Nationals For Massage Therapists
Questions to help massage therapists prepare for the National Examination to obtain licensure.
Questions and Answers
- 1.
The sequences and directions of Swedish massage strokes are most adapted to which anatomical or physiological situation?
- A.
Muscle attachments
- B.
Subcutaneous adipose tissue
- C.
Autonomic nervous system
- D.
Lymph drainage and venous return
Correct Answer
D. Lymph drainage and venous returnExplanation
The sequences and directions of Swedish massage strokes are most adapted to lymph drainage and venous return. Swedish massage techniques, such as effleurage and petrissage, help to stimulate the flow of lymphatic fluid and improve venous circulation. These strokes apply gentle pressure and rhythmic movements, which assist in clearing toxins and waste products from the body's tissues. By enhancing lymph drainage and venous return, Swedish massage can promote overall relaxation, reduce swelling, and improve the body's ability to heal and recover.Rate this question:
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- 2.
Good bookkeeping for healing arts professionals can
- A.
Eliminate tracking sheets
- B.
Decrease bank statements
- C.
Increase petty cash funds
- D.
Increase legitimate tax dedctions
Correct Answer
D. Increase legitimate tax dedctionsExplanation
Good bookkeeping for healing arts professionals can increase legitimate tax deductions. By maintaining accurate and organized records of income and expenses, professionals can identify eligible deductions and claim them on their tax returns. This can help reduce their taxable income and potentially lower their overall tax liability. Proper bookkeeping practices also ensure compliance with tax laws and regulations, minimizing the risk of audits and penalties.Rate this question:
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- 3.
When massaging the thigh in the supine position, which muscle is involved?
- A.
Hamstring
- B.
Quadriceps
- C.
Gluteal
- D.
Gastrocnemius
Correct Answer
B. QuadricepsExplanation
When massaging the thigh in the supine position, the muscle involved is the quadriceps. The quadriceps muscle group is located in the front of the thigh and is responsible for extending the leg at the knee joint. Massaging this muscle can help relieve tension, improve circulation, and promote relaxation in the thigh area.Rate this question:
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- 4.
Massage is contraindicated for which of the following conditions?
- A.
High blood pressure
- B.
Constipation
- C.
Keloid Scar
- D.
Adhesions
Correct Answer
A. High blood pressureExplanation
Massage is contraindicated for high blood pressure because the pressure applied during a massage can potentially increase blood pressure even further. High blood pressure can lead to serious health complications such as heart attacks and strokes, and massage may exacerbate these risks. It is important for individuals with high blood pressure to consult with their healthcare provider before receiving a massage to ensure it is safe for them.Rate this question:
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- 5.
The ilioposas flesxes the hip because of its insertion on the ____________.
- A.
Femur
- B.
Greater trochanter
- C.
Lesser trochanter
- D.
Iliac Crest
Correct Answer
C. Lesser trochanterExplanation
The iliopsoas muscle is responsible for flexing the hip joint. It accomplishes this movement due to its insertion on the lesser trochanter of the femur. When the iliopsoas contracts, it pulls on the lesser trochanter, causing the hip to flex. The other options listed, including the femur, greater trochanter, and iliac crest, are not directly involved in the action of hip flexion.Rate this question:
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- 6.
The tricuspid valve is found between the
- A.
Right atrium and right ventricle
- B.
Left ventricle and aorta
- C.
Left ventricled and right ventricle
- D.
Right atrium and left atrium
Correct Answer
A. Right atrium and right ventricleExplanation
The tricuspid valve is found between the right atrium and right ventricle. It is responsible for preventing the backflow of blood from the right ventricle to the right atrium during the contraction of the heart. This valve consists of three leaflets or cusps that open and close to allow blood to flow in one direction only.Rate this question:
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- 7.
Which is a TRUE statement concerning Golgi tendon apparatus?
- A.
Found in joint capsules
- B.
Detects overall tension in tendon
- C.
Originates in Purkinje fibers
- D.
Activated by vagal reflex
Correct Answer
B. Detects overall tension in tendonExplanation
The Golgi tendon apparatus is responsible for detecting overall tension in tendons. It is not found in joint capsules, originates in Purkinje fibers, or activated by vagal reflex.Rate this question:
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- 8.
Which muscles are adductors?
- A.
Pectoralis and deltoid
- B.
Pectoralis and latissimus dorsi
- C.
Deltoid and latissimus dorsi
- D.
