FINAL REVIEW

Question 1

Severe nose bleeding may cause

a. Anemia
b. Shock
c. Either of above
d. None of above

Answer 1

c. Either of above

Question 2

A patient got nose-bleeding, blood was bright red- dribbling in a small amount. Accompanied w/ dry nose, thirst, sore throat, fever, sweating, cough w/ sputum, has red tongue w/ thin yellow coating & rapid pulse. What is your dx.

a. Heat in ST
b. Heat in LR 
c. Flaring LR Fire
d. Flaring HT Fire
e. Heat in the LU

Answer 2

e. Heat in the LU

Question 3

The following are features of bi yuan (nasal sinusitis) EXCEPT:

a. Nasal obstruction
b. Fever
c. Headache
d. Runny nose w/ purulent discharge
e. Decreased smell

Answer 3

b. Fever

Question 4

In tcm 5 sense organs refers to:

Answer 4

Eyes, nose, throat, ears, mouth

anus is not one of them

Question 5

Which syndrome is NOT common for the pus discharge from ears?

a. Invasion of Lung by wind heat
b. Damp heat in liver gallbladder
c. Stagnation of qi and xue
d. Kidney yin xu

Answer 5

c. Stagnation of qi and xue

Question 6

Dizziness caused by ear problems is characterized by:

a. Sudden dizziness and vertigo
b. Tinnitus, deafness, nausea, vomiting
c. Both of above
d. Neither of above

Answer 6

c. Both of above

Question 7

Dizziness caused by xue xu is characterized by:

a. A sudden dizziness and vertigo
b. Tinnitus, deafness, nausea, vomiting
c. Both of the above
d. Neither of the above

Answer 7

d. Neither of the above

Question 8

TRUE OR FALSE: an auricular false cyst is often caused by accumulation of phlegm and dampness ascending to aurical d/t pathogenic wind and deficiency of spleen stomach (which produce phlegm and dampness)

Answer 8

TRUE

Question 9

TRUE OR FALSE: eczema of the external ear is related to the lack of nutrition in the skin of the aurical d/t accumulation of heat and damp evils in the skin of the external ear and d/t endopathic wind from xue xu with the appearance of puritis and ephusion.

Answer 9

TRUE

Question 10

TRUE OR FALSE: auricular herpes zoster is caused by impairment of auricular skin attacked by seasonal wind and cold evils. Either under the original weakness and deficiency of body constitutions as well as improper food intake which leads to dysfunctions of t/t of the spleen causing the production of internal damp heat or under the disorders of seven emotions, which results in the stagnation of liver qi turning into fire after long term duration.

Answer 10

TRUE

Question 11

TRUE OR FALSE: Nasal vestibulitis is due to the mixture of invaded wind heat evils and heat in the lung meridian or due to dampness of the spleen which steams and fumes the nasal tissues and skin.

Answer 11

TRUE

Question 12

For wind heat type acute rhinitis manifesting as nasal obstruction, tickling sensation in the nose, whitish tenacious or yellowish thick nasal discharge, redness and swelling in the nasal mucosa, accompanied by fever, aversion to wind, headache, sore throat, thirst, red tongue, and a thin and yellow tongue coating w/ a superficial and rapid pulse. Which fx is appropriate?

a. Sang ju yin + cang er zi san
b. Ma huang tang

Answer 12

Sang ju yin + cang er zi san

Question 13

A 40 yo male has had tinnitus for last 5 years. The tinnitus started gradually. Other s/s include low back pain, dizziness, general fatigue, frequent waking at night, and dry throat. The tongue is red and lacks a coat. The pulse is weak in the rear positions. What is your treatment plan?

Answer 13

Nourish kidney yin, benefit the ears

Question 14

What is an appropriate formula for nose bleeding due to stomach fire?

Answer 14

Qing wei san

Question 15

Auricular herpes zoster or shingles refers to an acute viral infection of the external ear. It is typically characterized by:

a. Erythema
b. Blisters
c. Pain and itching 
d. All of above

Answer 15

d. All of above

Question 16

A 30 yo male has had tinnitus for past year. Sound is high pitched and worse w/ stress. Better w/ rest, tongue is red w/ yellow coat. Pulse is full, wiry, but weak in rear positions. What is the treatment principle?

Answer 16

Drain fire, soothe the liver, nourish kidney yin, benefit the ears

Question 17

A patient has dry nostrils, dry mouth, sore tongue, little bloody nasal discharge, little sputum, red tongue, thin white tongue coat, and a floating slightly rapid pulse. What is your treatment plan?

Answer 17

Expel wind, clear heat, cool blood, stop bleeding

Question 18

Although the spleen channel does not connect with the ear, dysfunction of this organ can lead to ear dysfunction. Why is this?

a. The spleen is in charge of raising the clear qi
b. Sp dysfunction can result in dampness and phlegm which can obstruct the orifices
c. Sp is in charge of extracting food essences to produce qi and xue, necessary for proper function of all bodily tissues
d. All of the above

Answer 18

d. All of the above

Question 19

TRUE OR FALSE: Kidney xu can readily affect the ears and or eyes causing such s/s as tinnitus, deafness, pressure behind the eyes, and blurred vision. It is unlikely that a xu of this organ would cause any nasal s/s.

