CALE Question Bank-Practice Exam Builder

When a patient presents with abnormal sensations in the abdomen (paralysis, pain, burning, itching), eye disorders, diplopia, partial loss of vision, pain in one eye, blurred vision, vision loss, difficult to reach orgasm, loss of sensitiveness in the vagina, impotence, dizziness, weak limbs, difficult walking and balancing, tremors, imbalance of eye ball movement, loss of control of urine and stool, constipation, stiff body, excessive fatigue, depression, loss of control of emotion (cry or laugh without reason) and potential mental disorder, ____________ organ is diseased. A. Spleen B. Liver C. Kidney D. Heart

A

When differentiating between Wind Heat and Wind Cold, which of the following symptoms will the main differentiating factor? A. Tongue coating B. Superficial pulse C. Thirsty D. Chills and fever

A

When inserting a long needle, which of the following can you do to help stabilize the needle when inserting? A. Grasp needle with sterilized gauze B. Grasp needle with cotton ball C. Grasp needle with clean hands D. Don't use long needles in clinic

A

When needling the point located 0.5 cun above the medial malleolus along the anterior surface of the tibia, caution should be taken to avoid needling into which of the following nerves? A. Saphenous nerve B. Tibial nerve C. Deep peroneal nerve D. Medial sural cutaneous nerve

A

When sedating the point L7 which is the correct needle direction? A. L7 pointed towards L5 B. L5 pointed towards L7 C. L7 pointed towards L9 D. L9 pointed towards L7

A

Where is the location of Xi-Cleft point of Yin Wei channel? A. 5cun directly above K3 at the lower end of the belly of gastrocnemius, on the line drawn from K3 to K10 B. On the medial side of the popliteal fossa, between the tendons of semitendinosus and semimembranosus C. 0.5cun anterior to K7, 2 cun above K3, posterior to the medial border of the tibia D. 2cun directly above K3, on the anterior border of the tendoncalcaneus

A

Where is the location of the Vertigo and Hearing line? A. 1.5cm above the ear apex, 2cm anterior and posterior to the center, 4cm in length B. Vertical line 2cm beside the tuber parietal on the back of the head, 3cm in length C. 1.5cm parallel anterior to Motor line D. 1.5cm parallel anterior to Chorea and tremor line

A

Which Big Picture point category is best for treating gastrointestinal disorders resulting from poor dietary habits? A. He Sea B. Jing River C. Shu Stream D. Ying Spring

A

Which ICS and ribs are located in the area where you palpate the Heart apical pulse? A. 5th ICS between the 5th and 6th ribs B. 4th ICS between the 5th and 6th ribs C. 4th ICS between the 4th and 5th ribs D. 5th ICS between the 4th and 5th ribs

A

Which Luo channel goes to the throat and treats inflammation, insanity and aphasia? A. ST B. SP C. LU D. GB

A

Which channel has a point that is both one of the Five Transporting Points and an Eight Confluent Point? A. Earth B. Fire C. Water D. Metal

A

Which channels are best for a patient with sciatica? A. GB and UB B. KD and UB C. KD and LV D. GB and LV

A

Which channels cross the Yin Qiao meridian? A. Foot Shaoyin, Foot Taiyang B. Foot Three Yin, Ren C. Hand and Foot Taiyang, Du, Hand and Foot Shaoyang, Foot Yangming D. Hand and Foot Taiyang, Hand and Foot Yangming, Foot Shaoyang

A

Which dermatome innervates DU1? A. S3 B. S5 C. L5 D. S1

A

Which herb can be used for thick, yellow pus from a staph infection which has become resistant to treatment? A. Huang Qin (Scutellariae Radix) B. Ban Lan Gen (Isatidis/Baphicacanthis Radix) C. She Chuang Zi (Cnidii Fructus) D. Ku Shen (Sophorae fiavescentis Radix)

A

Which herb can cause hypertension and edema in case of overdose? A. Gan Cao (Glycyrrhizae Radix) B. Ren Shen (Ginseng Radix) C. Fu Ling (Poria) D. Pu Huang (Typhae Pollen)

A

Which herb has the same action as NSAID? A. Bai Guo B. Ma Huang C. Fu Ling D. Dang Gui

A

Which herb is contra-indicated in cases of Hemoptysis? A. Jie Geng B. Zi Cao C. Mu Gua D. Ren Shen

A

Which is correct about the difference between Divergent Meridians and Collaterals? A. Divergent meridians govern the inside of the body, so they do not have points of their pertaining organs, while the Collaterals control the body surface and each has a Luo (Connecting) point B. Divergent meridians are mostly distributed on the body surface, and the Collaterals mainly run deeper in the body C. Divergent meridians & Collaterals are both best distributed on the body surface D. Each Divergent meridian has a point of their own, while Collaterals do not have points of their pertaining organs

A

Which medication is used for depression? A. Serzone B. Procardia C. Naprosyn D. Relafen

A

Which muscle meridian connects all the muscle meridians? A. Foot Jueyin Channel B. Foot Shaoyang Channel C. Foot Yangming Channel D. Foot Taiyang Channel

A

Which of the five element points is best for treating excess heat in the body? A. Ying Spring B. Jing Well C. Shu Stream D. Jing River

A

Which of the following 5 Element Associates is correct? A. Fire = Small Intestines, Blood vessels, joy, Summer, Heat, bitter, laughing and Upwards B. Earth = Spleen, muscles, pensiveness, Winter, Damp, sweet, singing and expansion C. Wood = Liver, sinews, anger, Spring, Wind, South, shouting and contraction D. Water = Urinary Bladder, bones, fear, Late Summer, Cold, salty, groaning and Downwards

A

Which of the following answers is the correct location for the crossing point of Liver channel and Spleen channel? A. On the midline of the abdomen, 4 cun below the umbilicus B. 5 cun above medial malleolus C. On the midline of the abdomen, 2 cun below the umbilicus D. 3 cun above lateral malleolus

A

Which of the following answers lists the correct points on the Yang Qiao meridian? A. B62, B61, B59, GB29 B. B63, GB35, SI10, SJ15, B21 C. K9, SP13, SP15, SP16, Liv14, Ren22, Ren23 D. K6, K8, B1

A

Which of the following conditions is considered to be 'Yang within Yin'? A. Blood Stasis B. Qi Deficiency C. Qi Stagnation D. Blood Deficiency

A

Which of the following conditions is contraindicated for Moxibustion? A. Lower Back of a pregnant woman B. A patient suffering from Kidney Yang Deficiency C. A patient diagnosed with Hypertension D. A patient who has skin ulcers

A

Which of the following divergent channels go to Face and Chest? A. H & P B. L & LI C. ST & H D. GB & Liv

A

Which of the following foods is best for cases of Hypertension? A. Celery B. Broccoli C. Rooibos tea D. Honey

A

Which of the following herb and point combinations is most beneficial for a patient with mastitis? A. Pu Gong Ying and S18 B. Gui Zhi and S18 C. Qing Pi and S17 D. Jin Yin Hua and Ren17

A

Which of the following herb choices you should not take with onion and garlic? A. Sheng Di Huang, Shu Di Huang B. Ren Shen, La Fu Zi C. Tao Ren, Hong Hua, Chuan Xiong D. Da Huang, Mang Xiao

A

Which of the following herbs should not be used together with Ren Shen, Shu Di Huang or Zhi He Shou Wu? A. Lai Fu Zi B. Ban Xia C. Fang Feng D. Wu Ling Zhi

A

Which of the following hormone is produced from cholesterol? A. Aldosterone B. Epinephrine C. Gonadotropin D. TSH

A

Which of the following hormones increases the release of Calcium into the Blood by acting on the bones and Kidneys? A. Parathyroid hormone B. Tri-iodothyronine C. Tetra-iodothyronine D. Calcitonin

A

Which of the following is a tonification method? A. Plucking B. Penetrating Heaven Coolness C. Scraping D. Shaking

A

Which of the following is right about incubation period of Hepatitis C? A. 14-180 days B. 50-180 days C. 15-60 days D. 15-50 days

A

Which of the following medications is the first choice to be considered for a patient with Parkinson's disease? A. L-dopa (Levodopa) B. Amantadine C. Selegiline D. Entacapone

A

Which of the following methods should be used to treat a patient with excessive sweating, cold limbs, and Weak pulse? A. Moxibustion with salt B. Moxibustion with ginger C. Moxibustion with garlic D. Moxibustion with warming needle

A

Which of the following points are points on the Yang Qiao channel (Yang Heel/ Yang Stepping/ Yang Motility Vessel)? A. B62, B61, B59 B. K9, SP13, SP15 C. K6, K8, B1 D. B63, G35, SI10

A

Which of the following points can be used for spasms of the masseter muscle? A. S7, S6, LI4 B. Ren22, LI18, LI14 C. B17, P6, P8 D. Du26, S6, LI4

A

Which of the following points clears Heat, releases the Exterior, expels Wind and tonifies Yang? A. Below the spinous process of the seventh cervical vertebra, approximately at the level of the shoulder B. Below the spinous process of the first thoracic vertebra C. 0.5 cun directly above the midpoint of the posterior hairline, in the depression below the spinous process of the first cervical vertebrae D. 1 cun directly above the midpoint of the posterior hairline, directly below the external occipital protuberance, in the depression between m. trapezius of both sides

A

Which of the following prescriptions is best to treat a patient with Yin Jaundice? A. B18, S36, Du9, B20, B48 B. B18, S36, Du9, Du14, LI4, LI11 C. B18, B19, Du9, SP9, Liv3, G34 D. B18, B19, Du9, G24, DANNANGXUE

A

Which of the following procedures is outside the scope of practice for an Acupuncturist? A. Injecting herbal tincture into acupuncture points B. Using auricular acupuncture C. Using electroacupuncture D. Prescribing the use of mineral products

A

Which of the following statements is correct about making and keeping a backup of your electronic health data? A. Keep the data in separate and secure location B. Keep the data on different computers in the same office C. Keep the data on the same computer D. Keep the data safe

A

Which of the following symptoms could manifest in a patient with Lupus? A. Intense fatigue, weight loss, low back pain, Hemolytic anemia B. Intense fatigue, weight gain, low back pain, Hair growth C. Confusion, weight loss, low back pain, voracious appetite D. High energy, weight loss, low back pain, sickle cell anemia

A

Which of the following symptoms is not contraindicated with Xiao Chai Hu Tang (Minor Bupleurum Decoction)? A. Hypertension B. Liver Fire C. Bleeding of gums D. Excess above and deficiency below

A

Which of the followings cannot be taken with cholesterol medication like Lovastatin? A. Grapefruit juice B. Apples C. Broccoli D. Steak

A

Which of the scalp acupuncture points could be used for prolapsed uterus? A. Parallel and lateral to the Stomach area at a distance equal to that between the Stomach area and the Thoracic cavity area, 2cm in length B. Beginning at the hairline directly above pupil of eye, parallel with midline of head, 2cm in length extending posteriorly C. Midway between and parallel with the Stomach area and midline of head, bilaterally, 2cm in length D. A line 2cm in length extending anteriorly from the Stomach area

A

Which one is correct regarding 'Wei Qi'? A. Moves along the limbs and head during the day time and moves internally during the night time B. Follows generating cycle when it moves internally at night C. Status of 'Wei Qi' can be checked in the waist which is the Great Luo of Spleen Channel D. Moves along the limbs and head during the night time and moves internally during the day time

A

Which one of the following is correct dosage and ingredients of Da Cheng Qi Tang (Major Order the Qi Decoction)? A. Da Huang (Rhei Radix et Rhizoma) 6-12g, Mang Xiao (Natrii Suljas) 9-12g, Zhi Shi (Aurantii Fructus immaturus) 12-15g, Hou Po (Magnoliae officinalis Cortex) 12-24g B. Da Huang (Rhei Radix et Rhizoma) 6-12g, Mang Xiao (Natrii Suljas) 9-12g, Zhi Shi (Aurantii Fructus immaturus) 12-15g, Hou Po (Magnoliae officinalis Cortex) 9-24g C. Da Huang (Rhei Radix et Rhizoma) 4-12g, Mang Xiao (Natrii Suljas) 9-12g, Zhi Shi (Aurantii Fructus immaturus) 12-15g, Hou Po (Magnoliae officinalis Cortex) 12-24g D. Da Huang (Rhei Radix et Rhizoma) 6-12g, Mang Xiao (Natrii Suljas) 6-12g, Zhi Shi (Aurantii Fructus immaturus) 12-15g, Hou Po (Magnoliae officinalis Cortex) 12-24g

A

Which part of spine is related to the autonomic nervous system? A. Anterior horn B. Lateral horn C. Posterior horn D. Posterior column

A

Which point can be used when there is amenorrhea, dysmenorrhea, blurred vision and dizziness? A. 1 cun directly below K3 in the depression anterior and superior to the medial side of the tuberosity of the calcaneum B. In the depression between the medial malleolus and the tendon calcaneous, at the level with the tip of the medial malleolus C. Posterior and inferior to the medial malleolus, in the depression medial to the attachment of the tendon calcaneous D. In the depression of the lower border of the medial malleolus

A

Which point is level with the point on the transverse crease of the dorsum of the wrist in the depression lateral to the tendon of m. extensor digitorum communis (SJ4) according to the Upper and Lower body mirror imaging theory? A. ST41 B. PC7 C. ST36 D. GB40

A

Which point location helps with asthma and cough? A. 0.5 cun lateral from C7 B. 2 cun lateral from T7 C. 3 cun lateral from T5 D. 2 cun lateral from T12

A

Which points can be used for bacterial infection, immune system issues and help produce antibodies? A. S36, LI4 B. Ren17, SI1, LI4 C. S36, S42 D. S36, Du20

A

Which scalp line would you use for a patient with Broca aphasia characterized by partial loss of the ability to produce language (spoken, written or manual)? A. Lower 2/5th of the Motor line B. Speech 3 C. Balance D. Speech 2

A

Which spinal nerve is related to biceps reflex? A. C5, 6 B. C6, 7 C. S1 D. L2, 3, 4

A

Which spinal nerve is related to biceps reflex? A. C5, 6 B. S1 C. C6, 7 D. L2, 3, 4

A

Which two categories of Big Picture points are best used together to treat chronic symptoms? A. Yuan and Back-Shu points B. Xi-Cleft and Front-Mu points C. Yuan and Xi-Cleft points D. Xi-Cleft and Luo points

A

Which two herbs are best for a patient experiencing fever, aversion to cold, sore throat, cough and Superifical, Rapid pulse? A. Jie Geng + Xuan Shen B. Niu Bang Zi + Shi Gao C. Niu Bang Zi + Pu Gong Ying D. Niu Bang Zi + Bai Zhi

A

You are currently treating Sarah for systemic edema using the formula Wu Pi San (Five-Peel Powder). Which two herbs would you add to the formula for severe abdominal distension? A. Lai Fu Zi (Raphani Semen), Hou Po (Magnoliae officinalis Cortex) B. Da Huang (Rhei Radix et Rhizoma), Zhi Shi (Aurantii Fructus immaturus) C. Gan Jiang (Zingiberis Rhizoma), Zhi Fu Zi (Aconiti Radix lateralis preparata) D. Hua Shi (Talcum), Yi Yi Ren (Coicis Semen)

A

You are working as an acupuncturist in the hospital ER when a patient comes in with the following symptoms: agitation, sweaty and clammy skin and dilated pupils. Her blood pressure is 140/87. Which drug is she on and is she having withdrawals or is she intoxicated? A. Opioid withdrawal B. Cocaine intoxication C. Opioid intoxication D. Cocaine withdrawal

A

You have a new patient that comes to your clinic. She is accompanied by her husband who insists being in the treatment room. You notice your new patient becomes very anxious at his demand so you let him know politely that only the patient is allowed in the treatment room. After conducting the new patient interview, you have your new patient undress so you can cup and needle her back. You notice that her back and arms are covered in bruises. You ask her about what happened but she just starts to cry and begs you to please not report the incident to the authorities. You are required by law to report the incident. Do you report the domestic violence even when your patient does not want you to and who do you report it to? A. Report the incident to the local police B. Report the incident to State Department of Mental Health C. Do not report D. Give the patient two days to reconsider and report only if she agrees to it

A

You meet up with a friend on Saturday night for a few drinks. You are both enjoying the cocktails and enjoying catching up after a few years of not seeing each other. About two hours into the evening, your friend says his head and his stomach are hurting. Your acupuncture clinic is a block away. You offer to take him there so he can lie down. He then wants you to give him an acupuncture treatment. What's your response? A. Tell him that you cannot treat a patient who is intoxicated and also that you cannot work under influence of alcohol yourself B. You say "Sure!" and you start to prepare your clean field C. You know that you shouldn't treat anyone under the influence of alcohol but since this is a good friend, you think you can make one exception D. Offer to do some cupping and massage instead

A

You must notify authorities within how many hours for elderly abuse? A. 48 hours B. 36 hours C. 24 hours D. 12 hours

A

You prescribe your patient a formula and they come back a week later experiencing dizziness, vertigo, bland taste and reduced appetite. What is formula did you prescribe? A. Wu Pi San B. Ba Zheng San C. Wu Ling San D. Zhu Ling San

A

You want to use a 4 inch needle for your patient with sciatic pain. What is the best way to support the needle upon insertion? A. Use sterilize gauze B. Use your hand as long as it is clean C. Use a cotton ball D. All of the above

A

Your 88-year-old grandmother is in the hospital with a severe case of pneumonia. She is very sick and the doctors are not convinced there will be a good outcome. Two days later, she seems to have recovered and is feeling much better. She is talking, laughing and her complexion looks healthier than it has in a long time. Everyone thinks she will recover. The next days she passes away. What happened? A. False Shen B. The doctor gave her the wrong medication C. The disease took a turn for the worse D. She caught another cold

A

Your patient comes in with pain along the upper arm. He can't flex his elbow. Which nerve root is affected? A. C6 B. C5 C. C7 D. C8

A

Your patient comes into the clinic asking you to treat her for weight loss. She wants to lose about 20 lbs and at the same time build muscle. She tells you that she doesn't want to exercise and that she hates exercising. That is a complete deal-breaker for her. What nutritional advice would you give someone who wants to building muscles without exercising? A. Eat rice and vegetables soaked in ginger juice B. Increase green vegetables and fat C. Eat green vegetables and cooked vegetables D. Eat rice and increase protein

A

Your patient experiences dysuria, dark, yellow turbid urine that stops suddenly and then restarts. Sometimes there are stones in the urine. What is the best acupuncture point prescription for this case? A. B28, RN3, SP9, U39 B. B28, RN3, SP9, SPl0, SP6 C. B28, RN3, LV2 D. B28, RN3, B23, K6

A

Your patient has gone through treatment for breast cancer. She was treated with chemo, radiation and had lymph nodes removed from under both armpits. One of the main side effects of lymph node removal is edema. How will the edema manifest? A. Edema on both sides of the body B. None of the above C. One sided only D. Whole body edema

A

Your patient has sharp shoulder pain. You ask him to lift his arm to the shoulder level with the elbow flexed to 90 degrees. The patient then rotates the forearm. Which muscle does this test? A. Teres Minor B. Infraspinatus C. Supraspinatus D. Subscapularis

A

Your patient is taking medication and has been diagnosed with Vitamin D and Calcium deficiency. Which of the following medications are they most likely taking? A. Corticosteroids B. Anticoagulants C. Diuretics D. Antidepressants

A

Your patient suffers from 2nd degree burns from a direct moxa treatment you were performing. What is the best course of action to take? A. Cover the burn area with sterile gauze B. Send the patient to the emergency room C. Cover with gentian violet and surround the area with acupuncture needles to promote healing D. Put ointment over the burn area

A

Your patient suffers from chronic asthma for the past 12 years. He has an inhaler that helps tremendously. However, he has found no relief for the most bothersome symptom, the constant chest distension. What point would be the best to use for this symptom? A. Ren17 B. ST19 C. UB13 D. LU1

A

Ben complains of alternating hot and cold feelings with a prevalence of heat. He also has a bitter taste, thirst, dry throat, hypochondrial pain, nausea, feeling of oppression of the chest and epigastrium, nausea and loose stools. What is the differential diagnosis for this case? A. ST and SP Damp Heat B. Shaoyang Stage Disease C. Middle Burner Disease D. Qi Level Heat

B

Beverly is 5 months pregnant. Which of the following acupuncture points is contraindicated for this case? A. In the depression lateral to the cuboid bone B. Depression between the external malleolus and achilles tendon C. In the depression right below the external malleolus D. Posterior and inferior to the external malleolus, directly below B60, in the depression of the calcaneum

B

In the formula Zhen Wu Tang (True Warrior Decoction), all the ingredients are 9g except for one which is 6g. Which herb in Zhen Wu Tang has the dosage of 6g? A. Bai Shao (Paeoniae Radix alba) B. Bai Zhu (Atractylodis macrocephalaeRhizoma) C. Fu Ling (Poria) D. Fu Zi (Aconiti Radix latera/is preparata)

B

Lori has a chronic cough for the past year. The cough is dry with very little sputum which is difficult to expectorate. She also has dry mouth and throat, shortness of breath and fatigue. Which formula is best for this patient? A. Zhi Sou San (Stop Coughing Powder) B. Sheng Mai San (Generate the Pulse Powder) C. Su Zi Jiang Qi Tang (Perilla Fruit Decoction for Directing Qi Downward) D. Bei Mu Gua Lou San (Fritillaria and Trichosanthes Fruit Powder)

B

Marcus presents with a "something" in his throat. He says he feels like there is something in his throat, but he cannot cough up or swallow it. His throat is also painful and swollen. His tongue is moist with a white, greasy coating. His pulse is wiry and slippery. You prescribe: A. Yin Qiao San (Honeysuckle and Forsythia Powder); + Xuan Shen (Scrophulariae, Radix), Jie Geng (Platycodi, Radix) B. Ban Xia Hou Po Tang (Pinellia and Magnolia Bark Decoction); + Xuan Shen (Scrophulariae, Radix), Jie Geng (Platycodi, Radix) C. Ban Xia Hou Po Tang (Pinellia and Magnolia Bark Decoction); + Niu Bang Zi (Arctii, Fructus) , Zhi Zi (Gardeniae, Fructus) D. Yin Qiao San (Honeysuckle and Forsythia Powder); + Niu Bang Zi (Arctii, Fructus), Zhi Zi (Gardeniae, Fructus)

B

You take your patient's blood pressure while they are lying down. The systolic pressure drops 20mm Hg but the pulse rate goes up. What is the disease? A. Imminent Heart Attack B. Orthostatic Hypotension C. Depression D. Orthostatic Hypertension

B

Your patient age 6 comes in with fever, chills, pain and swelling around the parotid region. The area shows redness as well. His mother tells you that the child finds it difficult to chew (dysmasesis) and so has been drinking cold liquids or hot broth. The patient seems irritable. His mother tells you that the urine is dark yellow and the child has been constipated for the past 5 days. What is the best ear acupuncture protocol for this patient? A. Parotid Gland, Endocrine, Subcortex B. Parotid Gland, Cheek, Subcortex C. ST, LV, SP, Neorogate D. Eyes, Cheek, LV, Mouth, Adrenals

B

Your patient comes in with neck and shoulder pain. Based on your diagnosis you determine that the best course of action is to treat the area using cups. You place the cups on her back and leave the room. When you come back in 10 minutes later, there are fluid filled blisters on her back. How do you proceed? A. Puncture the blisters and cover with gauze B. Cover with gauze C. Puncture the blisters D. Do nothing they will heal on their own

B

Your patient complains of tennis elbow. Which two divergent channels will you use? A. Hand Jueyin, Hand Taiyin B. Hand Shaoyang, Hand Taiyang C. Hand Yangming, Foot Shaoyang D. Hand Shaoyin, Foot Shaoyang

B

Your patient develops a 2 inch blister after you cup her back. How do you treat it? A. Drain fluid and cover the area with gauze B. Clean the surface and cover with gauze C. Refer her to her PCP D. Drain fluid and leave the area uncovered

B

Your patient has a greenish blue tip on his nose. What is the pattern differentiation for this case? A. Liver Fire B. Abdominal pain from Cold in the Spleen C. Liver Qi Stagnation D. Damp Heat in the Spleen

B

Your patient has steaming bone syndrome characterized by night sweats, dry mouth and tongue and thirst with desire to drink in small sips. How would you modify Liu Wei Di Huang Wan (Six Ingredients with Rehmannia) to help with her condition? A. Add Shi Gao B. Add Zhi Mu C. Add Tian Hua Fen D. Add Huang Qin

B

After Mel had a stroke, he began suffering from a chronic pain. The pain is fixed and gets worse when the weather is cold or cloudy. The patient does not like being active and the pain is better with pressure and warmth. Recently his vision is getting worse and Mel is losing his hair. Which formula can be used instead of Xiao Huo Luo Dan? A. Tian Ma Gou Teng Yin (Gastrodia and Uncaria Drink) B. Jin Gui Shen Qi Wan (Kidney Qi Pill) C. Du Huo Ji Sheng Tang (Pubescent Angelica and Taxillus Decoction) D. Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia)

C

After Small Intestine separates Clear from Turbid, where does the clear go? A. SP B. LI C. UB D. LU

C

Alan is a competitive body builder. He is in the clinic today with a stiff neck and shoulder pain. He was at the gym yesterday lifting a dumbbell when he felt a sharp pain in his trapezius muscle. The pain doesn't radiate to the arm and he doesn't have a headache. He has an uncomfortable feeling in his lower back when he gets up from a sitting position. Which two points would be best to treat his shoulder? A. LI4, SP4 B. L7, K6 C. SI3, B62 D. SJ5, GB41

C

All the nutrients absorbed by stomach and intestines are carried in the blood to the Liver via the _____. A. Hepato vein B. Superior vena cava C. Hepatoportal vein D. Inferior vena cava

C

An acupuncturist examines a patient and finds a deviated and stiff, but normal-colored tongue. Which of the following conditions is indicated by the patient's tongue presentation? A. Epilepsy B. Trigeminal neuralgia C. Cerebral vascular accident D. Bell's palsy

C

Anne presents with severe stabbing pain in the joints that is better with warmth and worse with cold. The pain is fixed and localized but the area is not red or warm to the touch. What type of Bi Pain does she have? A. Wandering Bi B. Heat Bi C. Fixed Bi D. Painful Bi

C

Bella has severe exhaustion, constipation, poor appetite, black (similar to bronze) pigmentation and dryness of the facial skin, dry throat, night sweat and heat sensation on the face that is worse at night. The pulse is Weak (Ruo Mai) on both rear positions. The tongue is pale and the root is red. The tongue body is also swollen with teeth mark. The tongue coat is thin, white and peeled on the root. What is the diagnosis? A. Cushing disease B. Hyperthyroidism C. Addison disease D. Aldosteronism (Conn disease)

C

Ben goes out with his friends on a Saturday night in the city. Around 2am they decide to stop by a taco truck on their way home. Ben orders a burrito with cheese, raw tomatoes and guacamole. He now experiences abdominal cramping with severe watery diarrhea and a lot of gas. He is vomiting, runs a fever and feels fatigue. Who would he report his experience to? A. Acupuncture board B. CDC C. FDA D. Local police department

C

Ben goes to the beach for a bon fire in late October. He has a fun night drinking and falls asleep on the beach. Now he has fixed low back pain that is painful. He would like to have acupuncture for this condition. His tongue has a thick, white coat. What is the diagnosis for this case? A. Heat Bi B. Damp Bi C. Cold Bi D. Cold Damp Invasion

C

Board will deny, suspend, revoke, or impose probationary conditions for which of the following actions? A. Calling self doctor B. Not notifying elderly abuse C. Wrongful advertisement D. Misdemeanor

C

Briana was visiting Indonesia during the monsoon season. She complains of irritability and night sweats. Other symptoms include dry throat, palpitations and dizziness. Her tongue is red with a dry coat. What would you expect her pulse to be? A. Thready (Xi Mai) and Rapid (Shu Mai) B. Soft (Ru Mai) and Thready (Xi Mai) C. String-taut (Xuan Mai) and Thready (Xi Mai) D. Superficial (Fu Mai) and Rapid (Shu Mai)

C

Case of insomnia where patient has difficulty falling asleep but sleeps fine after A. Deficiency pattern B. GB def C. HT Blood def D. LV Blood def

C

Constipation is best treated with which of the following Dui Xue options? A. SJ6, K14 B. SJ6, GB34 C. SJ6, K6 D. SJ6, GB31

C

Cupping with bloodletting is best for which of the following conditions? A. GI disorders B. Wind Damp Bi C. Acute sprain with Blood Stasis D. Cough with asthma

C

If you were using moxibustion with garlic, which of the following symptoms would you be treating? A. Acute abdominal pain accompanied by vomiting and diarrhea, dysentery, collapse B. Skin ulcer which does not heal for a long time, yin type boil C. Scrofula, tuberculosis, abdominal mass, boil which is not ulcerated, mastitis D. Abdominal pain, diarrhea, joint pain, deficient cold

C

If your patient has a burning sensation in the chest and abdomen but the hands and feet are very cold, what is the most likely diagnosis in this case? A. Excess in the interior and Cold on the Exterior B. True Cold, False Heat C. True Heat, False Cold D. Stomach Fire with general Yang Deficiency

C

Incubation period for Hep C A. 15-50 days B. 15-60 days C. 20-90 days or 14-180 days D. 50-180 days or 45-160 days

C

Insomnia characterized by irritability, dream-disturbed sleep, nightmares, headaches and distending pain in the costal region is most likely caused by? A. Disharmony between the Heart and Kidney B. Deficiency of the Heart and Spleen C. Upward disturbance of the Liver Fire D. Dysfunction of the Stomach

C

Nick had severe exhaustion for the last 3 years. He has little to no appetite and eating often made him nauseous. Nick was diagnosed with HIB 7 years ago. He suffers from chronic dry mouth and often carries a water bottle with him so he can sip water. Recently he developed a very itchy rash over his lower limbs. His tongue is red, mirrored with a central crack and transverse cracks on the side of the tongue. What is the diagnosis for this case? A. Stomach Qi Deficiency B. Spleen Qi Deficiency C. Stomach and Spleen Yin Deficiency D. Stomach Yin Deficiency

C

On Friday evening, your toddler falls down and hits her head on the side of a table. She hasn't broken the skin but a bump starts to form. Afterwards all she wants to do is sleep. What is the correct next step? A. Decide to take her to urgent care on Saturday after you have gone to the grocery store B. Ice the bump and hope it goes down in a few hours C. Go to the ER D. Make an appointment with her doctor for the following week

C

Patient has Spleen qi deficiency symptoms and leg edema. What's the diagnosis? A. Sp qi def B. Sp qi sinking C. Sp yang def D. KD Yang def

C

Patient has an allergic reaction of local skin inflammation in 20 minutes after hiking through the wilderness. What is the cause of the skin inflammation? A. Rheumatic Fever B. Anaphylactic shock C. Lyme Disease D. Skin Dermatitis

C

Patient has been suffering from insomnia for the past 3 months. She also has dizziness, blurred vision, anxiety, palpitations, night sweats and dry mouth. The tongue is red with a dry coat and the pulse is Thready. What is the best formula for this patient? A. Xiao Feng San B. Gu Jing Wan C. Suan Zao Ren Tang D. Wen Jing Tang

C

Steven suffers from constipation. He says that he feels hot all the time and is very thirsty. His breath smells bad. The tongue has a yellow and dry coating and the pulse is rolling and forceful. What is the best point prescription for this case? A. B25, S25, SJ6, K6, Ren12, Liv3 B. B25, S25, SJ6, K6, B20, B21, S36 C. B25, S25, SJ6, K6, LI11, LI4 D. B25, S25, SJ6, K6, MOXA ON Ren8 AND Ren6

C

Substance P is a neurotransmitter which delivers pain information. Which neurotransmitters inhibit pain sensation similar to the effects of opium? A. Cholecystokinin (CCK), Enkephalins B. Endorphins, Vasoactive intestinal peptide (VIP) C. Enkephalins, Endorphins D. Cholecystokinin (CCK), Vasoactive intestinal peptide (VIP)

C

Suzie has a terrible toothache. She tells you along with this she has bleeding gums, strong thirst and foul breath. What two points would work best for her condition? A. ST6, ST7 B. KD3, ST6 C. LI11, ST44 D. SJ2, GB20

C

Taking Xiao Huo Luo Dan with wine will do which of the following? A. Clear Heat, unblock, and promote movement in the channels and collaterals B. Enhance the Damp-dispelling functions of the formula C. Strengthen the Blood-invigorating actions of the formula D. Focus the formula on dispersing Wind

C

The Gag reflex is controlled by which of the following cranial nerves? A. XI, XII B. CN VIII, IX C. CN IX, X D. X, XI

C

The acupuncture prescription of H7, SP6, ANMIAN, UB15, UB23, and K3 treats insomnia due to? A. Stomach Dysfunction B. Deficiency of the Heart and Spleen C. Disharmony between the Heart and Kidney D. Upward disturbance of Liver Fire

C

Marcus presents with urinary difficulty. His limbs are achy and heavy. He also has generalized edema. He has slight abdominal pain that is worse with cold. His tongue is pale and swollen with teeth marks, and a white and slippery coat. His pulse is submerged, thin, and forceless. You prescribe: A. Zhu Ling Tang (Polyporus Decoction) and Wu Pi San (Five Peel Powder) B. Zhen Wu Tang (True Warrior Decoction) and Wu Ling San (Five Ingredient Powder with Poria) C. Wu Pi San (Five Peel Powder) and Zhen Wu Tang (True warrior Decoction) D. Wu Ling San (Five Ingredient Powder with Poria) and Zhu Ling Tang (Polyporus)

B

Matt is a body builder and spends 3-4 hours in the gym every day. He is in your clinic today because he has a stiff neck and shoulder pain. He tells you while he was lifting weights yesterday he felt a sharp pain around the left trapezius muscle. The pain doesn't radiate down his arm and he doesn't have a headache. However, he does have discomfort in his low back when he moves from a sitting to standing position. Which two points should we use for this patient? A. P6, SP4 B. SI3, B62 C. SJ5, G41 D. L7, K6

B

Maya is a young mother. She is just 22 years old. She gave birth to a baby one week ago. She is in your clinic because she feels very weak. Her Qi and Blood are deficient and she has very cold limbs. Which two formulas would you combine for this patient and what single herb would you add in at a greater dosage? A. Si Jun Zi Tang with Li Zhong Wan + Huang Qi B. Shi Quan Da Bu Tang with Bu Zhong Yi Qi Tang + Ren Shen C. Si Wu Tang with Liu Wei Di Huang Wan + Fu Zi D. Jin Gui Shen Qi Wan with Si Wu Tang + Dang Shen

B

Microcytic anemia is characterized by small red blood cells (called microcytes). The normal mean corpuscular volume (MCV) of red blood cells is 80-96 femtoliters per cell. Cells with a MCV of less than 80 fL are described as microcytic and cells with a MCV of more than 96 fL are described as macrocytic. Which of the following is the most common cause of microcytic anemia? A. Kidney Deficiency B. Iron deficiency anemia C. Liver Disease D. Hemolytic anemia

B

Mila complained of nocturia. Every night she wakes 5-6 times to urinate. The urine is pale in color. Other symptoms include a dry mouth at night, low back pain and a general feeling of cold. Ironically her face is always hot. Her tongue is pale and wet at the root with a red tip with red points. Her pulse is weak, deep and slightly rapid. What is the differential diagnosis for this case? A. Kidney Qi not Firm with Kidney Yang Deficiency B. Kidney Yang Def with Heart Heat C. Kidney Yin Def with Heart Heat D. Kidney Yang Def with Water Overflowing

B

Naomi is 60-years-old. She has been a marathon runner for most of her life. In the last year she has developed knee pain which keeps her from running. She can manage a long, leisurely walk and can also swim every once in a while. But she is in the clinic today because she has pain in her lower limbs and Lower Jiao. She complains on a heavy sensation in this area. The pain is fixed and Naomi's body feels stiff and weak. Applying heat to the area helps as well as taking a long sauna. Her tongue is pale with a white tongue coat and the pulse is Slow. Sometimes the area feels paralyzed. What is the best formula for this case? A. Ping Wei San (Calm the Stomach Powder) B. Xiao Huo Luo Dan (Minor Invigorate the Collaterals Special Pill) C. Gui Zhi Tang (Cinnamon Twig Decoction) D. Du Huo Ji Sheng Tang (Pubescent Angelica and Taxillus Decoction)

B

Orthostatic hypotension is a side effect of which of the following drugs? A. NSAIDs B. Beta blockers C. SSRIs D. Lasix

B

Overdose of which of the following herbs can lead to fainting, headaches and in severe cases death? A. Fu Ling B. Rou Dou Kou C. Bai Shao D. Mu Li

B

Pain in the glutes, back of the thigh and scrotum would indicate an issue with which of the following dermatomes? A. L1 B. S2 C. S1 D. L2

