YIQIAO: TCM Diagnosis SG - Q&A

94. Which of the following pulses is commonly found in a patient with a deep red tongue without coating? a. Thin and rapid b. Scattered c. Deep and frail d. Surging and rapid

a. Thin and rapid

8. Kidney essence exhaustion can cause which of the following? a. Exophthalmus b. Platycoria (dilation of the pupils) c. Sunken eyes d. Eyelid twitching

b. Platycoria (dilation of the pupils)

95. Which of the following areas will be sensitive in the patient who has appendicitis? a. 1 to 2 cun below ST-36 b. 1 to 2 cun below the GB-34 c. 1 to 2 cin below the ST-37 d. 1 to 2 cun below the sternum

a. 1 to 2 cun below ST-36

34. Which of the following has the symptoms of difficult, short and rapid respiration, with a sense of tightness, congestion, and breathlessness or constriction in the chest? a. Asthma (chuan) b. Wheezing (xiao) c. Upper stifling breath (shang qi) d. Shortness of breath (duan qi)

a. Asthma (chuan)

108. A young man woke up one morning to see a patch of hair fall from his head. The night before, he had slept beneath an open window. Which of the following best describes the cause of his condition? a. Blood deficiency with invasion of wind b. Premature senility c. Insufficiency of the Kidney essence d. Insufficiency of the Heart qi

a. Blood deficiency with invasion of wind

149. A 32 year-old female suffers from persistent, severe headaches with repeated attacks and a fixed location. Her symptoms are caused by which of the following? a. Blood stagnation causes b. Wind cold attack c. Qi stagnation d. Yin deficiency

a. Blood stagnation

23. A yellow greasy tongue coating indicates which of the following? a. Damp heat accumulation b. Body fluid injury due to excessive heat c. Cold damp accumulation d. Wind heat attack

a. Damp heat accumulation

177. A 35 year-old male has been married for about two years. He complaints that his erection is now weak and cannot be sustained. He also suffers from dizziness, blurred vision, disturbed sleep, soreness and weakness in the lower back and knees, and occasional involuntary nocturnal emissions. He has a pale face and tongue. Which of the following pulses will he most likely have? a. Deep and thin b. Deep and excessive c. Wiry and slippery d. Choppy and frail

a. Deep and thin

78. The confined pulse is composed of which of the following groups of qualities? a. Deep, long, taut, forceful, and wide b. Deep, long, thin, taut, and forceful c. Middle depth, short, slippery d. Slippery, rapid, and forceful

a. Deep, long, taut, forceful, and wide

89. According to warm disease (wen bing) differentiation, a superficial rapid pulse indicates which of the following pathologies? a. Defensive level heat b. Qi level heat c. Nutritive level heat d. Blood level heat

a. Defensive level heat

167. Barbara, age 34, complains of infertility and has had three miscarriages during the past eight years. Since her first miscarriage, she has had an irregular menstrual cycle and lower abdominal pain during menstruation, which is aggravated by pressure and relieved by warmth. Her tongue is pale purple with a dry thin coating, and her pulse is thin, submerged, and frail. What is her diagnosis? a. Deficiency cold of the Penetrating Vessel (chong mai) and Conception Vessel (rén mai), with blood stagnation b. Kidney essence insufficiency c. Spleen yang deficiency d. Blood stagnation with heat

a. Deficiency cold of the Penetrating Vessel (chong mai) and Conception Vessel (rén mai), with blood stagnation

162. A 30 year-old male patient has not had a bowel movement for four days. Before that, he also had constipation with dry stools. He tells you that he is passing dark and scanty urine. You also witness restlessness, a red face, dry mouth, foul breath, and abdominal fullness. His tongue is red with a yellow dry coating, and the pulse is slippery and rapid. What is the diagnosis for this patient? a. Excess heat in the Stomach and Large Intestine b. Lung heat transmitting to the Large Intestine c. Dryness of the Large Intestine d. Spleen qi deficiency

a. Excess heat in the Stomach and Large Intestine

49. Profuse sweating on the palms and soles indicates which of the following? a. Excessive heat in the Spleen and Stomach b. Gallbladder qi deficiency c. Excessive heat in the Lung d. Kidney yin deficiency

a. Excessive heat in the Spleen and Stomach

85. Which of the following is correct regarding the moderate pulse? a. Four beats per (practitioner's) breath b. Indicates cold pattern c. Only felt at the deep level d. Pulse hits the fingers without force

a. Four beats per (practitioner's) breath

147. Ralph is a timid person who gets palpitations when he is surprised. He is easily frightened, especially by strange noises. He suffers from restlessness, dream-disturbed sleep, irritability, and anorexia. His tongue coating is thin and white. What is the most appropriate diagnosis for this patient? a. Gallbladder qi deficiency b. Hyperactivity of fire due to yin deficiency c. Heart and Spleen qi deficiency d. Liver qi stagnation

a. Gallbladder qi deficiency

131. Lind told you that her 76 year-old father is always murmuring to himself with repetitions and interruptions. The content is incoherent, but it stops when he meets with people. His consciousness is clear, but his thinking and reaction are slow. What is the pathogenesis? a. Heart qi and/or blood deficiency b. Heat disturbing the Heart c. Kidney yin deficiency d. Blood stagnation

a. Heart qi and/or blood deficiency

136. A 35 year-old male patient complains of loose stools look like "duck droppings". He also has dull abdominal pain, frequent loud borborygmi, pale urine, and cold limbs. His tongue is pale and his pulse is submerged and thin. What is the zang fu diagnosis for this patient? a. Interior cold in the Large Intestine b. Damp heat in the lower burner c. Liver attacking Spleen d. Exterior cold invading the Large Intestine

a. Interior cold in the Large Intestine

148. Linda, a 48-year-old female, has complained of palpitations and insomnia for about a month. She also feels dizzy and nauseated. She has a bitter taste in her mouth and likes drinking cold water. Her menstrual cycle has been irregular for one year. Her tongue has a yellow greasy coating. The pulse is wiry and slippery. What is the correct diagnosis for her? a. Lack of coordination between the Gallbladder and Stomach with stirring up of phlegm-heat b. Heart qi and blood deficiency c. Hyperactivity of the Liver yang and Spleen qi deficiency d. Pathogenic cold in the Stomach

a. Lack of coordination between the Gallbladder and Stomach with stirring up of phlegm-heat

63. Alternating attacks of dry and loose stools indicate which of the following? a. Liver qi stagnation with Spleen deficiency b. Food stagnation c. Stomach heat d. Damp heat in the Large Intestine

a. Liver qi stagnation with Spleen deficiency

20. A patient's tongue body is short, blue purple, and moist. This appearance indicates which of the following? a. Pathogenic cold obstructing channels b. Qi and blood stagnation c. Excessive pathogenic heat d. Toxic heat attacking the Heart

a. Pathogenic cold obstructing channels

57. Which of the following are indicated by the following symptoms: palpitations that come and go, induced by anxiety or fright, with dizziness and vertigo? a. Phlegm disturbing the Heart b. Liver qi stagnation c. Heart qi deficiency d. Water rising up and disturbing the Heart

a. Phlegm disturbing the Heart

102. A 59-year-old male patient was diagnosed with bronchial pneumonia. The chief complaints are productive coughing and wheezing. He has a thin red tongue with a crack and little coating, and a weak pulse. The TCM diagnosis for him is cough due to phlegm dryness. Which of the following phlegm appearances will this patient most likely see after he coughs. a. Scanty white thick sputum or white clots like rice, very difficult to expectorate or blood-streaked sputum b. Profuse thin white sputum, easy to expectorate, worse at night c. Sticky yellow sputum, may accumulate into clots, difficult to expectorate d. The phlegm shape looks like dirty cotton balls with a dark black color, or sticky spu- tum that looks like glue. It is difficult to expectorate.

a. Scanty white thick sputum or white clots like rice, very difficult to expectorate or blood-streaked sputum

