Mock Exam 2016 Mid-Term Flashcards

1
Q
  1. 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.
A
  1. d

Interpersonal Skills

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2
Q
  1. 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
A
  1. c

Interpersonal Skills

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3
Q
  1. 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.
A
  1. c

Interpersonal Skills

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4
Q
  1. 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
A
  1. c

Interpersonal Skills

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5
Q
  1. 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
  1. a

Interpersonal Skills

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6
Q
  1. 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
A
  1. c

Interpersonal Skills

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7
Q
  1. 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.
A
  1. b

Professionalism

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8
Q
  1. 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
  1. a

Professionalism

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9
Q
  1. 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.
A
  1. b

Professionalism

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10
Q
  1. 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.
A
  1. b

Professionalism

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11
Q
  1. 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.
A
  1. b

Professionalism

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12
Q
  1. 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
  1. a

6 months in BC

Professionalism

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13
Q
  1. 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
  1. a

Practice Management

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14
Q
  1. 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.
A
  1. c

Practice Management

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15
Q
  1. 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
  1. a

Offer a referral discount is only allowed in BC. It is NOT allowed in Alberta

Practice Management

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16
Q
  1. 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.
A
  1. c

Practice Management

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17
Q
  1. 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
A
  1. d

Practice Management

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18
Q
  1. 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
A
  1. b

Practice Management

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19
Q
  1. 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.
A
  1. b

TCM Acupuncture Foundations

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20
Q
  1. What is the principle pathogenesis of cough?
    a. Lung Qi rebellion.
    b. Lung Qi stagnation.
    c. Lung Qi deficiency.
    d. Lung phlegm accumulation.
A
  1. a

TCM Acupuncture Foundations

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21
Q
  1. 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
  1. a

TCM Acupuncture Foundations

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22
Q
  1. 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
  1. a

TCM Acupuncture Foundations

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23
Q
  1. 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.
A
  1. d

TCM Acupuncture Foundations

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24
Q
  1. 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
  1. a

TCM Acupuncture Foundations

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25
Q
  1. 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
  1. a (SP13 is 0.7 cun superior and 0.5 cun lateral),
  2. c (DU15 is 0.5 cun inferior to DU16)
  3. 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

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26
Q
  1. 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
A
  1. b

cleft point does not treat chronic diseases

TCM Acupuncture Foundations

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27
Q
  1. What can LV5 treat?
    a. Clear lung heat.
    b. The genitals.
    c. The shoulder.
    d. The spine
A
  1. b

TCM Acupuncture Foundations

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28
Q
  1. 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
A
  1. c

TCM Acupuncture Foundations

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29
Q
  1. What point is best for chest pain and stomach aches?
    a. PC6
    b. LI4
    c. SP6
    d. RN6
A
  1. a

TCM Acupuncture Foundations

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30
Q
  1. 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
A
  1. b

check the answer. maybe a bad question.

TCM Acupuncture Foundations

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31
Q
  1. 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
  1. a

TCM Acupuncture Foundations

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32
Q
  1. 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.
A
  1. c

TCM Acupuncture Foundations

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33
Q
  1. What could yin deficiency with hyperactive liver yang and yang floating have in common?
    a. Pulse
    b. Tongue
    c. Fever
    d. Sweating
A
  1. a (both pulses are?…)

TCM Acupuncture Foundations

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34
Q
  1. What do yin collapse and yang collapse have in common?
    a. Sweating
    b. Tongue
    c. Pulse
    d. Fever
A
  1. a

TCM Acupuncture Foundations

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35
Q
  1. What ear point is used to treat sensory perception and memory?
    a. Sciatic nerve
    b. Sub-cortex
    c. Lung 2
    d. Face
A
  1. b

TCM Acupuncture Foundations

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36
Q
  1. 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
A
  1. d

TCM Acupuncture Foundations

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37
Q
  1. What is the correct application of Ba-fang points/
    a. Needle and moxa
    b. Prick to bleed
    c. Gua Sha
    d. Needle only
A
  1. b

TCM Acupuncture Foundations

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38
Q
  1. 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
  1. a

TCM Acupuncture Foundations

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39
Q
  1. 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
  1. a

TCM Acupuncture Foundations

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40
Q
  1. SP6 is a crossing point of the following meridians except?
    a. Kidney
    b. Chong
    c. Liver
    d. Spleen
A
  1. b

TCM Acupuncture Foundations

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41
Q
  1. Which of these meridian does not go to the ear?
    a. Gall bladder
    b. Yinwei
    c. Yangwei
    d. Yangqiao
A
  1. b (Yinwei)

TCM Acupuncture Foundations

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42
Q
  1. Which injury is the best therapeutic results with Tui Na?
    a. Varicose veins
    b. Open wounds
    c. Acute physical trauma
    d. Overstrain injury
A
  1. d

TCM Acupuncture Foundations

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43
Q
  1. What are the common application of cutaneous needles?
    a. Chronic deficiency conditions
    b. Skin sores
    c. Nervous system disorders
    d None of the above
A
  1. c

TCM Acupuncture Foundations

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44
Q
  1. 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
  1. a

TCM Acupuncture Foundations

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45
Q
  1. 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
A
  1. c