Biceps and deltoid
Correct Answer
B. Pectoralis and latissimus dorsiExplanation
The adductor muscles are responsible for bringing the limbs closer to the midline of the body. The pectoralis and latissimus dorsi muscles are both adductors. The pectoralis muscles are located in the chest and help to bring the arms towards the body's midline. The latissimus dorsi muscles are located in the back and also assist in bringing the arms closer to the midline. Therefore, the correct answer is pectoralis and latissimus dorsi.Rate this question:
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- 9.
Which muscle would be paralyzed if the sciatic nerve were severed?
- A.
Trapezius
- B.
Biceps Femoris
- C.
Gluteus maximus
- D.
Erector Spinae
Correct Answer
B. Biceps FemorisExplanation
If the sciatic nerve were severed, the muscle that would be paralyzed is the Biceps Femoris. The sciatic nerve is the largest nerve in the body and it innervates several muscles in the lower limb, including the Biceps Femoris. This muscle is located in the back of the thigh and is responsible for flexing the knee and extending the hip joint. Therefore, if the sciatic nerve is damaged, the Biceps Femoris would lose its nerve supply and be unable to function, resulting in paralysis.Rate this question:
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- 10.
Which statement most accuratley describes the meridian system?
- A.
Energy pathway moving randomly through the body
- B.
Energy pathway moving superficially
- C.
Energy pathway that doesn't affect organs
- D.
12 meridians and 2 vesels are pathways in which energy moves toward the surface of the body, affecting organs
Correct Answer
D. 12 meridians and 2 vesels are pathways in which energy moves toward the surface of the body, affecting organsExplanation
The meridian system consists of 12 meridians and 2 vessels, which serve as pathways for energy to move towards the surface of the body. These pathways have an effect on the organs in the body.Rate this question:
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- 11.
What type of insurance do LMT's but to cover their work in case a client sues?
- A.
Malpractice and life
- B.
Homeowners
- C.
Life
- D.
Liability and malpractice
Correct Answer
D. Liability and malpracticeExplanation
LMT's, or Licensed Massage Therapists, typically purchase liability and malpractice insurance to cover their work in case a client sues. Liability insurance provides coverage for any injuries or damages caused to a client during a massage session, while malpractice insurance protects against claims of professional negligence or misconduct. These types of insurance are specifically designed to address the unique risks and potential legal liabilities that massage therapists may face in their profession.Rate this question:
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- 12.
Which condition is present when there is an injury of the ulnar nerve at the elbow?
- A.
Inability to flex fingers fully
- B.
Spasticity
- C.
Flaccidity
- D.
Spasms
Correct Answer
C. FlaccidityExplanation
Flaccidity refers to a state of limpness or lack of muscle tone. When there is an injury to the ulnar nerve at the elbow, it can result in a condition known as ulnar nerve palsy. This condition causes weakness or paralysis of the muscles innervated by the ulnar nerve, leading to flaccidity in the affected hand and fingers. Therefore, the presence of flaccidity is indicative of an injury to the ulnar nerve at the elbow.Rate this question:
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- 13.
The only joint where the axial skeleton articulates with the appedicular skeleton is:
- A.
Sternoclavicular
- B.
Glenohumeral
- C.
Sternoscapular
- D.
Scapularclavicular
Correct Answer
A. SternoclavicularExplanation
The sternoclavicular joint is the only joint where the axial skeleton (specifically the sternum) articulates with the appendicular skeleton (specifically the clavicle). This joint allows for movement and stability between the upper limbs and the axial skeleton.Rate this question:
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- 14.
What muscle is not part of the rotator cuff?
- A.
Supraspinatus
- B.
Infraspinatus
- C.
Teres Major
- D.
Teres Minor
Correct Answer
C. Teres MajorExplanation
The teres major muscle is not part of the rotator cuff. The rotator cuff is a group of muscles and tendons that surround and stabilize the shoulder joint. It consists of the supraspinatus, infraspinatus, teres minor, and subscapularis muscles. While the teres major muscle is located near the shoulder joint, it is not considered part of the rotator cuff.Rate this question:
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- 15.
When opening a massage business, helpful resourses include:
- A.
Chamber of Commerce
- B.
Accountant
- C.
Small Business Administration
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
Opening a massage business requires various resources, such as guidance and support from the Chamber of Commerce, who can provide valuable information and networking opportunities. An accountant is also essential to manage the financial aspects of the business, including bookkeeping, taxes, and financial planning. Additionally, the Small Business Administration offers resources and assistance to entrepreneurs, including business planning, financing options, and educational programs. Therefore, all of the mentioned options - Chamber of Commerce, Accountant, and Small Business Administration - are helpful resources when opening a massage business.Rate this question:
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- 16.
