A-IV Diagnostic Methods Flashcards
1
Q
I. A patient usually exhibits a pale complexion with all of the following syndromes except ( ). A: deficiency of Qi B: deficiency of blood C: deficiency of yang D: deficiency of yin E: cold
A
- D
2
Q
- The presence of malar flush indicates ( ).
A: damp heat in the liver and gallbladder
B: yin deficiency
C: Qi deficiency
D: deficiency of liver blood
E: invasion of pathologic heat
A
- B
3
Q
3. A dull (not bright) pale yellow complexion is a sign of ( ). A: heart fire B: invasion of pathologic heat C: deficiency of both Qi and blood D: deficiency of yang E: deficiency of yin
A
- C
4
Q
4. A bluish complexion may be present in all of the following conditions except ( ). A: cold syndromes B: painful syndromes C: stagnation of blood D: retention of dampness E: convulsions
A
- D
5
Q
5. Blue-purplish complexion and lips with the intermittent pain in the precordial region is due to ( ). A: stagnation of heart blood B: heat in the blood C: deficiency of liver yin D: attack of the heart by phlegm E: deficiency of heart yin
A
- A
6
Q
6. A dark complexion (without brightness) accompanied by scaly skin indicates ( ). A: deficiency of Qi B: deficiency of yang C: invasion of wind D: invasion of cold E: stagnation of blood
A
- E
7
Q
7. A swollen pale tongue with tooth prints on the border indicates ( ). A: deficiency of heart Qi B: deficiency of spleen and kidney yang C: deficiency of the lung D: deficiency of liver blood E: deficiency of kidney yin
A
- B
8
Q
- A swollen tongue which is deep red in colour indicates ( ).
A: excessive heat in the heart and spleen
B: invasion of the lung by pathologic heat
C: damp-heat in the liver
D: dampness and phlegm in the lung
E: yin deficiency of the heart and liver
A
- A
9
Q
- A thin and dry tongue which is deep red in colour indicates ( ).
A: yin and Qi deficiency
B: Qi and blood deficiency
C: hyperactivity of fire due to deficiency of yin
D: damp-heat syndrome
E: stagnation of blood
A
- C
10
Q
10. A thorny and red tongue indicates ( ). A: deficiency of blood B: deficiency of yin C: stagnation of blood D: pathologic heat in the interior E: none of the above
A
- D
11
Q
11. A cracked and red tongue indicates ( ). A: deficiency of blood B: excessive heat C: deficiency of yang D: deficiency of lung Qi E: weakness of the spleen
A
- B
12
Q
12. A cracked and pale tongue indicates ( ). A: deficiency of blood B: deficiency of liver yin C: damp-heat syndrome D: invasion of pathologic cold E: stagnation of blood
A
- A
13
Q
13. Which of the following conditions may be present in a normal person? A: swollen tongue B: thin tongue C: thorny tongue D: tooth prints on the border E: cracked tongue
A
- E
14
Q
14. A yellow dry tongue coating usually indicates ( ). A: exterior heat syndrome B: interior heat syndrome C: damp-heat syndrome D: deficient heat syndrome E: yin deficiency
A
- B
15
Q
15. The presence of purplish spots on the tongue surface indicates ( ). A: deficiency of Qi B: deficiency of yin C: stagnation of Qi D: stagnation of blood E: accumulation of phlegm
A
- D
16
Q
- A pale purplish and moist tongue indicates ( ).
A: deficiency of yin and retention of dampness
B: stagnation of Qi
C: stagnation of blood due to heat
D: stagnation of blood due to cold
E: deficiency of both Qi and blood
A
- D
17
Q
17. The thorns on the tip of the tongue indicate ( ). A: liver and gallbladder fire B: stomach fire C: heart fire D: deficiency of stomach yin E: deficiency of kidney yin
A
- C
18
Q
18. A yellow sticky tongue coating indicates ( ). A: retention of damp-heat B: invasion of damp-cold C: invasion of summer heat D: stagnation of both Qi and blood E: deficiency of kidney yin
A
- A
19
Q
19. All the following syndromes may exhibit a pale tongue except ( ). A: deficiency of blood B: deficiency of Qi and blood C: deficiency of yin D: deficiency of yang E: cold
A
- C
20
Q
20. A red tongue with a thick yellow coating indicates ( ). A: excessive heat B: deficient heat C: retention of damp D: stagnation of blood E: stagnaiton of liver Qi
A
- A
21
Q
21. In exogenous febrile diseases, invasion of the ying and Xue (blood) systems by pathogenic heat may be indicated by ( ). A: a pale tongue B: a light red tongue C: a deep red tongue D: a purple tongue E: a blue tongue
A
- C
22
Q
22. A pale tongue with a white slippery coating indicates ( ). A: deficiency of Qi and blood B: cold-damp C: retention of food D: invasion of summer heat E: stagnation of Qi
A
- B
23
Q
- A “geographic tongue” is a sign of ( ).
