foomB Flashcards
15 yo male pt w/aversion to cold, chests oppression, nocturnal enuresis, water-like diarrhea w/no foul smell, abd. gurgling, nasal obstruction, no appetite, hard and immovable abd lumps, abd distention, restless sleep nightmares, wakes up often, feeling of heaviness in the body, h/a w/heavy head, thirst w/bitter taste. T= red w/a purplish tinge. TC is thick, sticky, yellow. P= wiry and slippery. Patterns?
a) xu sp yang, stag blood, damp heat in lower burner
b) ht fire blazing; xu spleen yang w/dampness accumulating, stagnant qi and blood
c) stagnant qi and blood, retention of cold damp, lv fire infusing downward
c) stagnant qi and blood, retention of cold damp, lv fire infusing downward
Pulse is rapid and irregular. Pulse can beat for 3 and stops, beats for 4 and then beats for 5. Strength of pulse is sometimes weak and sometimes strong. Which pulse?
a) choppy
b) hasty
c) knotted
d) prison
b) hasty
The bright yang stage (yang ming) has
a) alternation betw being felt subjectively and felt objectively
b) heat felt subjectively or is an objective hot feeling
c) a feeling of heat to the touch
d) heat that is always felt subjectively
c) a feeling of heat to the touch
in comparing wind heat w/latent heat, which is not part of the former?
a) red tongue from the beginning
b) cough
c) floating rapid pulse
d) aversion to cold
a) red tongue from the beginning
profuse, dry and bound secretions from the eyes indicate
a) essence and blood not nourishing the eyes
b) lv vacuity
c) wind heat exuberance
d) repletion heat in the lu channel
d) repletion heat in the lu channel
which luo connecting channel treats cold sensation in the teeth, tightness in the diaphragm, and loss of smell?
a) LI luo
b) PC luo
c) ST luo
d) LU luo
a) LI luo
Your pt asks if he can take St. John’s wort. You tell him he should not take it if he is on
a) antispasmodic analgesics or MAO inhibitors
b) MAO inhibitors or beta blockers
c) beta blockers or anti spasmodic analgesics
b) MAO inhibitors or beta blockers
a pt has chronic diarrhea w/undigested food, poor appetite, sallow complexion, and distention after eating. T = pale w/white coat P = thin and weak. Pattern?
a) xu of ST w/stagnation of cold
b) xu SP qi
c) xu cold
d) retention of food
b) xu SP qi
41 yo woman w/large fibroid in the uterus for several years. Periods are heavy and painful and the menses blood is dark. Low abd is hard and the fibroid clearly felt on palpation. What ev?
a) dai mai
b) yin qiao mai
c) yin wei mai
d) ren mai
d) ren mai
Slightly red eyes w/intermittent and slight pains indicates
a) qi stagnation
b) yin vacuity frenetic fire
c) body fluids depletion or blood vacuity
d) repletion fire scorching internally
b) yin vacuity frenetic fire
Feelings of heaviness, tired limbs, jaundice, hypochondriac pain, distention is due to
a) earth insulting wood
b) fire not generating earth
c) water insulting earth
d) earth not generating metal
a) earth insulting wood
what would you expect the odor of vaginal discharge to be of a pt who has a bright white face, a pale, tender tongue w/glossy white fur, shortenede menses, and thin menses?
a) sweet
b) rancid
c) odorless
d) fishy
c) odorless’
dx = vacuity cold
which muscle channel treats groin or abd strain, muscle pain in chest or middle of back and strain of the big toe?
a) LV muscle channel
b) SP muscle channel
b) SP muscle channel
fever w/aversion to cold, no sweating, h/a and stiff neck, aches throughout the body, irritability and thirst indicate?
a) heat above cold below
b) cold on the exterior, heat in the interior
c) heat on the exterior, cold in the interior
d) true heat, false cold
b) cold on the exterior, heat in the interior
Pt has chills, a feeling of cold, lying w/body curled up, listlessness, desire to sleep, cold limbs, diarrhea, no thirst, freq and pale urination, a pale and wet tongue w/white coating, and a deep weak slow pulse. What stage?
