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101 - Diagnostics > Diagnostics Final > Flashcards

Diagnostics Final Flashcards

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1
Q

What are the basic principles of diagnosis?

A
  1. Understanding the inside from observing the outside
  2. Understanding the obvious from observing the subtle
  3. Using constant principles to deal w/ changing phenomena
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2
Q

What are the 4 diagnosis methods used by TCM doctors use to diagnose a patient?

A
  1. Inspection
  2. Listening/Olfactory
  3. Inquiry
  4. Palpating
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3
Q

First time patients, what are we looking for?

A
  1. Spirit
  2. Complexion (Luster)
  3. Body shape
  4. Movement/Posture
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4
Q

What are the 5 types of spirit?

A
  1. Normal
  2. Weak
  3. Depleted
  4. False
  5. Abnormal
    > Autism, Schizophrenia, Depressive, Manic from drugs)
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5
Q

Strong spirit may be found in which patient?

A

ALL patients. As long as they have relatively strong Qi and blood

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6
Q

Which is NOT a manifestation of strong spirit?

A

Complexion without luster
> Qi & essence reflect in luster

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7
Q

Describe dominant vs. guest colour.

A

Dominant:
- unchanged and lifelong (determined by race and genetics)

Guest:
- environmental changes (diet, food, lifestyle) does NOT indicate illness, only change

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8
Q

Which aspect of complexion is more important in determining the spirit of a person?

A

Luster

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9
Q

Which facial complexion is related to ST & SP Qi Def?

A

Dull Yellow

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10
Q

Which is not a positive diagnosis if you observe greenish/blue colour in patients?

A

Excess Heat

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11
Q

Which is the most likely diagnosis of a patient with yellow complexion without luster and weak spirit?

A

SP Def with Blood Def

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12
Q

The aspect of the lustre of complexion indicates what?

A

Qi and essence of Zang Fu organ

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13
Q

Weak and flaccidity muscles in 4 limbs caused walking problems, but patient had no pain/hypertension history. What is the illness?

A

Wei Syndrome

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14
Q

5 Delays in child development?

A
  1. Delayed teeth growth
  2. Delayed hair growth
  3. Delayed standing
  4. Delayed walking
  5. Delayed speaking
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15
Q

5 Softness/Flaccidity in child development?

A
  1. Muscles
  2. Neck & Head
  3. Hands
  4. Feet
  5. Mouth
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16
Q

Which symptom is related to Kidney Qi Def?

A

Late closure of the frontanel

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17
Q

Hair exfoliates and exposed scalp (patches of hair) is due to?

A

Blood Def with internal wind

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18
Q

The inner canthus belongs to which wheel?

A

Wheel of Blood

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19
Q

What is the mechanism related to a red, swollen, and painful gum?

A

Yang Ming Stomach Fire goes upward

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20
Q

Liver-Spleen Qi stagnation and fluid retention may be combined with?

A

Bulged abdomen

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21
Q

Teeth dry like stone is due to?

A

Yang Ming Excess Fire burns the fluids

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22
Q

Squamous and dry skin is due to?

A

Chronic Blood Stagnation

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23
Q

Sound of GROANING belongs to which organ?

A

Kidney

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24
Q

Delirium speech with confused mind, irritability, incoherent speech, high pitch, powerful voice are indications of what?

A

Heat disturbs the mind

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25
Q

Type of speech that’s NOT seen in Excess Pattern is?

A

Fading murmur

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26
Q

Difficulty in breathing, shortness of breath WITH RISING shoulders, nasal flailing, unable to lie down are symptoms of what?

A

Dyspnea

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27
Q

Turbid sputum with fishy smell, dirty dark blood indicates what?

A

Lung abscess

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28
Q

Thunderous borborgymis with diarrhea indicates?

A

Cold Damp in Middle Jiao (Spleen)
(due to cold)

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29
Q

Which deficiency is spontaneous and night sweating?

A

Qi and Yin Deficiency

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30
Q

What question should a TCM doctor ask if they’re looking for the nature of a disease?

A

Whether aversion to heat or cold
> nature (type of pain)

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31
Q

What indicates a good prognosis?

A

Shivering followed by sweating. Fever abates after sweating = pulse is quiet and body cools down

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32
Q

Unilateral sweating in part of the body indicates what?

A

Obstruction of meridians caused by wind phlegm

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33
Q

Heat in the Upper Jiao may have what kind of symptoms?

A

Sweating on the head

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34
Q

Dribbling after urination is what syndrome?

A

Kidney Qi Def
(Kidney Qi not firm)

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35
Q

Pain due to blood stasis will be worse at which time of the day?

A

At nighttime

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36
Q

Fixed pain may occur when patients have?

A

Blood stasis + Damp cold

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37
Q

Floating-tight pulse indicate what?

A

Exterior Cold Pattern

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38
Q

Slippery-rapid pulse indicate which 3 syndromes?

