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TCM Prep Flashcards

1
Q

What is the indication of Si Feng?

A

A. Child emaciation/malnutrition *

B. Diarrhea

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2
Q

Conditions to avoid as an acupuncturist.

A

A. Staph ulcers (best choice)
B. Active TB
C. HBV

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3
Q

Items necessary to release a patient’s medical record.

A

A. Court order
B. Search warrant
C. Subpoena

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4
Q

Important info about Patient’s consent.

A

A. Make sure they sign and date.
B. PT must be informed of all risks involved in Tx.
C. PT must be aware of the procedure(s).
D. Legal guardian or PT must sign.

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5
Q

Side effects of Epinephrine inhalers.

A

Anxiety and HA

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6
Q

What is the average incubation period of HEV?

A

40 days

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7
Q

Info about Hepatitis B.

A 
A. Incubation period of 50-180 days
B. Flu-like symptoms (usually fever)
C. Nausea, vomiting, loss of appetite
D. Skin rash & joint pain
E. Insidious development
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8
Q

Info on Supraspinatus Test.

A

A. Push PT upper arm against your resistance. Positive–if PT can’t abduct their shoulder.
B. Drop Arm Test: Positive-if PT, suddenly, drops arm; 60-120 degrees; rotator cuff injury

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9
Q

Meniscus Test Description

A

Supine 90 degrees medially, laterally

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10
Q

Tx for Yang Collapse

A

Use indirect moxa with salt (periumbilical pain w/ chronic dysentery, vomiting & pain in the abdomen).

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11
Q

C.I. for Plum Blossom Needles

A

A. Acute abdominal pain
B. Acute inflammation
C. Trauma & skin ulcers

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12
Q

Which condition should cupping be used?

A

A. Pregnant PT with acute sprain *
B. Edema
C. High fever
D. Convulsion

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13
Q

Point selections for Yang Edema

A

A. LI4 + LU7 (dispel wind)

B. UB39 + SP9 + LI6 (opens water passage)

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14
Q

What should be included in a PT referral to MD?

A

A. TCM diagnosis
B. Tx history
C. Comprehensive intake (family & PT history)

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15
Q

PT reports of knee injury. X-rays show no bone fracture. Which points should be selected?

A

GB34 + SP9 + ST34 (Xi Clef)

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16
Q

PT has a large bruise after Tx. A major artery or vein might have been punctured. There is significant hematoma. PT refuses to be touched. What should you do?

A

A. Insert four needles around the bruise.

B. Send the PT to a doctor. *

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17
Q

Tips on preventing bent needles during electro-acupuncture.

A

Use thick needles

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18
Q

When should you throw away a sharps container?

A

At 2/3 or 3/4 full.

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19
Q

Female PT has a history of hysterectomy, extreme anxiety and non-stop bleeding. Select the correct Tx.

A

A. Use PC4, PC6 and SP1 (moxa)

B. Use Gui Pi Tang and SP1 (moxa) *

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20
Q

What is the correct procedure when you forget to record on PT medical file?

A

A. Make a note you forgot to write it down, sign and date. *
B. Ask the PT what procedure was performed.
C. Do nothing.
D. Just guess.

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21
Q

PT complains of tinnitus, dizziness, vertigo and sore back. P: wiry. What is the correct diagnosis?

A

A. KD Def.

B. LV Yang Rising (xs above, def below) *

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22
Q

What is the difference between LV Fire & LV Yang Rising?

A

A. Both have upper xs, migrane HA, tinnitus, LV xs signs, burning pain in the rib area
B. LV Fire: constipation, thirst, red (dark), yellow scanty urine*
C. LV Yang Rising: LV and/or KD Def

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23
Q

PT came back from Hong Kong & reports of chills, fever, severe sore throat, nasal congestion & cough. Choose the best Tx.

A

A. Ren Shen Bai Du San
B. Yin Qiao San + Xuan Shen + Xing Ren *
C. Chai Ge Jie Ji Tang + Xuan Shen + Xing Ren

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24
Q

PT has excessive uterine bleeding. What should you do?

A

A. Use SP8
B. Use SP1 (moxa). For def or xs type of uterine bleeding
C. Both A & B *

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25
Q

What channel’s Xi Clef point can be used to treat a PT with excessive uterine bleeding?

A

Foot Tai Yin

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26
Q

A 38-yr old PT complains of weakness in the knees, low back pain & knee pain. This is an example of what type of condition?

A

KD Def.

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27
Q

PT has inflammation of UB, cystitis or UTI. What kind of food should be avoided?

A

High protein diet, meat, dairy, fatty-fried food

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28
Q

A PT w/ SP Def signs lost a large amount of blood. What flavor should be given?

A

Sweet

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29
Q

What kind of taste can be detected in a PT with AIDS and SP weakness signs?

A

A. Metal (if PT has phlegm & damp retention

B. Sweet (if PT has SP def symptoms) *

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30
Q

Acupuncturists are not allowed to use this type of instrument.

A

Hypodermic needle

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31
Q

PT has a history of TB, works at a chemical plant & has blood-tinged sputum. What is PT condition?

A

TB (LU Yin Def)

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32
Q

This king herb of Zhen Wu Tang strongly tonifies KD Yang. What is it?

A

Fu Zi

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33
Q

What formula should be used on a PT who is post menopausal, has anxiety, irritability & insomnia w/ LV Qi Stagnation?

A

A. Xiao Yao San (tonifies Qi & Blood)

If PT has heat conditions, use Mu Dan Pi + Zhi Zi

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34
Q

PT has MJ damp s/s with more damp signs. What formula should be used?

