Week 2

Which is most Yin?
head, abdomen, back, or upper parts? (back)

spleen houss the: Thought (Yi)

Which of the following is not a Zang organ/Secretion association

Of the seven emotions which of the following injuries the kidney?

which organs are closely related to the development of edema? LU, SP, KD, SJ

Sinking of Central Qi often causes: many kinds of ptosis

Which of the following is "Mother and Son" relationship?

Hyperactivity of the liver causing it to attack the spleen belongs to: (5 element) Overacting (Jiao Ye Xiao Yao San)

Which organs control sexual reproduction? LV KD

Which organ is the source of post-heaven qi? SP

Which qi controls sweat? Wei Qi

The fluid in the brain is categorized as Jin or Ye? Ye

Which organ does dryness attack first? LU

What is the pulse which feels leisurely,but loses a beat at irregular intervals? Knotted

A thready, weak pulse indicates: Blood Xu

Wiry pulse indicates? Liver, disease, Phlegm, Pain, Malaria

What are the common symptoms of Qi Stagnation? Fullness with deeling of distention or moving pain

According to the 8 principle diagnosis, a patient with sudden massive diarrhea is? excessive

A patient has dizziness, tinnitus, dull-pale complexion withered and brittle nails, and insomnia. The diagnosis would be? Liver Blood Xu

A patient has pale complexion, fatigue, soreness, and weakness of the lower back and knees, clear frequent urination, and sometimes enuresis. diagnosis is: KD Qi Not Firm (KD QI XU)

coughing with thin runny white sputum, slight fever, aversion to cold, no sweat, white fur, floating and tight pulse, which is: Wind-Cold Superficial syndrome (ma huang tang)

which is not a sign of heart fire rising? eating a lot yet still feeling hungry

for spleen and kidney yang deficiency, the abnormality in bowel movement is: Cock's Crow Diarrhea (Si Shi Wan)

Alternating chills and fever, fullness in the costal and hypochondriac regions, anorexia, mental restlessness, vomiting, a bitter taste in the mouth, dryness of the throat, blurring of vision and wiry pulse. what diagnosis according to Six Stage diagnosis: Shao Yang


a middle aged man has pale complexion, cold extremities, weakness and soreness of the lower back and knees, impotence, decreasing sexual desire, and pale swollen tongue. Pulse is deep, thready and weak, worse in both chi pulses. what is the diagnosis? KD Yang Xu

a deviated tongue shows: stroke

According to Wen Bing diagnosis, if a patient has fever, without aversion to cold, mental restlessness, thirst, dark yellow urine, a red tongue with yellow coating and rapid pulse, the disease is at the: Qi Level (Bai Hu Tang)

Irritability, insomnia, palpitations, forgetfulness, vertigo, tinnitus, lower back pain, night emissions, five-center heat, dry mouth, and throat, red tongue, thready and rapid pulse. What is the diagnosis? Heart and Kidney not communicating (Tian Wan Bu Xin Dan)

A 40 year old male has an introverted nature, and is depressed all the time, a week ago, he started suffering from insomnia due to mental stress, he has a headache on temples, dizziness, irritability, flush heat in the face, weakness in the lower back and knees, red eyes, bitter taste in the mouth. LV Yang Rising

for the patient above, which of the following is most likely symptom to develop if not treated? Hypochondriac pain

a 30 year old female patient, since her parturition 3 months ago, she has been feeling listless and tired, leading to scanty urine that is difficult to void. about one week ago, she caught a cold and since then she has been tired lassitude, no appetitie, shortness of breath, dislike to speak, anuria, and a pale tongue. pulse is: Deep-Thready

the diagnosis for the above case is: Qi Deficiency

60 y/o female patient has a constant uncomfortable sensation in the chest, which is aggravated on exertion. for the past week due to heavy lifting, the patient has had palpitation, stuffiness, and pain in the chest, stabbing pain in the heart region which radiated to the inner aspect of the left arm and the shoulder.
thirst but without a desire to drink, or desire to drink but only drinks in small sips, has a dark red complrexion, and purple spots on tongue, the pattern identification according to 8 principle
Interior-Excess

