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Mock Exams 2016 > Mock Exam 2016-06 > Flashcards

Mock Exam 2016-06 Flashcards

1
Q
  1. Those that have good interpersonal skills are able to manage their behavior during social interactions and align their goals to the goals of others during ____ activities.
    a. Cohesive
    b. collaborative
    c. Collocation
    d. Concessive
A
  1. B. (Collaborative)

Working well together towards the same and in crucial in gaining respect amongst colleagues and with clerks as well.

Interpersonal Skills

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2
Q
  1. Which of the following is NOT considered an interpersonal skill?
    a. Utilize professional communication
    b. Develop and maintain effective inter-professional relationships
    c. Develop and maintain effective relationships with patients
    d. Practice in a manner that accords patient dignity and reflects patient rights
A
  1. d.
    (d. what type of skills? professional)

Interpersonal Skills

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3
Q
  1. Which of the following is NOT an interpersonal skill necessary to practice TCM?
    a. Listening
    b. Calculation
    c. Counselling
    d. Comforting
A
  1. b.

Interpersonal Skills

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4
Q
  1. During a treatment a client becomes upset and starts crying, she tells you that her dog was hit by a car two months ago and died do you
    a. With a sympathetic pat on the shoulder tell her how upsetting it was when your dog was hit by a car
    b. Remind her that she should have canceled the appointment if she was so upset
    c. Add some points for grief (UB13, LU1, or PC4) or to the calm mind (HT6, HT7 or YinTang to Treament
    d. Offer client a glass of water, tissue, and after a moment ask if she would like to resume treatment at another time or continue
A
  1. d.

Interpersonal Skills

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5
Q

According to most provincial & territorial acts, which activity by a professional member would be considered unethical?

a. Not charging a fee for a speech
b. Signing plans prepared by an unknown person without thoroughly reviewing the plan first
c. Reviewing the work of another member with that member’s consent
d. Providing professional services as a consultant

A

b.

(New practitioners must be aware of the code of ethics and standard of care when managing a business and/or providing their services)

Professionalism

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6
Q
  1. A registrant must ensure that all records pertaining to his or her practice and containing personal information
    a. Are safely and securely stored for a period of at least 3 years
    b. At least 6 years
    c. At least 10 years
    d. at least 20 years
    e. none of the above
A
  1. e.
    Latest edition: (The records must be retained for a minimum of 5 years.)
    May 2014 edition: (Keep records for ten years from the last interaction with the patient (can be any contact with the patient, phone or email) or from the patient’s nineteenth birthday, whichever is later under the College bylaws. For example, if a patient is eight years of age the last time the practitioner see the patient (last patient visit) the practitioner would have to keep the record for twenty-one years since that last interaction. [8 yo to 19th BD = 11 years, plus another 10 years, therefore it is 21 years]
    Professionalism
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7
Q
  1. all registrants and their employees must be insured against liability for negligence in an amount of at least:
    a. $100,000 per occurrence
    b. $500,000 per occurrence
    c. $1,000,000 per occurrence
    d. $5,000,000 per occurrence
A
  1. c
    (Jurisprudence, Law, Regulation and College Bylaws, section iii: requirement to maintain liability insurance under the College Bylaws)
    Professionalism
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8
Q
  1. You have let your office manager go for the day because you are about to escort your last client to the treatment room when a client from earlier in the day walks in yelling about being overcharged. You
    a. You immediately refund all the client’s money so you can concentrate on your present client
    b. You tell the client that you did the billing yourself and there is no problem and to leave immediately or you will call the police
    c. Ask the current client to wait in the treatment room for a moment while to deal with the problem. Then apologize to the client about how difficult some people can be before getting started with treatment
    d. Assure the client that you wish to resolve the situation. Give the client the option to come back after or sit and wait a few moments until you have your present clients treatment started and you can give this billing matter your full attention.
A
  1. d

Professionalism

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9
Q
  1. OBTAINGING informed consent from a patient appointed under the Adult Guardianship Act as a guardian requires ongoing communication whereby the practitioner provide the patient
    a. With the information needed to make an informed choice about how to proceed
    b. With only the information needed to gain the patients consent, even if the patient does not fully understand the details of the treatment
    c. With information regarding the diagnosis, but not the treatment
    d. None of the above
A
  1. a

PRACTICE MANAGEMENT

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10
Q
  1. After gaining the patient’s consent, if the treatment plan is altered,
    a. The practitioner does not need to seek further consent
    b. The practitioner must renew patient consent to include the altered treatment
    c. The practitioner must seek further consent once monthly
    d. None of the above
A
  1. b

PRACTICE MANAGEMENT

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11
Q
  1. In the clinic record the practitioner must record
    a. A patient’s refusal to consent to treatment
    b. Steps the practitioner intends to take to regain consent (steps is NOT a must)
    c. That the consequence of the refusal has been explained to the patient
    d. Both a and b
A
  1. a

(The clinical record must include the patient’s written consent and that the process of informed consent occurred.)

