Latest PDF of MBLEX: Massage & Bodywork Licensing Examination 2025

Massage & Bodywork Licensing Examination 2025 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 topics 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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FSMTB MBLEX
Massage & Bodywork Licensing Examination 2024
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Question: 1321
Which of the following is the most common cause of plantar fasciitis?
1. Excessive pronation of the foot
2. Tight Achilles tendon
3. Obesity
4. 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?
1. Cardia
2. Fundus
3. Antrum
4. 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?
1. Tibialis anterior muscle
2. Peroneus longus and brevis muscles
3. Flexor hallucis longus muscle
4. 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.
A patient's blood pressure is measured as 128/82 mm Hg. According to the American Heart Association guidelines, this reading would be classified as:
1. Normal blood pressure
2. Elevated blood pressure
3. Stage 1 hypertension
4. Stage 2 hypertension Answer: A
Explanation: The American Heart Association defines normal blood pressure as less than 120/80 mm Hg. A reading 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?
1. Meniscal tear
2. Patellofemoral pain syndrome
3. Osteoarthritis of the knee
4. 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?
1. Cricopharyngeus muscle
2. Diaphragm
3. Lower esophageal sphincter
4. 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.
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?
1. Flexor digitorum profundus and superficialis
2. Pronator teres and quadratus
3. Median and ulnar nerves
4. 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?
1. Implementation
2. Evaluation
3. Market analysis
4. 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:
1. Palatine arches
2. Palatine tonsils
3. Epiglottis
4. 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.
1. Pectoralis major
2. Latissimus dorsi
3. Teres major
4. 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?
1. Sternum
2. Ribs
3. Clavicle
4. 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?
1. Mucosa
2. Submucosa
3. Muscularis
4. 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?
1. Muscle spindle
2. Golgi tendon organ
3. Joint receptor
4. 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?
1. The IP3R acts as the initial trigger for CICR by releasing calcium from the ER/SR
2. The IP3R is responsible for the amplification of the calcium signal during CICR
3. The IP3R coordinates the spatiotemporal dynamics of calcium release during CICR
4. 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:
1. Skeletal muscle
2. Smooth muscle
3. Cardiac muscle
4. 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 .
1. Plantar fasciitis
2. Medial ankle bursitis
3. Posterior tibialis tendinopathy
4. 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?
1. Ensuring the workspace is well-lit and ventilated
2. Providing the client with a comfortable resting area
3. Maintaining a clean and organized workspace
4. 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?
1. Tensor fasciae latae muscle
2. Piriformis muscle
3. Iliotibial band
4. 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:
1. Neurons
2. Receptors
3. Glial cells
4. 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?
1. Osteoarthritis
2. Hypertension
3. Diabetes
4. 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?
1. Radial nerve
2. Median nerve
3. Ulnar nerve
4. 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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