Pan Canadian Exam Questions

A 22 year old female walks into the office complaining about facial hair. You measure her BMI to be 29 and notice excessive hair growth in other parts of the body. Upon questioning you discover that she has irregular menstruation. What is the best option for further evaluation? A) Low Blood Pressure B) Blood glucose level C) White blood cell count D) Tenesmus

B

Achilles reflex is primarily associated with A. L4 nerve root B. S1 nerve root C. L5 nerve root D. L3 nerve root

B

For children under 2 years old, which of the following is the correct procedure? A ok to use needles during acupuncture treatment, but do not retain needles B. do not needle. C. ok to needle and retain needle D. none of the above

B

One of the physically demonstrable symptoms of meningitis is__________ sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed. A. Murphy's B. Brudzinski's C. Apgar� D. Babinski's

B

The Lung divergent channel separates from its primary channel at the A) Shoulder B) Axilla C) Hand D) Anterior Thigh

B

The ________ Meridian starts on the lower extremity, travels up through the abdomen, runs alongside the esophagus, and when it reaches the tongue it spreads over its lower surface. A. Liver B. Spleen C. Kidney D. Gallbladder

B

This week we will be reviewing sweating. Today's questions: Night sweating indicates A) Qi Deficiency B) Yin Deficiency C) Yang qi exhaustion D) Excessive Yang Heat

B

What is the main relationship between the Lung and Heart? A. Shen / Mind and Po (Corporeal Soul) B. Qi and blood depend on each other C. Regulation of Qi D. Fire controls Metal

B

Whats the number one point to treat sweating due to different etiologies? A) HT6 (Yinxi) B) KD7 (Fuliu) C) LÌ (Hegu) D) BL13 (Feishu)

B

When comparing CV3 and CV4, A. The former is used for more acute conditions and the latter for chronic B. The former is used more for excess conditions and ht latter for deficiency C. The former is used more for problems of the upper body, the latter for the lower D. The former is used more for external disease, the latter more for internal

B

Which channel reaches BOTH the inner and outer cants of the eyes? A. Heart B. Small Intestine C. Large Intestine D. Liver

B

Which condition is characterized by peripheral ipsilateral facial paralysis with an inability to close the eye on the involved side: A) Dysfunction of the Cranial Nerve I B) Dysfunction of the Cranial Nerve VII C) Dysfunction of the Cranial Nerve XII D) Dysfunction of the Cranial Nerve VI

B

Which meridian is affected when a patient presents with frontal headache? A) Taiyang B) Yangming C) Shaoyang D) Shaoyin E) Jueyin

B

"Ling Shu" (Spiritual Axis) text says to select point from this category when the Yin organs are diseased, clearly indicating that these points directly affect the Yin (Zang) organs. A) Xi Cleft points B) Luo Connecting points C) Yuan Source points D) Jing Well points

c

The spring point for the yang organs would be located at: a. Water b. Fire c. Earth d. Metal

A

Which of the following meridians cross Ren 1 (Huiyin)? A) Du, Ren and Dai B) Du, Ren and Chong C) Ren, Yinqioa and Yangqiao D) Ren, Yinwei and Yangwei

B

Which of the following pairs of points have a distance of 0.5 cun between them? A. SP12 (Chongmen) to SP13 (Fushe) B. GB27 (Wushu) to GB28 (Weidao) C. L5 (Wuzhu) to BL6 (Chengguang) D. LǕ3 (Zuwuli) to LǕ4 (Yinlian)

B

A ECG gathers information on a heartbeat based on which of the following patterns? A. A B C D E B. D E F G A C. V W X Y Z D. P Q R S T

D

our patient is a 32-year-old woman who has painful periods. She has a short cycle with periods every 21-23 days. She has severe menstrual pain with red blood with small dark clots. She feels cold during her period, and has dizziness and tinnitus. The tongue is pale and swollen. The pulse is slow and hesitant, and especially weak in the right rear position. What is the treatment plan? A) Subdue Liver Yang, nourish Yin B) Disperse liver, regulate blood C) Tonify liver blood D) Tonify and warm Kidney Yang, expel cold, move blood

D

It is recommended that you do not have contact with high risk patients when you, the practitioner, presents with which of the following conditions? (EXTRA CREDIT: Which condition(s) is recommended that you cancel work all together and do not work until well?) A) Influenza B) Common Cold C) Shingles D) Vomiting, Diarrhea or Fever

