carol is testing a clients muscles. The purpose of strength testing, in particular, is to determine:

a. whether the neurologic interaction of the muscles is working smoothly. b. whether the muscle is responding with sufficient strength to perform the required

body functions.
c. overall body function through degrees of muscle strength or weakness, similar to a

body biofeedback mechanism.


d. a and b. ____ 199. During a muscle testing assessment, Theo keeps in mind that the _____ muscles are meant to be at

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least 25 percent stronger than the _____ muscles. a. flexor; extensor b. internal rotator; external rotator c. adductor; abductor d. All of the above are true. Carol conducts a bilateral arm adductor test on her client by having the client hold her arm position against Carols application of medial pressure. The clients muscles do not inhibit but remain concentrically contracted. Carol should: a. note that this patients muscle strength exhibits normal range medial/lateral symmetry. b. be sure to focus on slow compression, kneading, gliding, and shaking methods during massage. c. be sure to avoid tapotement and rhythmic tensing of inhibited muscles during massage. d. b and c. Maggie is engaged in gait muscle testing. During the test, as the flexors of the left leg are activated, Maggie will expect that: a. the flexors of the right leg should strength-test strong. b. the extensors and abductors of the right arm should be inhibited. c. the flexors and adductors of the right arm should strength-test strong. d. the flexors and abductors of the left arm should strength-test strong. Carols client has microtearing of the muscle fibers at the tendon, inflamed tendons, and tendons adhering to underlying tissue. Which of the following is true? a. The injury is most likely in the phasic muscles, which weaken in response to postural muscle shortening. b. The injury is most likely in the postural muscles, which tend to shorten and increase in tension when under strain. c. Normally, the muscles associated with this injury do not produce bursts of strength if asked to respond quickly. d. b and c. Theo asks his client to describe her pain. As she talks she points with her finger, but then swipes her hand in a specific direction as she talks. Commonly, this most likely (though not exclusively) indicates: a. a trigger point problem. b. an acupressure or motor point hyperactivity. c. muscle or fascial shortening. d. nerve entrapment in the fascial planes or grooves.

____ 204. Maggie explains to a client recovering from an injury that after a joint is traumatized the surrounding

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tissue becomes scared in a sense. What she means by this is that: a. a pathologic barrier is established. b. proprioceptive mechanisms reset to limit the range of motion. c. muscles overstretch and over-lengthen in compensation. d. both a and b. Theos client has an area that is hypermobile. This may be caused by: a. muscle weakness in the fixation pattern. b. joint capsule dysfunction and nerve entrapment syndrome. c. tension or shortening in the antagonist pattern. d. either b or c. Theo watches for resourceful compensation in his client who is experiencing some dysfunction. An example of resourceful compensation is: a. funding for services from alternative sources for patients whose insurance will not cover massage therapy. b. a protective (guarding) muscle spasm around a compressed disk. c. use of a cast and crutches. d. b and c. The entire massage process is: a. an assessment. b. an intervention. c. a post-treatment assessment. d. all of the above. A client is very tired and just wants to sleep during the massage. Which of the following assessment processes will best serve this client? a. Myofascial skin rolling b. Palpation in general c. Functional muscle testing d. Kinetic chain assessment A client has recently had a cast removed from her broken leg. The referral from the doctor directs massage to support physical therapy and assist in restoring normal movement. Which of the following assessment procedures would provide the most information about movement function? a. Muscle testing b. Dehydration test c. Palpation of body rhythms d. Abdominal palpation A client complains of being fatigued after walking. This is an important issue since he is involved in a cardiac rehabilitation program. Which assessment procedure would best identify the muscular reason for the fatigue? a. Assessment of the pulses to identify circulation flow b. Assessment of kinetic chain interaction c. Assessment for unilateral symmetry and stance d. Identification of compensation pattern by assessment dysfunction Which of the following is the best assessment for joint function when the client is nonparticipating? a. Active resisted range of motion

b. Passive resisted range of motion c. Soft and hard end feel d. Passive range of motion ____ 212. A client is complaining of knee pain. Which of the following best addresses a firing pattern problem

