Questions that stump me

Question 1

62 yo female w/chronic cough. For 12 years she has had a slight and dry cough which is worse in the evening. Other sx include night sweats. P = fine. What is the tx strat?

a) descend LU qi
b) first descend LU qi and then tonify yin
c) tonify yin

Answer 1

c) tonify yin

treating the root will take care of the manifestation bc the cough is slight

Question 2

which of the following western dx is not related to wei syndrome?

a) poliomyelitis
b) secondary trigeminal neuralgia
c) MS

Answer 2

b) secondary trigeminal neuralgia

Question 3

Pt has cold abd, loose stools, feels cold, weak and tired limbs, heavy body sensations, poor appetite, no thirst, and mild edema of the whole body. Which action do you take?

a) xform dampness
b) tonify SP, warm yang, xform dampness
c) xform dampness first and then tonify SP and warm yang

Answer 3

b) tonify SP, warm yang, xform dampness

Question 4

PT has high fever, worse in the afternoon, profuse sweating, sweating on limbs, abd fullness and pain, constipation, dry stools, thirst, dark urine, red tongue w/thick dry yellow coat. P = deep, full, slippery, fast pulse. What is the tx principle?

a) Drain Fire from ST and Intestines and move downward
b) harmonize the lesser yang

Answer 4

a) Drain Fire from ST and Intestines and move downward

Question 5

After connecting to the internally/externally paired channel the Luo connecting channel…

a) usually continues to follow their own pathway
b) follows the pathway of the internally connected channel

Answer 5

a) usually continues to follow their own pathway

Question 6

Pt has dribbling after urination and nocturnal emissions w/o dreams. What is the tx plan?

a) tonify and warm the KD, strengthen ming men
b) tonify and stabilize KD qi

Answer 6

b) tonify and stabilize KD qi

Dx = KD qi not firm

Question 7

Blood level is characterized by …

a) aversion to cold and fever
b) mental changes, fever at night
c) fever at night, bleeding, macules, internal wind

Answer 7

c) fever at night, bleeding, macules, internal wind

Question 8

the 12 sinew channels follow the course of the primary channels but

a) are narrower
b) are shorter
c) are wider

Answer 8

c) are wider

Question 9

a pregnant PT wants to know if she can take black cohosh. You say no bc

a) stimulates uterine contractions
b) it increases the risk of eclampsia
c) causes newborn jaundice

Answer 9

a) stimulates uterine contractions

Question 10

PT has intense thirst w/desire for cold drinks. Which level?

a) defensive qi
b) qi level
c) nutritive qi

Answer 10

b) qi level

Question 11

Pt has mental confusion, lethargy, stupor, goes in and out of consciousness, rattling sound in the throat. Pulse =?

a) thin-fast
b) slippery
c) full fast slippery

Answer 11

b) slippery

Question 12

Long term changes in body shape which are unrelated to constitution would include all the following except?

a) long ear lobes
b) fat body
c) barrel chest and epigastrium

Answer 12

a) long ear lobes

Question 13

Pt has high fever, profuse sweating, intense thirst, red face, feeling of heat, irritability, delirium, red tongue w/yellow coat and big fast pulse. What is the tx principle?
a) clear stomach heat

b) harmonize the lesser yang
c) drain fire from ST and intestines and move downward

Answer 13

a) clear stomach heat

Question 14

Pt has discomfort in the epigastric area, poor appetite, lack of taste, loose stools, tiredness in the morning and weak limbs. What is the pulse?

a) deep and weak esp. on the right middle position
b) empty pulse esp on the right middle position
c) full pulse, deep pulse, fst pulse

Answer 14

b) empty pulse esp on the right middle position

dx= st qi xu

Question 15

36 yo female has chronic menorrhagia w/irregular bleeding Can’t tell when bleeding stops and period begins. Weak voice, pale/sallow complexion, loose stools. While bleeding, cheeks get flushed, often feels thirsty. T = pale w/slight redness on the sides. P = weak and slightly rapid. Tx strat?

a) simultaneously tonify yin, qi and blood
b) first cool the blood and then tonify qi and blood

Answer 15

b) first cool the blood and then tonify qi and blood

the sx of bleeding point to hot blood as the root

Question 16

Pt has weak knees and legs, poor memory, loose teeth, falling hair w/premature graying, weak sex drive, night sweats, sore back. T=?

a) swollen
b) red
c) w/o coat

Answer 16

c) w/o coat

dx = KD essence xu

Question 17

54 yo woman w/severe anxiety and claustrophobia. Anxious when alone @ home, feels a tight gripping sensation in the chest. P = choppy. T = pale w/red tip. Which vessel do you treat?

a) yin wei mai
b) yin qiao mai
c) chong mai

Answer 17

a) yin wei mai

blood xu and chest tightness = yin wei mai. YWM nourishes yin and blood and connects all of the yin channels. Treats insomnia, anxiety, mental agitation, over thinking.

