HomeMy WebLinkAboutCC Resolution 11235 (Massage/Body Works Practitioner Examination)RESOLUTION NO. 11235
RESOLUTION APPROVING FORM OF EXAMINATION FOR MASSAGE
AND/OR BODYWORK PRACTITIONERS PURSUANT TO SAN
RAFAEL MUNICIPAL CODE SECTION 8.34.060
WHEREAS, the City Council has adopted Chapter 8.34 of the San Rafael Municipal
Code regulating offices, establishments and practitioners providing massage/bodywork services;
and
WHEREAS, Subsection A.13 of Section 8.34.060 of the San Rafael Municipal Code
provides that, the City Council may establish by Resolution, in a form approved by Council, a
written examination to test the new applicant's basic knowledge of anatomy, physiology,
hygiene and massage, as well as knowledge of the requirements as stated in Section 8.34.090;
and
WHEREAS, the Police Department conducted a study of tests currently in use in other
municipalities and schools of massage and/or bodywork; and assembled data concerning
examination questions in the aforementioned knowledge areas; and
WHEREAS, the Police Department presented the pool of examination questions to
representatives of current holders of valid massage and/or bodywork permits, who deemed the
pool of examination questions met the intent of testing basic knowledge; and
WHEREAS, the Police Department proposes that each new applicant after January 1,
2003 be tested by a random selection of a minimum of six questions from Attachment "A" hereto
and a random selection of a minimum of four questions from Attachment `B" hereto for a total
of not less than ten questions; and
WHEREAS, the City Council finds that the proposed examination is acceptable for
testing the basic knowledge of applicants for practitioner permits; and
1 UHIUNAL ����
WHEREAS, the City Council finds that adoption of this Resolution approving the form
of the examination is exempt from the requirements of the California Environmental Quality Act
under Section 15061 (b) (3) of the (CEQA) Guidelines, which exempts projects which clearly
will have no significant adverse impacts.
NOW THEREFORE BE IT RESOLVED that the City Council approves as to form the
examination questions attached hereto as Attachment "A" and "B", and directs the Police
Department to administer on each new applicant for a massage and/or bodywork practitioner
permit after January 1, 2003, a written examination consisting of a random selection of a
minimum of six questions from Attachment "A" and a minimum of four questions from
Attachment `B" hereto, which must be passed by a 70% score or better to obtain a permit,
provided that a new applicant who has passed a national certification examination as specified in
San Rafael Municipal Code Section 8.34.060 (A) (13) shall be subject to examination on only
the Attachment `B" questions which must be passed by a 70% or better score to obtain a permit.
The foregoing Resolution was duly and regularly introduced and adopted at a regular
meeting of the San Rafael City Council held on the 16`h day of December, 2002, by the following
vote to wit:
AYES: Councilmembers : Cohen, Heller, Miller, Phillips and Mayor Boro
NOES: Councilmembers: None
ABSENT: Councilmembers: None
JEA E M. LEONCINI, City Clerk
2
ATTACHMENT "A"
1 In Oriental medicine, which meridian runs down the body and ends at the second toe?
a. Stomach
b. Spleen
c. Bladder
d. Gallbladder
2 "Carpal Tunnel Syndrome" is considered a:
a. Neck injury
b. Repetitive strain injury
c. Visual problem
d. All of the above.
3 "Edema" is defined as:
a. Sensitivity to light
b. Rash
c. Swelling
d. Constipation.
4 A client tells you he is diabetic. Which of the following symptoms is not directly related to
this illness?
a. Stiff neck
b. Blood sugar imbalance
c. Poor circulation
d. Difficulty fighting infections.
5 A friend has just suffered a serious ankle injury. What should you do?
a. Help your friend put weight on it to determine if it is broken
b. Wait 48 hours, then apply heat for 20 minutes four times a day for pain relief
c. Use ice, compression, and elevation immediately and then get medical help
d. Recommend that your friend take an analgesic for relief of pain and inflammation
6 An example of improper hygiene is:
a. Suggesting that a client use the restroom before a session
b. Reusing linens as necessary
c. Washing your hands before and after each client
d. Cleaning your face rest on a daily basis.
