TEXAS MASSAGE THERAPIST LICENSING EXAM ACTUAL EXAM
COMPLETE 300 NEWEST 2025/2026 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
1. A client presents with acute inflammation in the ankle. What is the MOST appropriate action?
A. Apply deep tissue massage
B. Perform friction techniques
C. Avoid massage to the area
D. Use vigorous tapotement
Answer: C
Rationale: Acute inflammation is a contraindication for massage. Manipulating the area can
worsen swelling and tissue damage.
2. Which system is MOST directly affected by massage therapy?
A. Endocrine
B. Musculoskeletal
C. Digestive
D. Urinary
Answer: B
Rationale: Massage primarily targets muscles, fascia, and connective tissues within the
musculoskeletal system.
3. What is the main purpose of effleurage?
A. Break adhesions
B. Warm up tissues
C. Stimulate nerves
D. Increase joint mobility
Answer: B
Rationale: Effleurage is a gliding stroke used to warm tissues and promote circulation.
,4. Deep vein thrombosis (DVT) is a:
A. Local contraindication
B. Systemic contraindication
C. Absolute contraindication
D. Relative contraindication
Answer: C
Rationale: DVT is an absolute contraindication due to risk of embolism.
5. Which direction should strokes generally follow to enhance venous return?
A. Away from the heart
B. Toward the heart
C. Circular motion only
D. Random direction
Answer: B
Rationale: Massage strokes are directed toward the heart to support venous and lymphatic
return.
6. What is the function of lymphatic drainage massage?
A. Increase muscle strength
B. Reduce fluid retention
C. Improve bone density
D. Stimulate digestion
Answer: B
Rationale: Lymphatic massage helps reduce edema by promoting lymph flow.
7. Which condition requires physician approval before massage?
A. Minor muscle soreness
B. Controlled hypertension
C. Open wound
D. Healthy client
Answer: B
Rationale: Clients with controlled hypertension may require precautions and medical clearance.
8. The origin of a muscle is defined as:
A. The movable attachment
B. The distal attachment
C. The fixed attachment
D. The insertion point
Answer: C
Rationale: The origin is typically the more stable attachment point.
,9. Which technique uses rhythmic percussion?
A. Petrissage
B. Tapotement
C. Effleurage
D. Friction
Answer: B
Rationale: Tapotement involves rhythmic tapping or percussion movements.
10. What is the ethical responsibility regarding client confidentiality?
A. Share with colleagues
B. Share with family
C. Maintain privacy always
D. Post online anonymously
Answer: C
Rationale: Confidentiality is a core ethical and legal responsibility.
11. Which tissue connects muscle to bone?
A. Ligament
B. Tendon
C. Fascia
D. Cartilage
Answer: B
Rationale: Tendons connect muscle to bone.
12. What is the purpose of draping?
A. Improve circulation
B. Maintain modesty and warmth
C. Enhance pressure
D. Increase flexibility
Answer: B
Rationale: Draping protects client privacy and comfort.
13. A contraindication for massage includes:
A. Stress
B. Fever
C. Fatigue
D. Anxiety
Answer: B
Rationale: Fever indicates systemic illness; massage may worsen it.
, 14. What does petrissage involve?
A. Light stroking
B. Kneading
C. Tapping
D. Stretching
Answer: B
Rationale: Petrissage involves lifting, kneading, and squeezing muscles.
15. Which joint allows the greatest range of motion?
A. Hinge
B. Ball and socket
C. Pivot
D. Saddle
Answer: B
Rationale: Ball-and-socket joints (e.g., shoulder) allow multidirectional movement.
16. What is the main benefit of massage on the nervous system?
A. Bone strengthening
B. Relaxation
C. Digestion
D. Hormone production
Answer: B
Rationale: Massage promotes parasympathetic response and relaxation.
17. Which position is best for back massage?
A. Supine
B. Prone
C. Side-lying
D. Standing
Answer: B
Rationale: Prone position provides optimal access to the back.
18. What is friction used for?
A. Relaxation
B. Break adhesions
C. Warm tissue
D. Drain lymph
Answer: B
Rationale: Friction targets deeper tissues to break scar tissue.