Question 18

Which vessel would you treat for chest pain, stuffy sensation in the chest, anxiety, apprehension, fear, nightmares, depression?

a) yin qiao mai
b) ren mai
c) yin wei mai

Answer 18

c) yin wei mai

Question 19

what are the clinical applications for the yin wei mai (yin linking vessel)

a) activates triple burner, moves qi in lower burner, regulates uterus, nourishes yin
b) intermittent fevers, headaches, mental problems
c) headaches, mental-emotional problems, nourishes yin and blood

Answer 19

c) headaches, mental-emotional problems, nourishes yin and blood

YWM treats h/a rising from xu – esp blood xu and if the h/a are at the back of the neck. Nourshes yin and blood - connects all the yin channels. tonifies heart to treat chest pain

Question 20

Which meridian treats h/a, mental-emotional problems, nourishes yin and blood?

a) yin wei mai
b) yin qiao mai
c) yang wei mai
c) yang qiao mai

Answer 20

a) yin wei mai

Question 21

What are the clinical applications for the yang qiao mai?

a) sleep, mental problems, back pain and sciatica, hip, absorbs excess yang from the head
b) sides of body, back pain and sciatica, atrophy syndrome, extinguishes interior wind
c) mental emotional problems, h/a, absorbs excess yang from the head

Answer 21

a) sleep, mental problems, back pain and sciatica, hip, absorbs excess yang from the head

YQM acts as a reservoir that absorbs excess yang, mainly in the head - LV fire, LV yang rising, LV wind. YQM carries yang to the eyes

Question 22

True or False?

All qi level patterns have heat sx that manifest as thirst, high fever?

Answer 22

True

Question 23

Pt has alternating hot and cold feelings w/a prevalence of heat, a bitter taste, thirst, dry throat, hypochondrial pain, nausea, feeling of fullness in the epigastrium, a red tongue, sticky yellow coat. P = wiry-rapid. What is the level?

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

Answer 23

b) qi

this is GB heat which is the same as the shao yang pattern from 6 stages

Question 24

A pt has a low grade fever, abundant night sweating, mental restlessness, dry mouth w/desire to sip drinks, urine retention, 5 palm heat, skin hot to the touch, malar flush, emaciation, dark-red and dry tongue w/o coat, fine rapid pulse. Level?

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

Answer 24

d) blood

this is collapse of yin - extreme manifestations of yin xu sx

Question 25

Which level tends to have papules?

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

Answer 25

b) qi

Question 26

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

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

Answer 26

b) qi

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

Question 27

Which level has a tongue w/red sides/front and thin white coat?

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

Answer 27

c) defensive

the tongue indicates that the pathogen is still on the surface of the body

Question 28

At the defensive qi level which two patterns have a white and sticky tongue coating

a) damp heat and wind heat
b) damp heat and summer heat
c) summer heat and wind heat

Answer 28

b) damp heat and summer heat

Question 29

which level has high fever and feeling of heat?

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

Answer 29

c) qi

the qi stage is the most superficial of the three internal stages

Question 30

which level has macules?

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

Answer 30

a) ying and xue

macules always indicate heat at the ying and xue stages

Question 31

vessicles always indicate

a) dampness
b) damp heat
c) toxic fire
d) phlegm

Answer 31

a) dampness

Question 32

Deficiency of antipathogenic qi and excess of the pathogenic factor is a :

A) complication of xu and xs
B) syndrome of excess type
C) transformation of xu and xs
D) true and false phenomena in xu and xs

Answer 32

A) complication of xu and xs

Question 33

Constipation with dry stools, thirst, dry throat, coarse breathing w/strong voice, tiredness, slow but forceful pulse, cold body sensation, cold limbs, and red tongue w/yellow coating is an indication of:

a) true xs w/false xu
b) xformation of xu and xs
c) complication of xu and xs
d) tru xu w/false xs

Answer 33

a) true xs w/false xu

Question 34

32 yo woman w/asthma since late teens. Asthma started after a relationship b/u. She has copious, thick and yellow nasal discharge, often feels stressed w/hands becoming cold and unable to cope w/life. She has PMS w/breast distention, scanty dark urine. T = red w/redder tip and sides. P= wiry. Tx plan?

a) move LV qi, clear LV fire, descend LU qi, calm the mind
b) resolve phlegm, descend LU qi
c) regulate LV, smooth qi

Answer 34

a) move LV qi, clear LV fire, descend LU qi, calm the mind