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Updated: Jul 30, 2026

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FSMTB MBLEx Exam Overview:

Certification Vendor:Federation of State Massage Therapy Boards (FSMTB)
Exam Name:Massage & Bodywork Licensing Examination
Exam Number:MBLEx
Real Exam Qty:100
Available Languages:English, Spanish
Passing Score:Pass/Fail (FSMTB does not publicly disclose a fixed passing score)
Exam Format:Computer Adaptive Test (CAT), Multiple Choice Questions
Related Certifications:Massage Therapist License
Certificate Validity Period:Varies by state licensing authority
Exam Duration:110 minutes
Exam Price:$265 USD
Sample Questions:FSMTB MBLEx Sample Questions
Exam Way:In-person examination at Pearson VUE testing centers.
Pre Condition:Applicant must have received education and training in all MBLEx content areas from an approved massage therapy education program, with education verification submitted directly to FSMTB.
Official Syllabus URL:https://fsmtb.org/mblex/

FSMTB MBLEx Exam Syllabus Topics:

SectionWeightObjectives
Pathology with Awareness and Understanding of Disease and Injury15%- Injury considerations
  • 1. Treatment modifications
  • 2. Acute and chronic injuries
- Common disorders
  • 1. Systemic diseases
  • 2. Musculoskeletal conditions
Guidelines for Professional Practice15%- Communication
  • 1. Client interaction
  • 2. Interprofessional communication
- Practice management
  • 1. Documentation
  • 2. Business practices
Ethics, Boundaries, Laws and Regulations16%- Professional ethics
  • 1. Professional boundaries
  • 2. Code of conduct
- Legal requirements
  • 1. Licensure laws
  • 2. Client rights and confidentiality
Client Assessment, Reassessment and Treatment Planning17%- Assessment
  • 1. Observation and palpation
  • 2. Health history review
- Treatment planning
  • 1. Goal development
  • 2. Session planning
Benefits and Physiological Effects of Techniques that Manipulate Soft Tissue12%- Technique applications
  • 1. Expected client responses
  • 2. Indications
- Massage effects
  • 1. Physiological responses
  • 2. Therapeutic outcomes
Contraindications, Areas of Caution, Special Populations14%- Special populations
  • 1. Geriatric and pediatric clients
  • 2. Pregnancy
- Contraindications
  • 1. Relative contraindications
  • 2. Absolute contraindications
Anatomy, Physiology, Kinesiology11%- Anatomy
  • 1. Body systems and structures
  • 2. Musculoskeletal anatomy
- Kinesiology
  • 1. Joint movement
  • 2. Muscle actions
- Physiology
  • 1. System interactions
  • 2. Normal body functions

FSMTB Massage & Bodywork Licensing Examination Sample Questions:

1. Which of the four quad muscles is the largest in size?

A) Rectus femoris
B) Vastus lateralis
C) Vast medialis
D) Vastus intermedius


2. On which bone would you locate the infraglenoid tubercle?

A) Clavicle
B) Calcaneuos
C) Pelvic
D) Scapula


3. Assisting a client with a movement during a palpation assessment is
Available Choices (select all choices that are correct)

A) passive ROM
B) active-assisted ROM
C) resistive ROM
D) active ROM


4. Choose the correct muscle type that is fast twitch and prone to inhibition.

A) postural
B) cardiac
C) phasic
D) smooth


5. The main function of the epiglottis is to:

A) Protect the airway during swallowing
B) Deliver oxygen to the lungs
C) Produce sound and vocalization
D) Protect the esophagus during eating


Solutions:

Question # 1
Answer: B
Question # 2
Answer: D
Question # 3
Answer: B
Question # 4
Answer: C
Question # 5
Answer: A

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