10. The condition of children sleeping with their eyes slightly open is due to which of the following? a. Spleen deficiency with qi and blood insufficiency b. Kidney deficiency with yin exhaustion c. Liver wind d. Excessive heat in the Liver channel

a. Spleen deficiency with qi and blood insufficiency

158. A patient complains that he has thirst, drinks a lot of water, has excessive appetite, bad breath, swollen and painful gums, and a burning sensation in the epigastrium. What is the diagnosis? a. Stomach fire blazing b. Stagnation of the Stomach qi c. Deficiency of Spleen qi d. Liver fire invading Stomach

a. Stomach fire blazing

38. A late stage lung cancer patient suddenly starts to hiccough. The hiccoughing is weak, interrupted, and recurs after long pauses. These symptoms indicate which of the following? a. Stomach qi exhaustion b. Stomach qirecovery c. Stomach yin increasing d. Yang qi increasing

a. Stomach qi exhaustion

159. A 32 year-old male presents with burning epigastric pain. He also has an empty and uncomfortable sensation in the stomach with hunger but not desire to eat, hiccoughs, thirst, and constipation. His tongue is red and dry with little coating and he has a thin, rapid pulse. What is the most appropriate TCM diagnosis for him? a. Stomach yin deficiency b. Stomach fire c. Stomach qideficiency d. Food stagnation

a. Stomach yin deficiency

91. Which of the following characteristics are common to the leather and hollow pulses? a. Superficial, wide, and empty in the middle b. Superficial and forceless c. Superficial and indistinct d. Superficial, thin, and forceless

a. Superficial, wide, and empty in the middle

7. Which of the following does the eye reflect? a. The state of the spirit and essence b. The state of the qi and blood c. The state of the body fluids d. The state of the yin and yang

a. The state of the spirit and essence

172. A 32-year-old female has difficulty controlling herself and cries a lot. The TCM diagnosis is restless organ disorder (Zang Zao). Which of the following is the most likely pulse for her? a. Thin and rapid b. Wiry and slippery c. Submerged and frail d. Choppy and slow

a. Thin and rapid

198. Sita is a 65 year-old female who was diagnosed with glaucoma two years ago. She suffers from spots before her eyes, blurry vision, mild headaches, and vertigo. She also complains of hot palms and soles as well as depression. What kind of pulse would you expect to find in her left middle pulse position? a. Thin and wiry b. Wiry and slippery c. Frail and slow d. Faint

a. Thin and wiry

124. Doug, a 35-year-old male patient, was diagnosed with hepatitis C two years ago. He complains of epigastric focal distention, fullness and tightness but without pain, and frequent dry heaves, periodic diarrhea, and anorexia. For one month he has taken Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Epigastrium) and now reports that he feels his symptoms are much improved. What kind of tongue coating would you expect this patient to have prior to taking the formula? a. Thin greasy yellow b. Thick moist white c. Thin greasy d. No tongue coating

a. Thin greasy yellow

83. Which of the following statements regarding the thin pulse is correct? a. Thin, but clear and distinct b. Thin, forceless, and indistinct c. Short and forceless d. Superficial and forceful

a. Thin, but clear and distinct

80. Which of the following characteristic(s) are common to both the soggy and the frail pulses? a. Thready and forceless b. Superficial and forceless c. Deep d. Short

a. Thready and forceless

88. All of the following pulses are yin in nature EXCEPT which of the following? a. Tight pulse b. Submerged pulse c. Slow pulse d. Slow irregular pulse

a. Tight pulse

25. Which of the following tongue coating changes indicates that the pathogen is growing in strength? a. Tongue coating gets thicker b. Tongue coating gets thinner c. Tongue coating changes from moist to dry d. Tongue coating changes from yellow to white

a. Tongue coating gets thicker

96. "Pitting" edema is caused by: a. Water retention b. Blood deficiency c. Qi stagnation d. Pathogenic wind damp attack

a. Water retention

115. A 32 year-old male patient complains of low back pain. He experiences stiffness, especially in the morning when he goes for a run on the beach. He says he always stretches before and after his run, but his back remains stiff and sometimes feels cold. Sometimes the pain radiates down to his legs. How do you expect his tongue to appear? a. White and sticky tongue coating b. Red body with scanty coating c. Red body with yellow coating d. Pale body with thin yellow coating

a. White and sticky tongue coating

28. When a pathogen moves from the exterior to the interior, which of the following tongue coatings would you expect to find? a. White on the tip and yellow at the root b. One half side white and one half side yellow c. Thinner on the tip and thicker at the root d. One half side thinner and one half side thicker

a. White on the tip and yellow at the root

17. A blue infantile index finger vein indicates which of the following? a. Wind pattern b. Deficiency pattern c. Heat pattern d. Yin deficiency pattern

a. Wind pattern

50. Sweat on only half of the body indicates which of the following? a. Wind-phlegm obstructing the channels b. Yang qi deficiency c. Heat accumulating in the middle burner d. Yin deficiency

a. Wind-phlegm obstructing the channels

71. Season and weather can affect the normal pulse. In springtime, the normal pulse tends toward which of the following? a. Wiry b. Flooding c. Superficial d. Submerged

a. Wiry

173. A patient complains of a feeling that something is stuck in her throat and it won't move up or down. You diagnose plum-pit pattern. Which of the following is her likely pulse? a. Wiry and slow or wiry and slippery b. Wiry and thin, or wiry and tight c. Slippery and rapid, or slippery and thin d. Rapid and thin, or thin and frail

a. Wiry and slow or wiry and slippery

185. Mr. Hong, a 58 year-old male, was admitted to the hospital six days ago because of a stroke that left his right side paralyzed. He also suffers from dizziness, headache, insomnia, irritability, dry mouth, and thirst. He worries a lot and is afraid he will not walk again. His blood pressure is 160/95 mmHg and he has a red cracked tongue with little coating. Which of the following pulses will most likely be found in Mr. Hong? a. Wiry and thin b. Choppy and wiry c. Slippery and rapid d. Surging and rapid-irregular

a. Wiry and thin

27. A pale flabby tongue with a slightly yellow slippery coating indicates which of the following? a. Yang deficiency with dampness b. Qi and blood deficiency c. Damp heat accumulation d. Phlegm obstruction of the channels

a. Yang deficiency with dampness

24. A deep red tongue with a white greasy tongue coating, indicates which of the following? a. Yin deficiency with damp phlegm b. Heat and phlegm accumulation c. Damp accumulation d. Yin deficiency with heat

a. Yin deficiency with damp phlegm

12. A green or blue tip of the nose indicates which of the following? a. Blood deficiency b. Abdominal pain c. Damp heat d. Exterior wind cold

b. Abdominal pain

60. Mild itching in both eyes indicates which of the following? a. Liver fire flaring up b. Blood deficiency c. Wind phlegm disturbing head d. Middle burner qi sinking

b. Blood deficiency

4. Hair that suddenly falls out in big clumps is due to: a. Kidney deficiency b. Blood deficiency with wind c. Lung qi deficiency d. Damp-heat

b. Blood deficiency with wind

70. Which of the following can cause both profuse and scanty menstrual bleeding? a. Qi deficiency b. Blood stagnation c. Pathogenic heat d. Phlegm obstruction

b. Blood stagnation

18. When observing the tongue coating, which of the following can help to distinguish whether the patient's condition is hot or cold in nature? a. Humidity b. Color c. Thickness d. Distribution

b. Color

29. A pale tongue body with cracks on the edges most likely indicates which of the following? a. Internal cold accumulation b. Damp accumulation secondary to Spleen deficiency c. Deficiency of blood d. Deficiency of yin

b. Damp accumulation secondary to Spleen deficiency

151. A 32 year-old male has excruciating pain in his left fist metatarsophalangeal joint. It is red, warm, shiny, and extremely tender. He also has chills, fever, malaise, and tachycardia. His laboratory test results shows uric acid above 7.0 mg/dL. His tongue is red with a greasy yellow coating, and his pulse is rapid and slippery. What is the TCM diagnosis? a. Wind heat Di pattern b. Damp heat bi pattern c. Blood stagnation d. Qi stagnation

b. Damp heat bi pattern

143. A 43 year-old woman complains of a low-grade fever that persists throughout the day. She also experiences a heavy sensation in her head, limbs, and trunk; the stifling sensation in her chest especially bother her. Her appetite is poor, associated with abdominal distention and lethargy after meals. Her pulse is soggy and slippery, and her tongue has a sticky slightly yellow coating. What is the diagnosis? a. Kidney yin deficiency b. Damp heat in the upper burner c. Spleen qi deficiency with dampness d. Spleen qi deficiency

b. Damp-heat in the upper burner

122. Marianne is a 52 year-old woman who has been suffering from headaches for the past three years. The headaches occur mostly in the forehead and facial areas, but also on the top of the head. The headaches started after a fast and are worse during the daytime. They are accompanied by a feeling of fuzziness in the head. She reports that she has also been suffering from chronic catarrh and rhinitis for the past 25 years. She suffers with chronic low back pain and frequent urination. She feels tired. She is also constipated and does not mover bowels every day. When she does have a bowel movement, the stools are loose. She generally feels cold. With which of the following tongue ad pulse signs will this patient most likely present? a. Deep and frail pulse; pale and stiff tongue with a thin white coating b. Deep and frail pulse; pale and swollen tongue with a sticky white coating c. Deep and frail pulse; pale and swollen tongue witha sticky yellow coating d. Thin and wiry pulse; pale and stiff tongue with a sticky yellow coating

b. Deep and frail pulse; pale and swollen tongue with a sticky white coating

69. Lower abdominal cramps after menstruation indicates which of the following? a. Excess b. Deficiency c. Heat d. Cold

b. Deficiency

169. A 37 year-old woman complains of mild, persistent uterine bleeding, irregular menstruation (either early or late), extended or continuous menstrual flow, spotting between periods, abdominal pain and distention, and coldness in the lower abdomen. Her lips and mouth are dry, and she has a low-grade fever in the evenings along with warm palms and soles. What is the best diagnosis for this patient? a. Deficiency heat of the Penetrating Vessel (chong mai) and Conception Vessel (rén mai) with blood stagnation b. Deficiency cold of the Penetrating Vessel (chong mai) and Conception Vessel (rén mai) with blood stagnation c. Kidney yin deficiency with Liver yang rising with blood stagnation d. Downward flow of damp heat with blood stagnation

b. Deficiency cold of the Penetrating Vessel (chong mai) and Conception Vessel (rén mai) with blood stagnation

