CAT MID Flashcards
1
Q
Which of the following symptoms is the typical symptom of Gastroesophageal reflux disease (GERD) which is mostly related to reduced lower esophageal sphincter pressure A. Bloating B. Nausea C. Heartburn D. Vomiting
A
C. Heartburn
2
Q
- If a patient developed pneumonia for a couple days from flu an continuous has high fever and shortness of breath, which of the following actions is appropriate
A. We should consider to treat his constipation symptom
B. We should ask this patient go to hospital immediately
C. We should consider to use bleeding technique on LU 11 then keep this patient int he clinic until he feels better
D. We should consider to use bleeding technique on ear apex (ex.) then keep this patient in the clinic until he feels better
A
B. We should ask this patient go to hospital immediately
3
Q
- If a patient envelope bronchitis for a couple days from a flu and has high fever, coughing with yellow sticky sputum, red face, and constipation, which of the following actions is appropriate
a. We should use blessing technique on GV 14 or GV 13
A
a. We should use blessing technique on GV 14 or GV 13
4
Q
- If someone complains of abdominal pain with bloating but the pain location is not fixed, moving around, which of the following lower he sea points is good
A. BL 40
B. ST 39
C. BL 39
A
C. BL 39
5
Q
- Which of the following Gua Sha method is appropriate for epigastric pain
A. Mid-back, BL 12 to BL 22, consider neck and GB 21 area
B. Sacral areas only
C. Neck and SCM region
D. Lower back, BL 23 to BL 34
A
A. Mid-back, BL 12 to BL 22, consider neck and GB 21 area
6
Q
5. Which of the following extraordinary vessels are mostly considered to select their acupoints for a patient who had seizure attack very often that usually happened at daytime? During the attack, the presented suddenly failing down, with loss of consciousness, paler complexion, clenched jaws, upward staring of the eyes, limb convulsion, mouthful foams, and screaming as sheep at the end A. GV and yang qiao B. GV and CV C. CV and Yin Qiao D. CV and Yang Qiao
A
A. GV and yang qiao
7
Q
6. A patient has gradual onset with emotional dejection, mental dullness, the subsequent manifestation include incoherent speech, abnormal mood changing such as excessive joy or anger, somnolence, no sense to mind clean or dirty, no desire for food, and sometimes illusions. Which of the following syndrome is related to this case A. Dian syndrome B. Xian syndrome C. Kuang syndrome D. Thoracic Bi syndrome
A
A. Dian syndrome
8
Q
- Which of the following indications is usually reimbursed by the most of insurance coverage plans for acupuncture treatment
A. Dysphagia syndrome
B. Hiccup
C. Nausea and vomiting dude to chemotherapy
D. Epigastric pain
A
C. Nausea and vomiting dude to chemotherapy
9
Q
8. The extraordinary point of Zhong kui (Ex) is applied to treat hiccup. Which of the following therapeutic methods is appropriate A. Moxibustion B. Cupping C. electro-acupuncture D. Bleeding technique
A
A. Moxibustion
10
Q
9. Which of the following point in combination are the most important for constipation symptom due to Qi stagnation A. SP 9 , SJ 6 B. GB 34, SJ 3 C. GB 34, SJ 6 D. LI 4, KI 3
A
C. GB 34, SJ 6
11
Q
10. Which of the following diseases is always accompanied by constipation A. Crohn’s disease B. Chronic ulcerative colitis C. Acute bacillary dysentery D. Parkinson’s disease
A
D. Parkinson’s disease
12
Q
11. Which of the following point is the best for intestinal abscess syndrome (acute appendicitis) A. SP 1 B. Lan wei point (Ex) C. SP 2 D. Lineting (Ex)
A
B. Lan wei point (Ex)
13
Q
11. Which of the following auricular points is good for chronic habitual constipation which is locate on the surface of helix A. Shen men B. Lower portion of Rectum C. Large intestine D. Ear Apex
A
B. Lower portion of Rectum
14
Q
12. Which of the following extraordinary point is good for insomnia A. Yi ming B. Er bai C. An mian D. Bai lao
A
C. An mian
15
Q
- After acupuncture treatment for one month, a diarrhea patient has his symptoms significantly improved but he still complains of poor appetite, chronic fatigue, and loose stool. What kind of modification you should apply
A. Focus on treatment for Heart Blood deficiency