C

Profuse sweating accompanied by listlessness, feeble energy, cold limbs and a deep and thready pulse may indicate: A) Qi Deficiency B) Yin Deficiency C) Yang qi exhaustion D) Excessive Yang Heat

C

A patient has dribbling after urination and nocturnal emissions, without dreams. What is the treatment? A) BL-23, GV-4, KI-3, CV-4, CV-8 B) KI-3, KI-6, CV-4, KI-10, SP-6 C) BL-23, GV-4, KI-3, CV-4, BL-52 D) KI-3, LU-7, KI-6, ST-36, CV-17

C

Du 26 (Shuigou) is a crossing point for: A) Foot Yangming B) Hand Yangming C) Both A & B D) Neither A nor B

C

____________ also facilitates the transformation of FoodQi (Gu Qi) into Blood in the Heart (see below). This is one way in which the Kidneys participate in the production of Blood. A. Zheng (Upright) Qi B. Yuan (Source) Qi C. Zong (Gathering) Qi D. Jing Essence

B

_____________ is a Yin pathogenic factor that slows things down and causes repeated attacks. A) Cold B) Dampness C) Summer Heat D) Wind

B

colour in the corners of the eyes. Based on this observation alone, your suspected diagnosis is: A) Lung Wind Heat B) Heart Fire C) Liver Fire D) Kidney Yin Deficiency with Heat

B

Infectious agents include: A) Viruses and bacteria B) Fungi and parasites C) All of the above D) None of the above

C

Your patient comes in with a fever. You want to give her a single herb remedy. Which of the following herbs is best at reducing fever? A. Gui Zhi (Ramulus Cinnamomi Cassiae) B. Ge Gen (Radix Puerariae) C. Chai Hu (Radix Bupleuri) D. Ren Shen (Radix Ginseng) (Tonify Qi)

C

___________ is a viral disease that leads to swelling of the liver and is caused by the). It has an acute and chronic form. There are some treatments, but there is no vaccine. Health care workers who regularly come in contact with blood have an elevated risk. (Extra credit, which of the following leads to similar symptoms but does have a vaccine?) A) Hepatitis A, HAV B) Hepatitis B, HBV C) Hepatitis C, HCV D) AIDS, HIV

C

___________ points are especially important for the treatment of chronic diseases. When we needle these points, Qi directly infuses into the associated organ. A) Yuan Source points B) Front Mu points C) Back Shu points D) He Sea points

C

A 22 year old African-American woman enters your office with a butterfly shaped rash on her face centered across the nose. She complains of bilateral arthritis. Upon further questioning you find that she is ANA (+). Which is the most likely condition? A) Rheumatoid Arthritis (RA) B) Parkinson disease C) Amyotrophic Lateral Sclerosis (ALS) D) Systemic Lupus Erythematosus (SLE)

D

Absence of sweating in exterior syndromes indicate: A) Wei Deficiency B) Qi Stagnation C) Exterior Wind with deficiency D) Exterior, excess Wind Cold

D

After doing bleeding cupping you notice good on the table. What is the appropriate way to clean it? A) Sterilize the table B) Clean the spill area with a detergent disinfectant. C) Clean the area with a 1:10 dilution of household bleach D) Both B and C are correct

D

All of the following are true about T lymphocytes EXCEPT that they: A. Mediate cellular immune response B. Allow cytotoxic T cells to express CD8 C. Help T cells express CD4 D. Mature in the bone marrow

D

An elderly patient has a productive cough with profuse watery sputum, breathlessness, chills. Tongue has a thick, sticky coating and pulse is slippery. Your Root / Branch diagnosis is: A) Root is Spleen Qi deficiency, Branch is Wind Cold Damp B) Root is Spleen Qi Deficiency, Branch is Phlegm in the Lungs C) Root is Spleen Yang Deficiency, Branch is Wind Cold Damp D) Root is Spleen Yang Deficiency, Branch is Phlegm in the Lungs

D

Catherine has been diagnosed with diabetes. She has extreme thirst, copious, clear urination, fatigue, and irritability. Prior to the diagnosis, she lost 15 pounds unexpectedly and her breath often smelled sweet. What is the best point for her treatment? A) The point on the midline of the back, at the lower border of the seventh thoracic vertebrae B) The point on the medial side of the lower leg, 3 cun superior to the prominence of the medial malleolus C) The point directly anterior and inferior to the free end of the eleventh rib D) The point on the back 1.5 cun lateral to the lower border of the eighth thoracic vertebrae

