ITEC-Massage exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives
Exam Format: Multiple-choice questions (MCQ) or written exam.
Duration: 1-2 hours (depending on the format).
Content: Covers anatomy, physiology, pathology, principles of massage, and professional practice.
Pass Mark: Typically 70% or higher.
Anatomy, Physiology, and Pathology (25-30%)
Principles and Practice of Massage (40-45%)
Professional Practice and Business Awareness (15-20%)
Client Care and Communication (10-15%)
- Skeletal system
- bones
- joints
- cartilage
- Muscular system
- muscles
- tendons
- ligaments
- Integumentary system
- skin
- hair
- nails
- Cardiovascular system
- heart
- blood vessels
- circulation
- Lymphatic system
- lymph nodes
- vessels
- immune function
- Respiratory system
- lungs
- trachea
- breathing mechanics
- Nervous system
- brain
- spinal cord
- nerves
- Endocrine system
- glands
- hormones
- Digestive system
- stomach
- intestines
- associated organs
- Urinary system
- kidneys
- bladder
- excretion
- Reproductive system (male and female reproductive organs)
- Homeostasis (balance within the body)
- Cellular function and metabolism
- Muscle contraction and relaxation
- Blood circulation and oxygen transport
- Lymphatic drainage and immune response
- Nerve impulse transmission
- Common conditions affecting each body system
- arthritis
- hypertension
- asthma
- Contraindications to massage
- infections
- inflammation
- accurate injuries
- How pathologies may influence massage treatment
- Anatomical terms
- anterior
- posterior
- proximal
- distal
- Medical prefixes and suffixes
hypo-
hyper-
-itis
-osis
- Common pathologies
- osteoporosis
- tendinitis
- varicose veins
- Massage Techniques:
- Effleurage (gliding strokes)
- Petrissage (kneading and lifting)
- Tapotement (percussive movements)
- Friction (deep, circular movements)
- Vibration (shaking or trembling movements)
- Treatment Planning:
- Consultation and client assessment
- Identifying client needs and goals
- Adapting techniques for different body types and conditions
- Professional Practice:
- Code of ethics and professional conduct
- Hygiene and sanitation
- cleaning equipment
- handwashing
- Setting up a treatment room
- lighting
- temperature
- ambiance
- Client confidentiality and data protection
- Swedish massage techniques
- effleurage
- petrissage
- Trigger points and myofascial release
- Draping (covering the client for modesty and warmth)
- Contraindications (conditions that restrict or prevent massage)
- Business Skills:
- Marketing and promoting your services
- Record-keeping and client documentation
- Pricing and payment methods
- Insurance and legal requirements
- Professional Development:
- Continuing education and training
- Networking with other healthcare professionals
- Staying updated with industry trends and research
- SOAP notes (Subjective, Objective, Assessment, Plan)
- Liability insurance
- Code of ethics
- Conducting a client consultation
- Demonstrating proper draping techniques
- Performing a full-body massage using appropriate techniques
- Adapting the massage for specific client needs
- Maintaining a clean and safe working environment
- Body mechanics (proper posture and movement during massage)
- Palpation (feeling for muscle tension or abnormalities)
- Client aftercare advice
- hydration
- rest
- Hydration and nutrition
- Stretching and exercise recommendations
- Relaxation techniques
- deep breathing
- mindfulness
- Recognizing when to refer clients to other healthcare professionals
- Detoxification (removal of toxins from the body)
- Self-care practices
- Referral protocols
- Infection control
- handwashing
- sanitizing equipment
- Risk assessment and hazard prevention
- First aid and emergency procedures
- Compliance with health and safety regulations
- Cross-contamination
- Personal protective equipment (PPE)
- Risk assessment
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International Therapy Examination Council - Massage Exam
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Question: 527
In the context of lymphatic drainage, which of the following is an essential technique used to promote lymphatic flow and reduce swelling?
ep pressure
ss-fiber friction tionary circles
er: D
nation: Stationary circles are essential in lymphatic drainage techniques, as they promote gen ment of lymph fluid and reduce swelling.
ion: 528
eveloping a referral protocol for clients with complex health issues, which factor is most cr ude to ensure comprehensive care?
ist of all local healthcare providers
therapist's personal opinions on each provider ntact information for emergency services only ar guidelines on when and how to refer clients
er: D
nation: Clear guidelines on when and how to refer clients ensure that therapists can provide ehensive and timely care, facilitating better health outcomes.
Friction massage
De
Cro
Sta Answ
Expla tle
move
Quest
When d itical
to incl
1. A l
2. The
3. Co
4. Cle Answ
Expla compr
Question: 529
A client with a BMI of 32 and comorbidities requests a massage. Which approach should be taken in the treatment plan to ensure it is safe and effective?
