A-V Differentiation of Syndromes Flashcards

1
Q
1. An exterior syndrome can be differentiated by the presence of ( ).
A: tidal fever
B: high fever with aversion to heat
C: alternating chills and fever
D: chills and fever
E: chills without fever
A
  1. D
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2
Q
2. An exterior deficiency syndrome can be differentiated by the presence of ( ).
A: chills
B: fever
C: sweating
D: thin tongue coating
E: superficial pulse
A
  1. C
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3
Q
  1. A patient has the following signs and symptoms: cough of one week in duration , severe chills with high fever, no sweating, red complexion, and yellow urine. The tongue has a thin coating and the pulse is superficial, rolling and rapid. This syndrome belongs to ( ).
    A: exterior heat syndrome
    B: exterior cold syndrome
    C: intermediate syndrome
    D: exterior cold and interior heat syndrome
    E: true cold with false heat syndrome
A
  1. D
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4
Q
4. A patient has the following signs and symptoms: mild chills, fever, headache, cough, sore throat, loose stool and clear urine with an increased output. This syndrome belongs to ( ).
A: exterior heat and inteiror cold
B: true cold and false heat
C: exterior cold
D: exterior and interior deficiency
E: exteiror and interior cold
A
  1. A
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5
Q
  1. A patient has the following signs and symptoms: desire to cover up the body in spite of a feverish sensation, flushed face, thirst, drinking warm fluids, clear urinary output, and loose stools. The tongue is slightly purple with a moist white coating and the pulse is superficial and weak. This syndrome belongs to ( ).
    A: true heat with false cold
    B: true cold with false heat
    C: exterior heat and inteiror cold
    D: exterior cold and inteiror heat
    E: hyperactivity of yang due to deficiency of yin
A
  1. B
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6
Q
  1. A cold syndrome frequently causes all of the following except ( ).
    A: pallor
    B: absence of thirst
    C: preference for cold drinks
    D: white and moist coating
    E: increased urinary output which is clear
A
  1. C
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7
Q
7. A heat syndrome frequently causes all of the following except ( ).
A: dark yellow and scanty urine
B: constipation
C: fever
D: dry tongue coating
E: absence of thirst
A
  1. E
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8
Q
8. A patient has the following signs and symptoms: heat sensation in the chest, frequent desire to vomit, abdominal pain alleviated by warmth, and loose stools. This syndrome belongs to ( ).
A: cold above with heat below
B: heat above with cold below
C: true heat with false cold
D: true cold with false heat
E: exterior heat
A
  1. B
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9
Q
9. A patient has the following signs and symptoms: cold extremities, thirst, preference for cold drinks, constipation, and scanty dark yellow urine. The tongue has a dry coating and the pulse is deep and forceful. This syndrome belongs to ( ).
A: exterior heat and interior cold
B: cold above with heat below
C: heat above with cold below
D: true cold with false heat
E: true heat with false cold
A
  1. E
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10
Q
10. A patient has the following signs and symptoms: afternoon fever, malar flush , heat sensation of the palms and soles, night sweating, dryness of the throat and mouth, and dry stools. The tongue is red with little coating and the pulse is rapid. This syndrome belongs to ( ).
A: deficiency of yin
B: deficiency of yang
C: deficiency of Qi
D: deficiency of blood
E: deficiency of Qi and blood
A
  1. A
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11
Q
11. A patient has the following signs and symptoms: chills cold limbs listlessness, lassitude, spontaneous sweating, increased urinary output which is clear, and loose stools. The tongue is pale and the pulse is weak. This syndrome belongs to ( ).
A: deficiency of Qi
B: deficiency of blood
C: deficiency of yang
D: deficiency of yin
E: deficiency of Qi and blood
A
  1. C
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12
Q
  1. An excess syndrome frequently causes all of the following except ( ).
    A: resonant voice
    B: distension and fullness in the chest and abdomen
    C: pain aggravated by pressure
    D: thick tongue coating
    E: night sweating
A
  1. E
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13
Q
13. A patient has the following signs and symptoms: aversion to speaking, lassitude, dizziness, spontaneous sweating. All symptoms become worse on exertion. The tongue is pale and the pulse is weak. This syndrome belongs to ( ).
