Mock Exam 2016 Mid-Term Flashcards
- A male, age 36 enters your clinic. He is very angry and verbally abusive. He is yelling at you because his wife came to see you and after her last treatment her pain has become much worse. He tells you that he will show you the meaning of pain. How would you respond to these threats?
a. Ask him to bring his wife in for a complementary treatment
b. Tell him to calm down and come back when he is more stable
c. Inform him that if he does not leave your clinic you will be forced to remove him
d. Instruct your receptionist to call the police.
- d
Interpersonal Skills
- A mother brings in an 8 year old son in for acupuncture and the child is frightened of the treatment. She gives you permission to needle her son even though her child refuses. What is the best action in this case?
a. Complete the acupuncture treatment
b. Wait until the child stops resisting and apply acupuncture
c. Refuse to do acupuncture
d. Restrain the child to apply acupuncture
- c
Interpersonal Skills
- Brenda, female, age 36. A new patient visiting your clinic. She tells you that she has kidney disease and hypertension. He tells you that it is being threated by a nephrologist but the results so far are not very positive. You believe you could help the patient with a herbal treatment. You want to give your patient this medicine but the patient’s nephrologist thinks it would be dangerous. What should you do?
a. Tell the patient to continue with his current doctor
b. Educate the patient of the long history of TCM for treating kidney disease and tell them that you can treat them.
c. Ask the patient to speak with his doctor and educate him on the research regarding the treatment you want to perform.
d. Inform the patient that they will have to make a choice of either western medicine or TCM therapy.
- c
Interpersonal Skills
- A female movie star comes to see you for treatment and she has some concerns about privacy. What do you do to ease your patients concerns?
a. Explain to her your acupuncture procedures
b. Tell her not to worry that you have no interest in sharing her personal details with anyone.
c. Tell her she is protected by patient confidentiality and direct her where to find more information on this subject.
d. Explain to her that you see many famous people and they have problems like everyone else and it no ones business
- c
Interpersonal Skills
- What should you do if the patient asks if he can pray before the treatment?
a. Allow him to pray but inform them it will cut into their treatment time
b. Request that they pray at home in the future
c. Tell him there is not enough time to pray because you need to keep patient’s appointments
d. Tell him this is a medical establishment and not a religious one
- a
Interpersonal Skills
- A male, age 46 enters your clinic with his daughter. He has seen you multiple times and would like you to treat his daughter. During the procedure he tells you the entire patient history while she is messaging her friends on her phone. How should you proceed?
a. Treat the patient based on current information
b. Tell them to come back when the daughter is ready for treatment.
c. Tell the father you would like to speak with his daughter before proceeding
d. Take away the phone and ask the daughter to pay attention
- c
Interpersonal Skills
- A female patient comes to visit you for lumbar pain. during the course of the interview, she tells you that she was sexually assaulted several years ago. Due to your discomfort with the subject you discuss the details with another co-workers. What is the result of this action?
a. Violating the trust of the patient.
b. Violating the confidentiality rights of the patient.
c. Violating office policy
d. This was an acceptable practice among office colleges.
- b
Professionalism
- Pregnant lady during 1st trimester, with pain in the right abdominal area. What should you do?
a. Refer her to her family doctor or midwife.
b. Perform a treatment for her.
c. Send her to emergency.
d. Advise her to take some aspirin.
- a
Professionalism
- A patient has seen you for two months with no improvement and they are starting to get upset about the long recovery. You determine it is time to terminate treating a patient. What is the best method to communicate this decision?
a. Discuss with the patient the terms and conditions of the service and refer them to another therapist that may be of more assistance.
b. Written notification to the patient and establish processes to allow for the efficient transfer of records to a new practitioner.
c. Send all patient files to a new therapist and tell them that you can no longer treat them.
d. Request permission from the patient to transfer them to another practitioner.
- b
Professionalism
- Your realize that you have added the wrong notes to the patient file and you need to make some changes. How should you make the change?
a. The original item should be whited out, the change written over top, signed and date the mistake.
b. The item should be circles, struck through and the revised words written beside it, sign and date the mistake.
c. Cross out the mistake but make sure the previous notes are visible.
d. If possible, rewrite the file.
- b
Professionalism
- The husband of a previous client comes into your clinic and requests the medical records for his wife. What is required of you to provide the case history to the husband?
a. Records can be directly provided to the spouse.
b. A letter of written authorization from the patient.
c. Verbal authorization from the patient.
d. Permission from another medical professional.
