ACUPUNCTURE MORE PRACTICE TEST QUESTIONS 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY, Exams of Nursing

Download ACUPUNCTURE MORE PRACTICE TEST QUESTIONS 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY and more Exams Nursing in PDF only on Docsity! ACUPUNCTURE MORE PRACTICE TEST QUESTIONS 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET What do LU 7 (lie que) combined with KD 6 (zhao hai) treat? A. Lung, diaphragm, genitals, throat B. Inner canthus, shoulder, neck, and back C. Chest, stomach, heart D. Outer canthus, shoulder, check and diaphragm A. In 5 element acupuncture the exit point for the gallbladder meridian is? A. GB 41 (zu lin qi) B. GB 42 (di wu hui) C. GB 43 (xia xi) D. Gb 44 (qiao yin) A. Which of the following is the key symptom for sunstroke? A. Cough B. Cold limbs C. Fever D. Convulsions C. Which of the following is level with the iliac crest? A. L2 B. L3 C. L4 D. L5 C. Which of the following is a characteristic of yin jaundice? A. yellow skin B. slow onset C. dampness D. yellow urine B. According to CAM (Complementary and alternative medicine), which of the following points can be needled? A. ST 9 (ren ying) B. ST 17 (ru zhong) C. REN 8 (shen que) D. LR 12 (ji mai) A. Which of the following is level with inferior angle of the scapula? A. T9 B. T6 C. T7 D. T8 C. Which of the following is one of the key symptoms for fainting (syncope)? A. Pale face B. Coma C. Convulsions D. Dizziness What is the wrong way to handle a stuck needle? A. Massage or tap skin around point B. Needle a nearby point C. Use tweezers to pull needle out D. Turn needle in opposite direction C. What is the definition of "antiseptic"? A. A procedure that destroys all microbial life B. Products that reduce the density of microbes on the skin C. An agent that destroys viruses D. Chemicals that reduce the number of pathogens on inanimate objects B. What is the wrong way to remove a broken needle? A. If part of the needle is still exposed, remove with forceps B. If needle is under the skin, seek immediate medical help C. Cut the flesh to get access to the needle D. If needle is level with the skin, press around point, expose needle, and remove with forceps C. Clinical symptoms of pneumothorax caused by acupuncture treatment include all of the following except? A. Chest pain, sweating B. Headache, nuchal stiffness C. Pallor, cyanosis D. Dry cough, dyspnea B. Which of the following body types are more at risk of acupuncture related pneumothorax? A. Barrel Chest in weight lifters B. Patients with short necks C. Very tall and thin patients D. All body types C. When preparing an acupuncture travel kit, which of the following need NOT to be placed in plastic bag? A. Single-use sterile acupuncture needles, alcohol swabs B. Hemostat, alcohol hand sanitizer C. One pair of commercially sealed gloves D. A small, red, and commercial sharps container B. Which of the following acupuncture points is over or next to a major blood vessel? A. LI 9 (shang tian) B. KD 1 (yong quan) C. ST 42 (chong yang) D. LU 3 (tian fu) C. When needling sternal points to avoid possible sternal foramen, CT scans suggests that the maximum safe insertion depth to avoid injury to the heart is... A. 25mm B. 10mm C. 30mm D. 15mm A. Which of the following diseases are more predisposed to acupuncture related pneumothorax? A. Marian Syndrome B. Atrial flutter C. Cholecystitis D. Gerd A. To avoid the possibility of pneumothorax, the recommended safe needling depth for the upper back, chest, and intercostal areas is A. 20-30mm B. 10-20mm C. 5-10mm D. 30-40mm B. Pneumothorax as a result of an acupuncture treatment is an example of... A. Iatrogenic Pneumothorax B. Accidental Pneumothorax C. Secondary Pneumothorax D. Primary Spontaneous Pneumothorax A. According to the CNT manual, which of the following list of points has all the points over a major vessel? A. ST 12, LR 12, LR 11 B. ST 9, ST 12, HT 2 C. ST 13, SP 11, LR 12 D. SP 11, HT 1, ST 8 C. Which of the following includes both a medication and supplement that can increase the tendency to bruise and bleed from acupuncture needling? A. Coumadin/ Vitamin E B. Prinivil/ Fish Oil C. Abilify/ Folic Acid D. Plavix/Licorice A. To reduce the chance of fainting all of the following are strongly recommended except A. Place first time patients on their backs with knees up B. Have patient eat 1-2hours before treatment C. Give first treatment with patient sitting D. Light needle manipulation in first treatment B. The scalp area that is 3cm lateral to the external occipital protuberance, parallel to the midline of the head, 4cm in length and extending downward is A. Sensory Area B. Vision Area C. Balance Area D. Motor Area C. In Chinese scalp acupuncture speech III area overlies which area? A. Werinick's Area B. Broca's Area C. Brodman's Area 17 D. Broadman's Area 18 A. The lower 2/5 area of the motor area is best used to treat what dysfunctional movement? A. Dysfunctional movement of the head, face, and upper extremity B. Dysfunctional movement of the head and face C. Dysfunctional movement from the foot to the neck D. Dysfunctional movement from the foot to the hip B. How is speech II area identified on the scalp? A. From the parietal tubercle, run a line a line parallel and anterior 2cm, the line runs vertically 3cm in length B. From the midline, 2 cm lateral and 3cm inferiorly, running 3cm in length C. Start parallel to the GV libe, 2cm posterior to the parietal tubercle running 3cm in length D. From the parietal tubercle, 3cm posterior, running 3cm in length C. The sensory area of the cerebral cortex controls and adjusts sensation(s) to A. Bilateral sensations of the body i the level below the neck B. Both the contralateral and ipsilateral sides of the body C. The contralateral sensations of the body in the level below the neck D. The ipsilateral sensations of the body in the level below the neck C. In Chinese scalp acupuncture, which area would be the preferred area to use for the inability to perform fine motor activities, for example, when an individual has the inability to perform an activity such as buttoning a shirt? A. Motor Area middle 2/5 B. Praxis area C. Sensory Area middle 2/5 D. Vertigo and Hearing area B. The upper 1/5 region of the motor area is used to treat what anatomical structures? A. From the foot to the neck B. From the foot to the diaphragm/chest C. From the foot to the hip D. From the scalp to the nose A. The scalp area that is 1cm lateral to the external occipital protuberance, parallel to the midline of the head, 4cm in length, and extending upward is... A. Sensory area B. Vision area C. Motor area D. Balance area B. In Chinese Scalp acupuncture, the liver and gallbladder area starts at the forehead for 2cm along the: A. Mid-Pupillary Line B. Inner Canthus C. Between Eyebrows D. Lateral Canthus A. The motor area in chinese scalp acupuncture corresponds to which neuroanatomical structure? A. Postcentral gyrus of the parietal lobe B. Central gyrus C. Precentral gyrus of the frontal lobe D. Brodmann's Area 1, 2, and 3 C. The adrenal gland point is located on the... A. Triangular fossa B. Antitragus C. Tragus D. Crus of helix C. Which of the following points treats fever, hypertension, inflammation, and painful disorders? A. Blood pressure reducing groove B. Brain C. Ear apex D. Endocrine C. The ear lobe is related to the... A. Upper limbs B. Trunk and lower limbs C. Head and facial region D. Internal organs C. Which point is located on the center of the ear lobe? A. Shoulder C. Over area of traumatic injury D. Skin disorders C. You have to perform gua sha. What may indicate a deficient blood condition? A. The sha dots have a pale tinge around them B. There is no longer blanching after applying pressure C. Gu Sha resolves the pain by gradually the pain soon returns D. The sha dots have a yellow tinge around them C. In applying gua sha to the sternum, in which direction should be applied? A. Top down to the xiphoid process B. Bottom up to the sternal notch C. Transverse from right to left going down D. Transverse from left to right going up A. When can you apply another gua sha treatment to the same area again? A. One week after treatment B. When the petechiae has completely disappeared C. You can apply gua sha only once to an area D. The next day B. In uneven leg syndrome check for sha and perform gua sha on the hip and ... A. The long leg B. The short leg C. On both short and long leg D. First on the short leg and then on the long leg A. A patient with fever due to external pathogenic factors receives treatment to induce sweating, which resolves the patients fever. What happens to the sha? A. Generally there will not be sha B. The sha consolidates C. The sha goes deeper D. The sha spreads on the body surface A. When can the patient feel the most discomfort during gua sha? A. When the sha discoloration spreads B. When the sha dots first start to increase C. When the sha first breaks to the surface D. When the sha dotstop increasing C. For both men and women, when doing gua sha on the chest... A. Avoid stroking above, below and directly on the breast in both men and women B. Avoid stroking above, below and on the breast in women but OK to do in men C. Stroke only above and below the breast D. Avoid stroking the breast in women but you can stroke the breast in men C. What is the best way to combine acupuncture and gua sha? A. Acupuncture after gua sha B. Acupuncture before gua sha C. Do not combine gua sha and acupuncture D. Perform gua sha around the needled point B. How long should gua sha be performed? A. Until continued strokes do not increase the dots or change their color B. Until the patient reports feeling of warmth in the area C. Btween 2-5mins D. Until palpation of the ah shi point is no longer painful A. A patient with pain