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
Which type of fracture would be classified as a SYSTEMIC contraindication to massage?
Answer: An acute fracture with internal bleeding and shock
An acute fracture accompanied by internal bleeding and shock is a medical emergency and a systemic contraindication until the client is medically stabilized.
A therapist notices a client has a rash with clearly defined borders, redness, and vesicles on one side of the torso following a dermatomal pattern. The therapist should:
Answer: Recognize possible herpes zoster and refer the client to a physician
A dermatomal rash with vesicles is characteristic of herpes zoster (shingles), which is contagious and requires medical referral before massage.
Why is massage contraindicated directly over a malignant tumor site?
Answer: It may stimulate lymphatic flow and potentially spread cancer cells
Massage over a malignant tumor can stimulate local circulation and lymphatic flow, potentially facilitating metastasis to other areas.
A client on warfarin (Coumadin) therapy wants a deep tissue massage. The MAIN concern is:
Answer: Increased risk of bruising or internal bleeding due to anticoagulation
Warfarin is a blood thinner that impairs clotting, making clients susceptible to bruising or internal bleeding from deep tissue pressure.
In which stage of wound healing is massage MOST beneficial and safe to apply near the area?
Answer: Proliferative/remodeling stage (days to weeks post-injury)
During the proliferative and remodeling stage, gentle massage can help align collagen fibers and reduce excessive scar tissue formation.
Which of the following is a contraindication to massage for a client with osteoporosis?
Answer: Deep compression and joint mobilization techniques on fragile bones
Osteoporosis significantly reduces bone density, making deep compression and forceful joint techniques capable of causing fractures.
A client discloses they have a history of epilepsy well-controlled with medication. How should the therapist respond?
Answer: Proceed with massage, noting seizure first-aid protocols and avoiding seizure triggers
Well-controlled epilepsy is not an absolute contraindication; the therapist should be prepared with seizure first-aid knowledge and avoid known triggers.