Complete Your CE Test Online - Click Here Š Š Heller, J (2017). Opioid Intoxication. Retrieved January 16, 2018, from https://medlineplus.gov/ency/ article/000948.htm Š Š Katzung, B.G., Trevor, A.J., (2017). Basic & Clinical Pharmacology, 14th Edition. McGraw Hill Š Š Kecskes, A.A. (2014). Neurohormonal Effects of Massage Therapy. Retrieved January 2016 from https://www.pacificcollege.edu/news/blog/2014/11/08/neurohormonal-effects-massage-therapy. Š Š Masters, S., Trevor, A. (2012). Basic and Clinical Pharmacology. McGraw Hill Š Š Michaeli, D. (2016). Massage and Your Brain. Retrieved January 16, 2018, from https:// thedoctorweighsin.com/massage-and-your-brain/ Š Š National Center for Complementary and Integrated Health (2017). Massage Therapy for Health Purposes. Retrieved January 17, 2018, from https://nccih.nih.gov/health/massage/ massageintroduction.htm Š Š Noonan, T. (2018). Massage and the Autonomic Nervous System. Retrieved January 16, 2018, from Š Š https://timnoonan.com.au/resources/health-and-wellbeing/massage-and-the-autonomic-nervous- system/ Š Š Patton, K.T., Thibodeau, G.A. (2018). The Human Body in Health & Disease. St. Louis: Missouri Elsevier Š Š Qaseem, A., Wilt, T.J., McLean, R.M. Forciea (2017). Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians. Retrieved January 18, 2018, from http://annals.org/aim/fullarticle/2603228/noninvasive-treatments- acute-subacute-chronic-low-back-pain-clinical-practice. Retrieved January 18, from 2918 from Š Š Rashrash, M., Schommer, J.C., Brown, L.M. (2017). Prevalence and Predictors of Herbal Medicine Use Among Adults in the United States. Retrieved January 16, 2018, from http://journals.sagepub. com/doi/pdf/10.1177/2374373517706612 Š Š Schuckit, M.A. (2016). Treatment of Opioid-Use Disorders. N Engl J Med 2016; 375:357-368July 28, 2016DOI: 10.1056/NEJMra1604339. Retrieved January 17, 2018, from http://www.nejm.org/doi/ full/10.1056/NEJMra1604339#t=article Š Š Substance Abuse and Mental Health Services Administration (2016). Medication for Opioid Use Disorders. Retrieved January 16, 2018, from https://www.samhsa.gov/treatment/substance-use- disorders Š Š Smith-Marsh, D.E. (2018). Overview of Generic Drugs and Drug Naming. Retrieved January 16, 2018, from http://www.merckmanuals.com/home/drugs/brand-name-and-generic-drugs/overview-of- generic-drugs-and-drug-naming Š Š U.S. Food and Drug Administration (2016). Drug Safety Oversight Board. Retrieved January 16, 2018, from https://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/ CDER/ucm082129.htm Š Š U.S. National Library of Medicine (2017). Methadone. Retrieved January 17, 2018, from https:// medlineplus.gov/druginfo/meds/a682134.html Š Š Vallabhaneni, V.R. (2014). Pharmakenetic Models. Retrieved January 16, 2018, from https://www. slideshare.net/bharathpharmacist/pharmacokinetic-models?next_slideshow=1 Š Š Van Norman, G. A. (2016). Drugs, Devices, and the FDA: Part 1 An Overview of Approval Processes for Drugs. Retrieved January 2018 from https://ac.els-cdn.com/S2452302X16300183/1-s2.0- S2452302X16300183-main.pdf?_tid=6db3c5a2-fafb-11e7-b931-00000aab0f02&acdnat=1516134533 _51619a9781dec40f0d44e5c955dc0cae MEDICATION AND MASSAGE THERAPY: INTRODUCTION TO PHARMACOLOGY Final Examination Questions Select the best answer for each question and mark your answers on the answer sheet found on page 53 or complete your test online at Massage.EliteCME.com. 31. All the following statements about mechanical effects are true, except: a. They are a type of physiological effect. b. They are characterized by changes in the nervous system that release chemicals in the body. c. They are direct, often localized effects that are the direct result of physical pressure, movement and manipulation of the soft tissue. d. These actions normalize connective tissue, move body fluids and digestive content. 32. Which of the following massage strokes is carried out with long, gliding strokes toward the heart? a. Effleurage. b. Petrissage. c. Friction. d. Tapotement. 33. Which of the following massage strokes is primarily used to assist metabolic function and the removal of wastes, promote the movement of blood in deeper tissue, break up adhesions, stretch muscle fascia, increase blood and lymph circulation, and support weakened muscle? a. Effleurage. b. Petrissage. c. Friction. d. Tapotement. 34. Which action is most closely associated with these results: Massage action on the muscles and tendons activates nervous system feedback to contract or relax the targeted muscle fibers (tonus)? a. Local mechanical. b. Local (somatic) reflex. c. Systemic mechanical. d. Systemic reflex. 35. Which of the following is not a contraindication for massage related to cardiovascular and circulatory system organs? a. Varicose veins. b. Influenza. c. Advanced diabetes. d. Constipation. 36. Which of the following statements about neuroendocrine chemicals is not true? a. Adrenaline is also known as epinephrine. b. Noradrenalin is also known as norepinephrine. c. High levels of epinephrine or norepinephrine may cause hypervigilance or hyperactivity and disturb REM sleep. d. The overall composition of neuroendocrine chemicals does not change during massage. 37. Which of the following statements about the nervous system is false? a. The autonomic nervous system is composed of two parts that act as counterweights to one another: The sympathetic and parasympathetic nervous systems. b. The sympathetic nervous system is primarily responsible for preparing the body for activities related to the “flight-or-fight” response. c. The parasympathetic nervous system, rooted in the brain stem and the spinal cord of the lower back, is responsible for the “relaxation” response and restoring the body to normalcy. d. Massage cannot slow autonomic arousal and the tension that builds up daily from our adrenaline responses. 38. The way the drug is absorbed, distributed, metabolized and excreted from the body is known as: a. Pharmacology. b. Pharmacodynamics. c. Pharmacokinetics. d. Pharmacosis. 39. Absorption moves the drug from the area of administration into the: a. Circulatory or lymphatic systems. b. Lymphatic or digestive systems. c. Digestive or neuroendocrine systems. d. Neuroendocrine or skeletal systems. 40. Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients___________ nonpharmacological treatment with superficial heat (moderate-quality evidence), massage, acupuncture, or spinal manipulation. a. Should not select. b. Have little evidence to select. c. Should select. d. Should reject. MIL04IPE18 Massage.EliteCME.com Page 51