Part 3 Flashcards
39 yo woman w/heavy periods for 9 yrs after birth of first child. No pain during her period, but they last up to 10 days w/bright red blood. Feels tired, sweats easily and has tinnitus. T=slightly red w/cracks and w/o coat. P+rapid, overflowing and empty. Dx?
a) xu kd yin, heat in the blood
b) xu sp qi failing to hold blood, xu kd yin w/empty fire
c) sp and kd yang xu
b) xu sp qi failing to hold blood, xu kd yin w/empty fire
xs mense flow d/t sp qi xu and kd yin xu and to empty fire (red tongue w/o coat, rapid, overflowing pulse)
tx priniciple: tonify sp qi, nourish kd yin, clear empty fire
Pt has weak knees and legs, poor memory, loose teeth, falling hair w/premature grey, weak sex drive, sore back and red-peeled tongue. P=?
a) short
b) scattered
c) leather
d) deep
c) leather
dx = kd essence xu. a leather pulse feels hard tight at the superficial level and stretched like a drum but still empty at the deep level. Pulse is not thin but large
What is a firm pulse?
A firm pulse is palpated at the deep level and feels hard. It can be described as a deep and wiry pulse.
Pt has no appetite, heavy feelings in the body, abd fullness, thirsty but drinks only small sips, low grade heat sensations, loose and foul smelling stools, burning anus, and scanty and dark urine. What pulse?
a) wiry pulse
b) rapid pulse
c) slippery rapid pulse
c) slippery rapid pulse
dx = damp heat invading SP
pt has dry cough w/a bit of sputum, night sweats, dry mouth and dry throat. Pulse?
a) floating empty pulse
b) empty pulse
c) floating tight pulse
d) floating pulse
a) floating empty pulse
dx = LU yin xu
The empty quality of the pulse indicates xu. Yin xu pulse is floating bc yang does not anchor yin
pt has chronic diarrhea, hemorrhoids, prolapsed anus, cold limbs, poor appetite, desires warm drinks. Pulse =?
a) deep fine weak pulse
b) deep pulse
a) deep fine weak pulse
dx=LI collapse.
Fine pulse = blood xu
Deep pulse = internal condition
Weak pulse = internal xu condition
Pt has burning sensation in the chest and abd, cold limbs, no aversion to cold, irritability, dry throat, foul breath, deep pulse and a desire for cold liquids. Dx?
a) true cold false heat
b) collapse of yin
c) true heat false cold
c) true heat false cold
which drug can cause brain damage and immunosuppression?
a) ecstasy
b) lsd
c) cocaine
a) ecstasy
what is the difference betw full heat and empty heat urination color?
a) full heat and empty heat are deep yellow
b) full heat is deep yellow, empty heat is yellow
b) full heat is deep yellow, empty heat is yellow
abundant sticky perspiration would be w/which condition?
a) damp heat in the middle jiao
b) collapse of yin
c) qi xu
b) collapse of yin
Pt has poor appetite, abd distention worse after eating, weak and cold limbs, bright white complexion, chilliness, loose stools and edema. Pulse?
a) soggy
b) fine
c) long
d) deep-weak
d) deep weak
- -deep tells you its an internal pattern
- -weak indicates xu yang, sometimes xu blood
Pt has constipation, burning anus, abd pain, distention made worse w/massage, high fever, vomiting, thirst, sweating, and delirium. Pulse?
a) thin
b) wiry
c) deep full
d) rapid
c) deep full
deep = internal condition full = xs condition
Pt has sharp stbbing pain in the epigastrium which are worse w/heat, pressure and after eating, vomiting dark blood and blood in the stools. Pulse?
a) fine
b) wiry
c) deep
b) wiry
dx = blood stasis in ST
cold and heat, the expected pattern is a wiry pulse. It arises from pain.
