CHP Anatomy & Physiology Related to Hijama 2

Question 1

Which layer of the skin contains the dense network of capillaries that become engorged during hijama cupping?

Accepted Answer

Dermis

Answer

The dermis houses an extensive capillary network that becomes engorged when negative pressure is applied during cupping.

Question 2

The femoral triangle is a clinically important region for wet hijama. Which structure is NOT a boundary of the femoral triangle?

Accepted Answer

Rectus femoris muscle

Answer

The femoral triangle is bounded by the inguinal ligament superiorly, sartorius laterally, and adductor longus medially — the rectus femoris is not a boundary.

Question 3

During wet hijama, which physiological mechanism is primarily responsible for the localized erythema observed after cup removal?

Accepted Answer

Reactive hyperemia from vasodilation

Answer

After the cup is removed, reactive hyperemia causes localized vasodilation and increased blood flow, producing visible erythema.

Question 4

Which spinal nerve roots primarily supply sensory innervation to the upper back region between the scapulae, a common hijama site?

Accepted Answer

T2–T6

Answer

The interscapular region is primarily innervated by the dorsal rami of thoracic spinal nerves T2–T6.

Question 5

What is the role of mast cells in the tissue response to wet hijama scarification?

Accepted Answer

They release histamine triggering local vasodilation and increased vascular permeability

Answer

Mast cell degranulation releases histamine, which causes vasodilation and increased vascular permeability as part of the early inflammatory response.

(CHP) Certified Hijama Practitioner Practice Test

(CHP) Certified Hijama Practitioner Practice Test

CHP Anatomy & Physiology Related to Hijama 2