due to sha should avoid which type of foods? A. Salty and spicy foods B. Sweet and sour foods C. Cold and sour foods D. Spicy and bitter foods C. On which area of the body does the sha rash appear most concentrated? A. On the limbs B. At the site of pain C. On the upper back and neck D. On the chest B. All of the following are methods to bring the sha rash to the surface EXCEPT... A. Gua Sha B. Ken Sha C. Tsien Sha D. Pak Sha B. In which of the following conditions should gua sha cautiously be applied or not applied at all? A. External summer heat causing sunburn B. Extremely deficient patients C. Sacrum during pregnancy D. Abdomen during pregnancy B. Gua sha removes external pathogens by mimicking the effects of... A. Cooling B. Releasing stagnant qi C. Sweating and fever D. Draining the qi How do you test for the presence of sha? A. Through tongue and pulse diagnosis B. Press the skin then quickly pull hand away C. Palpate the body for tender ah shi points D. test for heat sensitivity of the ling well points B. When should you test if the technique of gua sha is applicable? A. When the skin is unusually pale B. When the skin feels cold C. When there is pain D. When there us a dark spot on the skin C. One of your patients make an explicit seductive move towards you. What should you do? A. Tactfully confront patient and refuse B. Tactfully confront patient, refuse, and make a note on the patient's record C. Tell them it is inappropriate in the clinic but that you will see them outside of the clinic D. Tell them that you feel flattered B. What is the length of time that medical records must be retained? A. Varies from state to state B. 15 years C. 7 years D. 5 years A. Who does the medical record belong to? A. The CDC B. The state C. The health care provider D. The patient C. You have sold your acupuncture practice to another practitioner. What is the correct procedure for transferring medical records? A. Former patients need to approve the transfer of their medical records B. Notify former patients of the transfer of their records by a letter C. Put a notice in the local newspaper D. No need to contact former patients about the transfer of their records B. You make an error in your written medical notes. How would you correct it? A. Write over the error and sign your signature B. Erase the error C. Cross out the error, make new entry, and then sign your signature next to the change D. Cross out the error and make new entry C. What is the best way of disposing of medical records? A. Have them picked up by a recycling company B. Shred or burn them C. Return them to the patient D. Throw them in the garbage B. Your patient's medical record states that he has a sexually transmitted disease. The state licencing board of your state has the legal right to request this patient's medical records to evaluate a complaint against you. What will you do? A. Send the original records B. Call your lawyer and get specific consent from your patient C. Refuse on the basis of confidentiality D. Send a copy of the records B. You are treating a 14-year old girl. She tells you that she is pregnant. What should you do ? A. Notif her parents B. Advise her to tell her parent(s) or legal guardian C. Notify her teacher at school D. Advise her of abortion options B. Who can sign your medical notes? A. The nurse B. Anyone you give permission to C. Only you D. You or your assistant C. When should medical records be written? A. Within 48hrs B. After treatment C. Within 24 hrs D. Within 36hrs B. A patient you treat for alopecia with the 7-star needles sues you for becoming infected with hepatitis. You are not at fault because you have sterilized the re-useable 7-star needles hammer through boiling. Which is correct? A. You are responsible bc boiling water is not an accepted method for sterilization B. You are responsible bc you did not soal the 7-star in alcohol C. You are not responsible bc none of your their patients have HepB D. You are not responsible bc you have used sterilization after each treatment A. You have received a subpoena for the release of a patient's medical records. Which of the following is correct? A. Both A and C B. Contact an attorney B. From the interior to the exterior C. In the kidney essence during the day D. In the exterior during the day C. All of the following are functions of the kidneys in regards to fluids EXCEPT A. Providing the heat needed by the spleen B. Assist Triple burner transformation and excretion of fluids C. Dispersion of fluids to the skin D. Assist small intestine bodily fluids C. A patient has dry cough, hot sensations in the afternoon, and a peeled, red tongue. What is the diagnosis? A. Lung Qi Deficiency B. Lung Dryness C. Lung Yin Deficiency D. Damp Phlegm Obstructing Lungs C. A patient has dry stools, burning sensation in the anus, and thick-dry-yellow tongue coating. What is the diagnosis? A. Heat obstructing large intestine B. Large Intestine Heat C. Large Intestine Damp Heat D. Dry Large Intestine B. A patient has palpitations, tiredness and an empty pulse. What is the diagnosis? A. Heart blood deficiency B. Heart Qi deficiency C. Heart Yang collapse D. heart Yang deficiency B. A patient has sudden and violent abdominal pain, constipation, vomiting and deep-wiry pulse. What is the diagnosis? A. Small Intestine Heat B. Small intestine Qi Tied C. Small Intestine Qi pain D. Small Intestine Deficient and Cold B. A patient has dark and clotted menstrual blood and purple tongue. What is the dx? A. Stasis of liver blood B. Deficiency of liver blood C. Liver yang rising D. Stagnant liver qi A. A patient has burning urination, difficult urination, and dark urine. What is the dx? A. Bladder damp cold B. Bladder Qi knotted C. Bladder Damp Heat D. Bladder deficient and cold C. A patient has weak knees, hair loss, and weak sexual drive. What is the diagnosis? A. Kidneys fail to receive qi B. Kidney yang deficiency C. Kidney essence deficiency D. Kidney qi no firm C. A patient has palpitations, feeling cold, cold limbs and deep weak pulse. What is the dx? A. Heart blood deficiency B. Heart yang deficiency C. Heart Yang collapse D. Heart qi deficiency B. A patient has burning sensations in the epigastrium, thirst with desire for cold drinks, and red tongue with thick yellow and dry coating and full deep fast pulse. What is the dx? A. Stomach fire B. Stomach yin deficiency C. Blood stasis in the stomach D. Stomach phlegm A. A patient has a headache, irritability, red face, red eyes, and red tongue with yellow coating. What is the dx? A. Deficient liver blood causing wind B. Liver yang rising causing wind C. Liver fire blazing upwards D. Extreme heat generating wind C. A patient has dry cough, dry throat, hoarse voice, dry (not red) tongue. What is the dx? A. Lung yin deficiency B. Lung qi deficiency C. Lung dryness D. Damp-phlegm obstructing lungs C. A patient has loose stools, chilliness, cold limbs, and fatigue. What is the dx? A. Spleen qi deficiency B. Spleen not controlling blood C. Spleen yang deficiency D. Spleen qi sinking C. A patient has blurred vision, scanty periods, dull and pale complexion, and pale tongue. What is the dx? A. Deficient liver blood B. Stagnant liver qi C. Liver yang rising D. Liver invading the stomach A. A patient has no appetite, fatigue, and shortness of breath. What is the dx? A. Spleen Yang deficiency B. Spleen and lung qi deficiency C. Spleen qi deficiency D. Spleen and liver blood deficiency B. A patient has constipation, abdominal pain, fever, and thick-dry-yellow coating. What is the dx? A. Large intestine damp heat B. Heat obstructing large intestine C. Large intestine heat D. Dry large intestine B. A patient has stabbing pain in the epigastrium, vomiting dark blood. What is the dx? A. Stomach phlegm fire B. Stomach yin deficiency C. Stomach stagnant blood D. Stomach fire C. A patient has frequent, pale, and copious urination, a deep-weak pulse. What is the dx? A. Bladder deficient and cold B. Bladder damp-cold C. Bladder damp heat D. Bladder qi knotted A. A patient has fever, aversion to cold, sore throat, and floating-rapid pulse. What is the dx? A. Wind-damp invading lungs B. Wind-heat invading lungs C. Wind-cold invading lungs D. Damp-phlegm obstructing lungs B. A patient has dizziness, loose stools, scanty menses, and pale sides of the tongue. What is the dx? A. Spleen qi deficiency B. Spleen not controlling blood C. Spleen and liver blood deficiency D. Spleen and lung qi deficiency C. A 35 year-old female patient has had migraines for 10 years. The location of the headaches is on the top of the head and behind the eyes. They start with a dull pain and proceed to become severe with nausea, vomiting, and diarrhea. The headaches improve with the patient lying down. The headaches occur everyday. The tongue is thin and pale and the pulse is weak (xu mai) on the right side and wiry (xuan mai) on the left side. What is the dx? A. Deficient liver blood with liver yang rising B. Deficient spleen qi C. Stagnant liver qi D. Retention of food in stomach A. A 7-year old boy has an upper respiratory infection. He is being treated with antibiotics but is not improving. He has no temperature. Symptoms include a barking cough with expectoration of yellow phlegm. He has restlessness. The front part o the tongue is red. The pulse is slightly slipper (hua mai). What is the dx? A. Phlegm-heat obstructing lungs B. Invasion of lungs by wind-damp C. Phlegm-damp obstructing lungs D. Wind-heat invades lungs A. A 72 year old woman has had a cough for 10 years. The cough produces scanty but sticky yellow phlegm. She experiences a sense of oppression in the chest area She has a thing body with dry skin. The tongue is red with the front part redder. It is dry and without coating. The pulse is generally floating (fu mai) and empty (xu