A: consumption of Qi and yin of the stomach
B: deficiency of Qi and heart blood
C: deficiency of yang of the spleen and kidney
D: deficiency of blood and yin of the liver
E: retention of phlegm-damp in the spleen and lung
A
- A
24
Q
- A black and slippery coating implies ( ).
A: hyperactivity of fire due to deficiency of yin
B: excessive cold due to yang deficiency
C: retention of damp-heat
D: accumulation of fire
E: retention of food
A
- B
25
25. A grey and dry coating implies ( ).
A: retention of cold-damp in the interior
B: retention of phlegm and fluid
C: consumption of body fluid due to excessive heat
D: excessive cold
E: yang deficiency
25. C
26
26. A thin, dry and deep red tongue indicates ( ).
A: hyperactivity of fire due to deficiency of yin
B: Qi deficiency
C: blood deficiency
D: deficiency of Qi and blood
E: excessive cold
26. A
27
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27. Pale lips denote ( ).
A: retention of food
B: stagnation of blood
C: excessive heat
D: deficiency of blood
E: deficiency of yin
```
27. D
28
```
28. Clear nasal discharge is due to ( ).
A: invasion of wind-cold
B: invasion of wind-heat
C: deficiency of lung Qi
D: yin deficiency of the lung
E: retention of phlegm in the lung
```
28. A
29
29. Repeated speech in a feeble voice accompanied by listlessness suggests ( ).
A: disturbance of the mind by heat
B: deficiency of heart and lung Qi
C: disturbance of the mind by phlegm-fire
D: deficiency of heart blood
E: deficiency of spleen and lung Qi
29. B
30
30. Feeble asthmatic breathing accompanied by shortness of breath indicates ( ).
A: invasion of the Jung by pathogenic wind-cold
B: invasion of the Jung by pathogenic wind-heat
C: deficiency of Jung Qi
D: deficiency of yin of the Jung
E: retention of the phlegm in the Jung
30. C
31
```
31. Alternate chills and fever are the representative symptoms of ( ).
A: exterior syndrome
B: interior syndrome
C: intermediate syndrome
D: heat syndrome
E: cold syndrome
```
31. C
32
32. Afternoon fever with constipation, as well as fullness and pain in the abdomen, often suggests ( ).
A: deficiency of yin
B: intermediate syndrome
C: invasion of pathogenic cold in the Tai yang channel
D: excess heat of the Yangming channel
E: stagnation of Qi and blood in the large intestine
32. D
33
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33. Chills accompanied by fever is the symptom seen in ( ).
A: cold syndrome
B: heat syndrome
C: deficiency of yang
D: deficiency of yin
E: exterior syndrome
```
33. E
34
```
34. Severe chills accompanied by a mild fever suggests ( ).
A: deficiency of yang
B: deficiency of yin
C: exterior cold syndrome
D: exterior heat syndrome
E: interior cold syndrome
```
34. C
35
```
35. Absence of sweating in exterior syndromes indicates ( ).
A: mvas1on by pathogenic wind
B: invasion by pathogenic cold
C: invasion by pathogenic heat
D: invasion by pathogenic damp
E: deficiency of yang
```
35. B
36
```
36. A sweet taste and stickiness in the mouth may imply ( ).
A: damp-heat in the spleen and stomach
B: heat in the liver and stomach
C: heat in the liver and gallbladder
D: cold in the spleen and stomach
E: liver qi overacting on the spleen
```
36. A
37
```
37. Sour regurgitation means ( ).
A: retention of heat in the liver and stomach
B: damp-heat in the spleen and stomach
C: yang deficiency of the spleen
D: cold in the liver channel
E: dysfunction of the spleen and stomach
```
37. A
38
38. A thin patient who is always hungry with a voracious appetite indicates ( ).
A: stagnation of spleen Qi
B: liver fire
C: excessive stomach fire
D: liver Qi overacting on the stomach
E: hyperactivity of yang due to deficiency of yin
38. C
39
39. Hunger with no appetite or eating a small amount of food suggests ( ).
A: weakness of the spleen due to deficiency of Qi
B: impairment of stomach yin producing internal heat of the deficiency type
C: excessive stomach fire
D: retention of undigestive food in the stomach
E: stagnation of stomach Qi due to overacting of the liver
39. B;
40
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40. A sharp, pricking pain which is in a fixed location is a sign of ( ).
