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Massage & Bodywork Licensing Examination Practice Test

MBLEX exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives

The FSMTB governs and administers the Massage & Bodywork Licensing Examination (MBLEx). It serves the massage therapy and regulatory communities as the national entry-level licensure examination. The MBLEx is currently utilized for licensure in 46 of 49 regulated jurisdictions. These include the District of Columbia and the territories of Puerto Rico and the U.S. Virgin Islands.

The MBLEx is administered in both English and Spanish by Pearson VUE- the global leader in electronic testing services- at high-security test centers located throughout all 50 states- the District of Columbia and the U.S. territories.

To ensure that the MBLEx reflects current practice- FSMTB conducts a Job Task Analysis (JTA) Survey every five to seven years. The JTA seeks input from massage and bodywork professionals across the United States. This data is then used to analyze and revise MBLEx content as deemed necessary by the profession- guided by psychometric professionals.

The Federation of State Massage Therapy Boards (FSMTB) conducted a Job Task Analysis (JTA) in 2017 to ensure that the Massage & Bodywork Licensing Examination (MBLEx) is assessing knowledge and skills relevant to entry-level competence. Thousands of massage and bodywork professionals participated in the JTA survey and a follow up analysis of the responses was reviewed by subject matter experts- psychometricians and FSMTB member board representatives. The FSMTB Board of Directors adopted the recommended test plan.

Content changes that will be implemented for all MBLEx administrations- effective July 1- 2018:

The section entitled Overview of Massage/Bodywork Modalities- History and Culture will no longer be a separate section.
Overview of Massage/Bodywork Modalities will be reassigned as a subcategory under the section entitled Benefits and Physiological Effects of Techniques that Manipulate Soft Tissue; and
History and Culture subcategories will no longer be tested.

The distribution of courses tested will be as follows:
Anatomy & Physiology changes from 12% to 11%
Kinesiology changes from 11% to 12%
Pathology- Contraindications- Areas of Caution- Special Population changes from 13% to 14%
Benefits and Physiological Effects of Techniques that Manipulate Soft Tissue changes from 14% to 15%
Client Assessment Reassessment & Treatment Planning remains at 17%
Ethics- Boundaries- Laws and Regulations changes from 15% to 16%
Guidelines for Professional Practice changes from 13% to 15%

ANATOMY & PHYSIOLOGY (11%)
A. System structure
• Circulation
• Digestive
• Endocrine
• Integumentary
• Lymphatic
• Muscular
• Nervous
• Reproduction
• Respiratory
• Skeletal
• Special Senses
• Urinary
B. System function
• Circulation
• Digestive
• Endocrine
• Integumentary
• Lymphatic
• Muscular
• Nervous
• Reproduction
• Respiratory
• Skeletal
• Special Senses
• Urinary
C. Tissue injury and repair
D. Concepts of energetic anatomy
KINESIOLOGY (12%)
A. Components and characteristics of muscles
B. Concepts of muscle contractions
C. Proprioceptors
D. Locations- attachments (origins- insertions)- actions and fiber directions of muscles
E. Joint structure and function
F. Range of motion
• Active
• Passive
• Resistant
PATHOLOGY- CONTRAINDICATIONS- AREAS OF CAUTION- SPECIAL
POPULATIONS (14%)
A.Overview of Pathologies
B.Contraindications
• Site specific
• Pathology related
• Special populations
• Tools
• Special applications
C.Areas of caution
D.Special populations
E.Classes of medications
BENEFITS AND PHYSIOLOGICAL EFFECTS OF TECHNIQUES THAT MANIPULATE SOFT TISSUE (15%)
A. Identification of the physiological effects of soft tissue manipulation
B. Psychological aspects and benefits of touch
C. Benefits of soft tissue manipulation for specific client populations
D. Soft tissue techniques
• Types of strokes
• Sequence of application
E. Hot/cold applications
F. Overview of massage/bodywork modalities
CLIENT ASSESSMENT- REASSESSMENT & TREATMENT PLANNING (17%)
A. Organization of a massage/bodywork session
B. Client consultation and evaluation
• Verbal intake
• Health history form
C. Written data collection
D. Visual assessment
• General
• Postural
E. Palpation assessment
F. Range of motion assessment
G. Clinical reasoning
• Ability to rule out contraindications
• Client treatment goal setting
• Evaluation of response to previous treatment
• Formulation of treatment strategy
ETHICS- BOUNDARIES- LAWS- REGULATIONS (16%)
A. Ethical behavior
B. Professional boundaries
C. Code of ethics violations
D. The therapeutic relationship
E. Dual relationships
F. Sexual misconduct
G. Massage/bodywork-related laws and regulations
H. Scope of practice
I. Professional communication
J. Confidentiality
K. Principles
GUIDELINES FOR PROFESSIONAL PRACTICE (15%)
A. Proper and safe use of equipment and supplies
B. Therapist hygiene
C. Sanitation and cleanliness
D. Safety practices
• Facilities
• Therapist personal safety
• Client safety
E. Therapist care
• Body mechanics
• Protective gear (masks- gowns- gloves- etc)
• Self-care
• Injury prevention
F. Draping
• Safe and appropriate
• Communication
G. Business Practices
• Business planning
• Strategic planning
• Office management
• Marketing
• Hiring/Interviewing
• Documentation and Records
- Client records
- Business records
H. Healthcare and business terminology