mai). It is slightly slippery (hua mai) in the right front position. What is the dx? A. Lungs invaded by wind-cold which transform to heat B. Phlegm-heat constructing lungs, deficiency lung yin C. Deficient spleen qi with accumulation of damp-phlegm D. Wind-heat-dryness invade lungs B. A 33-year old female complains of shortness of breath ever since she was a child when she had pneumonia. She has difficulty inhaling. She sweats easily and feel s cold, is constipated, has dizziness, and has low back pain. She has allergies and has clear mucus and sneezes often when exposed to pollen. Her period has dark blood with no clots. The tongue is swollen and pale with dirty coating and transverse cracks. The pulse is weak (xu mai). What is the dx? A. Retention of cold causing stagnant blood B. Wind Cold invades lungs C. Lung and kidney yang deficiency D. Lung qi deficiency C. 3-years ago a 55-year old had a kidney infection. Her diagnosis was pyelonephritis. Since then she has had headaches. The head pain is on the back of the neck, top of head, and eyes. She tends to be constipated. The urine is dark and scanty. She has night sweats and back pain. The tondue is a little red with a very thick-yellow coating at the root. The pulse is thin and slightly wiry (xuan mai) in both the rear positions. What is the dx? A. Deficient yin with empty fire B. Deficient kidney yin, bladder damp heat C. Damp heat pouring downward D. Stagnant liver qi A. A 25year old man has had asthma since he was 6 years old. He uses an inhaler every day. The asthma worsens at night and after exposure to cold. It is also triggered by animal dander. He has seasonal allergies. He generally feels coldness in the hands. The tongue is pale. The pulse is slow (chi mai) and weak (xu mai). What is the dx? A. Wind cold invades lungs B. Cold in the liver channel C. Deficient lung qi, deficient kidney yang D. Spleen yang deficiency C. An 82year old man has vertigo for 10years. He has high blood pressure. His gait is unsteady and he needs to steady himself. Other symptoms include blurry vision, dry and withered nails, dry skins, and the complexion has a dark tinge. The tongue is stiff and red with a purplish cast with just a thin yellow coating at the center but nowhere else. The pulse is full (shi mai) and wiry (xuan mai). What is the dx? A. Dryness invades lungs B. Deficient kidney qi, liver stagnation blood C. Liver yang rising, deficient liver yin D. Liver stagnant qi and blood C. A 49 year olds female's main complaint is night sweats and hot flashes. She is overweight, has abdominal distension, edema, and loose stools. She feels anxiety at night with palpitations. Sleep is interrupted by restlessness and sensations of heat. Her eyes are dull with a panicky look to them. the tongue is red and swollen on the sides. It has cracks and the coating is without root. The pulse is weak (xu mai) in both rear positions. What is the dx? A. Deficient heart blood B. Stagnant liver qi transforming to fire C. Kidney and heart yin deficiency, spleen qi deficiency D. Heart fire blazing C. A 35ear old female has had depression and anxiety for 12 years. She is on antidepressants. She had an unhappy childhood and to this day has resentment toward her mother. Her sleep is restless. Other symptoms include headaches with stabbing pain on the forehead. She tends to have nasal discharge with thick yellow phlegm. She has a burning sensation in the epigastrium with thirst. The tongue is red with a purplish tinge and a crack in the center. The coating is greasy and yellow. The pulse is slippery (hua mai), wiry (xuan mai) and full (shi mai). what is the dx? A. Liver and gallbladder phlegm- fire B. stomach phlegm fire C. Phlegm fire affecting heart and stomach, stagnant blood D. Liver stagnant qi and blood C. A 29 year old man complains of frequent urination at night. The urine is pale. He says that he has dry mouth at night when he awakens to go to the bathroom. He has low back pain. Overall he generally feels cold but occasionally feels hot in the face. The tongue is pale with a red tip. The pulse is weak (xu mai) in both rear positions. What is the dx? A. Bladder cold and deficient B. Stagnation of cold in liver channel C. Kidney yang deficiency with slight kidney yin deficiency D. Spleen and kidney yang deficiency C. A 45year old woman has had headaches for the past 4 years. The pain is mostly on the forehead but can also occur on the top of the head. The headaches are worse during the daytime. When she has the headaches, she has a feeling of heaviness in the head. She has no dizziness. Other symptoms include recurrent rhinitis, low back pain and frequent urination, and low energy. She tends towards constipation right now, but prior her stools were occasionally loose. She feels cold. The tongue is swollen and pale with greasy yellow coating. The pulse is deep and weak (xu mai) and slippery (hua mai) on the right side. What is the dx? A. Phlegm cold obstructing meridians B. Deficient spleen qi, retention of cold C. Spleen and kidney yang deficiency, dampness obstructing head D. Deficient qi and yang C. A 60 year old woman has had an upper respiratory tract infection for 3 days. Symptoms include dry cough, aversion to cold, a slight temperature, a dry and itchy throat, and headaches. The tongue is dry with a thin and slight yellow coating. The pulse is floating (fu mai). What is the dx? A. Wind-heat-dryness invade the lungs B. Phlegm- heat obstructing lungs C. Deficient lung yin D. Deficient lung and kidney yang A. A 46 year old woman has had a duodenal ulcer for ten years. The pain is stabbing and radiates from the epigastrium to the right ribs. She has loose stools. The pain is worse at night at which time she has nausea. The emotional stress from her recent divorce also triggers her pain. Her periods are irregular and painful. Menstrual blood is dark with clots. She often feels tired. The tongue has a purplish tinge with swollen sides. The tongue coating is yellow. The pulse is wiry (xuan mai) and full (shi mai). What is the dx? A. Phlegm Obstructing Liver qi B. Stagnant liver qi and blood, deficient spleen qi C. Damp heat pouring downward, stagnant blood D. Deficient qi and blood B. A 35 year old female complains of her period always being late with PMS. SHe has insomnia, dry eyes, and feels exhausted physically and emotionally. She is under stress due to a recent divorce and now feels she has no direction in life and cannot decide what to do. The tongue is red with a crack down the center and without coating. The pulse is empty (xu mai) on the left side and choppy (se mai) on the right side. What is the dx? A. Stagnant Liver Qi B. Liver Yang Rising C. Deficient Liver Yin D. Heart and Kidney Not harmonized C. A 27 year old woman has epigastric pain for the past 3 years. The pain is dull, worse with pressure, worse lying down, and worse after eating. The pain is associated with nausea and acidity. She has constipation and a full sensation. She has a poor appetite. She also bleeds fresh, red blood between her periods and bruises easily. The tongue is pale, with teeth marks. The tongue coating is greasy and white. The pulse is slippery (hua mai) overall and weak (xu mai) on the right side. What is the dx? A. Liver stagnant qi invading stomach B. Retention of food in stomach, deficient spleen qi C. Rebellious stomach qi, hot blood D. Deficient yang with accumulation of dampness B. A 50 year old woman's main complaint is a sense of oppression in the chest ever since her heart attack 3 years ago. She is overweight and feels cold. Her blood pressure is 180/100. She has knee pain. She has edema in her knees, ankles and wrists. The tongue is pale and swollen with thick white coating. The pulse is deep (chem mai) and weak (xu mai). What is the dx? A. Heart stagnant blood B. Heart Yang Deficiency C. Deficient spleen and kidney yang, phlegm obstructing chest D. Deficient spleen qi with accumulation of dampness C. A 42 year old woman has epigastric pain for the past 7 years. The pain radiates to the hypogastrium. There is distension, belching and nausea. She is constipated and has a pebble like stools. She has been depressed since her divorce 9 years ago. The tongue is normal. The pulse is slightly wiry (xuan mai) on the left side. What is the dx? A. Stomach fire B. Stagnant liver qi invading stomach C. Deficient spleen and stomach qi D. Liver yang rising, rebellious stomach B. A 27 year old male has had tinnitus for 2 years. The sound is light pitch. It is better with rest and worse with stress. The tongue is red with yellow coating. The pulse is full (shi mai) and wiry (xuan mai) and especially weak (xu mai) in the rear positions. What is the dx? A. Deficient kidney qi B. Deficient kidney yin with empty fire deficient C. Liver fire, kidney yin deficiency D. Kidney essence C. A 54-year old man's man complaint is insomnia. He easily falls asleep but wakes up several times during the night. He has a dry throat. He also complains of erectile dysfunction for 2 years. The tongue is red with very thin coating. The pulse is empty (xu mai) at the deep level and very weak (xu mai) and thin (xi mai) in the left rear position. What is the dx? A. Kidney and heart not harmonized B. Deficient kidney essence, deificent heart blood C. Heart fire blazing D. Deficient kidney and liver yin with disturbed shen A. A 45-year old female patient has had joint pain in the hands with morning stiffness for the past 2 years. Her joint pain has come aggravated and intolerable during the past week. She has a 2-yr history of swollen and painful joints on both wrists and the metacarpal-phlanageal joints, The pain worsens with pressure applied to the joints. She was diagnosed with rheumatoid arthritis. Her western medical treatment has included NSAIDs and glucocorticoids