D

Finally, the smooth flow of Liver-Qi affects the flow of bile. If Liver-Qi flows smoothly. bile is secreted properly and digestion is good. If Liver-Qi is stagnant. the flow of bile may be obstructed resulting in _________ taste, belching or jaundice and also in the inability to digest fats." A) Sweet B) Sour C) Salty D) Bitter

D

How does the Yuan Source Qi disperse to the rest of the body? A. Lungs B. Spleen C. Kidney D. Triple Energizer

D

If a pregnant woman gets _____________ it can be very dangerous for the unborn baby. A) Typhoid B) Tetanus C) Mumps D) Rubella

D

Jaundice, which is mainly manifested by yellow discoloration of the sclera, skin and urine, results from: A) Dampness in the Spleen B) Heat in the Stomach C) Fire in the Liver D) A and B

D

Profuse sweating accompanied by high fever, mental restlessness, thirst with preference for cold drinks and a surging pulse indicates: (Please also include in your comment another name for this diagnosis) A) Qi Deficiency B) Yin Deficiency C) Yang qi exhaustion D) Excessive Yang Heat

D

The Chest is under the influence of the A) Heart B) Lungs C) Liver D) A and B

D

The following signs and symptoms indicate what type of jaundice? Lustrous yellow skin and sclera, fever, thirst, scanty dark yellow urine, heaviness of the body, fullness in the abdomen, stuffiness of the chest, nausea, yellow, sticky tongue coating, string-taut, rapid pulse. A) Damp Heat in the Spleen organ B) Damp Heat in the Liver channel C) Yin Jaundice D) Yang Jaundice

D

The use of the _______________ greatly reduces the risks of infection from blood born viruses such as HBV, HCV and HIV. A) Hand washing B) Vaccination C) Alcohol swabbing D) Clean needle technique

D

What might cause meningitis? A) Meningococcal disease B) Pneumococcal disease C) Flu virus D) A and B

D

What's the best point of the 4 given to treat dysmenorrhea? a. UB32 b. Rěn c. UB29 d. SP6

D

Which of the following is best described as painful vesicles evolving into crusted lesions in a dermatomal distribution? A. Bullous pemphigoid B. Pemphigus vulgaris C. Acne vulgaris (Common acne) D. Herpes Zoster (Shingles)

D

Which statement does not show the relationship between Yin and Yang? A) Yin and Yang are opposites, yet interdependent B) Yin and Yang are in a state of continuous mutual consumption and support C) Yin and Yang are infinitely divisible D) Yin and Yang continually create and destroy each other; they are absolutes

D

Which type of deficiency is associated with microcytic anemia? A. Fibrate deficiency B. B12 deficiency C. Folate deficiency D. Iron deficiency

D

Your patient is waking up every night at 1:30am with hypochondriac pain and a vertex headache. You determine that the appropriate treatment principle is to sedate the Liver organ system. What time of day is best to perform this treatment? A. 12pm-3pm B. 1pm-3pm C. 7am-9am D. 1am-3am

D

Yang Ming channel disease is comparable to which level in the 4 levels? A. Defensive (Wei) Level B. Qi Level C. Blood (Xue) Level D. Nutritive (Ying) Level

B

A choppy pulse can indicate al of the following EXCEPT: A. Dampness B. Blood stasis C. Qi stagnation D. Injured jing-essence

A

A new patient comes in whose entire body, including face, eyes and skin is a smoky dark yellow. Your check pulse and ask questions to confirm your initial diagnosis of: a. Yin Jaundice b. Yang Jaundice c. Liver Fire d. Liver Blood Deficiency

A

All of the following symptoms belong to Jueyin syndrome EXCEPT: A. Hunger without desire to eat B. Upward rushing of Qi to the heart C. Constipation D. Thirst with burning pain of stomach

A

During the menstrual period, menstrual blood that is discharged is due to sloughing of the _______. A. Endometrium B. Peritoneum C. Urethral mucosa D. Epimetrium

A

The term "sterilization" refers to: A) A process that destroys or eliminates all forms of microbial life and is carried out in health-care facilities by physical or chemical methods B) A process used on inanimate objects that kills or destroys many or all infectious microorganisms, except bacterial spores. C) A removes infectious microorganisms from objects so they are safe to handle or discard. D) All of the above are methods of sterilization.