A

A. Ping Wei San (change Cang Zhu to Bai Zhu)

B. Huo Xiang Zhen Qi San + Cang Zhu (instead of Bai Zhu) *

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35
Q

What are the king herbs in Wen Jing Tang?

A

Wu Zhu Yu & Gui Zhi

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36
Q

C.I. for electro-stimulation

A

A. Strong stimulation is not recommended for diabetic PT’s legs
B. HTN with BP (systolic) over 200
C. PT with a pacemaker
D. Sensitive areas (below the elbow & knee joint, face)

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37
Q

What are the 4 Sea of Qi points?

A

ST9, Ren17, Du14, Du15

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38
Q

PT was treated with ST40, LU5, LU11, DU14, LI11 & UB13 during their first visit. PT reported no change in his condition. During the 2nd Tx, the following points were used: DU9, REN17, REN6, REN22. As a result, most of the symptoms cleared up. What was the treatment protocol?

A

A. Clear heat, expel wind
B. Transform phlegm, clear heat
C. Calm spirit, stop Qi Rebellion *

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39
Q

PT was treated in her 2nd trimester during pregnancy. List the C.I. points for pregnant PTs.

A

BL60, LI4, SP6, BL67, ST12, GB21

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40
Q

PT began to bleed after needling Ren17. The bleeding did not stop. What should you do?

A

Apply pressure for 5 min due to the bony structure of Ren17.

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41
Q

PT complains of stress and experiences alternating constipation and loose stools. Name the condition(s).

A

LV Qi Stagnation and SP Def.

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42
Q

PT has a stiff tongue with no change in body color. What does this indicate?

A

Cerebrovascular Accident (Internal Wind)

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43
Q

What is the correct depth for SP4 (distal and inferior to the base of 1st metatarsal)?

A

0.5 to 0.8 cun

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44
Q

PT reports of GI problems and takes amoxicillin. What formula would you prescribe?

A

A. Ping Wei San
B. Bao He Wan (only for xs, but using drugs cause deficiency)
C. Huo Xiang Zheng Qi San (amoxicillin can cause diarrhea, N/V) *

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45
Q

PT is a 80-yr old female with history of Parkinson’s. What kind of tongue will the PT have?

A

Dark red with short tongue, many raised spots with no tongue coat (indicates Yin Def)

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46
Q

PT has cold hands and feet with a history of severe bleeding. What does this indicate?

A

A. Yin damage affecting Yang, Yin-Yang damage *

B. Yin damage affecting Yang. Yang damage

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47
Q

Anterior Drawer Test tests what part of the body?

A

Anterior cruciate ligament

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48
Q

PT reports of temporal HA. What points would you prescribe?

A

SJ5, GB41 (distal points)

Tai Yang, GB8 (local points)

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49
Q

PT has mental problems, occipital HA and aphasia.

What points would you use?

A

A. DU14
B. DU15 (CP of Yang Wei and Du) *
C. DU16
D. DU17

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50
Q

What is the correct puncturing method for DU15?

A

0.5-0.8 cun, perpendicular.

Caution: deep puncture & do not puncture obliquely.

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51
Q

Contraindications of cupping.

A 
A. Bleeding PT who takes anti-coagulants. Bruising and bleeding may result.
B. Edema
C. High fever
D. Convulsion
E. Herpes Zoster (no cutaneous needles)
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52
Q

PT has craving for potato chips (salty taste). PT should not eat this if they have what condition(s)?

A

KD Def, HTN, Damp Heat

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53
Q

PT has yellow leukorrhea and damp heat. What channels are affected?

A

A. Ren and Dai *

B. Ren and Chong

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54
Q

PT is diagnosed with KD Yang Def and SP Qi Def (Yin Edema). What points would you use?

A

UB23, KD7, REN4, UB20, ST36, REN9 (promotes urination, reduces swelling)

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55
Q

A woman had 5 children (KD Weakness with Qi & Blood Def). What herbal formula would you prescribe?

A

Bu Zhong Yi Qi Tang, Shi Quan Da Bu Tang + Ren Shen

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56
Q

A 22-yr old PT complains of shoulder pain after lifting heavy weights. He says pain is less after drinking 6 packs of beer with friends. Which points would you use?

A

LI15, LI11, LI4

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57
Q

PTs sign & symptoms includes rhinitis and nasal problems. Which channels would you select?

A

LI & DU (can add ST too)

Hand Yang Ming and Hand Tai Yin

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58
Q

Elderly PT lives in a nursing home. Ulcers in the sacral area are noticeable (bed sore). What should you do?

A

A. Report it (elderly abuse) *

B. Apply pressure on the protruded part of the body.

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59
Q

What stage is it when there is exposure to deep tissue of the muscle and bone?

A

A. Stage 1 (sl. red)
B. Stage 2
C. Stage 3
D. Stage 4 *

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60
Q

PT is treated with electro-stimulation. They have a history of neurological problems (hemiplegia, stroke with severe pain). Which areas are most sensitive?

A

Below the elbow & knee and facial region

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61
Q

Knee Joint ROM

A

Hyperextension: 0-15 degrees
Flexion: 130 degrees

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62
Q

SI 12 crosses which channels?

A

SJ, LI, GB, ST

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63
Q

GB Mother & Son Points?

A

Mom: GB43 +
Son: GB38 -

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64
Q

SJ Mother & Son Points?

A

Mom: SJ3 +
Son: SJ10 -

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65
Q

ST Mother & Son Points

A

Mom: ST41 +
Son: ST45 -

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66
Q

This organ is responsible for excreting impure/bold pure fluid.

A

SJ

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67
Q

Which needling method sends Qi to a certain area?

A

A. Oblique *

B. Left rotation

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68
Q

What is the 3 Foot Yang meeting point & location?

