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Massage Therapy MBLEx Exam Questions & Answers 2026 (11–20)

Massage Therapy MBLEx practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.

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  1. Q11A massage therapist applies sustained effleurage to a client's posterior thigh, mechanically deforming the soft tissue. Which property of connective tissue accounts for the gradual increase in tissue extensibility that occurs when a constant load is applied over time?

    • ACreep — the time-dependent deformation of viscoelastic material under sustained load
    • BThixotropy — the gel-to-sol transformation of ground substance when agitated
    • CPiezoelectricity — bioelectric charge generation that remodels collagen cross-links instantly
    • DIrritability — the ability of collagen fibers to generate action potentials under stretch
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    ✓ Correct answer: A. Creep — the time-dependent deformation of viscoelastic material under sustained load

    Creep is the viscoelastic property whereby connective tissue continues to deform (lengthen) when a constant stress is maintained over time, explaining why sustained pressure or stretching progressively increases tissue extensibility.

  2. Q12The endocrine pancreas secretes glucagon from alpha cells in response to falling blood glucose. Through which mechanism does glucagon restore glucose homeostasis?

    • AInhibiting insulin secretion from beta cells to prevent further glucose storage in muscle
    • BPromoting glycogenolysis and gluconeogenesis in hepatocytes to release glucose into the blood
    • CStimulating GLUT4 receptors on adipocytes to uptake circulating glucose
    • DActivating intestinal brush-border enzymes to accelerate carbohydrate absorption
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    ✓ Correct answer: B. Promoting glycogenolysis and gluconeogenesis in hepatocytes to release glucose into the blood

    Glucagon binds receptors on liver (hepatocyte) cells and activates both glycogenolysis (breaking down glycogen) and gluconeogenesis (synthesizing new glucose), directly raising blood glucose back toward the normal set-point.

  3. Q13A therapist notes that a client's skin in the lumbar region exhibits a dermatomal pattern of hyperalgesia corresponding to spinal level L3. This phenomenon, where visceral or somatic dysfunction at one spinal segment sensitizes afferent pathways causing pain in a distant skin region, is best described as:

    • AReferred pain via convergence of visceral and somatic afferents at the same dorsal horn segment
    • BProprioceptive drift — altered joint position sense from repeated cutaneous stimulation
    • CAntidromic conduction — motor neuron impulses traveling backward into sensory dermatomes
    • DGate control — large-fiber input from massage closing the pain gate at the dorsal horn
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    ✓ Correct answer: A. Referred pain via convergence of visceral and somatic afferents at the same dorsal horn segment

    Referred pain arises because visceral and somatic afferent neurons converge on the same second-order neurons in the dorsal horn; the brain misinterprets the visceral signal as originating from the corresponding somatic dermatome, producing pain or hyperalgesia in that skin region.

  4. Q14Which muscle is the primary flexor of the elbow joint?

    • ABiceps brachii
    • BBrachioradialis
    • CTriceps brachii
    • DAnconeus
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    ✓ Correct answer: A. Biceps brachii

    The biceps brachii is the primary elbow flexor because it crosses the anterior aspect of the elbow joint and its contraction produces the greatest flexion torque, while the triceps brachii is the antagonist (extensor) and the brachioradialis is a synergist.

  5. Q15Moving the arm away from the midline of the body in the frontal plane is called:

    • AFlexion
    • BAdduction
    • CCircumduction
    • DAbduction
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    ✓ Correct answer: D. Abduction

    Abduction specifically describes movement of a limb away from the body's midline within the frontal (coronal) plane, whereas adduction is the return movement toward the midline.

  6. Q16The gluteus maximus primarily performs which action at the hip joint?

    • AHip flexion
    • BHip abduction
    • CHip extension
    • DHip internal rotation
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    ✓ Correct answer: C. Hip extension

    The gluteus maximus is the largest and most powerful hip extensor; its fibers run from the posterior ilium, sacrum, and coccyx to insert on the iliotibial band and gluteal tuberosity of the femur, producing forceful extension.

  7. Q17A synovial joint that allows movement in only one plane (like a door hinge) is classified as which type?

    • APivot
    • BCondyloid
    • CHinge (ginglymus)
    • DBall-and-socket
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    ✓ Correct answer: C. Hinge (ginglymus)

    A hinge (ginglymus) joint permits flexion and extension in a single plane only; the elbow and interphalangeal joints are classic examples of this uniaxial joint type.

  8. Q18Which plane divides the body into anterior and posterior halves?

    • AFrontal (coronal) plane
    • BOblique plane
    • CTransverse plane
    • DSagittal plane
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    ✓ Correct answer: A. Frontal (coronal) plane

    The frontal (coronal) plane divides the body into front (anterior) and back (posterior) sections; movements such as abduction and adduction occur within this plane.

  9. Q19The trapezius muscle originates on the occipital bone and spinous processes of C7–T12. Its UPPER fibers primarily perform which action on the scapula?

    • AScapular protraction
    • BScapular elevation and upward rotation
    • CScapular retraction only
    • DScapular depression and downward rotation
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    ✓ Correct answer: B. Scapular elevation and upward rotation

    The upper trapezius fibers pull the scapula superiorly (elevation) and rotate the glenoid fossa upward, which is essential during shoulder abduction above 90 degrees.

  10. Q20During a biceps curl exercise, the triceps brachii acts as the:

    • ASynergist
    • BPrime mover (agonist)
    • CAntagonist
    • DFixator
    Show answer

    ✓ Correct answer: C. Antagonist

    The antagonist is the muscle that opposes the prime mover's action; because the triceps brachii extends the elbow — the opposite of the biceps-driven flexion — it is the antagonist in a biceps curl.

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