3. A female patient reports that her hair looks dull with a tendency to split. What do these symptoms indicate? a. Deficiency of Kidney yin b. Deficiency of Lung qi c. Deficiency of Liver blood d. Deficiency of Heart yang

b. Deficiency of Lung qi

76. Which of the following components are different between a frail pulse and a soft pulse? a. Strength b. Depth c. Rhythm d. Rate

b. Depth

164. A 32 year-old male complains of insomnia for three weeks, waking during the night, with nightmares and dreams of flying. He has a bitter taste in his mouth, thirst, mental restlessness, and palpitations. He also has facial acne, canker sores, and is constipated. What is the TCM diagnosis? a. Liver qi stagnation with heat b. Kidney and Heart disharmony c. Heart fire blazing d. Heart blood and Spleen qi deficiency

c. Heart fire blazing

138. A 38 year-old man with a five-year history of diabetes mellitus presents with anorexia, nausea, and vomiting. His urine output has increased significantly over the past 24 hours and he is now starting to experience a vague abdominal discomfort. His breathing is deep and rapid and his breath has a rotten fruity odor. Random blood glucose level is high. What is the diagnosis? a.Acute hypoglycemic episode b. Diabetic ketoacidosis c. Acute renal failure from diabetic nephropathy d. Insulin overdose

b. Diabetic ketoacidosis

43. Which of the following pathogenesis does NOT appear in low grade fever? a. Deficiency of antipathogenic qi b. Excess heat in the Stomach and Large Intestine c. Qi and yin deficiency d. Qi stagnation

b. Excess heat in the Stomach and Large Intestine

98. Which of the following patterns would you find in a patient whose forehead feels hot at first touch, but becomes mildly warm after prolonged contact? a. Heat from yin deficiency b. Exterior heat c. Interior heat d. Damp-heat

b. Exterior heat

99. Which of the following patterns would be indicated when a patient's dorsal aspect of the hand (back of the hand) is hotter than the palm? a. Yin deficiency heat b. Exterior heat c. Interior heat d. Damp heat

b. Exterior heat

146. A 21 year-old male suffered from palpitations with anxiety for two years. He has palpitations 5-8 times a day. He also complains of poor memory, dizziness when studying hard, and insomnia with dream-disturbed sleep. He has a pale face, a pale tongue with a thin white coating, and a frail pulse. What is the diagnosis? a. Heart qi deficiency b. Heart blood deficiency c. Fire disturbing the Heart spirit d. Phlegm obstructing the orifices

b. Heart blood deficiency

11. A withered and parched helix is due to which of the following? a. Fire flaming up from the shao yang channel b. Insufficiency of Kidney essence and Kidney yin c. Blood stagnation in the shao yin channel d. Spleen deficiency

b. Insufficiency of Kidney essence and Kidney yin

72. Which of the following emotional changes can temporarily cause the slow pulse? a. Anger b. Joy c. Melancholy d. Grief

b. Joy

66. Dripping after urination indicates which of the following? a. Spleen qi deficiency b. Kidney qi deficiency c. Damp-heat in the lower burner d. Heart fire transferring to Small Intestine

b. Kidney qi deficiency

68. Insomnia characterized by waking up repeatedly during the night indicates which of the following? a. Heart blood deficiency b. Kidney yin deficiency c. Gallbladder qi deficiency d. Heart fire blazing

b. Kidney yin deficiency

16. A chronic sore throat that is pink in color but isn't swollen can be caused by which of the following? a. Excess heat in the Lung and Stomach b. Kidney yin deficiency with heat c. Damp heat in the middle burner d. Wind phlegm accumulation in the throat

b. Kidney yin deficiency with heat

161. A patient has had diarrhea and fever for two days. The symptoms include abdominal pain, tenesmus, blood and mucus in the stools, and a burning sensation in the anus. He is thirsty and passes scanty, deep-yellow urine. His tongue has a yellow sticky coating and his pulse is slippery and rapid. What is the diagnosis for this patient? a. Spleen damp heat b. Large Intestine damp heat c. Bladder damp heat d. Heart fire transferring to the Small Intestine

b. Large Intestine damp heat

40. Rotten apple odor in the ward (patient's room) indicates which of the following? a. Syphilis b. Later stage xiao ké pattern c. Later stage of yin-water pattern (uremia) d. Profuse bleeding

b. Later stage xiao ké pattern

A 43-year-old female complains of excessive vaginal discharge. A thin and transparent white liquid is profuse and continuous. She also reports frequent and copious urinary out- put, loose stools, and a cold feeling in the abdomen. Her tongue is pale with a thin white coating and her pulse is submerged. What is her diagnosis? a. Leukorrhea due to damp cold in the lower burner b. Leukorrhea due to deficiency of the Kidney c. Leukorrhea due to deficiency of the Spleen d. Leukorrhea due to damp heat in the lower burner

b. Leukorrhea due to deficiency of the Kidney

141. A 67 year-old female patient's hearing has declined rather suddenly and she has a constant ringing in her ears that cannot be alleviated by pressing her hand over her ears. She has a bad temper and often has headaches. Her face is flushed and her pulse is forceful and wiry. What is the pathogenesis? a. Kidney yin deficiency with deficiency heat b. Liver fire flaring up c. Liver blood deficiency wind d. Phlegm heat in the Gallbladder channel

b. Liver fire flaring up

137. What do the following symptoms indicate: depression, sighing, poor appetite, belching, plum-pit sensation, irritability, distending pain in the hypochondriac and coastal regions, chest stuffiness, irregular menses, dysmenorrhea, thin, white tongue coating with a wiry pulse? a. Liver yang rising b. Liver qi stagnation c. Kidney and Liver yin deficiency d. Damp phlegm obstructing the Lung

b. Liver qi stagnation

5. Purplish sclera indicates: a. Liver fire b. Liver wind c. Dampness d. Blood stagnation

b. Liver wind

145. A 38 year-old man has been suffering from headaches for the past five years. The headaches occur over the whole head and are dull but intense in character. They improve when lying down, and worsen with stress or exposure to light. The headaches are accompanied by nausea, vomiting, and a feeling of cold. He also has hypochondriac pain and is prone to constipation. The tongue is slightly dusky and swollen, with a dirty coating. What is the correct diagnosis for this patient a. Liver yang rising due to Liver yin deficiency b. Liver yang rising due to Liver blood deficiency c. Liver yang rising due to Liver and Kidney yin deficiency d. Liver fire

b. Liver yang rising due to Liver blood deficiency

31. A hoarse voice, gradually increasing and worsening at night, with an itching and slightly painful throat indicate which of the following symptoms? a. External dryness invasion b. Lung and Kidney yin deficiency c. Heat phlegm accumulation in the throat d. Qi stagnation

b. Lung and Kidney yin deficiency

104. A 42-year-old male has an earth type constitution. Clinically, he presents with dizziness, fatigue, palpitation and depression, a greasy tongue coating, and slippery pulse. Which of the following physical traits would he most likely present? a. Emaciated b. Obese c. Tall d. Short

b. Obese

127. A 55 year-old male has suffered from hemiplegia (post-stroke sequellae) on his left side for the past five months. It is difficult for him to speak cleraly, and he also has a deviated mouth and eyes. His face looks withered yellow without shen. His limbs are slightly swollen. His pulse is think choppy, and forceless. With which of the following tongue appearances might he present? a. Red tongue with a greasy yellow coating b. Pale tongue with a thin white coating c. Red tongue with a yellow coating d. Pale tongue with a white greasy coating

b. Pale tongue with a thin white coating

111. A female patient has a history of acute nephritis and a duodenal ulcer. For five years she has been symptom-free, however she still has weakness in the limbs, a pale yellowing complexion, abdominal bloating, poor appetite, shortness of breath, loose stools, and sweating after even slight physical exertion. Her pulse is submerged and deficient. What is the most likely tongue appearance this patient would present? a. Pale, with a slippery thin white coating b. Pale, with teeth marks and a thin white coating c. Pale, with a white greasy coating d. Pale, with a yellow greasy coating

b. Pale, with teeth marks and a thin white coating

110. A 28-year-old female complains of chest pain, insomnia, palpitations, migraine headaches, lower abdominal pain and distention before and during her period, and heavy menstrual flow that is dark red in color with numerous clots. There is also a mass on her neck. Her conventional medical diagnosis is thyroiditis. Which is the most likely tongue appearance this patient will present? a. Purple tongue with a red tip b. Purple red tongue with petechiae (purple dots) on the tongue's edges c. Purple tongue with a thin yellow tongue coating d. Pale tongue with petechiae on the tongue's edge

b. Purple red tongue with petechiae (purple dots) on the tongue's edges

22. A thick dry white tongue coating indicates a pathogen on which of the following levels? a. Wei level b. Qi level c. Blood level d. Ying level

b. Qi level

97. Which of the following conditions would give rise to edema that pits when pressed, but immediately returns to level after releasing finger pressure? a. Water retention b. Qi stagnation c. Carbuncles and boils caused by heat toxin d. Blood stagnation

b. Qi stagnation

33. Rude and incoherent speech with cursing and shouting in a loud voice is known as: a. Soliloquy (du yi) b. Raving (kuang yan) c. Delirium (zhan yi) d. Wrong speaking (cuo yi)

b. Raving (kuang yan)