A

GB35: 7 cun above the tip of the external malleolus, posterior border of the fibula.

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69
Q

What is the 3 Hand Yang meeting point & location?

A

SJ8: 4 cun prox. to SJ4, in the depression between the radius & ulna, on radial side of extensor digitorum communis muscle.

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70
Q

What is the 3 Hand Yin meeting point & location?

A

PC5: 3 cun above the transverse crease of the wrist, between the tendons m. palmaris longus & m. flexor carpi radialis.

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71
Q

What is the 3 Foot Yin meeting point & location?

A

SP6: 3 cun directly above the tip of the medial malleolus, posterior to the medial border of the tibia.

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72
Q

What is the 3 Foot Yin meeting point & location?

A

REN3: On the midline of the lower abdomen, 4 cun below the umbilicus.

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73
Q

What is the 3 Foot Yin meeting point & location?

A

REN4: On the anterior midline, 3 cun below the umbilicus.

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74
Q

PT suffers from 2nd degree burn (eczema). What should you do?

A

A. Leave it alone if small (blister). If large, sterilize the area and apply ointment.

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75
Q

What are the Water (Jin/Ye) regulating channels?

A

LU, SP, KD, SJ

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76
Q

A red tongue surrounded by ulcers with white sides indicates what?

A

HT Fire d/t KD Yin Def (or disease transferred from KD to HT)

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77
Q

Ren Shen is antagonized with which herb?

A

Lai Fu Zi

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78
Q

Herbs conta-indicated with Warfarin?

A

Chi Shao, San Leng, E Zhu (Niu Xi)

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79
Q

PT complains of chest pain after eating at a Sushi Buffet and fighting with his girl friend. What formula would you prescribe?

A

A. Yue Ju Wan * (emotional stress w/ food stagnation)

B. Bao He Wan (food stagnation)

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80
Q

Asthma and weakness of the lower limbs, abdominal pain, menstrual & uterus problems indicates problems with what channel?

A

Chong Meridian

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81
Q

This point is on the same level as the umbilicus, crosses with Dai Mai & GB & is level with the 11th rib. Name this point.

A

GB26

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82
Q

Borborygmus, epigastric pain.
T: Greasy w/ thin coat P: wiry, rapid
What formula would you use?

A

Ban Xia Xie Xin Tang

Etiology: Heat & Cold Accum in MJ

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83
Q

Info: PT has excess LU condition, insomnia, yellow sputum, red face.

A

A. Facial color usually indicates the disease is chronic
B. Red color is xs condition
C. Fire insults metal

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84
Q

Testicular pain be d/t the following?

A

LV Cold: slippery T/C, slow pulse, pain is aggravate by cold weather

SI Qi Pain: borborygmus, white, thin T/C, no cold signs

Points: ST27, ST29, ST39, LV13, LV3, SP6, GB34, REN6

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85
Q

Frying the following herbs increases their actions.

A

Huang Qi, Gan Cao, Bai Zhu

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86
Q

PT with Tao He Cheng Qi Tang s/s, chest pain, w/out constipation. What herbs should be omitted?

A

Da Huang & Mang Xiao

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87
Q

PT has HTN & HA. Which ear points should be selected?

A

A. ear apex (best choice)
B. end of antihelix crus (sympathetic)
C. superior angle of triangular fossa
D. groove of antihelix crus

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88
Q

What is the location of ST31? List its indications.

A

On anterior side of thigh on line connecting the anterior superior iliac spine (ASIS) & superior lateral corner of the patella.

Pain in the thigh, muscular atrophy, motor impairment, numbness & pain of lower extremities

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89
Q

Pregnant PT has constipation. Besides SJ6 & KD6, which other points can be used?

A

A. ST37 + LI11 *
B. LI4
C. ST25
D. SP6

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90
Q

Location of Allergic point on the ear?

A

On scapha, medial to Wrist point

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91
Q

Which WBC can be seen in an allergic reaction?

A

Eosinophils (or basophils)

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92
Q

Ear points for diabetic PT?

A

A. endocrine, thirst, LU (thirst)
B. endocrine, ST, SP, hunger (polyphagia)
C. endocrine, KD, UB (polyuria)

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93
Q

What direction do needle DU14?

A

Obliquely upward.

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94
Q

What is the Master Point of the DU Meridian?

A

SI3

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95
Q

What is the location of Bai Chong Wu?

A

A. 3 cun above the medial border of the patella. *

B. 3 cun above Heding

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96
Q

Which point may injure the apex of the heart upon deep insertion?

A

A. 4th ICS
B. 5th ICS *
C. 6th ICS

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97
Q

This formula can treat externally and internally.

A

Ding Chuan Tang (Ext. Wind Cold & Int. Phlegm Heat)

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98
Q

Which nerve affects the middle finger?

A

C7

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99
Q

PT has eye injury. Which nerve(s) are involved?

A

CN5, CN7

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100
Q

PT complains of post shoulder pain. Which points would you use?

A

SJ14, LI11, LI15, LI4

also GB21, SI10, SJ5

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101
Q

PT reports of uterine bleeding. What taste would you recommend?

A

Sweet & sour

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102
Q

PT complains of severe tinnitus and HA after being passed on a promotion at work. What is the condition?

A

LV Fire

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103
Q

PT faints after needling. What do you do?

A

Use DU20 and REN4 (moxa). PC6 & ST36 (fingers or needles)

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104
Q

PT has severe HA and hemorrhagic subarachnoid.

A

Spinal tap on L2

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105
Q

Male patient…8 liters of blood. Blood def. What is his condition?

A

Hemoglobin level: 12-16 is normal

Lower levels: anemia

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106
Q

Case study involves the thumb. Which nerve is affected?