TCM Acupuncture Foundations

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46
Q
  1. 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
  1. a

TCM Acupuncture Foundations

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47
Q
  1. 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
A
  1. b

TCM Acupuncture Foundations

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48
Q
  1. Which organ pertains to the tip of the nose based on the spiritual pivot (Ling shu)?
    a. Lung
    b. Heart
    c. Spleen
    d. Kidney
A
  1. c

TCM Acupuncture Foundations

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49
Q
  1. 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.
A
  1. b

TCM Acupuncture Foundations

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50
Q
  1. 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
A
  1. c

TCM Acupuncture Foundations

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51
Q
  1. 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
A
  1. b

TCM Acupuncture Foundations

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52
Q
  1. Why does UB57 treat hemorrhoids?
    a. Skin region
    b. Muscle meridian
    c. Lou meridian
    d. Divergent meridian
A
  1. d

TCM Acupuncture Foundations

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53
Q
  1. 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
  1. a

TCM Acupuncture Foundations

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54
Q
  1. 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
A
  1. d

TCM Acupuncture Foundations

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55
Q
  1. What is the best point to prevent common cold with the use of indirect moxa?
    a. UB12
    b. ST36
    c. RN6
    d. LU7
A
  1. b

TCM Acupuncture Foundations

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56
Q
  1. 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
A
  1. b

TCM Acupuncture Foundations

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57
Q
  1. Which condition is appropriate for electric acupuncture?
    a. Pacemakers
    b. Seizure
    c. Wei syndrome
    d. None of the above
A
  1. 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 .
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58
Q
  1. Which liver point could potentially puncture an enlarged liver?
    a. ST19
    b. BG25
    c. KI24
    d. SP15
A
  1. a

TCM Acupuncture Foundations

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59
Q
  1. 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
A
  1. c

TCM Acupuncture Foundations

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60
Q
  1. Which of the following herbs are best to tonify blood?
    a. Sheng Jiang
    b. Bai shao
    c. Ru Do Kou
    d. Bing Lang
A
  1. b

TCM Acupuncture Foundations

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61
Q
  1. 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
A
  1. c

TCM Acupuncture Foundations

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62
Q
  1. What is another name for tennis elbow?
    a. frozen elbow
    b. Tendonitis
    c. Lateral epicondylitis
    d. Golfer’s elbow
A
  1. c

Biomedicine Fundamentals

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63
Q
  1. Which type of cervical spondylosis has pain radiating to the wrist and hand?
    a. Spinal Type
    b. Vertebral artery type
    c. sympathetic nerve type
    d. Nerve root type
    Biomedicine Fundamentals
A
  1. d

Cervical spondylosis is a general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs).

64
Q
  1. Which disease can be caused by staphylococcus?
    a. Meningitis
    b. Erysipelas
    c. Scarlet fever

Dermatologic disorder
Biomedicine Fundamentals

A
  1. b
    Cellulitis and erysipelas are skin infections that develop as a result of bacterial entry via breaches in the skin barrier [1]. Cellulitis and erysipelas manifest as areas of skin erythema, edema, and warmth. They differ in that erysipelas involves the upper dermis and superficial lymphatics, whereas cellulitis involves the deeper dermis and subcutaneous fat.
65
Q
  1. What ear point to treat torticollis?
    a. Mouth
    b. Ear
    c. Eye
    d. Neck
A
  1. d. Neck

Biomedicine Fundamentals

66
Q
  1. A new patient comes to see you. In the last few days they have been experiencing pain in lower right quadrant of their abdomen. The pain seems to be getting worse and also is rebounding pain. What is your diagnosis?
    a. Appendix perforation
    b. Acute appendicitis
    c. Enteritis
    d. Flatulence
A
  1. b

Biomedicine Fundamentals

67
Q
  1. If the patient is on Coumadin or large doses of aspirin which treatment should be avoided?
    a. Tuina
    b. Moxibustion
    c. Auricular acupuncture
    d. Filiform acupuncture
A
  1. d

Biomedicine Fundamentals

68
Q
  1. Elevated ammonia level most likely indicates which organ is injured?
    a. Spleen
    b. Kidneys
    c. Heart
    d. Liver
A
  1. d

Biomedicine Fundamentals

69
Q
  1. A protozoa belongs to what group of microbiology?
    a. Bacteria
    b. Virus
    c. Prion
    d. Parasite
A
  1. d

Biomedicine Fundamentals

70
Q
  1. What is an epidemic disease?
    a. An increase of incidence and prevalence within a geographic region.
    b. The spread of a disease beyond continental boundaries
    c. The number of new cases over time or within a population
    d. All of the above
A
  1. a

Biomedicine Fundamentals

71
Q
  1. Which of the following is an example of indirect disease transmission?
    a. Direct contact
    b. Secretions of body fluids
    c. Aerosol
    d. Droplet spread
A
  1. c (?)