but the joint pain has continued. The physical examination revealed bilateral tenderness at the wrists and finger joints but without high skin temperature, redness, or swelling. There were subcutaneous purple spots around the joints. The lab exams findings revealed an increase in rheumatoid factor and c-reactive protein. She reports mental fatigue and lack of overall strength. She had normal appetite, sleep, urination and bowel movements. Her tongue was dark purple with stasis macules. The tongue coating was white. Her pulse was deep. What is the general treatment principle with the treatment of this case? A. Activate blood and dissolve stasis B. Activate blood and dissolve stasis, remove dampness and dissolve phlegm, raise yang and boost qi C. Activate blood and dissolve statis, raise yang, and boost qi D. Remove dampness and dissolve phlegm, raise yang and boost qi B. A 45-year old male patient has had persistent dry mouth and eyes for the past 3 years. For the past month these symptoms were associated with yellowish skin and sclera. He reported mental fatigue, lack of strength, weight loss with emaciation, poor appetite, an aversion to oily and greasy foods, yellow urine, and loosed unformed stools. The tongue was pale with some dark purple coloration with teeth marks on the sides. The tongue coating was thick-greasy -white-yellow. The pulse was deep and thready. Lab tests showed ANA 1:320, Sjogren's syndrome antibodies SS-A (+++), SS-B (+). Liver function tests showed elevated ALT and bilirubin. He as diagnosed with Sjogren's syndrome. What is the cause of the dryness? A. Dryness due to deficient qi not moving body fluids into the liver collaterals B. Dryness due to blood stasis obstruction the liver collaterals C. Dryness due to phlegm-dampness and blood stasis blocking the liver collaterals D. Dryness due to dampness-phlegm obstruction of the liver collaterals C. A 65-year old female patient has had joint pain in both hands for the past 10 years. She was originally diagnosed with rheumatoid arthritis. The pain has worsened during the past 3 months and she is unable to take take of herself in daily life. Her pain is not currently relieved with western medicine. She reports that the joint pain in both hands improves with the application of warmth. The physical examination revealed a deviation and deformity of the ulnar sides of both hands, tenderness in the joints of both hands, an increased joint temperature without redness or swelling. Lab results show an increase of rheumatoid factors (300.1 IU/ml) and C-reactive protein (90.70mg/14). She reports fatigue, lack of strength, aversion to cold and wind, poor appetite, constipation, and yellow scanty urine. The tongue was pale with purplish macules. The tongue coating was yellow-ish-greasy. The pulse was deep and thin. What is the dx? A. Wang bi (lame impediment) due to cold-heat complexion B. Wang bi (lame impediment) due to blood stasis C. Wang bi (lame impediment) due to cold D. Wang bi (lame impediment) due to phlegm-damp A. For the past year a 23-year old female had painful oral and perineal ulcers which have become worse the last 4 days. A year ago she was diagnosed with Behcet's disease ad was treated with corticosteroids which would improve or worsen ulcers. The disorder started after spending too A 28 year old female patient has had a red discoloration on her face and hands for 1year. SHe first started to notice a red color on her face and hands. She was given the dx of systemic lupus erythematosus (SLE). She was prescribed steroids. One month ago she spent too much time in the sun and her symptoms flared up but have now subsided. She is seeking TCM treatments bc she doesn't want to increase her steroid medications. Other symptoms she reported include mental fatigue, weakness, irritability, pain on the sides of her ribs, low back pain and weakness, a dry mouth without a desire to drink and a poor appetite. Her sleep was normal. She reported having scanty urination and constipation. Her tongue was dark-red with a thick greasy white tongue coating at the root. Her pulse was deep and thin. She has no history of other diseases. The physical exam conformed a butterfly rash over the bridge of her nose and over both cheeks red skin patches on her hands and wrists, and edema in both ankles and lower limbs. Immunological tests revealed positive antibodies. The urine spot test was positive for proteinuria and occult blood. The liver function test had an increase of liver enzymes with ALT at 5 and AST at 68. What is the dx? A. Yin deficiency with dampness and blood stasis B. Liver qi stasis, yin deficiency, and spleen dampness C. Liver empty fire with kidney qi deficiency D. Liver and kidney yin deficiency A. A 39-year old male patient has had a goiter with distending pain. During the past 2 months he has ad distending pain in both eyes and on the left side of his neck after getting a cold. The patient said he has a history of easily catching cods. He has been having lots of work stress with drinking too much while having a bad diet and an erratic sleep schedule. He also reports symptoms of fatigue, palpitations, and sweating with movement. The physical examination revealed light-red skin on the neck. He did not have ny eye protrusion but did have redness in the eyes. His tongue was pale with dark purple and with teeth marks. The tongue coating was thich a greasy with both white and yellow colors. The pulse was deep-thin-weak particularly in the can position. the results of the lab tests shoed both free T3 and T4 were low and that TSH was high. Both Tg-Ab (thyroglobulin antibody) and TPO-Ab (thyroid peroxidase antibody) were positive. A thyroid biopsy showed an infusion of lymphocytes. What is the dx? A. Goiter due to yin deficiency with phlegm-fire harassing the heart B. Cinnabar eye due to cold heat complex C. Goiter due to heart and spleen deficiency with phlegm-stasis obstructing the channels D. Phlegm and blood stasis obstructing the collaterals C. For the previous 8 days, without any precipitating factors, a 42-year old female patient has bright red petechiae and ecchymosis throughout her body but mainly in the upper limbs. The petecha mingled to form larger areas of discoloration. She was admitted to the hospital and diagnosed with idiopathic thrombocytopenic purpura (ITP). She was treated with high doses of steroids which relieved her symptoms but her condition worsened as she tapered off her medication. Blood studies showed a lowered platelet count, normal hemoglobin, and elevated leukocytes. Immunological findings showed negative ANA-antinuclear antibody. She reported having mental and physical fatigue with poor appetite. She had normal urination and stools. Her tongue ha a red tip. The pulse was deep and thready. What is the diagnosis for the symptoms of her acute ITP. A. Spleen qi failing to control blood B. Heart blood stasis C. Blood syndrome due to excess heat toxins D. Blood syndrome due to blood stasis obstructing the collaterals C. During the past 2 years a 33-year old male patient has had bilateral interphalangeal joint pain. His finger joint symptoms worsened during the past week. Lab tests for RA (rheumatoid arthritis) and immunological tests were both negative. He reported that the proximal and distal finger joints of both hands had severe tender, and were slightly swollen. The elbow skin was thick, itchy, and had white-silvery scales. He also said that he had fatigue and poor appetite. He stool was dry at first and then became loose. He has a history of easily catching colds. The tongue was dark red with teeth marks and the coating was thick-greasy-yellowish-white. His pulses were deep thready weak on both wrists. What is the dx for the joint pain? A. Bi-syndrome due to blood stasis B. Deficient spleen yang C. Bi-Syndrome due to phlegm-damp obstruction D. Accumulation of phlegm-damp C. For the past 5-years a 32 year old female patient has had rash on her face. 5-years ago she was given the dx of systemic lupus erythematosus (SLE). She receieved both western drugs and also TCM herbal treatment. 2 days ago she came for treatment complaining of fever and malaise with facial rash, lower limb edema, and a body temperature of 103.1 (39.5 C). Her symptoms started after spending a long day working outside in the sun. Physical examination showed a butterfly rash over both cheeks and also across the bridge of her nose. During the history taking reported mental fatigue, feeling weak, dizziness, feeling agitated , and poor appetite. Her sleep, stool, and urination were normal. Her tongue was dark red with a white-grasy coating and not very moist. The pulse was floating and rapid. Immunological lab tests were positive for proteinuria and occult blood. What is the dx? A. Butterfly rash due to toxic heat and blood stasis B. Butterfly rash due to toxic heat damaging the collaterals C. Butterfly rash due to toxic blood stasis blockage D. Butterfly rash due to liver and kidney yin deficiency A. For the past 3 years a 35-year old female patient has had petechiae and ecchymosis in the lower limbs without any precipitating factors. She was diagnosed with idiopathic thrombocytopenic purpura (ITP) and treated with corticosteroids which sometimes helped and sometimes not. The petechiae and ecchymosis are scattered bilaterally in the lower limbs, most of which were dark and purple. Routine lab tests showered lowered platelets, normal ANA. She complained of mental fatigue, lack of physical strength, poor appetite, and hot flashes. Her menstrual bleeding was scanty and dark. The tongue was a dark purple with black spots. The pulse was deep, thready, and weak. What is the dx for the symptoms of her chronic ITP? A. Blood syndrome due to blood stasis obstructing the collaterals B. Qi and yin deficiency C. Blood