A

C6

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107
Q

What is the action of MAOI?

A

Antidepressant

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108
Q

Function of Prozac?

A

Inhibits serotonin uptake by brain cells

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109
Q

PT takes illegal drugs. His eyes are dilated. What drug is responsible for this?

A

Cocaine

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110
Q

PT takes illegal drugs and has contracted pupils. What drug is responsible for this?

A

Heroine

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111
Q

What point would you use to treat vertex HA (Root/Branch theory)?

A

KD1 or UB67

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112
Q

A 34-yr old woman suffers from osteoporosis. What condition does she have?

A

Emotional shock depleted KD Essence Qi

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113
Q

Stomatitis is a deficiency of which vitamin?

A

Vit B2 (affects skin & corner of the mouth)

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114
Q

What is the dosage of Shen Qu?

A

6-15g (do not use on pregnant women or nursing moms

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115
Q

PT complains of eye pain with hypochondriac pain. Which herbs would you use?

A

Huang Qin, Chai Hu, Long Dan Cao (theses herbs are good for xs type of pain)

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116
Q

PT complains of photophobia with redness & eye pain. What herb would you use?

A

Bai Ji Li, Jue Ming Zi, Ju Hua

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117
Q

PT displays Yang Ming s/s. What channel would you select?

A

Hand and Foot Yang Ming, He Sea, Mu Points

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118
Q

PT sleeps curled up. Which channel is involved?

A

Shao Yin

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119
Q

Elbow problems can be treated with which points?

A

SJ & SI (good for skin warts) luo points

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120
Q

PT has aphasia and chest stiffness. What point would you use?

A

HT Luo point (HT5)

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121
Q

PT takes amoxicillin for two weeks. What formula should be prescribed?

A

A. Huo Xiang Zhen Qi Wan *

B. Ping Wei San

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122
Q

Points for Herpes Zoster.

A
  • LV3, GB34, SP10, LI11, UB40

- LV5, SJ6, GB34, (SP10, LI11, UB40 heat in blood), (LV14, REN17, LI4 Qi Stag), UB17

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123
Q

PT has difficulty walking up the stairs, has redness, pain, swelling on one side of the leg. What condition does the PT have?

A

DVT

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124
Q

Complete disruption of HT rhythm is an example of?

A

Ventricular fibrillation

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125
Q

PT has been diagnosed with DVT and has leg pain.

Which of the following is correct?

A

A. Do not use Tuina
B. Tuina will help the flow of Qi in the meridian
C. Use Tuina on the opposite side of the leg *

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126
Q

PT reports of pain of the patella (swollen & painful to the touch). Which points would you use?

A

SP10, SP9, ST34, Heding

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127
Q

PT has a potential meniscus tear. What test would you use?

A

McMurray’s Test. Flex the knee 90 degrees and rotate medially & laterally.

128
Q

Tests confirming appendicitis.

A

RLQ rebound pain (Blumberg Sign), Psoa’s Sign, McBurney Point, Rousing Sign

129
Q

PT is month pregnant. Which points are C.I.?

A

Sacral and lumbar points, lower ab area, LI4, SP6, UB60, UB67

130
Q

PT is 4-mo pregnant. Which set of points can be used?

A

A. PC6, SP4, ST36, distal points
B. Do not use abdominal points, REN12, during 2nd trimester
C. REN12 can be used during 1st trimester

131
Q

What effect does cooking with alcohol do to Sang Ji Shen?

A

Increases Expel Wind & Stop Pain function

132
Q

Dry frying will strengthen the effects to which set of herbs?

A

Gan Cao, Huang Qi, Bai Zhu

133
Q

What is the location of the endocrine ear point?

A

Lower portion of the intertragic notch

134
Q

Which points are good for Yang Edema?

A

LI4, LU7, LI6, UB39, SP9

135
Q

Abducting the arm against the Doctor’s force affects what muscle?

A

Supraspinatus

136
Q

A diabetic PT complains of thirst. Which ear point can be used?

A

LU, endocrine, thirst

137
Q

Electro-acupuncture be used to treat what type of conditions?

A

Neurological diseases (such as severe pain or paralysis)

138
Q

What is the most common infection found in the medical clinic?

A

HBV. It can survive in room temperature for 7 days.

139
Q

An acupuncturist treats a PT with HIV and notices a cut on his own finger. What should he do?

A

A. Consult with a physician
B. Take medication to prevent transmission *
C. Wait until the blood test comes back

140
Q

What is the Tx for HBV?

A

HBIg medication

141
Q

PT takes illegal drugs but does not tell what kind? Pupils appear pin-like & nose is inflamed. What drug is the PT taking.

142
Q

PT reports of a rash during menstruation and it disappears after it is over. What can cause this?

A

A. Blood Heat
B. LV Qi Stag causing Dampness *
C. Cold in the Blood

143
Q

This formula can treat “Plum-Pit Syndrome.”

A

Ban Xia Huo Po Tang

144
Q

Which group of formulas treat wind conditions?

A

Xia Huo Lou Dan, Xiao Feng San, Tian Ma Gou Teng Yin

145
Q

A PT reports of cough, chills, mild fever, sore throat after coming home from a trip to Mexico.
P: superficial T: thin, yellow coat

What formula would you choose?

A

Yin Qiao San

146
Q

Pregnant PT has blood stagnation. What formula would you prescribe?

A

A. Gui Zhi Fu Ling Wan *
B. Wen Jing Tang
C. Tao He Cheng Qi Tang
D. Xue Fu Zhu Yu Tang

147
Q

A 15-yr old comes to see you. He has a history of arthritis, high fever, thirst and a rapid pulse. What formula would you use?