Accupressure, shiatsu, polarity and reflexology are examples of:
- A.
Energetic manipulation
- B.
Behavioral barometer
- C.
Rective circuits
- D.
Systematic massage
Correct Answer
A. Energetic manipulationExplanation
Accupressure, shiatsu, polarity, and reflexology are all practices that involve manipulating the body's energy flow. These techniques are based on the belief that energy, or life force, flows through specific pathways in the body and that imbalances or blockages in this energy can lead to physical or emotional problems. By applying pressure or manipulating specific points on the body, these practices aim to restore the balance of energy and promote healing. Therefore, the correct answer is "Energetic manipulation."Rate this question:
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- 17.
When massaging the lateral head of the fibula. of which structure should you be careful?
- A.
Popliteal endangerment site
- B.
Peroneal nerve
- C.
Tibial nerve
- D.
Femoral nerve
Correct Answer
B. Peroneal nerveExplanation
When massaging the lateral head of the fibula, one should be careful of the peroneal nerve. The peroneal nerve runs along the lateral side of the leg, close to the fibula. It is responsible for controlling the muscles that allow for ankle movement and foot dorsiflexion. If the peroneal nerve is injured or compressed during a massage, it can lead to symptoms such as weakness or numbness in the lower leg and foot. Therefore, it is important to be cautious and avoid putting excessive pressure or causing any trauma to the peroneal nerve during this massage.Rate this question:
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- 18.
Cross-fiber massage must be applied in which direction to the fibers?
- A.
Horizontally
- B.
At right angles
- C.
Triangularly
- D.
Trapezoidally
Correct Answer
A. HorizontallyExplanation
Cross-fiber massage must be applied horizontally to the fibers because it involves applying pressure against the direction of the muscle fibers. This technique helps to break up adhesions and scar tissue, improve circulation, and increase flexibility. By applying the massage horizontally, the therapist can effectively target and release tension in the muscle fibers, promoting better healing and reducing pain.Rate this question:
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- 19.
With your client in the supine position, how do you expose the serratus anterior?
- A.
Lateral rotation and adduction of the arm
- B.
Medial rotation and adduction of the arm
- C.
Horizontal abduction of the arm
- D.
Horizontal adduction of the arm
Correct Answer
C. Horizontal abduction of the armExplanation
To expose the serratus anterior, the arm needs to be horizontally abducted. This means moving the arm away from the midline of the body. This movement allows for better visualization and access to the serratus anterior muscle, which is located on the lateral aspect of the chest wall. Lateral rotation and adduction of the arm would not provide the same level of exposure to the muscle. Medial rotation and adduction of the arm would move the arm towards the midline, limiting visibility. Horizontal adduction of the arm would also not provide the desired exposure as it brings the arm across the body.Rate this question:
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- 20.
Hypercontraction of the pectoralis minor causes rounded shoulders. Which muscle would be weak and overstretched?
- A.
Pectoralis minor
- B.
Rhomboids
- C.
Subclavius
- D.
Levator scapula
Correct Answer
B. RhomboidsExplanation
The rhomboids would be weak and overstretched if the pectoralis minor is hypercontracted. The rhomboids are responsible for retracting and stabilizing the scapula, while the pectoralis minor pulls the scapula forward and downward. When the pectoralis minor is hypercontracted, it can cause the scapula to rotate forward and downward, leading to rounded shoulders. In this case, the rhomboids would be stretched and unable to counteract the excessive pull of the pectoralis minor, resulting in weakness and overstretched muscles.Rate this question:
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- 21.
Which muscles shares a common attachment?
- A.
Biceps brachii, brachiradialis, coracobrachialis
- B.
Coracobrachialis, brachioradialis, pectoralis minor
- C.
Pectoralis minor, coracobrachalis, brachiradialis
- D.
Biceps brachii, coracobrachilis, pectoralis minor
Correct Answer
D. Biceps brachii, coracobrachilis, pectoralis minorExplanation
The correct answer is Biceps brachii, coracobrachilis, pectoralis minor. These muscles all share a common attachment to the coracoid process of the scapula. The biceps brachii attaches to the coracoid process via the short head, the coracobrachialis attaches to the coracoid process directly, and the pectoralis minor also attaches to the coracoid process. This common attachment allows for coordinated movement and stability of the shoulder joint.Rate this question:
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- 22.
Friction, percussion, and vibration are techniques that
- A.
Stimulate
- B.
Relax
- C.
Strengthen
- D.
