Part 2 Flashcards

1
Q

which level involves internal wind?

a) wei
b) ying
c) xue
d) qi

A

c) xue

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2
Q

a pregnant 27yo pt has sx w/h/a, high fever, convulsions, drowsiness. Which level?

a) wei
b) ying
c) xue
d) qi

A

c) xue

the key sx is convulsions

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3
Q

which level corresponds to summer heat?

a) wei
b) ying
c) xue
d) qi

A

a) wei

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4
Q

which level corresponds to the yang ming or shao yang level?

a) wei
b) ying
c) xue
d) qi

A

d) qi

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5
Q
a pt has acute pacreatitis w/fever, vomiting, loose stools, scanty yellow urine, slippery rapid pulse. 
what level?
a) wei
b) ying
c) xue
d) qi
A

d) qi

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6
Q

One of the main factors which produces latent heat is

a) LU xu
b) LV fire
c) KD xu
d) SP xu

A

c) KD xu

external pathogens can invade the body w/o producing any exterior sx. Often this is d/t weak KD

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7
Q

In comparing the blood level patterns of heat victorious stirring wind and empty wind agitating the interior which of the following is inaccurate?

a) both have a wiry rapid pulse
b) HVSW has high fever while EWAI has a low grade fever

A

a)both have a wiry rapid pulse

EWAI pulse is fine-rapid

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8
Q

According to Deng, what does a practitioner use to take the pulse of a child?

a) index and middle fingers
b) index finger
c) thumb

A

c) thumb

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9
Q

Pt has a predilection for sighing, pain of the chest and rib-side, string-like pulse, dull red tongue. Lower abd pain =?

a) pain that refuses pressure before or during menses
b) distending pain, stronger during menses
c) pain that prefers warmth

A

b)distending pain, stronger during menses

dx= LV depression, Qi stagnation

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10
Q

All of the following describe the soggy pulse except?

a) broken in to many dots
b) soft like wet cotton wool
c) floating

A

a) broken in to many dots

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11
Q

True Qi takes the form of

a) food qi and air qi
b) nutritive qi (ying) and defensive qi (wei)
c) original qi (yuan qi) and essense (jing)

A

b) nutritive qi (ying) and defensive qi (wei)

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12
Q

Pregnant woman has prolonged labor w/malposition of the fetus, sharp pain in the abd, scanty dark red bleeding, dark complexion. T=dark P=deep and forceful Pattern?

a) stagnant qi and blood
b) hot blood stagnant qi
c) deficient qi and stagnant blood

A

a) stagnant qi and blood

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13
Q

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

a) tonify xu SP and LU qi and xform phlegm @ same time
b) tonify xu SP and LU qi

A

a) tonify xu SP and LU qi and xform phlegm @ same time

treat both the root and manifestation

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14
Q

if after rubbing the index finger of an infant, venules appear just beyond the second gate, this indicates

a) life threating disease
b) interior disorder
c) exterior pathogenic factor
d) healthy condition

A

b) interior disorder

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15
Q

Jing shen can mean any of the following except

vitality
consciousness
destiny
drive

A

destiny

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16
Q

Pt has delayed menses, vag discharge, infertility d/t yang vacuity. What tongue?

a) pale purple glossy tongue
b) pale and lusterless tongue
c) puffy and enlarged tongue w/teethmarks

A

a) pale purple glossy tongue

17
Q

In observing a child, breathing that is hasty, discontinuous or accompanied w/the flaring of nostrils usually indicates

a) phlegm heat congesting lungs
b) vacuity and weak LU qi
c) whooping cough
d) SP damp heat

A

a) phlegm heat congesting lungs

18
Q

Which two main channels have epistaxis as part of their sx pattern?

a) LU and ST
b) LI and ST
c) LI and LU
d) TW and PC

A

b) LI and ST

19
Q

a 54 yo man mc is insomnia. He falls asleep easily but wakes up several times during the night. He has a dry throat, complains of ED for 2 years. T = red w/very thin coat w/a crack in the HT area of the tongue. P= empty @ the deep level and very weak and thin in the left rear and middle position. What is the tx plan?