COMPLETE 300 NEWEST 2025/2026 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
1. A client presents with acute inflammation in the ankle. What is the MOST appropriate action?
A. Apply deep tissue massage
B. Perform friction techniques
C. Avoid massage to the area
D. Use vigorous tapotement
Answer: C
Rationale: Acute inflammation is a contraindication for massage. Manipulating the area can
worsen swelling and tissue damage.
2. Which system is MOST directly affected by massage therapy?
A. Endocrine
B. Musculoskeletal
C. Digestive
D. Urinary
Answer: B
Rationale: Massage primarily targets muscles, fascia, and connective tissues within the
musculoskeletal system.
3. What is the main purpose of effleurage?
A. Break adhesions
B. Warm up tissues
C. Stimulate nerves
D. Increase joint mobility
Answer: B
Rationale: Effleurage is a gliding stroke used to warm tissues and promote circulation.
,4. Deep vein thrombosis (DVT) is a:
A. Local contraindication
B. Systemic contraindication
C. Absolute contraindication
D. Relative contraindication
Answer: C
Rationale: DVT is an absolute contraindication due to risk of embolism.
5. Which direction should strokes generally follow to enhance venous return?
A. Away from the heart
B. Toward the heart
C. Circular motion only
D. Random direction
Answer: B
Rationale: Massage strokes are directed toward the heart to support venous and lymphatic
return.
6. What is the function of lymphatic drainage massage?
A. Increase muscle strength
B. Reduce fluid retention
C. Improve bone density
D. Stimulate digestion
Answer: B
Rationale: Lymphatic massage helps reduce edema by promoting lymph flow.
7. Which condition requires physician approval before massage?
A. Minor muscle soreness
B. Controlled hypertension
C. Open wound
D. Healthy client
Answer: B
Rationale: Clients with controlled hypertension may require precautions and medical clearance.
8. The origin of a muscle is defined as:
A. The movable attachment
B. The distal attachment
C. The fixed attachment
D. The insertion point
Answer: C
Rationale: The origin is typically the more stable attachment point.
,9. Which technique uses rhythmic percussion?
A. Petrissage
B. Tapotement
C. Effleurage
D. Friction
Answer: B
Rationale: Tapotement involves rhythmic tapping or percussion movements.
10. What is the ethical responsibility regarding client confidentiality?
A. Share with colleagues
B. Share with family
C. Maintain privacy always
D. Post online anonymously
Answer: C
Rationale: Confidentiality is a core ethical and legal responsibility.
11. Which tissue connects muscle to bone?
A. Ligament
B. Tendon
C. Fascia
D. Cartilage
Answer: B
Rationale: Tendons connect muscle to bone.
12. What is the purpose of draping?
A. Improve circulation
B. Maintain modesty and warmth
C. Enhance pressure
D. Increase flexibility
Answer: B
Rationale: Draping protects client privacy and comfort.
13. A contraindication for massage includes:
A. Stress
B. Fever
C. Fatigue
D. Anxiety
Answer: B
Rationale: Fever indicates systemic illness; massage may worsen it.
, 14. What does petrissage involve?
A. Light stroking
B. Kneading
C. Tapping
D. Stretching
Answer: B
Rationale: Petrissage involves lifting, kneading, and squeezing muscles.
15. Which joint allows the greatest range of motion?
A. Hinge
B. Ball and socket
C. Pivot
D. Saddle
Answer: B
Rationale: Ball-and-socket joints (e.g., shoulder) allow multidirectional movement.
16. What is the main benefit of massage on the nervous system?
A. Bone strengthening
B. Relaxation
C. Digestion
D. Hormone production
Answer: B
Rationale: Massage promotes parasympathetic response and relaxation.
17. Which position is best for back massage?
A. Supine
B. Prone
C. Side-lying
D. Standing
Answer: B
Rationale: Prone position provides optimal access to the back.
18. What is friction used for?
A. Relaxation
B. Break adhesions
C. Warm tissue
D. Drain lymph
Answer: B
Rationale: Friction targets deeper tissues to break scar tissue.
