CMTO MCQ UPDATED EXAM SCRIPT QUESTIONS AND
ANSWERS MARKED A+
✔✔Neuropathy - ✔✔damage or dysfunction of one or more nerves that typically results
in numbness, tingling, muscle weakness and pain in affected area
✔✔Diabetes CIs - ✔✔cautions with DB, avoid using lotion if deep cracks on heels, avoid
frictions and cross fibre petrissage is tissue health compromised, modify on areas of
altered sensation
✔✔Cancer - ✔✔disease in which some of body's cells grow uncontrollably and spread
to other parts; many different types and treatments
✔✔Cancer CIs - ✔✔no local massage on radiation site or post surgery site; do not tire
client, follow edema protocols
✔✔Draping Purpose - ✔✔sets boundaries, not just comfortable for client
✔✔Principles of Massage - ✔✔-general to specific to general
-superficial to deep to superficial
-proximal to distal to proximal
-peripheral to central to peripheral
✔✔General Specific General - ✔✔applied to area of the body, gets client used to touch,
prepares tissues in a systematic manner
✔✔Proximal Distal Proximal - ✔✔applied to the limbs, helped increase local circulation
of blood/lymph, lighter pressure going distally
✔✔Peripheral Central Peripheral - ✔✔for acute and subacute local injuries and scar
tissue; aim to remove toxins, wastes beforehand
✔✔Treatment of Sensitive Areas - ✔✔includes chest wall, breasts, upper inner thigh,
gluteal region; must be clinically indicated with written consent
✔✔Superficial Reflex - ✔✔only engage the skin, may produce reflex effects, includes
hyperstimulation analgesia, no mechanical effects
✔✔Static Contact - ✔✔motionless contact of RMTs hands with client's body performed
with minimal force; promotes relaxation, establish rapport, sedation
✔✔Stroking - ✔✔gliding over client's skin with minimal deformation of subcutaneous
tissues; decreases pain, increases relaxation, may have effects on resting muscle
tension and tone
, ✔✔Fine Vibration - ✔✔fast, oscillating or trembling movement that is produced on
client's skin and results in minimal deformation of subcutaneous tissues; for pain relief,
changes in tone; performed for at least 5 minutes for analgesia
✔✔Superficial Fluid Techniques - ✔✔engage skin, superficial fascia and subcutaneous
fat down to the investing layer of deep fascia; produces mechanical effects on
superficial lymphatics and possibly venous circulation
✔✔Superficial Effleurage - ✔✔gliding techniques performed with light pressure in
direction of venous and lymphatic flow that deforms tissue down to investing layer of
deep fascia; used to spread oil, relax client and increase venous and lymph return
✔✔Superficial Lymph Drainage - ✔✔nongliding technique performed in direction of
lymphatic flow using short strokes with minimal pressure that deforms subcutaneous
tissue without engaging muscle; used to increase lymph return, local blood flow and
sedation
✔✔Neuromuscular Techniques - ✔✔engage muscle and the tissues it contains, affects
function of contractile element, CT hydration and lymph return, may also produce reflex
effects
✔✔Broad Contact Compression - ✔✔nongliding technique that RMTs deliver with a
broad contact surface such as palm or loose fist, engages muscle and associated
tissues; used to assess quality and level of resting muscle tension as well as can be
sedating or stimulation
✔✔Petrissage - ✔✔group of related techniques that repetitively compress, shear and
release soft tissue with varying amounts of drag, lift and glides; used for relaxation,
resting muscle tension, CT extensibility, msk pain and ROM
✔✔Types of Petrissage - ✔✔muscle squeezing, wringing, picking up or c-scooping,
broad contact kneading, specific kneading
✔✔Stripping - ✔✔very flow and specific gliding technique that RMTs apply from one
attachment of a muscle to the other for the purpose of reducing activity of myofascial
trigger points; used to decreasing pain and activity of trigger points as well as restore
length and strength of affected muscle
✔✔Specific Compression - ✔✔nongliding technique that RMTs apply with a specific
contact surface to muscle, tendon or CT, often sustained pressure; used to decrease
activity and symptoms of trigger points, decrease tone, soften adhesions
✔✔Connective Tissue Techniques - ✔✔engage superficial and deep layers of CT;
effect hydration, extensibility and modeling of CT