PRACTICE MANAGEMENT

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12
Q
  1. A practitioner must
    a. Maintain a professional relationship when dealing with patients in all circumstances
    b. Explain all procedures thoroughly and obtain informed consent
    c. Respect the patients right to withdraw consent at any time
    d. Respect the individual’s sensitivity to personal space, religious, and cultural beliefs, values and lifestyles
    e. All of the above
A
  1. e

PRACTICE MANAGEMENT

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13
Q
  1. Why are ‘essential’ amino acids named that way?
    a. They are necessary for cell function
    b. They are only found in foods we eat
    c. They need other ‘essential’ substances in order to work properly
    d. They function as coenzymes for other cell functions
A
  1. b

FUNDERMENTALS OF BIOMEDIENCE

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14
Q
  1. Which is the most common form of an inhaled poison?
    a. Nail polish remover
    b. Spray paint
    c. Carbon monoxide
    d. Pool cleaners
A
  1. c

FUNDERMENTALS OF BIOMEDIENCE

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15
Q
  1. Kussmaul respirations is a sign of
    a. Hyperglycemia
    b. Hypoglycemia
    c. Pulmonary edema
    d. Myocardial infarction
A
  1. a
    Deep, rapid respiration characteristic of diabetic or other types of acidosis (accumulation of acid or hydrogen ion which leads to abnormal pH level)
    Kussmaul breathing serves to give off large amounts of carbon dioxide which temporarily reduces acidosis but typically results in a deficiency of carbon dioxide in the blood.
    FUNDERMENTALS OF BIOMEDIENCE
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16
Q
  1. A condition in which the HT is unable to pump sufficient blood to tissues is known as
    a. Cardiac arrhythmia
    b. Congestive heart failure
    c. Mitral valve prolapse
    d. Cor pulmonale
A
  1. b
    Cor Pulmonale: disease of the heart characterized by hypertrophy and dilatation of the right ventricle and secondary to disease of the lungs or their blood vessels.
    FUNDERMENTALS OF BIOMEDIENCE
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17
Q
  1. Which test can aid in the diagnosis of meningitis?
    a. Lumbar puncture
    b. Kerning’s Sign
    c. Brudzinski’s sign
    d. All of the above
A
  1. d
    Inflammation of the meninges caused by viral or bacterial infection and marked by intense headache and fever, sensitive to light, and muscular rigidity, leading (in severe cases) to convulsions, delirium, and death.
    Lumbar puncture (aka spinal tap) – test for infection of the cerebral spinal fluid
    Kerning’s Sign – test for severe stiffness of the hamstrings (inability to straighten)
    Brudzinski’s sign – test for sever neck stiffness causes a patient’s hip and knees to flex when the neck is flexed
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18
Q
  1. How many times does defensive Qi (Wei Qi) circulate within 24 hours?
    a. 100 times
    b. 50 times
    c. 25 times
    d. 360 times
A
  1. b
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19
Q
  1. Which substance is NOT released by the pancreas?
    a. Lipase
    b. Amylase
    c. Tryptophan
    d. Glucagon
A
  1. c
    Protein food such as milk and milk products contain the sleep-inducing amino acid tryptophan. It is a precursor to the sleep-inducing compounds serotonin (a neurotransmitter), and melatonin (a hormone which also acts as a neurotransmitter).
    FUNDERMENTALS OF BIOMEDIENCE
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20
Q
  1. By providing a material basis, blood prevents Qi from:
    a. Leaking
    b. Sinking and then leaking
    c. Giving rise to empty-heat
    d. Descending
A
  1. c
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21
Q
  1. The most common anemia in the world is:
    a. Sickle Cell anemia
    b. Aplastic anemia
    c. Hemolytic anemia
    d. Microcytic anemia
A 
21. d
Sickle Cell anemia (a severe hereditary form of anemia: mutated form of hemoglobin distorts the RBC into a crescent shape at low oxygen levels. Common among African)
Aplastic anemia (deficiency of all types of blood cells due to failure of bone marrow development)
Hemolytic anemia  (RBC are destroyed and removed from the blood stream before their normal lifespan is over)
Microcytic anemia: The presence of small RBC is in a peripheral blood smear (usually char by a low MCV [less than 83 micron]. Iron deficiency – a common cause of microcytic anemia.
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22
Q
  1. Raynaud’s phenomenon is an autoimmune disorder that affects the
    a. Blood vessels
    b. Lymphatic vessels
    c. Muscles
    d. Ligaments
A
  1. a
    Raynaud’s phenomenon or Raynaud’s disease is excessively reduced blood flow in response to cold or emotional stress, causing discoloration of the fingers, toes, and occasionally other areas.
    Raynaud’s phenomenon is a disorder that affects blood vessels, mostly in the fingers and toes. It causes the blood vessels to narrow when you are cold or feeling stress. FUNDERMENTALS OF BIOMEDIENCE
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23
Q
  1. What is the feature of Graves’ disease?
    a. Blood in the stool
    b. Goiter and exophthalmos
    c. Dermopathy
    d. Unilateral eye inflammation
A
  1. b
    Graves’ disease: a swelling of the neck and protrusion of the eyes resulting from a overactive thyroid gland.
    Goiter: a swelling of the neck resulting from enlargement of the thyroid gland.
    Thyroid eye disease: one of the main causes of exophthalmos in the UK is thyroid eye disease, aka Graves’ ophthalmo-pathy. This is an autoimmune condition that effects around 1 in 3 with an overactive thyroid gland (hyperthyroidism) caused by Graves’ disease.
    Dermopathy (rarely, people with Graves’ disease develop Graves’s dermopathy, a skin condition char by red, swollen skin, usually on the shins and tops of the feet. Orange peel texture skin.
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24
Q
  1. Risk factors for developing type 2 diabetes include obesity, hypertension, family history, and
    a. High HDL
    b. Low BMI
    c. High triglycerides
    d. Low RBC’s
A
  1. c
    Diabetes mellitus type 2: is a long term metabolic disorders char by high blood sugar, insulin resistance, and relative lack of insulin. SnS: increased thirst, frequent urination, weight loss, increased hunger, feeling tired.
    Elevated triglyceride levels are a component of metabolic syndrome, a group of disorders that increase your risk of heart disease, stroke, and type 2 diabetes..
    FUNDERMENTALS OF BIOMEDIENCE
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25
Q
  1. What should be avoided when needling PC3?
    a. The radial artery and vein
    b. The brachial artery and vein
    c. The brachial plexus (network of nerves near neck & shoulder (T1, C5-C8, thru axilla)
    d. Radial plexus (Radial nerve innervates medial & lateral heads of triceps brachii ms. Part of brachial plexus)
A
  1. b