A

Phlegm-Heat
Damp-Heat
Food Stagnation

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39
Q

Wiry-slippery-rapid pulse indicate what?

A

Liver-Fire w/ Phlegm Pattern
Liver Yang Hyperactivity w/ Wind Phlegm Pattern
Liver Gallbladder Damp-Heat Pattern
Phlegm-Fire Obstruct Pattern

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40
Q

Deep-thready-rapid pulse indicate what?

A

Interior Def Heat Pattern

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41
Q

Which pulse is RAPID and stops at IRREGULAR interval?

A

Skipping (Hasty) pulse

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42
Q

Vaginal discharge is clear water and no smell. Which syndrome?

A

SP Qi Def
(Dampness goes down)

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43
Q

Sour taste in the mouth is due to?

A

Disharmony between LR + ST

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44
Q

Which causes delayed period?

A

Blood Def

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45
Q

Women with early period, heavy, dark and thick blood indicates what?

A

Heat in the blood

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46
Q

No thirst or desire to drink water, just wants to rinse the mouth. Which syndrome?

A

Dampness Syndrome

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47
Q

Insomnia with epigastrium fullness and distention is caused by?

A

Food Stagnation

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48
Q

Dizziness is NOT caused by?

A

ST Qi Rebellious

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49
Q

Which infantile index finger indicates the Evil Qi ARRIVES at the MERIDIAN, and a serious condition with deep Evil Qi?

A

In the Qi Gate

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50
Q

Which is NOT the cause of talking one’s sleep?

A

KD Yin Def

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51
Q

Yang Ming Fu Organ Excessive Heat may be seen in what pulse?

A

Full (Overflowing)

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52
Q

Which is NOT the cause for delayed menses?

A

Qi Def

53
Q

According to 8 Principles Syndrome Differentiation, which is NOT an exterior syndrome?

A

Wind-Damp-Cold Bi Syndrome

54
Q

Patient has strong fit body constitution. 3 days ago, sweating and caught wind, aversion to cold, fever, headache, pain of whole body. Combine with nasal obstruction.

T: thin, white coat - P: floating, tight

A

Exterior Cold Syndrome

55
Q

Which theory of syndrome differentiation is used to make a diagnosis for internal disorders?

A

Zang Fu Organ Syndrome Differentiation

56
Q

Which symptoms does not indicate the Interior Syndrome?

A

Alternating heat and cold

57
Q

What is the etiology of Yang Edema?

A

Exterior Wind Pathogen attack, impairs Lungs’ D&D function and water passage

58
Q

What is the difference between Water Edema & Qi Edema?

A

Pitting vs. Non pitting edema

59
Q

Which organ is NOT likely to have dryness syndrome?

A

Spleen

60
Q

What is the etiology (root cause) of Yin Edema?

A

SP & KD Yang Def

61
Q

Which syndrome will most likely have insomnia?

A

HT Yin Def

62
Q

What is the etiology of Heart Yang Def?

A

Heart Qi Def

63
Q

What symptom is important for differentiating HT Yang Def Syndrome?

A

Cold hands and feet

64
Q

Which is not the etiology of Heat Blood Def?

A

Phlegm & Fire obstruct Heart

65
Q

What is NOT a clinical manifestation of HT Yin Def?

A

Withered yellow facial complexion

66
Q

Phlegm mist the mind is mostly seen in?

A

Depressive psychosis

67
Q

Clinical manifestation of HT fire blazing upwards is?

A

Tongue & mouth ulcer

68
Q

Which organ is the least likely to have fire?

A

Kidney

69
Q

What isn’t a clinical manifestation of Yang Edema?

A

Loose stool

70
Q

What is the best description for False Spirit?

A

Dangerous sign indicating the separation of Yin and Yang

71
Q

TCMP emphasizes which diagnostic method to make a diagnosis?

A

Equally evaluating the 4 diagnostic methods

72
Q

Severe pain may change patient’s complexion to?

A

Bluish/greenish colour

73
Q

Yang jaundice disorder complexion is?

A

Bright, orange yellow colour

74
Q

Vomiting and diarrhea may cause what kind of problem to an infant?

A

Sunken fontanel

75
Q

Wei flaccidity syndrome is most commonly seen in?

A

Stroke rehabilitation stage

76
Q

Lung Qi excess pattern may have what kind of posture?

A

Sitting, looking up

77
Q

Which person has the tendency for Yin Def?

A

Yang Zang person

78
Q

A child 5 years old, drooling profuse saliva with opened mouth during sleep. What does this mean?

A

SP Qi Def

79
Q

Red, swollen, and painful canthus indicates?

A

HT Fire

80
Q

Iris is related to which wheel?

A

Wheel of Wind

81
Q

What does “O” in SOAP mean?

A

Doctor’s palpation

82
Q

Which does NOT belong to tidal fever?