Answer 19

FALSE

Question 20

23 yo male. Cc nosebleeds. Other features including heartburn, constant gnawing hunger, fowl breath. Red tongue w/ dry yellow coat in center. Pulse is rapid and overflowing in right guan position.

Answer 20

Stomach fire

Question 21

A 54 yo female cc tinnitus and hearing loss. Other features tinnitus w/ gradual onset, low rushing sound. Low back pain. Right knee weakness. Fatigue. And occasional dizziness. The tongue is pale, swollen and wet. The pulse is deep and weak.

Answer 21

Kidney yang xu

Question 22

TRUE OR FALSE: Points along the shao yang channel are important for treating excess type ear disorders.

Answer 22

TRUE

Question 23

Red eye or epidemic acute conjunctivitis has the following features except

a. Sudden onset
b. Aversion to light (aura feeling)
c. Itching, pricking, sand in the eye like sensation
d. Headache and dizziness
e. Red eyes w/ profuse sticky discharge

Answer 23

d. Headache and dizziness

Question 24

Which symptoms is not necessary for glaucoma?

a. Distention of the eyes
b. Headache
c. Vomiting
d. Nausea
e. Blurred vision

Answer 24

c. Vomiting

Question 25

25) When nose bleeding, a patient is supposed to:
a. Bend head down
b. Bend head back
c. Both
d. Neither

Answer 25

a. Bend head down

Question 26

Patient presents with gradual diminishment of vision or even blindness. A pale or wax yellow optic disc. And a filthy retina w/ pigmentation under the opthalmascope. Accompanied by the general s/s of dizziness, tinnitus, sleeplessness, dreamyness, lassitude in the loin and legs, spermatorrhea, and night sweat. Pale reddish tongue. With a whitish thin coating and a deep thin pulse. What is the formula you would use.

a. Ming mu di huang wan
b. Fu zi li zhong wan
c. Dan zhi xiao yao san
d. Xue fu zhu yu tang

Answer 26

a. Ming mu di huang wan

Question 27

Patient presents with lesions that are localized to the gingival margin and papilla, there’s redness, swelling, puria, and bloody discharge of the gum on which there is often a grayish white membrane. The teeth are covered with tartar. No periodontal pocket can be found. And the x-rays show no absorption of bone. There is thirst, fever, headache, and an enlargement of the submaxillary lymph nodes, constipation, and a deep colored urine. There is a yellow and greasy tongue coating and a slippery rapid pulse. You have four choices of herbal formulas:

a. Qing Wei Jie Du Tang
b. Liu Wei Di Huang Wan
c. Er Chen Tang
d. Zhi Bai Di Huang Wan

Answer 27

a. Qing Wei Jie Du Tang

Question 28

Patient presents with sudden hoarseness, or even loss of voice, accompanied with an irritative cough, mostly related to upper respiratory tract infections. When you do an endoscopy, the vocal cord has normal coloration. But it’s affected part can’t move. And there is no red swelling. The patient also has symptoms of headache, aversion to wind, a slight fever, cough, and sense of obstruction in the throat. Patient has a red tongue with a thin white tongue coating. And a thin, floating pulse. Your treatment principle is:

a. Tonify spleen/stomach and help the vocal cords
b. Dispel wind evil, promote blood circulation, remove obstruction in the channels 
c. Resolve liver wind, move liver blood, and restore the voice
d. Nourish kidney yin, resolve phlegm, restore the voice

Answer 28

b. Dispel wind evil, promote blood circulation, remove obstruction in the channels

Question 29

Patient presents with gradual loss of vision. A pale or wax yellow optic disc and a filthy retina with pigmentation under the ophthalmascope. It is accompanied by dizziness, tinnitus, sleepiness, dreaminess, lassitude in the loins and legs, spermatorrhea, and night sweats. There is a pale reddish tongue with a thin whitish coat. And a deep thin pulse.

a. Deficiency of liver and kidney
b. Deficiency of spleen and kidney yang
c. Blood deficiency in the heart
d. Lung qi deficiency with accumulation of phlegm

Answer 29

a. Deficiency of liver and kidney

Question 30

Sudden onset, peripheral facial paralysis on one side. Dull pain, pressing pain, and sensation behind the ear before onset. It progressively continues to a complete or partial facial paralysis, deviation of the mouth and the eye, disappearance of nasolabial groove and frontal skin crease, disability of blowing cheeks and of closing the eyes. Thin and sticky tongue coating, thready, rapid, wiry pulse. What is the etiology of this?

a. Wind invading the lung
b. Wind evils invading the gallbladder
c. Invasion of wind evil into the meridians of the foot-yangming 
d. Invasion of wind evil into the collaterals of the tai-yang

Answer 30

c. Invasion of wind evil into the meridians of the foot-yangming

5/18/15 handout: bells palsy 2.2.13