K-IV Diagnostic Methods

Question 1

1. Red complexion indicates ( ).
   (1) febrile diseases caused by exogenous pathogens
   (2) excessive heat in the Zang-Fu organs
   (3) deficient heat caused by a deficiency of yin
   (4) floating of yang

Answer 1

1. E

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 2

2. Bluish purple complexion is due to ( ).
   (l) stagnation of blood
   (2) deficiency of blood
   (3) severe pain
   (4) stagnation of Qi

Answer 2

2. B

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 3

3. Pale complexion is linked with ( ).
(I) deficiency of blood
(2) deficiency of Qi
(3) deficiency of yang
(4) deficiency of yin

Answer 3

3. A

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 4

4. Pale complexion indicates ( ).
(I) deficient syndromes
(2) cold syndromes
(3) collapse of blood
(4) collapse of Qi

Answer 4

4. E

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 5

5. A normal tongue is ( ).
(I) proper size
(2) light red in colour
(3) free in motion
(4) thin white coating

Answer 5

5. E

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 6

6. A yellow complexion indicates ( ).
(I) heat syndromes
(2) damp syndromes
(3) wind syndromes
(4) deficiency syndromes

Answer 6

6. C

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 7

7. The tip of the tongue often reveals the pathological change of ( ).
   (l) the heart
   (2) the spleen
   (3) the lung
   (4) the stomach

Answer 7

7. B

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 8

8. A pale tongue indicates ( ).
(I) deficiency of Qi
(2) deficiency of blood
(3) deficiency of yang
(4) deficiency of yin

Answer 8

8. A

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 9

9. A red tongue indicates ( ).
   (1) heat syndromes of the excessive type
   (2) deficient blood syndromes
   (3) heat syndromes of the deficient type
   (4) deficient Qi syndromes

Answer 9

9. B

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 10

10. A deep red tongue indicates ( ).
    (1) extreme heat condition
    (2) interior excess syndrome
    (3) hyperactivity of fire due to deficient yin
    ( 4) stagnation of blood

Answer 10

10. B

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 11

11. A pale purplish and moist tongue is related to ( ).
    (1) extreme heat condition
    (2) accumulation of cold
    (3) deficiency of yin
    (4) stagnation of blood

Answer 11

11. C.

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 12

12. A blue purplish tongue, dry and lustreless, is related to ( ).
    (1) stagnation of blood
    (2) accumulation of cold
    (3) extreme heat
    (4) deficiency of yin

Answer 12

12. B

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 13

13. A swollen tongue indicates ( ).
    (1) yang deficiency of the spleen and kidney
    (2) retention of fluid, phlegm and dampness
    (3) excess heat in the heart and spleen
    (4) toxicosis

Answer 13

13. E

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 14

14. A cracked tongue indicates ( ).
    (1) excess heat consuming body fluids
    (2) deficiency of blood
    (3) deficiency of Qi and yin
    (4) invasion of pathogenic wind

Answer 14

14. A

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 15

15. A thin tongue indicates ( ).
    (1) deficiency of yang
    (2) deficiency of Qi and blood
    (3) deficiency of the spleen
    (4) deficiency of yin

Answer 15

15. C

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 16

16. The clinical significance of a deviated tongue is/are ( ).
    (1) early signs of windstroke
    (2) invasion of the heart by pathogenic heat
    (3) windstroke
    (4) sunstroke

Answer 16

16. B

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 17

17. The early signs of wind-stroke on the tongue is/are ( ).
    (1) deviated
    (2) flaccid
    (3) rigid
    (4) cracked

Answer 17

17. B

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 18

18. A rigid tongue indicates ( ).
    (1) invasion of the pericardium by heat
    (2) retention of turbid phlegm in the interior
    (3) excessive pathogenic heat consuming body fluid
    ( 4) windstroke

Answer 18

18. E

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 19

19. A white tongue coating indicates ( ).
    (1) normal
    (2) exterior syndromes
    (3) cold syndromes
    (4) damp syndromes

Answer 19

19. A

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 20

20. A white, thick and sticky tongue coating indicates ( ).
    (1) retention of phlegm
    (2) retention of undigested food
    (3) retention of cold-damp
    (4) stagnation of Qi