A

What body substance is used to make Yuan Qi? A) Essence B) Qi C) Blood D) Body Fluids

A

What is the symptomatic point selection for clinched jaws? A) ST7, ST6, LÌ B) Rèn, Ren6, Ren8 C) LÌ, ST8, ST18 D) None of the above

A

What is the symptomatic point selection for cough and asthma? A) Rén2, Dingchuan B) Rén3, LĪ0, Lī1 C) Rén2, Rén3, Dū6 D) None of the above

A

Which of the following points intersects the three foot yin meridians and conception vessel? A. On anterior midline, 4 cun below the umbilicus. B. 3 cun directly above the tip of the medial malleolus, posterior to the medial border of the tibia. C. Below the spinous process of the 7th cervical vertebra. D. Center of the suprascapular fossa, directly above the point on the scapula in the depression of the center of the subscapular fossa and at the level of the 4th thoracic vertebra. When the arm is lifted the point is at the site of the depression.

A

you are concerned that a 1 year old patient may have a serious and life threatening disease based on index finger diagnosis. To come to this conclusion you have just: A) Rubbed the patient's finger towards the body to discover the venues extend all the way to the tip, past the Gate of Life B) Rubbed the patient's finger away from the body to discover the venues extend all the way to the tip, past the Gate of Life C) Rubbed the patient's finger towards the body to discover venues appearing extended up to near the middle of the finger beyond the Gate of Qi D) Rubbed the patient's finger away from the body to discover venues appearing extended up to near the middle of the finger beyond the Gate of Qi

A

Points on the upper abdomen may be needled with caution during: A) The first trimester of pregnancy only B) The first and second trimesters of pregnancy only C) The whole pregnancy, as long as it is done carefully D) Never, all abdominal points are contraindicated during pregnancy

A HI all - during the whole term of pregnancy points on the sacrum, lower abdomen are contraindicated, as well as the individual points (SP6, LÌ etc). During the FIRST trimester only, points on the upper abdomen are acceptable to needle WTIH CAUTION

Alberto has dull abdominal pain that comes and goes. He says at night he puts a hot water bottle on his belly, which makes it feel better. He tells you he doesn't like the cold and he finds that cold will actually make the pain worse, as does hunger or fatigue. The pulse is deep and thready. What is the best point prescription for this case? a. Rēn2, PC6, ST36, UB17, Rēn3 b. Rēn2, ST36, UB20, UB21, LǕ3, Ren6 c. Rēn2, ST36, ST25, Ren6, Inner Neiting d. Rēn2, ST36, UB21, LǙ, Ren6

B

Which of the following is the location for the Jing River Point of the Hand Shaoyin Channel? A. When the palm faces upward, the point is found 1 cun above the transverse crease of the wrist, on the radial side of the tendon of m. flexor carpi ulnaris B. When the palm faces upward, the point is found 1.5 above the transverse crease of the wrist, on the radial side of the tendon of m. flexor carpi ulnaris C. When the palm faces upward, the point is found .5 cun above the transverse crease of the wrist, on the radial side of the tendon of m. flexor carpi ulnaris D. When the elbow is flexed into a right angle, the point is found in the depression between the medial end of the transverse cubital crease and the medial epicondyle of the humerus

B

Which of the following regions of the GI tract is the site of enzyme release for Fat digestion? A. Directly below the esophageal sphincter B. Small Intestine C. Stomach D. Large Intestine

B

Which of the immune cells performs the activity of engulfing WBCs via phagocytosis? A. Eosinophils, Monocytes B. Neutrophils, Monocytes C. Neutrophils, Lymphocytes D. Basophils, Monocytes

C

A 28 year old female patient comes in. Her period was 3 weeks late. She comes in today with symptoms of sharp abdominal pain that worsens when she moves and is beginning to bleed. You diagnosis blood stasis with Liver Qi stagnation and you: (Please add in your comments the reason or cause for concern of your choice) A) Needle LǙ, LÌ, SP10, SP6 B) Recommend she see her doctor in the next week or two C) Refer to her doctor for a same day appointment D) Do not treat her. Recommend she go home and rest with a hot water bottle on her abdomen and contact you the next day to see how she is doing.