B

Passive ROM test checks for the integrity of the: A. Muscle B. Joint C. Nerve D. Bursa

B

Patient complains of deep stabbing bone pain and sudden weight loss. What should we do? A. Refer them to an orthopedic surgeon B. Refer them to a cancer specialist C. Treat with acupuncture D. Treat with moxa and cupping

B

Patient has cold hands/legs, irritable, with red tongue and rapid pulse. What formula should be given? A. Si Ni Tang B. Si Ni San C. Gui Pi Tang D. Suan Zao Ren Tang

B

Patient has right hand tremors, what is the scalp acupuncture treatment? A. R side middle 2/5th of chorea tremor control line B. L side middle 2/5th of chorea tremor control line C. R side upper 1/5th of chorea tremor control line D. L side upper 1/5th of chorea tremor control line

B

Roberta has severe anxiety and claustrophobia. She is afraid to go to the places she used to enjoy like the theater, church or any other place where people gather in large numbers. Yet, when she is home alone she is also anxious. She feels a tight gripping sensation in her chest. Her pulse is Hesitant and her tongue is pale with a red tip. Which two point combination is best for this case? A. L7, K6 B. P6, SP4 C. GB41, SJ5 D. SI3, B62

B

Rowan has diarrhea with abdominal pain, distention and flatulence. This started after he ate steak and salad at the fancy restaurant. Which of the following is most likely responsible for his condition? A. Listeria B. Giardia C. Staphylococcus D. E-coli

B

SJ5 has which of the following action? A. Release exterior and relax the tendons B. Release wind-heat C. Subdue Liver yang rising and stop convulsions D. Benefit the ear and open the intestines

B

Sarah has a blue-green color on her lips and nails. What other symptom is she most likely to manifest? A. Blood Heat with menstrual pain B. Blood Cold with menstrual pain C. Blood Cold with obesity D. Blood Heat with abdominal pain

B

Sarah has just returned from two-year stay in South East Asia. She has had horrible abdominal cramping and pain. Lab work indicates that she has both intestinal and amoebic parasites. Which Immunoglobin Immune response would be elevated in her labs? A. Basophils B. Eosinophils C. Neutrophils D. Leukocytes

B

Select herb which is good for Trichomonas Vaginitis A. Huang Qin (Scutellariae Radix) B. Ku Shen (Sophorae fiavescentis Radix) C. Huang Lian (Coptidis Rhizoma) D. Long Dan Cao (Gentianae Radix)

B

Since recently, Mary has severe yellow, sticky leukorrhea with a bad odor. There is also pruritis of the vulva. Which of the following is the cause of the leukorrhea? A. Chlamydia B. Trichomoniasis C. Candida D. Bacterial leukorrhea

B

Stacy is in her eight week of pregnancy. She is in the clinic today because her lower right leg is swollen and edematous. What is the best point prescription for this case? A. GB20, LI11, ST36, LV3, LV2, GB34, Taiyang , SJ17 B. SP9, SJ4, UB20, ST36, UB39 C. Wei Guan Xia Xue, LU7, UB20, UB23, ST36, KD3 D. Ding Chuan, Ren22, Ren21, Ren17, ST40, Du14, LI4, Ren4, ST36

B

Steve has a poor appetite, slight abdominal distension after eating, tiredness, lassitudeanda desire to lie down especially after eating. His complexion is pale. The limbs are weak. He is slightly obese. The pulse is Empty and Weak. The tongue is pale. What types of food should this patient eat? A. Cold and moist B. Warm and dry C. Cold and dry D. Warm and moist

B

What kind of tongue would manifest if Excess Heat invades to the Ying Level? A. Reddish tongue body with a thick white coat B. Dark red tongue body, peeled tongue coat C. Reddish tongue body with a thin, yellow coat D. Dark red tongue body, thick yellow coat

B

What nerve is involved with Bell's Palsy? A. III B. VII C. V D. XII

B

When cleaning up blood or body fluids from surfaces in the clinic, what is the correct material and dilution to use? A. Sodium sulfate:water = 1:10 B. Sodium hypochlorite:water = 1:10 C. Sodium gluconate:water = 1:5 D. Sodium bicarbonate:water = 1:25

B

When locating which of the following acupuncture point you must ask the patient to open the mouth? A. SJ22 B. GB2 C. SI18 D. SI17

B

When performing the Pediatric Digital Exam where do we see the color change happen? A. Radial artery of index finger B. Radial venule of index finger C. Radial venule of thumb D. Radial artery of thumb

B

When removing needles from your patient, you can't remove one needle because it is stuck. You are treating the patient for anxiety and she has a low level fear of needles. What is the first think you should do to remove the needle? A. Twist the needle and pull the needle out when the muscle relaxes B. Tell patient to relax the muscle C. Rub or tap around the area D. Needle one more place around the area

B

When taking this street drug, users can have an increased alertness (reduced fatigue), higher concentration, decreased appetite and enhanced physical performance. The blood pressure and heart rate increase. Using very high doses, may become cause psychosis because the drug can cause anxiety, paranoia and a distorted sense of reality. What is the suspected drug and recommended test? A. Amphetamine/MDMA + urine B. Hallucinogen/LSD + urine C. Marijuana + urine D. Cocaine + urine

B

When the skin's protective functions are impaired, this will cause: A. Muscles to be malnourished due to a lack of Blood and Qi B. Impairment to the Luo channels C. Pathogenic factor to penetrate into Zang-Fu D. Injury to the upper body

B

When using Sodium Hypochlorite in the clinic, prepared solutions but be used within? A. 36 hours B. 24 hours C. 5 hours D. 10 hours

B

Where is the location of 'leg motor and sensory' line? A. Parallel and 1.5cm anterior to the motor line B. Parallel with midline of head 1cm beside midpoint C. Parallel and 1.5cm posterior to the motor line D. Parallel and 1.5cm posterior to the chorea & tremor control

B

Which answer below consists of the Xi-Cleft points of the Eight Extra Vessels? A. G35, K9, B58, K5 B. G35, K9, B59, K8 C. G38, K9, B58, K8 D. G35, B63, B59, K8

B

Which antibody is the first one released when a person is exposed to a pathogen? A. IgA B. IgM C. IgE D. IgG

B

Which area of head acupuncture should be treated for the problem of TMJ (Temporal mandible joint)? A. Sensory, upper 2/5 B. Sensory, lower 2/5 C. Motor, upper 1/5 D. Sensory, middle 2/5

B

Which blood pressure is the most dangerous? A. 120/80 B. 110/95 C. 149/80 D. 149/85

B

Which single herb is contraindicated for incontinence, loose stools or any type of deficiency Cold in the lower part of the body such as Spleen or Kidney Deficiency? A. Du Huo (Angelicae pubescentis Radix) B. Qin Jiao (Gentianae macrophyllae Radix) C. Wei Ling Xian (Clematidis Radix) D. Wu Jia Pi (Acanthopanacis Cortex)

B

Which taste should be avoided if a patient suffers from Blood disease? A. Sour B. Salty C. Sweet D. Bitter

B

Which test can diagnose SLE (Lupus)? A. Hematocrit B. ANA (Antinuclear antibody) C. CBC (Complete Blood Count) D. UA (Urinalysis)

B

Who do you report communicable diseases to? A. No need to report B. Health Department C. Reporting varies depending on state laws D. FDA

B

You have a new patient and notice that on the intake form, she takes that she has heomphilia. Which of the following modalities could not be used with this patient? A. Electro-acupuncture B. Gua Sha C. Acupuncture D. Cutaneous Needles

B

You have an elderly patient who bruises and bleeds easily. Which of the following vitamins would you recommend they should consider taking? A. Vitamin E B. Vitamin K C. Vitamin D D. Vitamin C

B

You suspect your patient has leukopenia. What labs would you suggest they have done? A. Hematocrit B. CBC C. UA D. ANA

B

The acupuncture prescription of H7, SP6, ANMIAN, UB15, UB23, and K3 treats insomnia with which of the following symptoms? A. Irritability, dream-disturbed sleep, nightmares, headaches, and distending pain in the costal region B. Difficulty in falling asleep, dream-disturbed sleep, poor memory, palpitation, lassitude, anorexia, and sallow face C. Restlessness, insomnia, dizziness, tinnitus, dry mouth, poor memory, and burning sensation on the chest, palms, and soles D. Insomnia, epigastric distention or rigidity, epigastric pain, belching, and difficulty of defecation

C

The back shu points of the heart and liver can both be used for emotional problems. The heart back shu, UB15, is better for ______, while the liver back shu, UB18, is better for _________. A. Manic disorders; anger issues B. Mania; mental disorders C. Mania; anger issues D. Mental disorders; anger issues

C

The etiology for a patient suffering from insomnia due to Heart and Kidney not Communicating would be? A. Anxiety and overwork B. Irregular food intake or indulgence of foods C. Indulgent sexual activities or prolonged illness D. Emotional depression

C

The extra point Wei Guan Sha Xu is level with which vertebra? A. T6 B. T9 C. T8 D. T7

C

The formulas Tao He Cheng Qi Tang, Xue Fu Zhu Yu Tang and Wen Jing Tang can all be used in cases of Blood Stasis. Which one has the function of warming the uterus? A. Tao He Cheng Qi Tang B. Xue Fu Zhu Yu Tang C. Wen Jing Tang D. None of the Above

C

The symptoms include cough and asthma with copious watery sputum, chest and diaphragm stuffiness, shortness of breath with difficult inhalation but easy exhalation with low back pain and edema. What is the best formula for this case? A. Shen Qi Wan (Kidney Qi Pill) B. Zhen Wu Tang (True Warrior Decoction) C. Su Zi Jiang Qi Tang (Perilla Fruit Decoction for Directing Qi Downward) D. Er Chen Tang (Two-Aged [Herb] Decoction)

C

There is a measles epidemic in your area. One of your patients brings in a child with symptoms resembling measles. What is the best approach to take? A. Bilateral treatment using SP10, GB31, GB34 B. Treat with acupuncture and herbs C. Refer to a Specialist D. B12 injections with Yin Qiao San tablets to help fight the virus

C

To test this cranial nerve, have the patient turn his head and shrug his shoulders. A. CN XII (hypoglossal) B. CN IV (trochlear) C. CN XI (accessory) D. CN V (trigeminal)

C

Tonsils, spleen, thymus and bone marrow are all part of which system? A. Lymphatic system B. Muscular system C. Immune system D. Digestive system

C

Trinity has a fever and slight chills, sweating, headache, thirst, cough, sore throat. Her tongue tip is red, slightly thin with white coat, while her pulse is Superficial, Rapid. What is the best formula for this case? A. Sang Ju Yin B. Xing Su San C. Yin Qiao San D. Sang Xing Tang

C

Vince has an earache. His mom says that it is common for him to have Otitis media. Which Dui Xue is best for this case? A. L7, K6 B. P6, SP4 C. GB41, SJ5 D. S13, B62

C

We tonify UB23 and KD3 and sedate UB18 and LV2 for dizziness due to Liver Yang Rising. Which method should we use on Du20, Taiyang and Yintang points to help with this patient's condition? A. Moxa B. Cupping C. Cutaneous needle D. Three-edged needle

C

Wendy was visiting her friend's house in rural South Dakota. Her friend has 10 cats living at her place and she's not very clean. Now Wendy has flu-like symptoms with muscle aches and tender lymph nodes. Her symptoms are most likely due to? A. Rheumatic fever B. Hepatitis C. Toxoplasmosis D. Lyme disease

C

What is the basic principle regarding hand washing? A. Wash hands before the acupuncture treatment B. Wash hands after the acupuncture treatment C. Wash hand before and after the treatment and between treatments D. Wash hands only before touching medical devices

C

What is the best point prescription for a patient suffering from Deficiency Type Constipation due to Agglomeration of Cold A. B25, S25, SJ6, K6, LI11, LI4 B. B25, S25, SJ6, K6, B20, B21, S36 C. B25, S25, SJ6, K6, MOXA ON REN 8 AND REN 6 D. B25, S25, SJ6, K6, Ren12, Liv3

C

What is the common dosage of Shen Qu (Massa Fermentata)? A. 1 - 3g B. 3 - 6g C. 6 - 15g D. 15 - 30g

C

What is the contraindication of Moxa? A. Asthma B. Abdominal distension C. Excess Heat D. Edema

C

What is the correct needle depth and angle for the Front Mu point of the Hand Taiyin? A. 0.5-8 cun lateral oblique B. 0.5-1 cun medial oblique C. 0.5-8 cun medial oblique D. 0.3-0.5 cun lateral oblique

C

What is the correct sequence of the Lower He Sea points from Distal to Proximal? A. S39, S37, S36, GB34, GB39/GB40 B. S39, S37, GB34, S36, B39/B40 C. S39, S37, S36, GB34, B39/B40 D. S39, S38, S37, GB35, B39/B40

C

What is the needling method of Ba Xie from CAM? A. 0.1-0.2 obliquely B. 0.1-0.2 subcutaneously C. 0.3-0.5 obliquely, prick to bleed, moxa is applicable D. 0.3-0.5 subcutaneously

C

What is the prescription used for Bell's Palsy? A. ST6, SJ17, SJ5, Li11, Li4 B. Li11, Sp 10, UB40, GB34, LV3 C. SJ17, GB14, Taiyang, Si18, ST7, ST4, Li4

C

What is the side effect of Albuterol (Beta 2 Agonist)? A. Tachypnea, dizziness, vomiting B. Bradypnea, dizziness, vomiting C. Tachycardia, dizziness, vomiting D. Bradycardia, dizziness, vomiting

C

What organ lies under ST28? Needling is cautioned especially when the organ is full as it is easy to hit it if ST28 is needled incorrectly? A. Large Intestine B. Small Intestine C. Urinary Bladder D. Kidney

C

What should you do if the needle has broken level with the skin? A. Needle around the area, and then take out the broken needle. B. Immediately consult a MD C. Take it out with the sterile forceps D. Apply an appropriate antiseptic

C

What would you expect the tongue to look like for a patient that has been taking medication to control his asthma since he was 6 years old. He is now 38 years old. A. Black tongue B. Peeled tongue C. Swollen tongue D. Thin tongue

C

What's the most likely cause of a disease that manifests with ipsilateral weakness and paralysis and where muscle tone and reflexes are decreased or absent. An example of this is Polio-Myelitis. A. Basal Ganglia damage B. Upper Motor Neuron damage C. Lower Motor Neuron damage D. Cerebella damage

C

When performing CPR, what is the correct order of action? A. Call 911, shake for responsiveness, administer CPR B. Call 911, administer CPR, shake for responsiveness C. Shake for responsiveness, call 911, administer CPR D. Administer CPR, shake for responsiveness, call 911

C

When performing the Pediatric Digital Exam, there is a fresh red venule that appears and reaches the metacarpo-phalangeal joint. This indicates? A. Heat pathogen that has invaded into the interior and the disease is life-threatening or serious B. Exterior Heat pathogen and the disease is still mild C. Exterior Cold pathogen and the disease is still mild D. Cold pathogen that has invaded into the interior and the disease is rather more severe

C

Where is the location of SJ9? A. Between the radius and the ulna, 7 cun below the olecranon B. Between the radius and the ulna, 3 cun above the wrist crease C. Between the radius and ulna, 5 cun below the olecranon D. Between the radius and ulna, 7 cun below the olecranon

C

Where is the location of SJ9? A. Between the radius and the ulna, 7 cun below the olecranon B. Between the radius and ulna, 7 cun below the olecranon C. Between the radius and ulna, 5 cun below the olecranon D. Between the radius and the ulna, 3 cun above the wrist crease

C

Which 8 Extra channel is best for treating prolapse? A. Ren B. Dai C. Du D. Chong

C

Which clinical manifestation differentiates Alzheimer's disease from other dementias? A. Superficial infection in the meninges of the brain B. Brain cell devastation from a stroke C. Plaques and neurofibrillary tangles in the brain D. Hypoxia of brain cells from any type of ischemic insult

C

Which cranial nerve is related to Meniere's disease? A. VII B. X C. VIII D. IX

C

Which disease is caused by lack of secretion of thyroid hormone during the growth period of children? A. Myxedema B. Hashimoto C. Cretinism D. Acromegaly

C

Which food is best to avoid with patients who have Damp accumulation? A. Cinnamon B. Rice vinegar C. Honey D. Ginger

C

Which herb can treat all types of headaches? A. Chai Hu B. Du Huo C. Chaun Xiong D. Gao Ben

C

Which herb cannot be used for old people or weak people who are suffering from chronic disease? A. Wu Jia Pi B. Xi Xian Cao C. Sang Zhi D. Du Huo

C

Which herb is contraindicated for nursing mothers? A. Bo He B. Mai Ya C. Da Huang D. Dan Dou Chi

C

Which herb should not be decocted for more than 10 minutes? A. Huo Xiang (Pogostemonis Herba) B. Jing Jie (Schizonepetae Herba) C. Gou Teng (Uncariae Ramulus cum Uncis) D. Bai Dou Kou (Amomi Fructus rotundus)

C

Which herbs should be added to Wu Pi San (Five-Peel Powder) when we prescribe it for a severe Spleen Qi Deficiency? A. Hou Po (Magnoliae officinalis Cortex), La Fu Zi (Raphani Semen) B. Da Huang, Huang Qin (Scutellariae Radix) C. Dang Shen (Codonopsis Radix), Bai Zhu (Atractylodis macrocephalae Rhizoma) D. Zhi Shi (Aurantii Fructus immaturus), Huang Lian (Coptidis Rhizoma)

C

Which hormone is secreted from the pineal gland and is deficient in those with seasons depression? A. ACTH B. ADH C. Melatonin D. FSH

C

Which is the best way to needle the auricular point at the Apex of Helix? A. Seven stars B. Intradermal Needle C. Prick to bleed D. Deep needling

C

Which is the correct location of Zigongxue? A. 3 cun lateral to Ren4 B. 4 cun lateral to Ren4 C. 3 cun lateral to Ren3 D. 4 cun lateral to Ren3

C

Which is the correct procedure for immune deficient patient? A. Clean the skin with Betadine and then alcohol B. Clean the skin with Betadine C. Clean the skin with alcohol D. Clean the skin with soap and water and then alcohol

C

Which is true for a patient who has grey stools? A. Excessive secretion of bile B. Efficient absorption of Vitamin K in the Intestines C. No secretion of bile D. Efficient absorption of Calcium and Vitamin D in the Intestines

C

Which of the following 5 Element Associates is correct? A. Water = Urinary Bladder, bones, fear, Late Summer, Cold, salty, groaning and Downwards B. Earth = Spleen, muscles, pensiveness, Winter, Damp, sweet, singing and expansion C. Fire = Small Intestines, Blood vessels, joy, Summer, Heat, bitter, laughing and Upwards D. Wood = Liver, sinews, anger, Spring, Wind, South, shouting and contraction

C

Which of the following 8 Extra meridian points can be used to treat deviation of the mouth with LI4? A. SP4 B. KD6 C. UB62 D. PC6

C

Which of the following best describes the treatment method "Setting the Mountain on Fire?" A. Use only reinforcing method of slow and rapid insertion, lifting lightly and thrusting gently, position the needle against the channel B. Use only reducing method of slow and rapid insertion, lifting forcefully and thrusting gently, position the needle against the channel C. Use only reinforcing method of slow and rapid insertion, lifting lightly and thrusting heavily, close the hole when removing the needle D. Use only reducing method of slow and rapid insertion, lifting forcefully and thrusting gently, keep the hole open when removing the needle

C

Which of the following cases allows you to show patient's record? A. When a family member presents a search warrant B. When a hospital officer presents an arrest warrant C. When police officers come in with court order signed by a judge D. When a lawyer presents a search warrant

C

Which of the following examples of advertising is allowed among licensed acupuncturists? A. Clinic specializes in Ear Acupuncture for Hypertension, Diabetes and Cancer cure B. Dr. has experience curing Hypertension, Diabetes and Cancer C. Oriental medicine Doctor provides adjunct care for those suffering from Hypertension, Diabetes and Cancer D. Registered Acupuncturist specializes in Tui-Na for Hypertension, Diabetes and Cancer

C

Which of the following is contraindication of the Shan Dou Gen? A. Cold from deficiency of the Spleen and Stomach, or fever from Yin Deficiency B. Cold from deficiency of the Spleen and Stomach, or diarrhea C. Cold from deficiency of the Spleen and Stomach such as poor appetite, or loose stools D. Should not be used in patients with diarrhea from Spleen Deficiency or with low blood pressure

C

Which of the following point locations is correct for the Water point of the Foot Shaoyang Channel? A. Between the 4th and 5th metatarsal bones, on the medial side of the tendon of m. extensor digiti minimi of the foot B. In the depression distal to the junction of 4th and 5th metatarsal bones, on the lateral side of the tendon of m. extensor digiti minimi C. On the dorsum of the foot, between the 4th and 5th toe, proximal to the margin of the web D. On the lateral side of the 4th toe, about 0.1 cun posterior to the corner of the nail

C

Which of the following point locations is correct for the point that treats jaundice, cough, asthma, stiffness of the back as well as pain in the chest and back? A. Below the spinous process of the 7th cervical vertebra, approximately at the level of the shoulders B. Below the spinous process of the 6th thoracic vertebra C. Below the spinous process of the 7th thoracic vertebra D. 0.5 cun directly above the midpoint of the posterior hairline, in the depression below the spinous process of 1st cervical vertebra

C

Which of the following points could be used for Epilepsy? A. Tai Yang, Shang Lian Quan, Yao Qi B. Jia Cheng Jiang, Shang Lian Quan, Tai Yang C. Si Shen Cong, Du20, Yao Qi D. Tai Yang, Shang Lian Quan, Du20

C

Which of the following points has a needling depth deeper than 0.7 cun? A. SI3 B. LI16 C. Ren14 D. SI14

C

Which of the following points is at the free end of the 12th rib? A. Front Mu of SP B. Front Mu of GB C. Front Mu of K D. Front Mu of Liv

C

Which of the following points is best to treat acute uterine bleeding? A. K3 B. Liv3 C. SP1 D. SP10

C

Which of the following points is located midway between the point that lies midway between Du14 and the acromion and the point that lies midway between SI10 and the T2 spinous process? A. SJ15 B. SJ14 C. SI12 D. SI9

C

Which of the following points is located with the leg stretched and the heel lifted? A. GB34 B. KD1 C. UB57 D. GB30

C

Which of the following ranges is a normal range of motion for the shoulder? A. 0-30 Extension, 0-130 Flexion B. 0-180 Extension, 0-50 Flexion, 0-180 abduction, 0-50 adduction C. 0-50 Extension, 0-180 Flexion, 0-180 abduction, 0-50 adduction D. 0-15 Extension, 0-130 Flexion

C

Which of the following scalp acupuncture points could be used to treat paralysis on the right side of the arm from stroke? A. Right Sensory line, upper 1/5 B. Right Sensory line, 2nd and 3rd fifths C. Left Motor line, 2nd and 3rd fifths D. Left Motor line, upper 1/5

C

Which of the following scenarios is considered elderly abuse? A. No elevator in the apartment complex where the elderly person lives B. Gas company turns off the heater in the apartment C. A caregiver stealing money from the elderly person's wallet D. No handicap access in the elder person's apartment complex

C

Which of the following tongue pictures will most likely manifest in cases of Wind Cold? A. Normal with a yellow coat on the tip B. Normal with a thin, white coat over the entire tongue C. Normal with a thin, white coat on the tip of the tongue D. Normal with a red tip

C

Which of the followings cannot be taken with Coumadin? A. Grapefruit juice B. Apples C. Broccoli D. Steak

C

Which of the followings could be the cause of Pernicious Anemia? A. Body does not have enough of the mineral iron B. Bone marrow stops producing enough blood cells C. Intestines cannot properly absorb enough cobalamin due to a deficiency of Intrinsic Factor D. Red blood cells become rigid and sticky and are shaped like sickles or crescent moons

C

Which of the followings scalp acupuncture lines treats the facial area? A. Parallel with and 1.5cm anterior to Motor area line B. Upper fifth of the motor and sensory area C. Lower 2nd fifth of the motor and sensory area D. 2nd & 3rd fifths of the motor and sensory area

C

Your patient comes in with a strange skin rash on her torso. She says she has been diagnosed with Herpes Zoster. How do the lesions manifest? A. Eruptions begin with swollen papules. Rash is limited to the skin of a single dermatome but can spread to adjacent dermatomes B. On the 3rd or 4th day, vesicles arise in clusters along the effected dermatome and become cloudy and filled with purulent fluids C. All of the above D. Vesicles vary in size. After erupting, they form a crust which falls off in 2-3 weeks

C

Your patient comes in with all of the signs and symptoms of Cushing's syndrome though he hasn't had an official diagnosis. Their PCP has ordered a dexamethasone suppression test, other than a high cortisol level, what else may the patient have that prevents cortisol from lowering? A. Peptic ulcers and multiple myeloma B. Controlled diabetes and thallasemia C. Stress and alcoholism D. Major depression and iron deficiency anemia

C

Your patient comes in with pain in the joints. You treat him with LI3, SI3, UB57, UB58, SP4, SP5. He feels so much better after the treatment. Based on the points selected, which type of Bi Pain manifests? A. Wandering Bi B. Heat Bi C. Fixed Bi D. Painful Bi

C

Your patient complains of a frontal headache. You want to use local distal and adjacent points to treat the problem. What set of points would best treat this problem? A. LI6, ST40, LI11, Yintang, Taiyang B. LI4, ST44, DU20, GB14 C. LI3, Inner Neiting, Du26, GB13 D. LI4, ST44, GB20, Taiyang

C

Your patient has a fixed pain in the left hip that radiates down the leg laterally. Which are the best points to use for this case? A. GB30, GB29, GB39, SP10 B. B54, GB34, S36, SP9 C. GB30, GB29, GB39, SP6 D. B54, GB30, SP10, B60

C

Your patient has pain in the medial knee. He says he feels like he has pulled something while playing soccer. Which tests would you recommend to rule out a torn ligament? A. MRI, CT B. CT, Physical Exam C. MRI, Physical Exam D. X-ray, Ultrasound

C

Your patient is very irritable. She says all she wants to do is curl up in a small ball with a blanket over her. She also says that her body feels hot and because of her thirst, she drinks tea all day long. Your patient also has a powder red color on her cheeks. Her pulse is Superficial and Rapid. The tongue is pale and wet. What is the differential diagnosis for this case? A. Yang Collapse with Yin Deficiency B. Heat on the Exterior and Cold on the Interior C. True Cold, false Heat D. Yin Deficiency with Excess Heat and Cold Invasion

C

Your patient started to take a single herb after doing a google search. She is now experiencing dizziness, headache, diarrhea, palpitations. Her pupils are dilated and she is having trouble breathing. Which of the following herbs did she take? A. Rou Dou Kou B. Xin Yi Hua C. Xing Ren D. Cang Er Zi

C

An acupuncturist has a needle stick by a contaminated needle from a patient who has Hepatitis B and HIV. What is the best course of action? A. Report to the CDC, treat with acupuncture and herbal medicine for three weeks B. Report to the CDC, check HIV viral load of the patient and get an HIV test within three days. After the test results come back, get the most appropriate treatment according to the test results C. Report to the CDC, check HIV viral load of the patient and get a test in two days D. Report to the CDC, go to their MD and ask for medication

D

Ari has a renal hypertension for the past five years. Recently he started getting severe headaches that manifest with a feeling of Heat rising up to his head. He says that his limbs are weak and that his thumb and index finger feel permanently numb. What is the best formula for this patient? A. Zhen Gan Xi Feng Tang (Sedate the Liver and Extinguish Wind Decoction) B.Xiao Huo Luo Dan (Minor Invigorate the Collaterals Special Pill) C. Er Chen Tang (Two-Aged [Herb] Decoction) D. Tian Ma Gou Teng Yin (Gastrodia and Uncaria Drink)

D

Aria has chronic asthma. She finds it difficult to inhale. When asked she tells you that she does not have any sputum. She often feels tired. Her voice is low and her complexion is pale. She often has low back pain and the area feels cold. Her pulse is Deep and Weak and her tongue is pale. Which points can be used for this patient? A. GB41, SJ5 B. SI3, B62 C. P6, SP4 D. L7, K6

D

Arno comes in with chills and fever, headache, neck stiffness and slight sweating. He has clear nasal discharge but his mouth is dry. He says he is not thirsty. The tongue has a thin, white coat and the pulse is superficial moderate What is the best treatment for this case? A. Slow insertion and rapid withdrawal of the needle at L7 B. Slow insertion and rapid withdrawal of the needle at GB20 C. Rapid insertion and slow withdrawal of the needle at L9 D. Rapid insertion and slow withdrawal of the needle at GB20

D

As a practitioner, if you caught any of the following conditions, which one would NOT require you to cancel all patients for the day and go home? A. Strep throat B. Staph infection C. Active flu D. Upper respiratory tract infection

D

At which ICS can we BEST hear the apical pulse of the Heart? A. 6th ICS B. 4th ICS C. 7th ICS D. 5th ICS

D

B28, Ren3 and SP9 are used to treat Lin syndrome. Which points would you add in if your patient had cloudy urine with a creamy appearance along with urethral burning pain during urination? A. B39 B. SP10, SP6 C. Liv2 D. B23, K6

D

Beth is in an unusual position. She must renew her acupuncturist license but has been unwell for the past year. She got special permission from the board to renew her license with only the 44 hours that she was able to do before she got sick. How many hours of continuing education must she complete before the next renewal period? A. 54 hours B. 55 hours C. 63 hours D. 56 hours

D

Henry, age 5, had a very tender sore throat all last week. His mom says his lymph nodes felt swollen but with the move they haven't had time to find a new doctor. She says he seems to be doing okay except that he has a hard time swallowing. She thought it would pass on its own. Now he is complaining of chest pains, pain in the ankles and knees, and fatigue and fever. What is a possible cause for this condition? A. Viral meningitis B. Influenza C. Strep throat D. Rheumatic Fever

D

How long do you cook Shi Jue Ming or Shi Gao? A. Decoct in gauze B. Add near the end C. Crush before cooking D. Decoct First, cook for 30-45 minutes

D

How long should we keep patient records? A. 12 years B. 4 years C. 11 years D. 7 years

D

How many CEUs do you need in 24 months of having you license? A. 35hrs B. 40hrs C. 45 hrs D. 50hrs

D

Hydrochloride (Demerol) belongs to which of the following drug classes? A. Statins B. Anti-rheumatic C. Arrythmias D. Opioid Analgesics

D

If a patient's tongue suddenly becomes paralyzed, deviated to one side and if the tongue is only stiff on one side without any color changes to the tongue and without any body symptoms manifesting, this is a sign of? A. Fibromyalgia B. Sepsis C. Diabetes D. Cerebrovascular Disease

D

Mary is a student at a local college. Her roommate died in a car accident last term. Ever since, Mary has a terrible depression and is very irritable. Her grades are slipping and she can't keep up with the course work. She is falling behind in her courses. What is the best point for this patient? A. 3 cun lateral to T5 B. 3 cun lateral to T11 C. 3 cun lateral to L2 D. 3 cun lateral to T9

D

Mickey got infected with Hepatitis two months ago. Now he has anxiety, feels nervous all the time and cannot sleep well. His pulse is Excess (Shi Mai), Rapid (Shu Mai) and Rolling (Hua Mai). What would be the tongue for this patient? A. Normal tongue body color, tip and left side slightly red, left side very slightly swollen, right side yellow and slippery coat B. Pale tongue body, tip and left side slightly red, left side very slightly swollen, left side yellow and slippery coat C. Pale tongue body, tip and left side slightly red, left side very slightly swollen, right side yellow and slippery coat D. Normal tongue body color, tip and left side slightly red, left side very slightly swollen, left side yellow and slippery coat

D

Mike recently had a motorcycle accident leaving his left leg paralyzed from the thigh down. He comes to you to see if you can help with this condition. You want to try scalp acupuncture for the injury. Which line is best for this case? A. Left side upper 2/5 of the motor line B. Left side upper 1/5 of the motor line C. Right side upper 2/5 of the motor line D. Right side upper 1/5 of the motor line

D

Needling time depends on: A. Heat symptoms B. Excess or deficient syndrome C. Cold symptoms D. Patient's condition and the acupuncturist's technique

D

Niacin (B3) deficiency can cause Pellagra. Pernicious anemia is deficiency of B12 (Cyanocobalamin). What kind of food is good for pernicious anemia? A. Intestines, organ meat, eggs and liver B. Meat and grains C. Vegetables, meat and grain D. Meat and dairy products

D

Patient has hematoma greater and wider than 5cm after an acupuncture treatment at cubital crease. What is the next best step? A. Compression on the area B. Blood letting C. Moxa D. Refer to a specialist

D

Patient has low back pain and reproductive issues, what scalp points do you use? A. Reproduction area B. Upper 1/5th of sensory line C. Upper 1/5th of motor line D. Leg motor and sensory area

D

The hypothalamus produces _____________, _______________ and _____________ hormones that are then secreted by the pituitary gland. Select the answer that fits correctly: A. Growth hormone, follicle-stimulating hormone, aldosterone B. Growth hormone, ADH, Prolactin-releasing hormone C. Growth hormone, Thyrotropin releasing hormone, cortisol D. Growth hormone, Thyrotropin releasing hormone, Gonadotropin releasing hormone

D

The point located posterior and inferior to the medial malleolus, in the depression medial to the attachment of the tendon calcaneus, is indicated for which of the following symptoms? A. Sore throat, tinnitus, toothache B. Insomnia, dry and sore throat, asthma C. Uterine prolapse, dysuria, blurred vision D. Dementia, low back pain, asthma

D

These points are palpated to determine diagnosis of the Meridian Qi as palpation will reveal if the Qi is excess or deficient. Select the correct answer: A.He-Sea B. Jing-Well C. Luo-Connect D. Yuan-Source

D

This ear point is located on the prominence of tragus. If there is only one prominence, take the inferior part of the prominence. Which ear point is this? A. Thirst B. Sympathetic C. Heart D. Adrenal

D

This heart valve is located between the right atrium and the right ventricle: A. Bicuspid B. Aortic C. Pulmonic D. Tricuspid

D

This internal branch of the Foot Yangming primary channel descends inside the abdomen and reconnects with the external branch in the ___________ at which point? A. Knee; ST36 (Zusanli) B. Lower abdomen; ST28 (Shuidao) C. Lower abdomen; ST29 (Guilai) D. Groin; ST30 (Qichong)

D

Thomas has been constipated for over 10 years now. He only has 2 bowel movements per week. The stools are small and dry. You notice that her breath smells very bad. Apart from this, she has no other complaints. Her tongue is normal with a dry yellow coat that is thicker at the root. Her pulse doesn't present anything of significance. What is the differential diagnosis for this case? A. LI Dryness with Liver Blood Deficiency B. LI Dryness with Kidney Yin Deficiency C. Damp Heat in LI D. LI Dryness

D

Thomaso has a high fever. The heat in the lungs is making him asthmatic. He is having difficulty breathing. He tells you he is very thirsty. You ask him if he feels delirious and he says no. The tongue has is red with a thick yellow coat. The pulse is rolling and rapid. What is the differential diagnosis for this case? A. Yangming Jing Heat B. Wei Level Heat C. Stomach Heat D. Qi Level Heat

D

Tidal volume is the amount of air that can be inhaled and exhaled during one normal breathing cycle. What is this amount? A. 4800ml B. 1200ml C. 6000ml D. 500ml

D

To avoid pneumothorax, a safe needling depth of ____________ on most patients is critical when needling the upper back, chest and costal region? A. 20-30 mm B. None of the above C. 5-10 mm D. 10-20 mm

D

To test this cranial nerve, have the patient protrude her tongue and watch for lateral deviation. A. CN IV (trochlear) B. CN XI (accessory) C. CN V (trigeminal) D. CN XII (hypoglossal)

D

Using the theory of upper/lower body mirroring, which point mirror's the point located on the transverse crease of the dorsum of the wrist, in the depression tendons of extensor digitorum communis and extensor digiti minimi? A. GB40 B. S36 C. PC7 D. S41

D

Veronica is severely obese. Two months ago, she was in a horrible car accident. She was hospitalized for a month with a cast. Now, she has hard time going up the stairs. She complains of a heat sensation and pain in her calf. The left leg is more swollen than the right one and is also more painful. Pain is worse with palpation and the area feels warm. What is the most likely diagnosis? A. Chronic Deep vein dysfunction B. Superficial venous thrombophlebitis C. Buerger's disease D. Deep Vein Thrombosis

D

Waking up early in the morning and not being able to fall asleep is caused by? A. HeartBlood Deficiency B. LiverBlood Deficiency C. HeartQi Deficiency D. GallBladder Deficiency

