Diagnosis Theory I - Final

Question 1

Difficulty falling asleep

Answer 1

HT blood deficiency

Question 2

Waking up too early

Answer 2

GB Qi deficiency

Question 3

Insomnia with palpitations and frequent urination

Answer 3

HT-KD disharmony

Question 4

Waking up many times during the night

Answer 4

HT or LV Yin deficiency

Question 5

In a child under three years of age, distinct vessels within the Wind bar, the distal joint of the index finger, mean that the disease is mild and the prognosis is good.

True or False

Answer 5

True

Question 6

In the pattern of a feeling of tightness and heat in the center of the chest, rapid breathing, palpitations, thirst, mouth and tongue ulcers, agitation and a red tongue with yellow fur, which diagnosis fits best?

a. LV fire
b. PC fire
c. HT fire
d. ST fire

Answer 6

b. PC fire

SN: I would have originally thought HT fire, but HT fire does not have a “feeling of tightness and heat in the center of the chest”

Question 7

What is the significance of alternating chills and fever?

a. Yang level heat
b. Shaoyang syndrome
c. Yang ming channel disorder
d. Exterior deficiency

Answer 7

b. Shaoyang syndrome

Question 8

An 18 year old female complains of chest pain, insomnia, palpitations, migraines, lower abdominal distention, and pain before her period, heavy dark red menses and clots. There is a mass on her neck. The Western medical diagnosis is thyroiditis. What is the pathogenesis?

a. LV QI stagnation
b. KD yin deficiency
c. HT blood stagnation
d. LV blood stagnation

Answer 8

d. LV blood stagnation

SN: I was confused b/w LV qi stag and HT blood stag. The symptoms seem more related to the HT, but the “pain before period” makes me think QI stagnation.

Question 9

Sitting and staring at your computer all day is likely to cause which pathogenic factors to afflict your channels?

Answer 9

Qi and Blood stagnation

Question 10

A 29-year-old patient complains of hypochondriac pain and fullness for several months. She is also experiencing dry mouth and throat, depression, moodiness, scanty menstrual flow, and breast pain. She has a pale tongue and a thready, wiry pulse. Which of the following is the most appropriate diagnosis?

Answer 10

Liver qi stagnation with blood deficiency

Question 11

Constipation with dry stools that are hard to expel, fatigue, shortness of breath, pale face and tongue and easy sweating indicate a deficiency of which vital substance?

a. Qi
b. Body fluids
c. Jing
d. Yang

Answer 11

a. Qi

Question 12

Which of the following odors indicates an imbalance in metal, or a metal constitution?

Answer 12

Rotten

Question 13

In the case of hunger without desire to eat, dry mouth and throat, dry stools and thirst with desire to drink in small sips, which organ pattern matches best?

Answer 13

Stomach yin deficiency

Question 14

A sudden onset of foul-smelling diarrhea with a burning sensation, thirst without desire to drink, a red tongue with slimy yellow fur, slippery and rapid pulse, fever and fatigue would be best treated by which principle?

Answer 14

Clear heat, dry damp

Question 15

A 35 year old patient has been having headaches for the past 5 years. The headaches affect the whole head and the pain is dull, improving when lying down and worse with stress or exposure to light. The patient feels nauseous and cold when the headaches are happening, which occurs about 3 times a week. He also has hypochondriac pain and is prone to constipation with dry stools. His tongue is pale and dusky with thin white fur.
What is the correct diagnosis for this patient?

Answer 15

Liver yang rising due to liver blood deficiency

Question 16

The blood vessels of the corner of the eyes (canthus) reflect conditions of which yin organ?

Answer 16

Heart

Question 17

1. Yellow face and eyes =>
2. Black, dry and scorched complexion, dusky lips =>
3. Pale face, red cheekbones after noon =>
4. Green-blue around the lips, on the bridge of the nose and between the eyebrows =>

Answer 17

1. Damp heat in the spleen and liver
2. Severe kidney yin deficiency
3. Yin deficiency with heat
4. Liver wind

Question 18

What is the significance of fresh-red menstrual blood?