Indirect contact infections spread when an infected person sneezes or coughs, sending infectious droplets into the air.
Biomedicine Fundamentals

72
Q
  1. What is the incubation phase of a disease?
    a. Early manifestations of signs and symptoms
    b. Pathogen is replicating but not producing symptoms
    c. Initial appearance of symptoms which are often vague
    d. Pathogen rapidly replicating, producing toxins, celllysis, etc.
A
  1. b

Biomedicine Fundamentals

73
Q
  1. Which of the following is NOT a basic sign of inflammation?
    a. Regional warmth
    b. Regional Sweating
    c. Regional Redness
    d. Regional Swelling
A
  1. b

Biomedicine Fundamentals

74
Q
  1. Which of the following is true about eosinophils?
    a. Indication of allergy or parasitic infection
    b. Blue stain with dye
    c. Have a phagocytic action
    d. Wall-off foreign material which can’t be ingested.
A
  1. a

Biomedicine Fundamentals

75
Q
  1. What is an example of angiogenesis?
    a. Degeneration of nerves
    b. Growth of new vessels
    c. Cell production
    d. Tissue death
A
  1. b

Biomedicine Fundamentals

76
Q
  1. What is a typical characteristic of Corticosteroids?
    a. Decreasing the production of glucose from amino-acid breakdown
    b. Does not suppress the immune system
    c. Used to treat joint inflammation
    d. No significant teratogenic effect
A
  1. c

Biomedicine Fundamentals

77
Q
  1. What is an important symptom for cluster headaches?
    a. Bilateral pain of the head
    b. Recurring bouts of severe pain
    c. Pain located primary around the posterior region of the head
    c. Typically no autonomic symptoms
A
  1. b

Biomedicine Fundamentals

78
Q
  1. What is characteristic of Diabetes mellitus (DM)?
    a. A group of metabolic diseases in which a person has high blood sugar
    b. A disease where to body has an overproduction of insulin
    c. A disease of only genetic origin
    d. Only develop during childhood
A
  1. a

Biomedicine Fundamentals

79
Q
  1. Marry, female age 81, date of visit April 2, 2013. She tells you that she has had gradual development of weakness in the lower limbs. She also has lumbago and has been unable to stand for extended periods. Over the last 6 months her symptoms have gotten progressively worse. Her menstruation history has always been short with scanty blood flow. She has also had a poor memory for as long as she can remember. Tongue is red with a scanty coat. Her pulse is deep & weak. What is her diagnosis?
    a. Atrophy-Flaccidity Syndrome (Wei Zheng)- Spleen yang deficiency
    b. Impediment Syndrome (Bi Zheng) - Phlegm stag’n & deficiency
    c. Atrophy-Flaccidity Syndrome - Liver & Kidney Yin deficiency
    d. impediment Syndrome - Chronic condition
A
  1. c

Bi means obstruction (Wind Bi, Cold Bi, Damp Bi, Heat Bi)

When EPF invades into channels & collaterals, muscles, joints and bones, it can influence the circulation of Qi and blood and produce obstruction which can lead to pain, swelling, heaviness and numbness and even impair the movement of the limbs. This group of symptoms is called Bi syndrome.

Diagnosis & Treatment

80
Q
  1. Polly female, has frequent stabbing lower abdominal pain during menstruation, dark blood flow with clots. In general, she always feels cold and tired. On the weekends she prefers to stay indoors. Her tongue is bluish-purplish and her pulse is slow and tense. What is her diagnosis?
    a. Blood-Cold: Excess
    b. Blood-Cold; Yang Deficiency
    c. Kidney Essence Deficiency
    d. Blood Deficiency
A
  1. b
81
Q
  1. What is the best treatment goal for prolapse of a lumbar intervertebral disk?
    a. Restore disk to original position to relive pain
    b. Clear heat and cool blood
    c. Restore or maintain balance of the affected region
    d. Tonify kidney qi
A
  1. c
82
Q

What is secondary Amenorrhea?

a. The absence of menstruation by age 16
b. Frequent delayed menstruation
c. Missing more then three menstrual cycles
d. The slow onset of a small amount of bleeding