D

Watery diarrhea, nausea and vomiting, thirst, loss of appetite, abdominal pain that improves with warmth and touch, a pale tongue body with a white tongue coat and Thready (Xi Mai) pulse are all symptoms of which formula? A. Shen Qi Wan (Kidney Qi Pill) B. Bu Zhong Yi Qi Tang (Tonify the Middle to Augment the Qi Decoction) C. Si Jun Zi Tang (Four-Gentlemen Decoction) D. Li Zhong Wan (Regulate the Middle Pill)

D

Anabel is in your clinic today complaining of painful, scanty, burning urination that is dark in color. There is also pain in her lower abdomen. She tells you that she is running a slight temperature. Her other symptoms include bitter taste in her mouth, pain on the low back, thirst, nausea and vomiting. Her tongue has a yellow, greasy tongue coat with red spots on the root. The pulse is slippery and slightly rapid especially on the left rear position. What is the diagnosis for this case? A. Damp heat in the Large Intestine B. Damp heat in the UB and Spleen C. SI Heat D. Damp Heat in the UB

D

Andrea comes to the clinic with lusterless, yellow discoloration of the skin and eyes. She tell you her body feels heavy and she feels very weak. Andrea has no appetite and experience epigastric fullness especially after eating. Other symptoms include lassitude, intolerance of cold, pale tongue, thick white coat, and deep slow pulse. What is the differential diagnosis for this case? A. Yang Jaundice syndrome caused by Heat Toxin B. Yang Jaundice syndrome caused by Damp-Heat C. Yang Jaundice syndrome caused by Gallstones D. Yin Jaundice syndrome

D

What are the early symptoms of Systemic Lupus Erythematosus? A. Symmetrical muscle weakness (in upper arms, hips, and thighs), joint pain, difficulty in swallowing B. Swelling, thickening and tightening of the skin at the ends of the fingers C. Dryness of the eyes, mouth and other mucous membranes D. Fever, Gastrointestinal Problems, Fatigue

D

What are the symptoms of Meniere's disease? A. Insidious onset of vertigo, nausea, vomiting B. Insidious onset of vertigo, pressure pain on CN 5,6,7 C. Sudden onset of vertigo on rolling over onto the affected side D. Sudden onset of vertigo, sensorineural hearing loss, nausea, tinnitus, vomiting, pressure of the ear

D

What does the tongue look like when Heat goes from the exterior to the interior? A. It has red tip with a yellow coat in the center B. It has grey coat at the root with a black coat at the tip C. It has yellow coat on the root with a white coat on the tip D. It has thin, white coat in the initial stage which then turns yellow

D

What does the tongue look like when Kidney Yin cannot nourish Heart Yin? A. Red tongue body, cracks on the tip and sides, swollen on the center and sides, no coating B. Red tongue body, cracks on the tip, swollen from the center to the sides, thin white coating C. Deep red tongue body, wide center crack, swollen along the cracks, thin white coating D. Deep red tongue body, deep center crack to the tip, swollen along the cracks, no coating

D

What does the tongue look like when patient has been taking antibiotics for a long time (2-3 weeks)? A. Red spots, thin body B. Red and swollen C. Red tongue tip D. Peeled in patches

D

What herb should be given for leg cramps? A. Du Zhong B. Huang Qi C. Mai men dong D. Mu Gua

D

What is a violation for acupuncturists? A. Patient cannot find parking B. Acupuncturist is 30 mins late C. Too much light in the treatment room D. Restroom is "Out of order"

D

What is the 3 edge needle used for? A. Joint Pain B. Chronic pain C. Skin Disease D. Sore throat

D

What is the common characteristics of the Five Spirits? A. Reside in Hollow Organs B. Reside in Upper Jiao C. Stored in the Extraordinary Organs D. Stored in organs which are full and hard inside

D

What is the contraindication for plum-blossom needle? A. Children and old people B. Headache and hypertension C. Nervous patient D. Skin ulcer and local trauma

D

What is the correct location of the subcortex? A. At the apical angle of the Antitragus B. At the end of the inferior crus of the Antihelix C. On the prominence of the inferior part of the Tragus D. On the anterior side of the inner wall of the Antitragus

D

What is the deputy in Wu Zhu Yu Tang and what is dosage is used of this herb? A. Fu Zi; 6g B. Ren Shen; 9g C. Ren Shen; 18g D. Sheng Jiang; 18g

D

What is the dosage of San Qi (Notoginseng Radix) when used in powder? A. 2-3g B. 1-2g C. 2-4g D. 1-1.5g

D

What is the etiology for a patient that suffers from insomnia caused by a deficiency of Heart and Spleen manifesting with symptoms of difficulty of falling asleep, dream-disturbed sleep, poor memory, palpitation, lassitude, anorexia, and sallow face? A. Irregular food intake or indulgence of foods B. Emotional depression C. Indulgent sexual activities or prolonged illness D. Anxiety and overwork

D

What is the needling depth of a point which is located 4 cun lateral to Ren11? A. 0.5-1.2 B. 0.8-1.2 C. 0.8-1.0 D. 0.5-1.0

D

What is the reason that the silver needle cannot be used for electro-acupuncture? A. It electrolyzes in the body very slowly and blocks the effects of the treatment B. It weakness the effect of the electro-acupuncture C. It is easily oxidizes D. It electrolyzes in the body very quickly and may result in a toxic reaction

D

Ann was prescribed Prozac by her psychiatrist because she was experiencing the following symptoms: crying for no reason followed by uncontrolled laughter. Eventually this would turn to anger. She felt suspicious of everything and frightened easily. She had palpitations, irritability and insomnia. Sometimes she would have hiccups and sudden tightness in her chest. The tongue body is thin with a white coat. The pulse is String-taut and Thready. What is the best formula for this case? A. Wen Dan Tang B. Gui Pi Tang C. Suan Zao Ren Tang D. Gan Mai Da Zao Tang

D

Anu always feels cold and wants to sleep all day curled up in a fetal position. His limbs feel cold and he has diarrhea with undigested food. He says he is not thristy but likes to drink hot drinks to help warm him up. His urine is clear and copious in amount. His tongue has a pale, white coat. The pulse is Deep, Weak and Thready. What channels do you use to treat this case? A. Front-Mu and He-Sea points of Hand & Foot Yangming, Foot Taiyin B. Du, Hand and Foot Yangming C. Back Shu, Front-Mu and He-Sea of Foot Taiyin and Foot Yangming, Ren D. Ren, Foot Shaoyin, Foot Taiyin

D

What is the right method of sterilizing points with an alcohol swab? A. Wipe twice with pressure and puncture while the alcohol is still wet B. Wipe twice with your cotton ball and puncture after the point is dry C. Wipe once with pressure and puncture while the alcohol is still wet D. Wipe once with pressure and puncture after the point is dry

D

What is the right method of testing supraspinatus injury? A. Rotate shoulder medially against the resistance B. Rotate forearm laterally against the resistance C. Abduct forearm against the resistance D. Abduct shoulder against the resistance

D

What is the right method of treating immune deficient patient? A. Apply Betadine and sterilize with 70% alcohol after betadine is completely dry B. Apply Betadine and sterilize with 90% alcohol after betadine is completely dry C. Apply Betadine and sterilize with 90% alcohol D. Sterilize with 70% alcohol

D

What kind of information should be in the Medical progress form? A. Only needed of patient's address B. ICD 9 diagnosis and treatment plan C. Name of acupuncturist and patient's signature D. Patient's name, acupuncturist's signature

D

What two points work best for migraines that are more temporal and cause intercostal pain and hypochondriac pain? A. L7, K6 B. P6, SP4 C. SI3, B62 D. SJ5, G41

D

When bacteria enters into the blood stream and releases toxins, this is called: A. Antigen-antibody reaction B. Anaphylactic shock C. Hypovolemic shock D. Septicaemia

D

When performing CPR on an adult, what is the chest compression rate for someone who is rusty or untrained in CPR? A. 60 chest compressions/min B. 80 chest compressions/min C. 130 chest compressions/min D. 100 chest compressions/min

D

When should you hand wash? A. Before treatment B. After treatment C. At the end of the day D. Before, after, and in between treatments

D

When your patient is affected with ______ , Gau Sha treatment is recommended. The technique is to dip a spoon into water or vegetable oil and scrape both sides of the spine, neck intercostal spaces, shoulder region, cubital and axilla fossa until a purple, red color appears. A. Torticollis B. Herpes Zoster C. Wind Stroke D. Mild Sunstroke

D

Which herbs are for the prolapse of uterus and rectum? A. Zhi Shi (Aurantii Fructus immaturus), Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleun Radix) B. Zhi Shi (Aurantii Fructus immaturus), Chen Pi (Cltri ret1culatae Pericarpium), Huang Qi (Astragali Radix) C. Chai Hu (Bupleun Radix), Da Fu Pi (Arecae Pericarpium), Sheng Ma (Cimicifugae Rhizoma) D. Chai Hu (Bupleun Radix), Huang Qi (Astragali Radix), Sheng Ma (Cimicifugae Rhizoma)

D

Which information is not mandatory in the Abuse report? A. The name of the victim B. Area of abuse C. The name of the abuser D. Motive of abuse

D

Which lumbar vertebrae is located level with the free end of the 12th rib? A. Below the spinous process of 4th lumbar B. Below the spinous process of 5th lumbar C. Below the spinous process of 1st lumbar D. Below the spinous process of 2nd lumbar

D

Which medication is used for hypertension for a patient with chronic heart disease?? A. Angiotensin II receptor blockers B. Diuretics C. Beta blockers D. ACE inhibitors

D

Which medicine is okay to take with herbs that Invigorate Blood? A. Aspirin B. Warfarin C. Coumadin D. Atenolol

D

Which mineral is deficient if a patient has a Lasix overdose? A. Ca B. Na C. Mg D. K

D

Which muscle meridian connects with the eye area? A. Three Hand Yang B. Three Hand Yin C. Three Foot Yin D. Three Foot Yang

D

Which of following organs controls the Water passages and the excretion of fluids based on classical texts? A. Spleen B. Lung C. Kidney D. San Jiao

D

Which of the following answer choices contains symptoms that would manifest in a patient with Shao Yin Cold? A. Emaciation, thirst, feeling of a stream of air ascending to the chest region, a hot and painful sensation in the chest, hunger with no desire to eat, cold limbs, diarrhea and vomiting or vomiting of round worms B. Mental restlessness, insomnia, dryness of the mouth and throat, deep-yellow urine, a red or deep-red tongue, and a Rapid, Thready pulse C. Abdominal fullness, vomiting, poor appetite, diarrhea, abdominal pain which is alleviated with warmth or pressure, absence of thirst, a pale tongue with white coat, and a Slow or Slowing-down pulse D. Aversion to cold, lying in a curled up position, listlessness with desire to sleep, cold limbs, diarrhea with undigested food, absence of thirst or preference for hot drinks, profuse and clear urine, a pale tongue with white coat and a Deep, Feeble, Thready pulse

D

Which of the following answers gives the correct location for the opening point of the Du (Governing) Vessel? A. On the ulnar side, distal to the 5th metacarpophalangeal joint, at the junction of the red and white skin B. On the dorsal aspect of the wrist, in the depression between the styloid process of the ulna & triquetral bone C. On the ulnar side of the palm, in the depression between the base of 5th metacarpal bone and triquetral bone D. On the ulnar side, proximal to the 5th metacarpophalangeal joint, at the end of the transverse crease

D

Which of the following answers lists the correct points that make up the Yin Qiao meridian? A. B62, B61, B59, B29 B. B63, GB35, SI10, SJ15, B21 C. K9, SP13, SP15, SP16, Liv14, Ren22, Ren23 D. K6, K8, B1

D

Which of the following are the correct functions of Zong Qi? A. Goes up to the Heart and Lung, stored in the abdomen, promote fluid circulation, softens the chest area in cases of accumulation B. Goes up to the Heart and Lung, stored in the abdomen, promote Qi and Blood circulation, softens the chest area in cases of accumulation C. Goes up to the Heart and Lung, stored in the heart, promote fluid circulation, softens the chest area in cases of accumulation D. Goes up to the Heart and Lung, stored in the chest, promote Qi and Blood circulation, softens the chest area in cases of accumulation

D

Which of the following choices is the correct course of action to take for the point between 'two medial ends of eyebrows'? A. Eliminates Wind, drain Damp B. Eliminates Wind, clears Fire C. Eliminates internal Wind, clears Fire D. Eliminates Wind, stops convulsions, calms the Mind

D

Which of the following conditions must be met for the patient's authorization for the release of medical information to be considered valid? A. Signed by the patient; signed and dated by a notary B. Signed by the patient and a health care provider C. Signed and dated by the patient; includes patient's Social Security number D. Signed and dated by the patient or a legal guardian

D

Which of the following diseases is caused by the Vericella-Zoster Virus(VZV)? A. Varicella and Measles B. Measles and Chicken Pox C. Varicella and Herpes Zoster D. Chicken Pox and Shingles

D

Which of the following herbs can make a Cold syndrome worse? A. Ai Ye B. E Jiao C. Dang Gui D. Bai Shao

D

Which of the following in the correct order of Qi and Blood flow through the channels? A. LU LI SP ST HT UB KD SI PC SJ GB LV B. LU LI SP ST HT SI UB KD PC LV SJ GB C. LU LI SP ST HT SI UB KD PC SJ GB LV D. LU LI ST SP HT SI UB KD PC SJ GB LV

D

Which of the following is a relatively common chronic, autoimmune, systemic and inflammatory disorder of unknown cause. Symptoms include dryness of the mouth, eyes, and other mucous membranes due to lymphocytic infiltration of the exocrine gland and secondary gland dysfunction? A. MS (Multiple Sclerosis) B. SLE (Systematic Lupus Erythematosus) C. Polycystic ovary syndrome D. Sjogren's syndrome (SS)

D

Which of the following is a symptom of Parkinson's? A. Intention tremor B. Active tremor C. Tardive Dyskinesia D. Resting tremor

D

Which of the following is not a contraindication for Moxibustion? A. Abdominal and lumbosacral area of pregnant women B. 5 orifices of the face, large vessel (UB1, ST1) C. Excess Heat (high fever/ Yin Deficiency Heat) D. Cold-Damp Bi, Coldness, Numbness, Wind Bi

D

Which of the following is not secreted during infections? A. Histamine B. Prostaglandin C. Bradykinin D. Norepinephrine

D

Which of the following is the chief herb for Bao He Wan? A. Shen Qu (Massa medicate fermentata) B. Chen Pi (Citri reticulatae Pericarpium) C. Lai Fu Zi (Raphani Semen) D. Shan Zha (Crataegi Fructus)

D

Which of the following locations is correct for shoulder auricular point? A. On scapha at level with helix-tragic notch B. Midway between Elbow and Finger C. Midway between Finger and Clavicle D. Midway between Elbow and Clavicle

D

Which of the following organs are related to eye symptoms? A. SP, HT, GB B. SP, HT, UB C. HT, KD, GB D. HT, ST, UB

D

Which of the following parts of the tongue covers the surface of the tongue body and becomes "red points or spots" in pathological conditions? (Macioica Tongue Book p. 32) A. Foliate papillae B. Filliform papillae C. Vallate papillae D. Fungiform papillae

D

Which of the following point combinations is best for a patient who is in shock? A. S25, SJ6 B. Du26, Shixuan C. S7, S6, LI4 D. Du20, Ren8, Ren4, S36

D

Which of the following point locations is for the point that best treats muscular atrophy and motor impairment with pain, swelling or paralysis of the lower limbs? A. 3 cun below S35 and one finger breadth from the anterior border of the tibia B. 3 cun below S36 and one finger breadth from the anterior border of the tibia C. 2 cun below S37 and one finger breadth from the anterior border of the tibia D. 8 cun above the lateral malleolus and one finger breadth from S38

D

Which of the following point prescriptions would you use for a patient with mumps? A. S6, SJ17, P6, LI11, LI4 B. S6, SI16, P6, LI11, LI4 C. S6, SI16, SJ5, LI11, LI4 D. S6, SJ17, SJ5, LI11, LI4

D

Which of the following points lies above the radial recurrent artery and vein? A. LI4 B. L5 C. LI6, LI17 D. LI11

D

Which of the following points vasculatesbranches of the facial artery and vein and the infraorbital artery and vein? A. S6 B. LI20 C. B1 D. S2

D

Which of the following signs would indicate malignant melanoma? A. It's caused by exposure to the sun, purple color cancer, surface is smooth and symmetric B. Border is irregular, purple color cancer C. Brown color cancer, regular color, bigger than 6mm D. Irregular color with several colors, bigger than 1/4 inch

D

Which of the following tongue and pulse presentations would you see in a patient with Yin Deficiency? A. Pale tongue + Thready and Weak pulse B. Pale and delicate tongue with white coat + Deep, Slow pulse C. Pale tongue with thin, white coat + Weak pulse of deficiency type D. Red tongue + Thready and Rapid pulse

D

Which of the following types of Ginseng is warm in nature and better for treating patterns of Qi and Yang Deficiency? A. Xi Yang Shen B. Ren Shen C. Bai Ren Shen D. Hong Ren Shen

D

Which of the followings could be considered the proper advertisement for acupuncturists regarding cancer? A. Herbs can cure and treat cancer B. Can cure cancer with acupuncture treatment C. Combination of acupuncture and herbs can treat cancer and relieve pain D. Can relieve side effects of chemotherapy

D

Which one of the following conditions would lead to a differential diagnosis of chronic rather than acute bronchitis? A. External excess hinders spreading functions of LungQi and excess in the Lung coincides with Kidney Deficiency B. External excess hinders the spreading function of the LungQi and Phlegm Damp prevents Qi from descending C. Weak Spleen causes Phlegm Damp to rise to the Lung with concurrent Wind Cold Invasion D. Weak Spleen causes Phlegm Damp to rise to the Lung and Deficient Kidney Qi leads to the failure of Lung Qi to descend

D

Which organ of the 4 listed below is LEAST likely to be punctured if needling is done incorrectly or the depth of the needle is inappropriate? A. Spleen B. Kidney C. Liver D. Gallbladder

D

Which pair of points is not mother and son points? A. SP2, SP5 B. B67, B65 C. L9, L5 D. SJ3, SJ6

D

Which pattern can be treated with LI3, SJ3 and SI3? A. Heat Bi B. Cold Bi C. Damp Bi D. Wind Bi

D

Which point can be used for acute aphasia? A. Tonify point that lies above the basilic artery, inferior ulnar collateral artery, the ulnar recurrent artery and vein and the medial antebrachial cutaneous nerve B. Sedate point that lies above lateral median nerve and medial brachial cutaneous nerve C. Sedate point that lies above basilic artery, superior ulnar collateral artery, the median antebrachial cutaneous nerve and ulnar nerve D. Tonify the point that lies above the ulnar artery, medial antebrachial cutaneous nerve and the ulnar nerve on the ulnar side

D

Which point group is better for stubborn conditions? A. LV2 B. Xi-cleft C. DU19 D. Luo

D

Which point has the function of draining Damp, resolving Phlegm and calming the Shen? A. S36 B. S44 C. S37 D. S40

D

Which point is contraindicated for moxibustion? A. LI4 B. LU7 C. GB7 D. UB2

D

Which point should be needled first for a patient that has shock? A. K1 B. Du25 C. P6 D. Du26

D

Which points are best in cases of delayed labor due to Qi and Blood Deficiency? A. SP6, B67, LI4 B. B60, LI4, Liv3 C. B60, B67, B40 D. S36, SP6, B67

D

Which points can be used for constipation during the pregnancy? A. S25, SP6 B. B60, LI4 C. Du14, SP15 D. S37, SJ6

D

Which points can treat the area of inner canthus, neck, ear, shoulder and upper abdomen? A. L7, K6 B. SP4, P6 C. G41, SJ5 D. SI3, B62

D

Which scalp acupuncture line is best for a patient experiencing blurred vision? A. Horizontal line and 1.5 cm above and centered on the apex of ear, 4 cm in length B. 3 cm lateral to external occipital protuberance, parallel to midline of head, 4 cm in length, extending downward C. Parallel with and 1.5 cm to Chorea and Tremor Control area D. 1 cm lateral to external occipital protuberance, paralleI to midline of head, 4 cm in length, extending upward

D

Which single herb and acupuncture point could be used for goiter? A. Tian Nan Xing - LI18 B. Hai Zao - LI18 C. Tian Nan Xing - LI17 D. Hai Zao - SI17

D

Which single herb is used to treat thirst, dizziness and anxiety due to the sensation of something coming up to the Heart, Heat sensation and pain on the chest and Heart, hunger with no desire to eat, cold feet and hands, diarrhea and vomiting. The tongue may present with a yellow tip and a white root. The pulse may present as Thready (Xi Mai) and Wiry (Xuan Mai). A. Shi Gao (Gypsum fibrosum) B. Gui Zhi (Cinnamomi Ramulus) C. Fu Zi (Aconiti Radix lateralis preparata) D. Wu Mei (Mume Fructus)

D

Which statement is true in regards to traumatic pneumothorax? A. Can cause sudden death B. Need to make patient sit and calm C. The patient will not experience shortness of breath, cyanosis, pale complexion or coma in severe case D. Only can be caused when the Lung is punctured deeply

D

Which symptom is not an indication for moxibustion with garlic? A. Tuberculosis B. Early stage of skin ulcer with boils C. Poisonous insect bite D. Chronic dysentery

D

Which tastes should an acute/chronic nephritis patient avoid? A. Bitter, sweat, sour B. Sour, bitter, salty C. Sweat, pungent, sour D. Sour, pungent, salty

D

Which two types of hepatitis never develop into a chronic stage? A. Hepatitis B and hepatitis C B. Hepatitis A and hepatitis C C. Hepatitis A and hepatitis B D. Hepatitis A and hepatitis E

D

Which type of moxibustion can be used for chronic wounds which do not heal quickly? A. Moxa with Salt B. Moxa with Garlic C. Moxa with Ginger D. Moxa with Fu Zi

D

You are needling GB21 on your patient when they start to cough and complain of shortness of breath. What is the next thing you should do? A. Take needle out and call 911 if the condition worsens B. Do not take needle out and call 911 if the condition worsens C. Take needle out and call 911 D. Do not take needle out and call 911

D

You are preparing marketing material for your clinic. Which of the following statements you are allowed to use in the material? A. Chinese medicine doctor provides natural cures for hypertension, diabetes and cancer B. Oriental Medicine Doctor curing Hypertension, Diabetes and Cancer C. Registered Acupuncturist cures Hypertension, Diabetes and Cancer with Tui-Na D. Licensed acupuncturist specializing Ear Acupuncture to support those diagnosed with hypertension, diabetes and cancer

D

You are preparing to needle your patient. As you are placing the guide tube and needle on LI11, your hair falls into your face. You tuck it behind your ears. What is the next thing you must do? A. Wash your hands B. None of the above C. Continue with your treatment D. Re-swab the point

D

You have a very nervous patient who was diagnosed with hypertension last year. She has chronic constipation. Her heart is not strong. The tongue is red and the pulse is rapid. According to TCM Nutrition what flavor and temperature of food is best for her to eat? A. Sweet and warm B. Salty and cold C. Pungent and hot D. Bitter and cold

D

You perform acupuncture for your patient, inserting needles on the front-mu, back-shu and neck region. The patient complains of severe abdominal pain saying that the abdominal muscles feel contracted. Which of the following organs has been punctured? A. Kidney B. Lung C. Brain D. Spleen

D

You want to tonify the Hand Shaoyang channel. Using mother/son theory which point would be best? A. Tonify SJ1, reduce SJ3 B. Tonify SJ6, reduce SJ10 C. Tonify SJ10, reduce SJ3 D. Tonify SJ3, reduce SJ10

D

You want to tonify the Hand Shaoyin channel. Using mother/son theory which point would be best? A. Tonify H7 B. Reduce H5 C. Reduce H8 D. Tonify H9

D

Your friend has tested positive for HIV. She confides in you of her status and asks how she should proceed in regards to practicing acupuncture and treating her patients. Since you just prepared for the CALE, you think you know how to help her. You tell her that she will need to: A. Consult a specialist B. Consult with an expert panel C. Do nothing. She can treat as she is D. Inform her patients of her seropositive status

D

Your patient can't absorb fats including fat soluble vitamins. He also has steatorrhea which is generally a sign of pancreatic insufficiency. What type of stools would you expect him to have? A. Hard-compacted, dark-colored stools with occasional blood B. From soft to watery, often containing blood C. Soft to loose or watery stools that have mucus and are without smell D. Bulky, soft, light yellow to gray, mushy, greasy or oily and sometimes frothy; particularly foul-smelling; usually floats in the toilet

D

Your patient comes in complaining of elbow pain. She tries to extend her wrist against your resistance. This increases the pain, especially in the extensor muscles close to the elbow. The most likely diagnosis is: A. Medial Epicondylitis B. Arthritis C. Rheumatoid nodules D. Lateral Epicondylitis

D

Your patient comes in complaining of shortness of breath, palpitation and insomnia. What is the best Five Element diagnosis for this case? A. Metal cannot generate Water B. Wood insulting Metal C. Earth cannot generate Metal D. Metal insulting Fire

D

Your patient comes in to the clinic and complains on severe pain in the abdomen. Upon examination, you press him on the right lower abdominal area and quickly release. Your patient displays the symptom of "rebound tenderness." What is the diagnosis in this case? A. Gastritis B. Cholecystitis C. Diverticulitis D. Appendicitis

D

Your patient comes in with elbow pain that has been going on for the last three weeks. He's been to a chiropractor which helps some but the pain keeps returning. He has also been seeing a physical therapist without much success as well. You have the patient stand with his elbow flexed and his fingers flexed in a fist position. You then palpate the elbow with one hand and grasp the patient's wrist with your other hand while passively supinating the forearm and extending the elbow and wrist. When you do this he yelps in pain. This is positive for which elbow condition? A. Carpal tunnels B. Tennis elbow C. Median nerve compression D. Golfer's elbow

D

Your patient comes in with headache, fever, irritability and severe thirst. He says he vomits immediately after drinking. He also finds it difficult to urinate. You notice that he has edema. You give him a double dose of this formula because of how severe the symptoms are. Which potential side effects can occur? A. Dry mouth, thirst, irritability B. Weakness, light headedness, palpitations, loss of appetite C. Profuse sweating, high fever, severe thirst, irritability D. Dizziness, vertigo, bland taste, reduced appetite

D

Your patient has a terrible cough and you want to treat them using two points on the Lung channel that regulate cough. The first point you needle is on the wrist 1.5 cun above the wrist crease. The second point you needle is located on the lateral side of the anterior chest, 1 cun inferior and slightly lateral to the clear depression just inferior to the clavicle, just medial to the coracoid process and just lateral to the thorax. What is the needling depth and direction for the second point? A. Oblique lateral 0.5-0.8 B. Oblique towards the elbow, 0.3-0.5 C. Oblique towards the elbow, 0.2.-0.7 D. Oblique medial 0.3-0.5

D

Your patient has been taking Ba Zhen Tang for two months, on your recommendation. Her appetite has increased, and she is feeling "more energetic" than before, but she still has trouble sleeping and can feel her heart beating in her chest. You decide to modify her formula by: A. Adding Suan Zao Ren Tang B. Adding Suan Zao Ren C. Removing Shu Di and adding Suan Zao Ren D. Removing Ren Shen and adding Suan Zao Ren

D

Your patient is currently taking the formula Xiao Chai Hu Tang (Minor Bupleurum Decoction). They call the clinic because they have developed a UTI with chills, fever, and urgent urination. How will you modify the formula? A. Add Tian Hua Fen (Trichosanthis Radix) and Ban Xia (Pine/liae Rhizoma preparatum) B. Add Huang Qin (Scutellariae Radix) and Fu Ling (Poria) C. Add Ba Zheng San (Eight-Herb Powder for Rectification) D. Add Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia)

D

Your patient is going through menopause and is loosing a lot of hair. She says she is always in a bad mood and snaps at people. She does sweat at night and her throat is dry. She says she used to always be cold. Now she is always too warm. What would you suggest she eat? A. Lentils, grapefruit peel, carp, ginger, orange peel, bamboo shavings, persimmon cap and millet B. Cabbage, cucumber, dandelion, lettuce, malt, reed root, lotus root, honeysuckle C. Mung beans, daikon, carrots, lotus root, persimmon caps, mint, honeysuckle flower D. Black beans, sesame seeds, soybeans, walnuts, goji berries, mulberries, yams, licorice, Chinese black dates, lotus seeds, chrysanthemum

D

Your patient only drinks unpasteurized milk. She is now in your office because she has chills and diarrhea. She clutches her stomach from the pain. She says she has had a fever that comes and goes for the past week. She thinks she has Brucellosis. What do you do? A. Tell her to drink lots of water and send her to her MD. Then, report the case to CDC within 3 days B. Tell her to drink lots of water and send her to her MD. Then, report the case to FDA within 3 days C. Tell her to drink lots of water and send her to her MD. Then, report the case to FDA within 2 days D. Tell her to drink lots of water and send her to her MD. Then, report the case to public health department within 2 days

D

Amanda has a cough with deep seated sputum for a few weeks now. The sputum is difficult to expectorate. There is wheezing, dry and sore throat, red and dry tongue with a little coat. The pulse is Rapid but Strong. Which formula with modification is good for these symptoms? A. Bei Mu GuaLouSan + Xing Ren, Pi Pa Ye, KuanDong Hua B. Mai Men Dong Tang + ChuanBei Mu, GuaLou Ren C. Sheng Mai San + KuanDong Hua, Bai He D. ZhiSouSan - Jing Jie, Chen Pi, + Guo Lou, Bei Mu, Zhi Mu, Bai ZiRen

A

Based on the classic texts a patent suffering from aphasia or incoherent speech has an issue with which of the following channels? A. Heart B. Du C. Kidney D. Spleen

A

Gabe, age 74, suffers from constipation with hard stools and frequent urination. Which of the following formulas is best for treating Gabe's condition? A. Ma Zi Ren Wan B. Tiao Wei Cheng Qi Tang C. Xiao Cheng Qi Tang D. Run Chung Wan

A

How many members are on the acupuncture board? A. 9 B. 7 C. 6 D. 5

B

How should the needle guide tubes be handled? A. They must not be sterilized at the beginning of each treatment B. A new needle guide tube should be used for each new patient C. A new needle guide tube can be used for more than one patient D. Disinfect with alcohol after every use and before each patient

B

Ideally, HDL should be: A. Lower than 60 B. Higher than 60 C. Lower than 100 D. Higher than 100

B

If your patient's doctor calls the clinic and requests you send over all patient files, what do you do? A. Send patient's chief complaints and diagnosis only for the days that they were treated in your clinic B. Have the patient sign a medical release form first before sending over the files C. Gather the requested paperwork, copy and send to the doctor D. Do not send any documents, only confirm the patient's name

B

Leukopenia is tested with which of the following tests? A. CBC B. Hematocrit C. ANA D. UA

A

Liana is seeing you for low back pain, feeling cold, frequent urination and exhaustion. She comes into the clinic today with a cold. She has slight fever, chills, headache and body aches. Which herb would be MOST beneficial for this patient? A. Xi Xin B. Dan Dou Chi C. Gan Cao D. Gui Zhi

A

Patient reaches out to her back seat in her car and feels pain, which muscles are affected and test would you use? A. Rotator cuff, empty can test B. Rotator cuff, tinel's sign C. Carpal Tunnel, Phalen's test D. Carpal Tunnel, Finkelstein test

A

What is the origin of Wei Qi and Ying Qi? A. Combination of Qing Qi (clean Qi) which is inhaled by the Lung, and the Qi of Food Essence which is produced by the Spleen and Stomach B. Derived from congenital essence, needs to be supplemented and nourished by the Qi obtained after birth from Food Essence C. Derived from the Qi of Food Essence and produced by the Spleen and Stomach D. Combination of the Qi of Food Essence, Qing Qi inhaled by the lung, and essential Qi stored in the Kidney

A

What is the prescription used for mumps? A. ST6, SJ17, SJ5, Li11, Li4 B. Li11, Sp 10, UB40, GB34, LV3 C. SJ17, GB14, Taiyang, Si18, ST7, ST4, Li4

A

What is the side effect of Furosemide (Lasix)? A. Interstitial nephritis B. Diarrhea C. Hyperkalemia D. Congestive Heart failure

A

What symptoms would result after MCA (Middle Cerebral Artery) stroke? A. Hemiplegia involving the face, upper and lower extremities as well as sensory loss of the contralateral face, arm and leg B. Sudden numbness or weakness of face, arm or leg, especially on one side of the body as well as sudden confusion, trouble speaking or understanding C. Hemiplegia involving primarily the lower limbs and pelvic floor musculature as well as sensory loss involving primarily the leg and perineum D. Hemiplegia and cortical blindness

A

What taste and temperature foods need to be avoided in case of hypertensive patients? A. Salty and warm B. Salty and cold C. Sweet and warm D. Sweet and cold

A

When there is abnormal sensation on the 1st, 2nd, 3rd fingers, which nerve is effected? A. Median nerve B. Saphenous nerve C. Ulnar nerve D. Radial nerve

A

Which of the following blood vessels carries oxygenated blood? A. Pulmonary vein B. Cephalic vein C. Pulmonary artery D. Renal vein

A

Which of the following channels has a point that is contraindicated for both moxa and needling? A. Bright Yang Channel B. Terminal Yin Channel C. Greater Yang Channel D. Greater Yin Channel

A

Which of the following choices is least indicated for a patient with soreness of the low back and knees, dizziness, tinnitus, spermatorrhea, thin body, 5 center heat, afternoon fever or low grade fever with yellow urination and constipation? The tongue is also red with a scanty coat and the pulse is Thready and Rapid. A. Moxa on S36 B. Needle LI4 C. Cup B52 D. Needle K3

A

Which of the following is the correct pathway for the Spleen channel? A. Stomach - L1 - root of tongue B. B1 - upper gum - Ren24 C. Genitalia - eye - vertex D. SP6 - Du1 - Ren3

A

Mirror image of SJ10? A. UB40 B. GB34 C. ST36 D. LV8

B

The herb that is contraindicated to use with Lasix enters all of the following channels except? A. KD B. LV C. LU D. SP

B

The medication Effexor (SNRIs) belongs to which drug class? A. Calcium channel blocker B. Anti-depressant C. Anti-biotic D. Beta-blocker

B

The symptom of rebound tenderness is used to diagnose which of the following conditions? A. Gastritis B. Appendicitis C. Cholecystitis D. Diverticulitis

B

Tinnitus with high pitched like singing cicada is diagnosis of: A. KD def B. LV Yang rising C. GB obstruction D. SJ obstruction

B

What is the underlying pathogen that causes Meniere's disease? A. Damp B. Phlegm C. Blood Stasis D. Cold

B

What kind of food would you recommend for a woman who is in menopause? A. Cabbage, cucumber, dandelion, lettuce B. Black beans, sesame, beans, walnuts C. Dairy products, chicken, Gou Qi Zi (Lycii Fructus), celery, soup D. Fruits, meat, pizza, pasta

B

What points for excess LV conditions? A. Jing well of LV B. Shu Stream of LV C. Ying Spring of LV D. Jingwell of GB

B

Which of the following answers has the correct location for the Influential Point of Marrow? A. 1.5 cun lateral to Zhiyang (Du9), at the level of the lower border of the spinous process of the seventh thoracic vertebra B. 3 cun above the tip of the external malleolus, on the anterior border of fibula C. 1.5 cun lateral to Taodao (Du13), at the level of the lower border of the spinous process of the first thoracic vertebra D. On the anterior midline, 4 cun above the umbilicus

B

Which symptoms can be treated with moving cups? A. Local pain and ulcers B. Femur pain C. Deficiency D. Cough

B

Xing Ren overdoes presents with the following symptoms: dizziness, nausea, vomiting, headache, difficult breathing, tremors, pupil dilation, irregular heart beat and coma. How much Xing Ren needs to be digested to produce these symptoms? A. 50-60 seeds B. 10-20 seeds in children, 40-60 seeds in adults C. 20-30 seeds in children, 50-70 seeds in adults D. 40-100 seeds

B

You are treating your patient for Cock's Crow Diarrhea using the formula Si Shen Wan (Four-Miracle Pill). What is the next most appropriate formula to use after the diarrhea has stopped? A. Si Jun Zi Tang (Four-Gentlemen Decoction) B. Li Zhong Wan (Regulate the Middle Pill) C. Ping Wei San (Calm the Stomach Powder) D. Si Wu Tang (Four-Substance Decoction)

B

You are visiting your friend at his home. During your visit your friend tells you he is having low back pain and asks if you can treat him. You give your friend a treatment. How do you dispose of the used needles? A. Throw them in the trash because you don't have a sharp container B. The needle should be discarded in a sharp container whether you are in the office or outside of it C. Wrap them carefully in a napkin and discard D. Put them in Ziploc bag and throw them in the trash can

