CHP Contraindications & Precautions 2

Question 1

A patient taking warfarin for atrial fibrillation requests wet hijama. What is the primary concern?

Accepted Answer

Anticoagulation impairs hemostasis and increases uncontrolled bleeding risk

Answer

Warfarin inhibits clotting factor synthesis, making wet hijama hazardous due to inability to achieve adequate hemostasis after incisions.

Question 2

Which blood disorder is an absolute contraindication to wet hijama?

Accepted Answer

Hemophilia

Answer

Hemophilia causes a severe clotting factor deficiency, making any procedure that breaks the skin potentially life-threatening.

Question 3

A patient with active leukemia requests hijama therapy. The practitioner should:

Accepted Answer

Decline treatment and refer the patient to their oncologist

Answer

Active malignancy, especially leukemia with thrombocytopenia and immune compromise, is an absolute contraindication requiring physician clearance first.

Question 4

A patient with a cardiac pacemaker requests hijama on the chest. The practitioner should:

Accepted Answer

Avoid the chest region entirely due to risk of device interference and skin integrity over leads

Answer

Cupping over a pacemaker site risks disturbing the device, damaging superficial leads, or injuring fragile overlying tissue.

Question 5

A patient on daily aspirin therapy is requesting wet hijama. The most appropriate practitioner action is:

Accepted Answer

Assess bleeding risk and consult with the patient's physician about temporarily pausing aspirin if safe

Answer

Aspirin irreversibly inhibits platelet aggregation, increasing bleeding time; clearance from the prescribing physician is required before wet hijama.

(CHP) Certified Hijama Practitioner Practice Test

(CHP) Certified Hijama Practitioner Practice Test

CHP Contraindications & Precautions 2