Pathology and Contraindications Flashcards
7 cards from real NCBTMB practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pathology and Contraindications flashcards as text
A client with acute thrombophlebitis in the right calf presents for massage. What is the correct action?
Answer: Avoid massage entirely and refer to physician
Acute thrombophlebitis is a systemic contraindication because massage could dislodge the clot and cause a pulmonary embolism.
Which skin condition is a local contraindication but NOT a systemic contraindication to massage?
Answer: Impetigo lesion on the forearm
Impetigo is a localized bacterial skin infection requiring avoidance of that area only, while the rest of the body can be massaged.
A client reports they finished radiation therapy for breast cancer six months ago and feel well. How should the therapist proceed?
Answer: Obtain physician clearance before proceeding with massage
Post-cancer clients require physician clearance to ensure massage is appropriate given their current health status and treatment history.
Which of the following best describes a 'endangerment site' in massage therapy?
Answer: An area where nerves and blood vessels are superficial and vulnerable to pressure
Endangerment sites are areas where nerves, arteries, or organs are close to the surface and can be damaged by inappropriate pressure.
A client with type 2 diabetes requests deep tissue massage on both feet. What is the primary concern?
Answer: Peripheral neuropathy reducing ability to report pain or pressure
Diabetic peripheral neuropathy impairs sensation, so clients may be unable to accurately report if pressure is too intense, risking tissue damage.
Massage over an area of acute muscle strain should be avoided primarily because it can:
Answer: Worsen inflammation and delay the healing process
During the acute phase of muscle strain, the inflammatory response is protective; massage can increase inflammation and impede healing.
A client presents with pitting edema in both ankles. Which condition is MOST likely responsible that would contraindicate massage?
Answer: Congestive heart failure
Bilateral pitting edema is a classic sign of congestive heart failure, which requires physician clearance before massage as it can stress the cardiovascular system.