SAFETY

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26
Q
  1. Which of the following functions of cupping is wrong
    a. Dredging the meridians by warming it
    b. Removing putrefaction and promoting granulation
    c. Dispelling cold dampness
    d. Diminishing swelling and pains
A
  1. b
    Cupping removes putrefaction and promotes granulation somehow has no relevance to what I would consider biomedical reality.
    SAFETY
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27
Q
  1. The part of the needle between the handle and the body is called what?
    a. Tail
    b. Root
    c. Tip
    d. Neck
A
  1. b
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28
Q
  1. A patient has osteo-malacia, muscle weakness, aches and bone pain. What vitamin deficiency may be present?
    a. Vitamin C
    b. Vitamin K
    c. Vitamin D
    d. Calcium
A
  1. c

Osteomalacia: softening of the bones, typically through a deficiency of vitamin D or calcium.

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29
Q
  1. Which extra point is located in the apex of the ear when the ear is folded?
    a. Yu Yao
    b. Er Jian
    c. Jia cheng Jiang
    d. Bai Lao
A
  1. b
    RN24: above the chin, in the depression in the centre of the mentolabial groove. (below the lower lip)
    Jia Cheng Jiang: Perpendicular oblique (medially & inferiorly) 0.3 to 0.5 cun
    Jia cheng Jiang (1 cun lateral to RN24 [Cheng Jiang], over the mental foramen)
    DIAGNOSIS
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30
Q
  1. What forms the main complains of diagnosis in TCM?
    a. Comprehensive analysis by the 4 methods of examination
    b. 8 principal syndromes
    c. Differentiation of syndromes
    d. All of the above
A
  1. d
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31
Q
  1. what is the most important means of diagnosis?
    a. Inspection
    b. Listening
    c. Smelling
    d. Palpation
    e. Comprehensive analysis by the 4 methods of examination
A
  1. e
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32
Q
  1. What is the pathogenesis of false vitality?
    a. Deficient Yin and Yang
    b. Deficient Qi and Blood
    c. Essence-Qi of the Yin/Yang organs is exhausted
    d. Deficient Yang leading to the domination of Yang
A
  1. c
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33
Q
  1. Which syndrome is likely to involve redness at both zygomatic regions?
    a. Fever due to deficient Qi syndrome
    b. Fever due to deficient Yin syndrome
    c. Hyperactivity of HT Fire in the interior syndrome
    d. Overabundance of LV Fire
A
  1. b
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34
Q
  1. Which of the following is NOT accompanied by a black complexion?
    a. Pain
    b. Kidney deficiency
    c. Blood stasis
    d. All of the above
A
  1. d
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35
Q
  1. Which symptom is the same in the following two syndromes: 1) deficient Yin leading to hyperactivity of fire. 2) Floating up of deficient Yang?
    a. Complexion of color
    b. Sensation of hot or cold in the extremities
    c. Appearance of the tongue
    d. Type of pulses
    e. Color of the urine
A
  1. a
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36
Q
  1. The transmitting order of disease usually is:
    a. Skin-meridians-collateral-Zang organs-Fu organs
    b. Skin collaterals meridians ZangOrgans FuOrgans
    c. Skin collaterals meridian FuOrgans ZangOrgans
    d. Skin meridian collaterals FuOrgans ZangOrgans
A
  1. b
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37
Q
  1. The width of the four fingers in measurement is:
    a. 2 cun
    b. 3 cun
    c. 4 cun
    d. 5 cun
A
  1. b
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38
Q
  1. the indication for using Sky-Window points is:
    a. Ying Qi is unable to ascend to the head
    b. Blood is unable to ascend to the head
    c. Yin Qi is unable to ascend to the head
    d. Wei Qi is unable to ascend to the head
A
  1. a
39
Q
  1. Temporal headaches is related to which meridian
    a. Yang Ming
    b. Shao Yang
    c. Jue Yin
    d. Tai Yang
A
  1. b
40
Q
  1. A thin tongue indicates
    a. Blood stagnation
    b. Qi deficiency
    c. Heat
    d. Cold
A
  1. b
41
Q
  1. The longest meridian is
    a. LV
    b. DU
    c. RN
    d. GB
A
  1. d
42
Q
  1. In scalp acupuncture, the needling area for right lower limb paralysis is
    a. Right upper fifth of motor area line
    b. Left upper fifth of motor area line
    c. Right lower fifth of motor area line
    d. Left lower fifth of motor area line
A
  1. b
43
Q
  1. There are ___ cun between the centre of the umbilicus and the upper border of the pubic symphysis
    a. 4
    b. 5
    c. 6
    d. 7
A
  1. b
44
Q
  1. Shock is usually associated with the
    a. LU
    b. KI
    c. HT
    d. LV
A
  1. c
45
Q
  1. Patients exhibiting both interior and exterior symptoms are treated with
    a. Jing well points
    b. Back shu points
    c. Xi cleft points
    d. Luo Connecting Points
A
  1. d
46
Q
  1. Which points are best for treating joint pain in yin meridian
    a. Ying Spring
    b. Jing Well
    c. Shu Stream
    d. Yuan Source
A
  1. c
47
Q
  1. “Heavenly window” points are generally found
    a. On the stomach
    b. On the leg
    c. Along the spine
    d. Around the head and neck
A
  1. d
48
Q
  1. All the yang meridians cross
    a. SI12 (BingFang) Grasping the Wind
    b. DU14 (DaZhui) Great Vertebra (Big Vertebra)
    c. Du20 (BaiHui) Hundred Meetings
    d. UB1 (JingMing) Bright Eyes
A
  1. b
49
Q
  1. The uterus is closely related to the meridians of
    a. KI, Chong, RN
    b. LU, LV, Dai
    c. HT, LU, DU
    d. SP, Intestines, Chong
A
  1. a
50
Q
  1. Which one is NOT correct about the indication of the tongue area
    a. Tip HT
    b. Tip LU
    c. Centre SP
    d. Root LV
A
  1. d