B

You find a person that is unconscious and you want to start CPR. What is the correct order of action you will take? A. Open airway, Call 911, Tilt the chin B. Call 911, Tilt the chin, Open airway C. Open airway, Tilt the chin, Call 911 D. Tilt the chin, Open airway, Call 911

B

A patient with hyperthyroidism would show which of the following in lab tests? A. Decreased T3, T4, TSH B. Increased T3, T4 and increased TSH C. Increased T3, T4 and decreased TSH D. Decreased T3, T4 and increased TSH

C

A patient with rhabdomyolysis would have an increase of which electrolyte? A. Magnesium B. Calcium C. Potassium D. Sodium

C

In the formula Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) what is the ratio of Bai Shao (White Peony Root) to Gui Zhi (Cinnamon Twig)? A. 3:1 B. 1:2 C. 2:1 D. 4:1

C

Liver Fire and Liver Yang Rising share which of the following symptoms? A. Constipation with dry stools, dark-yellow urine B. Dark-yellow urine, epistaxis, haematemesis, haemoptysis C. Dizziness, tinnitus, deafness, irritability, headache D. Bitter taste, dream-disturbed sleep, red face and eyes

C

What does long tongue mean? A. Severe Heart Fire B. Dampness or Phlegm C. Heat D. Liver Fire

C

What is the maximum dosage of 'Lu Hui' (Aloe) when used as pill or powder? A. 1g B. 0.5g C. 1.5g D. 3.5g

C

What is the tongue and pulse for Er Chen Tang (Two-Aged [Herb] Decoction)? A. The tongue has thin, white coat; pulse is Superficial (Fu Mai) and Moderate (Huan Mai) B. The tongue is dry with red tongue body; Thready (Xi Mai), Rapid (Shu Mai) pulse with strength C. Swollen tongue with thick, white and greasy coat; the pulse is Rolling (Hua Mai) D. The tongue presents with yellow, greasy coat; the pulse is Rapid (Shu Mai), Surging (Hong Mai), Rolling (Hua Mai)

C

What kind of tongue can we expect when Heat invades Ying Qi? A. Dark red tongue body, white tongue coat B. Slight red tongue body, thick yellow tongue coat C. Dark red tongue body, peeled tongue coat D. Slight red tongue body, thin yellow tongue coat

C

What nerve is associated with taste? A. XII B. V C. VII D. IX

C

What point is the crossing point for the UB, SI, Yin Qiao and Yang Qiao Channels? A. Du20 B. ST1 C. UB1 D. UB2

C

What's the mumps prescription using ear acupuncture? A. Antitragic apex, Cheek, Subcortex, and Brain B. Eyes, Cheek, LV, Mouth, Adrenals C. Parotid Gland, Cheek, Subcortex D. ST, LV, SP, Neurogate

C

When a patient has issues with C5 nerve root, how would you test for this? A. Elbow extension B. Wrist extension C. Elbow flexion D. Wrist flexion

C

When would you use Seven Star Needles? A. Enuresis B. Loss of consciousness C. Digestive disorders D. Asthma

C

Which channels should be treated for epilepsy? A. HT, PC B. Du, PC C. Du, Ren, LV D. HT, LV

C

Which dermatome innervates the knee caps? A. L3 B. L5 C. L4 D. L2

C

Which disease does not show eosinophilia (increase of eosinophil)? A. Parasitic infection B. Asthma C. Bronchitis D. Allergy reaction

C

Which disease has a low hemoglobin count? A. Polycythemia B. CHF C. Hyperthyroidism, Liver Cirrhosis D. COPD

C

Which herb has the same action as Lasix? A. Bai Guo B. Ma Huang C. Fu Ling D. Dang Gui

C

Which is the location of the Jing River point of Foot Taiyang Channel? A. Depression 1 cun below external malleolus B. Depression between medial malleolus and Achilles tendon C. Depression between lateral malleolus and Achilles tendon D. Depression 1 cun below medial malleolus

C

Which meridians cross at S4? A. SI and Yang Qiao B. LI and Yin Qiao C. LI and Yang Qiao D. SI and Yin Qiao

C

Which of the following Influential points treats palpitations, calms the mind and opens the chest? A. On the middling of the abdomen, 4 cun above the umbilicus B. On the midline of the abdomen, 6 cun above the umbilicus C. On the midline, at level with the 4th intercostal space, midway between the nipples D. Directly below the nipple, in the 6th ICS, 4 cun lateral to the anterior midline

C

Qi circulates through the body in a very specific order. Which of the following answers shows the correct flow of Qi? A. LI-SP-ST B. SI-HT-UB C. SJ-GB-LV D. PC-HT-LU

C

Rowan has had many rounds of antibiotics during his life time and especially a lot over the last year. He is experiencing symptoms of cold limbs, fatigue, infertility and edema in the lower limbs and on the abdomen. How will his tongue manifest? A. Flaccid B. Stiff C. Swollen D. Short

C

Sarah suffers from dysmenorrhea with dark clots in her menstrual blood. The first day of her period is the worst. She has low back pain and cramping which subsides by day two. Her pulse is Wiry in the Left Guan and hesitant in both Chi positions. Before her period starts she often has breast tenderness, mood swings and fatigue. Which tongue picture is best for this case? A. Pale tongue with purple sides B. Pale tongue with orange sides and purple at the root C. Pale tongue with purple spots at the root D. Pale tongue with purple sides and purple spots at the root

C

Shan Zha and Jue Ming Zi has the same action for which prescription drug? A. Paxil B. Lasix C. Lipitor D. Coumadin

C

Shannon is a very driven person. She works all day and goes to school at night. She was on her track team in school. She still runs marathons. Now she comes to the clinic with symptoms of poor appetite, abdominal distension and spontaneous sweating. What kind of symptoms Shannon can further develop if she doesn't change her lifestyle soon? A. Hypochondriac distention and fullness, easily get anger, H/A B. Constipation, chest focal distention, anxiety C. Chest focal distention, body heaviness, copious sputum D. Irritability, insomnia, anxiety

C

Steve comes in emaciated. He suffers from fatigue, poor appetite, abdominal distension especially after eating, dry mouth and lips with 5 center heat. The urine is yellow and he is constipated. The tongue is red with a scanty coat. The pulse is Thready (Xi Mai) and Rapid (Shu Mai) yet Hesitant (Se Mai). You want to treat him using diet therapy. Which foods should be avoided by this patient? A. Chicken, brown rice and papaya B. Fish, brown rice and kale C. Lamb, scallions, glutinous rice and kale D. Fish, glutinous rice and papaya

C

Which of the following can be used for a patient with blood-clotting problems? A. Wafarin B. Vitamin D C. Vitamin K D. Heparin

C

Which of the following cases can cause dry eyes? A. Heart Qi deficiency B. Liver Yang deficiency C. Liver Yin deficiency D. Heart Blood deficiency

C

Which of the following colors manifesting on the skin would represent Blockage of Qi and Blood? A. Red B. White C. Black D. Blue

C

Which of the following conditions would lead to a differential diagnosis of chronic rather than acute bronchitis? A. External Excess hinders spreading functions of the Lung Qi, and Excess in the Lung coincides with Deficient Kidney B. External Excess hinders spreading functions of the Lung Qi, and Phlegm Damp prevents Qi from descending C. Weak Spleen causes Phlegm Damp to rise to the Lungs, and Deficient Kidney cannot make Lung Qi descend D. Weak Spleen causes Phlegm Damp to rise to the Lungs, and Wind Cold invades the Lungs

C

Which of the following indications is correct for indirect moxa with ginger? A. Skin Ulcer, Tuberculosis, Insect Bites B. Impotence, Premature Ejaculation C. Diarrhea, Abdominal Pain, Painful Joints D. Abdominal Pain, Vomiting, Dysentery, Hernia

C

Which of the following is a protein released by animal cells, usually in response to the entry of a virus that has the property of inhibiting replication? A. Neutrophil B. Complement C. Interferon D. Macrophage

C

Which of the following is in the scope of practice for an acupuncturist? A. Acupressure, breath control exercises, subcutaneous injection B. Herbs, plant, mineral products, x-rays C. Physical touch (Asian massage), magnets, animal products D. Heat and cold therapy, magnets, nutrition, diet, surgery

C

Which of the following is related to the 'Specific gravity test'? A. Stool B. Phlegm C. Urine D. Saliva

C

Which of the following is the best way to handle rude and unruly patient? A. Refuse a treatment B. Send a written letter and immediately release the patient from your practice C. Send a written letter in which you give the patient a reasonable time to find another acupuncturist D. Inform the patient verbally and give the patient a reasonable amount of time to find other acupuncturist

C

Which of the following is the correct location for the Back Shu of the Foot Taiyang meridian? A. 1.5 cun lateral to Du meridian, at the level of the lower border of spinous process of L2 B. 1.5 cun lateral to Du meridian, at the level of the lower border of spinous process of L4 C. 1.5 cun lateral to Du meridian, at the level of 2nd posterior sacral foramen D. 1.5 cun lateral to Du meridian, at the level of 1st posterior sacral foramen

C

Which of the following medications is used to treat and prevent breast cancer? A. Prednisolone B. Flutamide C. Tamoxifen D. Stilbestrol

C

Which of the following muscles is not part of the rotator cuff? A. Teres minor B. Infraspinatus C. Teres major D. Supraspinatus

C

Which of the following needling depths and directions is correct for the Luo point of the Foot Jueyin? A. Perpendicular, 0.3-0.5 cun B. Subcutaneous, 0.5-0.8 cun C. Subcutaneous, 0.3-0.5 cun D. Perpendicular, 0.5-1.0 cun

C

Which of the following organs is not part of the immune system? A. Spleen B. Liver C. Lung D. Thymus E. Lymph

C

Which of the following points best treats a patient with hypochondriac pain, hiccup, depression and mastitis? A. GB25 B. Liv13 C. Liv14 D. GB24

C

Which of the following points has a deepest needling depth? A. P3 B. P1 C. H1 D. H2

C

Which of the following points require you to pinch the skin before inserting the needle? A. ST25, Ren4 B. PC6, KD6 C. UB2, ST4 D. GB30, UB54

C

Which of the following types of Qi are related to the Lung organ? A. Zong Qi and Ying Qi B. Yuan Qi and Zong Qi C. Zong Qi and Wei Qi D. Yuan Qi and Ying Qi

C

Which pathogenic factor can easily injure Liver? A. Wind Cold B. Wind Dryness C. Wind Damp D. Wind Heat

C

Which point is best to use if a patient faints after needles are inserted on the lower half of the body? A. P6 B. S36 C. LI4 D. Du26

C

Which points are contraindicated for infants with open fontanels? A. Du24, Du25 B. Du18, Du19 C. Du23, Du22 D. Du20, Du21

C

Which type of Fu Zi can be used to treat Yang collapse in the formula Si Ni Tang? A. Black Fu Zi B. White Fu Zi C. Raw Fu Zi D. Fu Zi soaked in Xi Jiao, Lu Lou, Gan Jiang, Gan Cao, Jin Yin Hua

C

A 36-year-old male patient has a history of drug use. He is currently in severe pain and wonders if you would recommend him the use of Marijuana. What happens to a practitioner who prescribes Marijuana in the state of California? A. License is revoked B. License is suspended C. Licensed is revoked and the practitioner is imprisoned D. Nothing, Marijuana is an herb and it is within the scope of our practice to prescribe Marijuana

D

A family moved house after living there for more than 20 years. The couple's last child left for college last year. The wife came to clinic with symptoms of weak voice, pale complexion, tiredness. What is diagnosis? A. HT Blood deficiency B. LV Blood deficiency C. SP Qi deficiency D. LU Qi deficiency

D

In cases of Hand Taiyin Deficiency, what mother/son combination is best? A. Tonify L7, Sedate L9 B. Tonify SJ10, Sedate SJ3 C. Tonify L5, Sedate L9 D. Tonify L9, Sedate L5

D

Long term use of the formula Ba Zheng San will cause which of the following side effects? A. Dizziness, Vertigo, Loss of Appetite B. Vomiting, Diarrhea, Dizziness C. Nausea, Vomiting, Palpitation D. Weakness, Light headedness, Palpitation, Loss of Appetite

D

Rob is often dizzy. He was diagnosed with high blood pressure last year. He often finds that the back of his legs are achy. The muscles on the posterior side of his legs are very tight. His face is red and he appears to be very tense. His pulse is Excess, Rapid and String-taut. His tongue is red. Which are the best points for this patient? A. P6, SP4 B. GB41, SJ5 C. L7, K6 D. SI3, B62

D

Stella has had chronic cystitis for the past few years. She experiences burning on urination and her urine is dark but scanty. Her hypogastrium is severely distended. Her pulse is Excess, Rapid and very Wiry especially in the middle position. Her tongue is deep-red with red spots on the root. There is a yellow coat that is thicker at the root. Which points can be used for this patient? A. L7, K6 B. GB41, SJ5 C. P6, SP4 D. SI3, B62

D

Steve is afraid he has a cold coming on. He woke up this morning with a stiff neck, body aches, and slight chills. His nose is stuffed up and he sneezes multiple times during the intake. You prescribe: A. Chai Ge Jie Ji Tang; +Jin Yin Hua, Lian Qiao B. Chai Ge Jie Ji Tang; + Fang Feng, Xin Yi Hua C. Gui Zhi Tang; + Jin Yin Hua, Lian Qiao D. Gui Zhi Tang; + Fang Feng, Xin Yi Hua

D

What kind of side effects can you expect from a patient who is taking Furosemide (Lasix)? A. Nausea & vomiting B. Diarrhea C. Hyperkalemia D. Dizziness & vertigo

D

When locating which of the following acupuncture point you must ask the patient to open the mouth? A. SJ22 B. SI18 C. SI17 D. GB2

D

Which one of the following is prohibited for an acupuncturist to practice? A. Electroacupuncture B. Ear Acupuncture C. Moxa and cupping D. Injection therapy using an herbal extraction

D

Which point can be used for hypochondriac pain, breast distention and pain and irregular menstruation? A. Anterior and inferior to the external malleolus, in the depression on the lateral side of the tendon of m. extensor digitorum longus B. On the dorsum of the foot, between the 4th and 5th toe, proximal to the margin of the web C. Between the 4th and 5th metatarsal bones, on the medial side of the tendon of m. extensor digiti minimi of the foot D. In the depression distal to the junction of 4th and 5th metatarsal bones, on the lateral side of the tendon of m. extensor digiti minimi

D

Your patient comes in with a smooth tongue. What vitamin deficiency would cause the tongue to be smooth? A. Vit B6 B. Vit K C. Vit C D. Vit B12

D

Your patient comes in with localized calf pain. You test the condition using the Homans' test which comes out positive. Of course you refer him out immediately for treatment. What medication will his physician most likely prescribe? A. Lasix (Furosemide) B. Aspirin C. Ibuprofen D. Heparin/Warfarin

D

Which points treat digestion issues and mental issues? A. SP4 B. ST40 C. SP10 D. SP3

B

Which point is 1.5 cun parallel to DU9? A. UB18 B. UB17 C. UB19 D. UB20

B

Which scalp point should you use for patient with R leg edema? A. R Upper 1/5 of blood vessel line B. L Upper 1/5 of blood vessel line C. R Upper 1/5 of sensory line D. L Upper 1/5 of sensory line

B

Susan has a sudden attack of severe spastic abdominal pain. Her stools are loose. Her tongue has a thick, white, sticky coat, and her pulse is Deep, Tense. What is the best point prescription for this case? A. S37, S25, S27, SP6, Liv3 B. Ren6, S25, S36, SP3, Du20, B20 C. Ren6, S25, SP15, S37, SP6, B25 D. S25, Ren6, S36, B25, B20

A

What is the dosage of 'San Qi (Notoginseng Radix)'? A. 1-3g (power), 3-9g (decoction) B. 2-3g (power), 3-9g (decoction) C. 1-3g (power), 3-6g (decoction) D. 2-3g (power), 3-6g (decoction)

A

What is the general order of invasion of pathogenic factor into our body? A. Cutaneous-Connecting-Primary-Zang-Fu B. Cutaneous-Primary-Connecting-Zang-Fu C. Cutaneous-Connecting-Muscle-Zang-Fu D. Connecting-Primary-Muscle-Zang-Fu

A

What is the medication for optic neuritis? A. Prednisone B. Acetazolamide C. Ketorolac tomethamine D. Timolol

A

What is the needling depth of SI14? A. 0.3-0.7 B. 0.3-0.8 C. 0.3-0.6 D. 0.4-0.6

A

What kind of advertisement can acupuncturists do? A. Keep healthy and strong with acupuncture and herbal medicine B. Cosmetic surgery with acupuncture and herbal medicine C. Cure Diabetes with acupuncture and herbal medicine D. Treat cancer with acupuncture and herbal medicine

A

Latisha is 9 months pregnant. She comes in complaining of constipation and a low flow but persistent uterine bleeding. She tells you she is 5 months pregnant. She has checked in with her MD and the doctor tells her that she is not worried about a miscarriage at this point. Latisha tells you that the bleeding and constipation are accompanied by severe abdominal pain that is sharp in character. What is the best formula and modification for her to use? A. Gui Zhi Fu Ling Wan + Ru Xiang and Mo Yao B. Weng Jing Tang + Ru Xiang and Mo Yao C. Wen Jing Tang + Da Huang D. Gui Zhi Fu Ling Wan + Da Huang

A

What type of tongue do you expect to see in a patient diagnosed with Parkinson's disease? A. Red overall, no tongue coating B. Red at the root and tip with a thick, yellow coat. Pale in the center with a thick white coat C. Purple, cracks, scanty tongue coating D. Pale tongue, swollen, wet with teethmarks

A

Priya, age 30, is obese. She is in the clinic today for severe lower abdominal pain. The pain has been so bad that she has not been to work for the last three days. Her additional health issues include hirsutism, infertility, irregular menstrual cycles and persistent anovulation. However, with her partner, she has been trying to get pregnant She is currently taking Clomiphene to induce ovulation. Which of the following western diagnosis is most likely for this patient? A. Polycystic Ovarian Syndrome (PCOS) B. Cushing's syndrome C. Endometriosis D. Hyperthyroidism

A

For equipment in the clinic that is exposed to blood or body fluids such as cups, what is the proper sterilization procedure? A. Autoclave 250F, 30min B. Autoclave 350F, 45min C. Steam clean 250F, 30min D. Steam clean 350F, 60min

A

Based on your diagnosis, you decide it is nessary to prescribe your patient with a double dosage of Gui Zhi Tang. In order to prevent edema and hypertension from developing, which herb should you omit? A. Sheng Jiang B. Gan Cao C. Gui Zhi D. Bai Zhi

B

A 23-year-old female patient who is phlegmatic complains of amenorrhea for the past two months, as well as severe pain and pressure in her lower abdomen for the last two days. She also complains of nausea, dizziness, and disinterest in food although she drinks a lot of soda. She states that she cannot get enough sleep, that she has been particularly stressed at work, and that recent, constant fights with her boyfriend are wearing her down. She has a dull, pale complexion and a slow demeanor. Her tongue is pale with red around the sides, and her pulse is Rolling and String-taut. The patient has a history of irregular menstrual periods. What diagnosis should be considered, and how should the patient be treated? A. Ectopic pregnancy; refer to a medical physician B. Depression; treat with needles and herbs C. Adrenal insufficiency; refer to a medical physician D. Amenorrhea; treat with needles and herbs

A

A 48-year-old male patient came to clinic complaining of irritability, palpitation, insomnia, night sweat, poor memory and 5 Center Heat. The patient's tongue is red with a scanty coat. The patient has been suffering from chronic liver, heart and lung disease for a long time. He developed a terrible sex addiction in his mid 20s. He still goes through periods of excess sexual activity even though he knows it's not good for his condition. He takes Viagra during these times even though it leaves him exhausted. He feels restless if he doesn't and can't control himself. Which formula is most appropriate for this patient? A. Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) B. Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction) C. Tian Wang Bu Xin Dan (Emperor of Heaven's Special Pill to Tonify the Heart) D. Suan Zao Ren Tang (Sour Jujube Decoction)

A

A 57-year-old patient has rheumatoid arthritis. All of the following drugs may be used EXCEPT: A. Antibiotics B. Corticosteroids C. Bronchodilators D. NSAIDs

A

A male patient has tinnitus that sounds like rushing water. What is the most likely cause of the tinnitus? A. Kidney deficiency B. Liver excess C. Liver deficiency D. Heart deficiency

A

A patient has RUQ pain which radiates to the right shoulder and poor digestion of oily food. What disease is this? A. Cholecystitis B. Ulcers C. Pancreatitis D. Appendicitis

A

A patient has a depigmentation especially around his mouth and hands. It is a progressive skin disease that appears as normal skin with white fragmented skin in patches or large areas of the body. Which is the possible diagnosis for this patient? A. Vitiligo B. Psoriasis C. Albinism D. Eczema

A

A patient has chronic headache. The headache gets worse when she eats grapefruits or oranges. What is the diagnosis? A. Spleen Qi Deficiency B. Kidney Deficiency C. Heart Qi Deficiency D. Liver Yang Rising

A

A patient is taking Aldomet (Methyldopa). What kind of disease does this patient have? A. Hypertension B. Depression C. Epilepsy (Seizure) D. Parkinson's disease

A

A patient with vertigo is best treated with which of the following scalp lines? A. Horizontal line 1.5 cm above and centered on the apex of the ear, 4cm in length B. 3 cm lateral to the external occipital protuberance, parallel to the midline of the head, 4 cm in length extending posteriorly C. Parallel with the midline of the head 1 cm besides midpoint, about 3cm long D. Lower 2/5 of the line parallel and 1.5 cm posterior to the Motor line

A

A young girl has severe pain in the right lower abdominal area. She does not want to be touched by anybody. What is the most likely diagnosis? A. Acute appendicitis B. Acute cholecystitis C. Acute diverticulitis D. Acute obstruction of the Large Intestine

A

Abnormal Hemoglobin is seen in which of the following diseases? A. Cirrhosis and COPD B. Appendicitis and COPD C. Appendicitis and Edema D. Cirrhosis and Edema

A

According to Clean Needle Technique guidelines, which of the following is not mandatory? A. Wear gloves B. Dispose of used needles in a biohazard container C. Use a clean field D. Use only sterilized needles

A

According to the Five Element table the smell associated with Metal Element is? A. Rotten B. Rancid C. Sweet D. Putrid

A

According to the classics texts, which of the following pathogens is responsible for causing Osteosclerosis? A. Damp B. Wind Cold C. Internal Cold D. Wind Heat

A

Acidosis and Alkalosis are related to which organs? A. Lung and kidney B. Stomach and liver C. Spleen and lung D. Kidney and liver

A

Alejandro suffers from chronic indigestion with a sensation of fullness of the epigastrium, belching and nausea. His pulse is Excess and Tight especially in the middle position. His tongue has a thick, white coat. Which Dui Xue combination is the best for this case? A. P6, SP4 B. SI3, B62 C. GB41, SJ5 D. L7, K6

A

All Yang channels cross the supraclavicular fossa except the? A. UB B. SI C. GB D. ST

A

All of the following points are on the same level except? A. SI16 B. SJ16 C. B10 D. SI17

A

Amy has epigastric pain every night after she eats. She says she is thirsty but can only drink a small amount of water. Her tongue is a normal color but lacks a coat. Which point prescription would be best for this case? A. Ren12, S36, SP6, SP3 B. Ren12, S44, S34, S21, Ren11 C. Ren13, Ren1O, S21, S44, SP4 D. Ren13, Ren11, P6, SP4, S21

A

Barbara suffers from chronic constipation. You notice that her complexion is pale and lusterless. Her lips and nails are also pale. Barbara tells you that she is often dizzy and suffers from palpitations. Her tongue is pale with a thin white coat. Her pulse is thready and weak. What is the differential diagnosis for this case? A. Deficiency Constipation due to Deficiency of Qi and Blood B. Excess Constipation due to Accumulation of Heat C. Excess Constipation due to Stagnation of Qi D. Deficiency Constipation due to Agglomeration of Cold

A

Gene can't stay awake during the day. He was in a car accident last year and fractured his skull. He is having regular treatments with you for the somnolence. He is in school and needs to be able to stay awake, focus and get through his exams. Which point combination is best for his condition? A. B62, K6, B1 B. K3, B23 C. B11, GB39, S1 D. S36, SP6

A

Bella suffers from frequency urination for over 10 years. Her urination is very frequent in daytime and she gets up twice to go to the bathroom. She is also slightly incontinent when jumping or coughing. She feels very tired and is easily cold. Even in summertime, when she comes in for a treatment she has to wear socks to keep her feet warm. Her lower back aches and she often feels dizzy. Her memory is poor and sometimes she has tinnitus. Her tongue is Pale and her pulse is Weak and Deep. What is the diagnosis? A. Kidney Yang Def and Kidney Qi not Firm B. Kidney Yin and Yang Deficiency C. Kidney and Spleen Yang Deficiency D. Kidney Yang and Spleen Qi Deficiency

A

Beven has strange red lines on his belly. He's not sure what it could be. He has gained a lot of weight recently. His round face looks even rounder now. What is the most likely cause of these symptoms? A. Cushing syndrome B. Diabetes Mellitus C. Myxedema D. Hashimoto's disease

A

Brandon had a fever, aversion to cold, headaches, stiff neck and sweating. Now he has high fever, profuse sweating, severe thirst, and his pulse is Forceful. Which of the following answers best explains the disease pathway? A. Tai Yang symptoms change into Yang Ming B. Tai Yang symptoms change into Shao Yang C. Tai Yin symptoms change into Shao Yin D. Tai Yin symptoms change into Jue Yin

A

Buerger's disease is characterized by coldness, numbness, sharp pain with burning sensation and pain in the limbs. Symptoms generally start showing from the fingers or toes and go up to the arms and legs with the majority of occurring in the legs rather than the arms. Which of the following is not the cause of Buerger's disease in TCM? A. Qi and Blood Stagnation due to Damp Heat B. Qi and Blood Stagnation due to Injury C. Qi and Blood Stagnation due to Fire Stagnation D. Qi and Blood Stagnation due to Cold Damp

A

Charlie suffers from headaches. He is in the clinic now and currently experience one. The headache manifests with a dull pain on the vertex, pain behind his eyes, nausea, vomiting and diarrhea. He says doesn't have much of an appetite. What kind of pulse and tongue can this patient have? A. Pale tongue and a Weak pulse on right side and wiry on the left side B. pale tongue, weak pulse on left side, wiry on the right side C. Red tongue and a Surging pulse on both side D. Slightly red tongue and a Thready pulse on both side

A

Common signs and symptoms of Addison's disease are: A. Hyperpigmentation B. Extreme thirst and hunger C. Round face (moon face) and hirsutism D. Buffalo hump and weight loss

A

Correct advertisement for acupuncture: A. Specializing in electro treating nausea, vomiting due to chemo B. Shrinking Tumor w/o side effect C. Cure diabetes D. Specializing in hand acupuncture and treat dizziness and headache

A

Creatinine levels are tested to diagnose pathology in which of the following systems? A. Renal B. Blood circulation (Heart) C. Endocrine D. Digestive

A

Cutaneous needles are used to treat which major body area? A. Spine and back B. Abdomen C. Head D. Neck

A

Damien suffers from seasonal allergies since his teenage years. He is now 41 years old. This season has been the worst. His symptoms include sneezing, watery eyes, itchy nose with clear watery discharge. In the mornings the discharge is thick and yellow but clears up as the day progresses. His pulse is slightly weak overall but weaker in the right front and both rear positions. His tongue is pale, slightly swollen with a thin, white coat. What is the differential diagnosis for this case? A. Lung and Kidney Qi Deficiency B. Kidney not Grasping Qi C. Liver overacting on Lungs D. Lung and Spleen Qi and Yang Deficiency with Kidney Yin and Yang Deficiency leading to Kidney Qi Deficiency

A

David contracted MRSA during a hospital visit 3 years ago. He is in the clinic today with a skin rash that looks suspicious. What is the best course of action to take? A. Refer the patient to a physician for a round of antibiotics B. Clean the area with alcohol and needle as usual C. Use cutaneous needles in the area D. Prescribe a formula for the patient

A

Diabetes symptoms include: A. Sweet odor and ketoacidosis B. Sweet odor and hypoglycemia C. Anxiety and ketoacidosis D. Anxiety and hypoglycemia

A

Diagnosis for insomnia, painful urination, and tongue ulcer? A. HT Fire going to UB B. Damp heat in UB C. Heat in UB D. SI Heat

A

Discomfort in the chest with tense shoulders and abdominal pain are all symptoms of which emotions affecting the body? A. Worry B. Fear C. Pensiveness D. Sadness

A

Dorsi and his family went to the local Italian restaurant to celebrate his birthday. After dinner the entire family experienced severe diarrhea which is still occurring a day later. Which of the following is responsible for the family's illness? A. Staphylococcus B. E-coli s C. Listeria D. Clostridium

A

Dr. Bard, DAOM works in the county jail. The majority of his patients are drug addicts and ½ of them are Hep C positive. Dr. Bard wears latex gloves when working with these patients. However, the patients don't like that he wears the gloves as that makes them feel uncomfortable. What is the correct protocol for gloves during an acupuncture treatment? A. Gloves should be worn when there will be contact with potentially infectious materials or body fluids B. Gloves should be worn when taking out the needles. This is when there is a greater risk of contact with large amounts of blood C. Gloves don't need to be worn if the acupuncturist doesn't want to D. Gloves don't need to be worn if the patients don't like them

A

Dry-frying which of the following herbs will enhance its warming and tonifying properties toward the Spleen and Stomach? A. Huang Qi B. Bai Zhu C. Gan Cao D. Dang Shen

A

Ear Acupuncture is contraindicated in which of the following scenarios? A. Pregnant woman who has a history of habitual miscarriage B. Someone with hypertension C. Someone who has developed atherosclerosis D. Weak patient or elderly patient

A

Elevated levels of glucocorticoids would result in a reduction of which of the following hormones? A. ACTH B. Prolactin C. Aldosterone D. ADH

A

Epigastric pain that may radiate to the back or other parts of the abdomen is seen in which of the following conditions? A. Acute pancreatitis B. Acute intestinal obstruction C. Acute appendicitis D. Acute cholecystitis

A

Geoff is a senior in high school. He has played football since he was 5 years old. He is currently on his high school football team. Geoff has been very ill this season and is not doing well on this season. At the beginning of school this fall he caught a bug and has never really recovered. His father brings him to the clinic because he is running a high fever and cannot go back to school. His skin is hot to touch and he has a purple rash that covers a majority of his body. His stool is almost black. Geoff has a nosebleed in the clinic and it took almost the entire hour for the blood to stop. What is the differential diagnosis for this case? A. Heat stirs up the Blood and influences the Heart B. Heat exhausts the Pericardium C. Turbid Phlegm obstructs Pericardium D. Phlegm-Fire obstructs the Heart

A

George has a history of drug addiction. He insists on getting prescription drugs for his pain. What will you recommend he do? A. Recommend he go to rehab B. Report to him to the Drug Enforcement Agency C. Treat with acupuncture D. Treat with acupuncture & herbs

A

Ginger moxa is used for A. Warm SP/ST weakness, diarrhea, ab pain, painful joints caused by yang deficiency B. Warm Yang caused by Mingmen fire decline C. Restore Yang collapse, ab pain, vomit/diarrhea, pain caused by hernia, dysentery D. Boils, poisonous insect bite, scrofula

A

HHV-3 (VZV) Shingles is the virus that causes? A. Chickenpox B. Herpes Simplex 1 C. Psoriasis D. Staph infection

A

He Sea points are best used for? A. Digestive disorders B. Bi Pain C. Asthma or cough D. Mental illness

A

Henry comes to the clinic for fatigue treatment. He has poor appetite and abdominal distension after meals. You notice that he is very thin. His lips are dry. He tells you he suffers from dry mouth. Henry's urine is yellow and he has constipation. The tongue is red with a scanty coat and the pulse is Thready, Rapid and Hesitant. Which foods should Henry avoid so as to not further aggravate his condition? A. Fish, brown rice and kale B. Fish, glutinous rice and papaya C. Tofu, brown rice and papaya D. Lamb, scallions, glutinous rice and kale

A

How many cun below the umblicus is the Front-Mu point of the Urinary Bladder? A. 4 cun B. 3 cun C. 2 cun D. 1.5 cun

A

Hypochondriac and epigastric pain, distension sensation, irritability, loose stools, poor appetite, greenish face A. LV overacting SP B. Sp insulting LV C. SP/LV Excess D. SP/LV Deficiency

A

Hypoglycemia is often caused by which of the following? A. Insulinoma B. Diabetes insipidus C. Kaposi's sarcoma D. Glucagonoma

A

If a patient presents with balance problems, which cranial nerve is probably injured? A. 8 B. 7 C. 5 D. 3

A

If a patient presents with right side paralysis due to a stroke, causing him to be unable to walk, which scalp acupuncture line will you use? A. Left motor upper 1/5 B. Right sensory upper 1/5 C. Right sensory lower 2/5 D. Right motor upper 1/5

A

If an acupuncturist's license has been suspended, how long must they wait before they can appeal the suspension? A. 1 year B. 2 years C. 3 years D. 4 years

A

If patient has HIV and HepB and you get a needlestick while treating them, what do you have to do? A. Go to MD immediately for exposure and start treatment for HepB B. Do nothing C. Wash hands and go home

A

If your patient has stabbing pain due to intercostal neuralgia, which points would you use? A. SJ6, LV5, GB34, LV13, UB17, UB18 B. SJ6, LV5, GB34, LV2, LV3, PC6, GB40 C. SJ6, LV5, GB34, ST40, LV13, SP9 D. Ren22, UB17, PC6, Ren17

A

In case of Stomach Yin Deficiency, which foods would you recommend your patient should eat? A. Fish, black beans, strawberries, black berries B. Fish and hot peppers C. Chicken and scallions D. Lamb and mung beans

A

In which condition will lab work show elevated eosinophils? A. Parasite B. Bacteria C. Virus D. Fungus

A

Indirect moxa with garlic is best for treating which of the following conditions? A. Tuberculosis, skin ulcers, insect bites B. Impotence, premature ejaculation C. Abdominal pain, vomiting, dysentery, hernia D. Diarrhea, abdominal pain, painful joints

A

Intradermal needles are indicated for which of the following symptoms? A. Cold Damp Bi, Wei Syndrome, Wind-Damp-Bi B. Nerve system, skin problem C. Stomach disease, cough D. Excess Heat

A

James was diagnosed last year with IBS. He is in your clinic today because there is blood in his stools. What is your next course of action? A. Refer to his MD for a colonoscopy B. Treat with acupuncture & herbs C. Refer out for an X-ray D. Refer to his MD for an Endoscopy

A

Jessica comes into the clinic complaining that her breath smells like nail polish or sometimes very sweet. She's not sure what is causing this and wonders if you can help her. She tells you that she was about 100 lbs. overweight. Two months ago she stopped eating carbohydrates including all fruit, sugar, grains and she stopped eating dairy. She only eats vegetables and meat. What is the cause of her smelly breath? A. Ketosis B. Diabetes C. Hyperglycemia D. Jaundice

A

Jessica has a persistent cough for the past 5 years. She coughs up scanty sticky yellow sputum. She says she has a sensation of oppression in her chest. Her health is otherwise very good. She tells you she is a yoga teacher and has been for the past 60 years. Her body is think and her skin is dry. Her pulse is slightly Floating, Empty and Slippery, rapid in the Lung position. Her tongue is Red, dry without coating on the tip. What is the differential diagnosis for this case? A. Lung Phlegm Heat with Lung Yin Deficiency B. Lung Phlegm Heat with Wind Heat C. Lung Phlegm Heat with Kidney Deficiency D. Lung Phlegm Heat with Lung Qi Deficiency

A

L7 with K6 is best needled for which of the following indications? A. Lung, throat, chest issues B. Brain, head, eyes C. Abdomen, Stomach, Heart D. Shoulder, sides of neck

A

LU Yin Def: Spontaneous sweat, dry mouth, chronic cough A. Sheng Mai San B. Bai He Gu Jin Tang C. Mai Men Dong Tang

A

If your patient is experiencing upper arm pain with difficulty flexing his elbow, which is the most likely dermatome that is effected? A. C8 B. C5 C. C6 D. C7

B

Liana suffered a serious emotional trauma in her early 20's. She developed asthma soon after this incident. She is now 40 years old and takes Ventolin and Becotide inhalers every day as well as tablets of Prednisone. Her attacks are always start after emotional strain. The asthma is not allergy based. She often feels very tense and irritable and often has a pain under her right rib-cage. She also suffers from pre-menstrual tension. Her tongue is red with redder sides. There is a yellow coat on the tongue. Her pulse is Weak on the right and Wiry on the left. What is the differential diagnosis for this case? A. Liver Qi overacting on Lungs B. Liver Qi Stagnation transforms Fire C. Liver Qi Stagnation D. Liver Fire