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Massage & Bodywork Licensing Examination 2026
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Question: 1321
Which of the following is the most common cause of plantar fasciitis?
A. Excessive pronation of the foot
B. Tight Achilles tendon
C. Obesity
D. Repetitive impact activities
Answer: D
Explanation: The most common cause of plantar fasciitis is repetitive impact
activities. Plantar fasciitis is an overuse injury caused by excessive stress and
inflammation of the plantar fascia, the fibrous band of tissue running along the
bottom of the foot. Activities involving repeated impact, such as running,
walking, or standing for long periods, can overload the plantar fascia and lead
to the development of plantar fasciitis. While factors like excessive foot
pronation, tight Achilles tendon, and obesity can also contribute, the primary
underlying cause is generally repetitive impact on the plantar fascia.
Question: 1322
What is the name of the region of the stomach located between the body and
the pylorus?
A. Cardia
B. Fundus
C. Antrum
D. Pylorus
Answer: C
Explanation: The antrum is the region of the stomach located between the body
and the pylorus. This area is responsible for the final stages of food storage and
mechanical breakdown before the contents are released into the small intestine
through the pyloric sphincter.
Question: 1323
A client presents with decreased range of motion on the transverse plane ankle
plantar flexion test. This could indicate an impairment or dysfunction in which
of the following structures?
A. Tibialis anterior muscle
B. Peroneus longus and brevis muscles
C. Flexor hallucis longus muscle
D. All of the above
Answer: D
Explanation: Decreased transverse plane ankle plantar flexion can indicate
impairments or dysfunctions in the tibialis anterior, peroneus longus and brevis,
and flexor hallucis longus muscles. These anterior and lateral compartment
structures play a key role in facilitating and stabilizing ankle plantar flexion on
the transverse plane.
Question: 1324
A patient's blood pressure is measured as 128/82 mm Hg. According to the
American Heart Association guidelines, this memorizing would be classified as:
A. Normal blood pressure
B. Elevated blood pressure
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: A
Explanation: The American Heart Association defines normal blood pressure as
less than 120/80 mm Hg. A memorizing of 128/82 mm Hg falls within the normal
blood pressure range.
Question: 1325
A client presents with a history of knee pain and swelling that is worse with
activity and improves with rest. During the assessment, the therapist finds
tenderness over the medial joint line, decreased knee flexion range of motion,
and a positive McMurray test. Which of the following is the MOST likely
diagnosis for the client's knee condition?
A. Meniscal tear
B. Patellofemoral pain syndrome
C. Osteoarthritis of the knee
D. Collateral ligament sprain
Answer: A
Explanation: The combination of knee pain and swelling that is worse with
activity, tenderness over the medial joint line, decreased knee flexion range of
motion, and a positive McMurray test is most indicative of a meniscal tear. The
McMurray test is a specific assessment maneuver for identifying meniscal
pathology. In contrast, patellofemoral pain syndrome is typically associated
with anterior knee pain and crepitus, osteoarthritis of the knee often involves
more global joint line tenderness and decreased range of motion, and a
collateral ligament sprain would typically involve more localized pain and
instability along the affected ligament. The presentation and assessment
findings in this case point most strongly to a meniscal tear as the underlying
diagnosis.
Question: 1326
What is the name of the muscle that forms the upper esophageal sphincter,
which helps control the entry of the bolus into the esophagus?
A. Cricopharyngeus muscle
B. Diaphragm
C. Lower esophageal sphincter
D. Cardiac sphincter
Answer: A
Explanation: The cricopharyngeus muscle forms the upper esophageal
sphincter, which helps control the entry of the bolus from the throat into the
esophagus during the swallowing process. This sphincter muscle plays a crucial
role in the coordinated movement of the bolus through the digestive tract.
Question: 1327
A client presents with decreased range of motion on the transverse plane wrist
