Question

Q6. If your hand was acting to improve fluid return from the basilic vein, it would be

a) Moving proximal to distally on the medial side of the humerus

b) Moving distal to proximally on the medial side of the humerus

c) Moving proximal to distally on the medial side of the gastrocnemius/soleus

d) Moving distal to proximally on the medial side of the gastrocnemius/soleus

Q7. The anatomical boundaries of the femoral triangle are

a) Sartorius, adductor magnus and the inguinal ligament

b) Rectus femoris, adductor longus and the inguinal ligament

c) Sartorius, adductor longus and the inguinal ligament

d) Rectus femoris, adductor magnus and the inguinal ligament

Q8. With effleurage advancing up the cephalic vein, axillary boundaries for the finish of the effleurage stroke are

a) Anterior fibres of deltoid, clavicle and pectoralis major

b) Middle fibres of deltoid, clavicle and pectoralis major

c) Posterior fibres of deltoid, teres minor and latissimus dorsi

d) Posterior fibres of deltoid, teres major and teres minor

Q9. If a patient presents with pain and some feeling of fullness or swelling at soft tissue distal to the knee, but no obvious mechanism of injury to report, what would be the most appropriate course of action

a) Apply effleurage to assist fluid return, and then apply localised pressure at the most sensitive points to relieve the pain

b) Apply effleurage, and the petrissage techniques such as wringing and picking up to the gastrocnemius and soleus muscles to assist fluid return

c) Compare temperature and swelling between left and right sides with light palpation, educate the patient about risk of DVT and refer to their General Practitioner

d) Compare temperature and swelling between left and right sides with light palpation, then elevate the limb and apply deep tissue massage

Q10. Use of anticoagulant medication or other causes for raised risk of bleeding would contraindicate which of the following techniques?

a) Effleurage

b) Deep tissue massage

c) Petrissage

d) All of the above

Q11. The sequence for basic clinical reasoning that was introduced in soft tissue mobilisation are

a) Identify objectives, Select technique and application, Prepare patient setup, Apply and reassess

b) Select technique and application, Identify objectives, Prepare patient setup, Apply and reassess

c) Prepare patient setup, Select technique and application, Identify objectives, Apply and reassess

d) Identify objectives, Prepare patient setup, Select technique and application, Apply and reassess

Q12. The phrase “proximal preparation” prior to applying massage techniques in the region of an injury refers to

a) Preparing the plinth height, pillows and draping to assist with patient and therapist ergonomics

b) Preparing height of the patient’s limb to assist with venous and lymphatic fluid return

c) Preparing the proximal limb region with local petrissage and effleurage, to assist venous and lymphatic fluid return

d) Preparing the injured area with focal application of petrissage techniques, as tolerated with regard to patient sensitivity in the area.

Q13. Your patient is road cyclist who has completed a 180 km race the previous day and your main objective is to maximise both venous and lymphatic return. Which technique would be the best to achieve those objectives at the quadriceps, hamstrings and gastrocnemius of both legs?

a) Effleurage

b) Circular palmar kneading

c) Thumb kneading

d) Deep tissue massage

Q14. Your patient is a runner who has bilateral stiffness of the calf muscles and wants to improve the length of gastrocnemius and soleus for the stretches that they do prior to training. Which technique would be the best to achieve those objectives?

a) Effleurage

b) Circular palmar kneading

c) Thumb kneading

d) Deep tissue massage

Q15. Your patient is a swimmer, about to commence a session with sprint intervals within the next 20 min. Their aim is to feel physically and mentally prepared for maximal exertion with upper limb muscles, particularly the latissimus dorsi. Which technique would be the best to achieve those objectives?

a) Effleurage

b) Circular palmar kneading

c) Thumb kneading

d) Deep tissue massage

Q16. Your patient has a haematoma on the lateral side of their foot as a result of an ankle sprain 4 days ago, with swelling around the malleoli and dorsum of the foot. To manage the swelling the best sequence of techniques would be.

a) Long leg effleurage, circular palmar kneading at thigh and calf, effleurage, thumb kneading and effleurage in around the foot and ankle as limited by pain.

b) Long leg effleurage, deep tissue massage at the gastrocnemius, effleurage, but avoid any other contact at the foot and ankle.

c) Long leg effleurage, thumb kneading at tibialis posterior muscle, then thumb kneading at the foot and ankle.

d) Advise patient on elevation of the limb and don’t apply any massage techniques as the injury is too acute.

Answer 1

Answer 6- option(b) -In order to improve fluid return from basilica vein ,hand should be moved distal to proximal on medial side of humerus.

The basilic vein passes vertically in distal half of the arm ,penetrates the deep fascia to assume a position medial to brachial and then become axillary vein.Axillary vein continues as subclavian vein,which joins internal jugular vein to form brachiocephalic vein.Right and left brachiocephalic veins join to form superior Vena Cava ,which joins the right atrium.