keep on chugging! Flashcards
Pt is having a period w/dysmenorrhea w/purplish blood clots, SoB, weak voice, sweat during exertion. What tx plan?
a) move blood, stop pain, tonify qi
b) tonify qi
c) move blood, stop pain
c) move blood, stop pain
In elderly and frail pts where there is a primary root and secondary manifestion that has distressing sx what is the tx strat?
a) treat root and manifestation at the same time
b) treat root first, then manifestation
c) treat the manifestation first, then the root
a) treat root and manifestation at the same time
Pt has sporadic, mild cough which is productive w/thick white phlegm, SoB, weak voice, tiredness, loose stools, poor appetite. What is the root?
a) xu LU and SP qi
b) xu SP qi
c) xu LU qi
a) xu LU and SP qi
35 yo female w/depression and anxiety for 12 yrs. She’s on antidepressants, had an unhappy childhood and is resentful. Sleep is restless. SX = h/a w/stabbing pain on forehead; nasal discharge w/thick yellow phlegm. Burning sensation in the epigastrium w/thirst. T=red w/purple tinge and a crack in the center, coat is greasy and yellow. slipppery, wiry, and full. Dx?
a) LV stagnant qi and blood
b) ST phlegm fire
c) Phlegm fire affecting heart and ST, stagnant blood
d) LV and GB phlegm fire
c) Phlegm fire affecting heart and ST, stagnant blood
Phlegm fire = restlessness, thick yellow nasal discharge, burning epigastrium, thirst, greasy yellow coat and blood stagnation agitated the mind and the Ethereal soul w/depression and anxiety. Slippery wiry full pulse = interior excess condition
What does thick yellow sputum and a slippery pulse indicate?
Phlegm heat
PT has thin body, dry skin, floating empty pulse. T=red w/o coat in the front. Dx?
LU yin xu
7 yo has an upper respiratory infection and is being treated w/antibiotics w/no improvement. No temp. Sx = barking cough w/expectoration of yellow phlegm. He has restlessness. Front part of the tongue is red. P= slightly slippery. Dx?
a) invasion of LU by wind-damp
b) phlegm damp obstructing LU
c) Wind Heat invades LU
d) Phlegm Heat Obstructing LU
d) Phlegm Heat Obstructing LU
Phlegm heat = Barking cough w/yellow phlegm, red tongue, restlessness and slippery pulse
LV yin xu leads to LV yang rising. T or F?
T
33 yo F pt complains of SoB since childhood. Difficulty inhaling. Sweats easily, feels cold, is constipated, dizziness, lbp. Allergies, clear mucus and sneezes often when exposed to pollen. Period has dark blood, no clots. T= swollen and pale w/dirty coating and transverse cracks. P=weak. Dx?
a) retention of cold causing stagnant blood
b) wind cold invades LU
c) LU and KD yang xu
d) LU qi xu
c) LU and KD yang xu
LU weakness from childhood + fluid retention, constipation, feeling cold and weak pulse indicate KD yang xu
What does a sallow complexion, weak voice, dry skin, pale tongue and a weak pulse indicate what?
Blood Xu
Pt has loose stools, cold limbs and thin pulse. Tx plan?
a) Tonify ST and SP, Raise qi
b) Expel cold from LI, warm lower burner
c) Tonify and warm LI and SP
c) Tonify and warm LI and SP
Pt has cold back, profuse and clear urination, pale tongue and a deep pulse. Tx plan?
a) tonify and stabilize KD qi
b) tonify and warm SP and KD yang
c) tonify and warm the KD, strengthen Ming Men
c) tonify and warm the KD, strengthen Ming Men
an elderly pt has productive cough w/profuse watery sputum, breathlessness, difficulty breathing, chilliness, tiredness, loose stools. P=slippery T= thick sticky moss. Tx plan?
a) resolve phlegm, stimulate descending of LU qi
b) tonify SP, warm yang, resolve phlegm, stimulate descending of LU qi
c) tonify LU qi, resolve phlegm
a) resolve phlegm, stimulate descending of LU qi
Which sinew channel spreads over the diaphragm and converges at the floating ribs, travels to the shoulder anterior to LI 15?
a) LU
b) TW
c) ST
d) LV
a) LU
The clinical applications for the yang wei mai are
a) h/a, mental emotional problems; nourishes yin and blood
b) intermittent fevers, sides of body, ear problems
b) intermittent fevers, sides of body, ear problems