the Diagnosis for the above case:Qi stagnant blood stasis

35 y/o male patient had salad in a restuarant, after returning home, a suden severe stomach ache occured. the stomach ache is alleviated by warmth and aggravated by cold. he has no thirst and likes to drink warm water. he has a pale tongue with white coating and a deep-tight pulse. diagnosis is: invasion of ST by external Cold Evil

a 43 y/o female patient has had heart disease for years. she is moody and has palpitation which are aggravated on exertion. she has been taking western medication for a long time. now she has a poor memory, insomnia, dream-disturbed sleep, pale complexion, pale tongue, thready-weak pulse. diagnosis is: Heart-Blood Xu (gui pi tang)

patient has been suffering from chronic diarrhea for a long time. he has loose stool, dull pain in the ab, no appetite, no thirst, dislike of cold, a pale tongue, and deep-thready pulse. diagnosis is:
Deficiency Cold

a 50 y/o female patient has suffered from hypothyroidism for years. she is slightly over weight, has poor appetite, stuffiness and fulness of the epigastrium, and a loose stool with difficulty to pass. in the recent month, she has been having nausea, feeling of oppression of the chest, which is alleviated by taking deep breath. she also has distending pain in the right hypochondriac and inguinal regions, and feeling of phlegm lump in the throat with difficulty to cough out. her tongue is puffy with white greasy coating, and pulse is thready-wiry-slippery. Zang Fu diagnosis is:
Liver-Spleen (Ban Xia Hou Po Tang)

5 Element diagnosis for above case is: Earth Insulting Wood

Mrs. Lee is 36 years old and a house wife. she complains that she has been baving masses in the right breast for three months. she feels a distending pain that is worse before her menstruation, she notices that the size of the masss is smaller after menstruation. she gets upset easily, her tongue is pale with thinwhite greasy coating and the pulse wiry slippery. diagnosis is
Liver Qi stagnation, Phlegm obstruction

HERBOLOGY
Which of the following can be used to smooth liver qi and clear heat and benefit throat?
Bo He

which one is better to clear phlegm?
She Gan (chicken singing in the throat)

which of the following can regulate qi and menstruation
Xiang Fu

which herb is used specially for frontal headache and clear mucus?
Bai Zhi

herbs that can cool the blood
Shan Zhi Zi, Xuan Shen, Mu dan Pi (in CALE, there is never "All of the above)

which one expels wind-damp bi-pain and secures the fetus?
Sang Ji Sheng

which of the following can stop cought and promote urination?
Sang Bai Pi

which herb can regulate qi and promote urination?
Da Fu Pi

which herb is better to moisten the lung?
Chuan Bei Mu

which can dispel stones?
Ji Nei Jin

which of the following can tonify blood, promote circulation, and regulate menstruation?
Dang Gui

which of the following can calm the heart, moisten the stomach and lungs?
mai men dong

which of the following can smooth liver qi and tonify blood?
bai shao

which of the following can tonify the kidney and moisten the intestines?
hei zhi ma

which of the following is used for stomach acidity?
hai piao xiao

which part of the plant is Tian Hua Fen?
root

which one can regulate LV qi, promote circualtion,a nd cool heat?
Yu Jin

which one can stop bleeding and promote blood circualtion? San Qi
san qi (pu huang)

a patient complains about having stress, feeling of a piece of meat in the throat, white tongue coating and wiry pulse, which herb should be used?
Hou Po (ban xia hou po tang)

a patient has insomnia, night sweat, red tongue, and thin rapid pulse
fu xiao mai (gan mai da zao tang)

ACUPUNCTURE
distance between the two mastoid processes is:
(3 questions about distance) 9 cun

what is the distance from Yintang to Du 20 (Baihui)?
8 cun

which channel travels to the tongue?
Spleen

which meridian terminates at the side of the nose?
LI

three in channels of foot and hand meet at:
Chest/abdomen/torso

where does the kindey channel start?
inferior aspect of the small toe

which channels enter the ear?
SI SJ GB

how many cun is Lu 6 Kongzui proximal to the wrist crease?
7

Ding Chuang Point is 0.5 cun lateral to ___ below the spinous process.
C7

the location of SJ 9 (Sidu) is on the:
lateral side of the forearm, 5 cun below the olecranon, between the radius and ulna

which point is located 1 cun above the naval and 2 cun lateral to ren meridian?
ST 24 Hua Rou Men

which point is in the lateral aspect of the neck, in the posterior border of m. sternocleidomastoideus, posterior to (LI18) Neck Futu?
SI 16 Tian Chuang (typical state board test question)