flexion test. This could indicate an impairment or dysfunction in which of the
following structures?
A. Flexor digitorum profundus and superficialis
B. Pronator teres and quadratus
C. Median and ulnar nerves
D. All of the above
Answer: D
Explanation: Decreased transverse plane wrist flexion can indicate impairments
or dysfunctions in the flexor digitorum profundus and superficialis, pronator
teres and quadratus, and median and ulnar nerves. These structures all play a
role in facilitating and stabilizing wrist flexion on the transverse plane.
Question: 1328
Which phase of the business planning process focuses on analyzing the current
market and competition?
A. Implementation
B. Evaluation
C. Market analysis
D. Financial planning
Answer: C
Explanation: The market analysis phase of the business planning process
involves researching and analyzing the current market, industry trends, target
audience, and competition. This information is essential for developing a
strategic business plan and making informed decisions about the business's
positioning, marketing, and operations.
Question: 1329
The curved, muscular structure that connects the soft palate to the posterior
pharyngeal wall is called the:
A. Palatine arches
B. Palatine tonsils
C. Epiglottis
D. Uvula
Answer: A
Explanation: The palatine arches are the curved, muscular structures that
connect the soft palate to the posterior pharyngeal wall. They play a role in
swallowing and phonation.
Question: 1330
The _______ is the most important muscle for adduction and medial rotation of
the arm.
A. Pectoralis major
B. Latissimus dorsi
C. Teres major
D. Deltoid
Answer: B
Explanation: The latissimus dorsi is the most important muscle for adduction
and medial rotation of the arm. This large, broad muscle originates from the
lower back and inserts on the humerus, allowing for powerful movements that
bring the arm toward the body and rotate it inward.
Question: 1331
Which of the following bones is NOT part of the axial skeleton?
A. Sternum
B. Ribs
C. Clavicle
D. Skull
Answer: C
Explanation: The axial skeleton consists of the skull, hyoid bone, auditory
ossicles, ribs, sternum, and vertebral column. The clavicle is part of the
appendicular skeleton, which includes the bones of the upper and lower limbs.
Question: 1332
Which layer of the stomach wall contains the smooth muscle fibers responsible
for the churning and mixing motion of the stomach?
A. Mucosa
B. Submucosa
C. Muscularis
D. Serosa
Answer: C
Explanation: The muscularis layer of the stomach wall contains the smooth
muscle fibers responsible for the churning and mixing motion of the stomach.
This layer consists of an outer longitudinal layer and an inner circular layer of
smooth muscle, and the coordinated contractions of these muscle fibers create
the characteristic movements that help to break down and mix the food during
digestion.
Question: 1333
Which type of proprioceptor is responsible for detecting the length and tension
of a muscle?
A. Muscle spindle
B. Golgi tendon organ
C. Joint receptor
D. Pacinian corpuscle
Answer: A
Explanation: Muscle spindles are the primary proprioceptors responsible for
detecting the length and tension of a muscle. They contain specialized sensory
receptors that monitor changes in muscle length and provide the central nervous
system with feedback about the muscle's state of contraction or relaxation.
Question: 1334
What is the role of the IP3R in the process of calcium-induced calcium release
(CICR) in excitable cells, such as cardiac myocytes?
A. The IP3R acts as the initial trigger for CICR by releasing calcium from the
ER/SR
B. The IP3R is responsible for the amplification of the calcium signal during
CICR
C. The IP3R coordinates the spatiotemporal dynamics of calcium release during
CICR
D. All of the above
Answer: D
Explanation: In excitable cells like cardiac myocytes, the IP3R plays a crucial
role in the process of calcium-induced calcium release (CICR):
The IP3R acts as the initial trigger, releasing a small amount of calcium from
the endoplasmic or sarcoplasmic reticulum in response to IP3 signaling.
This initial calcium release then activates ryanodine receptors (RyR), the
primary calcium release channels of the ER/SR, leading to a much larger and
amplified calcium signal.
The IP3R coordinates the spatiotemporal dynamics of calcium release, ensuring