syndrome due to excess heat-toxins D. Spleen qi failing to control the blood A. A 13-year old boy has had asthma since childhood. He complains of wheezing, breathlessness, tight chest, inability to lie down. He has a distinctive sensation of energy rising from the stomach to the chest and face. He has also suffered from a cough with thick yellow sputum. The tongue is red with a yellow coating and the pulse is slippery. Which vessel would you treat? A. Ren Mai (directing vessel) B. Yin qiao mai (yin stepping vessel) C. Chong mai (penetrating vessel) D. Yin wei mai (yin linking vessel) C. Has always been the dominant theory in chinese medicine D. Was never used in astrology, music, or politics. B. The 5 element model of correspondence is... A. A rigid model B. A Changing model C. An adaptable model D. An electric model A. The 5 element theory could be called the beginning of scientific medicine bc of all the following ways except: A. It applied observations from nature to interpret disease B. It saw disease as being caused by evil spirits C. It used numbers in its analysis of human body D. It used inductive and deductive reasoning to analyze disease B. The Yin-Yang theory developed... A. As a result of the 5 element theory B. About 300 years after the 5 element theory C. About the same time as the 5 element theory D. Just before the 5 element theory C. The correspondence most important to the 5 element scheme of diagnosis is... A. Color B. Sound C. Taste D. Smell A. When looking at the 5 elements interactions, which of the following relationships has the least clinical relevance from a TCM organ function point of view? A. Spleen is the other of the lungs B. Heart is the mother of Spleen C. Lungs are he mother of Kidneys D. Kidneys are the mother of the Liver B. The vertical axis from bottom to top of the cosmological 5 element sequence is a symbol of A. Essence, Qi, Mind B. Yang, Qi, Mind C. Yin, Essence, Yang D. Jing, Fluids, Essence A. The Earth is the center of the following 5 element sequences: A. Controlling, Insulting B. Cosmological, Cardinal directions C. Over-Acting, Insulting D. Generating, Controlling B. A husky tone of voice is associated with which element? A. Water element B. Earth element C. Metal element D. Fire element A. In the Cosmological 5 element sequence Earth is in the center... A. Protected by the energy of the other elements B. Representing a central pivot of reference for all other elements C. Representing conglomeration of all the other elements D. Because it comes last B. In the Cosmological sequence which element is the beginning of the other elements? A. Water element B. Fire element C. Wood element D. Earth element A. The philosophers of the Yin-Yang school were somewhat feared bc... A. They used the 5 elements to poison leaders B. They were able to interpret nature and draw political conclusions from it C. They could predict the weather D. They controlled 5 elements B. The most common 5 element interrelationships include all of the following EXCEPT... A. Pre-heaven Sequence B. Generating sequence and insulting sequence C. Controlling sequence and overeating sequence D. Cosmological sequence A. Which of the following is NOT part of the Cosmological sequence? A. Water and Fire have a direct relationship B. Water is the foundation C. Fire supports Earth D. Earth is the center C. The numbers that corresponds to the elements are.. A. Water 1,2; Fire 3,4; Wood 4,5; Metal 5,6; Earth 7,8 B. Water 1,6; Fire 2,7; Wood 3,8; Metal 4,9; Earth 5,10 A. Sweet taste B. Salty taste C. Bitter taste D. Pungent taste C. In using the 5 elements sequence in prescribing food tastes in xang fu disharmony, which of the following is incorrect? A. Spleen -earth disharmony: avoid sour and increase salty B. Lung -metal disharmony: avoid sweet and increase bitter C. Liver-wood disharmony: avoid pungent and increase sweet D. Heart- fire disharmony: avoid salty and increase pungent B. A 52-year old female has muscle weakness. Which food taste should she be advised to NOT overeat? A. Pungent taste B. Sweet taste C. Salty taste D. Bitter taste B. When an element is in excess, all of the following are possible causes EXCEPT: A. The element is in excess and over acts on another element B. The element is in excess and fails to nourish its child C. The element is in excess due to a weak controlling element D. The element is in excess and draws excessively from its mother element B. A 33-year old patient has epigastric distention, irritability, a dark moodiness, premenstrual tension with breast tenderness. Following the 5 element theory, which of the following taste recommendations would you give? A. Avoid sour foods and increase bitter foods B. Avoid pungent foods and increase sweet foods C. Avoid salty foods and increase sour foods D. Avoid bitter foods and increase sweet foods B. In 5 elements, each element is associated with taste. Which of the following has an INCORRECT pairing between taste and effect? A. Bitter taste/ clears heat B. Sweet taste/ generates fluid C. Salty taste/ flows downward D. Pungent taste/ scatters B. From TCM organ point of view, all of the following can be classified as the insulting sequence in the 5 element model EXCEPT: A. Weak kidneys with belching B. Lung heat with vomitting C. Spleen dampness causing anger D. Heart fire with scanty urine B. A 45-year old male has abdominal fullness, feelings of heaviness on the body, feeling cold, slippery pulse, and a sticky white tongue coating. Following the 5 element theory, which of the following point would you select? A. Metal point on the lung channel B. Earth point on the lung channel C. Metal point of the spleen channel D. Fire point on the spleen channel C. A 20-year old male has an acute cough with white-watery sputum which is worse with the cold weather, has phlegm in the throat, dizziness, chest oppression, and a feeling of heaviness. Following the 5-element theory, which of the following point would you select? A. Earth point on the lung channel B. Earth point on the spleen channel C. Water point on the lung channel D. Wood point on the spleen channel C. A 45-year old female has dizziness, numbness in the limbs, eye floaters, scanty menses, and a dull pale complexion. Following the 5-element theory, which of the following point would you select? A. Water point on the kidney channel B. Water point on the liver channel C. Wood point on the heart channel D. Fire point on the liver channel B. A 12-year old child has acute abdominal pain with mucous and blood in the stools. Following the 5- element theory which of the following point would you select? A. Water point in the large intestine channel B. Metal point in the spleen channel C. Earth point in the large intestine channel D. Fire point in the spleen channel A. A 32-year old male has discomfort in the epigastrium that gets better after eating, has tiredness, and cold limbs. Following the 5 element theory which of the following points would you select? A. Fire point on the spleen channel B. Fire point on the heart channel C. Fire point of the stomach channel D. Earth point on the heart channel C. A 49-year old female has dribbling after urination, chronic vaginal discharges, and back pain. Following the 5 element theory, which of the following point would you select? A. Wood point on the kidney channel B. Metal point on the kidney channel C. Water point on the lung channel D. Metal point on the metal channel B. Deficiency and excess C. Chang and Duan D. Spirit and Root B. Which of the following is the pulse positions listed in the Nan Jing (Classic of Difficulties) for the guan pulse positions? A. Left guan: Small intestine, bladder, kidney/ Right Guan: Large Intestine, Kidneys B. Left Guan: Bladder, kidneys/ Right guan: TB, PC C. Left Guan: GB, LV/Right Guan: ST, SP D. Left Guan: SI, HT/ Right Guan: LI, LU C. A 36-year old mae has -2 in the left deep bar position and a +2 in the right deep inch position. You treat? A. Metal within Wood B. Wood within Metal C. Fire within Metal D. Water within Wood A. In 5 elements pulse dx the pulses are graded from... A. -4 to + 4 B. -3 to +3 C. -2 to +2 D. -5 to + 5 B. The name of the pulse position where the liver is located is called the... A. Chi position B. Cun position C. Bar position D. Foot position C. A 57 year old male has a +3 in the right superficial bar position and a -3 in the left superficial cubit position. You treat? A. Earth within Water B. Earth within Wood C. Water within Earth D. Water within Wood A. A 43-year old male has a -1 in the right deep inch position and a +1 in the right deep bar pulse position. You treat? A. Metal within Earth B. Tonify Metal, Sedate earth C. Earth within Metal D. Sedate metal, tonify earth C. A 25-year old make has a +2 in the left superficial bar position and a -2 in the left deep bar position. You treat? A. Luo point on the yang wood channel B. Wood within wood in the yin wood channel C. Luo point on the yin wood channel D. Wood within wood in the yang wood channel C. A 33-year old female has a +2 on the left deep inch position and a -3 in the right deep inch position. You treat? A. Fire within Metal B. Water within Metal C. Metal within Metal D. Meta within Fire A. What is the Koren 5 element treatment for meta lung excess? A. Tonify fire point on fire heart channel, tonify fire point on metal lung channel, reduce water point on water kidney channel, reduce water point on metal lung channel B. Tonify water point on water kidney channel, tonify water point on metal lung channel, reduce fire point on fire heart channel, reduce fire point on metal lung channel C. Tonify earth point on earth spleen channel, tonify earth point on water kidney channel, reduce fire point on fire heart channel, reduce fire point on metal lung channel D. Tonify earth point