Answer 20

20. A

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 21

21. A dry tongue coating indicates ( ).
    (1) deficiency of yin
    (2) deficiency of body fluid
    (3) deficiency of yang Qi which fails to transfer body fluid
    (4) deficiency of blood

Answer 21

21. A

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 22

22. An obese patient with mental depression suggest ( ).
(I) deficiency of Qi
(2) deficiency of yang
(3) excess of phlegm-damp
(4) retention of food

Answer 22

22. A

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 23

23. Disturbance of the eye by liver wind may show ( ).
    (1) upward staring
    (2) straightforward staring
    (3) sideways staring
    (4) yellow sclera

Answer 23

23. A

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 24

24. Redness and swelling of the throat with yellow or white ulcer spots are due to excessive toxic heat in ( ).
    (l) the heart
    (2) the lung
    (3) the spleen
    (4) the stomach

Answer 24

24. C

A: 1,2,3; B: 1,3; C: 2,4; D:4
E: all answers are correct

Question 25

``` 25. Redness and swelling of the gums are due to a flare-up of ( ). (l ) heart fire (2) lung fire (3) spleen fire ( 4) stomach fire ```

Answer 25

25. D A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 26

``` 26. Blue purplish lips suggest ( ). ( 1) retention of heat (2) retention of cold (3) stagnation of Qi ( 4) stagnation of blood ```

Answer 26

26. C A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 27

27. Sweating is present in ( ). (l) exterior syndromes (2) interior syndromes (3) deficient syndromes ( 4) excessive syndromes

Answer 27

27. E A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 28

28. Profuse sweating caused by the total exhaustion of yang is often accompanied by ( ). (l) listlessness (2) feeble breathing (3) cold limbs (4) deep, thready pulse

Answer 28

28. E A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 29

``` 29. The causes of spontaneous sweating include ( ). ( 1) weakness of yang (2) deficiency of yin (3) deficiency of defensive Qi ( 4) excessive heat ```

Answer 29

29. B A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 30

30. Spontaneous sweating is usually accompanied by ( ). (l) listlessness (2) lassitude (3) worsening upon slight exertion (4) afternoon fever

Answer 30

30. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 31

31. Night sweating caused by a deficiency of yin is usually accompanied by ( ). (1) tidal fever (2) chills (3) a red tongue with little coating (4) shortness of breath

Answer 31

31. B A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 32

32. The presence of thirst indicates ( ). (1) deficiency of yang (2) consumption of body fluid (3) deficiency of Qi (4) retention of phlegm-damp in the interior

Answer 32

32. C A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 33

33. Poor appetite caused by a weakness of the spleen and stomach is often accompanied by ( ). (1) loose stools (2) lassitude (3) a pale tongue with a thin white coating (4) sour regurgitation

Answer 33

33. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 34

34. Poor appetite due to a retention of pathogenic dampness is accompanied by ( ). (1) stuffiness in the chest (2) fullness in the abdomen (3) thick sticky tongue coating (4) soft pulse

Answer 34

34. E A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 35

``` 35. Constipation due to dryness of the stools usually indicates ( ). (I) retention of damp (2) accumulation of heat (3) deficiency of yang (4) consumption of body fluid ```

Answer 35

35. C; A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 36

``` 36. Loose stools often suggest ( ). (I) deficiency of the spleen (2) stagnation of Qi (3) retention of dampness (4) retention of food ```

Answer 36

36. B; A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 37

37. Clear urine with increased output indicates ( ). (I) infirmity of kidney Qi (2) retention of damp (3) dysfunction of the bladder in controlling urine (4) invasion of the bladder by heat.

Answer 37

37. B; A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 38

``` 38. Downward infusion of damp-heat into the bladder would cause ( ). (I) scanty, yellow urine (2) urgent urination (3) painful urination (4) enuresis ```

Answer 38

38. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 39

39. Dribbling urination is due to ( ). (1) impaired function of the kidney for controlling urine (2) Qi dysfunction inhibiting activities of the bladder due to downward infusion of the damp-heat (3) stagnant blood or stones (4) deficiency of yin