a) lesser yang (shao yang)
b) terminal yin (jue yin)
c) lesser yin (shao yin)
d) greater yin (tai yin)
c) lesser yin (shao yin)
dx: kd yang xu w/cold
35 yo pt complains of depression and feeling sad for no reason. No period for last 2 cycles. Fixed stabbing pain in the shoulder and elbow joints w/o local redness. Joint pain improves w/warmth. She frightens easily, has poor sleep, and feels her HT beating in her chest. Upon palpating her low abd, a hard mass can be felt. T = purplish dots w/a thin white coat. P = deep, string, taut thready
Patterns?
a) xu blood, fixed bi, lv blood stasis
b) blood stagnation, xu blood, painful bi
b) blood stagnation, xu blood, painful bi
Pt has loose stools like duck droppings, dull abd pain, borborygmus, pale urine and cold limbs. Tongue?
a) thick white coating
b) pale or red dry tongue w/o coat
c) pale tongue
c) pale tongue
dx: cold LI
which food treats edema, abd distention, fullness, weak back and knees, xu ST and SP?
a) beef
b) chicken
c) lamb
d) pork
a) beef
tonifies qi and blood, strengthens SP and ST, dispels dampness, relieves edema, strengthens bones and tendons
continuous fever that decreases after sweating but soon increases, nausea, red tongue w/sticky yellow coating, soggy fast pulse is a Qi level pattern of?
a) damp heat in ST and SP
b) LU heat
c) GB heat
d) ST heat
a) damp heat in ST and SP
Pt w/fever worse in the afternoon, body that is hot to touch, aversion to cold, swollen glands, h/a, feeling of heaviness, feeling of oppression of the epigastrium, sticky taste, thirst but w/no desire to drink, sticky white tongue coat, and a soggy pulse. Level?
a) Defensive
b) Qi
c) Nutritive
d) Blood
a) Defensive
dx= damp heat
tears that are relatively sticky w/redness of the qi wheel generally indicates:
a) LV vacuity
b) wind heat exuberance
c) vacuity heat
b) wind heat exuberance
which greater yang (tai yang) pattern tends to have pronounced body aches?
a) wind cold w/predominance of cold
b) wind cold w/predominance of wind
a) wind cold w/predominance of cold
cold contracts and makes the muscles ache
which pulse indicates a severe xu of qi and blood?
a) minute
b) hidden
a) minute
at the defensive level, which pattern can have a thin white or yellow tongue coating?
a) summer heat
b) damp heat
c) wind heat
c) wind heat
which divergent channel starts at the anterior thigh, ascends to the throat and penetrates the tongue?
a) SP
b) ST
a) SP
From ST 1, the ST primary channel descends along the outside of the nose and first
a) circles around the lips and then enters the upper gum
b) enters the upper gum and then circles around the lips
b) enters the upper gum and then circles around the lips
in diagnosing the surface of the skin a darkish hue can indicate
a) cold
b) obstruction
b) obstruction
which muscle channel treats contractions of muscles in the chest and shoulder?
a) TW
b) ST
c) LI
d) LU
d) LU
how does long term use of beta blockers such as inderal, lopressor, or tenormin affect the pulse?
a) pulse becomes full
b) pulse becomes empty
c) pulse becomes slow
d) pulse becomes rapid
c) pulse becomes slow
PT has freq sporadic cough w/occassional productive cough w/phlegm. This week he has SoB, weak voice, tiredness, loose stools, and poor appetite. Which tx plan?
a) xform phlegm
b) tonify xu sp and lu qi and xform phlegm
c) tonify xu sp and lu qi
c) tonify xu sp and lu qi
Pt has edema w/puffy face and eyelids, bright and shiny skin, decreased urination, and chills w/fever. T= thin white coat P= slippery rapid. Pattern?
a) bladder cold damp
b) xu SP and KD yang
c) external wind w/internal water
c) external wind w/internal water
a pt has constipation w/dry stools, burning anus, scanty dark urination. Tongue?