LV/GB (Edges of the tongue); KI, UB, Intestines (back/root of the tongue)

51
Q
  1. For the patients with LU disease, the back shu point to be used is
    a. UB13 (Fei Shu)
    b. UB14 (JueYin Shu)
    c. UB15 (Xin Shu)
    d. UB16 (Du Shu)
A
  1. a
52
Q
  1. Jing-River points are where the:
    a. Qi pours
    b. Qi glides
    c. Qi flows (remember as: water flows down the river)
    d. Qi emanates (spread out from (a source))
A
  1. c
    Well (Qi bubble up), Spring (Qi starts to gush over), Stream (Qi Flourishes), River (Pours abundantly), Sea (Qi reaches its maximum level).
    Well (Qi emerges & begins moving towards the trunk), Spring (Qi trickles), Stream (Qi begin to pour), River (Qi begins to flow more heavily)
    Sea (Qi enters a deeper level to communicate with its pertaining organ)
53
Q
  1. Which of the following is a risk factor for CHD (coronary heart disease)?
    a. High HDL, low LDL
    b. Low HDL, low LDL
    c. High HDL, high LDL
    d. Low HDL, high LDL
A
  1. d
    HDL (high density lipoprotein): aka “good cholesterol (helps remove LDL from the arteries)
    LDL (low density lipoprotein): aka “bad cholesterol (plaque & thick, hard deposit that clog arteries)
54
Q
  1. What are the indications for the point located in the depression distal and inferior to the base of the first metatarsal bone at the junction of the red and white skin? (SP4) [perpendicular 0.5 to 1 cun] [t. SP, hzm M.Jiao, req Qi, res damp, calm spirit, reg penetrating vessels or chong mai]
    a. Uterine bleeding, mental disorders, dream disturbed sleep
    b. Abdominal distension, pain and rigidity of the tongue, hemorrhoid
    c. Amenorrhea, prolapse of uterus, dysuria
    d. Gastric pain, vomiting, diarrhea
A
  1. d
    Gastric pain, vomiting, diarrhea (Reg Qi for pain in upper or lower abdomen, hrm M.Jiao SP & ST for vomiting and diarrhea)
55
Q
  1. Which of the following points are in the same general level as the intercostal space?
    a. RN21, KI27, ST13
    b. RN20, KI26, ST13
    c. RN21, KI26, ST13
    d. RN20, KI27, ST14
A
  1. a (all just under the clavicle bone)
    1st ICS: RN20, KI26, ST14, LU1 (remember as: 1 and 1 for LU1, even numbers for 1st ICS)
    2nd ICS: RN19, KI25, ST15, SP20 (remember as: 2 for SP20)
56
Q
  1. Which of the following is a Window of the Sky point?
    a. PC3
    b. LU1
    c. PC1
    d. LU2
A
  1. c
    Remember the points around the SCM muscle:
    Anterior of SCM: SI17, ST9, ST10 (top to bottom)
    Btw the SCMs: (LI18, ST11)
    Posterior of SCM: TW16, SI16, LI17)
    All Window of Sky points except ST10, ST11, LI17
    Other Window of Sky points: RN22, UB10, DU16, LU3, PC1
57
Q
  1. What derived from and interacts with both pre-Heaven and post Heaven (Jing)?
    a. Kidney-essence
    b. Lung-essence
    c. Heart-essence
    d. Liver-essence
A
  1. a
58
Q
  1. Which point descends rebellious qi and alleviates cough and wheezing and benefits the throat and voice
    a. LU1
    b. RN22
    c. RN17
    d. ST18
A
  1. b
59
Q
  1. Which point warms the lower jiao, regulates menstruation, and benefits the genital region?
    a. ST27
    b. ST29
    c. RN2
    d. LV5
A
  1. b
    ST29 (Gui Lai) Return Back. Warms the L.Jiao, reg menstruation & b. genital region
    LV5 (Li Gou) Woodworm Canal. Spreads LV, reg Qi, b. genitals, d.d. clr ht from L.Jiao, reg. menstruation, treats plumstone Qi
60
Q
  1. Which of the following statements are false?
    a. Qi ascends, descends, enters and leaves
    b. Qi warms the body
    c. Qi moistens the organs
    d. Qi maintains structure
A
  1. c
61
Q
  1. Which of the following are NOT particularly useful points in diagnosis?
    a. Back transporting points
    b. Front collecting points
    c. As shi points
    d. Luo points
A
  1. d
62
Q
  1. A pregnant lady has prolonged labor with mal position of the fetus, sharp pain in the abdomen, scanty dark and red bleeding and dark complexion. The tongue is dark. The pulse is deep and forceful. What is the pattern?
    a. Blood heat and Qi stasis
    b. Blood deficiency and Qi stasis
    c. Deficient Qi and stagnant blood
    d. Qi and blood stasis
A
  1. d