Which of the following is located 7 cun above a line level with the inner malleolus tip?
LV 6 Zhong Du

what point is located with mouth closed?
St 7, Xia Guan (typical CALE question)

st 36 zusanli, gb 34, yanglingquan, st 39 xiajuxu are examples of?
Lower-He Sea Point (at least 1 question about he-sea point

which point is good for stopping uterine bleeding
Sp-1 yinbai (moxa)

which of the following is a yuan source point and one of the eight influential points?
Lu-9 Tai Yuan

what point is combined with K6 Zhaohai to treat constopiation
SJ 6 Zhi Gou

which of the following is contraindicated for acupuncture treatment during pregnancy
GB 21 JianJing, li4, sp6, ub 60

li4 hegu, k7 fuliu can be combined to treat
Sweat (li 4 = day sweat) (k 7 = night sweat)

which point is contraindicated for both needling and moxibustion?
St 17, Ru Zhong

which of the following points can treat insufficient lactation?
Si-1 Shao Ze

which of the following points is not a fire point?
UB66 Zu Tong Gu

the point located between the second and third metacarpal bones?
P8 Lao Gong

which of the following are "son" points?
Sp 5 LI 2

which is the best point for any prolapsed organ?
Du20, Bai Hui

a patient comes to see you complaining of low back pain, which has been present on and off for 10 years. the pain is always worse when the patient over works and is better with heat and massage, which points do you choose?
K3 Tai Xi, Ub23 Shen Shu

a patient comes to see you with chest pain that gets worse with stress and anxiety, which is the best point?
P6 Neiguan

a patient comes to see you complaining of diarrhea, cramps in the lower abdomen and painful gas with flatulence. which is best?
St 25, Tian Shu

a man ate some bad shrimp the night before and woke up suffering from extreme nausea with occasional vomiting? which is the best point?
P6 Neiguan


WESTERN MEDICINE

Which of the following abnormalities is western hematologic testing of a patient with AIDS most likely to show?
Lympocytes

For carpal tunnel syndrome, which nerve is being compressed?
median nerve

the spleen is located at:
left hypochondrium

a person with type A blood should have antibodies to:
Type B

Vitamin A deficiency can cause
Night Blindness and conjuctival xerosis

The 4th cranial nerve is the:
Trochlear

Which of the following classes of drugs is utilized for the control of hypertension?
Calcium Channel blockers

blood circulates in the following direction:
Pulmonary artery to lung to pulmonary vein to left atrium

the extensors of wrist is innervated by:
Radial Nerve

an example of a neurotransmitter is:
Acetylcholine

Week 1

Review class will go over 5 tests a day (Foundations/Diagnosis, Herbs, Acupuncture, Western Medicine)

Then after the test, go over the test, question by question.

Test is 100 questions total. New comp test will be different


Which of the following organs are yang organs?

Which is Biao Li pair?

Orifice of Organ
(National exam test example)

Which one can control thebones

Which organ houses ___ spirit?

According to Five Element, liver fire attacking lung = counter acting (state board style)

Which of the following organs have a close relationship with blood

(Liver store blood, spleen manages, heart governs)

which organ can get qi xu easily?

air and gu qi =

Jing plays an important role in the formation of __

fluid that flows easily and nourishes the skin = Jin (jin = thin)

which of the following is the incorrect direction of the flow of the organ's qi
(state board never has "all of the above" or "a and b" type answer)

headache on the temporal is related to which organ
migraine, sj 5, gb 34, gb 41, extra points, tai yang
gb 20, lu 7, whole head
frontal headache, st 41, yang bai, gb 14

if patient gastric pain cna be relieved by local massage and warmth and pressure, cause =

which is the most important ext pathogen connected to diarrhea = damp
chronic diarrhea = shen lin bai zhu san, si shen wan,
acute diarrhea = bai tou wang tang, xiang lian wan (national)

yang edema due to wind attack starts from = face (hives, seafood, allergies)

what are the common symptoms of deficiency heat (state board)
blood stasis = sp 10, ub 17
itching = sp 10, gb 31

pale complexion, finger, nails, and lips, with blurred vision suggests:

red, swollen, or bleeding gums are due to: st fire

yang collapse has which of the following conditions? = profuse cold sweat like pearls

when treating a patient with high fever, which method is contraindicated

a patient has a constituion of qi xu, she now has a common cold, your treatment principle is to tonify qi, and release exterior, this is = treating the root and branch at the same time.