A: yang deficiency
B: yin deficiency
C: stagnation of Qi
D: stagnation of blood
E: invasion of fire
```
40. D;
41
```
41. Pain with a hollow sensation is caused by ( ).
A: deficiency of Qi
B: deficiency of yang
C: deficiency of blood
D: stagnation of Qi
E: retention of damp
```
41. A;
42
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42. A distending pain moving from place to place is a typical sign of ( ).
A: Qi stagnation
B: blood stagnation
C: cold syndrome
D: deficiency of blood
E: deficiency of Qi
```
42. A;
43
```
43. Yellow urine generally indicates ( ).
A: cold syndromes
B: heat syndromes
C: deficiency of blood
D: deficiency of Qi
E: invasion of damp
```
43. B;
44
44. Menses of a shortened cycle, excessive in amount, deep red in colour and thick in quality is related mainly to ( ).
A: weakness of spleen Qi which fails to control the blood
B: deficiency of blood
C: hyperactivity of fire due to deficiency of yin
D: excessive heat in blood
E: deficiency of the kidney which fails to store essence
44. D;
45
45. A thin, light-coloured menstrual flow which is profuse indicates ( ).
A: excessive heat in blood
B: hyperactivity of fire due to deficiency of yin
C: failure of the spleen Qi to control blood
D: failure of the liver to store blood
E: dysfunction of the heart to dominate blood
45. C;
46
```
46. Thin, scanty and light-coloured menstrual flow implies ( ).
A: deficiency of blood
B: deficiency of Qi
C: deficiency of yin
D: excessive heat in blood
E: stagnation of blood
```
46. A;
47
47. A soft pulse (ru mai) is ( ).
A: superficial and thready, and hits the fingers without strength
B: deep and thready, and hits the fingers without strength
C: slow, with less than four beats per breath
D: felt only on heavy pressure
E: superficial and rapid
47. A;
48
```
48. A broad, large and forceful pulse like roaring waves which come on powerfully and fade away is called ( ).
A: superficial pulse (Ju mai)
B: deep pulse (chen mai)
C: pulse of the excess type (chi mai)
D: string-taut pulse (xuan mai)
E: surging pulse (hong mai
```
48. E;
49
```
49. A tight and forceful pulse like a stretched rope is called ( ).
A: surging pulse (hong mai)
B: slow pulse (chi mai)
C: rolling pulse (hua mai)
D: tense pulse (jin mai)
E: string-taut pulse (xuan mai)
```
49. D;
50
```
50. A slow pulse with irregular missed beats is called ( ).
A: weak pulse (ruo mai)
B: soft pulse (ru mai)
C: hesitant pulse (se mai)
D: abrupt pulse (cu mai)
E: knotted pulse (jie mai)
```
50. E;
51
```
51. The course of channel may present syndromes of the same organ when it is effected. The pathologic factors of the liver, for example, can be reflected by disorders at ( ).
A: the elbows
B: the fossae poplitea
C: the armpits (fossae axillaris)
D: the hips
E: none of the above
```
51. C;
52
```
52. When the spleen is effected, disorders on each of the following areas would not be found except for ( ).
A: the elbows
B: the armpits
C: the hips
D: the fossae poplitea
E: none of the above
```
52. C;
53
```
53. When a patient complains of ulceration, swelling and pain of the mouth and tongue, accompanied by insomnia, a feverish sensation, flushed face, bitter taste in the mouth, and hot and dark yellow urine, upon examination the patient exhibits a red tongue and rapid pulse, and the probable diagnosis would be ( ).
A: hyperactivity of the liver fire
B: deficiency of kidney yin
C: hyperactivity of heart fire
D: hyperactivity of urinary bladder fire
E: hyperactivity of stomach fire
```
53. C;
54
```
54. Which one of the following symptoms could be an indication of points on the large intestine, small intestine, stomach and kidney channels in common?
A: edema
B: toothache
C: sore throat
D: diarrhea
E: malar flush
```
54. D.
