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Contraindications & Precautions Flashcards

7 cards from real CHP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Contraindications & Precautions flashcards as text
  1. Hijama should NEVER be applied directly over which of the following?

    Answer: Active skin infections, open wounds, or ulcerated tissue

    Applying cups over broken or infected skin introduces pathogens into the bloodstream and worsens local infection.

  2. A patient presents with active psoriasis plaques across the mid-back. The practitioner should:

    Answer: Avoid cupping over plaques and treat only adjacent healthy skin if appropriate

    Cupping over psoriatic plaques risks koebnerization — triggering new plaques — and may break already fragile skin.

  3. Why are varicose veins on the lower limbs a local contraindication to hijama at those sites?

    Answer: Direct cupping could rupture fragile vein walls, causing hemorrhage or deep vein thrombosis

    Varicose veins have weakened, tortuous walls that can rupture under suction, and stagnant blood increases thrombosis risk.

  4. A patient has a burn injury on the right shoulder that is 2 weeks old with incomplete healing. The practitioner should:

    Answer: Avoid the burned area entirely until skin is fully healed and cleared by a physician

    Incompletely healed burns lack intact skin integrity; cupping risks infection, scarring, and graft damage if applicable.

  5. Which skin condition over the intended cupping site requires absolute avoidance of hijama at that location?

    Answer: Active eczema with weeping, broken skin

    Weeping eczema involves broken skin barriers, and cupping would introduce pathogens and significantly worsen the condition.

  6. Lymphedema in a limb is a local contraindication to hijama on that limb because:

    Answer: Cupping could worsen fluid accumulation and damage already compromised lymphatic vessels

    Disrupting lymph vessels in an already compromised limb risks worsening edema, fibrosis, and increasing infection susceptibility.

  7. A patient with vitiligo patches on the back requests hijama over those depigmented areas. The practitioner should:

    Answer: Avoid the vitiligo patches, as mechanical trauma may trigger or worsen the Koebner response

    Vitiligo can exhibit the Koebner phenomenon, where skin trauma at affected sites triggers or spreads depigmentation.