Qi and blood stasis (sharp pain: blood stasis; deep pulse: Qi/Blood stag’n if full, Yang df is weak)

63
Q
  1. The heart acupuncture point is 1.5 cun proximal to the wrist crease is a
    a. Jing Well point
    b. Ying Spring point
    c. Shu Stream Point
    d. Jing River point
    e. He Sea point
A
  1. d
64
Q
  1. Which point clears heat, treats malaria and regulates the governing vessel?
    a. DU14
    b. DU13
    c. DU8
    d. DU12
A
  1. b
    DU14 (wind, exterior, heat, malaria, t. df)
    DU13 (perp oblique superior 0.5 to 1 cun. Spinal canal 1.25 to 1.75)
65
Q
  1. Which point can be used when one leg is shorter than the other, once scapula higher than the other, or there is sweating on only one side of the body?
    a. UB62 ShenMai
    b. UB64 Jing Gu
    c. UB40 Wei Zhong
    d. UB60 Kun Lun
A
  1. a
    UB62 ShenMai Extending Vessel (Confluent of Yang Qiao or Yang Motility) (Wind int/out, spirit, epilepsy, head & eye, opens & reg. Yang Motility vessel, UB ch. & pain)
    UB64 Jing Gu, Capital Bone (head, eye, wind, spirit, sinews, u bch & pain)
    UB40 Wei Zhong (middle of the crook) (lumbar, knees, ch. & pain, cools blood, clr summer heat, stops vomiting & diarrhea, gf UB)
    UB60 Kun Lun (heat, lowers yang, wind, leads down excess, act. Entire u bch. Allev pain)
66
Q
  1. Which stage is treated by expelling the heat through stimulating a bowel movement?
    a. Bright yang (yang ming) channel pattern
    b. Lesser yang (shao yang) [alternating chills & fever, bitter taste in mouth, blurred vision, LV attack SP/ST symptoms, LV symptoms]
    c. Greater yang (taiyang)
    d. Bright yang (yang ming) organ pattern
A
  1. d
    Yang Ming Jing (Channel) Syndrome: the four bigs
  2. Big fever (mental restlessness or irritability if the heat affects the mind)
  3. Big sweat (interior heat is evaporating fluids or forcing fluids out)
  4. Big thirst (consumption of BF & excess heat, prefer cold drink)
  5. Big pulse (strong pathogenic and anti-pathogenic factors)
    FMU: Bai Hu Tang
    Yang Ming Fu (organ) syndrome
  6. The four big’s mentioned
  7. Constant fever, but pronounced in the afternoon
  8. Abdominal distention (or abdominal bloating), abdominal masses if more severe. Due to heat drying out fluids, causing Qi stag’n in the organ
  9. Constipation (main distinguishing symptom of the Fu syndrome
    FMU: Da Cheng Qi Tang (vigorously purges the Heat Accumulation (induces defecation))
    Tai Yang Syndromes (hAche, stiff neck, chills and fever, floating pulse)
67
Q
  1. Which strengthens the spleen and stomach and to rise Qi and Blood?
    a. Pork
    b. Crab
    c. Beef
    d. Mutton
A
  1. c
68
Q
  1. Which nourishes yin, moistens dryness and notifies blood?
    a. Chicken
    b. Beef
    c. Mutton
    d. Pork
A
  1. d
69
Q
  1. Neck muscles that look soft and feel soft generally indicates deficient KI Yang or
    a. ST Cold
    b. Severe deficiency of Qi and Blood
    c. Deficient KI Yin
    d. ST channel dysfunction
A
  1. b
70
Q
  1. Mrs. Brown has had hypertension for ten years. She has afternoon fever, dry mouth, irregular menses, and red cheeks. Her tongue should be
    a. Deep red with yellow coating
    b. Black with thick coating
    c. White with thin coating
    d. Mild red with thin coating
A
  1. d
71
Q
  1. Mr. Smith presents with epigastric pain, thirst with desire to drink cold liquids, sour regurgitation, voracious appetite, red tongue with thick yellow coating, floating pulse
    a. What signs would the patient have
    i. Palpitations
    ii. Cold limbs
    iii. Headache
    iv. Burning lips
    b. What is the pattern?
    i. HT Yin deficiency
    ii. KI deficiency
    iii. LV Qi stagnation
    iv. ST Fire
A

