Which bone cell breaks down bone tissue during remodeling?
- Osteoblast
- Osteocyte
- Chondrocyte
- Osteoclast
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D. Osteoclast
Osteoclasts resorb (break down) bone. Osteoblasts are the easy mix-up: they build new bone matrix. Osteocytes are mature cells that maintain bone, and chondrocytes are cartilage cells.
Reference: MBLEx content outline: Anatomy and Physiology; skeletal system, bone remodeling
The therapist notes 'left upper trapezius hypertonic on palpation; cervical rotation left limited to about 45 degrees.' Which SOAP section is this?
- Subjective
- Plan
- Objective
- Assessment
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C. Objective
Findings the therapist observes or measures, such as palpation, posture and range of motion, go under Objective. Assessment is tempting because of the word, but in a SOAP note it records the response to treatment and the therapist's summary.
Reference: MBLEx content outline: Client Assessment, Reassessment and Treatment Planning; documentation, SOAP notes
A client with knee pain asks, 'Do you think I tore my meniscus?' What is the appropriate response?
- Palpate the knee and tell the client what is probably torn
- Tell the client it is likely just a tight muscle near the knee joint
- Recommend a knee brace and an anti-inflammatory drug
- Explain that therapists cannot diagnose and suggest a physician
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D. Explain that therapists cannot diagnose and suggest a physician
Diagnosing an injury and recommending medication are outside the massage scope of practice; the therapist shares what was observed and refers. Reassuring the client that it is 'just a tight muscle' is still a diagnosis.
Reference: MBLEx content outline: Ethics, Boundaries, Laws and Regulations; scope of practice