A: deficiency of Qi
B: deficiency of blood
C: deficiency of yang
D: deficiency of yin
E: deficiency of Qi and blood
A
  1. A
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14
Q
14. A patient has the following signs and symptoms: dizziness, lassitude, a bearing-down and distending sensation in the abdominal region, and prolapse of the anus. The tongue is pale and the pulse is weak. This syndrome belongs to ( ).
A: deficiency of Qi
B: deficiency of yang
C: stagnation of Qi
D: perversion of Qi
E: sinking of Qi
A
  1. E
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15
Q
  1. Stagnation of Qi can be differentiated by the presence of the following symptom ( ).
    A: lassitude
    B: hiccups
    C: distending pain
    D: hollow pain
    E: bearing-down and distending sensation in the abdominal region
A
  1. C
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16
Q
16. A patient has the following signs and symptoms: pale complexion, pale lips, dizziness, blurred vision, palpitation, insomnia, and numbness of the hands and feet. The tongue is pale and the pulse is thready. This syndrome belongs to ( ).
A: deficiency of Qi
B: deficiency of blood
C: deficiency of yang
D: deficiency of yin
E: sinking of Qi
A
  1. B
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17
Q
17. Stagnation of blood frequently causes all of the following except ( ).
A: pain
B: tumour
C: hemorrhage
D: pale lips
E: ecchymosis
A
  1. D
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18
Q
18. A young female patient has the following signs and symptoms: lower abdominal pain which usually starts before menstruation. The menstruation is delayed, scanty, and dark purple with clots. The tongue is purplish with purple spots on the edge and the pulse is deep. This syndrome belongs to ( ).
A: deficiency of blood
B: stagnation of Qi
C: stagnation of blood
D: deficiency of Qi
E: deficiency of yin
A
  1. C
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19
Q
19. A patient has the following signs and symptoms: mental restlessness, bleeding, and a dry mouth with no desire to drink. The tongue is deep red and the pulse is rapid. This syndrome belongs to ( ).
A: stagnation of blood
B: heat in the blood
C: deficiency of blood
D: deficiency of yin
E: cold in the blood
A
  1. B
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20
Q
  1. A patient has the following signs and symptoms: dizziness, aversion to speaking, lassitude, and sharp pricking pain in the hypochondriac region. The tongue is pale with purple spots on the edge and the pulse is thready and string-taut. This syndrome belongs to ( ).
    A: deficiency of Qi and blood
    B: cold in the blood
    C: deficiency of Qi and stagnation of blood
    D: deficiency of yin and stagnation of blood
    E: deficiency of yang and stagnation of blood
A
  1. C
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21
Q
21. All of the following signs and symptoms may be due to deficiency of blood except ( ).
A: malar flush
B: blurring of vision and dizziness
C: palpitation and insomnia
D: numbness on the hands and feet
E: thready pulse
A
  1. A
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22
Q
  1. A patient has the following signs and symptoms: palpitation, shortness of breath becoming worse upon exertion, and fullness of the chest. The tongue is pale with a thin white coating and the pulse is thready and weak. This syndrome belongs to ( ).
    A: deficiency of heart Qi
    B: deficiency of heart yang
    C: deficiency of heart blood
    D: deficiency of lung Qi
    E: invasion of the lung by pathogenic wind
A
  1. A
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23
Q
23. A deficiency of heart yang and a deficiency of heart Qi can be differentiated by the presence of the following symptom ( ).
A: palpitation
B: shortness of breath
C: spontaneous sweating
D: chills
E: intermittent pulse
A
  1. D
24
Q
24. a patient has the following signs and symptoms: chills, cold limbs, palpitations, cardiac pain, and pale complexion. The tongue is pale, swollen with a white moist coating and the pulse is thready and weak. This syndrome belongs to ( ).