103. A 32-year-old female suffers from UTI for two days. The symptoms include painful and hesitant urination. She also complains of irritability, insomnia, thirst, and a desire to drink cold water. Her tongue is red and her pulse is rapid. With which of the following indications might she also present? a. Loose stools b. Red color in the canthus area of the eye c. Yellow facial complexion d. Flabby tongue body

b. Red color in the canthus area of the eye

30. According to the theory of warm diseases (wen bing), when a pathogenic factor invades the defensive level, the tongue condition should appear as which of the following? a. Pale tongue with a thin white coating b. Red tongue tip and borders with a thin white coating c. Deep red tongue body with little coating d. Crimson red tongue body without coating

b. Red tongue tip and borders with a thin white coating

126. A 58-year old male has suffered from chronic bronchitis for over ten years. Five days ago, his cough worsened when he caught a cold. Now he coughs all day with profuse thick yellow sputum that is difficult to expectorate. He reports fullness and distention in the chest and hypochondriac region as well as chest pain induced by cough. Other symptoms include shortness of breath and sonorus breathing, a red face, thirst with a desire to drink water, and a slippery rapid pulse. Which of the following tongue descriptions would you most likely find in this patient? a. Red tongue with thin yellow coating b. Red tongue with a thin greasy yellow coating c. Red tongue without coating d. Red tongue with a thick turbid greasy coating

b. Red tongue with a thin greasy yellow coating

194. A 31 year-old woman has been pregnant for four months and complains of frequent uterine bleeding, which is spotty and dark red in color, with abdominal pain and slight spasms. According to the results of several ultrasounds, she has a fibroid tumor that is increasing in size. She also told you that she has suffered from dysmenorrhea over the past 15 years and that her menstrual periods are always overflowing, with dark purple blood and clots. She has had four miscarriages and she wants you to help her carry this baby to full-term. Which of the following pulses would you expet to find in this patient? a. Slippery, wiry, and rapid b. Slippery, rapid, and choppy c. Hollow, rapid d. Tight, rapid, and superficial

b. Slippery, rapid, and choppy

135. A 65 year-old female patient has been hiccoughing for over three months. The hiccoughs are intermittent and sound slow and forceless. It is induced or aggravated by eating or drinking something cold. Her appetite is very poor. Her tongue is flabby and pale with a moist white coating, and her pulse is submerged, slow, and forceless. What is the pathogenesis of this condition? a. Pathogenic cold attacking the Stomach b. Spleen and Kidney yang deficiency c. Stomach yin deficiency d. Liver attacking Stomach

b. Spleen and Kidney yang deficiency

155. A 43 year-old female complains of dizziness, fatigue, loose stools, loss of appetite, blurred vision, and a numb, tingling sensation in the limbs. Her face looks sallow and she has a pale tongue and a choppy pulse. According to zang fu diagnosis, what do these indications suggest? a. Kidney and Spleen yang deficiency b. Spleen and Liver blood deficiency c. Lung and Heart qi deficiency d. Kidney and Liver yin deficiency

b. Spleen and Liver blood deficiency

107. A 43-year-old female patient was diagnosed with carcinoma of the pancreas two months ago. She has since begun radiation and chemotherapy. Currently, she suffers from the side effects of the chemotherapy which include fatigue, nausea, vomiting, and anorexia. The vomitus is frequent though only in small amounts. The vomitus contains undigested food and does not have a strong odor. Which of the following pathogenesis is most likely to have caused her current condition? a. Damp heat in the middle burner b. Stomach and Spleen yang deficiency with cold c. Food stagnation d. Liver attacking Stomach

b. Stomach and Spleen yang deficiency with cold

32. All of the following pathogenesis can cause aphonia, EXCEPT: a. Lung and Kidney yin deficiency b. Lung and Spleen qi deficiency c. Kidney and Liver yin deficiency d. Damp phlegm obstruction in Lung collaterals

c. Kidney and Liver yin deficiency

160. A 40 year-old female has had dull epigastric pain for over 20 years. Two years ago she was diagnosed with an ulcer in the duodenal bulb with chronic superficial gastritis. The pain radiates to her back and is accompanied by nausea and regurgitation of clear fluids. She has a poor appetite, a dulled sense of taste, and a preference for hot beverages. The pain is alleviated with local pressure. Her stools are sticky and loose. She has a pale tongue with a thin, white coating and a deficient pulse. What is the pathogenesis? a. Exogenous cold attack on the Stomach b. Stomach and Spleen yang deficiency with cold c. Stomach yin deficiency d. Damp and cold accumulation in the middle burner

b. Stomach and Spleen yang deficiency with cold

73. The normal pulse condition should include which of the following? a. Essence, qi, spirit b. Stomach qi, spirit, and root c. Qi, blood, and essence d. Pectoral qi, blood, and spirit

b. Stomach qi, spirit, and root

178. A 30 year-old male has suffered from lower abdominal pain for three days. The pain is located on the left side below the level of the umbilicus. It is a severe contracting pain that radiates to the testicles. He applied an ice pack to the area but it made the pain worse. His tongue is pale with a white coating. Which is the most likely pulse that he will have? a. Choppy and slippery b. Submerged, slow, and wiry c. Wiry and slippery d. Slow and frail b. Submerged, slow and wiry

b. Submerged, slow and wiry

170. A 6 year-old boy has been diagnosed with lobar pneumonia. His body temperature is 110 degrees Fahrenheit. He presents with Tachypnea, profuse sweating, red face, dry lips, severe thirst, and irritability. Which of the following pulses will he likely have? a. Superficial and rapid b. Surging and rapid c. Thready and rapid d. Submerged and excessive

b. Surging and rapid

92. All of the following pulse conditions are considered normal EXCEPT: a. A woman's pulse is generally thinner than a man's. b. The child's pulse is generally slower than the adult's. c. The elder patient's pulse is generally weaker than a younger patient. d. Pulses in the summer can feel slightly flooding.

b. The child's pulse is generally slower than the adult's.

175. A 45-year-old male construction worker had been suffering from chronic low back pain accompanied by insomnia and seminal emission for over ten years. Yesterday his low back was struck by a ladder while at work. Today, he feels severe pain at the site of the injury. The pain is made worse with massage and acupressure. His tongue is red with little coating. What kind of pulse might you expect for him at this time? a. Thin and rapid b. Thin and choppy c. Wiry and rapid d. Slippery and rapid

b. Thin and choppy

199. A patient suffers from palpitations, dream-disturbed sleep, forgetfulness, and anorexia. The abdomen is distended and there are loose stools. The patient appears listless and has a sallow complexion. There are numerous subcutaneous hemorrhages on the arms and legs. The patient's tongue is pale with teeth marks. Which of the following pulses will most likely be found in this patient? a. Thin b. Thin and deficient c. Submerged and slow d. Confined

b. Thin and deficient

191. A 6 year-old boy is brought to your office by his mother because he has scarlet fever. You learn that he has had a high fever for the past 24 hours. The fever is worse at night. He also suffers from severe irritability and restlessness. You find there are some faint and indistinct erythema and purpura on his body. Which of the following pulses would you expect to find in this patient at the time of this evaluation? a. Wiry and rapid b. Thin and rapid c. Excessive and slippery d. Hollow

b. Thin and rapid

186. A 34 year-old female has suffered from migraine headaches for over 12 years: The pain is on the top of the head with a dull, achy, cold sensation. The pain is accompanied by nausea, dry heaves or spitting of clear fluids, as well as photo-sensitivity. The pain usually occurs just after her menstrual period. Her cycle is 34 days. Upon examination, you find she is 5'4'' tall and weighs 95 lbs. Her tongue is slightly pale with a white, moist coating. Which of the following is the pulse most likely to be found in this patient? a. Choppy and thin, or choppy and wiry b. Thin and slow, or thin and wiry c. Slippery and slow, or slow and submerged d. Tight and wiry, or soggy and wiry