7 Bodywork of which muscle or group of muscles may be effective in relieving sciatica?
a. Hamstring muscles
b. Quadratus lumborum muscle
c. Quadricep muscles
d. Gluteus muscles
e. all of the above
8 Carpal tunnel syndrome results from compression on the:
a. median nerve
b. radial nerve
c. ulnar nerve
d. peroneal nerve
9 Diaphragm is a part of the...
a. circulatory system
b. respiratory system
c. digestion system
d. none of the above
10 Effleurage can be described as:
a. vigorous kneading
b. long, flowing strokes
c. deep, circular movements
d. repetitive percussive movements
11 If a client experiences pain when laterally abducting the humerus, which muscle involved
initiates the movement?
a. Trapezius muscle
b. Anterior scalene muscle
c. Deltoid muscle
d. Quadratus Lumborum muscle
12 If a client is currently under medical supervision for an ailment, it is a good idea to check
with the client's doctor before giving massage:
True
False.
13 If a client with phlebitis requests a massage:
a. complete the massage with caution and work lightly over the affected area
b. refer the client to a doctor for approval and reschedule
c. proceed with the massage but avoid the affected area
d. proceed with the massage as usual, the condition is not a problem
14 In massaging the sides of a client's neck, it is generally advisable to do both sides:
True
False.
15 In Oriental medicine, which meridian ends on the fifth finger?
a. Heart
b. Small intestine
c. Triple warmer
d. Large intestine
16 It is advisable to avoid massaging inflamed areas because:
a. You may catch something
b. You may injure the inflamed tissue
c. The infection may spread
d. All of the above.
17 It is proper massage technique to put deep pressure directly on the spine:
a. With advanced training
b. When the client has a back spasm
c. If applying tapotement
d. Never.
18 Local application of cold for acute pain, sprains and trauma provides:
a. an anticoagulant effect
b. a numbing, analgesic effect
c. a protective, inflammatory effect
d. a consensual, reflexive effect
19 Massage is contraindicated in cases of intoxication because:
a. It is hard to keep the client still and focused
b. massage can spread toxins and overwork the liver
c. the client has a decreased sensitivity to pain
d. massage can overwork the circulatory system
e. b and d
20 Most commonly, how many cervical vertebrae are there?
a. Seven (7)
b. Five (5)
c. Twelve (12)
d. Eight (8).
21 Muscles that are increasing in size are undergoing:
a. atrophy
b. hypertrophy
c. subluxation
d. degeneration
22 Name the muscle that does not attach to the femur:
a. Illiopsoas
b. Biceps femoris
c. Biceps brachii
d. Quadratus femoris.
23 Proper draping is an important part of good, professional business ethics because it:
a. ensures the client's privacy and comfort
b. is an important marketing tool
c. makes it easier to deal with difficult people
d. promotes oil and lotion absorption
24 Rolfing and Hellerwork are among the therapies of...
a. Swedish Massage
b. Pressure point therapies
c. Deep -Tissue manipulation
d. Stretching
25 Slight pressure on the carotid artery, similar to the pressure applied when wearing a tie, can
cause which of the following conditions?
a. Eye strain
b. Headache
c. Stress
d. Fatigue
26 The "parasympathetic nervous system" can be stimulated by contact to the client's occiput
and/or sacrum:
True
False
27 The atlanto-occipital junction (or "A/O") is:
a. Found in the heart
b. The joint where heel and ankle bones meet
c. The place between the skull and C1
d. The valve between small and large intestines.
28 The cartilage between each vertebra is called the:
a. Meniscus
b. Psiform
c. Disc
d. Hyoid.
29 The large muscle on the upper back covering T1 -T12 is called:
a. Erector spinae
b. Trapezius
c. Levator scapula
d. None of the above.
30 The natural pain controllers produced in the brain are called:
a. analgesics
b. endorphins
c. interferential impulses
d. polypeptides
31 The stretch reflex works directly with which of the following?
a. muscle spindles
b. proprioception
c. golgi tendons
d. chemoreceptors
32 The term "hip bone" commonly refers to the:
a. Tibia
b. Malleolus
C. Ilium
d. Epicondyle.
