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Texas Massage Therapy Licensing Exam Practice Questions
Section 1: Texas Laws, Rules, and Scope of Practice (Q1–25)
1. In Texas, which agency is responsible for licensing massage therapists and massage
establishments?
A) Texas Medical Board
B) Texas Department of Licensing and Regulation (TDLR)
C) Texas Department of State Health Services
D) Texas Board of Nursing
Answer: B — TDLR oversees massage therapy licensing, inspections, and enforcement .
2. What is the minimum age to be eligible for a massage therapist license in Texas?
A) 16
B) 18
C) 21
D) 25
Answer: B — Applicants must be at least 18 years old .
3. How many total hours of instruction are required for a Texas massage therapist license?
A) 250 hours
B) 300 hours
C) 500 hours
D) 750 hours
Answer: C — Texas requires 500 hours of instruction .
4. Of the 500 required hours, how many must be dedicated to internship?
A) 25 hours
B) 50 hours
C) 100 hours
D) 125 hours
Answer: B — The internship requirement is 50 hours .
5. Of the 500 required hours, how many must be in anatomy?
A) 25 hours
B) 50 hours
C) 75 hours
D) 100 hours
Answer: B — Anatomy requires 50 hours .
6. Of the 500 required hours, how many must be in pathology?
A) 20 hours
B) 30 hours
C) 40 hours
, 2
D) 50 hours
Answer: C — Pathology requires 40 hours .
7. Of the 500 required hours, how many must be in massage therapy laws and rules,
business practices, and professional ethics?
A) 20 hours
B) 30 hours
C) 45 hours
D) 60 hours
Answer: C — This combined area requires 45 hours .
8. What is the passing score required on the Texas massage therapy licensing exam?
A) 60%
B) 65%
C) 70%
D) 75%
Answer: C — A minimum score of 70% is required .
9. How many scored questions are on the Texas Massage Therapist Examination?
A) 50
B) 75
C) 100
D) 150
Answer: C — The exam has 100 scored questions .
10. Which of the following is NOT included in the legal definition of massage therapy in
Texas?
A) Effleurage
B) Petrissage
C) Diagnosis of illness or disease
D) Tapotement
Answer: C — Diagnosis is outside the scope of massage therapy .
11. A "massage establishment" in Texas is defined as:
A) Any place where massage is performed
B) A place of business that advertises or offers massage therapy and does not meet
exemptions
C) Only a spa with more than five employees
D) A private residence used for massage
Answer: B — This matches the statutory definition .
12. What is the fee to replace a lost, damaged, or destroyed massage therapist license or
ID card?
A) $10
, 3
B) $25
C) $50
D) $100
Answer: B — Replacement fee is $25 .
13. How must a massage therapist request a replacement license or ID card?
A) By phone
B) In writing
C) In person only
D) Online only
Answer: B — Requests must be submitted in writing .
14. Licenses and identification cards issued by TDLR remain the property of:
A) The licensee
B) The massage establishment
C) The department
D) The massage school
Answer: C — Licenses remain TDLR property and must be surrendered on demand .
15. Which of the following is a valid reason for a massage therapist license to be denied?
A) Being 19 years old
B) Conviction of certain sexual offenses
C) Having a high school diploma only
D) Working part-time
Answer: B — Certain criminal convictions make applicants permanently ineligible .
16. A massage therapist in Texas must complete how many hours of Human Trafficking
Prevention Training?
A) 1 hour
B) 2 hours
C) 3 hours
D) No requirement
Answer: A — A one-hour course is required .
17. What is the term for the practice of exchanging licenses or credentials with another
state?
A) Reciprocity
B) Endorsement
C) Transfer
D) Portability
Answer: A — Reciprocity allows mutual recognition of credentials .
18. If a massage therapist has no office or place of practice, what must they do with their
license?
Texas Massage Therapy Licensing Exam Practice Questions
Section 1: Texas Laws, Rules, and Scope of Practice (Q1–25)
1. In Texas, which agency is responsible for licensing massage therapists and massage
establishments?
A) Texas Medical Board
B) Texas Department of Licensing and Regulation (TDLR)
C) Texas Department of State Health Services
D) Texas Board of Nursing
Answer: B — TDLR oversees massage therapy licensing, inspections, and enforcement .
2. What is the minimum age to be eligible for a massage therapist license in Texas?
A) 16
B) 18
C) 21
D) 25
Answer: B — Applicants must be at least 18 years old .
3. How many total hours of instruction are required for a Texas massage therapist license?
A) 250 hours
B) 300 hours
C) 500 hours
D) 750 hours
Answer: C — Texas requires 500 hours of instruction .
4. Of the 500 required hours, how many must be dedicated to internship?
A) 25 hours
B) 50 hours
C) 100 hours
D) 125 hours
Answer: B — The internship requirement is 50 hours .
5. Of the 500 required hours, how many must be in anatomy?
A) 25 hours
B) 50 hours
C) 75 hours
D) 100 hours
Answer: B — Anatomy requires 50 hours .
6. Of the 500 required hours, how many must be in pathology?
A) 20 hours
B) 30 hours
C) 40 hours
, 2
D) 50 hours
Answer: C — Pathology requires 40 hours .
7. Of the 500 required hours, how many must be in massage therapy laws and rules,
business practices, and professional ethics?
A) 20 hours
B) 30 hours
C) 45 hours
D) 60 hours
Answer: C — This combined area requires 45 hours .
8. What is the passing score required on the Texas massage therapy licensing exam?
A) 60%
B) 65%
C) 70%
D) 75%
Answer: C — A minimum score of 70% is required .
9. How many scored questions are on the Texas Massage Therapist Examination?
A) 50
B) 75
C) 100
D) 150
Answer: C — The exam has 100 scored questions .
10. Which of the following is NOT included in the legal definition of massage therapy in
Texas?
A) Effleurage
B) Petrissage
C) Diagnosis of illness or disease
D) Tapotement
Answer: C — Diagnosis is outside the scope of massage therapy .
11. A "massage establishment" in Texas is defined as:
A) Any place where massage is performed
B) A place of business that advertises or offers massage therapy and does not meet
exemptions
C) Only a spa with more than five employees
D) A private residence used for massage
Answer: B — This matches the statutory definition .
12. What is the fee to replace a lost, damaged, or destroyed massage therapist license or
ID card?
A) $10
, 3
B) $25
C) $50
D) $100
Answer: B — Replacement fee is $25 .
13. How must a massage therapist request a replacement license or ID card?
A) By phone
B) In writing
C) In person only
D) Online only
Answer: B — Requests must be submitted in writing .
14. Licenses and identification cards issued by TDLR remain the property of:
A) The licensee
B) The massage establishment
C) The department
D) The massage school
Answer: C — Licenses remain TDLR property and must be surrendered on demand .
15. Which of the following is a valid reason for a massage therapist license to be denied?
A) Being 19 years old
B) Conviction of certain sexual offenses
C) Having a high school diploma only
D) Working part-time
Answer: B — Certain criminal convictions make applicants permanently ineligible .
16. A massage therapist in Texas must complete how many hours of Human Trafficking
Prevention Training?
A) 1 hour
B) 2 hours
C) 3 hours
D) No requirement
Answer: A — A one-hour course is required .
17. What is the term for the practice of exchanging licenses or credentials with another
state?
A) Reciprocity
B) Endorsement
C) Transfer
D) Portability
Answer: A — Reciprocity allows mutual recognition of credentials .
18. If a massage therapist has no office or place of practice, what must they do with their
license?