Pt has SoB, cough, thin clear sputum, weak voice, daytime sweat, keeps quiet, bright pale complexion, tends to catch colds and tiredness. Pulse?
a) empty
b) floating-weak
a) empty
dx = LU qi xu
Pulse will be empty on front right position. Empty indicates a qi xu
36 yo female, 8 wks prego w/morning sickness, oppression in the chest. T = swollen w/sticky coat, P = wiry. Tx principle was harmonize middle burner, descend ST qi. After 2 tx nausea has improved 60%. Which tx principle would you add?
a) resolve phlegm
b) move LV qi
a) resolve phlegm
chest oppression, swollen tongue w/sticky coat and wiry pulse = Phlegm
31 yo female has been pregnant for 6 wks complaining of morning sickness. With nausea, she vomited bitter tasting fluid about 2x/wk. She had thirst, belching, irritability, and distention in the epigastric and abd areas. P = little wiry and T=reddish on the sides. All patterns are included except:
a) SP qi xu
b) rebellious ST qi
c) LV Fire
d) LV qi stasis
a) SP qi xu
45 yo female pt w/persistent left groin pain that extends up to the left abd and back. The pain was constant and dull and was assoc w/urinary incontinence. She complained of xs sticky white vaginal discharge, a feeling of heaviness and a bearing down sensation as if everything wanted to drop out. P= very weak both rear positions
a) yin linking vessel d/o
b) girdle vessel d/o
c) penetrating vessel d/o
b) girdle vessel d/o
why do KD and LV have a common origin?
a) KD is the mother of LV
b) KD essence makes bone marrow and blood
c) they are near each other
b) KD essence makes bone marrow and blood
which yang organ is the uterus most closely assoc w/?
a) ST
b) GB
c) LI
a) ST
a pt is sick w/a cold, stuffy nose, sneezing. What LU function is impaired?
a) qi governing
b) respiration
c) dispersion
c) dispersion
Pt has constipation, abd pain, fever and a thick dry yellow coat. Dx?
a) dry LI
b) Heat obstructing LI
c) LI damp heat
d) LI heat
b) heat obstructing LI
Pt has fever, fullness in the chest and hypochondriac area, nausea, greasy yellow coat, and slippery pulse. Dx?
a) LV fire blazing upward
b) LV yang rising
c) damp heat in LV and GB
d) extreme heat generating wind
c) damp heat in LV and GB
Pt has chronic cough, profuse sputum, thick greasy white tongue coat. Dx?
a) damp phlegm obstructing LU
b) phlegm fluids obstructing LU
c) wind damp invading LU
a) damp phlegm obstructing LU
Yang Ming channels are used to treat wei syndrome. T or F
True
Can you release the exterior w/o a floating pulse?
Yes
What type of pulse does bowstring refer to?
wiry
Waking early in the morning and failing to fall asleep again indicates
a) xu of HT blood
b) xu of GB
c) xu of LV
b) xu of GB
PT has migraines since he was 12. Main sx = eyes. He has double vision which is followed by seeing lights and culminating in a sever h/a w/pain in the eyes. The eye sx are triggered by overuse. SX = nausea, vomiting and loss of appetite. T=red P = wiry, thin and fast. Weak in the rear positions. DX =?
a) LV fire blazing
b) LV yang rising
b) LV yang rising
Qi stagnation causes distending pain that has
a) no fixed location
b) is severe and boring
c) fixed location
a) no fixed location
Before observing the color of the face, it is important to determine if it is a healthy clear and shining color or a dry and dull color that indicates
a) HT fire
b) KD essence decline
c) ST qi exhaustion
c) ST qi exhaustion
which stage is characterized w/diarrhea, hot sensations around the anus, thirst, tenesmus, and fast pulse?
a) Yang ming organ synd
b) jue yin heat synd
c) shao yin heat synd
d) yang ming meridian synd
b) jue yin heat synd
Pt has palpitations, insomnia, poor memory, lbp, freq clear urination, cold limbs, desires warm drinks, empty pulse. He has not urinated in days, blood pressure is high, edema P=full slippery
Tx plan?