33 The terms "quads" or "quadriceps" commonly refer to:
a. A set of 4 muscles in the upper leg
b. A square shaped muscle in the shoulder
c. A name for the last 4 molars in the lower jaw
d. None of the above.
34 What is done first if a client is in a supine position and complains of low back pain?
a. Have the client turn onto the side and work the low back first
b. Have the client breathe and visualize to alleviate the pain
c. Place cushions or pillows under the client's knees
d. Discontinue the massage and refer the client to a doctor
35 What is the purpose of tapotement?
a. Invigorate and tone muscles
b. relax and sedate the athlete
c. enhance the recovery rate from physical exertion
36 When massage is part of treatment for a cancer patient, what is the main concern that must
be addressed during the massage?
a. Emotional state of the client
b. Type of therapy that would be most appropriate
c. Advice of the attending physician
d. Length of the massage treatment
37 Which of the following conditions is considered the leading cause of low back pain?
a. Overworked upper back
b. Weak abdominal muscles
c. Stressed gluteal muscles
d. Knee problems
38 Which of the following conditions violates the code of ethics generally accepted by
massage therapists? a.
Receiving gratuities
b. Dating a client
c. Being politically active
d. Being an independent contractor
39 Which of the following definitions represents the philosophy of yin and yang?
a. Life is adversity
b. Dynamic balance in all things
c. Good and evil
d. Karma
40 Which of the following is a part of the lymphatic system?
a. Brain
b. Spleen
c. Inner ear
d. Cuboid.
41 Which of the following is not a division of the spinal column?
a. Cervical
b. Lumbar
c. Coccygeal
d. Appendicular
e. Sacral
f. Thoracic.
42 Which of the following is not a form of percussion movements?
a. chopping
b. cupping
c. beating
d. effleurage tapping
e. slapping
43 Which of the following massage styles is most appropriate for a client with asthma?
a. Relaxing
b. Stimulating
c. None, massage is contraindicated
44 Which of the following muscles helps to flex the shoulder joint?
a. Brachioradial muscle
b. Anterior deltoid muscle
c. Infraspinous muscle
d. Brachial muscle
45 Which of the following structures within the muscle provide information about the length or
change in length of the muscle?
a. Olfactory cells
b. Golgi tendon organs
c. Hair cells
d. Muscle spindles
46 Which stance is most efficient during a massage?
a. Straight legs
b. Seated
c. Leaning over
d. Bent knees
47 Yin is conceived as the...
a. active male principle or polarity
b. inactive female principle or polarity
c. all the above
d. none of the above
48 Your client arrives complaining of acute whiplash symptoms that are the result of a car
accident the day before. The client thinks massage will help. What is the most appropriate
course of action? a. Do
not do any deep work but light massage could help
b. Use neuromuscular techniques for the cervical area
c. Work the area with cross -fiber friction to reduce adhesions that might develop
d. Refer the client to a doctor and reschedule
49 A therapist's body mechanics are extremely important in preventing injury, fatigue, and
strain. Which of the following positions demonstrates good body mechanics?
a. Keep the knees bent and back straight
b. Keep the feet and knees close together and bend at the waist
c. Arms should stay close to the body while shoulders and wrists are extended
d. Balance on both feet and lean over, using the torso for balance
50 Almost all bodywork methods go on the assumption that emotional stresses can affect the
body, and result in chronic pain, tension and other physical symptoms.
TRUE
FALSE
51 An elderly woman who is small and stooped in posture is referred to you for help with her
back pain. What is the most appropriate course of action?
a. Assist her onto the table and give a full-body Swedish massage
b. Use compression and cross -fiber work primarily on her low back
c. Seek her doctor's advice before doing a light massage
d. Find out if she has osteoporosis; if she does have osteoporosis, do not work on her.
52 An individual who smokes a lot is likely to develop:
a. hyaline membrane disease
b. emphysema
c. apnea
d. tuberculosis
53 Anatomically, which of these is most superior?
a. Tibia
b. Patella
c. Sternum
d. Umbilicus.