71a. iv

71b. iv

72
Q
  1. Patient Mrs. Green, female 30 years old
    Chief Complaint: wheezing and dyspnea. Chronic with current acute attacks.
    She has suffered from asthma since she was 4 years old. She had to use an inhaler every day. Her asthma attacks were elicited by exposure to dogs, cats, and house-dust mites. She also suffered mild eczema and the symptoms get worse when exposed to inhaled or ingested allergens. She usually feels tired with soft voice and lower back ache. Her periods lasted 7-8 days with sever cramps and she suffered from pre-menstrual tension. Her pulse was slightly weak in the left near position and slightly Liver wiry in the left middle position. Her tongue was pale, swollen with teeth marks, and coating was greasy.
    Below you need to pick the most involved organs based on the case discussion. No other spleen signs here.
    a. Which organs were involved in this case?
    i. KI, LV, LU
    ii. LU, KI, HT
    iii. LV, HT, KI
    iv. SP, HT, KI
    b. The excess parts for this patient include the following, EXCEPT
    i. LV Qi Stagnation (is part of the problem)
    ii. Blood stagnation (is NOT part of the problem)
    iii. Damp-phlegm retention (is part of the problem [greasy tongue])
    iv. Invasion of wind pathogens (no obvious symptoms)
    c. What are the deficient organs in this case?
    i. HT and LV Blood Xu
    ii. SP and KI Qi Xu
    iii. LU and KI Qi Xu
    iv. LV and KI Yin Xu
A

72a. i
KI, LV, LU (lower back ache, wiry pulse on left middle, tongue swollen teeth marks), asthma, dyspnea, wheezing)
72b. ii
72c. iii

73
Q
  1. Patient Mr. Lawrence, male 30 years old. CC is stomach ache. Suffers from irregular diet. The main symptoms included distention in the epigastric region, burning pain and aversion to touch, belching with a sour odor, constipation, aversion to food. His tongue was red with a curdy thick coating. The pulse was slippery, wiry and forceful
    a. What is the differentiation of this case?
    i. Retention of heat – phlegm in the middle warner
    ii. Food stagnation with accumulated heat in the stomach
    iii. Spleen deficiency with empty heat in the stomach
    iv. Stomach excessive heat and fire with yin deficiency
    b. Which of the following group of points is appropriate to him?
    i. HT7, PC?, DU26, DU20
    ii. RN17, LU7, KI6, SI3
    iii. ST36, RN12, PC6, ST25
    iv. GB34, GB40, SP4
A

73a. ii

73b. iii

74
Q
  1. Mrs. Zhang, a 38 year old female has suffered from watery diarrhea for about 3 years. She has had diarrhea for about 4 to 5 times per day and has also experienced abdominal fullness, pain in the abdomen and lower back soreness. She has a poor appetite, fatigue. Recently she has severe spasms and pain during the 1st 2 days of menstruation. She has a pale tongue with a thin white coating, and her pulse is LV deep, weak and slightly wiry
    a. The patient’s diarrhea indicates
    i. LV overacting on the spleen with damp retention
    ii. Deficient cold affecting the ST and SP
    iii. SP and KI deficiency with LV Qi Xu
    iv. Prolapse of the Spleen Qi with blood stasis
    b. What is the principle for this case?
    i. Soothe LV Qi, ??, and remove dampness
    ii. Dispel Xu cold from the ST and SP
    iii. Tonify both the SP and the KI and reg. LV Qi
    iv. Save SP Qi from prolapse and eliminate blood stasis
    c. What points?
    i. LI4, ST44, ST37, SP9, ST25, LI11
    ii. RN12, ST36, DU14, DU20, ST25,
    iii. DU?, RN17, SP4, ST25, DU4
    iv. UB23, UB20, UB225, ST25, LV3, ST37
A

74a. iii
74b. iii
74c. iv

75
Q
  1. A 75 year old woman has been suffering from a persistent cough for 6 years. The cough was productive with scanty sticky yellow sputum and she experienced a sensation of oppression of the chest. Her health was otherwise very good. she was a keen practitioner and teacher of Yoga. Her body was thin and her skin was dry. Her pulse was thin and slightly slippery on the lung position. Her tongue was red without coating in the front part
    a. In this case, her “thin” pulse and tongue indicate
    i. Invasion of external pathogenic wind
    ii. Invasion of external pathogenic damp
    iii. A sign of LU Yin deficiency
    iv. Wind-phlegm retention
    b. The differential diagnosis is:
    i. LU and SP Qi Xu with phlegm retention
    ii. LU Yin Xu, heat phlegm retention
    iii. Zong Qi xu with LU Qi and Yin xu
    iv. Rebelling of LU Qi with body fluid retention
    c. Which group of points is for this case?
    i. LU9, UB43, LU5, UB13, RN17, LI11 ST40
    ii. LU7, LU9, RN17, ST36, RN4, RN6
    iii. DU14, UB12, GB20, UB15
    iv. SP6, SP10, RN12, UB20, UB23
A

75a. iii
75b. ii
75c. i

76
Q
  1. Mr. George, male 30 years old, CC: wheezing and dyspnea. Has been suffering from asthma recently. He coughed out large amounts of yellow sticky phlegm. He also had a high fever, chest fullness, and scanty/short dark urine. When diagnosing, you note he had a flushed face, wheeze, cough, thirst, and a body temperature of 101 F. he had sticky, profuse yellow phlegm. His tongue was red with a thick yellow coating. His pulse was slippery.
    a. The TCM diagnosis indicates
    i. Excess type asthma due to wind-cold affecting the lungs
    ii. Deficiency type asthma due to lung Qi xu
    iii. Asthma due to external pathogenic wind-heat invasion
    iv. Excess type asthma due to heat – phlegm accumulated in the lungs
    b. What acupuncture should you used for this case?
    i. DU4, RN4, RN6, ST36, KI3, SP6
    ii. ST40, RN17, DU14, LI4, LI11, LU5
    iii. LU9, ST36, UB13, UB20, UB21
    iv. UB17, SP10, ST41, UB40, RN3, ST25
    c. Which point can increase the effect of the treatment
    i. A point ½ cun lateral to UB52
    ii. A point 3 ½ cun lateral to the posterior spinous process of L1
    iii. A point ½ cun lateral to DU14
    iv. A point 3 cun lateral to RN3
    d. What are the typical symptoms of asthma?
    i. Cough, chest distention and spontaneous sweating
    ii. Rash on skin, acne, thirst
    iii. Pale face, short of breath
    iv. Dyspnea and wheezing
A