b. Thin and slow or thin and wiry

19. Which of the following tongue shapes can be seen in a normal healthy person? a. Tongue with prickles b. Tongue with cracks c. A swollen tongue d. A tender tongue

b. Tongue with cracks

26. A deep red tongue body with big red spots on the tip indicates which of the following? a. Heat in the ying level b. Toxic heat invading the Heart c. Excessive heat in the Lung and Stomach d. Blood stagnation

b. Toxic heat invading the Heart

117. A patient complains of feeling something stuck in her throat that won't move up or down. You diagnose plum-pit pattern. Which of the following tongue appearances would you expect to see in this patient? a. Dry, yellow coating b. White, moist or greasy coating c. Yellow, greasy coating d. Thin yellow coating

b. White, moist or greasy coating

36. Which of the following types of cough are characterized by paroxysmal and uninterrupted cough, even leading to vomiting, and making the sound like the call of a crane, followed by recurrences: a. Diphtheria cough b. Whooping cough c. Chronic cough d. Asthma cough

b. Whooping cough

195. A 24 year-old female complains of hand tremors and nervousness. She said that over the past couple weeks she has been emotionally unstable and has experienced palpitations, restlessness, and insomnia. She also has loose stools and is losing weight. She sweats a lot, is intolerant of heat, and has muscle weakness. Laboratory studies how increased serum T3 and serum T4. Pulse rate is 120 bpm, and her blood pressure is 120/83 mmgHg. She has a red tongue with a thready yellow coating. Her Western diagnosis is hyperthyroidism. Which of the following pulses will most likely be found in her? a. Choppy and rapid b. Wiry and rapid c. Superficial and thin d. Wiry and slippery

b. Wiry and rapid

51. Sticky, warm yellowing sweating indicates which of the following? a. Yang exhaustion b. Yin exhaustion c. Heat in the Spleen and Stomach d. Yin deficiency

b. Yin exhaustion

176. A 40 year-old female has a low-grade fever for more than three months. It usually occurs in the morning or is induced by fatigue. Other symptoms include emaciation, shortness of breath, general weakness with a lack of spirit, dryness in the mouth with no desire to drink, sweating on exertion, poor appetite, and two or three daily soft bowel movements. Upon examination, you find that her body temperature is 99.7 F., and she has a pale face and tongue. Which is her most likely pulse? a. Flooding b. Frail c. Submerged d. Slippery

b. frail

130. A 150 year-old male patient complains of a dry and sore throat with hoarseness for over two months. Las week he also found a small hard nodule in the throat area and his hoarseness is still getting worse. He has a dry, purple tongue, and a choppy pulse. What is the pathogenesis that is causing his hoarseness? a.Heat phlegm obstructing throat b. Exterior dryness attack c. Blood stagnation d. Lung and Kidney yin deficiency

c. Blood stagnation

77. A deep and choppy pulse can be caused by which of the following? a. Liver qi stagnation b.Water accumulation c. Blood stagnation due to pathogenic cold d. Spleen and Kidney yang deficiency

c. Blood stagnation due to pathogenic cold

187. A 36 year-old female had an abortion to terminate her three month pregnancy. That was four months ago, and since then she hasn't had a menstrual period. She also suffers from constant lower abdominal pain and complains of fatigue, dizziness, and periodic blurred vision. Physical examination finds that there are tender spots on her lower abdomen that are sensitive to pressure. Her tongue is pale purple with a thin coating. Which of the following pulses will most likely be found in this patient? a. Thin and frail b. Choppy and wiry c. Choppy and thin d. Faint and choppy

c. Choppy and thin

152. A 50 year-old female patient has had pain in her left elbow for six months. The pain is severe and worsens with movement or when trying to grip an object with her hand. She is unable to work or carry out her daily household chores. A surgeon diagnosed the condition as lateral humeral epicondylitis. Heat therapy provides temporary relief from the pain. Examination shows local tenderness over the left lateral humeral epicondyle. Pain is also elicited by resisting dorsiflexion of the patient's left hand. What is the pathogenesis? a. Wind cold b. Damp heat with blood stagnation c. Cold dampness with blood stagnation d. Blood stagnation

c. Cold dampness with blood stagnation

133. A male patient suffers from bronchial asthma for over 15 years, usually worse during the wintertime. The symptoms include difficulty exhaling, a heavy and full sensation in the chest, and cough with profuse thick white phlegm. He has a light pale tongue covered by a thick white coating, and a slippery pulse. Which of the following patterns apply to him? a. Wind cold attacking the Lung b. Kidney yang deficiency c. Cold phlegm obstructing the Lung d. Lung qi deficiency

c. Cold phlegm obstructing the Lung

6. When the eye's sclera is unclear, it indicates which of the following? a. Wind b. Heat c. Dampness d. Cold

c. Dampness

93. According to Shang Hang Lun differentiation (six channel theory), which of the following pulses is associated with the tai yin stage pattern? a. Thin and rapid b. Wiry or excessive c. Deep and slow d. Superficial and tight

c. Deep and slow

163. A 54 year-old male patient has suffered from insomnia for six months, accompanied by dizziness, tinnitus, irritability, low back pain, and seminal emission. His pulse is rapid and frail. What is the diagnosis? a. Spleen qi deficiency with blood deficiency b. Upward disturbance of Liver fire c. Disharmony of Heart and Kidney d. Liver and Kidney yin deficiency

c. Disharmony of Heart and Kidney

87. The flooding pulse indicates which of the following? a. Qi stagnation b. Food stagnation c. Excess heat d. Phlegm

c. Excess heat

44. Chills or cold sensations that are not relieved by covering up or putting on more clothes indicates which of the following: a.Yang deficiency b. Interior cold pattern c. Exterior pattern d. Yin deficiency

c. Exterior pattern

39. Which of the following is indicated by the following signs and symptoms: sour and stinking odor in the mouth like rotten eggs, belching with foul odor, and acid regurgitation? a. Gingivitis b. Stomach fire flaring up c. Food stagnation d. Damp heat in the middle burner

c. Food stagnation

188. A 44 year-old female was diagnosed with mitral stenosis. She suffers from dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, weakness, fatigue, and palpitations. Her ankles are swollen. The TCM diagnosis is Lung and Heart Qi deficiency with water retention. Which of the following pulses will you likely find in this patient? a. Confined b. Submerged, slow, and slippery c. Frail, consistently irregular d. Slippery

c. Frail, consistently irregular

166. A 32 year-old female patient comes to your office because she suffers from irregular menstruation. She states that her menstrual cycle has gradually become more irregular over the past four years since she divorced her husband. She has a wiry pulse. Which of the following symptoms might she also have? a. Sweating b. Chills and fever c. Frequent sighing d. Cough

c. Frequent sighing

132. A 56 year-old male patient was diagnosed with asthma over the past 15 years. Symptoms and sings include shallow and difficult breathing, or shortness of breath, inhalation more difficult than exhalation, and symptoms worsen with exertion. Which of the following patterns apply to him? a. Lung qi deficiency b. Heat phlegm accumulation in the Lung c. Kidney deficiency d. Spleen yang deficiency

c. Kidney deficiency

75. Which of the following pulses is NOT considered deep in location? a. Hidden b. Confined c. Leather d. Frail

c. Leather

An 18-year-old female complains of chest pain, insomnia, palpitations, migraine head- aches, lower abdominal pain and distention before and during her period, and an excessive menstrual flow with a dark red color and clots. There is a mass on her neck. The Western medical diagnosis isthyroiditis. What isthe pathogenesis? a. Heart blood stagnation b. Kidney yin deficiency c. Liver blood stagnation d. Liver qi stagnation

c. Liver blood stagnation

62. Small, goat-sized stools indicate which of the following? a. Spleen qi deficiency b.Stomach fire c. Liver qi stagnation d. Kidney yin deficiency

c. Liver qi stagnation

53. Which of the following can cause retraction pain? a.Blood stagnation b. Qi stagnation c. Malnutrition of tendons d. Essence, yin, blood, or yang deficiency

c. Malnutrition of tendons

112. A patient comes to you with a diagnosis of a cardiac edema. His primary symptoms are scanty urinary output, whole body edema that makes it difficult for him to sleep lying down horizontally at night, a feeling of general heaviness in his head and body, coldness in his extremities, and no thirst. His pulse is deep, his face is pale and slightly cyanotic, as are his fingers. Which of the following represents the most likely tongue appearance that this patient will have? a. Red body with a yellow greasy coating b. Pale body with a white greasy coating c. Pale and flabby body with a moist white coating d. Pale purple body with dark spots on the edge and a thin white coating