54 Deep gliding strokes...
a. involve the use of excessive force
b. do not involve the use of excessive force
c. involve the use of very light pressure
d. involve the manipulation of the joints
55 Eyes and ear reflex points are located in...
a. the side of the heel and on the top of the foot
b. the right side at the base of the heel
c. the same area on both feet at the base of the small toes
d. the left foot
56 Good Health depends on the correct balance between these two opposites: The negative
and positive
TRUE
FALSE
57 How does deep transverse massage differ from compression broadening?
a. DTF is not as effective at loosening connective tissue
b. DTF is more efficient at fluid movement
c. DTF is applied more perpendicular to the muscle fibers
d. DTF is more site specific while compression broadening covers the full muscle
58 Hypercurvature of the lumbar spine is called:
a. kyphosis
b. scoliosis
c. lordosis
d. spondylolisthesis
59 If a male client is known to have HIV or AIDS, you should:
a. Wear gloves at all times
b. Offer him a condom as protection
c. Refuse to work on him
d. None of the above.
60 In "anatomical position," which is most medial:
a. Ears
b. Nose
c. Thumbs
d. Eyes.
61 In Oriental medicine, which meridian runs up the middle of the spine?
a. Conception vessel
b. Liver
c. Governing vessel
d. Bladder
62 In Shiatsu, which meridian runs down the body and ends at the second toe?
a. Stomach Meridian
b. Lung Meridian
c. Bladder Meridian
d. Gallbladder Meridian
63 Lungs reflex area is located from the...
a. guideline to the waist to about halfway to the diaphragm
b. diaphragm guideline up to the base of the toes and across the entire foot on both top
and bottom of the foot
c. right foot to left foot
d. tips of small toes to the base
64 Massage can reduce pain by:
a. reducing the cause behind pain stimulation
b. affecting the processing of a noxious substance
c. reducing inflammation due to pain impulse
d. promoting relaxation of stressed tissues
65 One of the many massage techniques that directly manipulates the painful areas is...
a. craniosacral therapies
b. hydrotherapy
c. lymphatic techniques
d. trigger point therapy
66 One of the primary indications of tension or dysfunction in the soft tissue is...
a. metabolic imbalance
b. pain
c. stroke
d. poliomyelitis
e. none of the above
67 Only light work is appropriate for clients with osteoporosis because these clients:
a. are elderly
b. have brittle bones
c. have cancer
d. have flexible bones
68 Over which parts of the body are heavy movements applied?
a. thin tissues
b. over bony parts
c. thick tissues or fleshy parts
d. a and b
e. none of the above
69 Reflex area for the ascending colon is found...
a. on the right foot
b. on the left foot
c. on both feet
d. none all the above
70 Rotation by the Massage Practitioner of the head as far as possible to the left is an example
of: a. passive
movement
b. active resistive movement
c. active movement
d. proprioceptive neuromuscular facilitation
71 Shiatsu practitioners apply pressure to points all over the body, while reflex therapists focus
primarily on the feet and hands.
TRUE
FALSE
72 Skin rolling is a variation of...
a. superficial effleurage
b. kneading petrissage
c. vibration
d. jostling
e. tapotement
73 Tapping, chopping, and petrissage are examples of which modality of bodywork:
a. Rolfing b.
Acupressure
c. Esalen massage
d. Swedish massage.
74 The "Achilles tendon" inserts on to which bone:
a. Calcaneus
b. Fibula
c. Scapula
d. Radius.
75 The "sympathetic nervous system":
a. Stimulates us to action
b. Calms us down
c. Both a. and b. above
d. None of the above.
76 The amount of time one should hold a basic yoga stretch is...
a. 15 minutes
b. 1 - 2 minutes
c. 45 seconds
d. 15-20 seconds
77 The benefits of stretching include which of the following?
a. reduces muscle tension
b. increases Range of Motion (ROM)
c. helps to prevent injuries
d. all of the above
e. b and c
78 The continuous shaking or trembling movement transmitted from the Massage Therapist's
hand or from an electrical appliance is called...
a. tapotement
b. vibration
c. kneading
d. jostling
79 The humerus is:
a. A muscle in the leg
b. A bone in the upper arm
c. The connective tissue between brain hemispheres
d. A bone in the hand.
