TCM Test Questions

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A 12 year-old male child has a fever, chills, a dry sore throat. The tongue has a thin yellow coating and the pulse is superficial. Which of the following foods would you prescribe? A. mustard greens with grapefruit peel B. pears with mint C. green onions with coriander D. parsnip with scallion

A 12 year-old male child has a fever, chills, a dry sore throat. The tongue has a thin yellow coating and the pulse is superficial. Which of the following foods would you prescribe? B. pears with mint Source: This is an external wind-heat condition. In wind-heat, foods that disperse wind and clear heat are selected. Pears, which are cool, clear heat, moisten dryness, and generate body fluids. Mint is a cool-acrid herb that releases the exterior, and benefits the throat. The foods in the other answer have a warming energetics and are more appropriate for a wind-cold external pattern. Other foods that release external wind-heat include cabbage, chrysanthemum flowers, radish, and dandelion. Foods to avoid with wind-heat include shellfish (contraindicated with heat), vinegar or sour foods (traps external pathogen by closing the pores), energetically warm/hot foods (ginger, chili, leeks, onions, etc), and dairy products (encourages congestion). Drinks to use: cabbage broth, cilantro and mint tea, burdock tea. - Chinese Nutrition Therapy, Kastner, 2004, page 165, 166; Tao of Nutrition, Ni and McNease, 2012, page 129, 130

SP-5 (shang qiu) is a A. Jing-river point B. He-sea point C. Shu-stream point D. Ying-spring point

SP-5 (shang qiu) is a A. Jing-river point Source: jing-river points treat chills, fever, and cough (SP-5 treats chills and fever with vomiting, cough); some jing-river points treat the voice (SP-5 treats stiff tongue, impaired speech, tendency to laugh, sighing with cold body); some jing-river points treat the bones and sinews (SP-5 treats pain-contraction in the sinews, heavy body with painful joints); also a metal point - A Manual of Acupuncture, Deadman, 2001, page 188, 35, 36

Aldosterone promotes A. sodium retention B. potassium retention C. urinary excretion D. angiotensin release

Aldosterone promotes A. sodium retention Source: the primary role of aldosterone is to regulate the balance of potassium, sodium, and water by affecting the absorption of all three in the kidney; aldosterone causes the kidney to reabsorb more water and sodium, while causing potassium to be excreted in exchange for the sodium

All of the following are cupping methods EXCEPT A. prick cupping B. inserted needle cupping C. laser cupping D. boiled herb or stored herb cupping

All of the following are cupping methods EXCEPT C. laser cupping Source: there is no laser cupping technique; prick cupping involves combining cupping with bloodletting which is employed when there are indications or signs of stagnant blood; the inserted needle cupping method combines cupping and needling which is useful for painful conditions; this method is not used in Japan as it requires a deeper needle insertion; in the boiled herb the cups are "marinated" with boiling herbs, shaken, and then placed over a point that was pricked with a lancet and left in place for about ten minutes; this method is mostly used for rheumatic disorders; the stored herb method is similar to the boiled herb method except that it is just applied on the skin (no lanced point); the herb liquids used are ginger, pepper, or sake to treat bi-syndromes, cough, and digestive disorders - Japanese Acupuncture, 1998, Birch and Ida, page 183

The Buttocks ear point is located at the A. lateral 1/3 of the inferior antihelix crus B. middle portion of the antihelix crus C. terminal of the inferior antihelix crus D. medial 2/3 of the inferior antihelix crus

The Buttocks ear point is located at the A. lateral 1/3 of the inferior antihelix crus Source: Chinese Acupuncture and Moxibustion, 3rd Edition, page 516-524; 2nd Edition, 1999, page 535-542

The Cortisol Urine test is performed in patients with suspected malfunctioning A. Heart B. Bladder C. Lungs D. Adrenal gland

The Cortisol Urine test is performed in patients with suspected malfunctioning D. Adrenal gland Source: this test is performed when the doctor suspects an hyper/hypofunctioning of the adrenal gland; the function of cortisol is to coordinate the activity of the hypothalamus, pituitary gland, and adrenal glands; the hypothalamus produces CRH (corticotropin-releasing hormone) which stimulates the release by the pituitary of ACTH (adrenocorticotropic hormone) which in turn stimulates the adrenal cortex to produce cortisol; rising cortisol levels tell the hypothalamus to stop releasing CRH and the pituitary to stop releasing ACTH; cortisol affects the metabolism of proteins, fats, carbohydrates; it also has a big effect on blood glucose level; cortisol increases blood glucose stimulating the release of stored glucose; cortisol also blocks insulin thus blocking the movement of glucose into the cells; increased cortisol levels are seen during stress, obesity, Cushing disease, and hyperthyroidism; decreased cortisol levels are seen in adrenal hyperplasia, Addison disease, and hypothyroidism - Mosby's Manual of Diagnostic and Laboratory Tests, 4th Edition, 2010, Pagana, page 965; 2nd Edition page 862

