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Exam Type: Computer-based multiple-choice exam.
Number of Questions: 100 scored questions + 20 un-scored pretest questions (total of 120 questions).
Time Limit: 2 hours (120 minutes).
Question Types: Multiple-choice questions with four answer options.
Language: English.
Scoring System: The exam uses a scaled scoring system, with scores ranging from 300 to 700.
Passing Score: A scaled score of 500 or higher is required to pass.

1. Anatomy and Physiology (25%)
- Skeletal System: Bones, joints, and their functions.
- Muscular System: Muscle groups, origins, insertions, actions, and types of muscle contractions.
- Nervous System: Central and peripheral nervous systems, reflexes, and sensory receptors.
- Circulatory System: Heart, blood vessels, and circulation pathways.
- Lymphatic System: Lymph nodes, vessels, and immune function.
- Respiratory System: Lungs, diaphragm, and breathing mechanics.
- Digestive System: Organs and processes of digestion.
- Endocrine System: Hormones and glands.
- Integumentary System: Skin, hair, and nails.
- Reproductive System: Male and female reproductive anatomy.

2. Kinesiology (20%)
- Muscle Function: Agonists, antagonists, synergists, and stabilizers.
- Range of Motion (ROM): Active, passive, and resisted movements.
- Posture and Alignment: Common postural deviations (e.g., lordosis, kyphosis, scoliosis).
- Gait Analysis: Walking patterns and their impact on the body.
- Biomechanics: Lever systems, force, and torque in movement.

3. Pathology (15%)
- Contraindications: Absolute (e.g., deep vein thrombosis) and local (e.g., open wounds).
- Common Pathologies: Arthritis, fibromyalgia, carpal tunnel syndrome, tendonitis, etc.
- Infectious Diseases: HIV/AIDS, hepatitis, and universal precautions.
- Chronic Pain Conditions: Understanding pain pathways and management.
- Medications: How medications may affect massage therapy.

4. Massage and Bodywork Assessment (15%)
- Client Intake: Health history forms, informed consent, and SOAP notes (Subjective, Objective, Assessment, Plan).
- Palpation Skills: Identifying tissue texture, temperature, and tension.
- Range of Motion Testing: Assessing joint mobility.
- Postural Assessment: Identifying imbalances and compensations.
- Special Populations: Adapting techniques for pregnant women, elderly clients, athletes, etc.

5. Massage and Bodywork Techniques (25%)
- Swedish Massage: Effleurage, petrissage, tapotement, friction, and vibration.
- Deep Tissue Massage: Techniques for addressing chronic tension and adhesions.
- Myofascial Release: Releasing fascial restrictions.
- Trigger Point Therapy: Identifying and releasing trigger points.
- Sports Massage: Pre-event, post-event, and maintenance techniques.
- Seated Massage: Techniques for chair massage.
- Energy-Based Modalities: Basics of Reiki, craniosacral therapy, etc.
- Hydrotherapy: Use of hot/cold therapies.
- Stretching Techniques: Active, passive, and PNF stretching.

6. Professional Practices, Ethics, and Legalities (10%)
- Scope of Practice: Understanding what is within and outside a massage therapist's scope.
- Ethical Standards: Confidentiality, boundaries, and client-therapist relationships.
- Laws and Regulations: State licensing requirements, HIPAA compliance, and business laws.
- Professional Communication: Effective communication with clients and healthcare providers.
- Business Practices: Marketing, record-keeping, and insurance billing.

7. Research and Evidence-Based Practice (5%)
- Research Literacy: Understanding peer-reviewed studies and evidence-based practices.
- Outcome Measures: Evaluating the effectiveness of massage techniques.
- Continuing Education: Importance of staying updated with current research and trends.

- Effleurage: A gliding stroke used in Swedish massage.
- Petrissage: Kneading techniques to lift and squeeze muscles.
- Tapotement: Rhythmic tapping or percussion movements.
- Myofascial: Relating to the fascia surrounding muscles.
- Trigger Point: A hyperirritable spot in a muscle associated with pain.
- Contraindication: A condition or factor that makes a particular treatment inadvisable.
- SOAP Notes: A method of documentation (Subjective, Objective, Assessment, Plan).
- PNF Stretching: Proprioceptive Neuromuscular Facilitation, a stretching technique.
- Endangerment Sites: Areas of the body where nerves or blood vessels are close to the surface and require caution during massage.