80 The largest bone of the foot is the
a. Talus
b. Calcaneus
c. cuboid
d. navicular
81 In Reflexology, the largest part of the stomach reflex points is going to be found on...
a. the left foot and will also extend to the right foot
b. the right foot and will also extend to the left foot
c. the great toe
d. the top of the both feet
82 The longest meridian in the body is...
a. the bladder meridian
b. lung meridian
c. large intestine
d. conception vessel
83 The lymphatic system drains into the:
a. Skin
b. Bladder
c. Patella
d. Venous circulation
84 The movement of a joint from one end of the articulation to the other is called...
a. passive movement
b. range of motion
c. active movement
d. range of proprioceptors
e. none of the above
85 The muscle biceps brachii is opposed by which other muscle?
a. Quadratus lumborum
b. Triceps brachii
c. Gastrocnemius
d. Tibialis anterior.
86 The observation of body postures in relation to safe and efficient movement in daily
activities is/are called?
a. biopostural alignment
b. body mechanics
c. body tai
d. structural integration
e. a and d
87 The particular focus of the massage professional is on...
a. the osseous structure of the joint
b. the soft tissue
c. alignment of the bone structure
d. a and c
e. none of the above
88 The philosophy of shiatsu relies on the connection between...
a. a specific energetic area and specific organs
b. a specific group of muscles and reflex points
c. a specific area of skin and longitudinal zones
89 The quality of touch continually transmits information from the therapist's hands to the client
in direct response to the information communicated by the client and his or her body.
TRUE
FALSE
90 The reflex area for the pancreas is found...
a. on the left foot
b. on the right foot
c. on both feet, but mainly on the left
d. on both feet, but mainly on the right
91 The rule of pressure in massage is to begin with a light and sensitive touch, and increase
the pressure as you work into an area.
TRUE
FALSE
92 The stretch reflex is...
a. a protective contraction
b. a stretch in response to a pen falling and you reaching to get it
c. a sneeze
d. none of the above
93 The technique in which skin and muscular tissue are raised from their ordinary position,
squeezed, and rolled is called...
a. deep effleurage
b. petrissage
c. deep transverse friction
d. rocking
94 The technique of effleurage is accomplished with...
a. Fingers
b. thumbs
c. palm of the hand
d. knuckles and forearm
e. c and a
f. all of the above
95 The technique of kneading is performed in which manner?
a. Tapping the fingertips on the surface of the skin
b. Sliding the hands rapidly over the skin
c. Lifting, grasping, rolling, and compressing muscles
d. Pressing over the muscle tissue lightly but firmly
96 The term holistic is defined as:
a. a form of alternative medicine
b. an energetic concept of health
c. the functional relation between parts and wholes
d. the blending of Eastern and Western concepts.
97 The Tsubo are...
a. places where meridians stretch and release
b. places where energy "Ki" accumulates on the meridian
c. places where blood returns from the leg
d. none of the above
98 In Reflexology,the transverse colon is found...
a. across the waistline on both the right and left foot
b. across the heel line on both feet
c. across the diaphragm line on the right foot
d. across the waistline on the left foot
99 What are the methods of contacting the energetic centers in the body?
a. Shiatsu
b. Reflexology
c. Polarity Therapy
d. all of the above
e. a and c
100 What category of sports massage is subdivided into recovery and preparation method?
a. Event
b. maintenance
c. rehabilitation
d. preventive
101 What does PNF stand for?
a. proprioception new facility
b. peripheral nervous finale
c. premature neurological factor
d. proprioceptive neuromuscular facilitation
102 What is the common insertion of the quadriceps?
a. ischial tuberosity
b. tibial tuberosity
c. ASIS
d. AIIS
103 What is the definition of professional ethics?
a. The ability to successfully work with others and provide excellent service
b. The ability to interact successfully with many personality types
c. Promotion of public welfare, the client's welfare, and the reputation of the profession