c. Pale and flabby body with a moist white coating

121. Steve, a 29-year-old man, presents with excruciating epigastric and abdominal pain that is so severe that he cannot tolerate being touched. There is a strong sensation of coldness in the epigastrium. He is vomiting and unable to eat. There are big lumps of knots in the abdominal skin that look like worms. Which of the following tongue presentation would you expect to see in this patient? a. Red tongue body with a greasy yellow coating b. Red tongue body with a thin white coating c. Pale tongue body with a moist white tongue coating d. Pale tongue body with teeth marks and no coating

c. Pale tongue body with a moist white tongue coating

120. Simon, age 31, complains of impotence and inability to maintain an erection for more than one minute. He also complains of exhaustion, cold hands and feet, and loose stools. Upon examination, you notice that he has bead of sweat on his forehead. He says he sweats very easily during the day with the slightest exertion. He also complains of diarrhea in the early hours of the morning at least twice a week. Additionally, he is being treated by Western doctors for bronchial asthma. He currently uses a steroidal inhaler because of his difficulty inhaling. What kind of tongue and pulse would you expect to find in Simon at this time? a. Red tongue body with a yellow coating, wiry and rapid pulse b. Pale tongue body with a yellow coating, slippery and wiry pulse c. Pale tongue body with a thin white coating, deep and deficient pulse d. Pale tongue body without coating, soft and deficient pulse

c. Pale tongue body with a thin white coating, deep and deficient pulse

129. Cherie is a 68 year-old female who was diganosed with emphysema five years ago with symptoms aggravated during the winter. She complains of shortness of breath, wheezing, coughin with copious watery sputum, and a heavy, tight feeling in the chest. She also complains of weakeness in the legs and low back. Which of the following signs might she also have a this time? a. Red tongue with greasy yellow coating; rapid and slippery pulse b. Greasy white coating; frail and slippery pulse c. Pale tongue with a moist white coating; submerged and slow pulse d. Purple tongue with a thin coating; choppy and wiry pulse

c. Pale tongue with a moist white coating, submerged and slow pulse

21. Which of the following tongue conditions can be seen in qi deficiency patients? a. Pink tongue with thin white coating b. Pale flabby tongue body with moist white coating c. Pale tongue with thin white coating d. Pale tongue with greasy white coating

c. Pale tongue with thin white coating

106. A 43-year-old male HIV-positive patient has suffered from chronic sinusitis for the past ten years. The sinus infection comes and goes. It is usually induced by exertion or when he caches a cold, which occurs three or four times per year. He also complains of fatigue and loose stools. He has a pale tongue with a slightly thick greasy coating and a deficient pulse. Which of the following types of nasal discharge would you expect in this patient? a. Profuse and turbid pus, dark yellow or green yellow discharge with a foul smell b. Scanty yellow discharge, possibly with blood and pus c. Profuse watery discharge, alternating between white and green or a light yellow color d. Profuse and watery

c. Profuse watery discharge, alternating between white and green or a light yellow color

56. Which of the following are indicated by the following symptoms: lingering headache with an empty sensation in the head accompanied by paroxysmal darkness before the eyes and blurred vision? a. Exopathogenic factor attack b. Liver qi stagnation c. Qi and blood deficiency d. Stagnation of blood

c. Qi and blood deficiency

9. Which of the following can cause eyelid twitching? a. Spleen deficiency with dampness b. Heart fire c. Qi and blood deficiency d. Kidney yin deficiency

c. Qi and blood deficiency

118. A young woman comes to your office complaining of a cough that does not go away. As you question her, you discover that her cough began four months ago with a flu that kept her in bed for three weeks with a high fever, constipation, and a red rash. All of her symptoms are now gone except for this cough, which is very painful for her. She complains feeling "globs" of sputum stuck in her throat and chest, but she cant seem to cough them up. Her face appears slightly flushed and she gets thirsty easily. Her pulse is slightly rapid and slightly thready. Which of the following tongue appearances would you expect to find in this case? a. Red body with a white moist greasy coating b. Pale swollen body with a white greasy coating c. Red body with a thick dry yellow coating d. Pink body with a dry white coating

c. Red body with a thick dry yellow coating

114. A 45-year-old smoker who has a history of dry hacking cough also complains of being chronically tired. For a week before coming in for treatment his coughing was especially bad. Two days before coming in, his coughing has lessened but he began to experience continual nausea along with occasional dry vomiting. His mouth is dry and he is thirsty. Which of the following is the most likely appearance of his tongue? a. Red with yellow greasy coating b. Red with white gray coating c. Red with dry coating d. Pale with red tip and thin yellow coating

c. Red with dry coating

37. All of the following symptoms are cause by rebellious Stomach qi, EXCEPT: a. Vomiting b. Belching c. Sighing d. Hiccoughing

c. Sighing

65. Which of the following pathogenesis can cause fecal incontinence? a. Damp-heat in the lower burner b. Kidney yin deficiency c. Spleen and Kidney yang deficiency d. Spleen and Lung qi deficiency

c. Spleen and Kidney yang deficiency

140. A 40 year-old female has a low grade fever for three months. It usually occurs in the morning or is induced by exertion. Other symptoms included emaciation, shortness of breath, general weakness and lack of spirit, dryness in the mouth without desire to drink, sweating on exertion, poor appetite, and 2-3 daily soft bowel movements. Her body temperature is 99.5 - 100.4 degrees Fahrenheit and she has a pale face and tongue. What is the pathogenesis? a. Damp heat in middle burner b. Kidney yin deficiency with empty heat c. Spleen qi deficiency d. Blood stagnation

c. Spleen qi deficiency

144. A female patient has a history of acute nephritis and duodenal ulcer. For five yeas she has had no kidney or ulcer symptoms, but she does have weakness in the limbs, a pale and yellowish complexion, abdominal bloating, poor appetite, shortness of breath, loose stools, and sweating after slight physical exertion. What is the pathogenesis? a. Kidney essence insufficiency b. Kidney qi deficiency c. Spleen qi deficiency d. Spleen yang deficiency

c. Spleen qi deficiency

14. Which of the following can cause involuntary drooling? a. Excess heat in the lung b. Lung qi deficiency c. Spleen qi deficiency with excessive dampness d. Kidney qi deficiency

c. Spleen qi deficiency with excessive dampness

142. A 34 year-old female patient suffers from chronic fatigue pattern for three years. Her tongue is slightly pale with teeth marks and there is a thin white coating. Her pulse is deficient. TCM diagnosis is qi deficiency. Which of the following symptoms might she also have? a. Irregular menstruation b. Thirst c. Spontaneous sweating d. Dream-disturbed sleep

c. Spontaneous sweating

182. A 30 year-old male has suffered from asthma for over 20 years. He has asthma attacks five to eight times per year. These attacks are induced by weather changes or when he catches a cold. He had a flu last week with chills and fever, headache, body aches, and cough. Now he experiences shortness of breath and cough with watery sputum. He looks very skinny and pale, has a weak voice, and sweats easily. His tongue is pale with a thin coating. What is the most likely pulse one would find in this patient? a. Superficial and rapid b. Submerged and slow c. Superficial and deficient d. Slippery and wiry

c. Superficial and deficient

74. A pulse that is full of spirit means which of the following? a. The pulse can be felt at the deep level at the proximal position b. The pulse is neither superficial nor submerged c. The pulse is gentle but with force and a unified rhythm d. The pulse is neither wide nor thin

c. The pulse is gentle but with force and a unified rhythm

179. A 65 year-old male has suffered from hand tremors for about two years. He was diagnosed by a neurologist with Parkinson's disease. Other symptoms and signs include dizziness, tinnitus, and numbness of the limbs. He also complains of dream-disturbed sleep, night sweats, blurred vision, and night blindness. He has a pale face and tongue. Which of the following pulses will you likely find in this patient? a. Wiry and rapid b. Wiry and excessive c. Thin d. Flooding

c. Thin

90. According to warm disease (wen bing) differentiation, which of the following pulses will be found with nutritive level heat? a. Superficial and rapid b. Excess c. Thin and rapid d. Wiry and rapid

c. Thin and rapid

58. Numbness on one side of the arm indicates which of the following? a. Blood deficiency b. Liver yang rising c.Wind phlegm d. Kidney essence insufficient

c. Wind phlegm

184. A 58 year-old African American male patient had a CVA two weeks ago. He now suffers from hemiplegia on his right side. During the physical examination you find that there are big scars on his chest and right inner leg, the result of a bypass surgery three years ago. His right hand and ankle are swollen. Blood pressure is 180/190 mmHg. His tongue is swollen with a purplish color and there is a thick yellow greasy coating. His hypoglossal veins are purple and extended. Which of the following pulses will most likely be found in this patient? a. Flooding and rapid b. Submerged, wiry, and thin c. Wiry, slippery, and choppy d. Slippery and wiry