1. Focus only on the legs during the session
2. Use high-pressure techniques to break down fat
3. Limit the session to 15 minutes
4. Incorporate gentle techniques and ensure client comfort Answer: D
Explanation: Incorporating gentle techniques and ensuring client comfort is essential for providing a safe massage experience for clients with higher BMI and comorbidities.
a session, a therapist accidentally tears their glove while massaging a client. What is the m priate immediate response?
ntinue the massage without interruption
the session, change gloves, and sanitize hands ore the tear and finish the session
the client to switch to a different therapist er: B
nation: Stopping the session to change gloves and sanitize hands is crucial to prevent cross- mination and ensure safety.
ion: 531
the primary function of the renal corpuscle in the nephron, and what is the average diamet omerulus?
absorption; 200 m
ration; 100 m
retion; 50 m
cretion; 150 m
Question: 530
During ost
appro
1. Co
2. Stop
3. Ign
4. Ask Answ
Expla conta
Quest
What is er of
the gl
1. Re
2. Filt
3. Sec
4. Ex
Answer: B
Explanation: The renal corpuscle is responsible for filtration in the nephron, with the average diameter of the glomerulus being around 100 m.
Question: 532
What is the primary function of bile produced by the liver, and how does its composition facilitate this function?
1. Hormone regulation; contains enzymes
2. Protein metabolism; contains amino acids
3. Lipid digestion; emulsifies fats
4. Carbohydrate digestion; contains amylase Answer: C
lipase action during lipid digestion. Its composition includes bile salts, which are crucial f s.
ion: 533
apist is assessing the risk of exposure to infectious materials in their treatment room. Which ing areas should receive the most focus during this assessment?
color of the walls
cleanliness of treatment supplies and equipment type of music played during sessions arrangement of decorative items
er: B
nation: The cleanliness of treatment supplies and equipment is critical in minimizing the risk ure to infectious materials.
ion: 534
eloping a treatment plan for a client with a history of anxiety, which factor should be includ
Explanation: Bile is produced by the liver and primarily functions to emulsify fats, increasing the surface area for or this
proces
Quest
A ther of the
follow
1. The
2. The
3. The
4. The Answ
Expla of
expos
Quest
In dev ed to
tailor the approach to their specific needs?
1. High-energy techniques to stimulate endorphin release
2. Focus solely on deep tissue techniques for muscle tension
3. A quiet environment with minimal distractions during treatment
4. Frequent changes in techniques to keep the client engaged Answer: C
Explanation: A quiet environment with minimal distractions can help create a calming atmosphere that
supports the clients anxiety management goals.
Question: 535
Which infection control measure is essential for preventing cross-contamination when using shared equipment in a massage therapy setting?
1. Implementing a strict cleaning and sanitizing protocol after each use
ng the same equipment for multiple clients without cleaning oiding the use of equipment altogether
er: A
nation: Implementing a strict cleaning and sanitizing protocol after each use is essential to pr contamination and protect client health.
ion: 536
ontext of the immune response, which cytokine is primarily responsible for activating T cel erleukin-1 (IL-1)
erleukin-2 (IL-2)
mor necrosis factor-alpha (TNF-a) erferon-gamma (IFN-?)
er: B
nation: Interleukin-2 (IL-2) is crucial for the activation and proliferation of T cells during the ne response.
Relying only on the clients health history
2. Usi
3. Av
Answ
Expla event
cross-
Quest
In the c ls?
1. Int
2. Int
3. Tu
4. Int Answ
Expla immu
Question: 537
Which joint type allows for the greatest range of motion and can be exemplified by the shoulder joint?
1. Hinge joint
2. Pivot joint
3. Ball-and-socket joint
4. Saddle joint
Answer: C
Explanation: The ball-and-socket joint, like the shoulder joint, allows for a wide range of motion in multiple directions, including rotation, making it the most flexible joint type.
Question: 538
cusing on the therapist's personal life during the session eting the client warmly and conducting a brief check-in oring the client until the session begins
shing through the intake process er: B
nation: Greeting the client warmly and conducting a brief check-in demonstrates professional hances the overall client experience.
ion: 539
of the following best describes the primary lymphoid organs? es where lymphocytes develop and mature
Sites where mature lymphocytes are activated as where lymphatic vessels merge
gans that filter blood for pathogens er: A
nation: Primary lymphoid organs, such as the bone marrow and thymus, are where lymphocy
When a client arrives for a massage, which of the following actions demonstrates professionalism and enhances the client experience?
1. Fo
2. Gre
3. Ign
4. Ru
Answ
Expla ism
and en
Quest
Which
A. Sit B.
1. Are
2. Or
Answ
Expla tes
develop and mature before entering circulation.
