More Questions to Know Flashcards

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1
Q

Pt has bleeding, fine pulse and a pale tongue. Dx?

a) sp not controlling blood
b) sp yang xu
c) sp qi xu
d) sp qi sinking

A

a) sp not controlling blood

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2
Q

Elderly pt has a facial tic severe dizziness, h/a, hypertension, dry throat and eyes, limb numbness, a normal colored tongue w/o coat, and a wiry fine pulse. Dx?

a) Xu LV blood causing wind
b) LV yang rising causing wind
c) LV fire causing wind

A

b) LV yang rising causing wind

dx= LV yin xu

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3
Q

Pt has palpitations, night sweats, tinnitus, insomnia, red-peeled tongue w/a redder tip and a midline crack. Dx?

a) KD and LV yin xu
b) KD yin xu
c) KD and HT not harmonized

A

c) KD and HT not harmonized

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4
Q

Pt has dribbling after urination, back pain, chronic vaginal discharge or nocturnal emissions w/o dreams dx?

a) KD qi not firm
b) KD essence xu
c) KD fail to receive qi

A

a) KD qi not firm

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5
Q

50 yo female has freq. dizziness worse w/emotional upset. PT looks healthy and robust. Strong voice, strong respiration. Add’l sx includ heavy limbs, feelings of oppression in the chest, mucus rattling in the throat and thirst. BMs were normal and urination dribbled a little. T = red w/yellow white coat in the center. P = slippery and rapid. Dx?

a) phlegm heat obstructing the head
b) LV yang rising causing wind-phlegm

A

a) phlegm heat obstructing the head

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6
Q

24 yo w/allergic rhinitis for 3 yrs. Rhinitis is aggravated w/smells. Sx = itchy nose and freq. sneezing. Cold sensation in the upper back. She has an obstructed nose w/a thin white discharge. She has general weakness and spontaneous sweating. She is irritated that she has to deal w/this problem. T=pale w/thin coat. P= thin and frail. Dx?

a) LV insulting LU
b) wind cold invading LU
c) Xu LU Qi

A

c) Xu LU Qi

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7
Q

59 yo woman w/severe itching over the vulva. It is a burning sensation and is dry. Had this for 10 yrs. Itching is worse at night, keeps her up. She is restless and agitated. T=dark red. P= rapid. Dx?

a) wind heat dryness
b) xu yin w/empty fire
c) hot blood w/dryness
LU drness w/heat

A

c) hot blood w/dryness

a burning dry sensation in the vag w/itching are sx of xu of fluids d/t the patient’s age.

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8
Q

35yo female pt has pms. She’s irritable, depressed, w/breast and abd distention. Not confident, doesn’t know what direction to take in life. She has problem concentrating and making decisions. Overall afraid of change. Sx= insomnia, poor memory, blurry vision, dizziness, numbness in her feet. P=fine and a little wiry on the left side, choppy on the right. T = pale on the sides. Cause of her fear?

a) KD yin xu
b) LV qi stasis
c) HT blood xu
d) LV blood xu

A

d) LV blood xu

LV blood xu = poor memory, p oor concentration, blurred vision, insomnia, dizziness. Lack of confidence, no life direction, fear of change, difficulty w/ decisions were caused by LV unable to anchor the ethereal soul

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9
Q

Besides the Nutritive Qi level which level has delirium, fainting, and a confused mind?

a) qi
b) blood
c) defensive
d) only nutritive

A

b) blood

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10
Q

Which level has physical restlessness and a generally clear mind?

a) nutritive
b) qi
c) defensive
d) blood

A

b) qi

The qi stage is mental restlessness w/a clear mind. Ying and Xue do not have a clear mind

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11
Q

which level has slight thirst?

a) nutritive
b) qi
c) defensive
d) blood

A

c) defensive

slight thirst bc the heat is still on the surface of the body

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12
Q

which level has intense thirst w/desire for cold drinks?

a) nutritive
b) qi
c) defensive
d) blood

A

b) qi

the qi stage has the most intense thirst as the pathogenic heat and the wei qi are very strong resulting in an hyperactivity of yang heat

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13
Q

which level has a floating rapid pulse?

a) nutritive
b) qi
c) defensive
d) blood

A

c) defensive

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14
Q

which level has a tongue w/red sides/front and thin white coating?

a) nutritive
b) qi
c) defensive
d) blood

A

c) defensive

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15
Q

PT complains that her last period was painful w/purplish blood clots. Current sx = SoB, weak voice, sweats w/exertion. Tx?

a) move blood, stop pain
b) tonify qi
c) move blood, stop pain, tonify qi
d) move stagnant lv qi and blood

A

b) tonify qi

the root is xu qi which generated blood stasis.

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16
Q

Pt has sporadic cough which is productive w/thick white phlegm, SoB, weak voice, tiredness, loose stools, poor appetite. Tx?

a) xform phlegm
b) tonify xu SP and LU qi
c) xform phlegm first and then tonify xu SP and LU qi
d) tonify xu SP and LU qi and xform phlegm at the same time

A

d) tonify xu SP and LU qi and xform phlegm at the same time

17
Q

Full heat can arise from all of the following except:

a) empty fire
b) bright yang pattern of 6 stages
c) invasion of EPF which turns into heat in the body
d) qi level of the 4 levels

A

a) empty fire

18
Q

which area of the tongue corresponds to the LV?

a) root
b) right edge
c) both edges
d) left edge

A

d) left edge

19
Q

what type of menses for a PT w/HT palps, vacuous, weak pulse, LBP and weakness and SoB?

a) dripping for several days
b) shortened
c) prolonged
d) indeterminate

A

c) prolonged