A: stagnation of heart blood
B: deficiency of heart Qi
C: deficiency of heart yang
D: deficiency of kidney yang
E: deficiency of heart blood
A
  1. C
25
Q
25. A patient has the following signs and symptoms: palpitation, insomnia, dream-disturbed sleep, poor memory, sensation of heat in palms of the hands and soles of the feet, and night sweating. The tongue is red and the pulse is thready and rapid. This syndrome belongs to ( ).
A: deficiency of heart blood
B: deficiency of heart yin
C: deficiency of liver blood
D: deficiency of liver yin
E: deficiency of lung yin
A
  1. B
26
Q
26. A patient has the following signs and symptoms: mental depression, dullness, incoherent speech, and weeping or laughing without an apparent reason. The tongue has a white sticky coating and the pulse is string taut and rolling. This syndrome belongs to ( ).
A: hyperactivity of heart fire
B: stagnation of heart blood
C: deficiency of heart blood
D: phlegm misting the heart
E: deficiency of heart yin
A
  1. D
27
Q
  1. A patient has the following signs and symptoms: feeble cough, shortness of breath becoming worse upon exertion, clear dilute sputum, and spontaneous sweating. The tongue is pale with a thin white coating and the pulse is weak. This syndrome belongs to ( ).
    A: invasion of the lung by pathogenic wind
    B: deficiency of lung Qi
    C: deficiency of the defensive Qi (Wei Qi)
    D: retention of phlegm in the lung
    E: deficiency of the primary Qi (Yuan Qi)
A
  1. B
28
Q
  1. A patient has the following signs and symptoms: cough with white sticky sputum, fullness and stuffiness of the chest, and asthmatic breathing. The tongue has a white sticky coating and the pulse is rolling. This syndrome belongs to ( ).
    A: invasion of the lung by pathogenic wind cold
    B: invasion of the lung by pathogenic wind heat
    C: retention of phlegm damp in the lung
    D: retention of phlegm heat in the lung
    E: deficiency of lung Qi
A
  1. C
29
Q
29. A patient has the following signs and symptoms: cough, chest pain with asthmatic breathing, and thick yellow sputum for one week. The tongue is red with a sticky yellow coating and the pulse is rolling and rapid. This syndrome belongs to ( ).
A: invasion of the lung by wind cold
B: stagnation of heart blood
C: retention of phlegm-damp in the heart
D: phlegm-fire disturbing the heart
E: retention of phlegm-heat in the lung
A
  1. E
30
Q
  1. A patient has the following signs and symptoms: abdominal pain, diarrhea with blood and mucus in the stool for one day, scanty deep yellow urine and a burning sensation in the anus. The tongue has a sticky yellow coating and the pulse is rolling and rapid. This syndrome belongs to ( ).
    A: invasion of the lung by pathogenic dryness
    B: consumption of fluids in the large intestine
    C: deficiency of lung yin
    D: damp-heat in the large intestine
    E: stagnation of Qi and the large intestine
A
  1. D
31
Q
31. Consumption of fluid in the large intestine frequently causes all the following except ( ).
A: dry stools
B: dryness in the mouth
C: constipation
D: dryness of the throat
E: voracious appetite
A
  1. E
32
Q
32. A patient has the following signs and symptoms: poor appetite, abdominal distension for three months, lassitude and aversion to speaking. The tongue is pale with a thin white coating and the pulse is slow and weak. This syndrome belongs to ( ).
A: deficiency of lung Qi
B: deficiency of heart Qi
C: deficiency of spleen Qi
D: deficiency of kidney Qi
E: deficiency of spleen and kidney yang
A
  1. C
33
Q
33. A patient has the following signs and symptoms: distention, fullness and pain of the epigastrium and abdomen, belching with a foul odour, and anorexia. The tongue has a thick and sticky coating and the pulse is rolling. This syndrome belongs to ( ).
