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Massage Therapy Licensing Exam (MBLEx) · Anatomy & Physiology

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Massage Therapy Licensing Exam (MBLEx) Tissue Injury, Repair, and Energetic Anatomy Summary

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About 2 of 11 Anatomy & Physiology questions (20%)

The four tissue types, the stages of tissue healing, and basic ideas of energetic anatomy such as meridians.

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Tissue Injury, Repair, and Energetic Anatomy: must-know points

  • The four basic tissue types are epithelial, connective, muscle, and nervous tissue.
  • Healing moves through inflammation, repair (proliferation), and remodeling.
  • Signs of inflammation are redness, heat, swelling, pain, and loss of function.
  • Meridians in traditional Chinese medicine are channels that energy (qi) is said to flow through.

Tissue Injury, Repair, and Energetic Anatomy: 5 sample questions

Practice questionReviewedAnatomy & Physiology › Tissue Injury, Repair, and Energetic Anatomy★★★★☆

Question 1. Which group lists the classic signs of acute inflammation?

  1. ① Weight loss and hair loss
  2. ② Paleness, cold, and numbness
  3. ③ Redness, heat, swelling, and pain
  4. ④ Dry, flaky skin with no pain
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Answer: ③ Redness, heat, swelling, and pain

Key point: Inflammation: red, hot, swollen, painful

Inflammation brings more blood to an injured area. This causes redness, heat, swelling, and pain, and often loss of function.

Wrong choices

  • Paleness, cold, and numbness: Paleness and cold point to poor blood flow, not inflammation.
  • Dry, flaky skin with no pain: Dry skin is not a sign of inflammation.
  • Weight loss and hair loss: These are not local signs of inflammation.
Practice questionReviewedAnatomy & Physiology › Tissue Injury, Repair, and Energetic Anatomy★★★☆☆

Question 2. Which tissue type covers body surfaces and lines organs?

  1. ① Nervous tissue
  2. ② Connective tissue
  3. ③ Muscle tissue
  4. ④ Epithelial tissue
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Answer: ④ Epithelial tissue

Key point: Epithelial tissue covers and lines

Epithelial tissue covers the outside of the body (the top layer of skin) and lines organs and body cavities. It is one of the four basic tissue types.

Wrong choices

  • Muscle tissue: Muscle tissue contracts to make movement.
  • Nervous tissue: Nervous tissue carries signals.
  • Connective tissue: Connective tissue supports and joins body parts, like bone and tendon.
Practice questionReviewedAnatomy & Physiology › Tissue Injury, Repair, and Energetic Anatomy★★★☆☆

Question 3. What is the correct order of the stages of tissue healing?

  1. ① Repair (proliferation), then remodeling, then inflammation
  2. ② Remodeling, then inflammation, then repair (proliferation)
  3. ③ Inflammation, then remodeling, then repair (proliferation)
  4. ④ Inflammation, then repair (proliferation), then remodeling
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Answer: ④ Inflammation, then repair (proliferation), then remodeling

Key point: Healing: inflammation, repair, remodel

Healing starts with inflammation, which cleans the area. Next, in the repair stage, new tissue and collagen are laid down. Last, in remodeling, the new tissue gets stronger and more organized.

Wrong choices

  • Inflammation, then remodeling, then repair (proliferation): Remodeling is the last stage. It comes after new tissue is built.
  • Repair (proliferation), then remodeling, then inflammation: Inflammation is the first stage, right after injury.
  • Remodeling, then inflammation, then repair (proliferation): Remodeling cannot happen before new tissue exists.
Practice questionReviewedAnatomy & Physiology › Tissue Injury, Repair, and Energetic Anatomy★★★☆☆

Question 4. In traditional Chinese medicine, what are meridians said to be?

  1. ① Channels that energy (qi) flows through
  2. ② Chains of lymph nodes
  3. ③ Nerve pathways in the spinal cord
  4. ④ Bands of muscle that move the joints
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Answer: ① Channels that energy (qi) flows through

Key point: Meridians = channels for qi

In traditional Chinese medicine, meridians are channels that energy, called qi, is said to flow through. Methods such as acupressure and shiatsu work along these channels.

Wrong choices

  • Nerve pathways in the spinal cord: Nerve pathways are part of Western anatomy, not the meridian idea.
  • Chains of lymph nodes: Lymph nodes belong to the lymphatic system.
  • Bands of muscle that move the joints: Muscles are physical tissues, not energy channels.
Practice questionReviewedAnatomy & Physiology › Tissue Injury, Repair, and Energetic Anatomy★★★☆☆

Question 5. What happens during the remodeling stage of tissue healing?

  1. ① A blood clot forms to stop the bleeding
  2. ② White blood cells first arrive to clear away debris
  3. ③ Swelling and redness are at their highest
  4. ④ New collagen fibers line up along the lines of stress and get stronger
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Answer: ④ New collagen fibers line up along the lines of stress and get stronger

Key point: Remodeling: collagen aligns and strengthens

Remodeling is the last stage of healing and can last months. The collagen laid down during repair is reshaped, lines up with the forces on the tissue, and becomes stronger.

Wrong choices

  • Swelling and redness are at their highest: Swelling and redness peak in the inflammation stage.
  • A blood clot forms to stop the bleeding: Clotting happens right after the injury, at the start of healing.
  • White blood cells first arrive to clear away debris: White blood cells arrive in the inflammation stage.

Test yourself.

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