on earth spleen channel, tonify earth point on water kidney channel, reduce wood point on wood liver channel, reduce wood point on water kidney channel A. What is the korean 5 element treatment for fire heart deficiency? A. Tonify wood point on wood liver channel, tonify wood point on fire heart channel, reduce water point on water kidney channel, reduce water point on fire heart channel B. Tonify water point on water kidney channel, tonify water point on fire heart channel, reduce earth point on earth spleen channel, reduce earth point on fire heart channel C. Tonify wood point on water kidney channel, tonify wood point on wood liver channel, reduce metal point on metal lung channel, reduce metal point on wood liver channel D. Tonify water point on water kidney channel, tonify water point on wood liver channel, reduce metal point on metal lung channel, reduce metal point on wood liver channel A. What is the Korean Five Element treatment of wood liver deficiency? A. Tonify water point on water bladder channel, tonify water point on wood gallbladder channel, reduce metal point on metal large intestine channel, reduce metal point on wood gallbladder channel B. Tonify metal point on metal LU channel, tonify metal pint on wood LV channel, reduce fire point on fire SP channel, reduce fire point on wood LV channel C. Tonify water point on water KD channel, tonify water point on wood LV channel, reduce metal point on metal LU channel, reduce metal point on wood LV channel D. Tonify metal point on metal LU channel, tonify water point on water KD channel, reduce earth point on earth SP channel, reduce earth point on water KD channel C. B. For the past 20 years, a 37-year old female has scanty menses, brittle nails, tinnitus, and lacks life direction. What is the 5-element dx? A. Water not generating wood B. Wood overacting on Earth C. Wood affecting Water D. Wood insulting Metal C. A 45-year old female has poor appetite, abdominal distention after meals, palpitations, tired limbs, and loose stools. What is the 5-element dx? A. Earth overacting on water B. Earth affecting fire C. Earth insulting wood D. Fire not generating fire B. A 45-year old male patient has cough, profuse yellow sputname, is thirsty, feels hot, and has a red face. During the interview he laughs inappropriately when talking about a recent death in his family. What is the 5-element dx? A. Fire insulting water B. Fire overacting on metal C. Metal overacting on wood D. Metal insulting fire B. A 32-year old female patient has loose stools, lassitude, and cold limbs. he complains of poo concentration and is having difficulty studying for her exams. What is the 5-element dx? A. Earth affecting wood B. Wood overacting on earth C. Fire not generating Earth D. Earth insulting wood C. What is the pinyin for leathery, drumskin, tympanic, or hard pulse? A. Chi mai B. Dai Mi C. Ge mai D. Shu mai C. How does long term use of beta blockers such as inderal (propranolol), Lopressor (metoprolol), or Tenormin (atenolol) affect the pulse? A. The pulse becomes full (shi mai) B. The pulse becomes rapid (shu mai) C. The pulse becomes slow (chi mai) D. The pulse becomes empty (xu mai) C. The side effect of estrogens (Premarin, Enjuvia, Cenestin) can indicate that they can induce which of the following TCM patterns? A. Yin depletion B. Yang Repletion C. Damp-Phlegm and Blood Stasis D. Spleen Qi and Blood Vacuity C. The side effects of cholinergic agonists (Evoxac, Salagen) indicate that they can induce which of the following TCM patterns? A. Qi and Yin Vacuity with an upbearing of Qi B. Damp-Phlegm engendering blood stasis C. Internal dryness with yon vacuity D. Qi vacuity and Yang vacuity A. The side effects of Tricyclic antidepressants (Evailm, Tofranil, Limbitrol) indicate that they can induce which of the following TOM patterns? A. Spleen vacuity with excess dampness B. Qi Vacuity and Yin Blood Vacuity C. Qi and Yang vacuity D. Heart Blood Vacuity B. The side effects of diuretic (Aquatensen, Aldactone, Lasix) can indicate that they can induce which of the following TCM pattern? A. Liver Yin Vacuity B. Blood and Qi Stasis C. Qi and Blood Vacuity D. Infusion of GB Damp-heat C. Which of the following has the WRONG correspondence between the abdominal area and what that area is associated with? A. Central lower abdomen/ LV B. Lateral lower abdomen/ Directing Vessel C. Epigastrium/ Stomach and Spleen D. Hypochondrium/ LV and GB B. You are palpating the front-mu point REN-12 (thong wan) to determine the condition of the ST. Which of the following palpations indicated a deficiency condition? A. Point feels hard B. Point feels soft C. Point feels distended D. Point is very tender B. You are palpating the Front-Mu point REN 14 (ju que) t determine the condition of the heart. The palpated feeling of REN-14 (ju que) should be compared to the palpated feeling of REN 5 (qi hai) to help determine the quality of the palpitation for REN 14 (ju que). What is the comparison? A. REN 14 should feel softer than REN 6 B. REN 14 should feel harder than REN 6 A 34-year old male complains of epigastric fullness. You palpate the epigastrium which feels soft to the touch. This indicates... A. Mixed excess and deficiency B. Deficiency C. Excess D. Normal palpation of epigastrium A. A 42-year old female has been diagnosed with fibroadenoma. If you were to palpate the breast you would feel a ... A. Single, hard and moveable lump with distinct edges that is sometimes painful B. Small, multiple, moveable lumps with distinct edges, changes sizes with menstrual cycle C. Single, hard and immovable lump that has indistinct edges and without pain D. Relatively soft moveable lump A. The area under the xiphoid process reflects the energetic state of the ... A. Stomach and Heart B. Spleen, stomach, and directing vessel C. Stomach, heart, and penetrating vessel D. Stomach and spleen C. You are palpating the feet of a 6-year old child. Which part of the foot would you expect to feel cold on palpation in cold patterns. A. Dorsum of the foot B. Left side of the foot C. Right side of the foot D. Sole of the foot A. A 32-year old female patient has sharp abdominal pain. The western diagnosis is uterine myoma. She says that you can feel it if you press on her abdomen. With palpating the lower abdomen, you expect the lump to... A. Be on left-lower abdomen B. Be fixed and hard C. Come and go D. Be soft and moveable B. Which of the following organs is influenced by the sympathetic nervous system? A. All of these B. Urinary bladder C. Gastrointestinal tract D. Pupils of the eyes A. All of the following about cortisol are true EXCEPT: A. Affects blood levels of glucose B. Stimulates the effects of insulin C. Affects metabolism of carbohydrates, protein, and fats D. Production is stimulation by ACTH B. The urine osmolality test is used to evaluate: A. Urine glucose levels B. 5-HIAA C. Fluid and electrolytes abnormalities D. Urine cortisol levels C. A patient complains about abdominal gas problems. At physical examination you would find: A. Decreased gurgles at auscultation of the abdomen B. Presence of bruits C. Increased tympany D. Painful palpation at right costal margin C. All of the following are true about type 2 diabetes EXCEPT: A. Tends to occur in people over 40 who are overweight and inactive B. Pancreas cannot produce enough insulin C. Most common type of diabetes D. Can be controlled with diet and exercsie B. All of the following are tests that assess the sacroiliac joint EXCEPT: A. Valsalva maneuver B. Gaenslen's sign produce C. Patrick Test D. Sacroiliac distraction test A. If a patient has endometriosis, before surgery, which of the following can be used to confirm it? A. Laparoscopy B. Ultrasound C. CT D. MRI C. If a patient has fever, nausea, vomiting, and rigidity on the low right side of the abdomen, which of the following is possibly positive? A. McBurney's sign B. McMurry's sign C. Abdominal reflexes D. McMurphey's sign C. Which one of the following is true statement about treatment of cancer pain? A. Identifying the cause of the pain is not included in palliative care B. Intractable, chemotherapy-casued nausea and vomiting can be managed by a serotonin antagonist C. The confusion and drowsiness of a narcotic analgesic can be treated by switching to another This maneuver elicits pain in the right lower quadrant during left-sided pressure it suggests appendicitis. This sign is: A. Thumb sign B. Rovsing's sign C. Tinel's Sign D. Wright's maneuver B. A 45-year old female patient, 5ft tall, weighing 140lbs, presents to you acute, steady right upper quadrant pain of the abdomen. The pain aggravates with fatty food, and is accompanied by pain and nausea. She looks a little jaundiced. On further examination, she is slightly febrile, and her right costal margin is tender on deep palpation. Her pulse feels slippery and strong, and her tongue looks red with greasy yellow coating. The most possible dx is: A. Acute cholecystitis B. acute pancreatitis C. Peptic ulcer disease D. Acute appendicitis A. As part of the routine in your practice, you measure the blood pressure of each patient. In regard to blood pressure measurement, which of the following is true? A. A cuff that is too narrow will measure an artificially low reading B. Blood pressure readings from both arms are always equal C. It is necessary to fully deflate the cuff before repeating a measurement D. The measurement can be done any movement during the visit C. All of the following substances or cell components cannot usually be found in a mature red blood cell EXCEPT: A. Mitochondria B. Nucleus C. Hemoglobin D. Lysosome C. Absorption of nutrients mainly occurs in: A. Stomach B. Small intestine C. Large intestine D. Rectum B. The main symptoms of hepatitis B are: A. Renal colic, tinnitus, and dyspnea