CMTO MCQ EXAM ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A
Hypertension - ANSWER: high blood pressure; can include any reading above 120/80
OA - ANSWER: occurs when protective cartilage that cushions ends of bones wears
down over time, can damage any joint, most common in hands, knees, hip and spine
OA Symptoms - ANSWER: pain, stiffness, tenderness, loss of flexibility, grating
sensation, bone spurs, swelling
RA - ANSWER: chronic inflammatory disorder that can affect more than just joints,
usually bilateral
RA Symptoms - ANSWER: fatigue, fever, weight loss, stiffness, joint pain and
tenderness, swelling, redness
Lyme Disease - ANSWER: infectious disease caused by bacteria spread by ticks,
involves an expanding rash, headache, fever and fatigue
Inflammatory Arthritides - ANSWER: joint inflammation usually caused by overactive
immune system, can affect many joints
Fibromyalgia - ANSWER: disorder characterized by msk pain accompanied by fatigue,
sleep, memory and mood isses
Fibromyalgia CIs - ANSWER: avoid deep work and fatiguing client, modify for
medications
Hypertension CIs - ANSWER: avoid increasing SNS firing, avoid painful techniques,
avoid vigorous tapotement, caution around anterior neck and carotid area, semi
reclined is preferred
OA CIs - ANSWER: no heat with acute inflammation, no overpressure with
osteophyte formation
RA CIs - ANSWER: no hot hydro, local massage, distal techniques, joint play and full
ROM if acutely inflamed; no treatment if fever is present, no deep vigorous
techniques, careful with stretching and strengthening
Hemiplegia - ANSWER: condition caused by brain damage or spinal cord injury that
leads to paralysis on one side of the body; includes weakness, problems with muscle
control, muscle stiffness
, Hemiplegia CIs - ANSWER: no extreme temperatures and painful techniques if due to
cerebrovascular accident; caution around SCM
MS - ANSWER: potentially disabling disease of the brain and spinal cord; immune
system attacks myelin that covers nerve fibers and causes communication problems
between brain and rest of the body
Neurological Disorders CIs - ANSWER: no SNS firing, avoid sensitive areas, modify
pressure and hydro, may need assistance on and off table, modify is BP is low or
high, no heat over large areas, no frictions if on anti-inflamms
Cerebral Palsy - ANSWER: group of permanent movement disorders that appear in
early adulthood, symptoms vary over time
Charcot Marie Tooth Disease - ANSWER: a group of inherited conditions that damage
the peripheral nerves; involves smaller weaker muscles, loss of sensation, difficulty
walking, foot deformities
Diabetes Mellitus - ANSWER: disorder in which body does not produce enough or
respond normally to insulin, causing blood sugar levels to be abnormally high
Neuropathy - ANSWER: damage or dysfunction of one or more nerves that typically
results in numbness, tingling, muscle weakness and pain in affected area
Diabetes CIs - ANSWER: cautions with DB, avoid using lotion if deep cracks on heels,
avoid frictions and cross fibre petrissage is tissue health compromised, modify on
areas of altered sensation
Cancer - ANSWER: disease in which some of body's cells grow uncontrollably and
spread to other parts; many different types and treatments
Cancer CIs - ANSWER: no local massage on radiation site or post surgery site; do not
tire client, follow edema protocols
Draping Purpose - ANSWER: sets boundaries, not just comfortable for client
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