HAWAII MASSAGE EXAM 2026/2027
COMPREHENSIVE PREP QUESTIONS
AND ANSWERS
1. Under Hawaii Administrative Rules, when does a massage therapist license expire?
A. December 31st of every year
B. June 30th of every odd-numbered year
C. June 30th of every even-numbered year
D. On the licensee’s birthday every two years
Answer: C
Conceptual Explanation: In Hawaii, massage therapy licenses expire on June 30th of every
even-numbered year (e.g., 2024, 2026).
2. According to Hawaii law, what is the minimum number of hours required in a massage
therapist training program?
A. 570 hours
B. 600 hours
C. 500 hours
,D. 750 hours
Answer: A
Conceptual Explanation: The Hawaii Board of Massage Therapy requires a total of 570
hours of training, including anatomy, physiology, and practical massage.
3. Which state department oversees the Board of Massage Therapy in Hawaii?
A. Department of Health
B. Department of Commerce and Consumer Affairs (DCCA)
C. Department of Labor and Industrial Relations
D. Department of Human Services
Answer: B
Conceptual Explanation: The Board of Massage Therapy is part of the Professional and
Vocational Licensing Division of the DCCA.
4. What is the traditional Hawaiian massage technique characterized by long, flowing
rhythmic strokes?
A. Shiatsu
B. Tui Na
C. Lomi Lomi
D. Swedish Massage
, Answer: C
Conceptual Explanation: Lomi Lomi is the indigenous Hawaiian healing massage, known
for using the forearms and long, continuous strokes.
5. Which muscle is known as the ‘boxer’s muscle’ because it stabilizes the scapula during
punching?
A. Pectoralis Major
B. Latissimus Dorsi
C. Trapezius
D. Serratus Anterior
Answer: D
Conceptual Explanation: The serratus anterior protracts the scapula and is crucial for
forward movements of the arm, earning it the nickname ‘boxer’s muscle’.
6. A client presents with ‘swimmer’s shoulder’. Which rotator cuff muscle is most commonly
involved in impingement syndrome?
A. Infraspinatus
B. Subscapularis
C. Supraspinatus
D. Teres Minor
Answer: C
COMPREHENSIVE PREP QUESTIONS
AND ANSWERS
1. Under Hawaii Administrative Rules, when does a massage therapist license expire?
A. December 31st of every year
B. June 30th of every odd-numbered year
C. June 30th of every even-numbered year
D. On the licensee’s birthday every two years
Answer: C
Conceptual Explanation: In Hawaii, massage therapy licenses expire on June 30th of every
even-numbered year (e.g., 2024, 2026).
2. According to Hawaii law, what is the minimum number of hours required in a massage
therapist training program?
A. 570 hours
B. 600 hours
C. 500 hours
,D. 750 hours
Answer: A
Conceptual Explanation: The Hawaii Board of Massage Therapy requires a total of 570
hours of training, including anatomy, physiology, and practical massage.
3. Which state department oversees the Board of Massage Therapy in Hawaii?
A. Department of Health
B. Department of Commerce and Consumer Affairs (DCCA)
C. Department of Labor and Industrial Relations
D. Department of Human Services
Answer: B
Conceptual Explanation: The Board of Massage Therapy is part of the Professional and
Vocational Licensing Division of the DCCA.
4. What is the traditional Hawaiian massage technique characterized by long, flowing
rhythmic strokes?
A. Shiatsu
B. Tui Na
C. Lomi Lomi
D. Swedish Massage
, Answer: C
Conceptual Explanation: Lomi Lomi is the indigenous Hawaiian healing massage, known
for using the forearms and long, continuous strokes.
5. Which muscle is known as the ‘boxer’s muscle’ because it stabilizes the scapula during
punching?
A. Pectoralis Major
B. Latissimus Dorsi
C. Trapezius
D. Serratus Anterior
Answer: D
Conceptual Explanation: The serratus anterior protracts the scapula and is crucial for
forward movements of the arm, earning it the nickname ‘boxer’s muscle’.
6. A client presents with ‘swimmer’s shoulder’. Which rotator cuff muscle is most commonly
involved in impingement syndrome?
A. Infraspinatus
B. Subscapularis
C. Supraspinatus
D. Teres Minor
Answer: C