A
  1. c
83
Q
  1. Hale age 62, date of visit march 12, 2009. Hale complain of a chronic low grade fever aggravated in afternoon, stuffiness in the chest and epigastric region, heavy head, poor appetite, thirst buy drinking less, nausea, paste-like and foul smelling stool with unsmooth defecation. His tongue is red with a white & yellow greasy coating the pulse is soft. What is the diagnosis?
    a. Blood stasis transforms to fire
    b. Spleen qi deficiency with dampness
    c. Yin deficiency fire
    d. damp retention leads to heat accumulation
A
  1. d
84
Q
  1. Hanna female age 42, date of visit October 12, 2013. Hanna complains of persistent stabbing abdominal pain with local hardness. She often has fixed colic pain & guarding around the umbilicus region. It has been worse at night. Recently she has found a palpable abdominal mass and is very concerned. Her tongue is dark-purple and the pulse is deep & choppy. What is his diagnosis?
    a. Abdominal mass due to qi deficiency
    b. Abdominal pain due to blood stagnation
    c. Dysmenorrhea due to qi and blood stagnation
    d. Edema of abdomen with sever water retention
A
  1. b
85
Q
  1. What disease has tingling sensation or numbness in the hand and/or fingers, with pain that radiates from the wrist up the arm?
    a. Golfers elbow
    b. Carpal tunnel syndrome
    c. Wrist & elbow pain
    d. Frozen shoulder
A
  1. b.
86
Q
  1. What is the basic pathogenesis of morning sickness in TCM?
    a. Liver qi stagnation
    b. Stomach qi rebellion
    c. Spleen Deficiency
    d. Kidney Deficiency
A
  1. b
87
Q
  1. For a diagnosis of early menstruation, the period must arrive how many days early?
    a. 3 days early
    b. 7 days early
    c. 5 days early
    d. 10 days early
A
  1. b
88
Q
  1. What is the diagnosis in TCM for a patient who may stop activities suddenly, drop things unexpectedly or space out for few seconds to several minutes. After episode they return to normal with no side effects?
    a. Wind Stroke (Zhong Feng)
    b. Convulsions (Jing Zheng)
    c. Epilepsy (Xian Zheng)
    d. Flaccidity (Wei Zheng)
A
  1. c
89
Q
  1. The symptoms of urgent, painful, dribbling urine belong to what disease?
    a. Stranguria (Lin Zheng)
    b. Ischuria (Long Bi)
    c. Impediment Syndrome (Bi Zheng)
    d. Consumptive Disease (Xu Lao)
A
  1. a
90
Q
  1. When is the pain most sever for a frozen shoulder case?
    a. Early stage
    b. Middle stage
    c. Late stage
    d. Any stage
A
  1. b
91
Q
  1. Carl male age 66, date of visit February 12, 2012. A mass is gradually becoming large and hard in his abdominal region. He has severe distention & fixed pain, fatigue, reduced food intake, a dark complexion, and recently gradual emaciation. The tongue is dark red with purple spots and a greasy coating, the pulse is wiry and choppy. What points are best for Carl’s condition?
    a. UB18, UB21, UB20, LV3
    b. LV13, RN13, RN6, KI6
    c. RN12, RN6, ST40, ST36
    d. RN17, RN12, UB23, UB20
A
  1. a
92
Q
  1. Jason, male age 31, has frequent asthma attacks in the spring. He comes to see you on March 1. He complains of dyspnea with a mild rale in the throat, easily sweating which is many times a day. on observation you see a bright white complexion and pale tongue. When asking about his history he tells you that common colds are frequent, with cough with him and whit sputum. What is the best treatment plan for him?
    a. Release the exterior, stop wind cold and wheezing
    b. Tonify lung and strengthen wei qi to stop wheezing
    c. invigorate spllen and strengthen lung to stop wheezing
    d. Tonify lung and kidney to stop dyspnea
A
  1. b
93
Q
  1. What disease has profuse menstrual flow, without change in cycle and more then 200 ml of blood is lost?
    a. Early menses
    b. Menorrhagia
    c. Amenorrhea
    d. Inter-menstrual bleeding
A
  1. b
94
Q
  1. What is the diagnosis for the overgrowth of fungus in the mouth?
    a. mumps
    b. Thrush
    c. Food retention
    d. Cough
A
  1. b

Oral thrush — also called oral candidiasis (kan-dih-DIE-uh-sis) — is a condition in which the fungus Candida albicans accumulates on the lining of your mouth Candida is a normal organism in your mouth, but sometimes it can overgrow and cause symptoms