d. Promotion of the legal and business standards of the profession
104 What is the primary description and cause of tennis elbow?
a. Tendonitis caused by impact trauma
b. Ligament tear caused by a hypertension strain
c. Dislocation caused by hyperabduction strain
d. Fracture caused by chronic impact vibration
105 What is the proper hand position for compressive effleurage?
a. one hand on top of the other
b. fingers up so only the palms are touching the tissue
c. contoured to the surface of the tissue without space between hands
106 When is Stretching done?
a. in the morning before the start of the day
b. at work or school to release tension
c. before or after exercise
d. all of the above
107 Which area of the upper extremities should be avoided during a massage?
a. Popliteal fossa
b. Medial Brachium
c. Inguinal ligament
d. Vagus nerve
108 Which of the following are important rules to protect a Massage Therapist's hands?
a. avoid excessive wrist angles
b. avoid hyperextending the wrist
c. use the heel of the hand when applied compressive forces
d. avoid excessive pressure with finger and thumb
e. all of the above
f. a and e
109 Which of the following is considered a psychologic benefit of massage?
a. Increased cellular metabolism
b. Relief from stress
c. Promotion of homeostasis
d. Improved pH balance
110 Which of the following is NOT a general effect of heat?
a. Dilation of the peripheral blood vessels
b. Increased rate of blood flow
c. Increased pulse rate
d. Decreased metabolic activity
111 Which of the following muscles does NOT help flex the hip?
a. Rectus femoris muscle
b. Sartorius muscle
c. Illiopsoas muscle
d. Semimembranosus muscle
112 Which of the following statements is true regarding the precautions that must be taken for a
pregnant woman?
a. Do not perform deep tissue work or abdominal kneading and do not lie the client flat on
her back without proper cushions
b. Any massage techniques may be used as long as the client is lying on her side and is
comfortable c. Do not
use effleurage strokes or heavy pressure on the abdomen
d. The contraindications are the same as for all clients, just do not lie the client on her
stomach e.
113 Which of these is not connective tissue?
a. Tendon
b. Fascia
c. Ligament
d. Nerve.
114 Why was PNF invented?
a. to rehabilitate soldiers from neurological disorders
b. because the government had nothing better to do
c. to assist scuba divers find treasures
d. none of the above
115 You should always hold your breath during a stretch:
True
False
ATTACHMENT "B"
Massage and/or bodywork office or establishment may be open for business
between the hours of eleven o'clock p.m. of one day and five o'clock a.m. of the
following day as long as no services are offered.
True
False
2 No person shall, in the course of administering any massage, somatic
procedure, or health treatment, intentionally make physical contact with the
genitals or anus of any other person.
True
False
3 Pads used on massage tables shall be cleaned or covered with a clean
covering after each use.
True
False
4 All lavatories or washbasins shall be provided with:
a. running water
b. soap
c. single -service towels
d. all of the above
5 All massage and/or bodywork offices or establishments shall be provided with
clean and sanitary towels, sheets, and linens:
a. in dozen quantities
b. in sufficient quantity.
c. in matched sets
6 Beds and sleeping areas are allowed in massage and/or bodywork office or
establishment.
True
False
7 Cabinets or other covered space shall be provided for the storage of clean
linen. True
False
8 Clean, covered and lined receptacles shall be provided for used linens:
True
False
9 Disinfecting agents and sterilizing equipment shall be provided for any
instruments used in performing acts of massage and/or bodywork and said
instruments shall be disinfected and sterilized after each use.
True
False
10 Every portion of a massage and/or bodywork office or establishment, including
appliances and apparatus, shall be kept in good repair, and all such premises,
appliances and apparatus, and all personnel thereon and their clothing, shall be
maintained in a clean and sanitary condition at all times.
True
False
11 Heavy white paper may be substituted for sheets, provided that such paper is
used once for each person and then discarded into a sanitary receptacle
True
False
12 How many toilet(s) and washbasin(s) must be provided for each massage
and/or bodywork office or establishment?
a. minimum of one
b. minimum of two
13 You may offer alcoholic beverages to any customer when they are waiting for
their massage.
True
False
14 Towels, sheets, and linens shall be changed at the end of every working day.
a. True
b. False