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 pregnant client in her second trimester requests massage. Which position is SAFEST for this client?
Answer: Side-lying with support bolsters
Side-lying is the safest and most comfortable position for pregnant clients as it avoids uterine pressure on the vena cava and accommodates the growing abdomen.
Which of the following describes a RELATIVE contraindication to massage?
Answer: A condition requiring special precautions, modifications, or physician clearance
A relative contraindication means massage may be performed with appropriate modifications, precautions, or medical clearance rather than being absolutely forbidden.
Massage is contraindicated over varicose veins primarily because:
Answer: Pressure can damage already weakened venous valves and potentially dislodge clots
Varicose veins have incompetent valves and fragile walls; direct massage pressure risks valve damage and could mobilize any thrombus present.
A client with fibromyalgia reports an 8/10 pain level and severe fatigue today. The therapist should:
Answer: Modify the session to very gentle techniques or reschedule if the client is in a flare
Fibromyalgia flares warrant reduced pressure and gentler techniques, as aggressive massage during a flare can worsen symptoms significantly.
Which of the following BEST describes why massage is contraindicated with acute appendicitis?
Answer: Abdominal massage could rupture the inflamed appendix, causing peritonitis
Abdominal massage over an acutely inflamed appendix risks rupture, which would spill intestinal contents into the peritoneal cavity causing life-threatening peritonitis.
A client with high blood pressure (hypertension) managed by medication seeks massage. The therapist's BEST approach is:
Answer: Obtain physician clearance and use relaxation-focused techniques while monitoring the client
Medically controlled hypertension is a relative contraindication; relaxation massage with physician clearance is generally appropriate and may help reduce blood pressure.
A client has an open skin abrasion on the knee from a fall yesterday. The CORRECT action is:
Answer: Avoid the local area entirely but continue the session elsewhere on the body
An open abrasion is a local contraindication; the therapist should avoid only that area while safely continuing massage on unaffected regions.