The caution for dang shen (radix codonopsitis pilosulae) is A. Excess pathogens B. Hypertension C. Empty Fire D. Dry constipation

The caution for dang shen (radix codonopsitis pilosulae) is A. Excess pathogens Source: Key herb characteristics: tonifies the middle jiao, augments the Lung and Spleen qi. - Materia Medica, Bensky, 3rd Edition, page 714

The chronic use of analgesics which contain caffeine may produce A. Dream disturbed sleep B. Rebound headaches C. Scanty urination D. Visual floaters

The chronic use of analgesics which contain caffeine may produce B. Rebound headaches Source: the overuse or misuse of analgesic medications can cause a "rebound" into another headache; when the pain medication wears off there can be a withdrawal reaction, prompting the taking of more medication, which only leads to another headache; this rebound phenomena is especially pronounced if the medication contains caffeine; caffeine is often included in many medications to speed up the effect of other ingredients

Palpating the apical pulse reflects the state of A. Yuan Qi B. Qi and Blood C. Yang D. Zong Qi

Palpating the apical pulse reflects the state of D. Zong Qi Source: the apical pulse is palpated in the left side of the chest in the 5th intercostal space where the apex of the heart is; the Chinese term for this pulse is Xu Li which is another name for the Stomach Great-Luo channel which goes through the diaphragm and lungs and exits below the left breast to produce the heart beat and the beating of the Zong Qi (Gathering Qi); from a western anatomy point of view, the apical pulse is the left ventricle of the heart; in Western medicine the apical pulse, which is assessed with a stethoscope, refers to the pulsation of the heart; it represents the opening and closing of heart valves (lub dub sound) and assesses cardiac function which is the ability of the heart to pump to the body - Diagnosis in Chinese Medicine, Maciocia, 2004, page 512

Palpating the area below the xiphoid process reflects the condition of A. The Middle Burner B. The Upper and Middle Burner C. The Upper Burner D. The Lower Burner

Palpating the area below the xiphoid process reflects the condition of C. The Upper Burner Source: this area reflects the health of the Lung Qi, Heart Qi, and gathering Qi (Upper Burner); if this area feels hard-knotted it indicates Lung or Heart Qi stasis, while if this area is soft it indicates that the flow of Qi is smooth but if it feels overly soft it indicates Heart xu - The Foundations of Chinese Medicine, Maciocia, 2015, page 393; 2005 Edition, page 371

Patients with kidney failure are at risk of A. hyperparathyroidism B. hyperthyroidism C. hypoparathyroidism D. hypothyroidis

Patients with kidney failure are at risk of A. hyperparathyroidism Source: he kidneys contain vitamin D receptors which help to activate vitamin D; the active form of vitamin D helps to regulate calcium levels in the blood; if the kidneys fail to activate vitamin D, the parathyroid gland will incorrectly interpret this as there not being enough hormone (PTH) and compensate by releasing PTH which can lead to an excess of PTH and can cause secondary hyperparathyroidism resulting in bone pain and easily fractured weak bones; because of this, patients with kidney failure are at risk for secondary hyperparathyroidism

The occipital lobe of the brain processes visual data and then transfers it to the A. corpus callosum B. thalamus and hypothalamus C. parietal and temporal lobes D. pons

The occipital lobe of the brain processes visual data and then transfers it to the C. parietal and temporal lobes Source: he parietal lobe processes visual, auditory and touch data; the temporal lobe is the major area for early auditory processing and higher levels of visual processing

Two days ago, a 45 year-old female patient started feeling cold with a slight fever and shivers, with severe body aches, an occipital headache, with no sweating, no thirst, and clear urine. The tongue was normal. She then started to feel more feverish with less shivers, decreased body aches, slight sweating, a stronger headache, slight thirst, and slightly dark urine. The front of the tongue was slightly red. Five days later she suddenly started to feel very hot, irritable, having a difficulty falling asleep, night sweats, and a dry mouth and throat. Her tongue was red and the coating was peeling. What is the point prescription for this patient? A. REN-4 (guan yuan), KI-3 (taixi), KI-6 (zhaohai), SP-6 (sanyinjiao) Source: The disease progression is tai yang stage > wei qi level > shao yin stage. It is the latest clinical manifestation (shao yin stage) that is treated. An external wind-cold pathogen has entered the body. The tai yang stage is associated with wind-cold (aversion to cold, slight fever, no sweating, headache, stiff neck, sneezing, runny nose with white discharge, breathlessness, normal tongue, floating-tight pulse). From there the wind-cold transformed into wind-heat. The wei qi level is associated with wind-heat (fever, aversion to cold, headache, sore throat, slight sweating, runny nose with yellow discharge, swollen tonsils, body aches, slight thirst, red tongue thin-white coating, floating-rapid pulse). From the wind-heat stage the disease progressed further into the body to the shao yin stage. The shao yin stage has two patterns: cold transformation (Kidney yang xu with empty cold) and heat transformation (Kidney yin xu with empty heat). This patient has the heat transformation type which is the same pathology of Kidney yin deficiency with empty heat. The treatment principle for shao yin with heat transformation is to Nourish Kidney Yin and Clear Empty-Heat. REN-4 nourishes blood and yin, strengthens the Kidneys, benefits yuan qi, and roots the Mind (shen) and Ethereal Soul (hun). It is selected to nourish Kidney yin (night sweats, dry mouth), to root the shen (irritability) and anchor the hun (insomnia). KI-3 tonifies Kidney yin and qi, calms the Mind, and benefits essence. It is selected to nourish the yin. KI-6 is selected to nourishes Kidney yin and calm the Mind. It is selected to promote and nourish fluids (dry mouth, throat) and calm the Mind. SP-6 is selected to nourish blood and yin and to calm the Mind. When the yin is tonified with these points the Empty Fire is cleared. The Rx with LR-3 treats the jue yin stage where the focus is on clearing heat above, expelling cold below, and harmonizing the Liver channel. The Rx with DU-14 is more suitable in treating yang ming organ pattern where the focus is on draining fire from the Stomach and Intestines and moving the qi downward. The Rx with LI-4 is more suitable in treating wind-heat at the wei qi level where the focus is to release the exterior, expel wind-heat, and diffuse and descend the Lung qi. - Foundations of Chinese Medicine, Maciocia, 2015, page 755, 761, 770, 1067, 1132

