联邦按摩考试题：12 道 MBLEx 模拟题 + 中文详解

A therapist asks a client to raise her arm as far as she can without help, then the therapist moves the same arm through the range while the client stays relaxed. What are these two assessments, in order?

1. APassive ROM, then active ROM
2. BActive ROM, then passive ROM
3. CResisted ROM, then active ROM
4. DActive ROM, then resisted ROM

✅ 答案：B

📖 读题关键字：in order — 题目要的是「顺序」，不是「哪个比较好」。看到 in order 先确认你答的是排列。

Which of the following belongs in the “O” section of a SOAP note?

1. A“Client reports sharp pain in the right shoulder when reaching overhead.”
2. B“Client states the pain began after moving furniture last weekend.”
3. C“Right shoulder flexion limited to approximately 120 degrees; palpable hypertonicity in the upper trapezius.”
4. D“Recommend rescheduling in one week and continuing self-care stretches.”

✅ 答案：C

📖 读题关键字：这类题问的是「这句话是谁讲的」，不是「哪句最重要」。

During a session a client says, “You remind me so much of my older sister — I feel completely safe with you.” The therapist notices she has begun to feel protective of this client and considers giving her personal phone number. Which pair BEST describes what is occurring?

1. AThe client is experiencing countertransference; the therapist is experiencing transference
2. BThe client is experiencing transference; the therapist is experiencing countertransference
3. CBoth are experiencing a dual relationship
4. DBoth are experiencing a boundary violation

✅ 答案：B

📖 读题关键字：BEST describes — 四个选项可能都沾一点边，要选最精确的那个。

A client’s spouse telephones the clinic and asks whether the client kept her appointment yesterday. What should the therapist do?

1. AConfirm the appointment, because they are married
2. BConfirm the date of the appointment but not what was treated
3. CDecline to confirm or deny that the person is a client
4. DAsk the spouse for the client’s date of birth, then confirm

✅ 答案：C

📖 读题关键字：这题没有关键字陷阱，考的是你敢不敢说「不能讲」。

Which of the following is an example of a mechanical effect of massage rather than a reflexive effect?

1. AReduced muscle tone following sustained compression
2. BIncreased venous return produced by direct pressure moving fluid toward the heart
3. CDecreased heart rate as the client relaxes
4. DReduced perception of pain after a session

✅ 答案：B

📖 读题关键字：rather than — 这是「分辨两者」的题型，不是「找出正确的」。看到它就知道四个都对，只有一个符合分类。

Slow, rhythmic effleurage most directly shifts the client toward which state, and with what expected effect?

1. ASympathetic dominance; increased heart rate
2. BParasympathetic dominance; decreased heart rate
3. CSomatic activation; increased muscle contraction
4. DSympathetic dominance; decreased respiratory rate

✅ 答案：B

📖 读题关键字：most directly — 问的是「最直接」的那一层，不是最终结果。

A regular client shows the therapist numbness and tingling in his hand and asks, “Do you think this is carpal tunnel syndrome?” What is the MOST appropriate response?

1. AExplain that the symptoms match carpal tunnel syndrome and adjust treatment accordingly
2. BPerform Phalen’s and Tinel’s tests and tell the client the result
3. CTell the client you cannot diagnose, document the symptoms, and refer him to a physician
4. DTell the client not to worry because massage will resolve the symptoms

✅ 答案：C

📖 读题关键字：MOST appropriate — 选最安全、最守本分的那个，不是选最热心的那个。

A client asks the therapist to work on the gluteal region. What is the correct professional procedure?

1. ASkip the area entirely; gluteal work is outside a massage therapist’s scope of practice
2. BObtain informed consent for that region, keep the gluteal cleft and genitals draped at all times, temporarily move the drape only over the portion being worked, and re-drape when finished
3. CWork only through the sheet, because undraping any part of the gluteal region is never permitted
4. DUndrape both gluteals fully so that the work is symmetrical

✅ 答案：B

📖 读题关键字：correct professional procedure — 问的是标准流程，不是「你个人习惯怎么做」。

A new client’s intake form lists hypertension managed with medication. At the appointment his blood pressure reads 192/124 mmHg and he reports a headache. What is the MOST appropriate action?

1. AProceed with a gentle, relaxing full-body massage
2. BAvoid the abdomen and proceed with the rest of the session
3. CDecline the massage and refer the client for immediate medical evaluation
4. DShorten the session to 30 minutes and reduce pressure

✅ 答案：C

📖 读题关键字：MOST appropriate — 选最安全的，不是选最体贴的。

A client reports unilateral calf pain with warmth, redness and swelling that began two days after a long flight. What is the MOST appropriate action?

1. AApply gentle effleurage to the calf to encourage circulation
2. BDecline massage and refer the client for immediate medical evaluation
3. CApply ice to the calf and continue with the rest of the session
4. DUse deep friction to break up the congestion

✅ 答案：B

📖 读题关键字：MOST appropriate — 同样是安全优先。

Which muscle both flexes the elbow and supinates the forearm?

1. ABrachialis
2. BBiceps brachii
3. CBrachioradialis
4. DTriceps brachii

✅ 答案：B

📖 读题关键字：both … and — 题目要求「两个功能都要符合」，只满足一个的都要刷掉。

In which direction should lymphatic drainage strokes be directed?

1. AAway from the heart, toward the extremities
2. BToward the nearest lymph node cluster, and ultimately toward the heart
3. CIn small circles directly over the node itself
4. DDirection does not matter as long as the pressure is light

✅ 答案：B

📖 读题关键字：这题没有关键字陷阱，但 D 是典型的「说了一半真话」的干扰项——轻压是对的，结论是错的。