a) tonify KD nourish essence
b) tonify LV, nourish yin, calm the mind
c) nourish KD yin, nourish HT yin, calm the mind

A

c) nourish KD yin, nourish HT yin, calm the mind

KD and HT not harmonized

20
Q

Pt has low grade fever, night sweating, mental restlessness, dry mouth w/desire to sip drinks, 5 palm heat, malar flush, emaciation, dark red and dry tongue w/o coat, and P=fine, rapid. What is the level?

a) defensive (wei)
b) qi (qi)
c) nutritive (ying)
d) blood (xue)

A

d) blood

dx= collapse of yin

21
Q

42 yo man has tinnitus for 10 yrs. Dry mouth, back pain, dizziness, slt hearing loss, impotence and slt mucus discharge from the penis. Also complains of diarrhea mixed w/mucus. He has poor sleep, wakes frequently w/a dry throat. He has soft nodules under the skin and mucus in the lungs. T= a little red and swollen sides. Coat is w/o root and some areas are peeled. P = thins on the right, a little slipper and full on the left and weak in the left rear position. What is the tx plan?

a) resolve phlegm, xform dampness
b) tonify sp and kd yang, resolve damp-phlegm
c) tonify sp, resolve phlegm, nourish kd yin

A

c) tonify sp, resolve phlegm, nourish kd yin

dx = Xu SP qi w/phlegm accumulating, xu KD yin

22
Q

Xu of antipathogenic qi and excess of the pathogenic factor is:

a) xformation of xu and xs
b) complication of xu and xs

A

b) complication of xu and xs

23
Q

how does long term use of tricyclic anti-depressants such as Elavil (amitriptyline) Sinequan (doxepin) or Tofranil (imipramine) affect the pulse?

a) pulse becomes slow and wiry
b) pulse becomes empty at deep level and slightly floating
c) pulse becomes soggy and empty on the right middle

A

b) pulse becomes empty at deep level and slightly floating

24
Q

Female pt has low back pain, feels chilly, freq. clear urination, wants to lie down and be covered, has sharp and fixed stabbing pain in the lower abd w/menses of dark purplish clots. After a month, she complains of new sx of dryness? What is the root of the dryness?

a) xu blood
b) stagnant blood
c) kd yang xu
d) xu qi

A

b) stagnant blood

the seq is KD yang xu gives rise to blood stasis. the blood stasis then becomes the new root with dryness as the manifestation

25
Q

Pt has abd pain, diarrhea w/mucus and blood, foul smelling stools, burning anus, fever, sweating that doesn’t abate fever and thirst w/o desire to drink. Pulse =?

a) deep, full pulse, big pulse
b) slippery pulse, rapid pulse
c) full pulse, rapid pulse

A

b) slippery pulse, rapid pulse

dx = LI damp heat

26
Q

Pt has twisting lower abd pain, abd distention, pain worse w/pressure and abd pain improves w/flatulence T = white coat P= deep wiry. What is the SI pattern?

a) SI qi pain
b) SI qi tied
c) SI heat

A

a) SI qi pain

27
Q

Pt has suffocating feeling and distending pain in the epigastric area that is worse w/pressure, diarrhea, foul belching, sour regurgitation, and anorexia. T = sticky coat P=slippery. Pattern?

a) xu SP qi w/accumulation of phlegm
b) retention of food
c) stagnant LV qi attacking SP

A

b) retention of food

28
Q

Which muscle channel treats foot and ankle stiffness, abd muscle contraction, mouth deviation and an inability to close the eyes?

a) ST
b) GB
c) LV
d) SP

A

a) ST

29
Q

Which muscle channel treats elbow pain, an inability to raise the shoulder and rotate the neck?

a) LI
b) GB
c) SI
d) LU

A

a) LI

30
Q

Which muscle channel treats pain in the wrist, elbow, shoulder and neck, curling of tongue and pain or stiffness of the ring finger?

a) SI
b) HT
c) TW
d) LI

A

c) TW