A

Bai Hu Tang + Gui Zhi (Heat Bi)

148
Q

What is the difference between Wu Ling San vs Zhu Ling San?

A

HA, chills, superficial pulse

149
Q

What are the dosages for the herbs in Si Ni San?

A

Shao Yao: 12-24g
Chai Hu: 9-12g
Zhi Shi: 9-12g
Zhi Gan Cao: 6-9g

150
Q

What are the side effects of shells that calm the spirit?

A

ST indigestion problems

151
Q

Da Ji is incompatible with?

152
Q

Difference between Tian Ma vs Gou Teng?

A

Tian Ma: Wind-Cold (Bi Syndrome)

Gou Teng: cools blood heat

153
Q

What herb cools Blood-Heat and stops uterine bleeding?

A

Gui Ban (king herb of Gu Jing Wan)

153
Q

How would you cook Gui Ban so it will enter the LV Channel?

A

Fry with vinegar

154
Q

PT has heat in Upper Jiao. Which herbs would you choose?

A

Huang Qin, Du Huo & Shi Gao

155
Q

PT has LV Qi Stagnation, SP weakness with Qi & Blood Def. What formula would you prescribe?

A

Xiao Yao San

156
Q

PT complains about emotional stress, irritability, cold fingers and toes. What formula would you use?

157
Q

PT suffers from wind heat (sore throat with lip pain, breast pain, irregular menstruation). What formula would you use?

A

Yin Qiao San + Chao Yao San

158
Q

PT has ST problems, bleeding gums and constipation. What formula would you use?

A

Tiao Wei Cheng Qi Tang

159
Q

Which herb with Da Huang forms Xiao Cheng Qi Tang?

A

Huo Po and Zie Xie

160
Q

Swollen mouth with red tongue can be what type of condition?

A

HT & SP Excess Heat

161
Q

What is etiology of chronic bronchitis?

A

SP weakness leading to phlegm damp retention in LU, to KD Qi unable to grasp Qi.

162
Q

Etiology of Yang Edema?

A

Exterior wind with interior water accumulation

163
Q

PT is involved in a car accident. He has chest, shoulder an arm pain. T: purple.
What is the pulse?

A

A. Knotted pulse

B. Wiry pulse

164
Q

Chronic LU problem with phlegm & insomnia. This is an example of what?

A

Metal counteracting Fire

165
Q

Tiao He Cheng Qi Tang case: severe pain in the lower abdomen d/t to blood stasis. Which herbs would you add?

A

Chi Shao & San Qi

166
Q

Tiao He Cheng Qi Tang case and dysmenorrhea. What other herbs would you add?

A

Dang Gui & Hong Hua

167
Q

Swollen mouth with pale tongue. Name this condition.

A

SP & KD Yang Def

168
Q

A student studies and works hard. He gets a dull & empty pain in the vertex region of the head. Name this condition.

A

KD Essence Def

169
Q

A 79-yr old female has had Parkinson’s for over 10 years. She has a thin body & dry skin.
P: thready, superficial, empty
What kind of tongue will the PT have?

A

Purple, red spots & no coat

170
Q

What is the difference between wind cold & wind heat?

A

Wind Cold: severe body ache, no thirst
Wind Heat: moderate body ache, thirst
* check urine color or color of nasal d/c

171
Q

PT has exterior conditions which manifests that day. What are some of the symptoms?

A

HA, aversion to wind, chills & fever, sneezing, sore throat, runny nose
P: superficial

172
Q

A woman who has 5 children has scattered gray cloud-like spots on her eyes (Qi injury). This is due to what condition?

A

A. Injury of KD Qi *

B. Qi & Blood Def

173
Q

PT has been heavily drinking since the age of 15. Now, he is 20-yrs old & has leg pain. What kind of pain does he have?

A

A. Pulling pain (sudden): indicates wind-type or xs type (LV damage) *
B. Dull pain
C. Sharp pain

174
Q

PT complains of loss of appetite (SP), tiredness, edema of the lower extremities (KD), and cold sensation with pain. T: crimson red.

Name this condition.

A

SP Yang Def

175
Q

A 60-yr old male easily catches a cold after running a marathon. He complains of problems with his whole limb which is getting worse. Which type of Qi is involved?

A

Organ Qi (Yuan Source Qi)

176
Q

PT experiences dizziness, vertigo, nausea & vomiting. What would you prescribe?

A

Ban Xia Bai Zhu Tian Ma Tang

177
Q

This point is the opening point of the Du Channel & is the 8 Confluent point? What is it?

178
Q

PT has HT/ST problems. Which points would you use?

179
Q

C.I. for moxa?

A

UB2, UB40. Don’t moxa on major creases of the skin or breast.

180
Q

Female PT complains of bloating in the abdomen. Diet consists of eating late at night to relieve stress. This is due to what condition?

A

ST Yin Def

181
Q

PT reports of acute loss of voice after coming home from a weekend trip. What is your diagnosis?

A

Wind Heat, Acute laryngitis (use ST40)

182
Q

S/S of Gouty Arthritis?

A

Chalky white secretion, inflammation of the joint regions

183
Q

ROM of knee flexion and hyper-extension?

A

Knee flexion: 130 degrees

Hyper-extension: 15 degrees

184
Q

A child likes to eat strange food such as: raw rice, tea leaves and soil. What do you suspect?

185
Q

PT has GB disease, vomiting & nausea. Also, they have difficulty digesting fatty food, Murphy’s Sign is positive, pain radiates to right shoulder (Boa’s Sign). TCM Diagnosis?

A

GB Damp Heat

186
Q

PT complains, after being in an auto accident, pain radiating on lateral side of arm to the thumb. Where does it originate?

187
Q

AST & ALT increase in what condition?

