Pass the 2026 exam faster with licensing-focused massage therapy MCQs

Try the same question style you will see inside the Massage Therapist question bank.

Question 1

A 46-year-old male with chronic low back pain reports new numbness in the perineal region after a deep gluteal and lumbar massage session. He also mentions difficulty starting urination since yesterday. On exam, he has reduced anal wink and bilateral lower-limb weakness. What is the best immediate next step for a massage therapist?

A) Perform gentle stretching and recheck symptoms after 24 hours

B) Advise NSAIDs and hydration, then continue with lighter pressure next session

C) Stop the session and arrange urgent emergency referral for possible cauda equina syndrome

D) Apply heat and perform deeper trigger-point release to reduce spasm

Correct answer: C

Explanation: Saddle anesthesia, urinary difficulty/retention, and neurologic deficits are red flags for cauda equina syndrome. This is a medical emergency. The appropriate action is to stop treatment and ensure urgent referral (emergency evaluation), not to continue, wait, or intensify techniques.

Question 2

A 62-year-old female presents for neck and shoulder massage. She takes warfarin for atrial fibrillation and has a history of osteoporosis. During palpation, you notice extensive ecchymosis over the upper trapezius from a prior massage and she reports "easy bruising". She requests deep tissue work and aggressive stripping. What is the most appropriate modification?

A) Proceed with deep tissue; bruising is expected with therapeutic intensity

B) Avoid massage entirely and tell her to stop warfarin before the next session

C) Use light to moderate pressure, avoid deep friction/stripping, monitor bruising, and consider medical clearance if bruising is significant or worsening

D) Focus only on cervical manipulation to reduce muscle guarding without bruising

Correct answer: C

Explanation: Anticoagulation increases bleeding/bruising risk and osteoporosis increases fragility risk. The safe approach is to reduce pressure and avoid techniques that raise tissue shear/trauma (deep friction, aggressive stripping). Do not advise stopping prescribed anticoagulants. High-velocity manipulation is outside typical massage scope and can be unsafe.