c. Wiry, slippery, and choppy

64. Which of the following is indicated by dark green watery diarrhea with a foul odor, severe abdominal pain that is resistant to pressure and not relieved after passage of the diarrhea? a. Heart fire pouring downward b. Blood stagnation in the Stomach c. Yang ming fu pattern d. Damp-heat in the lower burner

c. Yang ming fu pattern

168. A 16 year-old girl comes in because of menstrual problems. Her period started when she was 14 and has a 21-day cycle. The blood is bright red and she bleeds heavily. She has cramps during the first two days of the flow. She drinks a lot of cold water and likes to eat ice cream. What other symptom(s) would you expect? a. Constipation b. Thirst c. Scanty urination d. All of the above

d. All of the above

190. A 35 year-old female has experienced UTI symptoms three to four times per year for the past six years. She uses antibiotics each time to control the symptoms until last year, when she developed a yeast infection. Her UTIs are usually induced by exertion and in general her energy level is very low. She urgently needs to urinate every hour, and it is painful and burning. Her tongue has teeth marks, and is slightly pale with a greasy yellow coating. Which of the following pulses will most likely be found in this patient? a. Deficient b. Slippery c. Rapid d. All of the above

d. All of the above

41. Which of the following information should be included as present history? a. The onset of the disease b. The characteristics of the main symptoms c. The development of a disease d. All of the above

d. All of the above

42. Inquiring about chills and fever can help the practitioner to do which of the following? a. Infer the disease cause b. Distinguish the disease location c. Know the condition of yin and yang d. All of the above

d. All of the above

47. When do simultaneous chills and fever occur? a. Exterior pattern b. Tai yang pattern c. Exopathogenic factor invading the defensive qi level d. All of the above

d. All of the above

67. Which of the following pathogenesis can cause insomnia? a. Yin and yang imbalance b. Nutritive and defensive qi disharmony c. Heart spirit disturbed d. All of the above

d. All of the above

82. The slow irregular pulse can be caused by which of the following: a. Blood stagnation b. Excess cold c. Qi and blood deficiency d. All of the above

d. All of the above

84. The soggy pulse indicates which of the following? a. Blood deficiency b. Qi deficiency c. Dampness accumulation d. All of the above

d. All of the above

86. Hidden pulse indicates which of the following? a. Pregnancy in women in absence of other pathological signs and symptoms b. Syncope c. Obstruction of excessive pathogens d. All of the above

d. All of the above

Thirst without a desire to drink or desire for only a small amount of fluid suggests which of the following? a. Dampness accumulation b. Phlegm retention c. Blood stagnation d. All of the above

d. All of the above

196. A 16 year-old body was sent to the ER because of perforating appendicitis. He suffers from wandering pain. Which of the following pulses might he currently have? a. Tight b. Moving c. Hidden d. Any of the above are possible

d. Any of the above are possible

154. A 30 year-old woman comes to your office with a chief complaint of dizziness. When she stands up from her chair she feels dizzy and sometimes blacks out. She also has numbness of the limbs and muscle twitching. Her menstrual cycle is delayed and her sleep is very light. Sunlight makes her eyes hurt. Her face and tongue are pale, and her pulse is forceless. Which of the following signs and symptoms are consistent with her condition? a. Lack of appetite b. Lumbar and knee pain c.Emotional instability d. Brittle and pale nails

d. Brittle and pale nails

183. A 32 year-old female has been pregnant for over 25 weeks. Last week she began to experience some uterine bleeding. The blood is dark purple in color and accompanied by abdominal pain that is aggravated by pressure. She was diagnosed with uterine fibroids over eight years ago, and she has had three miscarriages prior to her current pregnancy. Which of the following pulses will most likely be found in this patient? a. Wiry b. Leather c. Hollow d. Choppy

d. Choppy

123. Sara, a 35 year-old female patient, suffers from insomnia during the past three years since she had her second baby. She took Gui Pi Tang (Restore the Spleen Decoction) for two months, but her insomnia symptoms did not improve at all. Two weeks ago she started taking Suan Zao Ren Tang (Sour Jujube Decoction) and her sleep improved greatly. What kind of tongue and pulse presentation would you expect in this patient? a. Pale tongue with a thin white coating; thin and deficient pulse b. Flabby tongue with teeth marks and a thin white coating; slippery and deficient pulse c. Red tongue with little coating; thin and rapid pulse d. Dry red tongue with little coating; thin, wiry, and rapid pulse

d. Dry red tongue with little coating, with a thin, wiry, and rapid pulse

52. Which of the following headaches is caused by blood deficiency? a. Sharp and prickly pain on the left side of the head b. Migrating pain which moves without fixed location c. Distending pain with paroxysmal attack d. Dull pain with empty and light feeling

d. Dull pain with empty and light feeling

100. A 34-year-old female patient complains of a stifling sensation in the chest and epigastrium, lassitude and heaviness of the body, poor appetite, lack of taste, no thirst, loose stools, and profuse white vaginal discharge. She has a pale tongue with a sticky thick white coating, and a slow slippery pulse. Which of the following facial colors would you expect to find in this patient? a. Bright orange yellow b. Hazy, smoky yellow c. Withered, dried-up yellow d. Dull pale yellow

d. Dull pale yellow

45. All of the following etiologies and pathogenesis can cause low grade fever (heat) or feverish sensations, EXCEPT: a. Blood stagnation b. Yin deficiency c. Yang deficiency d. Exopathogenic cold attack

d. Exopathogenic cold attack

79. Which of the following conditions is NOT associated with the choppy pulse? a. Qi and blood stagnation b. Essence deficiency c. Threatened abortion d. Exterior wind cold

d. Exterior wind cold

1. Which of the following is the most important component in the observation of the spirit? a. Facial expression b. Mental state c. Physical activity d. Eye movement

d. Eye movement

193. A 33 year-old female patient had a miscarriage three years ago. Since then, she has suffered from persistent mild headaches that have a dull, empty feeling. This headache is worse in the morning and is aggravated by exertion. It is even worse during or after her menstrual period. Other signs and symptoms include low energy, shortness of breath, palpitations, and insomnia. Her tongue looks pale and has a thin white coating. Which of the following pulses are most likely to be found in this patient? a. Choppy and wiry b. Submerged and slow c. Slippery and choppy d. Frail and thin

d. Frail and thin

101. A 52 year-old male patient was diagnosed as HIV-positive five years ago. Three days ago, he started feeling burning, tenderness, tingling and pain on his skin on the left side of his waist. Yesterday he found erythema and grouped vesicles in the area. Upon examination you find grouped, hard, deep-seated vesicles distributed unilaterally along a dermatome. Which of the following does this patient likely have? a. Measles b. German measles c. Boils and carbuncles d. Herpes zoster (shingles)

d. Herpes zoster (shingles)

46. Which of the following symptoms belong to yang ming fu pattern? a. High fever b. Alternating chills and fever c. Low-grade fever in the afternoon and evening d. High fever in the afternoon

d. High fever in the afternoon

81. A female patient suffers from profuse bleeding due to a miscarriage. Which of the following pulse conditions could be expected from her? a. Superficial b. Thin c. Choppy d. Hollow

d. Hollow

113. Shari, a 20-year-old female, has not had her period in the 40 days since she had a miscarriage. At the time of the miscarriage, there was hemorrhaging but the bleeding has long since stopped. Now she reports a dull ache with occasional sharp, paroxysmal pain. How do you expect her tongue to appear? a. Red tip, normal shaped body and a yellow coating b. Pale body with a thin white coating c. Hypoglossal vein engorgement with a red body and a thin yellow coating d. Hypoglossal vein engorgement with a pale, dusky body and a thin coating

d. Hypoglossal vein engorgement with a pale, dusky body and a thin coating

165. A 17 year-old girl was at the scene of a terrorist attack half a year ago. Since then, she has become highly sensitive to any noise around her. She gets palpitations and anxiety from any sudden noise. Other symptoms include tinnitus, nightmares, and difficulty making decision. She has slightly pale tongue with a thin white coating, and a wiry and thin pulse. What other symptoms may she have? a. Shortness of breath b. Extremely cold limbs c. Sensations of heat in the palms and soles d. Insomnia

d. Insomnia

55. Which of the following are indicated by the following symptoms: chronic, persistent dizziness and vertigo with hollow and heavy sensations in the head what worsen during the afternoon and evening? a. Wind phlegm b. Liver yang rising c. Qi deficiency d. Kidney essence deficiency

d. Kidney essence deficiency

15. Atrophic and pale gums indicate which of the following? a. Spleen qi deficiency b. Lung qi and yin deficiency c. Kidney deficiency with water retention d. Kidney qi deficiency

d. Kidney qi deficiency

59. Which of the following is the pathogenesis of photophobia (hypersensitivity to light)? a. Liver fire b. Kidney yin deficiency c. Wind heat attack d. Liver blood deficiency