a) tonify dampness
b) tonify KD and HT, warm yang, xform dampness, move water
c) tonify KD and HT, warm yang
b) tonify KD and HT, warm yang, xform dampness, move water
Simulatneously tonifying the upright qi and expelling the pathogenic factor is applicable when the
a) upright qi is depleted
b) upright qi is relatively weak but not so weak as to need to be tonified first
c) pathogenic factors are weak
b) upright qi is relatively weak but not so weak as to need to be tonified first
A pt has dry stools which are difficult to pass and dryness in the throat and mouth. Tx plan?
a) promote fluids in the LI
b) clear heat in the ST and LI, promote bm
a) promote fluids in the LI
41 yo pt unable to conceive for the past 15 yrs. SX include sharp, stabbing pain in the abd on both sides of the groin which occurs mid cycle. She has regular periods w/scanty flow that last for 3 days, not painful and w/normal colored menstrual blood. T=a little purple w/teethmarks. Overall, pulse = weak and a little wiry on both rear positions. Dx?
a) yin linking vessel d/o, lower burner stasis
b) yin heel vessel d/o, lower burner blood stasis
c) KD qi xu, blood stasis
b) yin heel vessel d/o, lower burner blood stasis
T or F
Do not use the yin heel vessel when both rear pulse positions are wiry
F
a wiry pulse in rear position indicates Yin Heel vessel as the pulse indicates stagnation in the lower burner
Pt has abd cramps during menses. Fullness in the chest, decreased appetite, restless sleep, blister formation w/itching on the hands and feet. The sx come and go depending on her cycle. T= thin yellow coat P = string taut rolling. Tx principle?
a) tonify the KD, sedate LV fire
b) nourish blood, activate blood
c) soften the LV, balance qi, clear heat, eliminate dampness
c) soften the LV, balance qi, clear heat, eliminate dampness
Pt has mental restlessness, palpitations, bitter taste in mouth, uncontrolled laughter or crying, shouting and muttering to oneself. Tx principle?
a) clear the HT, resolve phlegm, clear fire
b) clear HT fire, resolve phlegm, pacify the mind
c) clear the HT, resolve phlegm, pacify the mind, drain fire
c) clear the HT, resolve phlegm, pacify the mind, drain fire
Pt has persistent lower abd discomfort, gurgling noises in the abd, watery stools, pale abundant urination, pale tongue w/thin white coat P = deep slow. Dx?
a) xu cold in the ST
b) cold damp in the LI
c) xu cold in the SI
c) xu cold in the SI
Pt w/Chron’s disease w/loose stools w/undigested food, anorexia, epigastric discomfort after eating w/lassitude. Complexion is sallow. What are the T & P?
a) T=Pale w/white coat, P=thready deep
b) T=pale w/white coat, P=thready forceless
b) T=pale w/white coat, P=thready forceless
Cough, fever, itchy throat is what Zang Fu?
a) invasion of the lungs by wind cold
b) invasion of the lungs by wind heat
a) invasion of the lungs by wind cold
What tx principle is tonify yin, nourish fluids, clear xu heat?
a) KD yin xu fire blazing
b) LU yin xu
c) KD yin xu
b) LU yin xu
A swollen tongue that is bluish purple and very dark represents what?
a) blood stasis
b) cold and blood stasis
c) toxicosis
c) toxicosis
A pt has SP qi xu w/sx of chronic edema and scanty menses. When a pt has one root which gives rise to 2 or more different manifestations what course of action do you take?
a) simultaneously treat the root and manifestation
b) treat the manifestation first and then the root
c) treat the root
c) treat the root
Elderly and frail pt has freq diarrhea which makes him feel weak. He feels cold, poor appetite, abd distention. Which action do you take?
a) tonify spleen warm yang
b) tonify spleen, warm yang, stop diarrhea
c) stop diarrhea first then tonify sp and warm yang
b) tonify spleen, warm yang, stop diarrhea