95
Q
  1. What disease in TCM is marked by pain, numbness, spasm, heaviness, swelling, stiff joints or muscular deformity?
    a. Atrophy (Wei Zheng)
    b. Convulsions (Jing Zheng)
    c. Dysentery (Li Ji)
    d. Impediment Syndrome (Bi Zheng)
A
  1. d
96
Q
  1. Stan age 33, date of visit March 24, 2011, Stan is overweight but does not stay full after meals, he is frequently hungry and often needs to eat or he will become dizzy, he also consumes a lot of water, constipation with dry stools. He is frequently tired and doesn’t like to do much activity on the weekends. His tongue is red with a scanty dry coat and his pulse is slippery & thread. What is his diagnosis?
    a. Stomach heat
    b. Spleen damp heat
    c. Liver fire attacking the stomach
    d. stomach Yin deficient heat
A
  1. d
97
Q
  1. When walking, and suddenly a sharp pain occurs and the knee and the joint fails to extend and flex (locked). What is the diagnosis?
    a. Knee meniscal injury
    b. knee collateral ligament injury
    c. Piriformis syndrome
    d. Prolapse of lumbar intervertebral disk
A
  1. a
98
Q
  1. Harry age 46, date of visit jan. 12, 2009. During a backpacking trip on Vancouver Island Harry had a acute attack of swelling of the face which rapidly spread to his chest and upper limbs. His face was complexion was bright with oliguria, dysuria, chills, fever, aversion to cold, heavy head and a cough with profuse sputum. His tongue was normal and his pulse was floating and tense. What is the diagnosis?
    a. Yang edema - Wind Water
    b. Yin edema - Spleen deficiency
    c. Common cold - wind cold invasion
    d. Cough - Wind cold attack the lung
A
  1. a
99
Q
  1. Dorothy female age 27, date of visit june 23, 2010. She has had frequent vaginal bleeding between menstrual cycles for the last three months. There has been bleeding with profuse yellow leucorrhea as well. She has a poor appetite and sometimes feels hot and irritable. Her tongue is red with a yellow greasy coating. Her pulse is wiry. What is her diagnosis?
    a. Inter-menstrual bleeding - blood stasis
    b. Menorrhagia - blood heat
    c. Inter-menstrual bleeding - damp heat
    d. Menorrhagia - Kidney yin deficiency heat
A
  1. c
100
Q
  1. What viscera are common in the diagnosis of epigastric pain based on TCM theory?
    a. Heart and Lung
    b. Heart and Stomach
    c. Stomach and Liver
    d. Liver and Kidney
A
  1. c Stomach and Liver
101
Q
  1. Sara female age 23, complains of frequent dizziness, tinnitus and a sever distended headache. She also has a history of dysphoria, scanty dark urine, aggravated by fatigue or anger, feeling faint, insomnia with excess dreams, bitter taste in mouth, constipation. tongue is red with a thin yellow coat, the pulse is rapid and wiry. What is the best diagnosis?
    a. Headache - Qi and Blood Stag’n
    b. Insomnia - Qi deficiency
    c. Insomnia - yin deficiency
    d. Headache - Hyperactive Liver Yang
A
  1. d
102
Q
  1. Jim male age 63, has good health and normally very active. Yesterday after doing some yard work he had an headache which had an abrupt onset with splitting pain of the entire head, aggravated by exposure to wind, acute and severe. His tongue is pale red with a thin white coat. His pulse is floating and tense. What is the best diagnosis?
    a. Wind damp invasion
    b. wind cold invasion
    c. Blood stasis
    d. Turbid phlegm retention
A
  1. b
103
Q
  1. Charley male age 52, has severe heal pain on his left foot. It is often worse when he gets up in the morning but there is no swelling. He tells you that he has had this pain for the last two years on and off but it is always on the left side. What is the most likely diagnosis?
    a. Calcaneodynia
    b. Ankle sprain
    c. Meniscal injury
    d. Piriformis syndrome
A
  1. a
104
Q
  1. What is the most likely indication of neck strain ?
    a. Pain radiating down to the elbow
    b. Unilateral neck pain
    c. Kidney deficiency
    d. Fainting when turning head to one side
A
  1. b
105
Q
  1. Susan female age 36, has been trying to get pregnant unsuccessfully for 2 years with her partner. She heard that TCM can help her to become pregnant. She tells you that she often has a delayed cycle with a scantly period and small clots. Her period is painful, better with heat, and feels colder during period. You see that her face is pale and her body is thin. Her tongue is pale with a thick white coating and her pulse is weak and tense. What is her diagnosis?
    a. Kidney Yang deficiency
    b. Blood deficiency
    c. Uterus cold
    d. dampness in lower jiao
A
  1. c
106
Q
  1. A mother brings in her 4 year old child to your clinic. She tells you that he has continuous sweating. The sweating may happen day or night but more common during the day. In addition to sweating she tells you the child also has sweating of head shoulders and upper back and is susceptible to exterior pathogenic invasion. What is your diagnosis?
    a. Heart Qi deficiency
    b. Insecurity of wei qi
    c. spleen qi deficiency
    d. Qi and yin deficiency
A

106.b

107
Q
  1. What disease is marked by flaccidity, paralysis, hemiplegia and muscular atrophy of the limbs.
    a. Atrophy Flaccidity Syndrome (Wei Zheng)
    b. Consumptive Disease (Xu Lao)
    c. Dysentery (Li Ji)
    d. Internally damaged by fever (Nei Shang Fa Re)
A
  1. a
108
Q
  1. Paul has frequent seminal emissions and seminal discharge during urination. He also has a history of difficult micturition with burning sensation, dark or dribbling urine, bitter taste, loose and foul stools. His tongue is light red and has a yellow, greasy coat and the pulse is soft, floating and rapid. This belongs to what syndrome?
    a. Hyperactivity of Heart Fire and Liver Fire
    b. Downward movement of damp heat
    c. Inability of Qi to arrest Semen
    d. Inability to store essence due to kidney deficiency
A
  1. b
109
Q
  1. A child of 6 years old has frequent enuresis. In addition, the child also has a pale face, lassitude, shortness breath, pale tongue with white coating and a thread pulse. What would you recommend to the patients?
    a. Assure the parents the condition is normal and to wait and see how the child develops
    b. Cultivate regular urination of the child and ensure healthy lifestyle
    c. Tell the child to make a greater effort to control urination
    d. Tell the child to consume less fluids
A
  1. b
110
Q
  1. Linda, female age 42, has difficulty passing urine, lower abdominal distention or fullness, aggravated by emotions. Tongue is light red with a yellow thin coat pulse is tense. What points would be best for Linda?
    a. UB28, RN3, SP6, SP9, LU5, LI11
    b. UB28, RN3, LV3, LI4, ST29
    c. UB28, RN3, RN6, SP10, SP6
    d. UB28, RN3, UB23, RN4, DU4
A
  1. b
111
Q
  1. Sam, male, age 21, has dark pigmented skin lesions for long durations, serious pruritus, or coarse and hypertrophic skin lesions with scratching marks and bloody crust, accompanied by dry mouth and low spirit. What is the diagnosis?
    a. Eczema - Blood deficiency and wind dryness
    b. Eczema - Dampness due to spleen deficiency
    c. Eczema - Yin deficiency
    d. Eczema - Damp heat
A
  1. a
112
Q
  1. What is the second stage of the measles?
    a. Eruptive stage
    b. Ying level heat
    c. Resolution stage
    d. Pre-eruptive stage
A
  1. a
113
Q
  1. Bobby, male age 12, HIs chief complaint is a throat pain. On examination you see swollen parotid glands in the throat. He also has a high fever, vexation and agitation, headache, oral thirst with a desire to drink, devitalized eating and drinking, vomiting, swelling and distention of the parotid glands which feel hard to the touch and painful when pressed, red, swollen, sore throat, difficulty swallowing, a red tongue with yellow coating, a slippery, rapid pulse. What is your diagnosis
    a. Measles - Qi level heat
    b. Mumps - Internal toxic heat
    c. Rubella - Interior fire
    d. Scar Latina - Qi and ying level heat
A
  1. b
114
Q
  1. Brenda, female 23 years old date of visit August 6, 2010. She has intermittent burning epigastric pain. She is often restless and irritable with frequent gastric reflux. She also complains of bitter taste in her mouth, dry mouth, scanty dark urine, unsmooth defecation, Tongue is red with yellow greasy coat, the pulse is wiry and rapid. What is the best treatment principle for Brenda?
    a. Clear stomach heat and stop pain
    b. Nourish stomach yin and blood to stop pain
    c. Clear spleen damp heat
    d. Tonify spleen qi
A
  1. a
115
Q