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that could reduce the symptoms? a. Inhibit the upper trapezoids and strengthen the levator scapula. b. Assess for hard end feel in the joint and use passive movement to extend the range. c. Inhibit the vastus lateralis and strengthen the vastus medialis. d. Massage the connective tissue structures of the knee using shear forces. A clients rectus femora seems to have adhered to underlying tissue. Which of the following would be most effective in addressing these tissue layers that are stuck together? a. Compression b. Percussion c. Rocking d. Kneading A client has a complex medical history. Her physician has referred her for general massage for pain management. The source of the pain is arthritis in the lower limbs. She is taking anti-inflammatories. Which of the following assessment procedures would require caution? a. Palpation of the skin fascia and muscle b. Active range of motion c. Muscle strength testing d. Breathing function During assessment of joint movement, the massage therapist notices that the left shoulder has a hard end feel with limited range of motion. Which of the following treatment plans is most appropriate? a. Massage around the area for symptom management, if pain exists. Avoid methods to increase range of motion. b. Use muscle energy methods to extend the range of motion, beginning each repetition at the barrier. c. Use connective tissue methods to break up the soft tissue adhesions restricting motion. d. Avoid the area as a regional contraindication, and massage the rest of the body to create relaxation. When assessing a client for kinetic chain function, the massage therapist finds that the left arm flexors inhibit when the right hip extensors are contracted. What is the assessment finding? a. Muscles are normal. b. Muscles are weak. c. Muscles are facilitated. d. Muscles are inhibited. Which of the following is true? a. Unilateral hip and shoulder extensors and flexors facilitate each other. b. Contralateral hip and shoulder flexors should inhibit each other. c. If the left shoulder extensors are the control, then the left hip flexors should inhibit. d. If the right hip flexors are the control, then the left shoulder extensors should remain strong.

____ 218. Methods of evaluation and bodywork that use a specialized type of muscle testing and various forms

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of massage and bodywork for corrective procedures are called: a. applied kinesiology. b. structural integration. c. myofascial release. d. neuromuscular re-education. _____ is the perception of the joint at the limit of its range of motion. It may be either soft or hard. a. Joint play b. End feel c. Range of motion d. Pathological barrier Which of the following statements best describes the difference between assessment for a massage on a cruise ship vacation and massage for management of arthritis in the knee? a. The massage assessment on the cruise ship is a needs assessment for treatment plan development. b. The massage assessment on the cruise ship is for identifying contraindications. c. The massage for the knee condition prepares for a pleasure-based massage outcome. d. Assessment for the knee condition is simple, and on the cruise ship it is not needed. To be most efficient, which order would the following paper work be placed in? a. (1) Needs assessment, (2) history form, (3) treatment plan, (4) physical assessment b. (1) History form, (2) SOAP chart, (3) treatment plan, (4) physical assessment c. (1) History form, (2) treatment plan, (3) physical assessment, (4) SOAP chart d. (1) History form, (2) physical assessment, (3) treatment plan, (4) SOAP chart Which of the following belongs in a treatment plan? a. Measurements of progress b. Analysis of methods used c. Documentation of rapport d. Release of information permission The major skill involved in rapport is: a. Ability to measure symmetry b. Ability to establish a relationship c. Ability to chart consistently d. Ability to determine mechanical balance During the assessment, the massage therapist finds that the client is happy about the massage possibilities for helping with chronic pain. Which assessment method is being used? a. Palpation b. Gait c. Muscle testing d. Listening Which of the following outcome goals would indicate a thorough assessment of gait? a. Reduce aching feet b. Improve breathing function c. Decrease headache pain

d. Improve work concentration ____ 226. A client broke her leg two years ago skiing. It has healed fine, but she now has shoulder pain. If the

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shoulder pain is related to the broken leg, then which of the following statements is most likely true? a. The anxiety levels did not decrease, leading to vigilance. b. The leg pain sensitized the cervical plexus. c. The shoulder pain is compensated from using crutches. d. The leg break created a pain spasm cycle that depletes substance p. Which of the following structures supports the body in gravity? a. Spinal curves b. Scoliosis c. Lordosis d. Kyphosis When assessing standing posture, what is an indication of dysfunction? a. Reduced arm swing during walking b. Reduced fascial glide in lumbar area c. Observable left/right asymmetries d. Warm areas on the skin When assessing the ribs, which of the following strategies is most helpful? a. Use observation and range of motion. b. Use observation and palpation. c. Use palpation and gait measurements. d. Use observation and palpation of pulses. During assessment of a clients gait, the following information is obtained: head and trunk are in the vertical plane with eye levels in the horizontal plane; the arm swings freely opposite the leg swing; step length is uneven at push-off when the foot plantar flexes. Which of these indicates a possible problem? a. Head and trunk are in the vertical plane. b. The arms swing freely opposite the leg swing. c. Step length is uneven. d. At push-off the foot plantar flexes. If the range of motion of the left ankle is 5 degrees dorsiflexion and 15 degrees plantar flexion, which of the following statements is true? a. The left ankle is hypermobile. b. Gait is normal. c. The left ankle is hypomobile. d. The foot would supinate. Which of the following tissues requires various pressure levels when palpation is used for assessment? a. Skin b. Body rhythms c. Muscles d. Heat A clients main outcome goal for the massage is increased circulation in her legs. Which of the following is the best pre- and post-assessment procedure? a. Palpation of skin texture

b. Palpation of pulses c. Palpation of lymph nodes d. Palpation of skin color ____ 234. A massage therapist is comparing the hip flexors. He is asking the client to push hard against his

