CMTBC CKT – Sample Questions

1. Rhythmic alternating contact on the tissue using the ulnar border of your hand constitutes the performance of which of the following tapotement techniques?

Pinching

Cupping

Tapping

Hacking

2.

What is the common manifestation of the injury of the inferior part of the brachial plexus?

Waiter's tip

Biceps brachii and brachialis muscle paralysis

Claw hand

Winging of scapula

3.

Full and normal range of motion requires appropriate functioning of all tissues. In Active ROM (AROM) what must happen to the fascia in assessing proper function?

It must stabilize the joint and allow the joint to move

It must lengthen to allow joint movement

It must allow for free movement around the muscle and joint

It must fire or shorten to create the movement

4. If the patient has poor sensation or lacks muscle coordination, there is a tendency towards poor balance and a broad base. This abnormal gait is called:

Arthrogenic gait

Antalgic gait

Trendelenburg's gait

Ataxic gait

5. If you compress the origin and the insertion of a muscle with your hands, and then slowly squeeze the two ends of the muscle together and hold until the muscle relaxes, you are performing which technique?

Muscle squeezing

Origin and insertion technique

Muscle approximation

GTO release

6.

To bring the coracoacromial ligament closer to the surface, what action will roll the humeral head anteriorly, pressing the ligament forward?

Adduction

Extension

Abduction

Flexion

7.

Which of the following physiological effects of direct pressure friction is reflexive?

Compresses and spreads tissue

Temporary ischemia

Decreases spasm

Neuritis

8.

A client visits an RMT with chronic lower back pain that has persisted for several months. They describe stiffness in the morning, discomfort after prolonged sitting, and occasional pain relief with movement. The RMT observes reduced lumbar mobility and tightness in the hip flexors. Why might chronic lower back pain be linked to tight hip flexors?

Tight hip flexors pull the pelvis into anterior tilt, increasing lumbar strain

Tight hip flexors weaken the hamstrings, forcing the lower back to overcompensate

Tight hip flexors reduce blood flow, leading to inflammation in the spine

Tight hip flexors compress the sciatic nerve, directly causing low back pain

9.

A female client visits an RMT complaining of frequent migraines, reporting tightness in the neck and upper shoulders, sensitivity to light, and occasional nausea. The client notes that their headaches often start after long hours at a desk. Which muscle group is most likely contributing to her migraines?

Upper trapezius

Levator scapulae

Suboccipitals

Sternocleidomastoid (SCM)

10.

Your client complains about numbness located around the inferior attachment of the deltoid muscle. Which nerve lesion does this best describe?

Musculocutaneous

Radial

Ulnar

Axillary

11. Which orthopaedic test is performed when your client places his legs in a figure four position, and then slowly lowering his flexed knee towards the table?

Hibb's

Thomas

Patrick's

Ober's

12.

Which test is used to evaluate a client's strength of their muscles and tendons?

AR-ROM

AA-ROM

PR-ROM

PF-ROM

13. A massage therapist performs a straight leg raise test on a client in supine. At which angle is tension first applied to the sciatic roots of the client?

45 degrees

70 degrees

30 degrees

0 degrees

14.

Which of the following techniques is contraindicated if a client is taking blood thinners or anti-inflammatory medication?

Shaking or jostling

Effleurage

Trigger point therapy

Cross-fibre friction

15.

Which of the following is an extrinsic disorder that can cause frozen shoulder?

Rotator cuff tendinitis or tears

Subacromial bursitis

Chronic bronchitis

Osteoarthritis

16.

Which somatic motor pathway is caring nerve impulses directly from primary motor cortex to the spinal cord?

Lateral corticospinal

Anterior corticospinal

Corticobulbar

Both Lateral and Anterior corticospinal

17.

Active trigger points in this muscle decrease maximum chest expansion and causes the patient to feel a shortness of breath:

Quadratus Lumborum

Serratus Posterior Superior

Abdominal muscles

Serratus Anterior

18.

With your client prone and the arm at a 90 degree angle hanging off the side of the table, how do you find the muscle belly of the middle fibres of the trapezius?

By sliding medially and superior from the spine of the scapula

By sliding laterally and inferior from the spine of the scapula

By sliding medially and inferior from the spine of the scapula

By sliding laterally and superior from the lateral border of the scapula

19.

A tennis player visits an RMT after spraining their left ankle during a match. They report swelling, tenderness on the lateral ankle, and difficulty bearing weight. The RMT observes limited dorsiflexion and mild instability. Why is it important to assess and treat surrounding structures in addition to the injured ankle?

Tight surrounding muscles can slow recovery and increase stiffness

Compensatory movement patterns can develop, affecting other joints

The opposite leg may experience increased strain from weight shifting

Restricted mobility in the ankle may alter gait mechanics

20.

An RMT is performing joint end-feel assessment on a client's knee. Which of the following is the correct description of a hard end-feel?

The client reports pain as the joint reaches its limit of motion.

The client reports a mushy, rubbery sensation as the joint reaches its limit of motion

The client reports a firm, unyielding sensation as the joint reaches its limit of motion.

The client reports a soft, springy sensation as the joint reaches its limit of motion.

CMTBC CKT – Sample Questions

CMTBC CKT Sample Questions

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