115a. Samantha, female age 28. For 3 years she has had poor appetite, frequent sighing, depression, hypochondria distending pain, irregular bowel movements and irregular menstruation. T: pale red with thin greasy coat. P: wiry. What is her diagnosis?
a. Depression - Phlegm and qi stag’n
b. Depression - Liver qi stag’n
c. Depression - Heart and Spleen deficiency
d. Depression - Depression damaging heart mind (mental confussion)
115b What points are best for Samantha’s condition?
a. PC6, HT7, UB15, UB20, PC5, HT5, SP6, LV13
b. LV2, LV14, GB34, TW6, PC6, ST36, UB18, ST44
b. LV2, LV14, GB34, TW6, PC6, ST36, UB18
b. LV3, GB34, PC6, ST36, RN12, RN22, ST40

A

115a. b

115b. c

116
Q
  1. Open mouth, raised shoulders, flaring nares and inability to lie flat is what disease?
    a. Asthma
    b. Dyspnea
    c. Wheezing
    d. Cough
A
  1. b
117
Q
  1. Debra, female age 66, has fever and chills without sweat, profuse yellow nasal discharge, sore throat, headache restlessness and frequent cough with yellow sputum. Her pulse is floating and rapid. Her tongue is light red with a thick yellow coat. What is the diagnosis?
    a. Wind cold turning to wind heat
    b. Lung heat with wind cold
    c. Wind cold with lung yin deficiency
    d. Cough with wind cold attack
A
  1. b
118
Q
  1. What is a characteristic symptom of a “Ji Type” abdominal mass?
    a. Severe fixed abdominal pain
    b. Obvious mass appearing in abdominal region
    c. A mass appearing and disappearing intermittently
    Rebound tenderness in the abdomen
A
  1. b
119
Q
  1. Cory female age 51. CC: distention and burning pain in the hypochondria region. She says the pain can radiate to her back. There is also bitter taste in her mouth and thirst but only drinks small amounts. She has stuffiness in her chest and epigastric region, profuse yellow vaginal discharge, poor appetite, and an unsurfaced fever. T: is red with a yellow thick greasy coat and her pulse is wiry and rapid. What is the best treatment principle for Cory’s conditions?
    a. Nourish kidney yin, Tonify qi and blood to relieve pain
    b. Remove damp heat from liver and gallbladder. Activate qi and blood to relieve pain
    c. Activate the blood, remove blood stasis and unblock the meridians to stop pain
    d. Soothe the liver and regulate qi flow to remove pain
A
  1. b
120
Q
  1. Mark male age 22, has continuous hard to stop hiccups which sometimes lead to vomiting. He tells you that they are induced by emotional stress. He also has poor appetite, nausea, gas, belching, chest fullness. The tongue has a thin greasy coat and the pulse is wiry and slippery.
    a. Hiccups - qi and phlegm stag’n
    b. Hiccups - phlegm damp retention
    c. Hiccups - Cold damp
    d. Hiccups - liver and heart disharmony
A
  1. a
121
Q
  1. Charlie male age 43, has recurrent vomiting for 6 months. Often vomiting in small amounts with frequent nausea and occasional retching. In addition, he also has hunger without appetite, dry mouth, infrequent thirst, epigastric distress and anorexia. The tongue is red with dry scanty coat. The pulse is thread rapid. What is the diagnosis?
    a. Spleen Qi deficiency
    b. Stomach yin deficiency
    c. Liver attacking spleen
    d. stomach heat
A
  1. b
122
Q
  1. Susan female age 24, has frequent insomnia, dream disturbed sleep and dysphoria. She also complains of restlessness, anxiety, irritability, palpation, dry mouth, scanty dark urine and mouth sores. Her face is flushed, and her tongue has red tip with a thin yellow coat. The pulse is thread and rapid. What is the diagnosis?
    a. Insomnia - Yin deficiency heat
    b. Insomnia - Heart fire
    c. Insomnia - Blood stag’n
    d. Insomnia - Food retention
A
  1. b
123
Q
  1. Mile male age 42, has had chronic chest pain for 6 years. He has been taking western medicine and wants to know if you can help his condition. He tells you that he has dull intermittent chest pain and tightness, palpitations, fever with dry mouth, restless, night seat, restless, insomnia, sore or weak lumbar and knee, tinnitus, vertigo, He tells yo he has had TCM treatment before and diagnosed as heart qi deficiency, His western medical diagnosis is hypertension. Which group of points would be best for him?
    a. UB15, UB14, RN14, RN17 PC6 HT5, PC4, RN4, Moxa
    b. UB15, UB14, RN14, RN17 PC6 HT6, PC4, RN12, ST40, SP6, ST36
    c. UB15, UB23, RN17, HT7, KI3, RN6, RN4, ST36, DU4
    d. Call 911 and provide support until ambulance arrives
A
  1. c
124
Q

