CMTO - MCQ Exam Questions Answered Correctly Latest Update 2025-2026
Hypertension - Answers high blood pressure; can include any reading above 120/80
OA - Answers occurs when protective cartilage that cushions ends of bones wears down over time, can
damage any joint, most common in hands, knees, hip and spine
OA Symptoms - Answers pain, stiffness, tenderness, loss of flexibility, grating sensation, bone spurs,
swelling
RA - Answers chronic inflammatory disorder that can affect more than just joints, usually bilateral
RA Symptoms - Answers fatigue, fever, weight loss, stiffness, joint pain and tenderness, swelling,
redness
Lyme Disease - Answers infectious disease caused by bacteria spread by ticks, involves an expanding
rash, headache, fever and fatigue
Inflammatory Arthritides - Answers joint inflammation usually caused by overactive immune system, can
affect many joints
Fibromyalgia - Answers disorder characterized by msk pain accompanied by fatigue, sleep, memory and
mood isses
Fibromyalgia CIs - Answers avoid deep work and fatiguing client, modify for medications
Hypertension CIs - Answers avoid increasing SNS firing, avoid painful techniques, avoid vigorous
tapotement, caution around anterior neck and carotid area, semi reclined is preferred
OA CIs - Answers no heat with acute inflammation, no overpressure with osteophyte formation
RA CIs - Answers no hot hydro, local massage, distal techniques, joint play and full ROM if acutely
inflamed; no treatment if fever is present, no deep vigorous techniques, careful with stretching and
strengthening
Hemiplegia - Answers condition caused by brain damage or spinal cord injury that leads to paralysis on
one side of the body; includes weakness, problems with muscle control, muscle stiffness
Hemiplegia CIs - Answers no extreme temperatures and painful techniques if due to cerebrovascular
accident; caution around SCM
MS - Answers potentially disabling disease of the brain and spinal cord; immune system attacks myelin
that covers nerve fibers and causes communication problems between brain and rest of the body
MS Symptoms - Answers fatigue, vision problems, numbness, tingling, muscle spasms, pain, mobility
problems
, Parkinsons - Answers brain disorder that leads to shaking, stiffness and difficulty with walking, balance
and coordination
Parkinsons Symptoms - Answers bradykinesia, tremors, rigidity
Neurological Disorders CIs - Answers no SNS firing, avoid sensitive areas, modify pressure and hydro,
may need assistance on and off table, modify is BP is low or high, no heat over large areas, no frictions if
on anti-inflamms
Cerebral Palsy - Answers group of permanent movement disorders that appear in early adulthood,
symptoms vary over time
Cerebral Palsy Symptoms - Answers poor coordination, stiff muscles, tremors, problems with sensation,
vision, hearing, swallowing, speaking
Charcot Marie Tooth Disease - Answers a group of inherited conditions that damage the peripheral
nerves; involves smaller weaker muscles, loss of sensation, difficulty walking, foot deformities
Diabetes Mellitus - Answers disorder in which body does not produce enough or respond normally to
insulin, causing blood sugar levels to be abnormally high
Neuropathy - Answers damage or dysfunction of one or more nerves that typically results in numbness,
tingling, muscle weakness and pain in affected area
Diabetes CIs - Answers 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 - Answers disease in which some of body's cells grow uncontrollably and spread to other parts;
many different types and treatments
Cancer CIs - Answers no local massage on radiation site or post surgery site; do not tire client, follow
edema protocols
Draping Purpose - Answers sets boundaries, not just comfortable for client
Principles of Massage - Answers -general to specific to general
-superficial to deep to superficial
-proximal to distal to proximal
-peripheral to central to peripheral
General Specific General - Answers applied to area of the body, gets client used to touch, prepares
tissues in a systematic manner
Proximal Distal Proximal - Answers applied to the limbs, helped increase local circulation of
blood/lymph, lighter pressure going distally
Hypertension - Answers high blood pressure; can include any reading above 120/80
OA - Answers occurs when protective cartilage that cushions ends of bones wears down over time, can
damage any joint, most common in hands, knees, hip and spine
OA Symptoms - Answers pain, stiffness, tenderness, loss of flexibility, grating sensation, bone spurs,
swelling
RA - Answers chronic inflammatory disorder that can affect more than just joints, usually bilateral
RA Symptoms - Answers fatigue, fever, weight loss, stiffness, joint pain and tenderness, swelling,
redness
Lyme Disease - Answers infectious disease caused by bacteria spread by ticks, involves an expanding
rash, headache, fever and fatigue
Inflammatory Arthritides - Answers joint inflammation usually caused by overactive immune system, can
affect many joints
Fibromyalgia - Answers disorder characterized by msk pain accompanied by fatigue, sleep, memory and
mood isses
Fibromyalgia CIs - Answers avoid deep work and fatiguing client, modify for medications
Hypertension CIs - Answers avoid increasing SNS firing, avoid painful techniques, avoid vigorous
tapotement, caution around anterior neck and carotid area, semi reclined is preferred
OA CIs - Answers no heat with acute inflammation, no overpressure with osteophyte formation
RA CIs - Answers no hot hydro, local massage, distal techniques, joint play and full ROM if acutely
inflamed; no treatment if fever is present, no deep vigorous techniques, careful with stretching and
strengthening
Hemiplegia - Answers condition caused by brain damage or spinal cord injury that leads to paralysis on
one side of the body; includes weakness, problems with muscle control, muscle stiffness
Hemiplegia CIs - Answers no extreme temperatures and painful techniques if due to cerebrovascular
accident; caution around SCM
MS - Answers potentially disabling disease of the brain and spinal cord; immune system attacks myelin
that covers nerve fibers and causes communication problems between brain and rest of the body
MS Symptoms - Answers fatigue, vision problems, numbness, tingling, muscle spasms, pain, mobility
problems
, Parkinsons - Answers brain disorder that leads to shaking, stiffness and difficulty with walking, balance
and coordination
Parkinsons Symptoms - Answers bradykinesia, tremors, rigidity
Neurological Disorders CIs - Answers no SNS firing, avoid sensitive areas, modify pressure and hydro,
may need assistance on and off table, modify is BP is low or high, no heat over large areas, no frictions if
on anti-inflamms
Cerebral Palsy - Answers group of permanent movement disorders that appear in early adulthood,
symptoms vary over time
Cerebral Palsy Symptoms - Answers poor coordination, stiff muscles, tremors, problems with sensation,
vision, hearing, swallowing, speaking
Charcot Marie Tooth Disease - Answers a group of inherited conditions that damage the peripheral
nerves; involves smaller weaker muscles, loss of sensation, difficulty walking, foot deformities
Diabetes Mellitus - Answers disorder in which body does not produce enough or respond normally to
insulin, causing blood sugar levels to be abnormally high
Neuropathy - Answers damage or dysfunction of one or more nerves that typically results in numbness,
tingling, muscle weakness and pain in affected area
Diabetes CIs - Answers 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 - Answers disease in which some of body's cells grow uncontrollably and spread to other parts;
many different types and treatments
Cancer CIs - Answers no local massage on radiation site or post surgery site; do not tire client, follow
edema protocols
Draping Purpose - Answers sets boundaries, not just comfortable for client
Principles of Massage - Answers -general to specific to general
-superficial to deep to superficial
-proximal to distal to proximal
-peripheral to central to peripheral
General Specific General - Answers applied to area of the body, gets client used to touch, prepares
tissues in a systematic manner
Proximal Distal Proximal - Answers applied to the limbs, helped increase local circulation of
blood/lymph, lighter pressure going distally