A

Lillian is 41 weeks pregnant. She is in your clinic today for labor induction. Which of the following treatments and points are best for this patient? A. Tuina: GB21, SP6, LI4, B32 B. Gua Sha: Ren13, Ren6, Liv3, SP6 C. Gua Sha: Du14, LI4, GB34, SP6, SJ5 D. Tuina: Ren4, Ren12, SP6, LI4, B67

A

Lillie, age five, has frequent urination and is always sneezing. She often gets colds. Which of the following Qi is/are affected? A. Yuan and Zhong Qi B. Wei Qi and Gu Qi C. Yuan Qi D. Wei Qi

A

Linda has joint inflammation as well asexcessive dryness of the eyes, mouth and other mucous membranes. What is the most probable diagnosis in her case? A. Sjogren's syndrome B. SLE (Systemic lupus erythematosus) C. Multiple Sclerosis D. Scleroderma

A

Louisa suffers from constipation. She complains of a cold sensation in the lower abdomen and abdominal pain. When she applies heat to the area, the pain feels better. She tells you she doesn't like the cold. Her tongue is pale with a white moist coat ns deep slow pulse. What is the differential diagnosis for this case? A. Deficiency constipation due to Agglomeration of Cold B. Deficiency constipation due to Deficiency of Qi and Blood C. Excess constipation due to Stagnation of Qi D. Excess constipation due to Accumulation of Heat

A

Lower abdominal twisting pain which may extend to back, abdominal distension, dislike of pressure on abdomen, borborygmi, flatulence, abdominal pain relieved by emission of wind, pain in the testis, white tongue coat, and Deep, String-taut pulse on rear position is a condition which is treated by which of the following prescription points? A. Ren6, GB34, Liv13, S27, S29, SP6, Liv3, S39 B. Ren6, S25, S39, S36, B20, B27 C. S39, Lan Wei Xue, S37, S36, Ren6, GB34, S25, SP6 D. S12, SI2, H5, H8, S39

A

Luke was diagnosed with Parkinson's disease 3 years ago. At first the symptoms were mild. Luke couldn't concentrate, felt apathetic and couldn't really engage with life. He felt tired all the time but slept poorly. He was nauseous and dizzy most of the day. His doctor assumed he was depressed and prescribed Paxil. A few months after starting the Paxil his writing started to become progressively smaller and he developed a tremor in his right hand especially noticeable when he was lifting his coffee mug or picking up a shopping bag. Now Luke notices that his neck is excessively stiff. His walk has changed as well. It is more difficult to walk and he notices that his arms don't have an easy swing to them when he walks. His mouth is dry and his vision is blurry. His friends tell him he looked like he was staring. This is typical with Parkinson's. The tongue is red with a sticky, yellow coat and there is a crack that reaches to the tip. His pulse is overall Wiry and Stiff. What is the differential diagnosis for this case? A. Liver Wind with Phlegm Heat B. Liver Wind with Heart Yin Deficiency C. Spleen Qi Deficiency with Phlegm Accumulation and Wind Heat in the Channels D. Heart and Kidney Yin Deficiency with Spleen Qi Deficiency with Phlegm Accumulation engendering Wind

A

Lynn comes to the clinic with the following symptoms: fatigue, constipation, poor appetite, weight loss, gastrointestinal disturbance, hyperkalemia, hypotension, muscle weakness, night sweat and dark skin discoloration on the face and chest. Her pulse is Weak on both rear positions. The tongue is pale but the root is red and swollen with teeth marks. The tongue coat is thin, white and peeled on the root. What is the diagnosis for this case? A. Addison's Disease B. Cushing's syndrome C. Aldosteronism D. Cushing Disease

A

Marianne has low back pain since she was a teenager following an attack of Polio. The backache was better with rest, worse when standing up. Her main complaint is severe exhaustion. She felt cold easily and gets up every night to urinate. Her ankles are swollen and puffy. When you press on them, it leaves a thumbprint. Marianne's urine is very pale but recently it has occassionally been dark as well. She has constipation and has had it for quite a while now. Marianne doesn't sleep well at night. She wakes up frequently through the night and always with a dry mouth. Her memory is poor and she frequently feels dizzy and has ringing in her ears. Her other symptoms are mild palpitations and a slight bitter taste. When she was 39 years old she had a myomectomy to remove fibroids from her uterus, a bladder operation to correct the prolapse and finally a hysterectomy when she was 39. Her pulse is Deep, slow and Weak over all with the rear positions being especially Deep and Weak. The front positions were Overflowing. Her tongue was Pale, Swollen and dry. What is the diagnosis for this case? A. Kidney Yin and Yang Deficiency B. Heart Yin and Yang Deficiency C. Kidney Yang Deficiency with Water Overflowing D. Kidney Yin Deficiency with Liver Blood Deficiency

A

Muscle meridian meeting point for the Three Leg Yin is located? A. Ren3 B. ST3 C. GB13 D. GB22

A

Old man comes in with weak voice for a month. He also complains for dry cough. His tongue is red and pulse is superficial and rapid. What is your diagnosis? A. Lung Qi deficiency B. Wind heat C. Wind cold D. Yin deficiency

A

Pain during period? A. Heat in blood B. Qi/blood stagnation C. Blood deficiency D. Blood yin deficiency

A

Patient has an abdominal pain that radiates to the back and acid regurgitation. Physician sent the patient for acupuncture but the pain did not get better. Physician suspects the patient may have pancreatitis and wants to order a test. Which of the following would show an abnormal range on the lab work? A. Lipase B. Creatinine C. Acid Phosphatase D. Alkaline Phosphatase

A

Patient has symptoms of SOB and dizziness after needling GB20 and GB22. Which of the following actions is the most appropriate to take? A. Leave the needles in and call 911 B. Take the needles out and call 911 C. Take out the needles and let patient rest D. Tell patient to relax and he'll be fine

A

Patient's blood pressure drops upon needling, what should you do? A. Take needles out and give warm water B. Lay patient in supine position C. Continue treatment D. Sit patient upright

A

Reba is taking Gui Pi Tang to help with her diagnosis of Qi and Blood Deficiency. Generally her periods have a normal flow, but today she calls the clinic saying that her menstrual flow is excessively heavy and has been so for the past week. How would you modify the formula? A. By adding Shan Zhu Yu (Corni Fructus), Wu Wei Zi (Schisandrae Fructus) B. By adding Yu Jin (Curcumae Radix), Xiang Fu (Cyperi Rhizoma) C. By adding Hong Hua (Carthami Flos), Mu Dan Pi (Moutan Cortex), Zhi Zi (Gardeniae Fructus) D. By adding Wei Ling Xian (Clematidis Radix), Du Huo (Angelicae pubescentis Radix), Niu Xi (Achyranthis bidentatae Radix)

A

Ronald suffers from depression and is currently taking antidepressant medication. After 10 years of talk therapy he doesn't feel like he has made much progress. He has all sorts of side effects from his antidepressants such as hypochondrial pain and fullness and weak feet. He tells you he can't stretch his feet. He says that he often feels cold and he doesn't like the cold. This winter with all the snow in Tahoe, he dreads the day his family wants to go to Tahoe to ski. He know that he will stay in the lodge next to the fireplace sipping tea the whole day. Even then he is sure he won't be able to warm up. You notice that his face has a bright white complexion and that. His tongue is pale with a white coat and the pulse is deep, thready, wiry and slow. What is the best diagnosis for this case? A. Liver Qi Stagnation with Excess Cold B. Liver Qi Stagnation with Spleen Yang Deficiency C. Liver Yang Deficiency D. Liver Qi Stagnation with Deficiency Cold and Damp Accumulation

A

Ruth is a hemophiliac. She comes in with intense shoulder pain. You want to treat the area. Which of the following treatments should you not consider performing? A. Cupping B. Estim C. Ear Acupuncture D. Acupuncture

A

SJ10 is paired with which of the following points? A. GB34 B. SP9 C. UB40 D. ST36

A

Sabo, age 71, was diagnosed with hypertension 3 years ago. He is in your clinic today with a headache, dizziness, vertigo, tinnitus and blurred vision. He says that he has a horrible insomnia with dream-disturbed sleep. His tongue is red with a yellow coat and the pulse is Wiry but Deficient. What is the best formula for this case? A. Tian Ma Gou Teng Yin B. Zhen Gan Xi Feng Tang C. Ban Xia Bai Zhu Tian Ma Tang D. Wen Dan Tang

A

Sallow complexion, emaciation, lassitude, reduced/no appetite, abdominal distension, loose stool, dislike of speaking, weakness of limbs A. SP Qi Def B. SP Qi Sinking C. SP unable to control blood D. SP Yang def

A

Sally's husband has passed away recently. Since then she has been drinking a lot and is very depressed. She comes to the clinic for help with eye pain and hypochondriac pain which starts on the intercostal area of right side. Before her third visit she develops a migraine and occipital headache. Which meridians can treat these symptoms? A. Yang Wei (Yang Link/ Yang Linking Vessel), Dai (Belt/ Girdle /Girdling Vessel) B. Ren (Conception/ Directing Channel), Yin Qiao(Yin Heel/ Yin Stepping/ Yin Motility Vessel) C. Yin Wei (Yin Link/ Yin Linking Vessel), Chong (Thoroughfare / Penetrating Vessel) D. Du (Governor/ Governing Vessel), Yang Qiao (Yang Heel/ Yang Stepping/ Yang Motility Vessel)

A

Sam, an ex-heroin addict, comes in with nodules or blotches that are red, purple, brown, or black. These are all over his lower limbs, back and face. He tells you he has been taking Retrovir for 15 years now. What could be the possible cause of his condition? A. Kaposi Sarcoma B. Psoriasis C. Erysipelas D. Eczema

A

Sarah comes into your clinic today sneezing uncontrollably. She has a runny nose and watery eyes. She says that she just got back from a spring camping trip. Tests would reveal a higher count of which of the following blood cells? A. Basophils B. Neutrophils C. Lymphocytes D. Monocytes

A

Sarah complains of acute back pain after spending the weekend working in her garden. The pain is intense and centered around the left sacro-iliac area. It radiates downwards to the left buttock and the back of the leg. She has not suffered from any back pain before this. On exam, the muscles on the left side of her back were in spasm and the whole area felt very stiff. The most tender point was UB26 Guanyuanshu. She was quite a tense person and her pulse was slightly Rapid and Wiry. What is the differential diagnosis for this case? A. Kidney Yang Deficiency B. Kidney Yin Deficiency with Cold Accumulation. C. Kidney Essence Deficiency D. Acute back sprain due to trauma

A

Sarah finds it difficult to eat. She says she is hungry but often she can only eat a little bit before feeling very full. Which of the following foods would be most beneficial for her to eat? A. Fish, black beans, strawberries, blackberries B. Fish, scallions, ginger and garlic C. Chicken, mung beans, walnuts and alfalfa D. Chicken, red peppers, apricots and asparagus

A

Sarah is a new practitioner and is renewing her license for the first time after her passing her board exams and being licensed. She has her license for 18 months now. How many continuing education hours does she need to complete for her license renewal? A. 40 B. 45 C. 35 D. 30

A

Scott suffers from chronic indigestion with a sensation of fullness in the epigastrium with belching and nausea. His pulse was Full and Tight, esp. in the middle position. His tongue has a thick, white coat. Which of the following point combinations could be used? A. SP4, P6 B. L7, K6 C. GB41, SJ5 D. S37, B23

A

Severe constant pain on the right epigastrium which is especially very sharp when pressing on right epigastrium or pain that gets worse when the patient takes a deep breath or pain that radiates to the inferior part of right scapula or pain that is too severe to endure and normally accompanied with vomiting and that lasts generally about 12 hours, describes which of the following conditions? A. Cholecystitis B. Cholecystic Cance C. Hepatitis D. Liver Cancer

A

Stenosing Tenosynovitis is a painful condition caused by inflammation and progressive restriction of the tendon sheaths of the finger. What is the most likely TCM pathogenesis for this case? A. Interrupted Qi and Blood circulation due to muscle contraction B. Interrupted Qi and Blood circulation due to exterior Wind Damp C. Interrupted Qi and Blood circulation due to exterior Wind Heat D. Interrupted Qi and Blood circulation due to Damp Phlegm

A

Stephanie comes in with lassitude, a sinking sensation in the lower abdomen and prolapse of the uterus. She says she is often short of breath, has frequent urination and leucorrhea. Which points prescription is best for this patient? A. Du20 Ren6, Ren12, S36, S29 B. Ren4, Zigong Xue, Liv8, K6 C. GB41, SJ5, Ren6, Du26, Zigong Xue D. L9, ST36, Ren12, Zigong Xue

A

Talia was diagnosed with a large cyst on her ovary. It is 7.5 cm in diameter. She also has a myoma between her uterus and the ovary and was diagnosed with endometriosis. This caused her to have abdominal pain and discomfort. The abdomen felt hard on the palpation. She complains of painful periods. The periods sometimes manifest with heavy bleeding and other times are scanty. Sometimes, the period stops suddenly in the middle of her menses and then starts back up again. She often has dark purple clots. When she is not menstruating she often has excessive vaginal discharge that is yellow in color. Her tongue is Pale-Purple and Swollen with a sticky coat all over which is yellow on the root. Her pulse is Slippery, slightly Firm (Wiry at the Deep level), Deep and Weak on the Rear positions. What is the differential diagnosis for this case? A. Kidney Yang Deficiency with Blood Stasis and Damp Heat in the Lower Jiao B. Blood Stasis in the Uterus with Damp Heat Invasion C. Kidney Deficiency with Excess D. Blood Deficiency with Kidney Deficiency with Damp Heat

A

The Ear Acupuncture point located at the prominence on the Superior part of the tragus is best used for: A. High Blood Pressure B. Parotitis C. Hormone regulation D. Tinnitus

A

The Glabella is associated with which organ according to the Ling Shu? When the organ is diseased, symptoms will show up in this area of the face. A. Lung B. Liver C. Heart D. Kidney

A

The best formula for a patient experiencing a sensation of something stuck in the throat that can be neither swallowed nor coughed up is? A. Ban Xia Hou Po Tang (Pinellia and Magnolia Bark Formula) B. Xue Fu Zhu Yu Tang (Drive Out Stasis in the Mansion of Blood) C. Tian Ma Gou Teng Yin (Gastrodia and Uncaria Decoction) D. Xiao Chai Hu Tang (Minor Bupleurum)

A

The best point for a patient suffering from asthma and a productive cough with thick, yellow phlegm is: A. 0.5 cun lateral to Du14 B. Midpoint on the lining of SJ17 and GB20 C. 0.5 cun anterior to ear lobe D. 1 cun posterior to SJ17

A

The branch of Radial Recurrent Artery passes under which point? A. LI11 B. LI6 C. LI14 D. LI12

A

The sour flavor goes to the: A. Nerves B. Bones C. Skin D. Muscles

A

Tina is overweight. She could stand to lose about 100 lbs. Her BMI is 42.5. She is a lawyer and her work leaves her stressed. Her weight gain is mostly on the lower part of her body. She has very large buttocks and very thick thighs. Which organ is affected in this case? A. Spleen B. Liver C. Kidney D. Heart

A

Tomas suffers from focal distention and stuffiness of the chest, fixed hypochondrial pain with belching, vomiting, acid regurgitation, indigestion and a cough with sputum. The tongue is red with a slippery coat. The pulse is Slippery (Hua Mai). What is the best formula for this case? A. Yue Ju Wan (Escape Restraint Pill) B. Bao He Wan (Preserve Harmony Pill) C. Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Epigastrium) D. Si Ni San (Frigid Extremities Powder)

A

Too much sitting injures the: A. Spleen B. Lungs C. Heart D. Kidneys

A

Tyrion, 25-year-old male, suddenly fell down while strolling down Main Street. He clenched his teeth. His eyes rolled upwards and he started to have convulsions. There was a foamy saliva on his lips and he started to scream like a pig. By-standers called for an ambulance. He regained consciousness before the ambulance arrives. His face is still pale and he says he is very tired. His legs are slightly sore and weak but he can still get up and walk without significant motor impairment. He did wet himself during the episode. What is best diagnosis for this case? A. Xian Syndrome (Epilepsy) B. Zhong-Feng syndrome (Apoplexy) C. Jue Syndrome (Syncope) D. Dian Syndrome (Mania)

A

What are the 7 Internal and 6 External causes of disease? A. Anger, Joy Pensiveness, Worry, Sadness, Fear and Shock / Wind, Cold, Fire, Summer Heat, Dampness and Dryness B. Constitution, Over-exertion, Excessive sexual activity, Improper diet, Traumatic Injury, Parasites and poison and Wrong Treatment / Anger, Joy Pensiveness, Worry, Sadness, Fear and Shock C. Wind, Cold, Fire, Summer-Heat, Dampness and Dryness Constitution, Over-exertion, Excessive sexual activity, Improper diet, Traumatic Injury, Parasites and poison and Wrong Treatment D. Wind, Cold, Fire, Summer-Heat, Dampness and Dryness / Anger, Joy, Pensiveness, Worry, Sadness, Fear and Shock

A

What are the symptoms of Meniere's disease? A. Sudden onset of vertigo, sensorineural hearing loss, nausea, tinnitus, vomiting, pressure of the ear B. Insidious onset of vertigo, nausea, vomiting C. Sudden onset of vertigo on rolling over onto the affected side D. Insidious onset of vertigo, pressure pain on CN 5,6,7

A

What does it indicate when you touch the skin and it is cool to the touch after first but then warms up? A. Damp Heat B. Yin Deficiency C. Stomach Heat D. Wind Heat

A

What foods need to be avoided in case of LV Fire rising? A. Lamb and garlic B. Chinese cabbage and pork C. Oyster and chinese yam D. Mung bean and chicken egg

A

What foods should a patient with irregular periods after getting off birth control of 10 years have? A. Sweet and warm B. Sour and warm C. Sweet and cold D. Sour and cold

A

What is it called when patient's BP drops when they stand up? A. Orthostatic hypotension B. Hypotension C. Hypertension

A

What is the average incubation period for Hepatitis E? A. 40 days B. 28 days C. 50 days D. 35 days

A

What is the cause of phlegm? A. Sp not doing T&T B. Lung not doing D&D

A

What is the contraindication for electrical acupuncture? A. Heart disease B. Stomach disease C. Liver disease D. Lung disease

A

What is the cooking instructions for Mang Xiao (Natrii Suljas)? A. Dissolve in strained decoction B. Cook first for 60 minutes C. Cook first for 30 minutes D. Add near the end

A

What is the correct management of broken needle under the skin? A. Seek medical help immediately B. Remove with forceps C. Press the skin around the needle and remove with forceps D. Do nothing; the needle will eventually come out on its own

A

What is the crossing point for the SI, GB, SJ, ST, LI channel? A. SI12 B. SI18 C. SI13 D. SI19

A

In case of deficient below and excessive above you use which point? A. Du4 B. K1 C. Du20 D. Ren1

B

29-years-old female patient has abdominal pain better with warmth and pressure, nausea & vomiting, diarrhea with watery stool, loss of appetite and profuse salivation. The tongue is pale with a white coat. The pulse is Deep, Thready and Slow. What is the best formula for this patient? A. Da Qing Long Tang B. Li Zhong Wan C. Xiao Jian Zhong Tang D. Wu Zhu Yu Tang

B

A 33-year-old woman had been suffering from breathlessness for the previous two years. She found it difficult to breathe out and her attacks were elicited by emotional stress. She also felt easily thirsty and experienced a bitter taste in her mouth occasionally. She had frequent headaches on the temples of a throbbing nature and she felt generally wound-up and frustrated. She also felt easily hot and occasionally had palpitations. Her pulse was Wiry and her tongue was Red with redder sides and tip. There is a shallow midline Heart-crack. The sides also had red points. What is the cause of the breathlessness? A. Heart Fire B. Liver Fire C. Liver Qi Stagnation D. Liver Yang Rising

B

A 37-year-old woman is suffering from severe migraine around the temple area of the head since the birth of her first child. She often has vomiting attacks with the migraines. Sometimes the pain is so severe that it causes abdominal pain with diarrhea. She has Superficial (Fu Mai)-Weak (Ruo Mai) pulse that is Thready (Xi Mai) and Rapid (Shu Mai) on the right guan position and Deep (Chen Mai) and Weak (Ruo Mai) on both chi positions. Her tongue is slightly red on the center; it looks swollen and without a coat in the center. What is the differential diagnosis for this case? A. Spleen Yang Deficiency with Liver Qi Stagnation B. Stomach Yin Deficiency with Kidney Yang Deficiency C. Stomach Yin Deficiency with Kidney Yin Deficiency D. Spleen Qi Deficiency with Lung Phlegm Accumulation

B

A hyperthyroidism patient came to your clinic. What would you expect to see on the lab report? A. Increased T3 B. Decreased TSH C. Increased TSH D. Increased T4

B

Barbara suffers from chronic constipation. You notice that her complexion is pale and lusterless. Her lips and nails are also pale. Barbara tells you that she is often dizzy and suffers from palpitations. Her tongue is pale with a thin white coat. Her pulse is thready and weak. What is the best acupuncture point prescription for this case? A. B25, S25, SJ6, K6, LI11, LI4 B. B25, S25, SJ6, K6, B20, B21, S36 C. B25, S25, SJ6, K6, Ren12, Liv3 D. B25, S25, SJ6, K6, MOXA ON Ren8 AND Ren6

B

A man of 65 had a ministroke (TIA) which did not cause permanent paralysis. We call this 'Wind-stroke attacking meridians and collaterals' (not Zang-Fu) in TCM. We can assume that Liver Heat stirred up the internal Wind and Liver Blood is stagnated. The tongue shows 3 out of the 4 elements which cause this chronic condition. Those are Wind-Stroke, Internal Wind, Fire and Blood Stasis. What is the tongue for this patient? A. Blue purple tongue body, slightly swollen, crack in the center, thin white tongue coat B. Red purple tongued body, red tip, swollen and stiff. The tip is more swollen. There is a thin white tongue coat over all that is rootless and a partially thin coat on the root C. Blue purple tongue body, stiff and swollen. The tip is more swollen. There is a thin white tongue coat, rootless and a partially thin coat on the root D. Blue purple tongue body, stiff and swollen. The tip is more swollen. There is a thin white tongue coat which is rootless and a partially thin coat on the tip

B

A patient experiences an electric shock like feeling after you needle UB points for sciatica. The patient does not report feeling any soreness, numbness, heaviness or distending pain. What is the most likely cause of the electric shock? A. The patient is too sensitive to acupuncture and should not be needled B. The needle touched a nerve C. This is a normal needle sensation D. The patient has weak Qi and should not be needled

B

A patient has low back pain with tenderness and pain on palpation. Other symptoms are hematuria, and a lot of bleeding. With this type of injury the patient can go into a coma as well. Which organ is punctured? A. Spleen B. Kidney C. Liver D. Brain

B

A patient is requesting cupping therapy for back pain. He has a history of DVT. What should you do? A. Treat him with cups B. Refuse to treat the patient with cupping therapy C. Apply cups with regular acupuncture D. Apply gentle moving cup therapy

B

A patient suddenly falls down in a fit in your clinic. His head is shaking from side to side. His muscles are contracting and then relaxing at a quick rate. The patient is unconscious throughout all of this. You have to react quickly. What is important to remember NOT to do? A. Call 911 B. Put a depressor in his mouth to prevent him from biting his tongue C. Clear space so as to prevent the patient from further injuring himself D. Put a pillow under his head

B

A patient who is coming to your clinic for five years has stated that their depression medication isn't working well anymore. Their physician indicated to them that they can take SAMe to help improve their SSRI. Your response is: A. Your physician may cause you a serotonin syndrome and you can appear "crazy" B. Your physician may be referring to SAMe increasing the SSRI absorption but please use with caution C. Your physician doesn't understand SAMe and may cause you to have seizures D. Your physician is trying to help with absorption so you should also combine this with 5 HTP

B

A patient who suffers from insomnia with the following symptoms: difficulty of falling asleep, dream-disturbed sleep, poor memory, palpitation, lassitude, anorexia, and sallow face would most likely have? A. Upward disturbance of the Liver Fire B. Deficiency of the Heart and Spleen C. Dysfunction of the Stomach D. Disharmony between the Heart and Kidney

B

A sweet taste in the mouth after being on a high fat/low carb diet might indicate? A. Pseudomonas B. Ketonic Acidosis C. GERD D. Diabetes Mellitus

B

A tongue that is deep red in color and occupies the entire space of the mouth indicates which of the following conditions? A. Toxicosis B. Excessive Heat in the Heart and Spleen C. Excessive Heat in the Yangming D. Spleen and Kidney Heat Accumulation with Harmful Waters

B

Aaron has a persistent cold. He found an herbal pharmacy and bought herbs to treat himself. For the past month, he is taking Yin Qiao San (Honeysuckle and Forsythia Powder). His fever, body aches and sore throat are gone. His main complaint now is that he still has a dry, hacking cough that keeps him up at night. He is also restless and constipated. Which tongue and pulse would you most likely see for this case? A. Red cracked tongue; Rapid, Excess pulse B. Red tongue with geographic coat; Rapid, Thready pulse C. Light red tongue with a thin, yellow coat; Rapid, Superficial pulse D. Light red tongue with a thick, yellow coat; Rapid, Rolling pulse

B

Abnormal fluid collect and edema in children are often symptoms for which of the following diseases? A. Epilepsy B. Liver diseases C. Diabetes D. Round worms

B

An acupuncturist has a needle stick from a contaminated needle by a patient who has hepatitis C and HIV. What should the physician do? A. Report to CDC, check HIV counts of patient and get an inspection within three days; after inspection get an appropriate treatment according to result B. Report to CDC, go to MD and ask for medication C. Report to CDC, check HIV counts of patient and get an inspection within two days D. Report to CDC, treat with acupuncture and herbal medicine three weeks later

B

Anatomically speaking, which point lies above the lowest section of the brain? A. Du17 B. Du16 C. G19 D. B12

B

Andrew is a very angry man. You have treated him for the past two months for Liver Fire issues. Today he is in your clinic with neck and shoulder pain that radiates to his forearm and fingers. Andres was hit by a whip while he was whipping a horse. What is the best treatment option for this patient? A. Puncture around C7 & C8, moxa and cupping B. Refer him to his PCP and recommend he have an MRI C. Puncture around C8 D. Puncture around C7

B

Arnold was diagnosed with arthritis two years ago. You ask if he experiences stiffness in the mornings or heaviness. He says that the pain is unpredictable. It tends to come and go without any pattern. The pain also travels around in his body. Sometimes it is affecting the fingers and hands, other times the elbow or knee and still other times his toes and ankles. What would you recommend that Arnold should include in his diet? A. Barley, mung beans, mustard greens, millet, sweet rice wine B. Scallions, grapes, black beans, tea and leafy vegetables C. Garlic, green onions, black beans, chicken, lamb, ginger, spicy foods and grapes D. Fresh fruit, dandelion, mung beans, watermelon

B

Ban Xia Xie Xin Tang is used for feeling of fullness in epigastrium, vomiting and diarrhea. What is the underlying pathology for this formula? A. Excess and Deficiency in Middle Jiao B. Cold and heat complex in Middle Jiao C. Excess and Deficiency in the Middle Jiao D. Cold and heat complex in Upper Jiao

B

Brian has insomnia for the past 2 years. He falls asleep easily but wakes up several times throughout the night. He keeps a glass of water by his bed because he often wakes with a dry throat. Brian has been impotent for the past 2 years. Right around the time the insomnia started. His tongue is red with a peeling coat and a crack that reaches the tip of his tongue. His pulse is Empty at the deep level and extremely Weak and Fine on the left rear and middle positions. He was born with one Kidney. What is the differential diagnosis for this case? A. Heart Deficiency B. Kidney and Heart not Harmonized C. Heart Yin Deficiency D. Kidney Yin Deficiency

B

Bridget has a chronic left side headache. She has been depressed for a good decade and is also an alcoholic. Her headache comes on when she goes out in the sun. The pain starts over her left eye and spreads over the head to end at the occiput. She has pain on her left intercostal area as well. You notice her face is red and she complains of a bitter taste in her mouth. What is the differential diagnosis for this case? A. Liver Blood Deficiency B. Liver Fire C. Liver Qi Stagnation D. Excess Heat in the Gall Bladder with Damp Accumulation

B

Cystoscopy is used to check which of the following organs? A. Colon B. Bladder C. Stomach D. Heart

B

Endorphins, Vasoactive intestinal peptide (VIP) A. Fasciculi gracilis and cuneatus B. Anterior and posterior spinocerebellar C. Anterior spinothalamic tract D. Lateral spinothalamic tract

B

Erin has scanty and dark-colored menses. Her cycles are generally delayed and occur every 35-45 days. She has colicky pain in her lower abdomen which feels better if she applies heat. Her limbs are cold. Her tongue is white with a thick,white coat. The pulse is Slow and Deep. What is the diagnosis for this case? A. Qi and Blood Stagnation B. Cold in the Blood C. Excess Cold with Yang Rising D. Heat in the Blood

B

Family goes out for dinner, the next day they are all sick. What is the cause? A. Bacteria B. Virus C. Parasite

B

Feeling unwell or feeling of the body getting bigger indicates what symptom? A. Excess symptom of Sea of Food B. Excess symptom of Sea of Blood C. Excess symptom of Sea of Qi D. Excess symptom of Sea of Marrow

B

Frying Gui Ban in wine will do which of the following? A. Reduce the gelatinous content of the shell and thereby reduce its quality B. Will add movement to its tonification and will be most likely used in the treatment of atrophy and weakness of the bones and sinews C. Direct the medicinal actions of the herb to the Liver channel and enhance its ability to subdue Yang D. Will increase the solubility of the substance in decoctions by as much as four times

B

Green face on a patient is most likely due to which of the following conditions? A. Liver Fire B. Liver patterns, Interior Cold, pain or Interior Wind C. Liver Qi stagnation or Liver Blood deficiency D. Liver Qi stagnation, Liver Blood stasis, Cold in the Liver channel or Liver Wind

B

Guide tubes must be sterile for? A. All of the above B. Every patient C. None of the above D. Every point

B

Heart and Kidney share a close relationship. Kidney water cools Heart and Kidney Fire supports Heart Fire. Which of the following divergent meridian can support and enhance this relation? A. Divergent channel of the Spleen, after joining with the Spleen itself, travels from the Kidneys to the Heart, strengthening the link between these two organs B. Divergent channel of the Bladder, however, after joining with the Bladder itself, travels from the Kidneys to the Heart, strengthening the link between these two organs C. Divergent channel of the Gall bladder, after joining with the Gall bladder itself, travels from the Kidneys to the Heart, strengthening the link between these two organs D. Divergent channel of the Stomach, after joining with the Stomach itself, travels from the Kidneys to the Heart, strengthening the link between these two organs

B

Heavy menstrual bleeding can lead to which of the following types of anemia? A. Sickle Cell Anemia B. Iron Deficiency Anemia C. Folic Acid Deficiency Anemia D. B12 Deficiency Anemia

B

Henry, a new patient, comes to the clinic for maintenance visits to keep healthy. He has a history of colon cancer even though he is free of cancer now. He has heard that acupuncture is preventative medicine and he is interested in staying in the best shape that he can. You advise him to: A. Eat a healthy diet and harmonize ying and wei B. Exercise and balance yin and yang C. Eat McDonald's every day and harmonize ying and wei D. Eat a vegetarian diet and balance yin and yang

B

How do you cook Shi Jue Ming (Haliotidis Concha)? A. Dissolve in strained decoction B. Cook first for 30 minutes C. Add near the end D. Cook first for 60 minutes

B

How many hours of continuing education units must be completed for a first time renewal that is being issued after 18 months? A. 30 hours B. 40 hours C. 50 hours D. 45 hours

B

If Wood insulted Metal, which of the following symptoms would manifest? A. Palpitations, insomnia, breathlessness B. Cough, asthma and a feeling of distension in the chest and hypochondrium C. Loose stools, edema, tiredness, weakness of the limbs D. Malar flush, dry mouth at night, insomnia, dizziness, lower backache, night sweating

B

If a person has a temporal headache on the left side of the head, using Right-Left point selection theory, which answer shows the correct treatment protocol? A. Right side - K6, Left side - L7 B. Right side - GB41, Left side - SJ6 C. Right side - Liv3, Left side - LI4 D. Right side - B62, Left side - SI3

B

If a practitioner has an inactive license for two years and wants to renew the license to Active, how many continuing education hours must they complete? A. 60 B. 50 C. 45 D. 100

B

If the patient is not able to taste salty, sweet, sour and bitter flavors, which cranial nerve is not properly working? A. CN3 B. CN7 C. CN5 D. CN12

B

If you suspect elderly abuse, what is the proper protocol to handle this case? A. Call Adult Protective Services for your area and submit a written report within 36 hours B. Call the local Law enforcement agency and submit a written report within 48 hours C. Ask the daughter-in-law if she is beating her mother-in-law D. It is not your business but you might consider talking to the daughter-in-law about how she is treating her mother-in-law

B

James suffers from headaches for the last eight years. He is now 38 years old. You ask him to describe the headaches and he says that they are uncomfortable and feel like his eyeballs are being compressed. You notice that his face is very pale and he tells you he feels weak in his muscles. James is also a very nervous guy and he is often jumpy. He thinks it's because he doesn't work out very often. He as well says that he hardly sleeps. It's after those sleepless nights that he gets his headaches. The tongue is normal yet slightly pale with teeth marks on the side. His pulse is Thready (Xi Mai) and Weak (Ruo Mai). What is the best formula for this patient? A. Si Jun Zi Tang (Four-Gentlemen Decoction) B. Gui Pi Tang (Restore the Spleen Decoction) C. Suan Zao Ren Tang (Sour Jujube Decoction) D. Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction)

B

James, age 7, is in the clinic today with his mother because of itchy skin. Upon examination, you notice there are small red raised bumps on the forehead, scalp and hands. Using a magnifying lens, you identify short wavy lines of red skin on the finger webs. What is the most likely diagnosis? A. Acne B. Scabies C. Telangiectasia's D. Atopic dermatitis

B

Jamie has a high fever, headache, neck stiffness, confusion, vomiting and intolerance for light or loud noises. What is the most likely diagnosis for this case? A. Chicken pox B. Meningitis C. Influenza D. Parotitis

B

Jane who just turned 28-years-old, comes in with complaints of extreme stress. Her mother died recently and Jane is now an orphan. She has been suffering from really bad nightmares for the past 6 months. The nightmares follow the same theme in which Jane is lost at sea in a small boat in the middle of a big storm. The boat is tossed around by the big waves. She wakes up paralyzed and drenched in sweat. During the intake you notice that her eyes are red and that her face is also red. She tells you she often has hypochondrial pain and distension. Her tongue is red with a redder tip and the pulse is rapid. What is the diagnosis for this case? A. Liver Qi Stagnation B. KD Yin Deficiency C. Heart Fire D. PC Fire

B

Jasmine has a lot of digestive problems. She suffers from poor appetite and slight abdominal distension after eating with a desire to lie down curled up in a ball. She says she feels tired all the time and has lassitude. Her complexion is pale and she has a tendency towards obesity. She feels cold all the time. Her limbs are cold and swollen with edema that is non-pitting. What is the diagnosis for this case? A. Retention of Food B. SP Yang-Deficiency with Damp C. ST Qi Deficiency D. ST Deficiency Cold

B

Jing Hao Bie Jia Tang is contraindicated for which of the following presentations? A. Late stage of febrile disease B. Spasms or convulsion, Qi-level Heat or early stage of Warm-Febrile disease C. Coolness in the morning with fever at night D. Heat in the Yin regions of the body

B

Joshua has recently started to experience pain in the thighs, back of the calves and knees. Pain is cramping and there is also joint pain in these areas. What is the best Dui Yao for this formula? A. Ru Xiang and Mo Yao B. Mu Gua and Nui Xi C. Qiang Huo and Du Huo D. Mu Dan Pi and Zi Cao

B

Kidney and Heart share Yin. It is the job of Kidney Yin to nourish Heart Yin and keep the Heart cool. If this doesn't happen what would you expect the tongue to look like? A. Red tongue body, cracks on the sides, swollen on the center and sides, peeled or geographic coat B. Deep red tongue body, deep center crack to the tip, swollen along the cracks, peeled or geographic coat C. Crimson tongue body, wide center crack, swelling along the cracks and thin white coat D. Red tongue body, cracks on the tip, swollen from the center to the sides, thick yellow coat

B

Laura suffers from breathlessness for the previous two years. She found it difficult to breathe out and her attacks were elicited by emotional stress. She also felt easily thirsty and experienced a bitter taste in her mouth. She has frequent headache on her temples that are of a throbbing nature. She felt generally wound up and frustrated. She often feels hot and experiences palpitations. Her pulse is string-taut and her tongue is red with redder sides and tips. There is a shallow midline heart-crack. The sides also are red What is the diagnosis for this case? A. Liver Yang Rising B. Liver Fire insulting Lung C. Lung Qi Deficiency and Liver Qi Stagnation D. Heart Yin Deficiency and Liver Qi Stagnation