124a. Jack, male age 56, often feels tired and dizzy and wants to try acupuncture to help his condition. He tells you that his main symptoms are vertigo and fatigue but that he also has occasional insomnia and palpitations. He doesn’t like spend much time with his friends and has poor appetite, loose stool with his symptoms getting worse on exertion. He appears pale with a deep weak pulse. What is the diagnosis?
a. Heart, Spleen disharmony
b. Hyperactive Liver Yang
c. Kidney Essence Deficiency
d. Interior deficiency cold
124b. What points would you choose?
a. DU20, UB17, ST36, SP6, RN6
b. SP9, ST40, Rn12, PC6, ST8
c. UB18, LV3, UB23, KI3, HT7, KI6
d. UB23, KI3, UB17, SP10, RN4, DU4

A

124a. a

124b. a

125
Q
  1. Gloria female athlete, age 23, comes to your clinic for lumbar pain. She has performed in athletic events for many years and it has been an on going problem. She says she is very frustrated because 2 weeks ago after the last event it has become more fixed in one spot. It tends to fell better with mild pressure but feels worse when pressed firmly. What do you suspect is the diagnosis?
    a. Kidney deficiency
    b. Kidney and heart disharmony
    c. Blood stasis
    d. qi and blood deficiency
A
  1. c
126
Q
  1. What type of moxa is used for treating scrofula?
    a. Ginger
    b. Garlic
    c. Salt
    d. Fu zi
A
  1. b
127
Q
  1. A father brings in his 2 yo son who has been feeling dysphoric lately. He has bright red venule close to surface. What is your diagnosis?
    a. Spleen qi deficiency
    b. Lung qi deficiency
    c. Kidney deficiency
    d. Exogenous invasion
A
  1. d
128
Q
  1. which of the following symptoms are NOT related to lung disease?
    a. Cough
    b. Bloody vomit
    c. Chest pain
    d. Asthma
A
  1. b
129
Q
  1. Shelly, female 40 yo, date of visit April 7, 199e. First visit CC: insomnia for 10 days. History: patient has had excessive work and feels the stress is very intense. After March 27 the symptoms became much worse. Currently only sleeps a few hours in one night, has many dreams, nervous, poor appetite and normal menstruation. Examination: pale tongue, thin white coating, deficiency wiry pulse. What is your diagnosis?
    a. Insomnia, liver qi stag’n turn to heat
    b. Insomnia, heart and spleen deficiency
    c. Insomnia, phlegm and qi stag’n
    d. Insomnia, heart and gallbladder deficiency
A
  1. d
130
Q
  1. During acupuncture you have the patient change position. on moving the complain of a sharp pain in their back. On examination, you see you have forgot a needle in UB15. What should you do?
    a. Move the patient again to their original position, and gently remove the needle
    b. place another needle nearby, apply local massage and gently remove the needle.
    c. Gently wiggle the needle until it becomes loose and carefully remove it
    d. Swiftly remove the needle.
A
  1. a
131
Q
  1. Which of the following can you perform cupping on?
    a. edema
    b. skin sores
    c. nerve trunk
    d. joints
A
  1. d
132
Q
  1. Hemorrhagic (bleeding) syndrome cover a wide range of disease in TCM. Which of the following is NOT a common pathogenesis of this disorder?
    a. Heat
    b. Dampness
    c. Damp heat
    d. Blood stasis
A
  1. b
133
Q
  1. What is the best point to treat uterine bleeding due to deficiency?
    a. SP1
    b. SP2
    c. SP3
    d. KI3
A
  1. a
134
Q
  1. What is the proper application of a sever star needle?
    a. Tapping on oblique angles
    b. Should be applied to acute trauma
    c. Area of treatment should be sterilized
    d. Recommended for deficiency patients
A
  1. c
135
Q
  1. What is the correct application of the ST8 points?
    a. Prick to bleed
    b. Needle and moxa
    c. Gua sha
    d. Needle only
A
  1. d
136
Q
  1. What is the needling method for Er Jian?
    a. Obliquely lateral only
    b. Perpendicular or lateral acupuncture
    c. Prick to bleed
    d. moxa only
A
  1. c
137
Q
  1. What is the needling method for Pi Gen?
    a. Moxa or cupping only
    b. Puncture perpendicular0.5-0.8 cun. Moxibustion is applicable
    c. Puncture perpendicularly 0.8-1.5 cun
    d. Puncture transverse 0.3-0.5 cun
A
  1. b