Weaken
Correct Answer
A. StimulateExplanation
Friction, percussion, and vibration are techniques that stimulate. These techniques involve applying pressure, movement, and vibration to the body, which can increase blood flow, promote relaxation, and awaken the senses. They are commonly used in massage therapy and physical therapy to stimulate the muscles, nerves, and tissues, providing various therapeutic benefits such as pain relief, improved circulation, and increased range of motion. Overall, these techniques are designed to invigorate and activate the body, making them effective in stimulating the body's natural healing processes.Rate this question:
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- 23.
All of the following dorsiflex the ankle except:
- A.
Tibilalis anterior
- B.
Extensor halluci longus
- C.
Peroneus longus
- D.
Peronues tertius
Correct Answer
C. Peroneus longusExplanation
The peroneus longus is not involved in dorsiflexion of the ankle. The tibialis anterior, extensor hallucis longus, and peroneus tertius are all muscles that contribute to dorsiflexion, which is the movement of lifting the foot towards the shin. However, the peroneus longus is responsible for plantarflexion, which is the movement of pointing the foot downwards. Therefore, it does not dorsiflex the ankle.Rate this question:
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- 24.
The hamstring muscles, from medial to lateral, are
- A.
Biceps femoris, semitendinosus, semimebranosis
- B.
Semitendinosus, semimembranosus, biceps femoris
- C.
Semimembranosus, semitendinosus, rectus femoris
- D.
Semimembranosis, semitendinosus, biceps femoris
Correct Answer
D. Semimembranosis, semitendinosus, biceps femorisExplanation
The correct answer is Semimembranosis, semitendinosus, biceps femoris. The hamstring muscles are located at the back of the thigh and are responsible for flexing the knee joint. The semimembranosus is the most medial of the three hamstring muscles, followed by the semitendinosus, and finally the biceps femoris, which is the most lateral.Rate this question:
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- 25.
We do not massage the SCM bilaterally because of the
- A.
Femoral artery
- B.
Common carotid artery
- C.
Peroneal artery
- D.
Tibial artery
Correct Answer
B. Common carotid arteryExplanation
The common carotid artery is located in the neck and supplies blood to the head and neck region. Massaging the common carotid artery bilaterally can disrupt the blood flow to the brain, potentially causing serious complications such as stroke or damage to the brain tissue. Therefore, it is important to avoid massaging this artery to ensure the safety and well-being of the individual.Rate this question:
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- 26.
What is the insertion of the brachiradialis?
- A.
Styloid process of radius
- B.
Lateral epicondyle of humerus
- C.
Medial epicondyle of humerus
- D.
Styloid process of ulna
Correct Answer
A. Styloid process of radiusExplanation
The insertion of the brachiradialis is the styloid process of the radius. The brachiradialis is a muscle located in the forearm that plays a role in flexing the elbow joint. Its origin is at the lateral supracondylar ridge of the humerus, and it inserts on the styloid process of the radius. This muscle helps to stabilize the wrist during movements and is involved in various activities such as lifting and gripping.Rate this question:
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- 27.
What is the origin of the teres major?
- A.
Medial border of scapula
- B.
Lateral border of scapula
- C.
Lesser tubercle
- D.
Greater tubercle
Correct Answer
B. Lateral border of scapulaExplanation
The teres major muscle originates from the lateral border of the scapula. This means that it starts from the outer edge of the scapula bone.Rate this question:
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- 28.
The attempt to bring the stucture of the body into alighnment around a central axis is called
- A.
Structural integration
- B.
Trauma
- C.
Alignment
- D.
Adjustment
Correct Answer
A. Structural integrationExplanation
Structural integration refers to the process of aligning the structure of the body around a central axis. This practice aims to improve posture, balance, and overall physical well-being by addressing imbalances and restrictions in the body's connective tissues. Through manual manipulation and movement education, structural integration helps to create a more efficient and harmonious relationship between different parts of the body, resulting in improved alignment and function.Rate this question:
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- 29.
What muscle shares an attachment with the deltoids?
- A.
Levator scapula
- B.
Biceps brachialis
- C.
Trapezius
- D.
Supraspinatis
Correct Answer
C. TrapeziusExplanation
The trapezius muscle shares an attachment with the deltoids. The trapezius muscle is a large, triangular muscle that extends from the base of the skull down to the middle of the back and across the shoulder blades. It plays a key role in stabilizing and moving the shoulder joint, and it also helps to elevate and retract the scapula. The attachment between the trapezius and deltoid muscles allows for coordinated movement and stability of the shoulder girdle.Rate this question:
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- 30.
A hyperirritible spot that is painful when compressed is called a (an)
- A.
Trigger Point
- B.
Pain point
- C.
Ampule
- D.