B

Lillian suffers from chronic headache which manifests with a dull pain on the forehead and vertex. She also has loose stools and abdominal pain. The headache is related to Stomach Qi Deficiency and the loose stool while the abdominal pain are related to Cold Damp Accumulation in the interior. The pulse is Deep (Chen Mai), slight Slippery (Hua Mai) and Weak (Ruo Mai) (especially in the 3rd position on both sides). What is the appropriate formula for this patient? A. Si Jun Zi Tang (Four-Gentlemen Decoction) B. Li Zhong Wan (Regulate the Middle Pill) C. Er Chen Tang (Two-Aged [Herb] Decoction) D. Si Wu Tang (Four-Substance Decoction)

B

Linda loves to play tennis and plays daily rain or shine. Recently Linda has developed shortness of breath, chest pain, yellow Phlegm and a runny nose with yellow discharge. What is the diagnosis and the best formula for this case? A. Lung Qi Deficiency; Si Jun Zi Tang (Four-Gentlemen Decoction) B. Phlegm Heat; Ding Chuan Tang (Arrest Wheezing Decoction) C. Lung Heat; Ma Xing Shi Gan Tang (Ephedra, Apricot Kernel, Gypsum, and Licorice Decoction) D. Wind Heat; Sang Ju Yin (Mulberry Leaf and Chrysanthemum Drink)

B

Linda suffers from chronic headaches on the right side of her head. The headaches are triggered by direct sunlight. The pain starts on the right eye and spreads to the head and ends at the occipital area. Linda tells you she has struggled with depression for the past 6 years. She is also an alcoholic. Upon further questioning you learn that Linda has pain in her right costal region as well as a constant bitter taste in her mouth. You notice that her face is red. What is the differential diagnosis for this case? A. Liver Qi Stagnation B. Liver Fire C. Damp-Heat in Gallbladder D. Liver Blood Deficiency

B

Location of influential point of marrow? A. 5 cun above lateral malleolus on posterior side B. 3 cun above lateral malleolus on posterior side C. 4 cun above lateral malleolus on anterior side D. 5 cun above lateral malleolus on anterior side

B

Long-term use of the formula Huang Lian Jie Du Tang (Coptis Decoction to Resolve Toxicity) can lead to what kind of injury? A. Yang injury B. Yin injury C. Kidney injury D. Qi injury

B

Patient presents with bleeding hemorrhoids. The blood is dark-red. His stools are occasionally bloody, and he usually notices bleeding prior to defecation, but never after. His tongue is red and his pulse is soggy and rapid. You prescribe: A. Huang Lian Jie Du Tang ( Coptis Decoction to Relieve Toxicity ); + Di Yu ( Sanguisorbae, Radix ) B. Huai Hua San ( Sophora Japonica Flower Powder ); + Di Yu ( Sanguisorbae, Radix ), Huang Qin ( Scutellariae, Radix ) C. Huai Hua San ( Sophora Japonica Flower Powder ); + Bai Tou Weng ( Pulsatillae, Radix ), Shu Di ( Rehmanniae Praeparata, Radix ) D. Huang Lian Jie Du Tang ( Coptis Decoction to Relieve Toxicity ): + Bai Tou Weng ( Pulsatillae, Radix ), Shu Di ( Rehmanniae Praeparata, Radix )

B

Patient who had involuntary tremor of hands, bradykinesia was diagnosed with Parkinson's disease. Parkinson's is an issue with? A. Epinephrine B. Dopamine C. Serotonin D. Sympathetic Nervous System

B

Patrick comes to the clinic with discoloration on his whole body and the sclera of his eyes. This started two weeks ago. The color is lustrous and a fresh orange color. He was diagnosed as acute Hepatitis B by his MD. Other symptoms include fever, heavy body, general malaise, low appetite, nausea, and abdominal fullness. The urine is a dark yellow in color. His tongue is red with a thick, greasy, yellow coating and the pulse is string-taut. What is the differential diagnosis for this case? A. Yin Jaundice syndrome B. Yang jaundice syndrome caused by Damp Heat C. Yang Jaundice syndrome caused by Heat Toxins D. Yang Jaundice syndrome caused by Gallstone

B

Pete complains of extreme exhaustion accompanied by nausea, dizziness, headaches, thirst, loose stools. His epigastrium feels full often and he has a general feeling of heaviness in his body. He's been putting on weight lately and he's not happy about that. He is very irritable as well. All these symptoms appeared after a prolonged stay in Thailand. His pulse is Rapid and Slippery. His tongue is slightly Red with red raised "dots" with a sticky-yellow coating. What is the differential diagnosis for this case? A. Phlegm Damp B. Damp Heat C. Stomach Heat D. Stomach Phlegm Heat

B

Points on the face should not be treated with moxibustion. Which two acupuncture points is it okay to treat with moxa? A. S1, S2 B. Du24, B4 C. B1, B2 D. Du26, Du27

B

Priscilla, who is aged 43, has insomnia and severe headache especially on the right side of the temporal area. Her other symptoms include muzziness and dizziness, as well as a dry mouth which makes her thirsty. She drinks a lot of water. She says she doesn't eat much because she feels nauseous after eating. There is always a strange taste in her mouth which also kills her appetite. What is the best formula for this patient? A. Ping Wei San (Calm the Stomach Powder) B. Wen Dan Tang (Warm Gallbladder Decoction) C. Huang Lian Jie Du Tang (Coptis Decoction to Resolve Toxicity) D. Tian Ma Gou Teng Yin (Gastrodia and Uncaria Drink)

B

Ralph has been HIV positive for the past 25 years. He is now experiencing low back pain with an insidious onset. There is protracted pain and soreness in the area along with weakness in the knees and loins. He is often fatigued but feels better with bed rest. According to the theory of Host Guest, which point combination is best for Ralph? A. GB40, LV5 B. KD3, UB58 C. LV3, GB37 D. UB64, KD4

B

Ray, age 46, suffers migraine headaches above the eyes and on the temporal area. Migraines are accompanied by blurred vision, nausea and dizziness. He also has insomnia. Pulse is Leather (Ge Mai) Superficial (Fu Mai), Hard (Ge Mai) and Tight (Jin Mai) but completely Empty (Xu Mai) at the deep level). We can see this kind of pulse in patients suffering from Kidney Essence or Kidney Yin Deficiency. Kidney Deficiency is not severe yet in Ray's case, however. He has been suffering from this migraine for 18 months. What would be the tongue for this patient? A. Normal color, cracks on the center and sides, irregular cracks, thin coat B. Normal color, cracks on the center and sides, irregular cracks, no coat C. Red tongue body, cracks on the center and sides, irregular cracks, no coat D. Red tongue body, cracks on the center and sides, irregular cracks, thin coat

B

Rebeca complains of soreness on the several joints and muscles. This pain is excruciating and worse when it is cold and wet outside. She says that the areas affected are painful but feel heavy as well. This all started after Rebecca fell off from her horse several times a few years ago. For this patient, the problem is on the channel but it is not reflected on the tongue. She also has indigestion, loss of appetite, loose stool and dull pain on the head area. Pulse is Slow (Chi Mai) and Rolling (Hua Mai). She has very severe Stomach Yin Deficiency and chronic Spleen Deficiency. What is the appropriate formula for this patient? A. Chai Ge Jie Ji Tang (Bupleurum and Kudzu Decoction to Release the Muscle Layer) B. Du Huo Ji Sheng Tang (Pubescent Angelica and Taxillus Decoction) C. Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) D. Bu Zhong Yi Qi Tang (Tonify the Middle to Augment the Qi Decoction)

B

Ren3 and Ren4 are crossing points for which of the following meridians? A. GB B. SP, Liv, K C. LI, Yang Qiao D. S, SI

B

Rob is a new patient. He is in your clinic today for back pain. You place needles in his upper body and he faints. What do you do? A. Have Rob lie down and rest until he feels better B. Remove all the needles, immediately. And press on S36 C. Call 911 D. Remove all the needles, immediately. And press on LI4

B

Rob was diagnosed with Myalgic Encephalomyelitis (ME) two years ago. The symptoms started after he contracted a viral infection. He was in remission but has since relapsed after he caught another viral infection 3 months ago. His symptoms include severe muscle fatigue and ache, heavy limbs and poor concentration. He suffers from diarrhea. Needless to say, Rob is exhausted all the time and suffers from intense dizziness. His glands are swollen and he feels hot and thirsty. He has pain under his right rib-cage. There is a constant feeling of fullness in his epigastric. His tongue is red with a thick, sticky yellow coat. The coat is thicker on the left side than the right. His pulse is Rolling and String-taut overall and Weak on the right side. What is the differential diagnosis for this case? A. Phlegm Damp in the Lungs and Damp Heat in the middle Jiao with Qi Stagnation B. Spleen Qi Deficiency with Damp Heat in the Liver and Gallbladder C. Phlegm Fluids Accumulation in the Middle Jiao with Qi Stagnation and Damp Heat D. Damp Heat

B

What is the recommended way to clean cups after treatment? A. They should be disinfected in a hypochlorite solution B. They should be disinfected in a hypochlorite solution then cleaned with soap and water C. They must be sterilized in an autoclave after every use D. They should be washed with soap and water after every use

B

Steve suffers from premature ejaculation. This began last autumn. He has tried Viagra, however, he doesn't like the long term effects that it might cause. Steve says he has a dull cold pain in his lower abdomen. His urine is clear and he often has low back pain. You learn that Steve is a surfer and likes to wake up early every morning and go surfing at Half Moon Bay regardless of the weather. He does wear a wet suit but refuses to give up this activity. You want to check his pulse for Kidney Yang Deficiency. Which pulse position is most important for this information when you take his pulse? A. Left Cun B. Right Chi C. Left Chi D. Right Guan

B

Stewart has chronic, dull epigastric pain which causes him to feel nauseous. The pain feels better when he presses on his abdomen. He doesn't eat much but would rather sip on fluids. His lips look dry. He tells you his bowel movements are often dry and he is slightly constipated. His tongue is slightly Red with a peeled coat. There are very clear Stomach and Spleen cracks on his tongue. The pulse is floating and empty especially in the right middle position. What is the diagnosis for this case? A. Excess Heat in the Stomach with Liver Qi Stagnation B. Stomach Yin Deficiency C. Stomach Excess Heat with Damp Accumulation D. Stomach and Kidney Yin Deficiency

B

Susan is a very tall woman with very, very good posture. She has a long face even though her head is small. She has broad shoulders and sinewy body. What Five Element body type is Susan? A. Water type B. Wood type C. Water type D. Earth type

B

Susanne recently had a stroke. As a result of the stroke, her right arm is paralyzed. She was referred by her MD for acupuncture. Which of the following scalp acupuncture lines is most appropriate for her condition? A. Upper Fifth of the Left Motor line B. Left Motor line; 2nd & 3rd Fifths C. Right Sensory line; 2nd & 3rd Fifths D. Upper Fifth of the Right Sensory line

B

Tachycardia is considered any heart rate of: A. Under 60bpm B. Over 100bpm C. 99bpm D. Under 80bpm

B

The Luo channel of the Heart can treat which of the following symptoms? A. Insanity, epilepsy B. Aphasia, oppression of chest C. Chest pain, stiffness of head and neck D. Headache, nosebleed

B

The acupuncture prescription of H7, SP6, ANMIAN, UB20, UB15, and SP1 can treat the insomnia syndrome characterized by? A. Irritability, dream-disturbed sleep, nightmares, headaches, and distending pain in the costal region B. Difficulty of falling asleep, dream-disturbed sleep, poor memory, palpitation, lassitude, anorexia, and sallow face C. Restlessness, insomnia, dizziness, tinnitus, dry mouth, poor memory, and burning sensation on the chest, palms, and soles D. Insomnia, epigastric distention or rigidity, epigastric pain, belching, and difficulty of defecation

B

The function of cupping is to A. Stop qi flow B. Warm and promote free flow of qi/blood C. Strengthen yang from collapse D. Prevent disease and keep healthy

B

The functions of Xiao Feng San are accentuated with the addition of which of the following herbs? A. Dang Gui B. Huang Bo C. Bai Zhi D. Chuan Xiong

B

The point that nourishes _____________ is located at: A. Yin: 2 cun directly above KD3 on the anterior border of the tendo-calcaneus B. Ming Men Fire: On the midline, below the spinous process of the second lumbar vertebra. C. Spleen Yang: 2 cun directly above KD3 on the anterior border of the tendocalcaneus D. Qi: on the midline of the abdomen, 2 cun below the umbilicus

B

Tinley has severe premenstrual headaches. She often feels irritable and unhappy during this time. She suffers from insomnia and restless sleep. The menses has dark blood clots. The pulse is wiry. What is the best treatment for this case? A. Xue Fu Zhu Yu Tang B. Wen Jing Tang C. Gu Jing Wan D. Tao He Cheng Qi Tang

B

To best modify Si Ni San (Frigid Extremities Powder) for a patient with intercostal neuralgia, do which of the following? A. Add Gua Lou Pi (Trichosanthis, Pericarpium) and Qing Pi (Citri Reticulatae Viride, Pericarpium) B. Add Qing Pi (Citri Reticulatae Viride, Pericarpium) and Bai Shao (Paeoniae Alba, Radix) C. Add Gua Lou Pi (Trichosanthis, Pericarpium) and Yu Jin (Curcumae, Tuber) D. Add Yu Jin (Curcumae, Tuber) and Bai Shao (Paeoniae Alba, Radix)

B

To best modify Yue Ju Wan (Escape Restraint Pill) for cases in which blood stasis predominates, do which of the following? A. Add Shan Yao (Dioscoreae, Radix) and E Zhu (Curcumae, Rhizoma) B. Add Tao Ren (Persicae, Semen) and Hong Hua (Carthami, Flos) C. Add Chuan Xiong (Chuanxiong, Rhizoma) and Dang Shen (Codonopsitis, Radix) D. Add Bai Zhu (Atractylodis Macrocephalae, Rhizoma) and Dang Gui (Angelicae Sinensis, Radix)

B

Todd suffers from Lin Syndrome. His symptoms include urinary retention, pain during the urination and feeling an urge to urinate again right after urination. The urine is yellow. He also experiences dizziness, insomnia and tinnitus. He has fever in the afternoon and lower back pain. He also has dull lower abdominal pain, diarrhea and thirst. Which is the best formula for this patient? A. Wu Ling San (Five-Ingredient Powder with Poria) B. Zhu Ling Tang (Polyporus Decoction) C. Ba Zheng San (Eight-Herb Powder for Rectification) D. Xiao Huo Luo Dan (Minor Invigorate the Collaterals Special Pill)

B

Todd's wife died 2 years ago. He has had terrible insomnia since her death. He has a very difficult time falling asleep and wakes often throughout the night. Todd is wrought with grief over the death of his wife and can't come to terms with it. His vision is blurred and his memory is not as good as it was before the death. His tongue is red, flabby with a tongue coat that is too thin. His pulse is Floating-Empty and very slightly Wiry on the left side. What is the differential diagnosis for this case? A. Heart Yin and Blood Deficiency B. Liver and Heart Yin Deficiency C. Liver Blood and Yin Deficiency D. Heart Blood Deficiency

B

Trisha, age 46, was recently diagnosed with hyperthyroidism. She is taking medication but her symptoms aren't controlled. She suffers from palpitations, constipation and dark urine. Her chest often feels constricted so she finds it difficult to take a deep breath. She wakes often at night and can't fall back asleep. She also has hypochondriac pain, anger management issues and red eyes. What type of tongue would you expect to see in this case? A. Pale, swollen with a wet coating B. Red with redder sides and a dry yellow coating that is peeled in patches C. Red, peeled with distending veins under the tongue D. Red with redder root and a yellow coating

B

Vivianne has interstitial cystitis. During her attacks, she needs to urinate more frequently but the urine amount was very little. There is also burning pain on urination and the urine is darker than normal. Vivianne has tried many things to help with this condition including taking antibiotics. So far nothing is helping. Her tongue is slightly red with redder tip and red points scattered throughout. The root has a yellow coat with red spots. Her pulse is slightly rapid, slightly Wiry on the rear position on the left side. The front left position is slightly Overflowing. What is the differential diagnosis for this case? A. Heart Fire B. SI Heat C. None of the above D. UB Damp Heat

B

What are the other functions of the Five transporting point which treats voice change? A. Heaviness, joint pain B. Asthma, hot/cold sensations C. Hot sensation D. Fullness under the Heart

B

What are the symptoms of Yin Collapse? A. Profuse sweating, warm feet and hands, no thirst, Thready (Xi Mai) and Rapid (Shu Mai) pulse B. Sticky sweat, shortness of breath, thirst, Thready (Xi Mai) and Rapid (Shu Mai) pulse C. Profuse sweating, cold feet and hands, dry mouth, Thready (Xi Mai) and Rapid (Shu Mai) pulse D. Sticky sweat on the forehead, shortness of breath, no thirst, Thready (Xi Mai) and Rapid (Shu Mai) pulse

B

What happens when the parathyroid gland is hyperactive? A. Ka in the blood increases B. Calcium in the blood increases C. Calcium in the blood decreases D. Ka in the blood decreases

B

What is contraindicated for moxa? A. Prevent diseases B. Lower back of pregnant women C. Yin deficiency heat patterns D. Yang deficiency patterns

B

What is the Deputy herb in the formula Du Huo Ji Sheng Tang? A. Sang Ji Sheng B. Xi Xin C. Du Zhong D. Niu Xi

B

What is the action of Chuan Bei Mu (Fritillariae cirrhosae Bulbus)? A. Used in chronic and deficiency, clears Heat, dissipates nodule B. Used in acute and excess, resolves Phlegm, moistens Dryness C. Used in acute and excess, drains Damp, builds Blood D. Used in acute and excess, clears Heat, dissipates nodule

B

What is the average incubation period for Hepatitis E? A. 50 days B. 40 days C. 28 days D. 35 days

B

What is the average period of seroconversion for AIDS patient? A. 2-15 years B. 3-12 weeks C. 6 months-1 year D. 12-24 weeks

B

What is the correct method of palpation of Liver? A. With the patient in recumbent, put hand behind 11th and 12th ICS. Palpate while pushing forward B. With the patient in supine position, put your hand behind 11th and 12th ICS. Palpate while pushing forward C. With the patient in supine position, put your hand behind 10th and 11th ICS. Palpate while pushing forward D. With the patient in recumbent position, put your hand behind 10th and 11th ICS. Palpate while pushing forward

B

What is the correct protocol to follow if you drop needles on the floor? A. Use gloves and forceps for picking up and disinfect with germicide - all materials used should be discarded in double wrapping - last step is hand-washing B. Use gloves and forceps for picking up and disinfect with germicide - the second cleaning is with bleach and all materials used should be discarded in double wrapping - the last step is hand-washing C. Use forceps for picking up and disinfect with germicide - second cleaning is with bleach and all materials used should be discarded in double wrapping - last step is hand-washing D. Gloves and forceps for picking up and disinfect with germicide - the second cleaning is with bleach and all materials used should be discarded in double wrapping

B

What is the distance between the Jing River point of the Hand Yangming and the Luo Connecting point of the Hand Yangming? A. 2.5 cun B. 3 cun C. 4 cun D. 2 cun

B

What is the distance between the Yuan Source point and the Xi Cleft point of the Hand Taiyin? A. 6 cun B. 7 cun C. 8 cun D. 5 cun

B

What is the dosage of Mu Tong (Akebiae Caulis) as a single herb and what is its dosage as a king herb in the formula Ba Zheng San (Eight-Herb Powder for Rectification)? A. 3-6g, 3-9g B. 3-9g, 3-6g C. 3-6g, 3-6g D. 3-9g, 3-9g

B

What is the dosage of herb that works similar to Lipitor? A. 6-9g B. 3-9g C. 9-15g D. 3-15g

B

What is the function of Sheng Jiang in 'Ju Pi Zhu Ru Tang'? A. Clears Heat, calms the Stomach and stops hiccup B. Redirects Stomach Qi and stops hiccup by warming the Middle Jiao C. Harmonizes the Stomach and stops hiccup D. Speed up recovery by Tonify Qi and help chief herb

B

What is the indication of SI8, S36, SJ10, SP9, B40 (He-sea points)? A. Prolonged intermittent diseases, heavy sensations of the body and the joints B. Bleeding, irregular appetite, diarrhea due to stomach problems and diarrhea due to Rebellious Flow of Qi C. Disease of the voice, cough & asthma due to Qi deficiency and pathogenic Cold and Heat D. Mental illness related to the Zang organs and fullness of chest

B

What is the main difference between the herbs Tian Ma and Gou Teng? A. Gou Teng expel Liver Wind and Tian Ma clears Blood Heat B. Gou Teng treats Wind Heat and Tian Ma treats Wind Damp Bi C. Tian Ma treats External Wind and Gou Teng treats Internal Wind D. Tian Ma lower blood pressure and Gou Teng does not

B

What is the minimum information required on SOAP notes? A. Progress and treatment B. Prognosis and treatment

B

What is the needling method for LV6? A. Oblique toward outside, 0.5-0.8cun B. Subcutaneous, 0.5-0.8cun C. Oblique, 0.5-0.8cun D. Perpendicular, 0.5-0.8cun

B

What is the prescription used for herpes zoster? A. ST6, SJ17, SJ5, Li11, Li4 B. Li11, Sp 10, UB40, GB34, LV3 C. SJ17, GB14, Taiyang, Si18, ST7, ST4, Li4

B

What is the reason for the Yin Deficiency Heat in the pattern Heart and Kidney not Communicating? A. Yin cannot control Yang B. Yin fluids cannot control Yang fire C. Yang Qi cannot control Yin fluid D. Yang cannot control Yin

B

What is the recommended dosage of calcium per day for adult? A. 1,500mg B. 1,000mg C. 800mg D. 1,200mg

B

What is the right method of discarding needles? A. In a glass container B. In a hard container with a biohazard sticker C. In a glass container with a biohazard sticker D. In a hard container

B

Which body measurements are 12 cun in length? A. From the anterior hairline to the posterior hairline; from the end of the axillary fold to the 11th rib; from the transverse cubital crease to the transverse wrist crease B. From between the eyebrows to the posterior hairline; from the end of the axillary fold to the 11th rib; from the transverse cubital crease to the transverse wrist crease C. From the anterior hairline to the posterior hairline; from the end of the axillary fold to the 11th rib; from the lower border of the medial condyle of the tibia to the tip of the medial malleolus D. From the anterior hairline to the posterior hairline; from the end of the axillary fold to the 11th rib; from the sternocostal angle to the upper border of the symphysis pubis

B

Which channel "descends across the cheek to encircle the inner surface of the lips?" A. SP B. LV C. ST D. HT

B

Which channel has a branch that goes to the inner canthus of the eye; runs in front of the ear connecting with GB3, GB4, GB6 and DU24; descends to the lower jaw connecting with DU24; and crosses over the neck, chest and abdomen to terminate in the groin? A. GB meridian B. ST meridian C. SP meridian D. LV meridian

B

Which channels does the herb Lian Qiao (Forsythia Suspensa) enter? A. Large Intestine, Lungs, Stomach B. Heart, Lungs, Gall Bladder C. Liver and Stomach D. Heart, Lungs, Stomach

B

Which cranial nerves are related if there is no reaction of corneal reflex test? A. 2, 7 B. 5, 7 C. 4, 7 D. 3, 7

B

Which divergent channels connect to the heart organ? A. Three Arm Yang B. Three Leg Yang C. Three Arm Yin D. Three Leg Yin

B

Which ear part corresponds to the trunk and lower legs? A. Superior and inferior crus of antihelix B. Antihelix C. Scapha D. Triangular fossa

B

Which explanation is correct regarding a patient whose Liver is deficient? A. Patient gets worse in Fall and gets better in Winter B. Patient gets worse in Fall and gets better in Spring C. Patient gets worse in Spring and gets better in Fall D. Patient gets worse in Spring and gets better in Summer

B

Which formula is most appropriate for a patient diagnosed with Hepatitis where the tongue is red with a sticky yellow coat and the pulse is Slippery (Hua Mai) and Rapid (Shu Mai)? A. Tian Ma Gou Teng Yin (Gastrodia and Uncaria Drink) B. Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver) C. Huang Lian Jie Du Tang (Coptis Decoction to Resolve Toxicity) D. Wen Dan Tang (Warm Gallbladder Decoction)

B

Which herb and point are good for breast pain? A. Huang Lian (Coptidis Rhizoma) -GB41 B. Pu Gong Ying (Taraxaci Herba) - ST15 C. Huang Qin (Scutellaria baicalensis) - LV3 D. Ban Lan Gen (Isatidis/Baphicacanthis Radix) - ST17

B

Which herb contains the digestive enzymes amylase, maltose and glucose as part of its chemical makeup? A. Shen Qu (Massa medicata fermentata) B. Mai Ya (Hordei Fructus germinates) C. Shan Zha (Crataegi Fructus) D. Lai Fu Zi (Raphani Semen)

B

Which herb enters the Liver and Pericardium and is sweet in flavor and cold in temperature? A. Tian Ma (Gastrodiae Rhizoma) B. Gou Teng (Uncariae Ramulus cum Uncis) C. Di Long (Pheretim) D. Bai Ji Li (Tribuli Fructus)

B

Which herb has a similar function to Paxil (Paroxetine)? A. Hong Hua (Carthami Flos) B. Mu Li (Ostreae Concha) C. Dang Gui (Angelicae sinensis Radix) D. Fu Ling (Poria)

B

Which herb has the same action as Digoxin? A. Bai Guo B. Ma Huang C. Fu Ling D. Dang Gui

B

Which herb is good for Trichomonas Vaginitis? A. Sang Ji Sheng (Taxilli Herba) B. Xian He Cao (Agrimoniae Herba) C. Chi Shao Yao (Paeomae Radix rubra) D. Shan Zha (Crataegi Fructus)

B

Which is a contraindication for cutaneous needle? A. Stomach and intestines disorders, gynecological disorder B. Local injury, wound C. Skin disorder, Wei Bi D. Headache, dizziness, insomnia

B

Which is not a contraindication for Cupping? A. Wounds on the skin, edema around large vessels, high fever, convulsion of the abdominal and lumbosacral area of a pregnant woman B. Stomach and intestine disorder such as stomachache, vomiting, diarrhea / Lung disorder such as coughing, wheezing C. Spontaneous bleeding, bleeding after injury D. Thin muscle, bone, hairy area, joint area

B

Which material would you use for indirect moxa if your patient has impotence and pre-mature ejaculation? A. Moxa with garlic B. Moxa with Fu Zi (Aconiti Radix lateralis preparata) C. Moxa with ginger D. Moxa with salt

B

Which meridian begins at the medial malleolus, travels up the medial leg to the medial thigh to the external genitalia, then ascends to the abdomen and chest to the supraclavicular fossa, ascends through the throat, ascends besides the mouth and nose to the inner canthus? A. Yin Linking B. Yin Motility C. Yang Motility D. Yang Linking

B

Which needling method is best to stop the progression of disease from Taiyang channel to Yangming channel if treating Taiyang Wind syndrome with the point S36? A. Sedation B. Even C. Tonification D. Tonification and sedation at the same time

B

Which of the following Luo-meridians goes to the face and can treat chest symptoms? A. L, LI B. H, LI C. H, P D. P, SI

B

Which of the following answers contains only toxic herbs? A. Chuan Cao, Chuan Lian Zi, Qian Niu Zi, Wu Zhu Yu, Xing Ren B. Zhu Sha, Gan Sui, Cang Er Zi, Da Ji, Chuan Nan Xing, Ru Xiang, Ban Xia, Fu Zi, Xian Mao, Wu Gong, Quan Xie C. Zhu Sha, Gan Sui, Cang Er Zi, Da Ji, Chuan Nan Xing, Ru Xiang, Ban Xia, Fu Zi, Xian Mao, Wu Gong, Bai Guo D. Chao Wu, Chuan Wu

B

Which of the following answers contains the correct Six Pathogenic Factors & emotions? A. Wind, Cold, Summer Heat, Dampness, Dryness, Heat/Anger, Joy, Pensiveness, Melancholy, Fear, Fright B. Wind, Cold, Summer Heat, Dampness, Dryness, Fire/Anger, Joy, Pensiveness, Sadness, Fear, Fright C. Wind, Summer Heat, Heat, Dampness, Dryness, Fire/Anger, Joy, Pensiveness, Sadness, Fear, Fright D. Wind, Cold, Summer Heat, Dampness, Dryness, Fire/Anger, Joy, Pensiveness, Melancholy, Fear, Fright

B

Which points are on the head of Fibula? A. SP9, SP10, Liv7 B. GB34, GB37, GB33 C. S35, S36, S34 D. K10, K9, Liv8

B

Which of the following answers is the correct location, indications and needling depth for the Front Mu of the Foot Shaoyang? A. On the mid-axiIlary line when the arm is raised, 3 cun below the axilla, in the 4th intercostal space - axillary region swelling, hypochondriac pain, motor impairment of the arm - 0.3-0.5 oblique B. Directly below the nipple, in the seventh intercostal space, 4 can lateral to the anterior midline - acid regurgitation, jaundice, mastitis - 0.3-0.5 oblique C. On the lateral side of the abdomen, at the lower border of the free end of the twelfth rib - abdominal distension, borborygmus, diarrhea and pain in the hypochondrium - 0.3-0.5 perpendicular D. On the midline of the abdomen, 4 cun above the umbilicus, midway between the umbilicus and the sternocostal angle - 0.5-1.2 cun perpendicular

B

Which of the following answers shows the correct king herbs for Ban Xia Bai Zhu Tian Ma Tang (Pinellia, White Atractylodes, and Gastrodia Decoction from Discussion of the Spleen and Stomach)? A. Tian Ma (Gastrodiae Rhizoma), Fu Ling (Poria) B. Ban Xia (Pinelliae Rhizoma preparatum), Tian Ma (Gastrodiae Rhizoma) C. Ban Xia (Pinelliae Rhizoma preparatum), Bai Zhu (Atractylodis macrocephalaeRhizoma) D. Bai Zhu (Atractylodis macrocephalae Rhizoma), Fu Ling (Poria)

B

Which of the following are indications for cutaneous needle therapy? A. Chronic or painful disease which needs long retention of needles B. Nervous system disorder, Skin disease C. Drain Damp, expel Cold, move Qi & Blood, reduce swelling and pain D. Blockage of the meridians,Blood stasis, Excess syndrome, Heat syndrome

B

Which of the following auricular points would be best for indications of neuropsychiatric disorders, hypertension and asthma? A. Adrenal B. Neurogate C. Sympathetic D. Subcortex

B

Which of the following can help lower blood cholesterol levels? A. Vitamin K B. Niacin C. Vitamin B12 D. Vitamin C

B

Which of the following can increase the chances of hepatotoxicity if taken with acetaminophen? A. Cocaine B. Alcohol C. NSAIDs D. Marijuana

B

Which of the following conditions is contraindicated for Moxa? A. Hypertension B. Lower Back of pregnant women C. Cold limbs D. Skin ulcer

B

Which of the following functions is correct for the formula Si Ni San (Frigid Extremities Powder)? A. Vents pathogenic factors, reduces the Stagnation, benefits the Lung and Spleen B. Vents pathogenic factors, reduces the Stagnation, benefits the Liver and Spleen C. Vents pathogenic factors, reduces the Stagnation, benefits the Liver and Gall Bladder D. Vents pathogenic factors, reduces the Stagnation, benefits the Stomach and Spleen

B

Which of the following herbs is sweet, cold and enters Liver and Heart? A. Tian Ma B. Gou Teng C. Di Long D. Bai Ji Li

B

Which of the following is NOT a function of moxibustion? A. Prevent disease and tonify the Wei Qi B. Smooth the flow of qi and blood C. Warm the meridian and expel cold D. Treat Bi syndrome caused by Wind Dampness

B

Which of the following is contraindication of the Shan Dou Gen? A. Cold from deficiency of the Spleen and Stomach, or fever from Yin Deficiency B. Cold from deficiency of the Spleen and Stomach such as poor appetite, or loose stools C. Should not be used in patients with diarrhea from Spleen D. Deficiency or with low blood pressure Cold from deficiency of the Spleen and Stomach, or diarrhea

B

Which of the following is the best point or point combinations for epilepsy? A. Du9 B. Du14 + Du12 C. Du14 + Du13 D. Du10

B

Which of the following is the correct action and indication for the extra point Yu Yao? A. Subdues interior Wind and treats headache, vertigo, insomnia, poor memory and epilepsy B. Clears Heat, removes obstruction from meridian, brightens the eyes, treats pain in the supraorbital region, twitching of the eyelids, prolapses of the eyelids, cloudiness of the cornea, redness as well as swelling and pain of the eyes C. Eliminates Wind Heat, calms the spirit, treats headache, head heaviness, epistaxis, rhinorrhea, infantile convulsion, frontal headache and insomnia D. Disperses Wind in the head, cools and clears the eyes, treats headache, eye diseases and deviation of the eyes and mouth

B

Which of the following is the correct indications for Ren14? A. Stomachache, abdominal pain, borborygmus, nausea, dysentery, jaundice, indigestion, insomnia B. Pain in the cardiac region and the chest, nausea, acid regurgitation, difficulty in swallowing, vomiting, mental disorders, epilepsy, palpitation C. Stomachache, abdominal distention, nausea, vomiting, epilepsy, insomnia D. Epigastric pain, abdominal pain, borborygmus, indigestion, vomiting, diarrhea

B

Which of the following is the correct location of the Luo point on the Foot Taiyin? A. Between the posterior margin of the tibia and the soleus muscle, perpendicular 0.5-1.0 B. In the depression distal and inferior to the base of the first metatarsal bone, in the at the junction of the red and white skin, perpendicular 0.5-0.8 C. Between the posterior margin of the tibia and the gastrocnemius muscle, in the upper part at the origin of the soleus muscle, perpendicular 0.5-1.0 D. Between the posterior margin of the tibia and the soleus muscle, deep in the flexor digitorum longus pedis muscle, perpendicular 0.5-1.0

B

Which of the following is the crossing point for the Three Hand Yang? A. When the elbow is flexed, in the depression about 1 cun superior to the olecranon B. 4 cun above SJ4, between the radius and ulna C. 1 cun above SJ10 when the elbow is flexed D. On the lateral side of forearm, 5 cun below the olecranon, between the radius and ulna

B

Which of the following is the most likely diagnosis for a patient with Aphasia? A. Heat in PC + Lung Qi Deficiency B. Heat in PC + Heart Yin Deficiency C. Heat in PC + Lung Yin Deficiency D. Heat in PC + Heart Yang Deficiency

B

Which of the following is the physiological function of the Yin organs? A. Transformation, excretion B. Generation, storage C. Transportation, generation D. Control, digestion

B

Which of the following lists contains herbs that are all tonifying? A. Zhu Sha, Gan Sui, Cang Er Zi, Da Ji, Chuan Nan Xing, Xiang Fu, Ban Xia, Fu Zi, Xian Mao, Wu Gong, Bai Guo B. Zhu Sha, Gan Cao, Da Ji, Chuan Nan Xing, Ru Xiang, Ban Xia, Fu Zi C. Chuan Cao, Chuan Lian Zi, Qian Niu Zi, Wu Zhu Yu, Xing Ren D. Chao Wu, Chuan Wu

B

Which points can be used if a person cannot lift their right shoulder? A. UB62, KD6 B. ST38, SI3 C. PC6, SP4 D. ST38, SJ4

B

Which of the following locations is correct for the Yuan Source point of the Foot Jueyin? A. When knee is flexed, the point is at the medial end of the transverse popliteal crease, posterior to the medial epicondyle of the tibia, in the depression of the anterior border of the insertions of m. semimembranosus and m. semitendinosus B. On the dorsum of the foot, in the depression distal to the junction of the 1st and 2nd metatarsal bones C. On the dorsum of the foot, between the first and second toe, proximal to the margin of the web, at the junction of the red and white skin D. 5 cun above the tip of the medial malleolus, on the midline of the medial surface of the tibia

B

Which of the following medication would a patient with Ventricular Fibrillation take? A. Diltiazem, Verapamil B. Digoxin (Digitalis) C. Nitroglycerin D. Inderal

B

Which of the following medications would you prescribe for a patient who is depressed? A. Relafen, Naprosyn B. Prozac, Zoloft C. Procardia D. Celebrex

B

Which of the following point prescriptions is best in cases of closed type Stroke? A. Ren6, Ren4, Ren8 B. Du26, Liv3, K1 C. Du26, Du20, Ren6 D. Du26, ST40, Du4

B

Which of the following point prescriptions is best to treat a patient with Yang Jaundice? A. B18, B19, Du9, B20, B48 B. B18, B19, DU9, SP9, Liv3, G34 C. B18, B20, Du8, Du14, LI4, LI11 D. B18, B19, Du9, G24, DANNANGXUE