CAM: 0.8 - 1.2 cun perpendicularly

138
Q
  1. What of the following is a needle reducing method of manipulation?
    a. Point the needle in the direction of the meridian
    b. Gentle lift and strong heavy thrusting
    c. Gentle rotation with large amplitude
    d. Needle in a primarily counter clockwise direction
A
  1. d
139
Q
  1. Which condition is three edge needle inappropriate?
    a. Sunstroke
    b. High fever
    c. closed type windstroke
    d. Trauma injuring lumbar region
A
  1. c
140
Q
  1. When selecting two points acupuncture points from the same channel of an electric acupuncture device, which of the following is the best practice?
    a. Choose points that are far apart
    b. choose points that are on the same side of the body
    c. choose a point from left and right side of upper back
    d. Any two points may be selected
A
  1. b
141
Q
  1. Which of the following is NOT a contraindication of cupping?
    a. Severe edema
    b. skin sore
    c. Chronic disease
    d. spontaneous bleeding
A
  1. c
142
Q
  1. When is Moxibustion contraindicated?
    a. Edema
    b. Pregnancy
    c. Skin damage
    d. Elderly patient
A
  1. c
143
Q
  1. What % of ethyl or isopropyl alcohol should be used to sterilize patient skin?
    a. 50%
    b. 70%
    c. 85%
    d. 99%
A
  1. b
144
Q
  1. What is the depth of the spinal cord in relation to the DU meridian points?
    a. 1.0-1.5 cun deep
    b. 0.5-1.0 cun deep
    c. 1.5-2.0 cun deep
    d. 1.25-1.75 cun deep
A
  1. d
145
Q
  1. What is NOT applicable in preventing the transmission of airborne illnesses?
    a. Practitioner wearing a 95-N mask
    b. Offering the patient to wear a mask
    c. Wearing latex nitrile gloves
    d. Being immune to varicella (Chicken pox) and rubella (measles)
A
  1. c
146
Q
  1. How should you clean the electrode handles of your electric needle machine after use?
    a. Disinfect it
    b. Sterilize it
    c. Wash it with soap
    d. Replace handles
A
  1. a
147
Q
  1. A male patient has been recommended to you by his friend who is a regular patient. He is very nervous about getting acupuncture for the first time. He also does not want his face to be covered. What is the best position to provide acupuncture for him?
    a. Lying down
    b. standing
    c. Siting
    d. 3/4 prone
A
  1. a (assuming face up)
148
Q
  1. Which of the following is the most important practice?
    a. Always wash hands between patients, before and after needling
    b. Maintain a clean field throughout the day
    c. Always wear latex nitrile gloves
    d. Carry a pocket mask
A
  1. a
149
Q
  1. After removing a needle from your patient you notice that they have bleed on your table. What should you do to clean it?
    a. clean area with soap and water
    b. Use bleach at 1/10 concentration for 10 minutes
    c. Apply hydrogen peroxide 3% for 30 minutes
    d. Clean with 70% alcohol for 20 minutes
A
  1. b
150
Q
  1. When you perform indirect moxa in your clinic, what is the most important consideration?
    a. Use fabric instead of paper to cover the table
    b. ensure the patient doesn’t have any heat signs
    c. Having a fire extinguisher on premises
    d. Determining if the patient is excess or deficiency
A
  1. c
151
Q
  1. What is the most likely injury due to using a TDP heat lamp?
    a. UV radiation burning the skin
    b. the arm gradually lowers due to regular maintenance and causes burns
    c. Patient bumping the lamp while changing position
    d. Extended duration of heat lamp use damaging yin fluids
A
  1. b
152
Q
  1. Clean needle technique is a system designed for what purpose?
    a. Maintenance of needle sterility
    b. Prevention of blood borne infection like hepatitis B
    c. A method of cleaning needles prior to second use
    d. A method to prevent autogenous infection
A
  1. b
153
Q
  1. What organization sets the safety standards for appropriate packaging of needles?
    a. BC government
    b. CTCMA
    c. Health Canada
    d. The Canadian Acupuncture boards
A
  1. c
154
Q
  1. In which situation is it acceptable to use disposable needles?
    a. Needle package shows evidence of being previously opened
    b. Needle package is beyond expiry date by a few days
    c. Needle touches clothing prior to insertion
    d. None of the above
A
  1. d
155
Q
  1. Under which condition is it acceptable to provide cautious acupuncture with filiform needle only?
    a. Patient recently finished vigorous physical activity without eating
    b. Patient with a pacemaker
    c. Patient suffering from uncontrollable movements
    d. diabetics with unstable sugar levels
A
  1. b
156
Q
  1. What is Needle stick accident?
    a. Unable to remove a needle from a patient due to muscular contraction
    b. Patient or staff is poked by a contaminate needle
    c. A needle placement is in the wrong location
    d. the needle sticks to the insertion tube and should be replaced
A
  1. b