B. Chills, fever, nausea, vomiting, and malaise C. Edema, weight loss, distended abdomen, and constipation D. Severe cough, sore throat and swollen lymph glands B. Red, swollen pimple-like lesion on the eyelid is most likely: A. Scleroderma B. Malignant melanoma C. Stye D. Conjunctivitis C. Which of the following most likely causes diarrhea to a patient on antibiotics? A. Escherichia coli B. Streptococcus faecalis C. Clostridium difficile D. Bacteroides fragilis C. If upon palpation, the lower abdomen feels very soft and flaccid this can indicate... A. Spleen and stomach deficiency B. Spleen and kidney deficiency C. Qi stagnation D. Dampness B. Which of the following findings in a deep tendon would suggest peripheral nerve injury: A. Normal B. Absent C. Hyperactive D. Decreased C. A 35-year old patient comes to see you for the first time. As an acupuncturist your inquiry should include all of the following EXCEPT: A. Vital signs B. Past medical hx and family hx C. None of these D. Allergies C. ATP is associated with all the following EXCEPT: A. Reversible reaction B. A basic nucleotide structure C. High-energy phosphate bonds D. Deoxyribose A. Cushing syndrome is characterized by all of the following signs EXCEPT: A. Acne B. Hyperpigmentation of the skin C. Weight gain D. Hypertension B. A. Long-term use of aspirin is known to cause burning, soreness, tenderness, and inflammation of the tongue. This suggests... A. Damage to blood and yin resulting in empty heat B. Kidney and heart not communicating C. Excess internal heat in the heart D. Heart fire transmitted to the small intestines A. Which herb may cause reduce serum levels of estrogen? A. Gan Cao (glycrrhizae radix) B. Fan xie ye (sennae folium) C. Bai Zhi (angelicae dahuricae radix) D. Tao ren (persicae semen) B. All of the following herbs lower plasma glucose levels and potentiate anti-diabetic medications and cause hypoglycemia except? A. Niu Bang Zi (arctii fructus) B. Cang er zi (xanthii fructus) C. Man Jing Zi (viticis fructus) D. Bai shao (peainiae radix alba) B. Which may potentiate cholesterol lowering agents, may potentiate antiplatelets an anticoagulants and may lower plasma glucose levels? A. Ginger B. Turmeric C. Garlic D. Walnit C. Which herb potentiates the anticoagulant and antiplatelet effects of drugs such as warfarin and should be used with caution? A. Sheng ma (cimicifugae rhizoma) B. Dan Shen (salviae miltiorrhizae radix) C. Huang Qin (scutellariae radix) D. Huang Tian (coptidis rhizoma) B. Gui zhi (ramulus cinnamomi cassiae) synergistically interacts with A. Central nervous system inhibitors B. Dirertics C. Non-inflammatories D. Muscle relaxants B. A hepatitis patient is taking interferon. Which of the following herbs should not be given to this patient? A. Chaff hu (radix bupleuri) B. Yin chen hao (herba artenusuae yinchenhao) C. Bo he (herba menthae haplocalycis) D. Long Dan Cao (radix gentianae longdancao) A. Gui Zhi (ramulus cinnamomi cassiae) synergistically interacts with A. Anticoagulants B. Antihistamines C. Antibiotics D. Antihypertensives C. Which of the following herns has the FDA issued a warning linking it to a kidney failure and cancer? A. Niu bang zi (fructus arctii lappae) B. Guang fang ji (radix aristolochiae fangchi) C. Cang zhu (rhizoma atractylodis) D. Gan cao (radix glycyrrhizae) B. A physician will probably not prescribe niacin to help lower cholesterol if the patient has... A. Hypoglycemia B. Peptic ulcers C. High cholesterol D. Hypothyroidism B. Gui Ban (plastrum testudinis) and lu rong (cornu cervi parvum) treat A. Debility due to deficient kidney B. Copious vaginal discharge C. Impotence and spermatorrhea in men or infertility and thin vaginal discharge in women due to deficient cold kidneys D. Low back pain due to deficient kidney yang A. How us zhu lining tang (polyporus decoction) modified when there is hot and painful urination? A. Add qu mai (herba dianthi) and zhi zi (fructus gardeniae) B. Increase fu lining (sclerotum poriaw cocos) and add bian xu (herba polygoni avicularis) C. Add zhi zi (fructus gardeniae) and bian xu (herba polygoni avicularis) D. Increase fu ling (sclerotium poriae cocos) and ze xie (rhizoma alismatis orientalis) C. In comparing dang shen (codonopsis radix) and ren shen (ginseng radix) which statement is true? A. Dang shen is stronger at tonifying the primal qi B. Ren shen more directly generates fluids C. Ren shen is stronger for killing parasites D. Dang shen is more appropriate for profuse bleeding B. How do ze xie (alismatis rhizoma) and zhu ling (polyporus) compare? A. Zhu ling treats heat predominant spermatorrhea with dark urination, while ze xie treats lower burn damp heat with turbid urination B. Zhu ling is cool, whereas ze xie is warm C. Ze xie is better than zhu ling at leading blazing ministerial fire back to its source D. Ze xie is stronger than zhu ling at removing pathogenic water C. You can expect which tongue and pulse with zhu ling tang (polyporus decoction)? A. Red tongue and white or slightly yellow coating, thready, rapid pulse B. Swollen tongue and thich, white, and greasy coating, moderate or slippery pulse C. Pale tongue and white coating, thin, weak, slow pulse D. White tongue coating, floating or slippery pulse A. A male presents with constipation for several days following a cold and is prescribed Run Chang Wan (moisten the intestines pill). He now presents with fever, aversion to heat, and abdominal pain and fullness that is worse with pressure. His tongue is red with a thick yellow dry coat, and his pulse is deep and forceful. Which prescription is the most appropriate for this case? A. Switch prescription to Da Cheng Qi Tang (major order of the qi decoction) B. Continue with the run chang wan C. Add Bai Hu Tang (White tiger decoction) to the original prescription D. Switch prescription to Tao he Cheng Qi tang (peach pit decoction to order the chi) A. A 56-year old female patient presents with a cold for 2 days, with a strong aversion to cold, slight fever, no sweating, achy limbs, and joints, and a stuffy nose. Today, her sinus congestion is becoming turbid, thick, and white. Her pulse is floating and tight, and her tongue is pale red with a white greasy coat. The practitioner decides to modify the formula Ren Shen Bai Du San (Ginseng power to overcome pathogenic influences) for this patient. WHich of the following modifications would most appropriate at this time? A. Add Ma Huang (Ephedrae herba) and gui zhi (ramulus cinnamomi) B. Add Cang Er Zi (Xanthii Fructus) and Bai Zhi (ANgelicae Dahuricae Radix) C. Delete Qiang Huo (notopterygium rhizoma seu radix) and du huo (angelicae pubescentis radix) D. Add Zhe bei mu (Bulbus fritillariae thunbergii) and qian hu (peucedani radix) B. A 27-year old white female patient complains of persistent nausea for the past 2-weeks. She has been self-medicating with Pepto-bismol. Lab tests show that AST is 550 u/l and ALT is 1000 u/L, normal bilirubin, positive HbsAG, and alk.phso. is 150 u/l. The tongue is red, with slimy, yellow coating. The pulse is fast, slippery, and wiry. What is your prescription. A. Xiao chai xu tang (minor bupleurum decoction) and huang lian (rhizoma coptidis), zi si ye (folium perillae), chen pi (pericarpium citri reticulatae); LR- 3 (tai chong), BL-18 (gan shu), BL-19 (dan shu), GB-34 (yang ling quan), PC-6 (nei guan) B. Long dan xie gan tang (gentiana drain the liver decoction) and zhu ru (caulis bambusae in taeniss), chen pi (pericarpium, citri reticulatae)l GB-34 (yang ling quan), LR-3 (tai chong), BL-18 (gan shu), BL-19 (dan shu), REN-12 (zhong wan) C. Si jun zi tang (four gentlemen decoction) and huang qin (radix scutellaria), huang lian (rhizoma coptidis), sha ren (fructus amorni), hou po (cortex magnoliae); SP-9 (ying ling quan), ST-46 (zu san 10, DU-9 (zhi yang), BL-20 (pi shu), BL-18- (gan shu) D. Xiao yao san (rambling power) and ban xia (rhizoma pinellia), chen pi (pericarpium citri reticulatae), zhi zo (fructus gardenias), dan pi (cortex mountain)l; ST-40 (feng long), LR-3 )tai chong), CV-12 (zhong wan), BL-20 (pi shu), BL-18 (gan shu) A. A 26-year old woman presents with a rash on her arm and trunk for 2 days. The lesions are itchy and red, and have exudate. Her tongue is pale red with a thin yellow cost, and her pulse is floating and rapid. She is prescribed xiao feng san (eliminate wind powder from true lineage). Ho would the formula be modified for bleeding due to excoriation (scratching) of the skin? A. Remove cang zhu (rhizome atractylodis) and ku shen (radix sophorae) B. Remove shu gai (gypsum fibrosum) and add rou gui (cortex cinnamomi) C. Keep xiao feng san (eliminate wind powder fro, true lineage) as is D. Add yo yo ren (semen coicis), bai xian pi (cortex dictamni) and di fu zi (fructus kochiae) C. A patient presents with history of a cold for 2 days. It started with a fever and slight chills, sore throat and thirst. The patient now presents with conjunctivitis and cough. The pulse is rapid and floating and the tongue is pale red with a thin yellow coat. The practitioner decides to modify the formula Yin Qiao San (Honeysuckle and forsythia power) for this patient. Which of the following modifications would be most appropriate at this time? A. Add Sang Ye (folium mori alba) and Ju Hua (Chrysanthemi flos) B. Add Chan Tui (cicadae periostracum( and Ku Shen (Sophorae Flavescentis radix) C. Delete Lu Gen (Rhizoma Phragmitis Communis) and Dan Dou Chi (Semen Sojae Praeparata) D. Delete Niu Bang Zi (fructus arctii Lappa) and Bo he (menthae haplocalycis herba) A. A 32-year old woman presents with a cough for one week following a cold. She coughs up a thick white sputum, and has fullness in the chest and nausea. Her tongue is pale red with a thick white greasy coat and her pulse is slippery. She is prescribed zhi sou san (stop coughing powder). After 3 days she returns and the condition has not changed. What is the most appropriate course of action at this time? A. Add huang qin (radix scutellariae an niu bang zi (frustum arctii) to the original prescription B. Add bei mu (bulbus fritillariae) and gua lou (fructus trichosanthis) to the original prescription C. Switch the formula to Er Chen Tang (Two cured decoction) D. Double the original dosage of Zhi Sou San (Stop coughing powder) C. A 30-year old woman presents with menorrhagia. She reports continuous mild menstrual bleeding for up to 10days, along with pain in the lower abdomen that is better with pressure and warmth. She also feels warm a night and has warm hands and feet. Her tongue is pale and dusky, and her pulse is thin and choppy. SHe was prescribed Wen Jing Tang (flow warming decoction) for 3 days. She now presents with a thinner pulse, fatigue, and eye floaters. In addition she reports that the menorrhagia has improved but has not completely resolved. Which of the following is the most appropriate way to proceed. A. Remove the shao yao (radix paeoniae) and increase the dosage of gui zhi (ramulus cinnamomi) B. Switch The prescription of Shi Shen Wan (Four miracle Pill) C. Increase the dosage of dang gui (radix angelicae sinensis) and e jiao (asini corii colla) D. Continue the Wen Jing Tang (Flow warming decoction) as is C. following modifications would be most appropriate at this time? A. Decrease the dosage of Huang Qi (Astragali Radix) and add Zhi Mu (Anemarrhenae Rhizoma) B. Increase the dosage of Huang Qi (Astragali radix) and add shu di huang (rehmanniae radix preparata) C. Increase the dosage of Mu Xiang (Aucklandiae Radix) adn add Yu Jin (Curcumae Radix) D. Decrease the dosage if Mu Xiang (Aucklandiae Radix) and add Bai Tou Weng (Pulsatilla Radix) B. A 62-year old African American male has difficult urination, sagging pain in the perineal area, dragging feeling in the hypogastrium, and slight hematuria. Physical examination shows no edema. PSA levels are 6.5 ng/mL. Pulse is weak and the tongue is pale with thin white coating. What is your prescription? A. Wu pi san (five peel powder) + hou po (cortex magnoliae) B. Bu Zhong yi qi tang (tonify the middle and augment qi decoction) + fi ling (poria), zhu ling (polympourus) C. Wu Ling san (5-ingredient power with poria) + qiang huo (rhimoa et radix notopterygii) D. Jin gui shen qi wan (kidney qi pill from the golden cabinet) + Zhi ke (fructus aurantii), sheng ma (rhizoma cimicifugae), chai hu (radix bupleuri) B. A 40-year old male diagnosed with a duodenal ulcer by his western medical doctor, presented one week ago with one month of hypochondriac and costal pain. He pain was sharp and fixed under the right lower rib cage and in his chest. The pain was worse with pressure and there a palpable hardness in the rib area. He reported no fatigue, thirst, insomnia, or afternoon fevers. His pulse was deep and choppy, and his tongue was dark with purple spots and distended sublingual vessels. He was prescribed Xue Fu Zhu Yu Tang (drive out stasis from mansion of blood decoction). Currently he reports that he is additional experiencing headaches and mild eye pain. His pulse is floating and rapid. WHich of the following modifications would be most appropriate at this time? A. Add huang lian (coptidis rhizoma) and whi zi (gardeniae fructus) B. Add man jing zi (fructus viticis) and ci ji li (fructus tribuli) C. Add he shou wu (polygoni multiflori radix) and ju hua (Chrysanthemi flos) D. Delete tao ren (persicae semen) and hong hua (carthami flos) B. A 42-year old male presents with severe dizziness for one week. He relates it to his new stressful job, and to hypertension. He has started to take a diuretic, prescribed by his western doctor which helps with is hypertension, but he is still dizzy. Along with the dizziness he has noticed soreness in his low back and knees and insomnia. His tongue is red with a thin yellow coat and his pulse is wiry. The practitioner decides to modify the formula Tian Ma Gou Teng Yin (Gastrodia and Uncaria decoction) for this patient. Which of the following modification would be most appropriate at this time? A. Add Bai Ji Li (tribuli fructus) and Ju hua (chrystathmei flos) B. Add long dan cao (gentianae radix) and mu dan pi (moutan cortex) C. Add ban xia (pinelliae rhizoma) and ju hong (citri reticulatae exocarpium rubrum) D. Add chai hu (bupleuri) and huang qi (astragali radix) B. A 42-year old female presents with headaches for the last 6months. She reports her headaches being throbbing in nature and accompanied by dizziness. Overall, she reports irritability, restless sleep and bitter taste in her mouth. Her pulse is wiry and her tongue is red with a thin yellow coat. The practitioner decides to prescribe the formula Xue Fu Zhu Yu Tang (Drive of Stasis from the mansion of blood decoction) for this patient. How well does this prescription match the patients presentation? A. It matches the patient's presentation and is the correct prescription at this time B. Tian Ma Gou Teng Yin (gastrodia and uncaria drink) matches the patient's presentation more accurately C. Xiao Yao San (rambling powder) matches the patient's presentation more accurately D. Zhi Bai Di Huang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill) matches the patients presentation more accurately B. Which herb disperses cold, dries dampness, relieves upper body pain, and treats occipital headaches? A. Ling Lie (herba schizonepatwe) B. Qiang huo (rhizoma et radix notopterygio) C. Fang feng (radix ledebouriellae divaricatae) D. Gao ben (rhizoma lingustici) C. Which herb clears the lung, stops coughing, and stops bleeding? A. Man Jing Zi (fructus viticis) B. Ju Hua (flos chrysanthemi) C. Sang Ye (Folium mori) D. Mu Zei (herbs equiseti hiemalis) C. Which herb in the charred form stops bleeding? A. Jing Jie (herba schizonepetae) B. Fang Feng (radix ledebouriella divaricate) C. Giang huo (rhizoma et radix notopterygil) D. Gao ben (rhizoma ligustici) A. Which herb treats wind-heat summer heat dysentery and intestinal abscess? A. Pu gong yong (herba taraxaci) B. Jin yin hua (flos lonicerae) C. Lian qiao (fructus forsythiae) D. Niu huang (calculus bovi) B. Which herb nourishes yin and promotes generation of body fluids? A. Mu dan pi (cortex moutan) B. Xuan shen (radix scrophulariae) C. Sheng di huang (radix rehmanniae) D. Chi shao (radix paeonia rubrae) C. Which herb invigorate blood circulation, clears liver heat in the eyes, stops pain, and only enters the liver channel? A. Xuan shen (radix scrophulariae) B. Sheng di Huang (radix rehmanniae) C. Chi shao (radix paeoniae rubrae) D. Mu dan pi (cortex moutan) C. Bitter flavor D. Sweet flavor B. Which of the following foods have a salty taste? A. Hawthorn berry, rose hip, crab apple, lemon B. Seaweed, soy sauce, miso, pickles, gomasio C. Fennel, dill, caraway, anise, coriander, cumin D. Beans, peas, lentils, fruits, carrot, yam B. Too much sweet flavor in the diet can be contraindicated with... A. Bronchitis B. Dry symptoms C. Headache D. Cold symptoms A. Which flavor causes contraction and encourages the energy to descend, reduces excess, lowers fever, dries dampness, calears heat, cleans arteries of damp mucoid deposits of cholesterol and fats, can lower blood pressure, cools liver health benefits slow, overweight, lethargic, watery (damp) individuals or those who are overheated and aggressive? A. Dryness B. Excess cold C. Digestive poblems D. Dampness A. Too much salty flavor in the diet can be contraindicated when... A. Acid reflux B. Subcutaneous nodules C. Edema D. Vaginal discharge C. Which of the following foods have a sweet taste? A. Hawthorn berry, rose hip, crab apple, lemon B. Fennel, dill, caraway, anise, coriander, cumin C. Beans, peas, lentils, fruits, carrot, yam D. Seaweed, soy sauce, miso, pickles, gomasio C. Which of the following foods have a pungent taste? A. Hawthorn berry, rose hip, crab apple, lemon B. Seaweed, soy sauce, miso, pickles, gomasio C. Fennel, dill, caraway, anise, coriander, cumin D. Beans, peas, lentils, fruits, carrot, yam C. The sour flavor is the diet can be contraindicated with... A. Dampness B. Wind-cold C. Excess-heat D. Diarrhea B. A 12-year old male child has a fever, chills, a dry sore throat. The tongue has a thin yellow coating and the pulse is superficial. Which of the following foods would you prescribe? A. Pears with mint B. Green onions with coriander C. Parsnip with scallion D. Mustard greens with grapefruit peel A. A 37-year old make has right knee pain that is sharp, stabbing, and fixed. Hot compresses help reduce the pain. On palpation the knee feels cold to the touch. Which of the following foods would you prescribe? A. Lamb and scallions B. Millet and barley C. Watermelon D. Cabbage and dandelion A. A 32-year old male has a cute, red, swollen, and painful knee joints that are worse with heat. Which of the following foods would you prescribe? A. Chrysanthemum flower tea B. Lamb and scallions C. Mung beans and dandelion D. Mint tea C. A 44-year old has a runny nose with clear watery discharge, sneezing, aversion to cold and achy muscles. The tongue has a thin white coating and the pulse is superficial. Which of the following foods would you prescribe? A. Parsnips with cinnamon B. Black soybeans with dandelion C. Chrysanthemum tea D. Apples with burdock root A. A 68-year old obese female has swollen knee joints with a sense of heaviness in the limbs. The pain is dull-aching and lingers. She often feels sluggish. Which of the following foods would you prescribe? A. Ginger B. Mung beans and dandelion C. Mustard green and cornmeal D. Garlic and scallions C. A 19-year old has candida. Her tongue is a thich, greasy, and yellow tongue. Which of the following foods would you prescribe?