the proper propagation of the CICR signal throughout the cell.
Question: 1335
The muscle tissue responsible for the involuntary contraction of the heart is:
A. Skeletal muscle
B. Smooth muscle
C. Cardiac muscle
D. Visceral muscle
Answer: C
Explanation: Cardiac muscle is the type of muscle tissue found in the heart and
is responsible for the involuntary contraction of the heart chambers, allowing
for the pumping of blood throughout the body. Cardiac muscle is under the
control of the autonomic nervous system and is unique in its ability to contract
and relax without conscious control.
Question: 1336
A client with pes planus (flat feet) presents with pain and tenderness along the
medial longitudinal arch. This is most likely due to _________.
A. Plantar fasciitis
B. Medial ankle bursitis
C. Posterior tibialis tendinopathy
D. Tarsal tunnel syndrome
Answer: C
Explanation: Pes planus (flat feet) is often accompanied by overuse or
dysfunction of the posterior tibialis tendon, which is a key stabilizer of the
medial longitudinal arch. This can lead to posterior tibialis tendinopathy,
characterized by pain and tenderness along the medial aspect of the ankle and
foot. Plantar fasciitis typically causes pain on the sole of the foot, medial ankle
bursitis causes swelling and pain on the medial malleolus, and tarsal tunnel
syndrome causes numbness and tingling in the medial ankle and foot.
Question: 1337
Which of the following is an example of a safety practice related to the
massage therapy workspace?
A. Ensuring the workspace is well-lit and ventilated
B. Providing the client with a comfortable resting area
C. Maintaining a clean and organized workspace
D. All of the above
Answer: D
Explanation: Ensuring the massage therapy workspace is well-lit and
ventilated, providing the client with a comfortable resting area, and maintaining
a clean and organized workspace are all examples of safety practices related to
the massage therapy environment. These practices help to promote the overall
safety and well-being of both the client and the massage therapist.
Question: 1338
A client presents with decreased range of motion on the transverse plane hip
abduction test. This could indicate an impairment or dysfunction in which of
the following structures?
A. Tensor fasciae latae muscle
B. Piriformis muscle
C. Iliotibial band
D. All of the above
Answer: D
Explanation: Decreased transverse plane hip abduction can indicate
impairments or dysfunctions in the tensor fasciae latae muscle, piriformis
muscle, and iliotibial band. These structures all play a role in facilitating and
stabilizing hip abduction on the transverse plane.
Question: 1339
The specialized cells that detect light and sound in the sensory system are
called:
A. Neurons
B. Receptors
C. Glial cells
D. Photoreceptors
Answer: B
Explanation: Receptors are the specialized cells within the sensory system that
detect various stimuli, such as light, sound, touch, and temperature. These
receptors convert the physical or chemical stimuli into electrical signals that are
then transmitted to the brain for interpretation.
Question: 1340
Which of the following is a CONTRAINDICATION for massage therapy?
A. Osteoarthritis
B. Hypertension
C. Diabetes
D. Anemia
Answer: B
Explanation: Hypertension, or high blood pressure, is generally considered a
contraindication for massage therapy. The physical manipulation of soft tissues
can potentially increase blood pressure and heart rate, which could be
dangerous for individuals with uncontrolled hypertension. Other conditions like
osteoarthritis, diabetes, and anemia may have precautions or modifications for
massage, but are not necessarily contraindications.
Question: 1341
Which of the following nerves is most commonly involved in "Friday night
paralysis" due to compression in the axillary region?
A. Radial nerve
B. Median nerve
C. Ulnar nerve
D. Axillary nerve
Answer: A
Explanation: The radial nerve is the most commonly involved nerve in "Friday
night paralysis," a condition caused by compression of the nerve in the axillary
region. This compression can occur due to prolonged sleeping in a particular
position or leaning on the arm, leading to motor and sensory deficits in the
distribution of the radial nerve.
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Massage & Bodywork Licensing Examination Practice Test

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