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
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.
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.
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.
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.
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.
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.
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.