76a. iv
76b. ii
76c. iii
76d. iv

77
Q
  1. Mrs. White, female 40 years old. CC: headache for two years. She has been suffering from hypertension and irritability for about 2 years. Two years ago she started to have dizziness. Vertigo and night sweating and she was very irritable. She often has headache on the side of the head as well as tinnitus (mainly left ear). She is very tired with weakness of the lower back and knee points. She feels hot inside the chest and her palms are always warm and wet. She has lots of dreams and wakes up time to time. Her memory and concentration are poor. She has still menses, but it is always late and scanty. She is over weighted and tries to lose weight. She occasionally gets palpitations. Her tongue body is pale and small with a red tip and the coating is thick, greasy and white. Her pulses are thin and weak on the left side, slippery on the right side middle position and weaker on both rear positions.
    a. Her hypertension is mainly due to
    i. LV fire flaring up due to emotional disorders and phlegm retention
    ii. LV yang up-rising due to emotional disorders
    iii. LV heat and fire induced by LV Qi stagnation
    iv. LV Yang rising due to LV and KI Yin deficiency with damp-phlegm
    b. What is the excess aspect of this case?
    i. LV fire flaring up
    ii. LV Qi stagnation
    iii. Blood stagnation
    iv. Damp-phlegm retention
    c. The differential diagnosis includes the following, EXCEPT
    i. Lv YANG RISING DUE to LV and KI xu (included)
    ii. Heart Blood xu (included)
    iii. Damp-phlegm retention (incl)
    iv. LV fire flaring up excessive LV Yang rising up
    d. Which points grouping is appropriate to this case?
    i. SP9, ST40, ST25, LI10, TW6, LU7, RN17, PC6, LI18, UB18, UB20, HT5
    ii. LV3, LI4, GB34, UB18, UB19, LV14, GB24, ST9, ST36
    iii. DU4, DU9, DU20, RN4, RN6, KI3, KI6, UB23, LI4, LI11, TW5, GB20
    iv. GB20, PC6, HT7, LV8, KI3, UB23, TW5, LV3, LI4, ST40, ST36, SP9
A

77a. iv
77b. iv
77c. iv
77d. iv

78
Q
  1. Mr. Li suffered from tinnitus with a sudden onset which was clearly related to emotional disorder. In addition, he also had headache, bitter taste, red face, and constipation. His tongue was red with spots on both sides and yellow coating. His pulse was wiry and rapid
    a. What is the differential diagnosis?
    i. Rising of LV yang
    ii. Invasion of wind-heat
    iii. KI yin deficiency
    iv. Flaring up of LV fire
A

78a. iv

79
Q
  1. Ms. Zhang suffered from pharyngitis 2 days ago. Which of the following groups of points for pharyngitis due to heat in both LU and ST would you pick for her?
    a. LU11, LI1, GB20, ST36, GB41, SI9, TW17
    b. LI4, ST44, LU10, ST9, LU11, TW6, RN23
    c. ST25, ST36, ST40, UB40, LU6, LU7, RN22
    d. KI6, KI3, LI4, PC6, HT7, SI3, LV8, SP10
A
  1. b
80
Q
  1. Mr. Wang has some emotional disorders lately, which group of the following symptoms belong to LV fire?
    a. Throbbing headache, tinnitus, irritation, insomnia, wiry pulse
    b. Thirst, dry throat, constipation, yellow urine, bitter taste in mouth, fast/wiry pulse, burning pain in hypochondriac region, red spots on the lip and sides of his tongue
    c. Chest distention, epigastric pain, diarrhea, crying from time to time, thin pulse
    d. Chills, fever, sore throat, palpitation, hypochondriac pain, edema
A
  1. b
81
Q
  1. Ms. LI, female age 25, has been suffering with infertility for 4 years. She had profuse white, watery vaginal discharge. She had pale complexion, fatigue, profuse clear and frequent urination, chronic loose stools, edema in the lower extremities, lower back pain , pale and swollen tongue with sticky white coating. Her pulse was slow and weak.
    a. The differential diagnosis for this case is:
    i. LV overacting on SP with lower pouring of dampness
    ii. SP and KI Yang xu with dampness
    iii. SP and KI Qi xu with damp retention
    iv. LV and KI Yin xu with damp phlegm retention
    b. Which group of points for this case?
    i. LI4, LI11, TW5, ST44, GB41, GB34, LV2, UB26
    ii. SP6, UB23, DU4, ST36, SP9, BG26, UB32
    iii. GB26, ST34, GB37, LV5, HT7, PC6, SI3, LI10
    iv. GB26, UB17, UB13, DU14, GB20, LI15, GB34
A