- b
Professionalism
- If you have not achieved any therapeutic results for you patient. When should you refer your patient to a Dr. of TCM or a Western Medical Doctor?
a. After 2 months of unsuccessful treatment.
b. After 1 month of unsuccessful treatment.
c. After 6 months of unsuccessful treatment.
d. After 1 year of unsuccessful treatment.
- a
6 months in BC
Professionalism
- A regular patient comes to see you. You have been treating them for chronic asthma. Today the patient is experiencing chest pain, numbness in the left arm, shortness of breath, and weak limbs. What do you do?
a. Send them to the emergency.
b. Advise them to see their family physician.
c. Perform the routine treatment for them.
d. Advise the patient to go home and rest until they feel better.
- a
Practice Management
- A female, age 28 enters your clinic. she complaints that after her last cupping treatment, there are residual marks and that she doesn’t feel any better? What would you recommend to her.
a. Tell them to return to your clinic for gua sha.
b. Recommend rest for a few days reducing all activity.
c. Recommend using heat to gently warm the area and continue with daily activities.
d. Stop all treatment until the pain subsides.
- c
Practice Management
- Which of the following methods are you allowed to do to advertise for your clinic?
a. offer a referral discount
b. State that you are a specialist for a specific type of disease.
c. Guarantee therapeutic results.
d. Advertise as Dr. of TCM regardless of your status with your governing body (BC is CTCMA)
- a
Offer a referral discount is only allowed in BC. It is NOT allowed in Alberta
Practice Management
- Your office assistant Mrs. Coly cleans up the beds after each treatment. Today she notice that there is blood on the sheets and she forgot to cover a cut on her hand from the weekend. What is the appropriate way to handle this?
a. Tell her to call the patient’s doctor and ask about their hepatitis C and HIV status.
b. Tell her to wait 3 months and then get tested for blood borne pathogens
c. Send her to a physician for treatment and counselling.
d. Advise her the injuries are minor and the chances of infection are very slight to none.
- c
Practice Management
- A male age 41, enters your clinic and complaints about chest tightness, intermittent stabbing and fixed chest pain, intermittent palpitations, his complexion is dark. Tongue: purple, thin white coat. Pulse: irregular. What is the best treatment for this patient?
a. UB15, RN14, RN17, PC6, HT5, PC4, RN4, Moxa
b. UB15, RN14, RN17, RN12, ST40, SP6, ST36
c. UB15, RN14, RN17, RN4, DU4.
d. Call 911
- d
Practice Management
- A mother and her eight year old daughter enter your clinic. The daughter has a fever of ?? degrees C for the last 3 days. Her face and tongue are crimson red, she is sweating. What should you do?
a. Refer her to her family doctor.
b. Send them to an emergency hospital.
c. Cupping and needling LI4, LI11, DU14 to clear heat.
d. Put him in a cold ice bath immediately
- b
Practice Management
- What is the danger of puncturing KI12 over depth?
a. No serious danger.
b. May puncture urinary bladder.
c. May puncture local nerve.
d. May puncture local artery.
- b
TCM Acupuncture Foundations
- What is the principle pathogenesis of cough?
a. Lung Qi rebellion.
b. Lung Qi stagnation.
c. Lung Qi deficiency.
d. Lung phlegm accumulation.
- a
TCM Acupuncture Foundations
- In TCM, what is considered to be the average age of menarche?
a. 14 years of age.
b. 20 years of age.
c. 9 years of age.
d. 11 years of age.
- a
TCM Acupuncture Foundations
- What is true about Yuan source points?
a. It is where the yuan Qi originates.
b. All yuan points are on the fingers or toes.
c. Yuan points are use primarily for fu organs.
d. Effective for clearing heat toxins.
- a
TCM Acupuncture Foundations
- What is true about the xi cleft points?
a. All xi cleft points are on the extremities of the hands and feet.
b. Xi cleft points are used to treat chronic diseases.
c. Ci cleft points are not used for pain.
d. Xi cleft points can treat bleeding disorders.