ANSWERS MARKED A+
✔✔Neuropathy - ✔✔damage or dysfunction of one or more nerves that typically results
in numbness, tingling, muscle weakness and pain in affected area
✔✔Diabetes CIs - ✔✔cautions with DB, avoid using lotion if deep cracks on heels, avoid
frictions and cross fibre petrissage is tissue health compromised, modify on areas of
altered sensation
✔✔Cancer - ✔✔disease in which some of body's cells grow uncontrollably and spread
to other parts; many different types and treatments
✔✔Cancer CIs - ✔✔no local massage on radiation site or post surgery site; do not tire
client, follow edema protocols
✔✔Draping Purpose - ✔✔sets boundaries, not just comfortable for client
✔✔Principles of Massage - ✔✔-general to specific to general
-superficial to deep to superficial
-proximal to distal to proximal
-peripheral to central to peripheral
✔✔General Specific General - ✔✔applied to area of the body, gets client used to touch,
prepares tissues in a systematic manner
✔✔Proximal Distal Proximal - ✔✔applied to the limbs, helped increase local circulation
of blood/lymph, lighter pressure going distally
✔✔Peripheral Central Peripheral - ✔✔for acute and subacute local injuries and scar
tissue; aim to remove toxins, wastes beforehand
✔✔Treatment of Sensitive Areas - ✔✔includes chest wall, breasts, upper inner thigh,
gluteal region; must be clinically indicated with written consent
✔✔Superficial Reflex - ✔✔only engage the skin, may produce reflex effects, includes
hyperstimulation analgesia, no mechanical effects
✔✔Static Contact - ✔✔motionless contact of RMTs hands with client's body performed
with minimal force; promotes relaxation, establish rapport, sedation
✔✔Stroking - ✔✔gliding over client's skin with minimal deformation of subcutaneous
tissues; decreases pain, increases relaxation, may have effects on resting muscle
tension and tone
, ✔✔Fine Vibration - ✔✔fast, oscillating or trembling movement that is produced on
client's skin and results in minimal deformation of subcutaneous tissues; for pain relief,
changes in tone; performed for at least 5 minutes for analgesia
✔✔Superficial Fluid Techniques - ✔✔engage skin, superficial fascia and subcutaneous
fat down to the investing layer of deep fascia; produces mechanical effects on
superficial lymphatics and possibly venous circulation
✔✔Superficial Effleurage - ✔✔gliding techniques performed with light pressure in
direction of venous and lymphatic flow that deforms tissue down to investing layer of
deep fascia; used to spread oil, relax client and increase venous and lymph return
✔✔Superficial Lymph Drainage - ✔✔nongliding technique performed in direction of
lymphatic flow using short strokes with minimal pressure that deforms subcutaneous
tissue without engaging muscle; used to increase lymph return, local blood flow and
sedation
✔✔Neuromuscular Techniques - ✔✔engage muscle and the tissues it contains, affects
function of contractile element, CT hydration and lymph return, may also produce reflex
effects
✔✔Broad Contact Compression - ✔✔nongliding technique that RMTs deliver with a
broad contact surface such as palm or loose fist, engages muscle and associated
tissues; used to assess quality and level of resting muscle tension as well as can be
sedating or stimulation
✔✔Petrissage - ✔✔group of related techniques that repetitively compress, shear and
release soft tissue with varying amounts of drag, lift and glides; used for relaxation,
resting muscle tension, CT extensibility, msk pain and ROM
✔✔Types of Petrissage - ✔✔muscle squeezing, wringing, picking up or c-scooping,
broad contact kneading, specific kneading
✔✔Stripping - ✔✔very flow and specific gliding technique that RMTs apply from one
attachment of a muscle to the other for the purpose of reducing activity of myofascial
trigger points; used to decreasing pain and activity of trigger points as well as restore
length and strength of affected muscle
✔✔Specific Compression - ✔✔nongliding technique that RMTs apply with a specific
contact surface to muscle, tendon or CT, often sustained pressure; used to decrease
activity and symptoms of trigger points, decrease tone, soften adhesions
✔✔Connective Tissue Techniques - ✔✔engage superficial and deep layers of CT;
effect hydration, extensibility and modeling of CT