188
Q

What medication should be given when there is an increase in AST & ALT?

189
Q

Shock case, deficient blood. This is due to what condition?

A

Tachycardia

190
Q

Iron deficiency can lead to what condition?

191
Q

What should you add to maximize Pu Huang’s effect to stop bleeding?

A

Add coagulant

192
Q

Side affects of taking too much adrenal cortex hormone?

A

Cushing’s Syndrome (moon face, fat deposits on body trunk, tiny limbs)

193
Q

A PT has a 2nd degree burn measuring 5mm2 in size. What do you do?

A

A. Apply ointment and sterilize only. *

B. Leave it alone

194
Q

What does the pineal gland secrete?

A

Melatonin (biological clock & regulates menstrual cycle)

195
Q

A heavy-set woman complains of fever and deep, leg pain which is red and swollen. What would be the Tx method for PT with Buerger’s Disease?

A

Invigorate the blood & open up the channels

196
Q

What is the best area to locate the apex of the heart with a stethoscope?

A

4-5th ICS or 5th ICS (5-6 ribs)

197
Q

PT received Tx on head, nape and back regions. After Tx, they complained of abdominal pain, cramps and bleeding. Name the type of injury.

A

A. Injured LV *
B. Injured HT
C. Injured LU

198
Q

Case involves bacteria entering the blood stream, secreting toxins and destroying RBCs. This is due to what condition?

A

Septicemia

199
Q

A 50-yr old woman reported having depression, epilepsy, UE numbness and insomnia after taking what drug?

200
Q

Secretion of yellow leukorrhea (pus), itchy genitalia are signs of that condition?

A

Trichonomas

201
Q

What formula and points are good for treating Trichonomas?

A

Long Dan Xie Gan Tang

LV3, GB34, UB32, REN3, SP6, LV5

202
Q

A 22-yr old recently had an argument with her boyfriend. She reports of amenorrhea for 2 months and has lower abdominal pain with refusal to touch. What should you do?

A

Send PT to MD…possible ectopic pregnancy.

203
Q

A nursing home PT complains of food poisoning with watery diarrhea. What condition does the PT have?

A

Shigella (transmittable from person to person, dysentery, loose stools, increased fever, menses with blood in stools)

204
Q

Salmonella, E.coli, campinella and shigella can be prevented by?

A

Cooking meats until fully cooked

205
Q

How many CEU hours are needed every 2 years to renew your license?

206
Q

What is the proper way to sanitize an area on a PT prior to needling?

A

Apply the alcohol swab using the “C-shaped” or “cork screw” method. Wait until the area is dry before needling. Do not wipe more than once with the same swab.

207
Q

What is the proper method when using a long acupuncture needle?

A

Use a sterilized gauze to hold the needle.

208
Q

An alcoholic PT who suffers from pernicious anemia needs to supplement what in their diet?

A

Vit B12 and dairy products.

Vit K should be taken if there is bleeding in the G.I. tract.

209
Q

PT suffers from Grave’s Disease (exopthalmos) and has signs of hypothyroidism. These symptoms are caused by?

A

Too much intake of hyperthyroid medication

210
Q

Side effects of Lasix?

A

Dizziness and vertigo

211
Q

Manifestations of Parkinson’s Disease may include?

A

Tremors (at rest), “crooked back”, masked face, stare

212
Q

This type of hypertension includes HA and no fever. What kind of HTN is this?

A

Essential HTN (d/t emotions & sudden)

213
Q

This type of hypertension affects the KD or causes problems with the endocrine sys.

A

Secondary HTN

214
Q

PT reports of problems with the tongue, mouth, diarrhea and mental problems. This can be cause by deficiencies of what vitamin?

215
Q

Practitioner hears a clicking sound upon movement of PT shoulder. What does this indicate?

A

A. Jin problem

B. Ye problem (thick fluid) *

216
Q

What is the best formula for Prostatitis?

A

Ba Zheng San: difficulty with urination, peritoneal discomfort

217
Q

What formula would you prescribe for PT suffering from Wind Bi?

A

Xiao Hou Lou Dan (if severe, add Qin Jiao & Fang Feng)

218
Q

Case involving KD Yang Def, what would you prescribe?

A

Jin Gui Shen Qi Wan

P: deep, forceless, weak

219
Q

PT has SOB, SP problems, indigestion, difficult urination and edema (in L.E.). What formula would you prescribe?

A

A. Shi Quan Da Bu Tang * (good for the whole body)
B. Jin Gui Shen Qi Wan (doesn’t treat SP)
C. Zhen Wu Tang (doesn’t treat LU)

220
Q

PT has KD Yin Def. What points and herbs would you use?

A

KD6 + LU7

Wu Wei Zi, Tian Men Dong

221
Q

PT takes Ma Huang Tang and symptoms do not improve. PT has sweats slightly. What herbs can be added?

A

Gui Zhi & Bai Shao

222
Q

PT suffers from Yang Collapse. How should you treat the PT?

A

Use moxa with salt

223
Q

What is Tongue and Pulse for PT with Sheng Mai San condition?

A

T: pale red, scanty or no coat
P: thready, rapid, empty

224
Q

What is the Tongue and Pulse for someone with Bei Mu Gua Lou San condition?

A

T: red, scanty coat
P: thin, rapid, forceful

225
Q

Where can you not use direct moxa?

A

Major creases on the skin and breast region

226
Q

S/S for PT with Def Heat condition?

A

No desire to drink, takes small sips of water

227
Q

S/S for PT with ST Yin Def?

A

Take small sips of warm water

228
Q

Caution of needling KD22?

A

Injury to the HT with deep insertion

229
Q

What is the location of the Xi Cleft point of the KD?