- d
TCM Acupuncture Foundations
- Which point is needled if the patient has trigeminal neuralgia or lockjaw?
a. SJ-17
b. ST 5
c. SI-17
d. GB-5
- a
TCM Acupuncture Foundations
- Which points have a distance of 0.5 cun between them?
a. SP-12, SP-13
b. BL-5, BL-6
c. DU 15, DU 16
d. KI 7, KI 8
- a (SP13 is 0.7 cun superior and 0.5 cun lateral),
- c (DU15 is 0.5 cun inferior to DU16)
- d (KI8 is 0.5 cun anterior to KI7)
UB5 and UB6 are 1.5 cun apart
UB4 and UB5 are 0.5 cun apart.
TCM Acupuncture Foundations
- What point is NOT treated by PC-4 xi cleft point?
a. Acute heart pain.
b. Chronic diseases
c. Coughing up blood
d. Calm the spirit
- b
cleft point does not treat chronic diseases
TCM Acupuncture Foundations
- What can LV5 treat?
a. Clear lung heat.
b. The genitals.
c. The shoulder.
d. The spine
- b
TCM Acupuncture Foundations
- Which point is located at the dorsum of the foot between the junction of the 4th & 5th metatarsal bones, on the lateral side of the tendon of m.extensor digitorum longus?
a. ST42.
b. UB63.
c. GB41
d. ST44
- c
TCM Acupuncture Foundations
- What point is best for chest pain and stomach aches?
a. PC6
b. LI4
c. SP6
d. RN6
- a
TCM Acupuncture Foundations
- Which of these points are located in the 2nd intercostal space
a. ST14, LU1, KI24
b. LU2, KI25, ST15
c. KI25, LU1, ST15
d. LU2, ST14, KI24
- b
check the answer. maybe a bad question.
TCM Acupuncture Foundations
- Which method of prick to bleed should you employ to treat carbuncles?
a. Clumpy pricking
b. Spot pricking
c. Prick to bleed & cupping
d. None of the above
- a
TCM Acupuncture Foundations
- Which of the following is the best indication for cupping?
a. An elderly lady with lumbar pain & kidney Qi deficiency symptoms
b. An otherwise healthy college student who has recent swelling of lumbar and lower limbs
c. A middle age male with recent onset of wind cold invasion for the last 4 days
d. A 17 year old female with sores on desired region for cupping.
- c
TCM Acupuncture Foundations
- What could yin deficiency with hyperactive liver yang and yang floating have in common?
a. Pulse
b. Tongue
c. Fever
d. Sweating
- a (both pulses are?…)
TCM Acupuncture Foundations
- What do yin collapse and yang collapse have in common?
a. Sweating
b. Tongue
c. Pulse
d. Fever
- a
TCM Acupuncture Foundations
- What ear point is used to treat sensory perception and memory?
a. Sciatic nerve
b. Sub-cortex
c. Lung 2
d. Face
- b
TCM Acupuncture Foundations
- Which pulse are you likely to see in a child?
a. Yin pulse, slow
b. Yin pulse, fast
c. Yang pulse, slow
d. Yang pulse, fast
- d
TCM Acupuncture Foundations
- What is the correct application of Ba-fang points/
a. Needle and moxa
b. Prick to bleed
c. Gua Sha
d. Needle only
- b
TCM Acupuncture Foundations
- Which of the following pulses can you see in excess heat?
a. Surging, Rapid, Slippery
b. Rapid, Thready, Faint
c. Racing, Surging, Thready
d. Slippery, Rapid, Soft
- a
TCM Acupuncture Foundations
- Which points are contraindicated in later term pregnancy?
a. UB60, RN9, SP6
b. GB21, LU9, GB20
c. SP6, LI4, HT7
d. UB60, GB22, KI6
- a
TCM Acupuncture Foundations
- SP6 is a crossing point of the following meridians except?
a. Kidney
b. Chong
c. Liver
d. Spleen
- b
TCM Acupuncture Foundations
- Which of these meridian does not go to the ear?
a. Gall bladder
b. Yinwei
c. Yangwei
d. Yangqiao
- b (Yinwei)
TCM Acupuncture Foundations
- Which injury is the best therapeutic results with Tui Na?
a. Varicose veins
b. Open wounds
c. Acute physical trauma
d. Overstrain injury
- d
TCM Acupuncture Foundations
- What are the common application of cutaneous needles?
a. Chronic deficiency conditions
b. Skin sores
c. Nervous system disorders
d None of the above
- c
TCM Acupuncture Foundations
- Female age 22. This month she has had sudden profuse menstrual bleeding. She appear pale, weak and thin. Which pulse would you expect to observe in this case?