B

Which of the following points are located 6 cun above umbilicus? A. Ren16, K22, ST18, SP17 B. Ren14, K21, S19 C. Ren13, K20, S20 D. Ren13, K21, S19

B

Which of the following points is an Eight Extra meridian coalescent point that treats spasm and pain in the abdomen, irregular menstruation as well as infertility in both women and men? A. GB41 B. SP4 C. B62 D. L7

B

Which of the following points is indicated for abdominal distension, bloody stools, menorrhagia, uterine bleeding, mental disorders, dream-disturbed sleep and convulsion? A. Liv1 B. SP1 C. SP10 D. SP3

B

Which of the following points is level with LV5? A. 4 cun above the tip of external malleolus, on the anterior border of fibula; the branches of the anterior tibial artery and vein and the superficial peroneal nerve lie under this point B. 5 cun above the tip of external malleolus, on the anterior border of fibula; the branches of the anterior tibial artery and vein and the superficial peroneal nerve lie under this point C. 7 cun above the tip of external malleolus, on the posterior border of fibula; the branches of the peroneal artery and vein and the lateral sural cutaneous nerve lie under this point D. 4 cun above the tip of external malleolus, on the posterior border of fibula; the branches of the anterior tibial artery and vein and the superficial peroneal nerve lie under this point

B

Which of the following points, if needled too deeply, can injure the apex of the heart? A. The point 2 cun lateral to the Ren Meridian in the second intercostal space B. The point 2 cun lateral to the Ren Meridian in the fifth intercostal space C. The point 2 cun lateral to the Ren Meridian in the third intercostal space D. The point 2 cun lateral to the Ren Meridian in the fourth intercostal space

B

Which of the following symptoms are the correct indications for Ren14? A. Stomachache, abdominal pain, borborygmus, nausea, dysentery, jaundice, indigestion, insomnia B. Pain in the cardiac region and the chest, nausea, acid regurgitation, difficulty in swallowing, vomiting, mental disorders, epilepsy, palpitation C. Stomachache, abdominal distention, nausea, vomiting, epilepsy, insomnia D. Epigastric pain, abdominal pain, borborygmus, indigestion, vomiting, diarrhea

B

Which of the following symptoms would manifest if the Luo channel of the Hand Taiyin was affected? A. Depressive and manic mental disorders, sudden hoarseness of voice, epilepsy B. Hot palms and wrist, frequent urination C. Motor impairment of the elbow, warts on the skin D. Toothache, deafness, cold sensation in teeth

B

Which of the following treatments will produce a reaction similar to anesthesia? A. Connect auricular points of related parts of the body and the areas to be operated B. Connect auricular points from the related parts of the body plus Shenmen and the Sympathetic Nervous System points C. Connect reaction spots on the auricle and the areas to be operated D. Needles auricular points of related parts of the body but do not needle reaction spots on the auricle

B

Which of the followings answers lists the correct point name and needling method for Front Mu of Hand Taiyin? A. Ren14 - Perpendicularly 0.3-0.8 cun B. L1 - Obliquely 0.5-0.8 cun C. Liv13 - Perpendicularly 0.5-0.8 cun D. Liv14 - Obliquely 0.3-0.5 cun

B

Which one is correct regarding the needling method for G24 and G25? A. G24-oblique, G25-oblique B. G24-oblique, G25-perpendicular C. G24-perpendicular, G25-perpendicular D. G24-perpendicular, G25-oblique

B

Which one is not a risk factor for Heart disease? A. Hypertension (over 140/90) B. High HDL, low LDL C. Type II diabetes D. Low HDL, high LDL

B

Which one of the following is a mandatory test for medical practitioners? A. TB B. HBV C. HIV D. HCV

B

Which organ are diseased in cases of edema? A. Kidney, San Jiao, Lung B. Spleen, Lung, Kidney C. Lung, Kidney, Liver D. Heart, Spleen, Kidney

B

Which pattern can be treated with LI5, SJ6 and SI5? A. Cold Bi B. Heat Bi C. Damp Bi D. Wind Bi

B

Which point can injure artery when inserted deep? A. LI17 B. S9 C. LI18 D. S11

B

Which point does not have the needling depth of 0.5-0.8 cun? A. G36 B. G38 C. G40 D. G35

B

Which point regulates metabolism and absorption and excretion of fluids? A. ST36 B. SJ4 C. Ren9 D. SP3

B

Which points are 6 cun above the umbilicus? A. Ren15, KD22, ST18 B. Ren14, KD21, ST19 C. Ren13, KD20, ST20 D. Ren12, KD19, ST21

B

Which points are caution or contraindication for metopism? A. Du21, Du22 B. Du22, Du23 C. Du23, Du24 D. Du20, Du21

B

Which points are located in the Cavum conchae? A. Stomach, Prostate, Kidney B. Heart, Lung, San Jiao C. Uterus, Heart, Spleen D. Lung, Heart, Kidney

B

A 57-year-old female patient visited the clinic with low back pain. Her lumbar vertebra was bent more than normal. She most likely has: A. Spondylitis B. Bulging disc C. Scoliosis D. Lordosis

C

Adrian suffers from slight retention of urine for the past 2 years. Although his urination was very frequent and he often work to urinate, the urine was scanty and hesitant in coming out. It was also cloudy. His GP had prescribed antibiotics, treating his problem as "cystitis." The antibiotics did not help his condition at all. His tongue has a sticky-yellow coating on the root and his pulse was generally Slippery, Full and Rapid. What is the differential diagnosis for this case? A. Heart Fire B. SI Heat C. UB Damp-Heat D. Heart Fire affecting SI

C

A 27 year old male patient comes to your clinic with sciatic pain. Which dermatome would be the most likely with this condition? A. L4-L5 B. S1-S2 C. L5-S1 D. L3-L4

C

A 35-year-old male patient reports that he has had a persistent cold and has been treating himself for the past two months with Yin Qiao San (Honeysuckle and Forsythia Powder) that he bought in a store. His fever, body aches, and sore throat are gone. His main complaint now is that he still has a dry hacking cough that keeps him up at night. He is also restless and constipated. Which of the following tongue and pulse characteristics should be seen in this patient? A. Light red tongue with a thick yellow coat; Rapid, Rolling pulse B. Light red tongue with a thin yellow coat; Rapid, Superficial pulse C. Red tongue with a geographic coat; Rapid, Thready pulse D. Red cracked tongue; Rapid, Excess pulse

C

A 39-year-old patient had a car accident two weeks ago and has pain on both shoulders and arms. The patient also has palpitation and fixed pain in the chest. Which formula is good for treatment in this case? A. Gui Zhi Fu Ling Wan (Cinnamon Twig and Poria Pill) B. Wen Jing Tang (Flow-Warming Decoction) C. Xue Fu Zhu Yu Tang (Drive Out Stasis from the Mansion of Blood Decoction) D. Tao He Cheng Qi Tang (Peach Pit Decoction to Order the Qi)

C

A 52-year-old woman sought treatment for persistent night sweating and hot flashes. She also complained of abdominal distention and water retention. Her periods had stopped the year before and she had been worse since then. Apart from the above symptoms, she often felt anxious in the evening and experienced palpitations. Her sleep was disturbed by the hot flashes and she felt mentally restless. She was overweight, her cheek-bones were slightly red and her eyes had no glitter and looked scared. Her tongue was slightly red, swollen on the sides (Spleen-type of swelling), cracked and with a rootless coating. It also had a Heart crack in the middle. Her pulse was Weak on both Rear positions, the Heart position was Weak and Short and the whole pulse had no wave. She had been treated with acupuncture elsewhere (tonifying Spleen and resolving Dampness) without much result. Her acupuncturist referred her to me. Which of the following diagnoses is NOT one that fits this case? A. Kidney Yin Def B. Spleen Def C. Spleen Yang Def D. Heart Def

C

A 58-year-old man had been suffering from asthma for 6 years. At the time of the consultation, the asthma was very severe with frequent attacks every day. He was using a Ventolin inhaler, Becoforte (cortico-steroid) spray and corticosteroids orally. His chest felt extremely tight and he could not lie down. He was prone to chest infections, developing expectoration of yellow sputum. He also experienced epigastric fullness and distention. His tongue was slightly Red with swollen edges (of the Spleen-type) and a sticky coating. His pulse was Rapid, Full and Slippery. What is the differential diagnosis for this case? A. Spleen Def B. Phlegm Heat C. Phlegm Heat in the Lungs D. Phlegm Heat from Spleen Deficiency

C

A 63-year-old male patient comes in complaining of epigastric pain which lessens with meals and then appears again 2-3 hours later. Sometimes he wakes up in the middle of the night with pain. He tells you he has experienced about 30lbs of weight gain in the last year. What is a possible diagnosis for this case? A. Duodenal ulcer B. Diabetes C. Gastric ulcer D. Abdominal aortic aneurysm

C

A long tongue most likely indicates? A. Heart Fire B. Heart Phlegm Fire C. Both a and b D. Qi Deficiency

C

A patient has cold limbs with excess bleeding. Which of the following answers best explains this phenomenon according to the Yin-Yang relationship? A. Injury of Yin affects Yang and causes Yang to be deficient B. Excessive consumption of Yin Fluid caused true Heat and false Cold C. Injury of Yin affects Yang and causes Deficiency of both Yin and Yang D. Injury of Yang affects Yin and causes Yang Deficiency

C

A patient has fever, chills, slight sweating, cough and sore throat. His pulse is Floating, Rapid (Shu Mai), and he is also extremely thirsty. What herb would you combine with Yin Qiao San (Honeysuckle and Forsythia Powder) to help with the thirst? A. Yin Qiao San (Honeysuckle and Forsythia Powder) + Huo Xiang (Pogostemonis Herba) B. Yin Qiao San (Honeysuckle and Forsythia Powder) + Xing Ren (Armeniacae Semen) C. Yin Qiao San (Honeysuckle and Forsythia Powder) + Tian Hua Fen (Trichosanthis Radix) D. Yin Qiao San (Honeysuckle and Forsythia Powder) + Xuan Shen (Scrophufariae Radix)

C

A patient has knee pain. You perform physical exams and the Valgus test is positive. Which ligament is injured? A. PCL B. ACL C. MCL D. LCL

C

A patient has numbness all over his body including a numb sensation of the mouth and tongue, nausea, vomiting and shortness of breath after taking an herb. Which herb is this? A. Ban Xia B. Mang Xiao C. Fu Zi D. Shi Gao

C

A patient slips and falls in your waiting area. She hits her head on the arm of a chair. Blood is pouring out of a nasty gash on her forehead and spilling onto the tile floor of your waiting area. What is the next step that you need to take? A. Pour 70% rubbing alcohol on the area and wipe it up B. Clean the area with bleach and then soap and water. Throw all waste into the trash can C. Block off the area to the general public D. Call a sanitation service or public sanitation service to come and clean up the spill

C

A patient took Ping Wei San and the symptoms got worse. Now he has Heat symptoms as well. Which formula is best for this case? A. Er Chen Tang B. Yue Ju Wan C. Ban Xia Xie Xin Tang D. Huo Xiang Zheng Qi Tang

C

A patient who has Grave's disease took western medicine and now has tiredness, bradycardia and poor appetite. What is the reason? A. Thyroid was stimulated B. Inhibition of stimulating hypothalamus C. Inhibition of stimulating thyroid D. Hypothalamus was stimulated

C

A patient who recently had a myocardial infarction wants to get treatment for his low back pain. Which treatment is contraindicated? A. Moxa on his lower back B. Cutaneous needle on his lower back C. Tui Na on his lower back D. Acupuncture on his lower back

C

A patient with arthritis manifests with redness around the joint, stiffness and pain that worsens with pressure. He tells you his hands feel heavy in the morning. What is the best diagnosis for this bi pain? A. Damp Bi B. Cold Bi C. Damp Heat Bi D. Heat Bi

C

A patient with chills, fever, headache and a congested nose in the spring season would most likely have which of the following conditions? A. WindDryness B. WindHeat C. WindCold D. WindDampness

C

A pregnant woman has morning sickness. Which points prescription can be used for treating? A. Ren12, Ren13, P6, S36, LI4 B. Ren12, Ren13, P6, S36, SP6 C. Ren17, P6, S36, Liv3 D. Ren17, Ren12, P6, S25

C

A swollen tongue with mouth ulcers where the ulcers are rimmed with a white color indicates which of the following conditions? A. Stomach Fire B. Lung Heat with Stomach Yin Deficiency C. Heart Yin Deficiency D. Heart Fire

C

A tongue that is swollen, delicate in quality, pale in color with teeth marks would indicate what type of disorder? A. Toxicosis B. SP and KD Yang Deficiency producing harmful waters C. KD Yang Deficiency D. Excessive Cold due to Yang Deficiency

C

Abby suffers from chronic headache which manifests with a dull pain on the forehead and vertex. She also has loose stools and abdominal pain. The headache is related to Stomach Qi Deficiency and the loose stool while the abdominal pains are related to Cold Damp Accumulation in the interior. The pulse is Deep (Chen Mai), slight Slippery (Hua Mai) and Weak (Ruo Mai) (especially in the 3rd position on both sides). What does the tongue look like for this patient? A. Blue purple tongue body, thin, with transverse cracks in the center with a yellow coat B. Red purple tongue body, slightly swollen, no cracks, thick white tongue coat C. Blue purple tongue body, slightly swollen, crack in the center, thick white tongue coat D. Blue purple tongue body, slightly swollen, crack in the center, thin white tongue coat

C

Abdominal pain, blood/mucus in stool, diarrhea (yellow/watery), burning sensation of anus, tenesmus, scanty deep yellow urine, possibly fever/thirst A. Dryness of LI B. Heat obstructing LI C. Damp Heat in LI

C

Abilify (aripiprazole) is used for which of the following conditions? A. Asthma B. Anxiety Disorder C. Bipolar disorder D. Parkinson's

C

According to the Ling Shu, signs and symptoms that occur in the groin reflect pathology in which organ? A. Lung B. Kidney C. Liver D. Spleen

C

According to the classical texts, which of the following Zang organs regulates Water passages? A. Kidney B. San Jiao C. Lung D. Spleen

C

Daryll is brought to the clinic by his father with cold and flu symptoms. These symptoms have been persistent for almost a week and are not improving. In fact, today Daryll has a high fever and his skin is hot to touch. There is a purple rash that covers a significant part of his body. His stools are black. Daryll's father tells you that he recently had a nose bleed and it took almost an hour for the bleeding to stop. After that, he became obsessive and showed manic behavior. The tongue is red and the pulse is Thready (Xi Mai) and Rapid (Shu Mai). Which of the following best describes his imbalance? A. Heat exhausts the Pericardium B. Phlegm Fire obstructs the Heart C. Heat stirs up the Blood and influences the Heart D. Turbid Phlegm obstructs Pericardium

C

Dave is 34 year old and is still wandering aimlessly through life. He can't decide what it is that he wants to do with his life, and that is often indicative to which of the following conditions? A. Liver Qi Stagnation B. Spleen Qi Deficiency C. Gall Bladder Deficiency D. Heart Yang Deficiency

C

Depigmented macules around the lips, fingers and feet are symptoms of which of the following diseases? A. Kaposi's carcinoma B. Melanoma C. Vitiligo D. Tinea Vesicular

C

Diagnosis for turbid urine and burning sensation? A. Heat in UB B. Damp in UB C. Damp heat in UB D. Heart Fire

C

Diana has had asthma for the last 19 year. It started with she was 4 years old. She regularly uses Ventolin and Becotide to manage the symptoms. Asthma attacks are triggered by environmental exposure to pets like cats, dogs and also to dust mites. Recently the symptoms have changed. She is breaks out in an eczema like rash in addition to having an asthma attack when exposed to the allergens. Her other symptoms included low back pain, exhaustion which is probably caused by her poor sleep at night. She often wakes up frequently throughout the night. She is constipated and suffers from terrible premenstrual tension before her menses. Her pulse was slightly Weak in the left Rear position and slightly Wiry in the left Middle position. Her tongue was Red on the tip. What is the diagnosis? A. Liver Fire B. Liver Yang Rising C. Lung and Kidney Def D. Liver Qi Stagnation

C

Diseases with Ipsilateral weakness and paralysis where muscle tone and reflexes are decreased or absent such as in Polio-Myelitis are probably caused by: A. Damage to the Cerebellum B. Damage to the Upper Motor Neuron C. Damage to the Lower Motor Neuron D. Damage to the Basal Ganglia

C

Dr. Brandon Calahan, DAOM is asked to mentor a tutorial student. The student will train in the clinic and take a few supplementary classes at the local acupuncture college. What qualifications are required for Dr. Calahan to possess so he can bring in a tutorial student? A. At least 5 years of experience, all of which in California. Dr. Calahan can only train a maximum of three trainees at a time B. At least 5 years of experience, and up to 4 trainees at a time C. At least 10 years of clinical experience, 5 of those years in California. Dr. Calahan can only train a maximum of two trainees at a time D. At least 10 years of experience with 5 of those years in California. Dr. Calahan can only train a minimum of two trainees at a time

C

Epigastric pain that may radiate to the back or other parts of the abdomen and may be poorly localized is seen in which of the following diseases? A. Acute cholecystitis B. Acute appendicitis C. Acute pancreatitis D. Acute intestinal obstruction

C

Female, age of 52, has menopausal symptoms. Which of the following foods do you recommend? A. Lentil with rice porridge B. Make tea from ginger and grapefruit peel C. Cook black beans with rice porridge D. Steam carp with ginger and cardamom

C

For severe depletion of the fluids with heat signs, how do you modify Liu Wei Di Huang Wan (Six Ingredient Pill with Rehmannia)? A. Add Zhi Mu, Huang Bai B. Add Yi Mu Cao, Tian Hua Fen C. Substitute Shu di Huang with Shen di huang D. Add Bai Zhu, Sha Ren, Chen Pi

C

Full-thickness skin loss, with damage to or necrosis of the subcutaneous tissue that may extend to (but not through) the underlying muscle, describes which stage of decubitus? A. Stage IV B. Stage I C. Stage III D. Stage II

C

Harry, age 45, has been sweating profusely for the last seven years. His is currently taking Jin Gui Shen Qi Wan (Golden Cabinet) prescribed by his acupuncturist. This made the symptoms much worse. What is the cause of the sweating? A. Kidney Yang Deficiency B. Kidney Qi Deficiency C. Kidney Yin Deficiency D. Lung Qi Deficiency

C

Hot peppers like Cayenne have what effect on the body? A. They make the body hot B. They warm the body C. They are warming but after 30 minutes have a cooling effect D. They cool the body

C

How is HBV transmitted? A. Through Water B. Through Food C. Through Blood and Bodily Fluids D. All of the above

C

How long must an acupuncturist wait to petition the board for reinstatement or modification of penalty, if the practitioner's license has been revoked? A. 4 years B. 1 year C. 2 years D. 3 years

C

How long should we keep Continuing Education certificates? A. 5 years B. 3 years C. 4 years D. 2 years

C

How much Mai Ya to inhibit lactation? A. 80g B. 60g C. 40g D. 20g

C

If an acupuncturist received three years of probation, when can they file for termination of probation? A. After 6 months B. After 3 years C. After 2 years D. After 1 year

C

If you are caught prescribing your acupuncture patient medical marijuana, what are the maximum consequences? A. Revocation of license, misdemeanor B. Suspension of license up to 5 years, criminal charges C. Acupuncturists can prescribe medical marijuana D. All of the above

C

If you have an 11 month old baby that has blue colored skin around the eyes, what should you do? A. Tell the mother not to beat him B. Bloodletting with cupping C. Report to Child Protection Services D. Prescribe Xue Fu Zhu Yu Tang

C

If you recommend your patient eat chicken, what results are you expecting? A. Aids diarrhea B. Builds strong bones C. Nourish Kidneys D. Dry dampness and promote urination

C

Jessica has had asthma for the past 10 years. It started after the birth of her daughter. She says that she experiences a tightness in her chest and sometimes coughs up yellow phlegm. She has low back pain and often feels very dizzy. Ocassionally, she has tinnitus and her urine is pale and frequent. Jessica is exhausted and wants to sleep all day long. Her tongue is slightly Pale with a sticky yellow coating. Her pulse is Deep and Weak especially on both Kidney positions. What of the following is NOT a possible diagnosis for Jessica? A. Kidney not grasping Qi B. Kidney Yang Deficiency C. Spleen Yang Deficiency D. Phlegm Heat

C

Johanna was hospitalized one year ago and was prescribed Aluminium Hydroxyde, Cimetidine and Lansoprazole. She came to you after hospitalization and was treated for Spleen Qi Deficiency. Now she is taking Azithromycin and Doxycycline but the medication is not working. What are the suspected diseases and diagnostic methods? A. Esophageal cancer; endoscope B. Uterine cervical cancer; Pap tests, LEEP biopsy C. Gastric cancer; barium, x-rays D. Colorectal cancer; stool culture, colonoscopy

C

Kees turned 66 last year and was diagnosed with hyperthyroidism two days before his birthday. His other symptoms include restlessness, red cheekbones, dry mouth, sweating easily at night and palpitations. He says that he doesn't sleep well and is a very light sleeper. What is the best formula for this patient? A. Huang Lian Jie Du Tang (Coptis Decoction to Resolve Toxicity) B. Xiao Yao San (Rambling Powder) C. Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) D. Suan Zao Ren Tang (Sour Jujube Decoction)

C

Laura Ingalls Wilder is a busy pioneer woman with 5 kids. She lives off the land is spends long days doing heavy chores around the farm. She is in the clinic today because of rectal prolapse. This has been an issue for the past 5 months. Other symptoms include decreased appetite and abdominal bloating especially after eating. She says she feels a bearing down sensation in her lower abdomen. What is the diagnosis for this case? A. Kidney Yang Deficiency B. Stomach Qi Reversal C. Spleen Qi Sinking D. Large Intestine Qi Prolapse

C

Leon who is 40 years old, comes in with complaints of neck problems. His brachioradial reflex is weak yet the elbow is not reactive to all physical exams. Which nerve root is affected? A. C8 B. C5 C. C6 D. C7

C

Leon, age 44, has gained a lot of weight recently. His face is round like the moon and his blood pressure is rising. There are red lines on his belly. What is his problem? A. Myxedema B. Diabetes Mellitus C. Cushing Syndrome D. Hashimoto

C

Lillie complains that she has vision problem and abnormal sensations. Tests show that patches of myelin and underlying nerve fibers in the eyes are injured. What disease does she have? A. Muscular Dystrophy B. Myxedema C. Multiple Sclerosis D. Myasthenia Gravis

C

Logan has chronic back pain on the inner Urinary Bladder line in the lumbar area. You suspect Kidney deficiency. Which Dui Xue combination is best for this patient? A. P6, SP4 B. L7, K6 C. SI3, B62 D. GB41, SJ5

C

Long term Huang Lian Jie Du Tang use will cause which of the following conditions? A. Qi and Blood Stagnation B. Yang Injury C. Yin Injury D. Qi Collapse

C

Lydia suffers from horrible IBS. She comes to your clinic with help with the condition. Symptoms are triggered if the patient eats too fast. She has diarrhea soon after eating and often can't make it to the bathroom in time. The stools are mixed with mucus. Other times she is constipated. There is no diarrhea at night. It only occurs during the daytime. Lydia says she often experiences dull, spasmodic pain in her lower abdomen. She is often distended, bloated and suffers from flatulence. Other symptoms include headaches and fatique. Lydia is very depressed and anxious. She cries often and finds it difficult to focus on a single task. Her pain dues improve after the bowel movement and gets worse when she is stressed. What is the cause of this IBS? A. Cold Stagnation in Liver Channel B. Damp Heat in Large Intestine C. Liver Qi Stagnation D. Damp-Heat in Spleen and Stomach

C

Maoi's are contraindicated to take with foods that are high in Tyramine. Which of the following foods would not be allowed? A. Steak B. Apples C. Blue Cheese D. Grapefruit

C

Marianne has a delayed menstrual cycle. The menstrual blood is dark in color and scanty. She often experiences colicky pain in the lower abdomen which responds positively to warmth but not pressure. Her limbs are also cold. The tongue is thick with a white coat and the pulse is Deep and Slow. What is the diagnosis for this case? A. Heat in Blood B. Qi stagnation in the Liver C. Cold in the Blood D. Blood deficiency

C

Minerva comes in with mental confusion, poor appetite, blurred vision, agitation, scanty menses, and thirst. She is really thirsty but she can only take small sips. She says she is depressed and often feels dizzy. Her moods are inconsistent and she often lashes out at people or laughs uncontrollably. Her bowel movements have a horrible odor, her epigastrium and abdomen are distended and she feels nauseated. You notice that her nails are very brittle. She says her urine is dark and sometimes cloudy. She doesn't sleep well. She also runs a low grade fever which is worse in the evenings. Her tongue is red with a yellow coat. Her pulse is Slippery (Hua Mai), Fast (Shu Mai) and Choppy (Hesitant) (Se Mai).What is the differential diagnosis for this case? A. Heart Fire Blazing with Damp Heat in the Intestines and Spleen Blood Deficiency B. Spleen and Liver Blood Deficiency and Heart Phlegm Fire C. Spleen Damp Heat and Heart Phlegm Fire with Liver Blood Deficiency D. Deficient Heart Blood with Liver Wind and Damp Heat in the Intestines

C

Myxedema refers to underactive: A. Lungs B. Adrenals C. Thyroid D. Liver

C

Naomi has had headaches for the past 12 years. They started when she was 22 years old. Headaches occur on the vertex (top of the head) and behind her eyes. When asked how often she has them, she said at this point the headaches occur every day. They start with a dull pain and increase in intensity and severity and are accompanied by nausea, vomiting and diarrhea. When a headache starts, Naomi says she feels best if she lays down in a dark room. Her tongue is Pale and Thin and her pulse is Weak on the right side and slightly Wiry on the left side. What is the diagnosis for this case? A. Liver Qi Stagnation with Liver overacting on Spleen and Stomach B. Liver and Kidney Yin Deficiency with Liver Qi Stagnation C. Liver Yang Rising due to Liver Blood Deficiency; Liver overacting on Spleen and Stomach D. Liver Yang Rising due to Liver Yin Deficiency

C

Patient has been suffering with cough, asthma, pain & fullness in the chest, shoulder and back. What is the correct location and needling depth for the point that would be most beneficial for this condition? A. Superior to the styloid process of the radius, 1.5 cun above the transverse crease of the wrist; 0.3-0.5 cun B. 2 cun transverse crease of the wrist, between the tendons of palmaris longus and flexor radialis; 0.5-0.8 cun C. Latero-superior to sternum, at the level of first intercostal space, 6 cun lateral to the anterior midline; 0.5-0.8 cun D. With the elbow slightly bent, this point is found on the cubital crease on the radial side of the tendon of biceps brachii; 0.4- 0.6 cun

C

Patient has diarrhea with watery stool, nausea and vomiting, no particular thirst, loss of appetite, fatigue and abdominal pain that relieves by warmth and pressure. Which formula is best for this patient? A. Huo Xiang Zheng Qi Tang B. Ping Wei San C. Li Zhong Wan D. Wu Zhu Yu Tang

C

Patient has dull pain on her vertex, pain behind the eyes, nausea and diarrhea. What kind of pulse and tongue will this patient have? A. Pale tongue and Weak (Ruo Mai) pulse on left side, Wiry (Xuan Mai) on the right side B. Slightly Red tongue and Thready (Xi Mai) pulse on both side C. Pale tongue and Weak (Ruo Mai) pulse on right side, Wiry (Xuan Mai) on the left side D. Red tongue and Surging (Hong Mai) pulse on both side

C

Patient has urinary difficulty, fever, thirst with a desire to drink, diarrhea, cough, nausea, irritability, insomnia. Tongue is red with dry yellow coat and pulse was Thin and Rapid. Which formula can be considered to use for these symptoms? A. Wu Ling San B. Zhen Wu Tang C. Zhu Ling Tang D. Wu Pi San

C

Patient with red face, headache is mumbling to herself. What is the diagnosis? A. Phlegm misting the HT (mind) B. Phlegm fire harassing the PC C. Phlegm fire disturbing the HT D. LV Fire

C

Patricia has severe, fixed and sharp headaches for the past five years. She used to be a cheerful person but the pain has left her irritable. She tells you the headaches are worse at night and prevent her from getting enough sleep. The days she will have headaches she knows because right at dusk she starts to feel hot and experiences palpitations. What is the best formula for this patient? A. Yue Ju Wan (Escape Restraint Pill) B. Sheng Hua Tang (Generating and Transforming Decoction) C. Xue Fu Zhu Yu Tang (Drive Out Stasis from the Mansion of Blood Decoction) D. Tao He Cheng Qi Tang (Peach Pit Decoction to Order the Qi)

C

Patrick went camping and hiking in the Sierras over the weekend. He returns from the trip with severe itching and a red line on his index finger. Which of the following diseases could this be? A. SLE B. Psoriasis C. Lyme disease D. Urticaria

C

Paul was diagnosed with HIV in 2013. Currently he is experiencing pain in the lower right quadrant along with migraines and loss of taste on half of his tongue. There are two reddish boils in front of his ear and his head itches. Paul's tongue is red and swollen with a yellow tongue coat and a Wiry, Rapid pulse. What is the diagnosis for this case? A. Mumps B. Erysipelas C. Herpes Zoster D. Migraines

C

Processing Sang Ji Sheng with alcohol will enhance which of its functions? A. Nourishes Blood and Yin B. Benefits the Zang and Fu organs C. Strengthens its Wind Damp resolving properties D. Strengthen Mingmen Fire

C

Profuse watery whitish no smell leukorrhea is caused by: A. Excess cold B. Deficiency damp C. Sp Qi deficiency

C

Ray, age 46, suffers migraine headaches above the eyes and on the temporal area. Migraines are accompanied by blurred vision, nausea and dizziness. He also has insomnia. Pulse is Leather (Ge Mai). Can you also tell what is the best formula for this patient? A. Wen Dan Tang (Warm Gallbladder Decoction) B. Gui Pi Tang (Restore the Spleen Decoction) C. Xiao Yao San (Rambling Powder) D. Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver)

C

Ren is being treated for Liver Yang Rising. Recently he developed a new tremor in his left hand. Today he is in the clinic because he is experiencing belching, epigastric distention and pain, sour regurgitation and occasional vomiting. What is the best treatment principle for this patient? A. Nourish Yin B. Tonify Qi C. Harmonize the Stomach D. Soothe the Liver

C

Richard sustained an injury while playing football. You can hear a clicking and popping sound during flexion and extension of his knee. The area is tender. Which of the following tests could be used? A. Place the knee in 15 degrees of flexion and external rotation. Grasp the distal femur with one hand and the upper tibia with the other. With the thumb of the tibia hand on the joint line, simultaneously move the tibia forward and the femur back. Estimate the degree of forward excursion B. With the thigh and knee in the same position, change your position so you can place one hand against the medial surface of the knee and the other around the lateral ankle. Push medially against the knee and pull laterally at the ankle to open the knee joint on the lateral side C. With the patient supine, grasp the heel and flex the knee. Cup your other hand over the knee joint with fingers and thumb along the medial and lateral joint line. From the heel, rotate the lower leg internally and externally. Then push on the lateral side to apply a valgus stress on the medial side of the joint. At the same time, rotate the leg externally and slowly extend it D. With the patient supine and the knee slightly flexed, move the thigh about 30 degrees laterally to the side of the table. Place one hand against the lateral knee to stabilize the femur and the other hand around the medial ankle. Push medially against the knee and pull laterally at the ankle to open the knee joint on the medial side

C

Sarah comes to your clinic for help with anxiety and stress. She has shortness of breath, chest distention and palpitations. She is also experiencing breast tenderness due to pms. You needle GB21 and she says she feels faint, starts coughing and experiences intense shortness of breath. You believe you have needled too deeply and caused pneumothorax. What do you do next? A. Remove the needle, calm the patient, call 911 B. Remove the needle, calm the patient and elevate their legs C. Leave the needle in, call 911 D. Leave the needle check back with the patient after treatment. She probably is just nervous

C

Steve recently started to have headaches that ironically are worse on the weekend when he is off work. This doesn't make sense to him. He has a fairly stressful job and works long hours. His other symptoms include dizziness, tinnitus, insomnia and irritability. What is the best diagnosis for this case? A. Liver Fire B. Yang Deficiency C. Liver Yang Rising D. Yin Deficiency

C

Which one is correct about the location and the indication of GB22? A. It's in the depression between the upper portion of m. SCM and m. trapezius, on the same level with Du16; used for headache, glaucoma, epilepsy B. It's one rib below Liv14, directly below the nipple, in the 7th intercostal space; used for acid regurgitation, jaundice, mastitis C. It's on the mid-axillary line when the arm raised, 3 cun below axilla; used for axillary region swelling, hypochondriac pain, motor impairment of the arm D. It's midway between Du14 and the acromion, at the highest point of the shoulder; used for stiffness and pain of neck and back, headache, stroke

C

Which one is correct regarding the explanation of Yin and Yang? A. If Yin and Yang are declined, they never become abundant again B. Yin and Yang flourish and decline at the same time C. When Yin is excess, Yang becomes relatively deficient D. When Yang is abundant, Yin becomes relatively abundant

C

Which one of the following symptoms can be best treated by electro-acupuncture? A. Heart disease B. Mental disorders C. Neurological paralysis D. Headache or hypertension

C

Which part of the ear would contain Ear Acupuncture points that treat the wrist and elbow? A. Cavum Concha B. Ante-Helix C. Scapha D. Cymba Concha

C

Which pattern is most likely to cause the inability to rotten and ripen? A. Spleen Yang Deficiency B. Stomach Fire C. Stomach Yang Deficiency D. Food Stagnation

C

Which point is good for hemorrhoids and a prolapse of rectum and how is it needled? A. Zhong Kui - Moxibustion is applied with 3 moxa cones B. Zhong Quan - 0.3-0.5 cun, perpendicular C. Er Bai - 0.5-1.0 cun, perpendicular D. Bi Zhong - 1.0-1.2 cun, perpendicular

C

Which points treat pain on the shoulder? A. S38, LI4, SJ5, LI1 B. S38, G39, SJ5, B60 C. S38, SJ5, LI4, LI1, L7, SJ1, B58 D. S38, S36, Sp5, G40

C

Which symptom is contraindicated for moxibustion with garlic? A. Tuberculosis B. Poisonous insect bite C. Chronic dysentery D. Skin ulcer and boil

C

Which symptoms can be treated with cupping and regular acupuncture? A. Joint pain, eczema, asthma B. Common cold, ulcerated skin, chronic gastritis C. Rheumatoid Arthritis D. Indigestion, psoriasis

C

Which test is the following description and what are you testing for? While patient is in supine position, grasp the knee and place one hand over the top of the knee with thumb over one joint line and index and middle finger over the opposite joint line. Begin with knee in full flexion and then laterally rotate the tibia and extend the knee beyond 90 degrees. Audible click is a positive test. A. Straight Leg Test B. McMurray's Test, lateral meniscal tear C. McMurray's Test, medial meniscal tear D. Apley' Distraction test

C

You are male practitioner treating your patient. She is lying face down on the treatment table. You realize that the point you want to use is right under her bra strap. What is the best and safest way for you to proceed? A. Ask her if you can undo her bra and move her strap B. None of the above C. Ask her to remove her bra. Leave the room as she does so D. Undo her bra and move the strap and proceed with the treatment.