a patient with straight starring eyes, frequent convulsions, and spasms in the limbs is usualy case of = liver wind (wind phlegm = sticky coating, stroke victim, scalp + st 40) epilespy, day = ub 62, night time = kd 6

a patient has chills and fever, no sweat, and has a floating and tight pulse. what level is the disease in according to 6 level diagnosis (shang hang lun)

a patient has dry itchy skin and constipation, diagnosis = dry blood producing wind

the patient complains of dizziness, headache on vertex, angered easily and has a red face, pathology =

if the tongue is swollen and teeth marked, what condition does the patient have

the patient has cock's crow diarrhea, a cold low back, and profuse clear urination, what is the pulse? = slow and thready

the patient has amenorrhea, insomnia, numbness of limbs, pallor, dizziness, blurred vision, dry eyes, and the tongue is pale, what is the likely pulse? = thin
(state board will have 3 questions on pulse)

the patient has chronic headaches at the temples, which only occur at night, the pain is relieved by pressure, his pulse is thready and rapid, what is the 8 principle diagnosis? interior, yin deficient, heat (in recent years, no question like this in state board)

a female, 46, is usually in good health but sometimes feels dizzy, angers easily, and has distention in the hypochondriac region with dry stools once a day, two weeks ago she was suddenly overcome by severe dizziness, her feet felt weak, has speech difficulties, and half of her body turned numb but she did not lose consciousness. then she felt lower back soreness and weakness in her knees. went to a MD, ct scan shows infarction of the blood vessels of the brain, after medical treatment, her symptoms became stable, what is the 8 principle diagnosis?
= Upper is in excess, lower is deficient
(common in CALE)

(memory, si shen chong, ren shen, yuan zhi, yi zhi ren (poppy seed)

If insufficient amount of Qi and Blood nourishes the meridians, which symptom is likely? = numbness

patient has frequent, urgent, painful, yellow urination = damp heat

a female patient has had diarrhea and prolapse of the rectum for a long time, then prolapse of the uterus occured when moving too much = prolapse of zhong qi

frequent night urnation is mostly considered
kidney qi xu

a male, 25, felt sick for 3 days, has a fever, does not like wind, has a red face, red eyes, is thirsty, and drinks a lot, has a stuffy nose, sticky phlegm, and is constipated, its tongue is red tip and sides, and thin yellow coating, pulse is floating and rapid,
= wind heat

which organs are mostly involved?
lung/li

a patient has a constatn dry cough, accompained by dry mouth, dry throat, hoarse voice, weight loss, low drade fever in the afternoon, and five center heat, red tongue, thready rapid pulse, the diagnosis is = LU Yin xu

a 29 year old patient has been suffering from rheumatoid arthritis, for the past 2 years, when it first started, joints were painful, swollen, and hot. what is his pulse?
wiry and choppy

50 y/o starts to have neck and shoulder pain, which is aggravated by stress and is worse at night.
= qi and blood stagnation

which herb is specifically used to raise qi?
huang qi

which herb can reduce food stagnation and dissolve stones in the body?
ji nei jin
jin = dissolve stone

which herb can warm the liver and kidney?
Wu Yao
a patient has stress, pain in the liver area, with red tongue, wiry, and rapid pulse, choose the best herb
yu jin

which one is neutral?
tu si zi

which of the following herb works best to treat wind cold headache and pain at the vertex?
gao ben

da huang has a stronger purging power when
is added last or used fresh

which of the following should be cooked in the last 5 minutes?
bo he, sha ren

which herb can warm the interior and lead the fire back ot the kidneys?
rou gui

a patient has low fever, is very thirsty, has a dry and red tongue, and has a small rapid pulse
zhi mu

can release the surface and descend the st qi down
sheng jiang

used for excess heart fire
huang lian

which channels does bai he enter?