a. Hollow pulse
b. Tense pulse
c. Thready pulse
d. Slow pulse
- a
TCM Acupuncture Foundations
- Which combination of points is known as the sea of qi?
a. SP10, BL10, ST36
b. DU14, LU9, RN17
c. RN17, SP6, RN6
d. DU14, RN17, PC6
- c
TCM Acupuncture Foundations
- Which system has the predominant function of the dispersal of body fluid due to the transformation of qi?
a. San Jiao
b. Lung
c. Spleen
d. Kidney
- a
TCM Acupuncture Foundations
- What is the differentiating characteristics of yang edema and yin edema?
a. Both may begin in the lower limbs
b. One has a tendency to pitting while the other does not.
c. one has heat the other does not
d. both are related to interior deficiency
- b
TCM Acupuncture Foundations
- Which organ pertains to the tip of the nose based on the spiritual pivot (Ling shu)?
a. Lung
b. Heart
c. Spleen
d. Kidney
- c
TCM Acupuncture Foundations
- Which of the methods listed below are based on five element system of generation?
a. Tonify mental to reduce the wood.
b. Replenishing water to nourish the wood.
c. Support earth to control the water.
d. Support earth to restrict wood.
- b
TCM Acupuncture Foundations
- What is the indication in 6 meridian theory for a crimson tongue?
a. Wei stage.
b. Qi stage.
c. Ying and blood stage
d. any stage
- c
TCM Acupuncture Foundations
- a male age 19, complains of a headache, dizziness, occasional syncope and vomiting with bleeding. What is the diagnosis?
a. Qi Sinking
b. Qi deficiency
c. Qi blockage
d. Qi stagnation
- b
TCM Acupuncture Foundations
- Why does UB57 treat hemorrhoids?
a. Skin region
b. Muscle meridian
c. Lou meridian
d. Divergent meridian
- d
TCM Acupuncture Foundations
- Scalp acupuncture is typically used for what type of disease?
a. disease of the nervous system
b. Disease of the head
c. Disease of a yang nature
d. Disease of a yin nature.
- a
TCM Acupuncture Foundations
- Jing-well points belong to which elements?
a. Yang meridian belong to wood, yin meridian belong to earth
b. Yang meridian belong to fire, yin meridian belong to metal
c. Yang meridian belong to earth, yin meridian belong to water
d. Yang meridian belong to metal, yin meridian belong to wood
- d
TCM Acupuncture Foundations
- What is the best point to prevent common cold with the use of indirect moxa?
a. UB12
b. ST36
c. RN6
d. LU7
- b
TCM Acupuncture Foundations
- The chief complaint is determined by what patient information?
a. The major signs and symptoms of the patient
b. The patient’s brief description of the problem
c. The disease history
d. The syndrome differentiation
- b
TCM Acupuncture Foundations
- Which condition is appropriate for electric acupuncture?
a. Pacemakers
b. Seizure
c. Wei syndrome
d. None of the above
- c
Wei Syndrome (Wasting away) refers to weakness of the tendons with slow movement, after a while there is muscular atrophy and even paralysis.
Wei syndrome is marked by flaccidity, atrophy or numbness of the limbs with motor impairment, and since the leg is usually involved it is also called “flaccid lameness”.
Differentiation: Wei syndrome: paralysis of the limbs, with muscular atrophy, slow onset usually the paralysis is in the two lower limbs .
- Which liver point could potentially puncture an enlarged liver?
a. ST19
b. BG25
c. KI24
d. SP15
- a
TCM Acupuncture Foundations
- What point is located between the tendon of m. palmaris longus and m. flexor carpi radialis and 2 cun above transverse crease of wrist, on the medial aspect of the arm?
a. PC4
b. SJ6
c. PC6
d. LI6
- c
TCM Acupuncture Foundations
- Which of the following herbs are best to tonify blood?
a. Sheng Jiang
b. Bai shao
c. Ru Do Kou
d. Bing Lang
- b
TCM Acupuncture Foundations
- Which of the following is NOT a contraindication of ma huang?
a. Excess sweating
b. high blood pressure
c. Aversion to cold with fever
d. Insomnia
- c
TCM Acupuncture Foundations
- What is another name for tennis elbow?
a. frozen elbow
b. Tendonitis
c. Lateral epicondylitis
d. Golfer’s elbow
- c
Biomedicine Fundamentals