CAT 1 Flashcards

1
Q

Chronic obstructive pulmonary disease (COPD) is defined as a disease state characterized by the presence of airflow obstruction due to chronic bronchitis or emphysema. Patient with COPD characteristically present in the fifth or sixth ecocide of life complaining of excessive cough, sputum production, an shortness of breath that have often been present for 10 years or more. Productive cough usually occurs in the morning. How do you explain the acupuncture therapeutic effect for COPD patient if he / she comes to your clinic seeking acupuncture treatment

a. Acupuncture might works not eh symptom management for COPD patient but cannot cure
b. Acupuncture can cure COPD
c. Acupuncture doesn’t work at all for the symptoms caused by COPD
d. Don’t accept any patient who suffer from COPD

A

a. Acupuncture might works not eh symptom management for COPD patient but cannot cure

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2
Q

In the classic of treatise on cold damage disease (Shang Han Lun), which of the following acupoints should be needle for a patients has a Taiyang disorder who has agitation after taking Gui Zhi Tang (Cinnamon Twig Decoction)

a. GV 16, BL 12
b. GB 20, BL 12
c. GB 20, GV 16
d. LI 4, SJ 5

A

c. GB 20, GV 16

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3
Q

Physically, the spleen spreads the Qi for flowing upward to the lung, which regulates the water passages in order to transmit the water fluid down to the bladder. What is the interrelationship btw the Lung and Spleen analyze with Five phase theory

a. The Earth promotes the metal (mother-son relationship
b. The wood insults the Metal
c. The Metal promotes the Earth
d. The Fire controls the Metal

A

a. The Earth promotes the metal (mother-son relationship

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4
Q

The Lung Channel pattern includes the following symptoms, Except

a. Coughing
b. A sensation of distention in the lung
c. Pain in the ulnar border of the anterior side of the upper limbs
d. Shortness of breath

A

c. Pain in the ulnar border of the anterior side of the upper limbs

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5
Q

A 35 years old patient complains of fever and sore throat for one day. He was getting caught in the rain before being sick. He has a feeling of aversion of cold and also experienced slight fever, soreness and pain in the limbs, nasal obstruction and itching throat. According to TCM pattern differentiation, which of the following acupoints will be selected based on the treatment principle of dispersing the lung and releasing the exterior

a. PC 6, SJ 5
b. LU 7, LI 4
c. SI 3, SJ 5
d. LI 11, ST 44

A

b. LU 7, LI 4

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6
Q

The treatment principles are different compared with wind-heat syndrome and interior excessive heat (lung Heat) syndrome. Which of the following symptoms is a key to identify those two syndromes int he upper respiratory tract infection case

a. Coughing
b. Aversion to cold and fever happened at the same time
c. Diarrhea
d. headache

A

b. Aversion to cold and fever happened at the same time

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7
Q

For a safety concern, which of the following needle direction is appropriate for GB 20

a. Toward the nose and mouth
b. Toward same side inner canthus
c. Toward opposite side of inner canthus
d. Toward opposite side of outer canthus

A

a. Toward the nose and mouth

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8
Q

Which of the following statement is correct regarding the difference btw common cold and influenza

a. The cold is an infection of the respiratory system caused by the influenza virus.
b. Colds are minor infection of he nose and throat caused by several different virus
c. Both colds and flu are Not highly contagious
d. Cold symptoms are more severe than those of Flu

A

Colds are minor infection of he nose and throat caused by several different virus

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9
Q

What is TCM pathogenesis analysis for current Covid 19 pandemic

a. Damp-toxic pestilence or cold dampness pestilence
b. Wind cold
c. Wind heat
d. Interior excessive heat

A

a. Damp-toxic pestilence or cold dampness pestilence

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10
Q

Which of the following acupoints are used to build up body-resistance (vital Qi, Zheng Qi) during the covid 19 pandemic

a. LU1, LU 5, LU 6
b. ST 36, CV 6, BL 12, BL 13
c. LI 10, LU 11, LI 1
d. LI 4, LU 7, CV 22

A

b. ST 36, CV 6, BL 12, BL 13

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11
Q

Which of the following Covid 19 long symptoms can be applied the acupoint of LI 20, GV 23, yin tang

a. Loss of taste
b. Fatigue
c. Loss of smell
d. Brain fog

A

c. Loss of smell

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12
Q

After three days of common cold, a patient experienced high fever, sore throat, profuse sweating and chest pain but now mostly constipation. According to the principle of combination with Yuan source points and Luo-connecting points, which of the following groups of acupoints is appropriate for this patient

a. LI 6, LU 7
b. LU 9, LI 6
c. LU 7, LI 4
d. LI 4, LU 9

A

b. LU 9, LI 6

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13
Q

What does the red flag of a fever over 101.5 degrees Fahrenheit plus sever sore throat refer to

a. Brain damage
b. Possible presence of a streptococcal throat infection (strep throat)
c. Heart failure
d. Occult infection, metabolic, or autoimmune disease

A

b. Possible presence of a streptococcal throat infection (strep throat)

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14
Q

Which of the following Zang-organs are related to cough due to internal disarrangement

a. heart, liver, kidney
b. heart, spleen, liver
c. spleen, kidney, liver
d. heart, spleen, kidney

A

c. spleen, kidney, liver

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15
Q

josephine, 40 year old, complains of cough for two months. She was sick two months ago due to cold then developed cough with white dilute sputum, ticklish in the throat and body achy. Also she has aversion to colds but no sweat. After taking antibiotics, her symptoms has relieved but cough never stopped. Right now she has profuse amount of sputum, which are sticky and easily spit. Other symptoms include poor appetite, chest and epigastric area fullness. Recently antibiotics seems not working. What is your consideration of the TCM pattern differentiation

a. Phlegm heat blockage in the lung
b. Liver fire insulting the lung
c. Blockage of the lung by phlegm-dampness
d. Invasion of dryness attack

A

c. Blockage of the lung by phlegm-dampness

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16
Q

Which of the following acupoints is good for severe coughing with profuse sputum

a. CV 22
b. LI 4
c. CV 12 d. LU 10

A

a. CV 22

17
Q

Which of the following acupoints is considered the best to relieving symptoms of asthma

a. Ding chuan
b. LU 7
c. LI 4
d. LU 5

A

a. Ding chuan

18
Q

What is the pathogenesis analyzed in TCM about the initial stage of hay fever

a. Heat retention int eh LU and ST channel
b. Wind dryness attack
c. Wind heat attack
d. Lung Qi efficiency with wind cold affection

A

d. Lung Qi efficiency with wind cold affection

19
Q

TCM has pai attention to body constitution which is considered as an important factor to develop treatment principles. So what is the constitutional factor for asthma patient

a. Qi efficiency
b. Tendency of blood stasis
c. Yang deficiency
d. Tendency of phlegm

A

d. Tendency of phlegm

20
Q

The quality, quantity an color of sputum are considered as important factor to determine the pattern differentiation in cough patients. What are the findings of sputum in a cough patient due to phlegm heat blockage in the lung

a. Very little sputum or mixed with blood
b. Profuse amount of sputum with white color
c. Less amount, sticky sputum, sometimes mixed with blood
d. Thick sticky yellow sputum, not easy to spit out or the sputum has spoiled fish smell

A

d. Thick sticky yellow sputum, not easy to spit out or the sputum has spoiled fish smell