Part 3

Question 1

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

Answer 1

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

Question 2

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

Answer 2

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

Question 3

What is a firm pulse?

Answer 3

A firm pulse is palpated at the deep level and feels hard. It can be described as a deep and wiry pulse.

Question 4

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

Answer 4

c) slippery rapid pulse

dx = damp heat invading SP

Question 5

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

Answer 5

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

Question 6

pt has chronic diarrhea, hemorrhoids, prolapsed anus, cold limbs, poor appetite, desires warm drinks. Pulse =?

a) deep fine weak pulse
b) deep pulse

Answer 6

a) deep fine weak pulse

dx=LI collapse.

Fine pulse = blood xu
Deep pulse = internal condition
Weak pulse = internal xu condition

Question 7

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

Answer 7

c) true heat false cold

Question 8

which drug can cause brain damage and immunosuppression?

a) ecstasy
b) lsd
c) cocaine

Answer 8

a) ecstasy

Question 9

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

Answer 9

b) full heat is deep yellow, empty heat is yellow

Question 10

abundant sticky perspiration would be w/which condition?

a) damp heat in the middle jiao
b) collapse of yin
c) qi xu

Answer 10

b) collapse of yin

Question 11

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

Answer 11

d) deep weak

• -deep tells you its an internal pattern
• -weak indicates xu yang, sometimes xu blood

Question 12

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

Answer 12

c) deep full

deep = internal condition
full = xs condition

Question 13

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

Answer 13

b) wiry

dx = blood stasis in ST

cold and heat, the expected pattern is a wiry pulse. It arises from pain.

Question 14

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

Answer 14

a) empty

dx = LU qi xu

Pulse will be empty on front right position. Empty indicates a qi xu

Question 15

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

Answer 15

a) resolve phlegm

chest oppression, swollen tongue w/sticky coat and wiry pulse = Phlegm

Question 16

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

Answer 16

a) SP qi xu

Question 17

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

Answer 17

b) girdle vessel d/o

Question 18

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

Answer 18

b) KD essence makes bone marrow and blood

Question 19

which yang organ is the uterus most closely assoc w/?

a) ST
b) GB
c) LI

Answer 19

a) ST

Question 20

a pt is sick w/a cold, stuffy nose, sneezing. What LU function is impaired?

a) qi governing
b) respiration
c) dispersion

Answer 20

c) dispersion

Question 21

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

Answer 21

b) heat obstructing LI

Question 22

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

Answer 22

c) damp heat in LV and GB

Question 23

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

Answer 23

a) damp phlegm obstructing LU

Question 24

Yang Ming channels are used to treat wei syndrome. T or F

Answer 24

True

Question 25

Can you release the exterior w/o a floating pulse?

Answer 25

Yes

Question 26

What type of pulse does bowstring refer to?

Answer 26

wiry

Question 27

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

Answer 27

b) xu of GB

Question 28

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

Answer 28

b) LV yang rising

Question 29

Qi stagnation causes distending pain that has

a) no fixed location
b) is severe and boring
c) fixed location

Answer 29

a) no fixed location

Question 30

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

Answer 30

c) ST qi exhaustion

Question 31

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

Answer 31

b) jue yin heat synd

Question 32

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

Answer 32

b) tonify KD and HT, warm yang, xform dampness, move water

Question 33

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

Answer 33

b) upright qi is relatively weak but not so weak as to need to be tonified first

Question 34

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

Answer 34

a) promote fluids in the LI

Question 35

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

Answer 35

b) yin heel vessel d/o, lower burner blood stasis

Question 36

T or F

Do not use the yin heel vessel when both rear pulse positions are wiry

Answer 36

F

a wiry pulse in rear position indicates Yin Heel vessel as the pulse indicates stagnation in the lower burner

Question 37

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

Answer 37

c) soften the LV, balance qi, clear heat, eliminate dampness

Question 38

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

Answer 38

c) clear the HT, resolve phlegm, pacify the mind, drain fire

Question 39

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

Answer 39

c) xu cold in the SI

Question 40

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

Answer 40

b) T=pale w/white coat, P=thready forceless

Question 41

Cough, fever, itchy throat is what Zang Fu?

a) invasion of the lungs by wind cold
b) invasion of the lungs by wind heat

Answer 41

a) invasion of the lungs by wind cold

Question 42

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

Answer 42

b) LU yin xu

Question 43

A swollen tongue that is bluish purple and very dark represents what?

a) blood stasis
b) cold and blood stasis
c) toxicosis

Answer 43

c) toxicosis

Question 44

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

Answer 44

c) treat the root

Question 45

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

Answer 45

b) tonify spleen, warm yang, stop diarrhea