Answer 39

39. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 40

40. Retention of urine is usually caused by ( ). (I) Qi dysfunction inhibiting the activities of the bladder due to downward infusion of damp-heat (2) Qi dysfunction inhibiting the activities of the bladder due to downward infusion of stagnant blood (3) Qi dysfunction inhibiting the activities of the bladder due to downward infusion of stones (4) exhaustion of kidney Qi

Answer 40

40. E A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 41

``` 41. The typical sign of pain caused by Qi stagnation is/are (I) a heavy sensation with pain (2) distending pain (3) burning pain (4) pain moving from place to place ```

Answer 41

41. C A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 42

42. Headache may be caused by ( ). (1) disturbance of the clear yang by the pathogens (2) deficiency of Qi and blood which fails to nourish the head (3) blockage of the channels by stagnation of Qi and blood (4) retention of food

Answer 42

42. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 43

43. Lumbago may result from ( ). (1) disturbance of the clear yang (2) deficiency of the kidney (3) retention of food (4) obstruction of the channels

Answer 43

43. C A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 44

44. Chest pain indicates the pathologic changes of ( ). (l) the heart (2) the spleen (3) the lung (4) the kidney

Answer 44

44. B A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 45

45. Hypochondriac pain is linked with ( ). (l) stagnation of Qi of the liver (2) stagnation of blood of the liver (3) damp-heat in the gallbladder (4) damp-heat in the spleen

Answer 45

45. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 46

46. Epigastric pain may result from ( ). (l) retention of food (2) invasion of pathogenic cold (3) deficiency of yang (4) stagnation of liver Qi

Answer 46

46. E A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 47

47. Insomnia caused by a failure of the blood to nourish the heart and deficiency of both the heart and spleen is often accompanied by ( ). (l) mental restlessness (2) dizziness (3) gastric discomfort (4) palpitation

Answer 47

47. C A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 48

48. Insomnia due to hyperactivity of the fire of the heart is often accompanied by ( ). (l) mental restlessness (2) dizziness (3) dream-disturbed sleep (4) palpitation

Answer 48

48. B A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 49

49. Lethargy may result from ( ). (l) deficiency of yin (2) deficiency of yang (3) stagnation of Qi (4) accumulation of phlegm-damp in the interior

Answer 49

49. C A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 50

SO. Excessive heat in the blood may result in menses ( ). (l) of a shortened cycle (2) being excessive in amount (3) being deep red in colour (4) being thick in quality

Answer 50

50. E A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 51

51. Stagnation of blood may result in ( ). (1) a prolonged menstrual cycle (2) low abdomen pain which intensifies on pressure (3) scanty purplish-dark discharge or blood clots (4) watery leukorrhea

Answer 51

51. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 52

``` 52. A slow pulse (chi mai) indicates ( ). (I) exterior syndrome (2) interior syndrome (3) heat syndrome (4) cold syndrome ```

Answer 52

52. D A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 53

53. A rolling pulse (hua mai) indicates ( ). (1) retention of phlegm (2) retention of food (3) excess heat (4) pregnancy

Answer 53

53. E A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 54

``` 54. A hesitant pulse (se mai) indicates ( ). (I) deficiency of blood (2) impairment of essence (3) stagnation of Qi ( 4) stagnation of blood ```

Answer 54

54. E A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 55

``` 55. Pathogenic phlegm-damp may be reflected by ( ). (I) a rolling pulse (hua mai) (2) a string-taut pulse (xuan mai) (3) a soft pulse (ru mai) (4) a rapid pulse (shuo mai) ```

Answer 55

55. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 56

56. A string-taut pulse (xuan mai) indicates ( ). (1) disorders of the liver and gallbladder (2) painful syndromes (3) retention of phlegm (4) deficiency of yin