A: damp-heat in the spleen and stomach
B: invasion of the spleen by cold-damp
C: deficiency of spleen Qi
D: retention of food in the stomach
E: deficiency of spleen and kidney yang
A
  1. D
34
Q
34. A patient has the following signs and symptoms: fullness and distension of the hypogastrium and abdomen, loss of appetite, sticky saliva, heaviness of the head and body, and loose stools. The tongue has a sticky white coating and the pulse is soft. This syndrome belongs to ( ).
A: deficiency of spleen Qi
B: deficiency of spleen yang
C: invasion of spleen by cold-damp
D: retention of food in the stomach
E: deficiency of stomach yin
A
  1. C
35
Q
35. Dysfunction of the spleen frequently causes all the following except ( ).
A: abdominal pain
B: foul belching and vomiting
C: loose stools
D: bleeding
E: edema
A
  1. B;
36
Q
36. Deficiency of stomach yin can be differentiated by the presence of the following symptom ( ).
A: hunger with no desire to eat
B: vomiting and hiccups
C: dryness of the mouth and throat
D: constipation
E: pain in the epigastric region
A
  1. A
37
Q
37. A patient has the following signs and symptoms: burning sensation and pain in the epigastric region, sour regurgitation, empty and uncomfortable feeling in the stomach, easily hungry, thirst with a preference for cold drinks, and painful swelling of the gums. The tongue is red with a yellow coating and the pulse is rapid. This syndrome belongs to ( ).
A: hyperactivity of fire in the stomach
B: retention of food in the stomach
C: deficiency of stomach yin
D: damp-heat in the spleen and stomach
E: damp-heat in the large intestine
A
  1. A
38
Q
  1. A female patient has the following signs and symptoms: pale complexion, lassitude, poor appetite, abdominal distension, excessive menstrual flow, and light red menses. The tongue is pale with a thin coating and the pulse is weak. This syndrome belongs to ( ).
    A: heat in the blood
    B: deficiency of spleen Qi
    C: deficiency of spleen yang
    D: dysfunction of the spleen in controlling blood
    E: dysfunction of the liver in storing blood
A
  1. D
39
Q
  1. A patient has the following signs and symptoms: hypochondriac distension and pain, bitter taste in the mouth, poor appetite, nausea, vomiting, and scanty yellow urine for one week. The tongue has a sticky yellow coating and the pulse is string-taut and rapid. This syndrome belongs to ( ).
    A: damp-heat in the liver and gallbladder
    B: damp-heat in the spleen and stomach
    C: damp-heat in the bladder
    D: damp-heat in the large intestine
    E: stagnation of liver Qi
A
  1. A
40
Q
  1. Deficiency of liver blood can be differentiated by the presence of the following symptom ( ).
    A: pallor
    B: numbness of the limbs and spasm of the tendons
    C: dizziness and vertigo
    D: palpitation and insomnia
    E: pale tongue and thready pulse
A
  1. B
41
Q
41. Dysfunction of the liver frequently causes all of the following except ( ).
A: hypochondriac pain
B: irritability
C: dizziness and vertigo
D: spasm of the tendons
E: chills
A
  1. E
42
Q
42. A patient has the following signs and symptoms: mental depression, irritability, and distending pain in the costal and hypochondriac regions. This syndrome belongs to ( ).
A: stagnation of liver Qi
B: stagnation of liver blood
C: liver fire
D: damp-heat in the liver
E: retention of food
A
  1. A
43
Q
43. A patient has the following signs and symptoms: distending pain in the head, dizziness, vertigo, redness of the eyes, irritability, bitter taste and dryness of the mouth, yellow urine and constipation. The tongue is red with a yellow coating and the pulse is string taut and rapid. This syndrome belongs to ( ).
A: rising of liver yang
B: deficiency of liver yin
C: flare-up of liver fire
D: damp-heat in the liver
E: stagnation of liver Qi
A
  1. C
44
Q
44. A patient has the following signs and symptoms: headache with a distending sensation in the head, dizziness and vertigo, tinnitus, flushed face and red eyes, and irritability. Insomnia with dream-disturbed sleep, and soreness of the lower back. The tongue is red and the pulse is string-taut, thready and rapid. This syndrome belongs to ( ).