d. Liver blood deficiency

156. A 43 year-old male patient complains of constipation over four weeks. The stools are not dry, but small, like goat's stools, and difficult to evacuate. He was diagnosed with IBS two years ago and suffers from alternating constipation and diarrhea. His symptoms indicated which of the following? a. Heart fire b. Spleen qi deficiency c. Kidney yin deficiency d. Liver qi stagnation

d. Liver qi stagnation

153. A 25 year-old male patient complains of a headache lasting two days. He says that two days ago he started to feel the headache in the occipital region. The pain is violent, boring, and tight. It extends to the nape of the neck and upper back. His headache gets worse when exposed to wind or cold. He has had chills for the past two days and his body temperature is 100.4 degrees Fahrenheit. Which of the following symptoms might this patient also have? a. Sore throat b. Red eyes c. Constipation d. Nasal discharge

d. Nasal discharge

13. Which of the following symptoms can be observed when excessive heat accumulates in the Lung? a. Purple lip color b. Red and swollen gums c. Red, swollen and purulent throat d. Nostrils flaring

d. Nostrils flaring

109. A patient suffers from palpitations, dream-disturbed sleep, forgetfullness, and anorexia. The abdomen is distended and the stools are loose. The patient appears listless and has a sallow complexion. There are numerous subcutaneous hemorrhages on the arms and legs. She has not had her period in three months. The pulse is thin and forceless. Which of the following represents the most likely appearance of her tongue? a. Pale and tender tongue body with a white coating b. Pale white coating c. Pink body with a red tip d. Pale tongue body with red tip

d. Pale tongue body with red tip

128. Lily is a 35 year-old female who was diagnosed with uterine fibromyomas. Over the past five years she has experience profuse menstrual bleeding and severe cramping, the menses is dark red and with clots. The abdominal cramps are worse with pressure, but relieved by warmth. Which of the following signs might she also have? a. Dry lips b. Red tongue tip c. Scanty coating d. Purplish spots on the tongue border

d. Purplish spots on the tongue border

157. A 45 year-old female complains of constipation and fatigue after bowel movements. Her stools are soft. She also perspires easily and has a pale tongue. What is the diagnosis? a. Heat in the intestines b. Qi stagnation c. Qi blocked by cold d. Qi deficiency

d. Qi deficiency

200. A patient reports having diarrhea and fever for the past two days. The symptoms include abdominal pain, tenesmus, and blood and mucus in the stools, with a burning sensation in the anus. The patient is thirsty and is passing scanty, deep-yellow colored urine. The tongue coating is yellow and sticky. Which of the following pulses will this patient likely have? a. Deficient b. Soggy c. Frail d. Rapid and Slippery

d. Rapid and Slippery

105. A 56-year old male diabetes mellitus patient was also diagnosed with chronic renal failure. Manifestation include general fatigue, weakness, and malaise. He also reports low back pain, weak knees, nocturia, and impotence. Upon examination you discover pitting edema on his ankles. He has a pale tongue with a slightly greasy white coating. His pulse is deep and deficient. Which of the following colors would you most likely see in his facial complexion? a. Green-blue b. Red c. Yellow d. Sallow dark

d. Sallow dark

35. Which of the following is NOT cause by Lung Qi failing to descend? a.Wheezing (xiao) b.Asthma (chuan) c. Upper stifling breath (shang qi) d. Shortage of qi (duan qi)

d. Shortage of qi (duan qi)

119. A 35 year-old male has suffered from chronic colitis over the past six years. His symptoms include loose stools, poor appetite, bloating after eating, and periodic nausea. Which of the following tongue conditions would you expect to find in this patient? a. Prickled tongue with ayellow coating b. Red cracked tongue with a thin yellow coating c. Thin and small tongue body with a thin white coating d. Slightly pale tongue with teeth marks and a greasy white coating

d. Slightly pale tongue with teeth marks and a greasy white coating

174. A patient presents with palpitations, pain the heart region which may radiate to the medial aspect of the left arm or shoulder, discomfort, feeling of oppression or constriction of the chest, cyanosis of lips and nails, and cold hands. Which of the following is the most likely pulse? a. Slippery b. Thin c. flooding d. Slow-irregular

d. Slow-irregular

197. A patient complains of weak limbs. He is thirsty but has no desire to drink. He will occasionally drink a little hot beverage. His head and body feel heavy. His stools are loose, and his pulse is soggy. Which of the following is hte most likely diagnosis? a. Spleen blood deficiency b. Gallbladder qi deficiency c. Damp heat in the yang ming fu d. Spleen qi deficiency with dampness

d. Spleen qi deficiency with dampness

48. Which of the following is NOT a cause of continuous low-grade fever? a. Yin deficiency b. Qi deficiency c. Blood deficiency d. Stomach fire

d. Stomach fire

54. Which of the following are indicated by the following symptoms: epigastric pain with burning sensations, discomfort, hunger but no desire to eat, dry heaves or hiccoughing? a. Spleen and Stomach deficiency b. Excessive heat in the stomach c. Food stagnation d. Stomach yin deficiency

d. Stomach yin deficiency

A 67-year-old male patient currently under chemotherapy for his lung cancer seeks out your help. He suffers from severe nausea and violent vomiting, especially after eating. The vomiting has a sharp and crisp sound. The vomitus is made up of food followed by clear fluids or green mucus. What is the pathogenesis for his condition? a. Food stagnation b. Cold dampness attacking the Stomach c. Spleen and Stomach qi deficiency d. Stomach yin deficiency

d. Stomach yin deficiency

125. A 32 year-old male suffers from acute hepatitis. His TCM doctor suggest that he take Xiao Chai Hu Tang (Minor Bupleurum Decoction) because, according to TCM diagnosis, the patient will likely have a Shao Yang pattern. What kind of tongue coating is this patient likely to have at this stage? a. Dry and yellow b. White and moist c. Thick and white d. Thin and white

d. Thin and white

180. A 48 year-old female complains of insomnia. She said that during the past couple months she has had a hard time falling asleep. She also feels irritable and hot at night. Other signs and symptoms include palpitations, dizziness, tinnitus, memory loss, dry mouth and thirst, night sweats, and weak and achy low back and knees. She has a red tongue. Which of the following pulses will likely be found in this patient? a. Submerged and slow b. Wiry and thin c. Slippery and excessive d. Thready and rapid

d. Thready and rapid

189. A 6 year-old boy is experiencing excruciating epigastric and abdominal pain. He won't allow you to examine his abdomen because pressure will increase the pain. You find the boy's lips and face are pale and he is sweating a lot. His hands and feet are extremely cold. Which of the following pulses will most likely be found in this patient? a. Excessive and slippery b. Thin and submerged c. Choppy and wiry d. Tight and slow

d. Tight and slow

116. Symptoms such as mental depression, dullness of thought, incoherent speech, weeping and laughing without reason, or sudden collapse, coma, and gurgling with sputum in the throat would likely present with which of the following signs? a. Pale tongue with a moist thin white coating; submerged and slippery pulse b. Purple tongue with a thin white coating; choppy and wiry pulse c. Deep red tongue without coating; thin and rapid pulse d. White, greasy tongue coating; wiry and slippery pulse

d. White, greasy tongue coating; wiry and slippery pulse

171. A 31 year-old female patient gave birth two days ago. She is bleeding a lot because of metratonia (atony of the uterine walls after childbirth). She also suffers from post-partum depression. She may present with any of the following pulses, EXCEPT: a. Thready b. Leather c. Hollow d. Wiry

d. Wiry

192. Joe is a 51 year-old male Wall Street broker who has been diagnosed with hypertension over the past ten years. He experiences dizziness, distending headache, insomnia, dream disturbed sleep, and occasional tinnitus which is high pitched. Three days ago, after returning home from work, he suddenly felt numbness in his limbs and stiffness along his left side. This was accompanied by inability to speak and facial hemiplegia on the left side. His tongue is red with a thin yellow coating. Which of the following pulses will you find in Joe at this time? a. Thin and wiry b. Slippery and rapid c. Choppy and excessive d. Wiry and excessive

d. Wiry and excessive

181. A 35 year-old female comes in for treatment of her chronic loose stools that have lasted over three years. She was diagnosed with irritable bowel syndrome. The diarrhea is usually accompanied with abdominal pain which is releved somewhat after the bowel movement. She has episodes of loose stools five to six times per day. It is often induced by emotional depression or anger. She is currently going through a divorce. She also suffers from hypochondriac pain and distention, retching, and lack of appetite. Her tongue is dusky purple with teeth marks and a thing white coating. Which of the following pulses will most likely be found in this patient? a. Slippery and rapid b. Frail and thin c. Soggy and rapid d. Wiry and moderate

d. Wiry and moderate

2. Which of the following patterns does NOT give rise to a pale facial complexion? a. Qi deficiency b. Blood deficiency c. Cold pattern d. Yin deficiency

d. Yin deficiency