we choose zhu ling and fu ling to treat edema and retention of urine because the herbs are:
Bland

which one is warm?
Rou Dou Kou

which of the herbs can clear hot phelgm in LU, ST GB?
Zhu Ru

Restless Fetus, due to impairment of the KD and LV, yin blood xu, best to use?
san ji sheng (at least 1 question of restless fetus)

which can stop bleeding and promote blood circulation?
san qi

which hrb is best for lower back and leg pain with weak legs due to cold dampness obstruction?
Du Huo

After delivery has low abdominal pain, feels empty, likes warmth and pressure, doesn't like cold, tired, dizzy, face is pale, and slightly green, her hands and feet are cold, tongue is pale, with a white coating, pulse is slow and deep, which group of herbs to use?
warm and tonify yang


Acupuncture
3 yin channels of the hand ends at
hand

which channel can be used for temporal headache?
shao yang

which channel goes to the inner eye?
SI

du channels enters the brain at
Du-16

where does the liver channel meet, Du channel
vertex

the Well Jing Points of the yang channel is what element?
metal

which is not a yuan source point?
GB 41

what point is at midspine below the spinous process of the 3rd thoracic vertebra?
du 12
(2-3 questions follows the DU channel)

how far above is K-7 from KD-3?
2 cun

what point is located a tthe depression on the lower borders of the tuberosity of the navicular bone?
KD-2 (lower glucose, frontal pleastisis), KD 2, 3, 6, sj 4, wei gui extra point, ren 12, lower glucose
diabetes = lui wei di huang wan

st 41 is located lateral to
extensor hallucis longus
(almost always on the comp at school)

what of the following points are not at the same level?
Du 7 Zhong Shu (t10), UB 19Dan Shu (t10) , UB 49 Yi She (t11)

which point is best for LI problems?
ST 36

profuse sweating, LI 4 is often paired with which point?
KD 7

which of the following combinations is the best choice for hemorrhoids
du 1 - ub 57

which point is used to transform phlegm and dampness?
st 40

the symptoms of chills and fever are best treated with what point?
SJ 5

which of the following is an experience point good to treat asthma?
ding chuan

which choice is best for treating vision?
SI 6

where is the common point for hypertension located?
on the mergin of the web between the first and second toes

which point is best for constipation
sj 6 (+ kd 6)

a patient has a chief complain of migraine headaches which happen to one side of the head and with pain all over the outerside of her upper arm. which is best point combo?
gb 41 + sj 5

ub 39 is
lower he sea point of hand shao yang

the point located in the upper aspect of the shoulder, in the depression between the acromial extremity of the clavicle and the scapular spine is
LI 16

which of the following would you select to dispel the pathogenic heat?
DU 14

a patient complains of daytime episode of epilepsy which point can be used?
UB 62 (day time) KD 6 = night time

the distance between all of the following pair of the points is 0.5 cun, except:
LI 9, LI 8

which point is good for treating whole body pain or weakness of the four limbs?
SP 21

when needling H1, which nerve might be injured?
axillary nerve

when needling Du 15, obliquely upwards, you might injure the
medulla


WM
The purpose of lab tests and physical exams in western medicine is:
diagnositc, screening, monitoring,

the most useful glucose test employed in monitoring diabetes mellitus therapy in western medicine is
blood monitoring

taking an antibiotic for less than the full course of therapy can lead to
resistant bacteria

what problem is primarily assosciated with an iron deficiency
hemogoblin deficient anemia

the most important symptom or sign for the diagnosis of an acute appendicitis
McBurney's point tenderness

a52 yo male has long standing hypertension, this leads to tissue damage in all organs but
lungs

an individual taking 1 aspirin a day
inhibits blood platelet aggregation

the adrenal cortex does not produce which following?
melatonin (pineal gland)

hyperthyroidism should cause
Tachycardia

what problem is primarily associated with Vitamin A deficiency?
night blindness


CALE = 5% WM
always 2 questions for vitamins

A = night blindness
B = brain
C = bleeding gums (scurvy)
D = + calcium = bone osteoporsis
E = Eyes, hair, skin

Hypothyroidism = Hoshimoto's disease = loss hair, edema,
hyperthyroidism = zhi mu di huang wan (kd yin xu)
hypothyroidism = jin gui shen qi wan (kd yang xu)

beriberi = bi wan xu
goiter = iodine xu
bleeding disorder = vitamin k xu