A: stagnation of liver fire
B: flare-up of liver fire
C: deficiency of liver blood
D: rising of liver yang
E: damp-heat in the liver
A
  1. D
45
Q
45. A patient has the following signs and symptoms: pallor, dizziness, tinnitus, blurred vision, numbness of the hands and feet, and scanty light red menses The tongue is pale and the pulse is weak and thready. This syndrome belongs to ( ).
A: deficiency of heart blood
B: deficiency of liver yin
C:deficiency of heart Qi
D: deficiency of kidney yin
E: none of the above
A
  1. E
46
Q
  1. Dysfunction of the kidney frequently causes all of the following except ( ).
    A: soreness and weakness of the lumbar region and knee joints
    B: tinnitus and deafness
    C: edema
    D: impotence and infertility
    E: fullness of the chest
A
  1. E
47
Q
47. A patient has the following signs and symptoms: soreness and weakness of the lumbar region and knee joints, frequent clear urination, and dribbling urine after urination. The tongue is pale with a white coating and the pulse is thready and weak. This syndrome belongs to ( ).
A: deficiency of kidney yin
B: deficiency of kidney Qi
C: damp-heat in the bladder
D: deficiency of liver yin
E: deficiency of spleen yang
A
  1. B
48
Q
48. Damp-heat in the bladder frequently causes all of the following except ( ).
A: frequency of urination
B: urgency of urination
C: burning pain in the urethra
D: yellow urine
E: enuresis
A
  1. E
49
Q
49. A patient has the following signs and symptoms: fever, lower abdominal distension, frequent and urgent urination, burning pain in the urethra, and yellow urine. The tongue has a sticky yellow coating and the pulse is rapid. This syndrome belongs to ( ).
A: hyperactivity of heart fire
B: damp-heat in the spleen and stomach
C: damp-heat in the liver
D: flare-up of liver fire
E: none of the above
A
  1. E
50
Q
  1. A patient has the following signs and symptoms: distension and pain of the costal, hypochondriac and epigastric regions, belching, and acid regurgitation. This syndrome belongs to ( ).
    A: stagnation of the liver
    B: imbalance between the liver and spleen
    C: disharmony between the liver and stomach
    D: retention of food in the stomach
    E: hyperactivity of stomach fire
A
  1. C
51
Q
  1. Diarrhea at dawn is usually caused by ( ).
    A: retention of fluid
    B: imbalance between the liver and spleen
    C: damp-heat in the large intestine
    D: invasion of the spleen by cold-damp
    E: yang deficiency of the spleen and kidney
A
  1. E
52
Q
  1. Which of the following symptoms can be seen in either the cold syndrome of the excess type or the heat syndrome of the excess type? ( )
    A: pallor
    B: clear urine with increased volume
    C: delirium
    D: abdominal distention and pain aggravated by pressure
    E: absence of thirst
A
  1. D
53
Q
53. Deficiency of yin frequently causes all of the following except ( ).
A: clear urine with increased volume
B: afternoon fever
C: insomnia with mental restlessness
D: night sweating
E: feverish sensation in palms and soles
A
  1. A
54
Q
54. A patient has the following signs and symptoms: palpitation, cardiac retardation and pain, and cyanosis of the lips and nails. This syndrome belongs to ( ).
A: deficiency of heart yin
B: deficiency of heart yang
C: deficiency of heart fire
D: stagnation of heart blood
E: stagnation of liver Qi
A
  1. D
55
Q
55. According to TCM pathology, the pathogen that is frequently seen in late autumn is ( ).
A: cold
B: wind
C: dryness
D: dampness
E: fire
A
  1. C
56
Q
56. Stagnant blood frequently causes all of the following except ( ).
A: pricking pain
B: hemorrhage
C: ecchymosis or petechia
D: mass tumour
E: soft and movable nodules
A
  1. E
57
Q
57. Each of the following signs may result from phlegm except ( ).
A: asthma
B: coma and rattle in the throat
C: hemiplegia
D: soft and movable nodules
E: pain
A
  1. E