Question: 540
A therapist is reviewing the compliance with health and safety regulations in their practice. Which of the following practices is NOT compliant with standard infection control procedures?
1. Regularly updating training on infection control
2. Maintaining a clean and organized workspace
3. Sharing personal items like razors with clients
4. Using disposable items where applicable Answer: C
Explanation: Sharing personal items like razors is not compliant with infection control procedures as it increases the risk of transmitting infections.
ion: 541
ontext of nerve impulse transmission, which of the following ions is primarily responsible for rization during an action potential in neurons?
cium (Ca?) dium (Na?) assium (K?) oride (Cl?)
er: B
nation: Sodium ions are responsible for depolarization during an action potential, leading to the ission of nerve impulses.
ion: 542
ontext of the immune response, which type of lymphocyte is primarily responsible for the ction of antibodies, and what is the typical lifespan of these cells after activation?
ells; 24 hours
ells; several days to weeks mory cells; years
Quest
In the c depola
1. Cal
2. So
3. Pot
4. Chl Answ
Expla transm
Quest
In the c produ
1. T c
2. B c
3. Me
4. Natural killer cells; months Answer: C
Explanation: Memory B cells can live for years and are responsible for producing antibodies during subsequent exposures to the same antigen.
Question: 543
In assessing the effectiveness of your massage technique on a client with chronic lower back pain, what parameter is most critical to evaluate during the follow-up session?
1. The client's ability to perform high-impact exercises
2. The client's weight loss or gain since the last appointment
3. The client's subjective report of pain levels and mobility changes
4. The client's satisfaction with the ambiance of the massage room Answer: C
nation: Evaluating the client's subjective report of pain levels and changes in mobility provid eedback on the effectiveness of the massage technique applied.
ion: 544
of the following best describes the physiological significance of the sodium-potassium pum the typical ratio of sodium to potassium ions exchanged per cycle?
intains resting membrane potential; 3 Na? out for 2 K? in nerates action potentials; 2 Na? out for 3 K? in
gulates cellular metabolism; 1 Na? out for 1 K? in ilitates nutrient absorption; 4 Na? out for 2 K? in
er: A
nation: The sodium-potassium pump is crucial for maintaining resting membrane potential b actively transporting 3 sodium ions out of the cell and 2 potassium ions into the cell.
ion: 545
onducting a client consultation, which of the following questions is most essential to assess
Expla es
direct f
Quest
Which p, and
what is
1. Ma
2. Ge
3. Re
4. Fac Answ
Expla y
Quest
When c prior
to beginning a massage treatment?
1. What type of music do you prefer during the massage?
2. Have you had any previous massages, and if so, how did you feel afterward?
3. Would you like to book your next appointment now?
4. Are you currently taking any medications or have any medical conditions that may affect your treatment?
Answer: D
Explanation: Understanding the client's medical history and current medications is crucial for ensuring safe and effective treatment.
Question: 546
The articular cartilage is crucial for joint function. What is its primary role in reducing friction, and what is its typical thickness in millimeters?
mm mm mm
er: C
nation: Articular cartilage typically has a thickness of 1-3 mm and plays a vital role in reduci between bones in joints, allowing smooth movement.
ion: 547
ent with a chronic condition characterized by pain and inflammation in the shoulder joint is uffering from which of the following?
eoporosis ndinitis icose veins perlipidemia
er: B
nation: "Tendinitis" often occurs in the shoulder due to repetitive movements and strain, lead mation.
0.5-1 mm
2-5
1-3
4-7
Answ
Expla ng
friction
Quest
A pati most
likely s
1. Ost
2. Te
3. Var
4. Hy
Answ
Expla ing to
inflam
Question: 548
In the context of trigger point therapy, what is the typical distance in centimeters that should be maintained between trigger point pressure and adjacent sensitive areas to avoid discomfort?
1. 1 cm
2. 4 cm
3. 3 cm
4. 2 cm Answer: D
Explanation: Maintaining a distance of about 2 cm between trigger point pressure and adjacent sensitive areas helps prevent discomfort while effectively addressing the trigger point.
edical professional uses the prefix "hypo-" in a diagnosis, what does this indicate about the ion being described?
ove normal ow normal rmal related
er: B
nation: The prefix "hypo-" indicates a deficiency or below-normal level of a substance or con
ion: 550
of the following best describes the purpose of draping materials in a massage therapy settin eep the client warm only
rovide access to the body for treatment aintain client modesty and comfort nhance room aesthetics
er: C
Question: 549
If a m condit
1. Ab
2. Bel
3. No
4. Un
Answ
Expla dition.
Quest
Which g?
1. To k
2. To p
3. To m
4. To e Answ
Explanation: Draping materials are primarily used to maintain client modesty and comfort during a massage session while allowing access to the area being treated.
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