A

1 cun directly below KD3; anterior-superior of the tuberosity of the calcaneous

230
Q

Why do you use back points, first, when treating exterior wind conditions?

A

Wei Qi travels on the back side, first and use yang channels

231
Q

PT reports of skin lesions and itchiness after going to a picnic. PT has a line across the palm of the hand which was noticed after a camping trip. Name this condition.

A

Scabies (severe itching)

232
Q

Points for early menstruation?

A

REN6, REN12, SP6, ST36, KD5, REN3, SP10, LI11

233
Q

Treatment for LU Def?

A

UB13, LU9, LU1, ST36, SP3

234
Q

Points to tonify SP and calm spirit?

235
Q

What is the location of the Front Mu point of UB?

A

4 cun below the umbilicus

236
Q

PT has icy cold limbs, diarrhea, abdominal pain and drinks lots of cold water. Name this condition.

A

Jue-Yin Cold

237
Q

S/S for PT with Def Heat condition?

A

No desire to drink, takes small sips of water

238
Q

S/S for PT with ST Yin Def?

A

Take small sips of warm water

239
Q

Caution of needling KD22?

A

Injury to the HT with deep insertion

240
Q

What is the location of the Xi Cleft point of the KD?

A

1 cun directly below KD3; anterior-superior of the tuberosity of the calcaneous

241
Q

Why do you use back points, first, when treating exterior wind conditions?

A

Wei Qi travels on the back side, first and use yang channels

242
Q

PT reports of skin lesions and itchiness after going to a picnic. PT has a line across the palm of the hand which was noticed after a camping trip. Name this condition.

A

Scabies (severe itching)

243
Q

Points for early menstruation?

A

REN6, REN12, SP6, ST36, KD5, REN3, SP10, LI11

244
Q

Treatment for LU Def?

A

UB13, LU9, LU1, ST36, SP3

245
Q

Points to tonify SP and calm spirit?

246
Q

What is the location of the Front Mu point of UB?

A

4 cun below the umbilicus

247
Q

PT has icy cold limbs, diarrhea, abdominal pain and drinks lots of cold water. Name this condition.

A

Jue-Yin Cold

248
Q

PT has icy cold limbs, diarrhea, abdominal pain and drinks lots of warm water. Name this condition.

A

Shao-Yin Cold

249
Q

PT has Wei Level symptoms. This is can be due to?

A

Wind Heat or Wind Cold

250
Q

PT has aphasia, cold limbs, mental restlessness, delirium, insomnia & fever-worse at night.
T: crimson with scanty coat
P: thready, rapid
Name this condition.

A

PC Heat in the Ying Level

251
Q

PT has dreams of suicide, wakes up early in the morning, has difficulty making decisions and is timid. Name this condition.

A

GB Deficiency

252
Q

PT has a lot of stress, rib pain, has difficulty falling asleep, dream disturbance and wakes up early in the morning. Which organ is affected?

253
Q

PT complains of chest congestion, head and face problems. Which Luo Connecting Channel(s) treat the chest and diaphragm?

254
Q

Yin Qiao Channel connects with which other channels?

255
Q

Which divergent channel passes both the ST & SP?

A

ST (also passes HT, so treats mental problems)

256
Q

Cautions when needling ST9?

A

Injury to carotid artery (no moxa)

257
Q

This point strengthens the back & sinews (good for lumbago).

258
Q

This point is located between the 4th & 5th web margin. What is it?

A

Ying Spring Point of Foot Shao Yang (GB43)

259
Q

What is the location of the KD Xi Ceft point?

A

1 cun directly below KD3. In the depression of the medial side of the tuberosity of the calcaneum.

260
Q

What is the Back Shu of the SP?

A

UB20
Location: 1.5 cun lateral to T11 (DU6).
Action: epigastric pain, jaundice, vomiting, diarrhea, dysentery, bloody stools

261
Q

What is the location & action of Er Bai?

A

Location: On forearm, 4 cun above the transverse crease of the wrist, on both sides of the tendon m. flexor carpi radialis.
Action: treats prolapse of the rectum & hemorrhoids

262
Q

What is the location of Hypertension Ear Point?

A

On the groove of the lower helix crus.

263
Q

What ear points should you use to treat vomiting?

A

ST & Shen Men + LV

264
Q

Location of the upper limb motor point (scalp AC)?

A

Middle 2/5

265
Q

KD1 is good for treating what condition?

A

Upper excess & lower def

266
Q

In treating LU Qi Def, what are the LU tonification & sedation points?

A

LU9 (+)

LU5 (-)

267
Q

Give the tongue & pulse for Cold Invades LV Channel condition.

A

T: moist, white T/C
P: deep, wiry

268
Q

C.I of moxa?

A

Lower back on pregnant women

269
Q

C.I. of moxa?

A

Def fever & def heat

270
Q

C.I. of electro-acupuncture?

A

HT disease PT

271
Q

Describe tongue & pulse of Wind Heat Bi.

A

T: red, thin, yellow coat
P: superficial, rapid

272
Q

A soldier came back from the Gulf War. He complains of depression d/t Qi Stagnation Transforming into Fire. What points would you use?

A

LV2, GB43, RN13, SJ6, GB34

273
Q

Points used for Herpes Zoster?

A

LI11, SP10, UB40, GB34, LV3

274
Q

PT was diagnosed with LV Fire. He complains of alternating chills & fever. What points should you use?

A

DU14, DU13, SI3, SJ2, GB41, PC5 (malarial D.O.)

Add LV2 for LV Fire

275
Q

PT was diagnosed with Leukorrhea d/t SP Def. What points would you use? Formula?

A

GB26, REN6, UB34, SP9, ST36

Wan Dai Tang

276
Q

What points would you use to treat LU Qi Def?