A

Tai Yang Meridian Heat

83
Q

What type of sweat is from collapse of Yin?

A

Oily, sticky sweating

84
Q

Headache with toothache indicate which type of headache (meridian)?

A

Shao Yin Meridian

85
Q

Excessive eating, frequent hunger, loose stool. This indicates?

A

Strong ST, weak SP

86
Q

Which pulse is SLOW and stops at IRREGULAR interval?

A

Knotted pulse

87
Q

Pain in the epigastrium and abdomen due to SP-ST Def is?

A

Dull pain

88
Q

Which location of Jue Yin pattern headache?

A

Vertex headache

89
Q

Which pulse indicates dampness?

A

Soggy, thready

90
Q

Which isn’t related to mild fever?

A

Yang Ming ST Heat

91
Q

Pain in the ribs and chest due to LR Qi Stagnation is?

A

Distention pain - moving pain bc always moving

92
Q

Fever due to exterior disorder will be shown as?

A

Aversion to cold and heat with fever

93
Q

Diarrhea following abdominal pain before dawn, loose stool with indigested food indicate?

A

SP & KD Yang Def

94
Q

Alternate heat and cold with regular interval indicate?

A

Malaria

95
Q

Lower back ache due to KD Yang Def is what type of pain?

A

Dull pain

96
Q

Hunger but no desire to eat is?

A

ST Yin Def

97
Q

Which taste is seen in excessive heat syndrome?

A

Bitter taste

98
Q

Which syndrome is likely to cause decreased appetite?

A

ST Fire

99
Q

Sound of singing is related to which organ?

A

Spleen

100
Q

RATTLING SOUND in the throat, shortness of breath with rising shoulders, nasal flaring, unable to lie down indicates?

A

Wheezing

101
Q

Sputum with rotten smell, sticky yellow indicates?

A

Lung Heat

102
Q

Prolapse of rectum indicates?

A

SP Qi sinking

103
Q

The sides and edges of the tongue belongs to which organs?

A

Liver and Gallbladder

104
Q

Pain with preference of heat and touch indicates?

A

Yang Def

105
Q

The Left Guan position of pulse indicate which organ?

A

Liver

106
Q

A crimson tongue with cracks indicate?

A

Depletion of Yin fluid due to Heta

107
Q

A peeled coating indicate?

A

Consumption of Qi and Yin in the ST

108
Q

Heavy, fixed pain may be caused by?

A

Phlegm-Dampness

109
Q

Which organ is least associated with water retention?

A

Liver

110
Q

Which symptoms are likely seen in Yang Syndrome?

A

Cold limbs, poor appetite

111
Q

Which theory of syndrome differentiation is used to make a diagnosis for warm disease?

A

Four Level Syndrome Differentiation
(Defensive, Qi, Nutrient, Blood Levels)

112
Q

What causes amennorrhea?

A

KD Def

113
Q

Which symptom belong to excessive syndrome?

A

Aversion to cold

114
Q

Which symptom would NOT be seen in excessive syndrome?

A

Pain that is alleviated with pressure

115
Q

What is the main distinguish factor of excessive and deficient syndrome?

A

Wax and wane of healthy qi and pathogenic qi in the body

116
Q

Which is NOT the cause of excessive syndrome?

A

Prenatal condition

117
Q

Which is NOT the key manifestation of Qi Deficiency Syndrome?

A

Wiry pulse

118
Q

Which is not the manifestation of Qi stagnation syndrome?

A

Nausea and vomiting

119
Q

What is an example of combined excessive and deficient condition?

A

Qi Def & Qi Stag
Qi Def with blood stasis

120
Q

What type of fever does not seem high, worse in the afternoon, and when the patient’s skin is felt, does not feel hot initially, but does so after felt for a longer time?

A

Tidal Fever of Damp Warm Syndrome

121
Q

Which of the following would you expect to find in a patient suffering from deficient ST Yin?

A

Hungry anorexia

122
Q

What do you find when epidemic febrile disease is invading the Ying Level?

A

No thirst

123
Q

What is indicated when a patient has a feeling of fullness of the the upper abdomen, suffers from anorexia, thick greasy tongue coating?

A

Retention of food

124
Q

What causes frequent nocturnal micturition of profuse and clear urine?

A

Deficient KD Yang

125
Q

What is indicated by this pattern: dry stool, palpitations, amnesia, vertigo, pale tongue, thready pulse?

A

Deficient Blood

126
Q

What is the difference between soggy and weak pulse?

A

Its location

127
Q

Which of the following are you most likely to find diarrhea, borborygmus, excrement that smells like rotten eggs, abdominal pain that’s relived after passing stool?

A

Diarrhea due to food stagnation

128
Q

What type of pain is experienced when there’s blockage of meridians by pathogenic factors of an excess type?

A

Colic pain

101 - Diagnostics (12 decks)

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