CHP Wet Cupping Techniques & Procedures 2 — Questions and Answers
Question 1: What is the recommended angle and depth for lancet incisions during hijama scarification?
- 45° angle, 3–4 mm deep
- Perpendicular, 1–2 mm deep (Correct answer)
- Parallel to skin surface, 5 mm deep
- 45° angle, 5–6 mm deep
Correct answer: Perpendicular, 1–2 mm deep
Incisions should be perpendicular to the skin and no deeper than 1–2 mm to avoid damaging underlying structures.
Question 2: During a wet cupping session, which sign indicates that sufficient blood and fluid have been extracted from a cup site?
- The cup detaches spontaneously
- Blood flow slows to a trickle and the cup fills to capacity (Correct answer)
- The patient reports numbness in the area
- The skin under the cup turns bright red
Correct answer: Blood flow slows to a trickle and the cup fills to capacity
When blood flow slows significantly and the cup nears capacity, it signals adequate extraction at that site.
Question 3: How should the hijama practitioner reapply suction after the initial cup placement and incisions are made?
- Use a new sterile cup at the same site
- Reapply the same cup without further sterilization
- Apply fresh suction to the same cup after briefly lifting it (Correct answer)
- Move to an adjacent site immediately
Correct answer: Apply fresh suction to the same cup after briefly lifting it
After incisions, suction is reapplied to the same cup to draw out blood through the incised skin.
Question 4: Which of the following conditions is a contraindication for performing wet cupping over a specific body region?
- Mild muscle tension in the area
- Presence of varicose veins at the intended site (Correct answer)
- Mild skin dryness
- Patient age over 40
Correct answer: Presence of varicose veins at the intended site
Cupping directly over varicose veins can rupture them and cause serious vascular injury.
Question 5: What is the correct order of the three-phase wet cupping procedure?
- Incise → Apply cup → Re-apply suction
- Apply cup → Incise → Re-apply suction (Correct answer)
- Incise → Re-apply suction → Apply cup
- Apply cup → Re-apply suction → Incise
Correct answer: Apply cup → Incise → Re-apply suction
The standard sequence is: apply cup to raise skin, make incisions, then reapply suction to draw out blood.
Question 6: A patient develops lightheadedness during wet cupping. What is the FIRST action the practitioner should take?
- Increase suction to speed up the session
- Remove all cups immediately and place the patient supine (Correct answer)
- Offer the patient water and continue
- Apply pressure to all incision sites
Correct answer: Remove all cups immediately and place the patient supine
Vasovagal responses require immediate removal of cups and positioning the patient flat to restore cerebral perfusion.
Question 7: Which antiseptic is most commonly recommended for cleaning the skin before wet cupping incisions?
- Hydrogen peroxide 3%
- Isopropyl alcohol 70% or chlorhexidine (Correct answer)
- Iodine tincture only
- Saline solution
Correct answer: Isopropyl alcohol 70% or chlorhexidine
Isopropyl alcohol 70% or chlorhexidine gluconate are the standard antiseptics for pre-procedure skin preparation.
CHP Wet Cupping Techniques & Procedures 2
What is the recommended angle and depth for lancet incisions during hijama scarification?