C

You are working on a patient with HBV. You decided that the chances of bleeding are minimal and chose not to wear gloves. When removing needles the patient bleeds quite profusely. The blood spills on your middle finger which has a small cut on it. What should you do? A. Start a round of HCIG B. Start a round of HAIG C. Start a round of HBIG D. Start a round of HEIG

C

You have a nasty cut on your finger from cooking for a dinner party this past weekend, so you are wearing latex gloves while treating today. Your patient comes in for acupuncture. After inserting the needles in the upper back, you throw away the gloves and leave the room. Thirty minutes later you return to find that red blotches have appeared around the needle sites and that the scalene muscles are contracted. What caused this reaction? A. Pneumothorax B. Shock C. Latex glove allergy D. Syncope

C

You have a patient that is requesting you to advise them on improving their SSRI effectiveness. They state that they had bought 5 HTP and want your advice if they could safely take them. Your response is: A. Yes, it can reduce the side effects of your SSRIs B. No, this supplement reduces the effects of SSRI C. No, this supplement can increase the risks of a Serotonin Syndrome D. Yes, it will work synergistically with no negative repercussion

C

You have been treating your pastor for a chronic cough. The cough is dry and worse on Sundays after long hours of sermon and prayer. He uses a microphone now because his voice is not as strong as it used to be. There is little Phlegm that is difficult to expectorate. Your pastor is often tired by the end of the day. You notice he is easily out of breath and he gets very tired every day from visiting church members. What is the best formula for this case? A. Bei Mu Guo Lou San (Fritillaria and Trichosanthes Fruit Powder) B. Yu Ping Feng San (Jade Windscreen Powder) C. Sheng Mai San (Generate the Pulse Powder) D. Su Zi Jiang Qi Tang (Perilla Fruit Decoction for Directing Qi Downward)

C

You suspect your patient of having liver disease. His lab tests come back with normal AST and ALT levels. Yet, the patient experiences abdominal pain, weight loss and masses in the right upper quadrant. What is the proper diagnostic method you would refer them out for? A. Biopsy B. CT C. MRI D. Ultrasonography

C

You treated a patient with cupping and when you go to remove the cups you notice a blister in the area. What should you do? A. Drain the blister and wrap in gauze B. Drain the blister C. Treat with antibiotic topical ointment and cover with gauze D. Drain the blister and apply ice

C

Your 75-year-old patient has pernicious anemia. Which vitamin would you recommend? A. Vitamin B6 B. Vitamin K C. Vitamin B12 D. Vitamin A

C

Your female patient comes to your office manifesting with genital itching that has been occurring for the past week. She tells you it started out as a light yellow but now is yellow-green with a foul odor. There is pain during intercourse as well. What is the diagnosis for this case? A. Candida albicans B. Toxoplasmosis C. Trichomoniasis D. Staphylococcus

C

Your patient comes in complaining of the worst headache of her life. Which test might help you diagnosis the headache? A. Allen's B. McBurney's C. Kernig's D. Murphy's

C

Your patient was in a severe car accident and lost a lot of blood. He is being released from the hospital today and you want to give him some herbs to take for his condition. He is currently experiencing continuous stabbing abdominal pain with thirst, fever and a Choppy (Se Mai) pulse. What two herbs will you add to the base formula Tao He Cheng Qi Tang (Peach Pit Decoction to Order the Qi)? A. Dang Gui (Angelicae sinensis), Hong Hua (Carthami Flos) B. Sheng Di Huang (Rehmanniae Radix), Bai Mao Gen (lmperatae Rhizoma) C. Chi Shao (Paeomae Radix rubra), San Qi D. Chuang Xiong (Chuanxiong Rhizoma), Wu Yao (Linderae Radix)

C

Your patient's son has contracted mumps. She brings him in hoping that acupuncture will help. Which Ear Acupuncture points are most effective for Parotitis? A. Adrenal, Subcortex, Shenmen B. Neurogate, Endocrine, Cheek C. Parotid Gland, Cheek, Subcortex D. Adrenal, Subcortex, Neurogate

C

Your patient, age 56, has been in a cast for the past 8 weeks. He was in a terrible bike accident. The cast is from the foot up to the thigh. You notice that his toes look swollen and are warm to the touch. There is slight discoloration on the toes. Which of the following conditions should you rule out? A. Superficial thrombophlebitis B. Buerger's disease C. Deep vein thrombosis D. Gangrene

C

An acupuncturist alternated treatment between PC6, PC5, HT8 and PC6, PC4, PC3 to treat a chronic heart failure patient. The patient gets better and can live a normal life. Which points would you recommend doing regularly to prevent this condition from returning? A. SJ5, ST40 B. SJ5, GB41 C. PC6, SP6 D. PC6, ST36

D

The dosage of Hong Hua (Carthami Flos) is usually 3-9g, but what is its dosage when used to harmonize Blood? A. 0.3-1.5g B. 0.3-1.2g C. 0.3-0.9g D. 0.9-1.5g

D

Alternating hyperpnea and apnea with a crescendo-diminuendo pattern of tidal volume is diagnosed as: A. Kussmaul breathing B. Obstructive Sleep Apnea C. Emphysema D. Cheyne-Stokes respiration

D

Diarrhea, dermatitis, depression and poor memory that manifest in a patient who is an alcoholic would indicate a deficiency in which of the following vitamins? A. Folic Acid B. Vitamin B1 C. Vitamin C D. Vitamin D E. Vitamin B3

E

Amanda is 6 months pregnant. She is in the clinic today because she is experiencing sharp lower abdominal pain and cramping. Her pulse is Hesitant and Slow in both Chi positions. Which formula is best for this case? A. Xue Fu Zhu Yu Tang B. Da Cheng Qi Tang C. Xiao Cheng Qi Tang D. Gui Zhi Fu Ling Wan

D

A 41-year-old man had contracted an upper respiratory infection while holidaying in the Rocky Mountains in the summertime. At the time, this manifested with symptoms of Wind-Heat and Dryness such as aversion to cold, a slight temperature, a dry cough, a dry and itchy sensation of the throat and a headache. He came in for treatment on his return from his holiday when he still had a dry persistent and ticklish cough which was keeping him awake at night. What is the diagnosis? A. Wind Heat B. Lung Yin Deficiency C. Wind Heat Dryness D. Lung Dryness

D

A 61-year-old woman had been suffering from persistent constipation for many years. She had only about two bowel movements a week but her stools were not dry. She often felt exhausted after the bowel movement. Her other symptoms included great weariness and exhaustion, feeling cold, a lack of will-power and initiative, backache, dizziness and tinnitus. Her tongue was Pale and Swollen and her pulse was Deep and Weak. What is the best diagnosis for this case? A. Kidney Yin Def B. Kidney Qi not Firm C. Kidney Essence Def D. Kidney Yang Def

D

A current patient misunderstands the large areas of bruising after a cupping treatment. You explained the treatment to him and he consented to the treatment verbally. You do not have a written consent form for the patient. The oral contract between you and the patient holds up in court if you can prove which of the following? A. That the patient didn't receive the proper explanation of risks involved B. That the patient didn't understand the full risks C. That the patient said he understood the risks even though he really didn't D. That the patient understood the risks and agreed to the treatment

D

A man had a tibial bone fracture with exercise. Which of the followings could be used? A. Below the spinous process of the 7th cervical vertebra, approximately at the level of the shoulders B. Anterior and inferior to the external malleolus, in the depression on the lateral side of the tendon of m. extensor digitorum longus C. 0.5 cun lateral to Du-14 (Dazhui), inferior to the spinous process of the seventh cervical vertebra D. 1.5 cun lateral to Du13, at the level of the lower border of the spinous process of T1

D

A patient comes in with bicep pain. You palpate the biceps tendon where it passes through the bicipital groove. There is increased pain on palpation and you find that there are abnormal bumps in the bicep muscle. Which test did you perform? A. Infraspinatus B. Teres minor C. Subscapularis D. Yergason's

D

A patient has low back pain with a cold sensation that runs the width of the lower back, lower body edema, loose stools, and depression. What is the best treatment? A. B23, Du3, Du6, Ren3, Ren4, K7 B. B23, Du3, K3, Ren4, Ren8 C. B23, Du4, K7, Ren8, B53 D. B23, Du4, K7, Jinggong, Ren6

D

A patient has symptoms of vertigo, bitter taste in the mouth, fatigue, poor appetite, irregular menstruation, breast distention and dry mouth and throat. The pulse is Wiry and the tongue is pale red. What is the best formula for this case? A. Xiao Chai Hu Tang B. Long Dan Xie Gan Tang C. Yue Ju Wan D. Xiao Yao San

D

A patient often feels hot, thirsty and has a pain under the right rib cage. He also has a constant feeling of fullness in the epigastrium. His ears are swollen and there is a bitter taste in his mouth. He is irritable and short-tempered. He was diagnosed with Herpes Zoster by his physician. His tongue is Red with a yellow coat and the pulse is String-taut (Xuan Mai), Rapid (Shu Mai) and Forceful (Shi Mai). Which of these formulas is the best for this case? A. Zhu Ling Tang (Polyporus Decoction) B. Wu Ling San (Five-Ingredient Powder with Poria) C. Ba Zheng San (Eight-Herb Powder for Rectification) D. Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver)

D

A patient that presents with dry skin, nyctalopia and sweating problems might have a deficiency of which of the following vitamins? A. Vitamin K B. Vitamin E C. Vitamin D D. Vitamin A

D

A patient who has edema, difficult urination and a yellow face would be diagnosed as having which of the following Five Element patterns? A. Water insulting Earth B. Earth not generating Metal C. Fire not generating Earth D. Earth over-acting on Water

D

A patient with nyctalopia would be deficient in what micro and macro nutrients? A. Vitamin E and Carbohydrates B. Vitamin E and Protein C. Vitamin A and Protein D. Vitamin A and Lipids

D

A patient with pin point pupils would most likely be on what type of medication? A. Statins B. Proton Pump Inhibitors C. Anti-Cholinergics D. Opioids

D

A systemic microbial invasion that affects the blood with symptoms of fever, chills, lethargy, tachycardia, hypotension and mental confusion is: A. Anaphylaxis B. Otitis externa C. Graves'disease D. Sepsis

D

A woman comes to your clinic with her husband. When she undresses you notice that her body is covered in bruises. She doesn't tell you the reason but her husband says she feel down last week. What do you do? A. Tell husband not to beat her B. Cupping and acupuncture C. Prescribe Xue Fu Zhu Yu Tang D. Send a report to the police

D

Beverly had polio when she was a teenager. She is now 63 years old. Since the time of the illness she has had chronic low back pain her entire life. Her left leg is paralyzed and she limps when she walks. Her other symptoms include knee pain, frequent urination at night that is pale in color, tinnitus, dizziness, exhaustion and she is always cold. In the last 5 years, she has also started to experience five palm heat, night sweats and a dry throat and mouth. The tongue is pale and swollen and the pulse is deep, slow and weak especially in the rear positions. What is the best formula for this case? A. Tian Wang Bu Xin Dan B. Tian Ma Gou Teng Yin C. Liu Wei di Huang Wan D. Jin Gui Shen Qi Wan

D

Bevin often feels overheated and thirsty. Recently he has a pain under his left ribcage and a constant sensation of fullness in the epigastric area. His ears are swollen and he is very short-tempered. There is a bitter taste in his mouth. His MD diagnosed him with Herpes Zoster. His tongue is red with a yellow coat. His pulse is String-taut, Rapid and Forceful. Which of the following formulas would be best for his condition? A. Ba Zheng San B. Zhu Ling Tang C. Wu Ling San D. Long Dan Xie Gan Tang

D

Bonnie struggles with vision problem, muscle weakness and joint inflammation. There is a red rash on the cheek, fatigue, low white blood cell count, low red blood cell count and low platelet count. What disease is this? A. Scleroderma B. Sjogren's Syndrome C. Multiple Sclerosis D. SLE (Systemic Lupus Erythematosus)

D

Breast lumps that are small in size, movable with distinct edges and that change size according to the menstrual cycle, are due to which of the following patterns? A. Phlegm and Blood stasis B. Qi stagnation C. Blood stasis, Qi stagnation and Phlegm D. Qi stagnation and Phlegm

D

Brianna has been through some traumatic experiences and was diagnosed with depression. Her Psych D prescribed 20mg of Prozac daily. She is in your clinic today to help with the side effects of the medicine. Prozac inhibits the re-uptake of which neurotransmitter in the brain? A. Dopamine B. Acetylcholine C. Norepinephrine D. Serotonin

D

Case of insomnia where patient has dream disturbed sleep A. HT/KD/LV Yin Deficiency B. Excess pattern C. Food retention D. HT Fire

D

Cholesterol produces which of the following hormones? A. Testosterone B. Aldosterone C. Cortisol D. All of the above

D

Christine has suffered from insomnia for the past 12 years. She finds it difficult to fall asleep and once asleep she keeps waking up. She has vivid dreams that also keep her from sleeping well. Her other symptoms include dizziness, pale face, slight dry mouth, fatigue, palpitations, forgetfulness, bloating after she eats and loose stools with undigested food. Her tongue is dry and her pulse is thready, deficient. What is the best point prescription for this case? A. SP6, B18, B19, G20, P6, Anmian B. B23, H7, SP6, Anmian, B15 C. B19, H5, P6, S4, S36, SP6 D. B20, B15, SP1, H7, SP6

D

Cough, asthma, feeling distention of chest/hypochondrium A. LV / LU Deficiency B. LV / LU Excess C. LU overacting LV D. LV insulting LU

D

Cracks on the tongue like ice floes indicate? A. Yin Deficiency due to illness B. Stomach Yin deficiency C. Heart Fire Blazing D. Yin Deficiency due to old age

D

Cupping therapy is contraindicated in which of the following conditions? A. A patient with GI symptoms like vomiting, nausea and stomach upset B. A patient with a diagnosis of Bi syndrome due to Wind Damp C. A patient with an acute cough and asthma D. A patient taking Coumadin and so susceptible to spontaneous bleeding

D

Direct moxa is contraindicated on all of the following body regions except? A. Facial area B. Breast and Creases C. Scalp area D. Lower leg in pregnant woman

D

Donald is 72-years-old and suffers from vertigo. It is hard for him to walk because he is not steady on his feet. He uses a walker to prevent himself from falling down. Don has high blood pressure. His vision is blurry and his nails are dry and withered. His complexion is not pale but dark and his skin is very dry. The tongue is a reddish-purple color with a think, yellow coating in the center only. The rest of his tongue lacks a coat. The tongue is stiff and dry. The pulse is very Full and Wiry. What is the diagnosis for this case? A. Liver Yin and Blood Deficiency B. Liver Fire with Stomach Blood Stasis C. Liver Yang rising from Liver Blood Def D. Liver Yang Rising from Liver Yin Def and some Blood Stasis

D

During systole which valves are open and which are closed? A. Mitral and tricuspid valve are open, Pulmonary and aortic valve are closed B. Mitral and tricuspid valve are open, Pulmonary and aortic valve are open C. Mitral and tricuspid valve are closed, Pulmonary and aortic valve are closed D. Mitral and tricuspid valve are closed, Pulmonary and aortic valve are open

D

Ella has chronic migraines characterized by a severe throbbing ache on the temple. Her pulse is String-taut and Excess. The tongue is red with a yellow coat. Which points are best for this patient? A. SI3, B62 B. L7, K6 C. P6, SP4 D. GB41, SJ5

D

Eosinophils are present under which condition? A. Viral infection B. Bacterial infection C. Allergic reaction D. Parasitic Infection

D

For a medical release form to be valid, a patient must have provided which of the following information? A. Signed by the patient and a health care provider B. Signed by the patient, signed and dated by a notary C. Signed and dated by the patient, includes patient's social security number D. Signed and dated by the patient or a legal guardian

D

For which of the following disorders would Bai Hu Tang (White Tiger Decoction) be contraindicated? A. Liver and Gall Bladder Deficiency B. Liver and Gall Bladder Excess C. Spleen and Stomach Excess D. Spleen and Stomach Deficiency

D

Gan Mai Da Zao Tang can be substituted for which prescription drug? A. Lasix B. Digoxin C. Lipitor D. Paxil

D

Generating and Overacting is the important expression of which TCM Theory_____? A. Yin and Yang theory B. Jing and Blood theory C. Qi, Blood and Body Fluids theory D. Five Element theory

D

If the San Jiao channel is imbalanced which of the following symptoms might you see? A. Enuresis, frequent urination, nocturnal emission, impotence, irregular menstruation, asthmatic breathing, hemoptysis, dryness of tongue, congested and sore throat, edema, pain in the lumbar region and in the posteromedial aspect of the thigh, weakness of the lower limbs and heat sensation in the soles B. Cardiac pain, palpitation, metal restlessness, stuffiness in the chest, flushed face, swelling in the axilla, depressive and manic mental disorders, spasm of the upper limbs and heat sensation in the palms C. Retention of urine, enuresis, manic and depressive behavior, malaria, lacrimation, nasal obstruction, headache, pain in the nape, back, low back and posterior aspect of the lower limbs D. Abdominal distention, edema, enuresis, dysuria, deafness, tinnitus, pain in the outer canthus, swelling of the cheeks, congested and sore throat, pain in the retroauricular region, shoulder and lateral aspect of the arm and elbow

D

If the tongue body doesn't change but there is a thin, white coat mainly on the center of the tongue or the front 1/3 of the tongue, this would indicate a pathogen at which level? A. Shaoyin B. Taiyin C. Jueyin D. Taiyang

D

In TCM, which organs are affected by Diabetes? A. Liver, Heart, Spleen B. Heart, Liver, Kidney C. Heart, Spleen, Kidney D. Lung, Stomach, Kidney

D

In cases of appendicitis, the pain is located in which area of the adoment? A. Left lower abdomen B. Right upper abdomen C. Left upper abdomen D. Right lower abdomen

D

In eastern medicine, symptoms with acute abdominal pain, abdominal distension, dislike of pressure, borborygmus, pain in the testis, white tongue coat, a pulse that is Deep (Chen Mai), String-taut (Xuan Mai), are known as Small Intestine Qi pain. Which points can be used to treat this condition? A. PC5, UB15, Ren12, ST40, UB20, HT9, Du26 B. PC6, PC4, HT7, Ren17, UB14, UB17, SP10, KD25 C. HT9, HT8, HT7, Ren15, SP6, KD6 D. Ren6, GB34, LV13, ST27, ST29, SP6, LV3, ST39

D

Intradermal needles are best used to treat: A. Chronic diseases and painful diseases B. Gastrointestinal disorders only C. Blood stasis and excess diseases D. Nervous system disorders and skin diseases

D

John likes to eat tacos and beer every night after work. During the day he doesn't eat. He drinks coffee and soda instead. Now John has a burning sensation in his abdomen. He is always hungry. He also has a bad breath and constipation. His gums bleed daily. The tongue is red with a thick, yellow coat. What diet recommendations would you give him? A. Stop drinking soda and eat more red meats B. Stop eating tacos and eat more hot spices C. Stop drinking beer and eat more fried foods D. Stop drinking coffee and drink more herbal teas of licorice root (Glycyrrhiza glabra)

D

Jonah can't walk without falling down. He just can't keep his balance. He tested positive with the Romberg test which is used for cerebellar disorders. Which scalp acupuncture line is best to use? A. Horizontal line 1.5cm above and centered on the apex of ear, 4cm in length B. 1cm lateral to external occipital protuberance, parallel to midline of head 4cm in-length, extending upward C. Parallel with and 1.5cm to Chorea and tremor control-area D. 3cm lateral to external occipital protuberance, parallel to midline of head, 4cm in length, extending downward

D

Kaitlyn is a licensed acupuncturist. She has completed both MSOM and DAOM programs. She recently relocated her practice and is putting together a marketing strategy. Which of the following is not legal for her to do? A. Refer to her self as Dr. Kaitlyn Manning B. Prescribe both Western and Eastern herbs C. Open a clinic in an MD's office D. Market that she can cure Diabetes

D

Larry suffers from constipation with abdominal fullness and distending pain in the hypochondrium. He says that he has little appetite and he often belches. The tongue has a thin, sticky coating and the pulse is String-taut. What is the best acupuncture point prescription for this case? A. B25, S25, SJ6, K6, B20, B21, S36 B. B25, S25, SJ6, K6, MOXA ON Ren8 and Ren6 C. B25, S25, SJ6, K6, LI11, LI4 D. B25, S25, SJ6, K6, REN12, Liv3

D

Larry suffers from constipation with abdominal fullness and distending pain in the hypochondrium. He says that he has little appetite and he often belches. The tongue has a thin, sticky coating and the pulse is String-taut. What is the differential diagnosis for this case? A. Deficiency Constipation due to Agglomeration of Cold B. Excess Constipation due to Accumulation of Heat C. Deficiency Constipation due to Deficiency of Qi and Blood D. Excess Constipation due to Stagnation of Qi

D

Lila comes in with blurred vision. You want to treat her using Scalp acupuncture. Which line is best to use? A. 1.5 cm anterior and parallel with the Chorea and Tremor Control line B. Horizontal line 1.5 cm above and centered on the apex of the ear, 4 cm in length C. 3 cm lateral to the external occipital protuberance, parallel to the midline of the head, 4 cm in length, extending downward D. 1 cm lateral to the external occipital protuberance, parallel to the midline of the head, 4 cm in length extending upwards

D

Liona works in a drug dependency clinic performing Ear Acupuncture treatment to patients addicted to heroin. The room is set up community acupuncture style and Liona generally sees 25-50 patients per shift. Which of the following Ear Acupuncture protocols is most effective for addiction and trauma? A. Kidney, Heart, Liver, Lung and Shenmen B. Heart, Lung, Liver, Adrenal, Shenmen and Spleen C. Sympathetic, Shenmen, Lung, Liver and Spleen D. Sympathetic, Shenmen, Kidney, Liver and Lung

D

Lucy is 17 years old. Her mother brings her to the clinic because she has lost a total of 10 pounds in the last two months. She says she is very thirsty and she has to urinate a lot. She complains of unpleasant smell when she breathes. She looks skinny and pale. What is the correct diagnosis for this case? A. SLE B. Diabetes Insipidus C. ALS D. Diabetes Mellitus

D

Mang Xiao (Natrii Suljas) in the formula Da Cheng Qi Tang (Major Order the Qi Decoction) is used for which of the following symptoms? A. Constipation caused by Heat accumulation, abdominal pain which is worse with pressure B. Sensation of obstruction, distention and heaviness in the epigastrium C. Visible distention which is resistant to palpation D. Dry stools accumulated in the Intestines, tense and firm abdomen

D

Rebeca complains of soreness on the several joints and muscles. This pain is excruciating and worse when it is cold and wet outside. She says that the areas affected are painful but feel heavy as well. This all started after Rebecca fell off from her horse several times a few years ago. For this patient, the problem is on the channel but it is not reflected on the tongue. She also has indigestion, loss of appetite, loose stool and dull pain on the head area. Pulse is Slow (Chi Mai) and Rolling (Hua Mai). She has very severe Stomach Yin Deficiency and chronic Spleen Deficiency. What is the tongue for this patient? A. Pale tongue body, swollen (especially sides), deep cracks on the sides, dry tongue coat, powder-like, rootless B. Pale tongue body, swollen (especially sides), deep cracks on the sides, dry tongue coat, powder-like, it has a root C. Normal tongue body color, swollen (especially sides), deep cracks on the sides, dry tongue coat, powder-like, it has a root D. Normal tongue body color, swollen (especially sides), deep cracks on the sides, dry tongue coat, powder-like, rootless

D

Ruben was diagnosed with HIV five years ago. He is currently taking the formula Qing Hao Bie Jia Tang (Sweet Wormwood and Soft -shelled Turtle Shell Decoction). What herb can you add to help with five-center Heat, yellow urine and a red tongue with a yellow coat? A. Sha Shen (Adenophorae Radix) B. Di Gu Pi (Lycii Cortex) C. Bai Wei (Cynanchi atrati Radix) D. Bai Mao Gen (lmperatae Rhizoma)

D

Sansa suffers from hiccups, nausea, dry heaves, retching and vomiting. You prescribe Ju Pi Zhu Ru Tang. After examining her tongue which is red with a little coat and checking her pulse which is Thin and Rapid, you decide to modify the formula. Which of the following herbs will you add? A. Tao Ren, Hong Hua B. Yu Jin, Mu Xiang, Wu Yao C. Zhu Ru, Lu Gen, Pi Pa Ye D. Mai Men Dong, Shi Hu, Lu Gen

D

Sarah has cold pain in both knees. She complains of tinnitus and her cheeks feel numb and extremely painful when it's windy and cold outside. What is the differential diagnosis for this case? A. Local pain due to Qi and Blood Stagnation B. Liver Excess C. Yang Deficiency with Cold Stagnation D. Kidney Deficiency

D

Sarah is seven months pregnant. She has a mass in her lower abdomen with severe, stabbing abdominal pain. What is the most appropriate formula for this case? A. Sheng Mai San B. Tao He Cheng Qi Tang C. Dan Shen Yin D. Gui Zhi Fu Ling Wan

D

Shannon has a weak immune system and catches colds easily. She was recently sick and struggles to recover. Her current symptoms are restlessness, nosebleeds that can last for a whole day, body rash, tinnitus and incoherent speech. What is the correct diagnosis for this case? A. Heat invading Pericardium B. Blood level Heat invading Heart C. Liver Heat injuring meridians and collaterals D. Lung Heat injuring the meridians and collaterals

D

Sophia has a large fibroid that went undiagnosed for several years. This causes her periods to be very heavy and painful while her menstrual blood is dark. Upon palpation you discover that her lower abdomen is hard and you can clearly feel the edges of the fibroid. Which points are best for this case? A. S13, B62 B. GB41, SJ5 C. P6, SP4 D. L7, K6

D

Steven has severe headaches that tend to be worse on the weekends. He finds this strange as he thinks they should get better not worse on the weekends since he has time to rest. Other symptoms are dizziness, tinnitus, insomnia, anxiety and irritability. What is the cause of the headache? A. Liver and Kidney Blood and Yin Deficiency B. Kidney Yin Deficiency with Empty Wind C. Liver Fire D. Liver Yang Rising

D

Steven suffers from constipation. He says that he feels hot all the time and is very thirsty. His breath smells bad. The tongue has a yellow and dry coating and the pulse is rolling and forceful. What is the differential diagnosis for this case? A. Deficiency Constipation due to Agglomeration of Cold B. Deficiency Constipation due to Deficiency of Qi and Blood C. Excess Constipation due to Stagnation of Qi D. Excess Constipation due to Accumulation of Heat

D

Stewart was in a car accident last week. He has been in the hospital for the last week because he broke his leg during the accident. Which of the following conditions is most likely to occur after a bone fracture? A. Infection B. Necrosis C. Edema D. Thrombus

D

TB testing (PPD) is recommended for all practitioners. Those working in private clinic should test every ___________ while those working in inner city clinics with high-risk patients should test every __________. A. 2 years; 1 year B. 18 months; 6 months C. 6 months; 1 year D. 1 year; 6 months

D

Tasha, age 48, is experiencing loss of hair. It is coming out in big clumps. Her mom went through early menopause and experienced similar symptoms, such as hair loss. She also has night sweats and irritability. She is in your clinic today to talk about TCM nutrition to help with her condition. Which foods would you suggest for her diet? A. Mung beans, daikon, carrots, lotus root, persimmon caps, mint, honeysuckle flower B. Lentils, grapefruit peel, carp, ginger, orange peel, bamboo shavings, persimmon cap and millet C. Cabbage, cucumber, dandelion, lettuce, malt, reed root, lotus root, honeysuckle D. Black beans, sesame seeds, tofu, walnuts, goji berries, mulberries, yams, licorice, Chinese black dates, lotus seeds, chrysanthemum

D

The Yuan Source point for the Foot Shaoyang is needled 0.5-0.8 cun perpendicularly. What is the correct location? A. Anterior and inferior to the medial malleolus, in the depression on the medial side of the tendon m. extensor digitorum longus B. Anterior and inferior to the external malleolus, in the depression on the medial side of the tendon m. extensor digitorum longus C. Posterior and inferior to the external malleolus, in the depression on the medial side of the tendon m. extensor digitorum longus D. Anterior and inferior to the external malleolus, in the depression on the lateral side of the tendon m. extensor digitorum longus

D

The Yuan Source points on the Yin channels are which Five Shu points category? A. Jing-River B. Luo-Connecting C. He-Sea D. Shu-Stream

D

The acupuncture prescription of H7, SP6, ANMIAN, UB20, UB18, UB19, and GB12 can properly treat the insomnia syndrome characterized by A. Insomnia, epigastric distention or rigidity, epigastric pain, belching, and difficulty of defecation B. Restlessness, insomnia, dizziness, tinnitus, dry mouth, poor memory, and burning sensation on the chest, palms, and soles C. Difficulty of falling asleep, dream-disturbed sleep, poor memory, palpitation, lassitude, anorexia, and sallow face D. Irritability, dream-disturbed sleep, nightmares, headaches, and distending pain in the costal region

D

Where is the Jing-River point of Hand Shaoyang channel located? A. When the elbow is flexed, the point is in the depression about 1 cun superior to the olecranon B. When the fist is clenched, the point is located in the depression proximal to the margin of the web, between the ring and small fingers, at the junction of the red and white skin C. When the fist is clenched, the point is on the dorsum of tie hand, between the 4th and 5th metacarpal bones, in the depression proximal to the 4th metacarpophalangeal joint D. 3 cun proximal to the dorsal crease of the wrist, on the line connecting SJ4 and the tip of olecranon, between the radius and ulna, on the radial side of m. extensor digitorum

D

Where is the location of the Xi Cleft point of the Yang Wei channel (Yang Link / Yang Linking Vessel)? A. 5 cun above the lateral malleolus, on the anterior border of the fibula B. 7 cun above the lateral malleolus, on the anterior border of the fibula C. 3 cun above the lateral malleolus, on the posterior border of the fibula D. 7 cun above the lateral malleolus, on the posterior border of the fibula

D

Where is the scalp acupuncture for balance? A. Horizontal line 1.5cm above and centered on the apex of ear, 4cm in length B. vertical line 2cm beside tuber parietale on back of head, 3cm in length C. 1cm lateral to external occipital protuberance, parallel to midline of head, 4c in length extending upward D. 3cm lateral to external occipital protuberance, parallel to midline of head, 4cm in length extending downwards

D

Which Eight Extraordinary Vessel replenishes pre- and post-heaven essence? A. Ren Mai (Conception/ Directing Vessel) B. Yang Wei Mai (Yang Link/ Yang Linking Vessel) C. Yin Wei Mai (Yin Link/ Yin Linking Vessel) D. Chong Mai (Thoroughfare/ Penetrating Vessel)

D

Which Front-Mu point can be used for mastitis? A. Below the 11th rib B. Below the nipple, in the 7th ICS C. Below the 12th rib D. Below the nipple, in the 6th ICS

D

Which Front-Mu point does Spleen channel not intersect? A. G24 B. Ren3 C. L1 D. GB25

D

Which Organ's Lower He Sea point is located at the midpoint of the transverse crease of the popliteal fossa? A. San Jiao B. Kidney C. Stomach D. Urinary Bladder

D

Which Sea of Qi benefits shortness of breath? A. ST9 B. Du14 C. Du16 D. Ren 17

D

Which Shang Han Lun stage most closely corresponds with Qi Level from the Wen Bing Lun? A. Taiyin B. Taiyang C. Shaoyin D. Yangming

D

Which channel begins at the bottom of the little toe, ascends to connect with SP6, DU1, Ren3, Ren4 and terminates at the root of the tongue? A. LV divergent B. KD divergent C. UB divergent D. KD meridian

D

Which channel treats cardiac pain and cervical pain? A. Chong B. Ren C.Yang Wei D.Yin Wei

D

Which channels does the Ban Lan Gen enter? A. H, Liv, GB B. Liv, S C. LI, L, S D. H, L, S

D

Which diagnostic exam is best for a medial meniscus injury? A. PET B. CT Scan C. SPECT D. MRI

D

Which disease can we suspect when there is headache, vomiting and a high fever? A. Carditis B. Colitis C. Cystitis D. Meningitis

D

Which disease is not caused by hyper activity of adrenal cortex? A. Cushing syndrome B. Adreno-genital syndrome C. Conn syndrome D. Sheehan's syndrome

D

Which disease is related to Niacin deficiency? A. Beri-beri B. Scurvy C. Night blindness D. Pellegra

D

Which extra points are best to treat deviation of eyes and mouth? A. Jia Cheng Jiang & Shang Lian Quan B. Taiyang & Shang Lian Quan C. Shang Lian Quan & Qian Zheng D. Taiyang & Qian Zheng

D

Which flavors would help a patient who was malnourished and had menstrual bleeding? A. Sour and cool B. Acrid and cool C. Acrid and warm D. Sour and warm

D

Which food should a hypertensive patient avoid? A. Salty taste, potato, pork, sour taste B. Salty taste, sweat potato, fish, pungent taste C. Salty taste, sweat potato, fish, sour taste D. Salty taste, potato, fish, pungent taste

D

Which formula includes an acrid (disperses clumping) and bitter (guides Qi downward) herb which treats epigastric focal distention and fullness? A. Huo Xiang Zheng Qi San (Patchouli/ Agastache Powder to Rectify the Qi) B. Yue Ju Wan (Escape Restraint Pill) C. Bao He Wan (Preserve Harmony Pill) D. Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Epigastrium)

D

Which herb and point are good for patients with Mastitis? A. Jin Yin Hua (Lonicerae Flos) and Ren17 B. Gui Zhi (Cinnamomi Ramulus) and S18 C. Qing Pi (Citri reticulatae viride Pericarpium) and S17 D. Pu Gong Ying (Taraxaci Herba) and S18

D

Which herb can be used for insomnia and constipation for a pregnant woman? A. Hei Zhi Ma B. Yuan Zhi C. Suan Zao Ren D. Bai Zi Ren

D

Which herb does not increase the risk of bleeding when taken with Warfarin? A. Chuan Xiong B. Hong Hua C. Dan Shen D. Gan Cao

D

Which herb has the same action as Coumadin? A. Bai Guo B. Ma Huang C. Fu Ling D. Dang Gui

D

Which herb is best for drying Dampness, stop itching and warming the Kidneys? This same herb can also tonify Yang: A. Di Fu Zi (Kochiae Fructus) B. Ku Shen (Sophorae fiavescentis Radix) C. Cang Zhu (Atractylodis Rhizoma) D. She Chuang Zi (Cnidii Fructus)

D

Which herb is mutual antagonism with Ze Xie (Alismatis Rhizoma) and caution for pregnancy? A. Huo Xiang (Pogostemonis Herba) B. Sha Ren (Amomi Fructus) C. Cang Zhu (Atractylodis Rhizoma) D. Hou Po (Magnoliae officinalis Cortex)

D

Which herb is used together with Huang Qin to clear Upper Jiao Heat? A. Huang Bai (Phellodendri Cortex) B. Da Huang (Rhei Radix et Rhizoma) C. Zhi Zi (Gardeniae Fructus) D. Huang Lian (Coptidis Rhizoma)

D

Your patient presents with hypochondrial pain, headaches, dizziness and red sore eyes. He says that his ears feel swollen and he can't hear well. He also has a bitter taste in his mouth and is coughing up blood. His pulse is Wiry (Xuan Mai), Forceful (Shi Mai) and Rapid (Shu Mai). Which of the following herbal modifications would be most appropriate to add to the formula Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver)? A. Chuan Bei Mu (Fritillariae cirrhosae Bulbus), Gou Teng (Uncariae Ramulus cum Uncis) B. Chi Shao Yao (Paeomae Radix rubra), Lian Xu (Nelumbinis Stamen) C. Sang Ye (Mori Folium), Ju Hua (Chrysanthemi Flos) D. Mu Dan Pi (Moutan Cortex), Ce Bai Ye (Platycladi Cacumen)

D

Your patient presents with loose stool with undigested food, anorexia, epigastric distress after eating, sallow complexion and lassitude. The tongue is pale with a white tongue coating. The pulse is thready and forceless. Which of the following Back-shu and Front-mu combination could be used to enhance the treatment effect? A. UB21, LV14 B. UB13, LU1 C. UB23, GB25 D. UB20, LV13

D

Your patient shows up at your clinic with yellow sclera and a yellow hue to his skin. He is holding his right side over his liver and complaining of side pain and distension. What is the 5 Element diagnosis for this case? A. Earth overacting on Water B. Wood insulting Metal C. Wood not generating Fire D. Earth insulting Wood

D

Your patient suffers from Epidemic Parotitis (Mumps). You want to use Ear Acupuncture to treat them. Which of the following point prescriptions is best for this case? A. Parotid Gland, Brain, Subcortex B. Antitragus, Brain, Shenmen C. Shenmen, Heart, Brain D. Parotid Gland, Cheek (Face Area), Subcortex

D

Your patient was riding a horse. When he dismounted the horse, he fell off and hit his head. To make matters worse, on the way to your clinic for treatment to help with the back pain - he got into a car accident. Now, he has neck and shoulder pain that radiates to the forearm and fingers. What is the best treatment for this patient? A. Needle around C7 B. Needle around C8 C. Needle around C7 and C8 (Moxibustion and cups treatment) D. Refer him to his MD for an MRI

D

Your patient was taking Paxil which didn't agree with her. She asks you if there is an herbal substitute. Which formula would you prescribe? A. Ba Zhen Tang (Eight Treasure Decoction) B. Suan Zao Ren Tang (Sour Jujube Decoction) C. Huang Lian E Jiao Tang (Coptis and Ass Hide Gelatin Decoction) D. Gan Mai Da Zao Tang (Licorice, Wheet and Jujube Decoction)

D

Your patient, Ariana was diagnosed with Mallory-Weiss syndrome, which is tears in the esophageal lining due to prolonged and severe vomiting. Ariana has a drug and alcohol problem and is severely bulimic. What is the main symptom that she will have? A. Hiccups B. Hernia C. Breathing problems D. Hematemesis

D

_____________ is relative excess due to consumption of Yang. Select the correct one to fill in the gap: A. Excess Cold B. Excess Heat C. Deficiency Heat D. Deficiency Cold

D