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resisting pressure. What type of assessment is he performing? a. Active resisted range of motion b. Applied kinesiology c. Cranial sacral rhythm d. Strength testing When performing kinetic chain assessment for gait function, a massage therapist has the following results: Left arm extensor did not inhibit when right hip flexor activated. What does this mean? a. The postural muscles are weak, and the hip flexors are dominant. b. The contralateral arm swing during gait is altered. c. The gait response is normal, but the firing pattern for hip extension is altered. d. The unilateral gait pattern is dysfunctional. A client fell and bruised his left posterior hip. If using the kinetic chain postural influences, which of the following would be most true? a. The right psoas muscle may be short. b. The dorsiflexors are hypermobile. c. The pectoralis major on the right is compensating. d. The plantar fascia on the left is inflamed. A client has an elevated shoulder on the right with lateral left neck flexion limited to 25 degrees. If the body is going to be easily compensated to ensure that the eyes remain level, which of the following would be the most logical? a. Increased trunk flexion b. Elevated right hip c. Functionally long left arm d. Increased dorsiflexion on the left A client was in a car accident four years ago. He has recovered to 90 percent of normal function and has adequately compensated for the 10 percent deficiency. He is hoping to use massage to manage his situation. Assessment indicates firing pattern dysfunction with synergistic dominance in the lower limbs bilateral, shortened lumbar dorsal fascia and weak core muscles. He shows asymmetry in both the shoulder and pelvic girdles with most of the symptomatic pain in the knees. Which of the following is the best summation of this clients condition? a. Functional tension b. Second-degree dysfunction c. Stage three connective tissue changes d. Non-optimal motor function A client has hyperextension in the left knee. When he was a child, he broke his right leg and it healed a bit shorter that the left. The knee does not bother him. What is the nature of this condition? a. Resourceful compensation b. Firing pattern distortion c. Tight knee joint capsule d. Phasic muscle distortion Which of the following is most true?

a. b. c. d. ____ 241.

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____ 248.

If an area is hypomobile, the joint play is increased. If an area is hypomobile, the antagonist may be short. If an area is bilaterally symmetrical, there is dysfunction. If both flexion and extension of a joint are smooth, there is an empty end feel. After the data from assessment has been collected and organized, what is the next step in the analysis process? a. Develop the treatment plan. b. Reassess. c. Brainstorm the possibilities. d. Implement the treatment plan. Information gathered during assessment: a. helps develop the massage plan. b. helps the massage professional diagnose the condition. c. helps determine outcomes but not massage application. d. is not often shared with the client. Information the client provides is considered: a. of little value in the massage. b. objective assessment. c. the application of information. d. subjective assessment. For basic massage, the physical assessment is often limited to: a. things heard and seen but not recorded. b. having the client demonstrate restricted or painful movements. c. checking a clients size and balance. d. determining connective tissue dysfunction. Many physical compensation patterns are in response to: a. new shoes or clothing. b. telephone habits. c. the bodys attempt to adapt. d. supportive furniture. When assessing posture in the standing client, it is important that: a. the symmetrical stance be used. b. the feet are together. c. the asymmetrical stance be used. d. the therapist squats to view the legs and knees. A good indicator of a dysfunctional area during walking: a. is those areas that move in a figure eight pattern. b. is heel strike. c. reminds the therapist to work on the area of symptoms. d. is an area of the body that either does not move or moves too much. When a client is functioning under sympathetic autonomic nervous system activation, the massage should: a. initially begin with relaxation methods. b. start with stimulating techniques. c. use slow rocking to begin.

d. not discharge energy. ____ 249. With posture assessment: a. remember not to exaggerate the pattern. b. asymmetry is caused by gravity. c. the focus is symmetry. d. push or pull the client. ____ 250. Skeletal muscle tissue that is firm and pliable: a. is usually healthy and normal. b. indicates connective tissue dysfunction. c. shows muscle atrophy. d. shows muscle hypertrophy.

assesment 2 Answer Section


MULTIPLE CHOICE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: A B C D B C D A B C D A B C D A B C A B C D A B C D A B D A B C D A B C C D B C D PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: 31 25 25 25 25 25 25 31 31 30 25 25 25 26 26 27 46 26 26 39 26 39 27 26 26 31 26 26 26 27 40 31 31 26 26 26 31 31 26 26 26

42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87.

ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS:

D A D B A B C C A D C A B D B B B D C D B A D C A B D C B A A C C D B B C A B C B C A D C A

PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS:

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF:

3 2 3 2 1 1 1 2 2 1 1 1 2 1 2 1 1 2 1 1 2 1 2 3 3 3 3 3 2 3 3 3 1 1 1 1 1 1 1 1 3 2 3 3 2 2

REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF:

26 27 27 28 31 31 31 31 31 31 31 32 32 33 33 39 40 41 42 43 42 44 46 50 27 29 35 43 44 49 48 50 26 27 30 33 | 34 37 | 39 39 40 | 41 46 127 128 136 142 | 143 145 148

88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. 111. 112. 113. 114. 115. 116. 117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129. 130. 131. 132. 133.

ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS:

C D B D D A B C D B B C A A B C D B B B B B B D C D A A A A D A A C D A C A B C A C D A C D

PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS:

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF:

2 3 3 3 2 3 3 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 3 3 3 2 2 2 2 2 2 2 2 2 2 3 1

REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF:

142 142 | 143 | 144 147 140 148 Entire Chapter Entire Chapter Entire Chapter 144 126 142 144 135 132 142 132 132 135 143 132 127 140 133 132 137 128 138 126 127 129 135 133 132 133 138 138 143 143 142 144 147 137 147 151 150 129

134. 135. 136. 137. 138. 139. 140. 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. 158. 159. 160. 161. 162. 163. 164. 165. 166. 167. 168. 169. 170. 171. 172. 173. 174. 175. 176. 177. 178. 179.

ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS:

A B A D C B C B D C C B C A A C D B D C D C A A B B B A A D B D C D B A A A B A A A C B D A

PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS:

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF:

2 1 1 1 1 1 1 3 2 3 2 2 2 3 2 2 2 3 2 3 3 3 3 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 3 2 3 2 2 2 3 3

REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF:

132 133 135 143 132 147 143 164 164 164 | 165 | 166 165 167 175 176 177 177 178 179 182 190 Entire Chapter Entire Chapter Entire Chapter 181 191 185 181 177 164 185 183 204 192 191 191 166 166 165 164 175 Entire Chapter 177 178 179 182 191

180. 181. 182. 183. 184. 185. 186. 187. 188. 189. 190. 191. 192. 193. 194. 195. 196. 197. 198. 199. 200. 201. 202. 203. 204. 205. 206. 207. 208. 209. 210. 211. 212. 213. 214. 215. 216. 217. 218. 219. 220. 221. 222. 223. 224. 225.

ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS:

A A B D A C A D D B A C D C D D B A B D B C A A D A D D A A A D C D C A A A A B B D A B D A

PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS:

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF:

2 2 1 1 1 1 1 1 2 2 1 2 2 2 3 2 3 3 2 3 3 3 3 2 2 3 2 2 3 3 3 3 3 3 3 3 3 3 1 1 3 2 2 1 1 2

REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF:

191 192 164 165 165 167 177 178 180 193 190 192 378 380 | 381 383 386 386 391 394 395 395 | 402 403 407 | 408 413 416 418 418 | 419 420 | 429 Entire Chapter Entire Chapter Entire Chapter Entire Chapter Entire Chapter Entire Chapter Entire Chapter Entire Chapter Entire Chapter Entire Chapter 394 386 Entire Chapter 419 | 430 420 374 380 383 | 384 | 385 | 386

226. 227. 228. 229. 230. 231. 232. 233. 234. 235. 236. 237. 238. 239. 240. 241. 242. 243. 244. 245. 246. 247. 248. 249. 250.

ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS:

C A C A A C C B D B A A A A A B A D B C A D B C A

PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS:

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF:

3 2 2 3 3 3 1 2 2 3 3 3 3 2 2 2 1 1 1 1 1 1 3 1 1

REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: REF:

Entire Chapter 381 381 Entire Chapter Entire Chapter Entire Chapter 390 389 394 396 - 402 Entire Chapter Entire Chapter Entire Chapter 418 386 420 419 419 381 381 383 385 Entire Chapter 381 415