Answer 56

56. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 57

``` 57. A thready pulse (xi mai) indicates ( ). (I) deficiency of yin (2) excess heat (3) deficiency of Qi and blood (4) spleen disease ```

Answer 57

57. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 58

58. The pulse which indicates a deficiency of both Qi and blood would be ( ). (1) a thready pulse (xi mai) (2) a weak pulse (ruo mai) (3) a deficient pulse (xu mai) (4) a slow pulse (chi mai)

Answer 58

58. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 59

59. Stagnation of blood results in ( ). (1) immovable hard masses in the abdomen (2) pain at definite site (3) pricking pain (4) a hesitant pulse (se mai)

Answer 59

59. E A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 60

``` 60. A superficial and tense pulse (fu and jin mai) indicates ( ). ( 1) exterior heat syndrome (2) exterior deficient syndrome (3) exterior damp syndrome (4) exterior cold syndrome ```

Answer 60

60. D A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 61

61. A deviated tongue often indicates ( ). (1) blood deficiency (2) blood obstruction (3) Qi deficiency (4) obstruction of the channels and collaterals by wind-phlegm

Answer 61

61. D A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 62

``` 62. Which of the following symptoms can be categorized as a sign of the lung channel? ( ) ( I ) sore throat (2) pain in the supraclavicular fossa (3) cough and asthma (4) palpitation ```

Answer 62

62. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 63

63. The change in tongue proper that doesn't relate to heat syndrome includes ( ). (1) red tongue (2) purplish tongue (3) deep red tongue ( 4) pale tongue

Answer 63

63. C A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 64

64. Which of the following symptoms would be the most likely to help make the diagnosis of invasion of the spleen by cold and dampness? ( ). (1) distention in the epigastrium (2) poor appetite (3) heaviness of the head (4) foul belching and sour regurgitation

Answer 64

64. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 65

65. Congested and sore throat can be seen in syndrome(s) of ( ). (1) the lung channel (2) the large intestine channel (3) the kidney channel ( 4) the urinary bladder channel

Answer 65

65. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 66

66. Retention of urine or difficult dribbling urination is often due to ( ). (1) retention of damp-heat in the urinary bladder (2) insufficiency of kidney yang (3) presence of stones ( 4) stagnant blood

Answer 66

66. E A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 67

67. Chills without fever may be caused by ( ). (I) exogenous cold resulting from a deficiency of defensive Qi (2) endogenous cold resulting from a deficiency of yang Qi (3) invasion by wind-heat (4) exogenous pathogenic cold directly effecting certain Zang-Fu organs

Answer 67

67. C A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 68

``` 68. Might sweating is usually a sign indicating ( ). (I) hyperactivity of yang (2) excessive heat (3) deficiency of yin (4) exogenous pathogenic cold ```

Answer 68

68. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 69

``` 69. Absence of thirst or thirst without desire to take fluids often indicates ( ). (I) interior heat syndrome (2) deficiency of yang Qi (3) deficiency of yin (4) cold-damp ```

Answer 69

69. D A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 70

70. A pale tongue (a less than normally red tongue) often indicates ( ). (1) deficiency of Qi and blood (2) deficiency of yin (3) exogenous pathogenic cold (4) deficiency of fluids

Answer 70

70. B A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 71

``` 71. An abnormally red tongue often indicates ( ). (I) cold (2) pathogenic heat (3) dampness (4) yin deficiency ```

Answer 71

71. C A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 72

72. A deep red tongue often indicates ( ). (I) pathogenic heat in the blood (2) yin fluid has been exhausted and endogenous fire, which is of the deficiency type, is hyperactive (3) pathogenic heat has been transmitted from the exterior to the interior of the body ( 4) blood stasis

Answer 72

72. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 73

73. An enlarged tongue, which is pale in colour and has tooth-prints on the border, indicates ( ). (I) deficiency of Qi (2) deficiency of yang (3) retention of phlegm-damp in the interior (4) deficiency of blood

Answer 73

73. A A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct

Question 74

74. Irregular streaks or cracks on the tongue indicate ( ). (I) consumption of body fluids by excessive heat (2) hyperactivity of the fire due to a deficiency of yin (3) loss of the essence of the kidney (4) pathogenic dryness

Answer 74

74. A. A: 1,2,3; B: 1,3; C: 2,4; D:4 E: all answers are correct