Rolfing
Correct Answer
A. Trigger PointExplanation
A hyperirritable spot that is painful when compressed is known as a trigger point. Trigger points are commonly found in muscles and can cause referred pain to other areas of the body. These points can be tender to touch and may cause muscle stiffness or limited range of motion. Trigger points are often treated with techniques such as massage, stretching, or dry needling to alleviate pain and improve muscle function.Rate this question:
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- 31.
Which rotator cuff muscle is positioned anterior on the scapula?
- A.
Supraspinatus
- B.
Infraspinatus
- C.
Teres Minor
- D.
Subscapularis
Correct Answer
D. SubscapularisExplanation
The correct answer is Subscapularis because it is the only rotator cuff muscle that is positioned anteriorly on the scapula. The supraspinatus, infraspinatus, and teres minor muscles are all located posteriorly on the scapula. The subscapularis muscle plays a key role in shoulder movement and stabilization by internally rotating the arm and helping to hold the head of the humerus in the glenoid cavity.Rate this question:
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- 32.
In which directions do the yin merdians flow?
- A.
Superior to inferior
- B.
Inferior to superior
- C.
Lateral to medial
- D.
Medial to lateral
Correct Answer
B. Inferior to superiorExplanation
The yin meridians flow from inferior to superior. This means that the energy and vital substances in the yin meridians move from lower parts of the body towards the upper parts. This direction of flow is important in traditional Chinese medicine as it helps balance the energy and promote overall health and well-being.Rate this question:
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- 33.
Injuries that have a gradual onset or reoccur often are called
- A.
Sprains
- B.
Occupational
- C.
Acute
- D.
Chronic
Correct Answer
D. ChronicExplanation
Injuries that have a gradual onset or reoccur often are called chronic. Chronic injuries are typically long-lasting and persist over a period of time. They may result from repetitive stress or overuse of a particular body part. Unlike acute injuries that occur suddenly, chronic injuries develop gradually and can worsen if not properly treated or managed. These injuries may require ongoing medical attention and can significantly impact an individual's daily activities and quality of life.Rate this question:
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- 34.
What is the insertion for pectoralis major?
- A.
Medial clavicle
- B.
Medial bicipital groove
- C.
Sternum
- D.
Lateral bicipital groove
Correct Answer
D. Lateral bicipital grooveExplanation
The insertion for pectoralis major is the lateral bicipital groove. This means that the muscle attaches to the groove located on the humerus bone, specifically on the lateral side. This insertion point allows the pectoralis major muscle to exert force and contribute to movements of the shoulder joint, such as flexion, adduction, and internal rotation.Rate this question:
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- 35.
What name may be give to a muscle that acts on the thumb?
- A.
Hollucis
- B.
Longus
- C.
Pollicis
- D.
Brevis
Correct Answer
C. PollicisExplanation
The name "Pollicis" may be given to a muscle that acts on the thumb. This is because "Pollicis" is derived from the Latin word "pollex" which means thumb. Therefore, a muscle with the name "Pollicis" would indicate that it is specifically involved in the movement or action of the thumb.Rate this question:
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- 36.
If a client's condition is outside the LMT's scope of practice, the technician should
- A.
Schdule extra sessions
- B.
Refer the client to the proper professional
- C.
Take more training
- D.
Read textbooks
Correct Answer
B. Refer the client to the proper professionalExplanation
If a client's condition is outside the LMT's scope of practice, it is important for the technician to refer the client to the proper professional. This is because the technician may not have the necessary expertise or qualifications to effectively address the client's condition. Referring the client to a professional who specializes in the specific area of concern ensures that the client receives appropriate and specialized care.Rate this question:
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- 37.
Which erector spinae muscle is the most medial of the group?
- A.
Spinalis
- B.
Multifidus
- C.
Longisimus
- D.
Iliocostalis
Correct Answer
A. SpinalisExplanation
The erector spinae muscles are a group of muscles located along the spine. The spinalis muscle is the most medial muscle of this group. It runs parallel to the spine and is located closest to the midline of the body. The multifidus muscle is located slightly more laterally, followed by the longissimus muscle, and the iliocostalis muscle is the most lateral muscle of the erector spinae group. Therefore, the correct answer is Spinalis.Rate this question:
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- 38.
What is the insertion site for levator scapulae?
- A.
Ribs 1-8
- B.
Medial border of the scapula
- C.
Superior angle of the scapula
- D.
C1-C4
Correct Answer
C. Superior angle of the scapulaExplanation
The insertion site for the levator scapulae muscle is the superior angle of the scapula.Rate this question:
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