B. Focus on treatment for Liver Qi stagnation
C. Focus on treatment for kidney Yang deficiency
D. Focus on treatment for spleen Qi deficiency
A
D. Focus on treatment for spleen Qi deficiency
16
Q
14. If a cough patient comes for acupuncture treatment twice a week for two weeks, her symptoms relieved but hemoptysis still there, which of the following points should be added A. LU 10 B. LU 11 C. LU 9 D. LU 6
A
D. LU 6
17
Q
15. If a patient complains of arrhythmia during your acupuncture clinic visit, which specialty physician you should refer to make sure the diagnosis A. Endocrinologist B.Orthopedics C. Psychiatrist D.Cardiologist
A
D.Cardiologist
18
Q
16. Mr. L is a 40 year old recreational athlete with a medical history significant for asthma, for which he has been using an albuterol rescue inhaler approximately 3 times per week for the past year. Mr L then was prescribed treatment with a low-dose corticosteroid, fluticasone 44 mcg at two puffs twice per day. however, he remained symptomatic and continued to use his rescue inhaler 3 times per week. recently, he couldn’t sleep in flat and usually need three pillows during his sleep. The episode usually lasted for two to five hours accompanied by dyspnea on exertion. Severe wheezing was herd during the episode. Sometime he needs to raise shoulder and open his mouth for respiration. The other symptoms include short of breath, lassitude and weakness, and cold limbs. He has pale tongue and eep, thready pulse, weak in the both side of Chi position. Which of the following syndrome differentiation in TCM is related to this asthma patient A. Wind cold attack B. Phlegm fire affecting lung C. Lung and kidney deficiency D.Lung and kidney deficiency
A
C. Lung and kidney deficiency
19
Q
Mr. L is a 40 year old recreational athlete with a medical history significant for asthma, for which he has been using an albuterol rescue inhaler approximately 3 times per week for the past year. Mr L then was prescribed treatment with a low-dose corticosteroid, fluticasone 44 mcg at two puffs twice per day. however, he remained symptomatic and continued to use his rescue inhaler 3 times per week. recently, he couldn’t sleep in flat and usually need three pillows during his sleep. The episode usually lasted for two to five hours accompanied by dyspnea on exertion. Severe wheezing was herd during the episode. Sometime he needs to raise shoulder and open his mouth for respiration. The other symptoms include short of breath, lassitude and weakness, and cold limbs. He has pale tongue and eep, thready pulse, weak in the both side of Chi position. Which of the following syndrome differentiation in TCM is related to this asthma patient Which of the following groups of acupoints is appropriate for this asthma patient Ding chuan (ex), BL 43, BL 13, BL 23, KI 3, CV 17, CV 6, CV 4
A
Ding chuan (ex), BL 43, BL 13, BL 23, KI 3, CV 17, CV 6, CV 4
20
Q
- An 87 year old gentleman is a veteran from Korean War. His coronary risk factor profile includes a 30 pack year history of cigarette smoking and altered lipid levels. He has had coronary heart disease diagnosed for more than twenty year. In the previous years, he had experienced heart attack and two stents installed immediately after the attack. Right now his symptom is under control by medication. But this week he feels palpitation and arrhythmia accompanied by occasional cardiac pain. The heart rate was 60 beats per minute with irregular skips. He heard from his friend that acupuncture is good for relieving palpitation. So he made an appointment and come to an acupuncture clinic. His tongue is purple with ecchymosis and the pulse presents thready and choppy. Which of the following groups of acupoints are appropriate for this case
A. PC 6, PC 3, HT 3, LI 4, BL 17, CV 6
B. HT 7, BL 15, PC 6, CV 15, BL 20, ST 36, CV 6
C. HT 7, BL 15, PC 6, PC 5, CV 15, SP 9
D. HT 4, PC 4, BL 13, LU 5, St 40, GB 34
A
A. PC 6, PC 3, HT 3, LI 4, BL 17, CV 6
Which of the following pattern differentiations is related to this patient
Blood stasis
21
Q