a) thick yellow dry coat
b) pale or red dry tongue w/o coat
c) red tongue, greasy yellow coat
d) pale tongue
a) thick yellow dry coat
dx= LI heat
Which grain best treats edema?
a) brown rice
b) wheat
c) oats
d) corn meal
d) corn meal
the jin fluids circulate with
a) true qi
b) nutritive qi
c) defensive qi
d) original qi
c) defensive qi
Pt has slt hypochondrial distention, bright purple spots under the skin, burning epigastric pain, thirst w/desire to drink cold, dry mouth, mental restessness, feverish at night, epistaxis, bleeding gums, pms, scanty periods, tingling limbs, depression and freq. sighing. T=red, yellow dry coating w/red points. P= fast choppy. Patterns?
a) ST heat, stagnatn LV qi, xu blood
b) LV fire attacking ST; xu LV blood
c) ST fire; blood heat; xu LV blood
c) ST fire; blood heat; xu LV blood
73 yo w/hypertension. Currently has edema of legs and ankles. Cold feeling in legs and back. Fullness and distention of the abd, palpitations, breathlessness, cold hands, back pain and tinnitus. Very little urinary output w/almost total urinary retention. T=pale, swollen, wet. P = deep weak, slow. Tx strat?
a) simultaneously promote urination, xform water, and tonify KD and HT yang
b) first promote urination and xform water and then tonify KD and HT yang
b) first promote urination and xform water and then tonify KD and HT yang
Pt has unremitting high fever, thirst, irritability, fast pulse, red tongue w/yellow coat and very cold limbs. Root?
a) cold
b) heat
c) hot and cold
d) heat xforming to cold
b) heat
The 12 sinew channels follow the course of the primary channels but
a) are narrower
b) are wider
b) are wider
Example of the insulting sequence
a) SP insults KD
b) HT insults SP
c) LU insults LV
d) LV insults LU
d) LV insults LU
a flaccid tongue is always d/t?
a) heat
b) cold
c) damp
d) xu of body fluids
d) xu of body fluids
the yin divergent channels intersect first with
a) internally externally related yang primary channels
b) internally externally related yang divergent channels
b) internally externally related yang divergent channels
you treated a pt in the shao yang stage. 2 days later the pt has abd fullness, poor appetite, diarrhea, no thirst, pale tongue, deep pulse. Dx?
a) tai yin
b) yang ming
c) shao yin
a) tai yin
which grain treats menopause, restlessness, irritability, insomnia and night sweats?
a) rice
b) wheat
c) corn meal
d) millet
b) wheat
children w/a desire to sleep, have yellow-reddish diarrhea, tight closing of the eyes when sleeping and hot body have a pattern of
a) repletion
b) vacuity heat
c) vacuity
a) repletion
Pt has chronic hypochondrial pain on the right side. Feels a chronic “lump” in the right abd region. Started sweating lightly at night. Freq pale urination. Feels cold. Menses blood has clots but not dark. T = pale on sides, bluish purp in the root and center. P = deep, weak, minute. Tx strategy?
a) simultaneously nourish LV blood and KD yang
b) first nourish LV blood and then tonify KD yang
a) simultaneously nourish LV blood and KD yang
2 roots -> 2 manifestations.
Pt has stabbing pain in the epigastrium, vomiting dark blood. Tx plan?
a) remove stasis, invigorate blood, stimulate ST descending function
b) nourish ST yin, nourish fluids
c) clear ST heat, stimulate ST descending function
a) remove stasis, invigorate blood, stimulate ST descending function
dx = blood stasis in the ST
a minute deep pulse indicates
a) xu qi and blood
b) xu yang
c) exhaustion of blood
a) xu qi and blood
which of the following channels have no meeting points?
a) LU and SI
b) HT and PC
c) TW and LU
b) HT and PC
all primary channels have meeting points except for HT and PC
which western dx isn’t related to wei syndrome?
a) secondary trigeminal neuralgia
b) poliomyelitis
c) myasthenia gravis
a) secondary trigeminal neuralgia
in the eye, the blood wheel refers to
a) the sclera
b) both canthi
b) both canthi
