MIDTERM REVIEW Flashcards
(28 cards)
Severe nose bleeding may cause:
a. Anemia b. Shock c. Either of above d. None of above
c. Either of above
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 f d. Flaring HT f e. Heat in the LU
e. Heat in the LU
The following are features of bi yuan (nasal sinusitis) EXCEPT:
a. Nasal obstruction b. Fever c. Headache d. Runny nose w/ purulant discharge e. Decreased smell
b. Fever
In tcm 5 sense organs refers to:
Eyes, nose, throat, ears, mouth
(anus is not one of them)
Which syndrome is NOT common for the pus discharge from ears?
a. Invasion of lu by wind heat b. Damp heat in liver gall bladder c. Stagnation of qi and xue d. Kidney yin xu
c. Stagnation of qi and xue
Tinnitus of excess type is characterized
a. A sudden onset, big noise like flood and thunder
b. Low pitch of noise aggravated by pressing ears w/ hands
c. Both of the above
d. Neither of the above
a. A sudden onset, big noise like flood and thunder
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
c. Both of above
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
d. Neither of the above
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)
TRUE
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.
TRUE
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.
TRUE
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.
TRUE
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
a. Sang ju yin + cang er zi san
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?
Nourish kidney yin, benefit the ears
What is an appropriate formula for nose bleeding due to stomach fire?
Qing wei san
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
d. All of above
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?
Drain fire, soothe the liver, nourish kidney yin, benefit the ears
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?
Expel wind, clear heat, cool blood, stop bleeding
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
d. All of the above
TRUE/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. True or false?
FALSE
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.
Stomach fire
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.
Kidney yang xu
Nasal vestibulitis. d/t accumulation of heat in lung meridian. Maybe treated by which of the following formulas?
a. Bu zhong yi qi tang b. Chuan xiong cha tiao san c. Huang qin tang d. Sheng mai san
c. Huang qin tang
TRUE OR FALSE: Points along the shao yang channel are important for treating excess type ear disorders.
TRUE