A

LU9, UB13, ST36, SP3

277
Q

PT has Wind Heat, Ext Wind condition. What points would you use?

A

UB13, LU7, LI4, UB12, LI11, DU14, SJ5

278
Q

What channels would you select for chronic rhinitis?

A

LI + LU + DU

279
Q

PT complains of rib pain & problems of the breasts. What points would you use?

A

GB34, GB41, SJ6

280
Q

PT complains of ST fullness (Bao He Wan condition). Which herbs would you add?

A

Huo Po + Zhi Shi

281
Q

Which herb in Xiao Feng San has a diuretic function?

282
Q

PT injured their knee and loss sensation to the area. Which nerve root has problems?

A

A. L3
B. L4
C. L5 *

283
Q

What herb should you avoid if nursing or postpartum?

A

A. Bian Xu
B. Shen Qu *
C. Gu Ya

284
Q

Incubation period/symptoms for Hepatitis B?

A

A. 50-180 days, chills & fever *

B. 50-180 days, jaundice

285
Q

Cupping is good for the following.

A

A. Arthritis *

B. Cramps & convulsions

286
Q

Cupping is contraindicated for what condition?

A

A. Edema *
B. Hypertension
C. Pain
D. All of the above.

287
Q

Fluoxetine (Prozac) inhibits which hormone?

A

A. Serotonin *

B. Catecholamine

288
Q

Which ear points treats vomiting?

A

A. LU, ST, Shenmen
B. LU, ST, Endocrine
C. LV, ST, Shenmen *
D. LV, ST Endocrine

289
Q

What herb will lose its purgative effect if cooked longer than 10min?

A

A. Da Huang *
B. Ren Shen
C. Shen Ren
D. Da Dumb

290
Q

As a practitioner, you find bruises & scrapes on a female PT during treatment. What should you do?

A

A. Advise the couple to seek counseling.
B. Report it to the police. *
C. Tell the husband.
D. I have no clue!

If you really don’t know what to do, close this program and go to sleep!

(hint…report…it…to…the…police!)

291
Q

What happens when wine is added to Da Huang (Sang Ji Sheng)?

A 
A. Nothing
B. Decrease its function.
C. Activates blood, expels wind and stops pain *
D. Compliments the other herbs
E. You get drunk :)
292
Q

A child has been suffering from asthma for a long time and did not seek treatment. PT has phlegm/damp s/s. How should the tongue look?

A

A. rigid
B. flaccid
C. swollen *
D. curved

293
Q

PT experiences pain & difficulty when urinating. Tongue does not have sores. What is the Dx?

A

A. Damp Heat in the UB *
B. Damp Heat in the HT
C. Damp-Cold in the ST
D. Cold-Phlegm in the UB

294
Q

PT is taking Xiao Huo Luo Dan and shows LV/KD Def s/s. What should you do?

A

Prescribe Du Huo Ji Sheng Tang

295
Q

PT with pernicious anemia are deficient in what?

296
Q

This point is located with a loose fist on the ulnar crease, proximal to the 5th metacarpophalangeal joint. What is it?

A

A. Du Confluent Point *

B. Yuan Source Point

297
Q

What is the best way to prevent an autogenous infection?

A

A. wash hands
B. use disposable needles *
C. swap in circular formation
D. use common sense

298
Q

PT accidentally took a herb and complained of nausea, vomiting, diarrhea and abdominal cramps. What did the PT take?

A

Cang Er Zi

299
Q

A 28-yr old mother brings in their 2-yr old child who is crying incessantly. The child has scrapes and bruises all over. What should you do?

A

Report the incident to CPS.

300
Q

PT with Internal Cold symptoms took Li Zhong Wan and got worse. PT shows cold symptoms. Tongue is thin w/ yellow, greasy coat. What formula would you prescribe?

A

Ban Xia Xie Xin Tang (Cold & Heat Accum in MJ)

301
Q

Which condition is good for electro-acupuncture?

A

A. Neuralgia *
B. Hypertension
C. Rabies
D. pace-maker issues

302
Q

What is the location for SP4?

A

A. Depression distal and inferior to the base of 1st MT bone*
B. Depression proximal and inferior to the base of 1st MT bone

303
Q

Which formula would you prescribe for PT with weepy, oozing skin lesions and itchiness?

A

Xiao Feng San

304
Q

Which of the following is prohibited in PT with HTN?

A

Salty taste, potatoes, pork

305
Q

C.I. of plum blossom needles?

A

A. acute abdominal pain *
B. hypertension
C. dysmenorrhea
D. HA

306
Q

Pt is taking antibiotics. Describe their tongue.

A

Peeled in patches (tend to injure ST Yin)

307
Q

Pt is taking corticosteroids. Describe their tongue.

A

Red and swollen (after one month of adminstration)

308
Q

Pt is taking bronchodilators. Describe their tongue.

A

Tongue tip is red (after prolonged & continued use)

309
Q

Pt is taking diuretics. Describe their tongue.

A

Peeled (reflecting Yin Def)

310
Q

Pt is taking anti-inflammatory drugs. Describe their tongue.

A

Red points, thin tongue body, peeled (after prolonged use)

311
Q

Pt is taking anti-neoplastics (cytotoxic drugs). Describe their tongue.

A

Very thick, brown or even black and dry coating

312
Q

Indications of roundworms

A

Abdominal pain, vomiting of round worms, cold limbs

313
Q

Indications of hookworms

A

Desire to eat strange objects such as soil, wax, uncooked rice or tea leaves

314
Q

Indications of pinworms

A

Itchy anus, worse in the evening

315
Q

Indications of tapeworms

A

Constant hunger

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