- A patient complains of cough for a few months. She is 34 years old and works in a bank as a teller. It started about a half year ago when she just had pneumonia. Her coughing has bee accompanied by a very little sputum or sometimes mixed with slice of blood. Once a while, she experienced hemoptosis. This skinny patient is only 90 lbs in weigh and her voice is hoarse. Sometimes she has hot flushes in the afternoon. The other symptoms include dry mouth and throat, night sweats, achy and pain of the lower back and knees, lower energy and insomnia. Her tongue is red in color and less coating accompanied by some cracks. The pulse is thready and rapid. Which of the following treatment principles is good for this patient
A. Nourish Yin, clear heat, transform phlegm and stop cough
B. Clear liver fire and lung heart, regulate lung Qi
C. Tonify spleen and transform phlegm, regulate lung Qi to stop cough
D. Clear heat, transform phlegm and regulate lung Qi
A
A. Nourish Yin, clear heat, transform phlegm and stop cough
22
Q
Anna, a 42 year old woman, is referred from eh sleep disorders center with a complaint of chronic, severe insomnia affecting her daytime functioning/ as a single mother of three teenage boys, Anna first experienced insomnia eight years ago when bankruptcy threatened her small business. Although the business recovered a year later, Anna’s insomnia has remained almost unchanged over the next eight years. Anna tires to go to bed around 11:00 PM. She usually falls asleep in less than 15 minutes. She wakes up three to four times per night, and at least one of these awakening lasts two to three hours. Anna gets frustrated when she “sees the clock ticking away”. She also had dreams disturbed sleeping a lot. During the daytime she was lassitude with poor appetite and palpitation. The colleagues in the office always told her that she was so pale. She has pale tongue body with white coating. The pulse is feeble and thready pulse. The appropriate acupoints for this patient are
A. BL 15, BL 20, HT 7, Sp 6
B. LR 2, GB 41, GB 20, HT 7
C. BL 15, BL 23, KI 3, PC 7, HT 7, KKI 6
D. CV 12, ST 40, ST 45, SP 1, HT 7
A
A. BL 15, BL 20, HT 7, Sp 6
23
Q
- A 45 year old patient came to your clinic and complained of stomachache for two months. The patient reports that she used to get stomach pain and heartburn symptoms about 6 or 7 years ago, but that she has not had any symptoms until two months ago. She admits that now it has been constant stomach pain for the past month and a hald. She relates that the stomach pain and heartburn is constant and daily, but that it varies in severity. She has had severe emotional impact with family issues. She consulted her PCP and her doctor diagnosed her as chronic gastritis. One of her friends refers her to an acupuncture clinic. When she comes o the clinic, she presents the major symptoms include epigastric fullness, distention an wandering pain that radiates to the hypochondriac region, bad mood, frequent belching, acid regurgitation, bitter taste in the mouth and sometimes vomiting. Her tongue looks as light red tongue in color and thin syndrome differentiation for this case
A. Liver Qi stagnation over attacking the stomach
B. Blood stasis in the stomach
C. Deficient cold in the spleen and stomach
D. Food retention in the stomach
A
A. Liver Qi stagnation over attacking the stomach
The pulse is thready and wiry. What is the following groups of acupoints is good for this case
CV 12, PC 6, CV 17, LR14, ST 36, LR 3
24
Q
susan, 46 year old, has had chronic diarrhea for 20 years. Recurrent diarrhea was always related to emotional change and stress especially before supervisor’s monthly evaluation or some important events. The problem would be aggravated after such kind of stress. Usually when she had emotional changes, she had several bowel movements after hours of food intake. Diarrhea was usually accompanied by abdominal cramping and urgent going to a bathroom. Bowel motion was stimulated by abdominal pain that still remained the same after defecated. Sometimes she has alternation of constipation and diarrhea. The other symptoms include discomfort sensation in the hypochondriac region and belching. Which of the following western diagnoses is similar to this case if this patient has sometimes alternative attack of diarrhea and constipation A. Irritable bowel syndrome B. Ulcerative coliti C. Acute enteritis D. Crohn’s disease
A
A. Irritable bowel syndrome