C

A 48 year old female comes into your clinic with a diagnosis of hypertension. She complains of headaches throughout the day. She tells you that they began 5 years ago after her divorce and that they are exacerbated by stress. The following drugs are useful in the treatment of hypertension EXCEPT: A. Thiazide diuretics B. Metformin C. Calcium channel blockers D. Angiotensin-converting enzyme inhibitors

B. Metformin

A colonoscopy is used to visualize A. Large Intestine + Small Intestine + Stomach B. Esophagus + Stomach + Duodenum C. Large Intestine D. Large Intestine + Small Intestine

C

A new patient comes in whose whole face is red. You expect the tongue to be: A. Red with a greasy yellow coat B. Either purple body or pale body with thick greasy white coat C. Red and dry with a yellow coat D. Geographic tongue

C

A 25-year-old man has irritable bowel syndrome with alternating constipation and diarrhea. He has abdominal distention and pain. Sometimes, he belches or feels nauseated. Flare-ups occur during especially stressful times in his life. His tongue has red sides and a sticky coating. Pulse is string-taut and rolling. What is his diagnosis? A) Liver Qi leading to Liver Heat B) Spleen Qi Deficiency and Large Intestine Wind C) Liver attacking spleen and stomach D) Liver Qi congestion with Damp-Heat

C

A patient comes into your clinic. Her long-term pattern is one of yin deficiency but today she presents with heavy and prolonged menstrual bleeding. Your treatment focuses on A. Nourishing Yin B. Nourishing Yin and controlling bleeding C. Bleeding now, later Nourish Yin D. None of the above

C

Revisiting Treatment Principles from last week: A female patient comes in with dysmenorrhea due to Blood stasis. The Blood Stasis is due to Qi deficiency. What is your treatment approach now? (Extra Credit: What will be your treatment approach after her period) A) Treat the Root only B) Treat both the Root and the Manifestation C) Treat the Manifestation first and the Root later D) Dysmenorrhea is too hard to treat with Chinese medicine. Tell her to get a hot water bottle and take some Ibuprofen and come back when her period is finished.

C

Risa complains of insomnia for several weeks. Her sleep is dream-disturbed and she often feels fearful. She feels very irritable during the day. She often feels discomfort in the lateral rib area and has a bitter taste. What is the best point selection? A) An Mian, B18, G12, H7 B) B20, B23, An Mian, Liv14 C) An Mian, G34, H7, B15 D) H7, Sp6, An Mian, B20

C

SP12 is an important crossing point because the __________ and _______ channels cross here? A) Liv, KD B) Liv and YangQiao C) LV, Yin Wei D) None of the Above

C

Sherry, 40-year-old female, feels nervous and tense. She gets easily frustrated and it turns to anger. Her PMS is getting worse with breast distension and irritability. She gets migraine headaches and is prone to eye infections, especially when the east winds prevail. Last year, she was diagnosed with a case of gallstones, which seem to be under control right now. A) Sedate Liv8 and K10, tonify Liv4 and L8 B) Sedate Liv4 and L8, tonify Liv8 and K10 C) Sedate Liv2 and H8, tonify Liv4 and L8 D) Sedate Liv4 and L8, tonify Liv2 and H8

C

The Du channel (Governing Vessel) crosses which UB point? A) UB1 B) UB10 C) UB12 D) UB32

C

The lung's influence on water metabolism and movement is due to its function of: a. Lung controls the opening and closing of pores and influences sweating b. Lung controls respiration c. Lung disperses and descends d. Lung opens into the nose

C

This week we will be reviewing Pulse Diagnosis. The _____________ pulse indicates extreme Heat. It frequently appears during a fever, but it is also felt in chronic diseases characterized by interior Heat. A) Excess B) Full C) Overflowing D) Long

C

What are main points for jaundice? A) LǙ (Taichong), GB34 (Yanglingquan) B) LǕ3, GB24 C) SP9 (Yinlingquan), ST36 (Zusanli), BL18 (Ganshu), BL19 (Danshu),GV9 (Zhiyang) D) Moxibustion to BL20 (Pishu), BL48 (Yanggang)

C

What are the current guidelines for performing a mammography for breast cancer screening? A. Every 6 months after age 50 B. Every 5 years after age 50 C. Every 2 years after age 50 D. Every 3 years after age 50

C

What is the main empirical point to treat jaundice? A) GV 7 (Zhongshu) B) GV8 (Jinsuo) C) GV9 (Zhiyang) D) GV10 (Lingtai)

C

Where does the Yuan (Source) Qi originiate? A. Yuan Source points B. Triple Energizer C. Between the Kidneys D. Middle Jiao

C

Which channel does NOT reach the eyes? A. Heart B. Small Intestine C. Large Intestine D. Liver

C