81a. ii

81b. ii

82
Q
  1. Mr. Wang, male age 20, suffers from erective dysfunction, complicated with bitter taste in mouth, thirst, hot and dark red urine, soreness and weakness of lower extremities, weakness in the scrotum, burning and painful urination, slippery and rapid pulse.
    a. Which kind of tongue would be inspected for this patient?
    i. Pale and swollen body with teeth marks, thin and moist coat
    ii. Normal body with red spots in the tip and sides
    iii. Small thin body with map coating
    iv. Red tongue body with yellow sticky coating
    b. What is your diagnosis for this case?
    i. Impotence due to KI Yang xu
    ii. Impotence due to SP Qi xu
    iii. Disharmony between HT and KI
    iv. Impotence due to lower pouring of damp heat
    c. Which group of points is for this case?
    i. UB23, DU4, UB52, RN4, RN6
    ii. SP6, ST36, UB20, UB21
    iii. KI3, KI6, UB25, LV3, LI6, UB62
    iv. LI11, TW5, GB34, RN3, UB28, UB31-34
A

82a. iv
82b. iv
82c. iv

83
Q
  1. Ms. Main, female, 48 years, has suffered from menstrual irregularities for 2 years with menstruating occurring from twice a month to once every 3 months. The flow also varied and sometimes was heavy. For the past 2 months, she has had low-grade fevers in the afternoon. She reported frequent hot flash, restlessness, irritability, emotional tension, dizziness, blurred vision, tinnitus, palpitation, insomnia, forgetfulness and hot palms and soles. The lower back and knees were sore and weak. She experienced itching all over her body, even though there was no sign of rash or desquamation. Patient’s tongue is red without coating. Her pulse is wiry, thin and rapid. Blood pressure was 180/110 mmHg.
    a. Differential diagnosis for this case is:
    i. HT blood xu with KI Yang xu
    ii. KI yin xu with LV blood xu
    iii. Disharmony with HT and KI, LV Yin and Blood xu with LV Yang Rising
    iv. LV and KI Yin xu with damp phlegm retention
    b. Which group of points
    i. LI4, LI11, TW5, ST44, GB41, GB34, LV2, UB26
    ii. KI3, KI10, LV8, LV2, UB23, ST36, TW5, RN12
    iii. KI3, KI6, HT7, UB23, UB52, LV8, LV3, GB20, GB41
    iv. GB25, UB17, UB13, DU14, GB20, LI15, GB34
A

83a. iii

83b. iii

84
Q
  1. Patient c, 40 yo, complains of irregular menstruation for the last 6 months. She has scanty and light red menses and a delayed cycle with an enmpty and painful feeling in the lower abdomen, emaciation, sallow complexion, lustreless skin, dizziness, blurry vision, palpitation, insomnia, pale tongue with a thin coating, and a thread, weak pulse.
    a. The diagnosis is:
    i. qi deficiency
    ii yang deficiency
    iii. blood deficiency
    iv. yin deficiency
    b. the treatment principle should be:
    i. tonify qi, regulate menstruation
    ii. warm yang, regulate menstruation
    iii. tonify blood, regulate menstruation
    iv. nourish yin, regulate menstruation
    c. which of the following points should be used?
    i. RN4, RN6
    ii. SP6, DU20
    iii. HT7, ST29
    iv. UB17, SP10
    d. the best prescription for promoting fetus delivery is:
    i. UB67, LV3
    ii. LI4, Extra point duyin
    iii. UB67, Extra point Duyin
    iv. LI4, LV3
A

84a. iii
84b. iii
84c. iv
84d. iii

85
Q
  1. Abnormal pulse on the left guan region reflects dysfunction of:
    a. Heart
    b. Liver
    c. Small Intestine
    d. Large Intestine
A
  1. b
86
Q
  1. Moxibustion is not used for:
    a. pain
    b. prolapse
    c. disease prevention for normal people
    d. Liver yang rising
A
  1. d
87
Q
  1. Cupping can treat the following disease, except:
    a. lower back pain
    b. vomiting
    c. asthma
    d. spontaneous bleeding
A
  1. d
88
Q
  1. In scalp acupuncture, the line which starts at the hairline and is superior to the pupil of the eye, parallel to the midline, and 2 cm in length is ?
    a. Stomach area
    b. Thoracic cavity area
    c. Sensory area
    d. Vertigo and hearing area
A
  1. a
89
Q
  1. What should be avoided when needling PC-3 (quze)?
    a. the radial artery and veins
    b. the brachia! artery and vein
    c. the brachia! plexus
    d. radial plexus
A
  1. b
90
Q
  1. you pierce a vein during acupuncture treatment you should apply direct pressure up to:
    a. 5 minutes
    b. 1 minute
    c. 10 minutes
    d. 15 minutes
A
  1. b
91
Q
  1. if a patient faints after needle insertion, what should be done first?
    a. Lie patient flat
    b. Elevate feet
    c. Needle GV 26
    d. Remove needles
A
  1. d
92
Q
  1. The pulse can be felt with a gentle touch of the fingers and, on further pressure to the deep level, the pulse becomes forceless and soft. Which point prescription is most applicable?
    a. REN-4 (guan yuan), SP-6 (san yin Jiao)
    b. DU-14 (da zhui), DU-4 (ming men)
    c. ST-36 (zu san Ii), REN-6 (qi hai)
    d. Ll-4 (he gu), LU-7 (lie que)
A
  1. c
93
Q
  1. GV2 (yao shu) is needled:
    a. Obliquely inferior
    b. Obliquely superior
    c. Perpendicularly
    d. Subcutaneously
A
  1. b
94
Q
  1. After removal of the acupuncture needle from the packaging and prior to insertion:
    a. Disinfected fingers can touch the shaft
    b. a cotton ball can be used to touch the shaft
    c. Nothing non-sterile must touch the shaft
    d. Only gloved hands can touch the shaft
A
  1. c

Mock Exams 2016 (3 decks)

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