Answer 18

Empty heat from yin deficiency

Question 19

In the case of frequent and urgent urination of dark yellow turbid urine, thirst without desire to drink, a red tongue with yellow greasy fur and a rapid and slippery pulse, what organ pattern is indicated?

Answer 19

Damp heat in the urinary bladder

Question 20

A dry cough with scanty phlegm that is difficult to cough out is enough to diagnose:

Answer 20

Dry phlegm in the lungs

Question 21

Dizziness, blurred vision, nervousness, timidity, lack of courage and initiative, restless sleep with early waking and being easily startled reflect which pattern?

Answer 21

Gallbladder qi deficiency

Question 22

Soreness of the low back and knees, frequent clear urination of a small amount, dribbling urination, premature ejaculation, fatigue, not feeling particularly hot or cold and a deep and weak pulse especially in the rear positions reflect which pattern?

Answer 22

Kidney qi not firm

Question 23

Which of the following is not a clinical indication of spiritedness?

Answer 23

Good energy

Question 24

The patient who complains of thirst, a bitter taste in the mouth and loose stools with profuse pale urine is likely to have which pattern?

a. False Heat, True Cold
b. Heat above, cold below
c. Cold strike

Answer 24

b. Heat above, cold below

Question 25

What do the clinical manifestations of dull abdominal pain which is better with pressure, borborygmi, diarrhea, pale and abundant urine, cold limbs and a deep, weak and slow pulse signify?

Answer 25

Small intestine deficient and cold

Question 26

Lower abdominal cramps after menstruation indicate which of the following?

Answer 26

Deficiency

Question 27

You’ve passed your California Acupuncture Licensing Exam (sit with that a minute), hang your shingle, and in walks your first patient. He is a 64-year-old man complaining of abdominal pain with erratic bowel movements. You ask him how long this has been going on, and he says for 2 months. Recently, though, he has been very fatigued and his stools are black like tar. Which of the following is the best course of action?

Answer 27

Do not treat him, refer to the emergency department

Question 28

Listening diagnosis matching:

1. Groaning voice =>
2. Laughing too much =>
3. Loud borborygmus =>
4. Mumbling, incoherent, illogical speech =>
5. Forceful sighing =>

Answer 28

1. Water element
2. Fire element
3. Excess or heat in the stomach or intestines
4. Heart qi deficiency
5. Liver qi stagnation

Question 29

At the Elephant Sanctuary in Tennessee, there are six Asian elephants. Each elephant has had a difficult life. Bunny is 52 years old and spent the majority of her life solitary as the only elephant at the zoo in Evansville, Indiana. Her decades of confinement in concrete-surfaced pens caused her serious foot problems. She has severe, sharp pain in a fixed location on each of her feet. Her tongue has a dark purple tinge. This type of pain is best diagnosed as:

Answer 29

Blood stagnation

Question 30

The appearance of red macules in a feverish patient indicate that a heat pathogen has moved to which level?

Answer 30

Ying

Question 31

Chairman Mao comes to your office complaining of intermittent headaches, which he attributes to the stress of overcoming the liberal bourgeois and the capitalist elite. The headaches are throbbing, distending, affect the temples and are accompanied by dizziness. You notice that the Chairman has red cheeks, while his face is pale. His pulse is bowstring, fine and rapid. His tongue is red with little fur.

Answer 31

Liver yin deficiency with internal wind

Question 32

Which of the following patterns would you find in a patient whose forehead feels hot at first touch, but becomes mildly warm after first contact?

Answer 32

Exterior heat

Question 33

Sally Student comes in to see you and tells you she has very tired for the last six months. She also has bloating after eating, loose stools, a hard time falling asleep, dry eyes and lots of floaters, scanty menstruation, brittle nails and a feeling of aimlessness in life. You look at her tongue and notice that it is pale and orangey on the sides, has a thin white dry fur and her pulse is thready. Her complexion looks pale, too, and her hair is dry. What combo pattern does she have?

Answer 33

Spleen qi and liver blood deficiency