Upon auscultating a patient with atrial fibrillation you expect to hear A. Fast regular rhythm B. Mid-systolic click C. Irregularly irregular rhythm D. Regularly irregular rhythm

Upon auscultating a patient with atrial fibrillation you expect to hear C. Irregularly irregular rhythm Source: atrial fibrillation is one of the most common types of irregular heart rhythms; in this condition the heart rhythm is rapid irregular and originates in the atria, which is the heart chamber that receives blood from the veins; men have atrial fibrillation more often than women.; atrial fibrillation can be associated with other types of heart disease; women are more likely to have atrial fibrillation associated with valve disease, while men more often have atrial fibrillation associated with coronary artery disease

What are the actions of si ni san (frigid extremities powder)? A. Vents pathogenic qi; Releases constraint; Spreads Liver qi; Regulates the Spleen B. Spreads Liver qi; Strengthens the Spleen; Nourishes the blood C. Harmonizes the Stomach; Reduces focal distention; Disperses clumping D. Clears heat; Spreads Liver qi; Regulates menstruatio

What are the actions of si ni san (frigid extremities powder)? A. Vents pathogenic qi; Releases constraint; Spreads Liver qi; Regulates the Spleen Source: The TCM diagnosis is yang or hot-type inversion caused by internal constraint of yang qi. The formula also treats various digestive disorders caused by a disharmony between the Liver and Spleen. With the appropriate TCM presentation, the formula can be selected to biomedically treat 1) disorders marked with spasmodic abdominal pain (cholecystitis, gastritis, gastric ptosis, peptic ulcers, allergic colitis, appendicitis, adhesive intestinal obstruction, urinary tract stones, dysmenorrhea), 2) disorders related to emotional stress (PMS, impotence, coronary artery disease, stress incontinence, enuresis), 3) disorders marked by unsmooth excretion (rhinitis, acute mastitis, blocked fallopian tubes). The formula can treat intercostal neuralgia, neurogenic headache, trigeminal neuralgia, and epilepsy. - Formulas and Strategies, Bensky, 2nd Edition, page 116

What are the contraindications for mu dan pi (cortex moutan radicis)? A. Deficient Cold of Spleen and Stomach, Exterior disorders B. Cold Blood disorders, Pregnancy or excessive menstruation C. Caution in Spleen or Stomach dampness, Deficient Spleen diarrhea D. Must be used in full, excess conditions only

What are the contraindications for mu dan pi (cortex moutan radicis)? B. Cold Blood disorders, Pregnancy or excessive menstruation Source: This herb is contraindicated when the excess menstruation is not due hot blood combined with stagnant blood. There are occasional symptoms of toxicity (dizzniness, nausea) which spontaneously disappear without having to stop taking the herb. Key herb characteristics: cools heat from xu or shi, gently invigorates blood, clears lurking fire from blood. - Materia Medica, Bensky, 3rd Edition, page 128

What are the three parts of a neuron? A. cell body, dendrite, axon B. nucleus, axon, cytoplasm C. axon, organelle, dendrite D. nucleus, dendrite, vestibulospinal tract

What are the three parts of a neuron? A. cell body, dendrite, axon Source: he cell body includes all of the following: the nucleus, cytoplasm , and cell organelles; chemicals and parts needed for the cell to work properly including small structures called cell organelles; dendrites branch off from the cell body and function as points of contact for receiving chemical-electrical signals or impulses other neurons; an axon extends from cell bodies to connect and transmit impulses to another nerve cell; axons can vary in length from a fraction of an inch to several feet long

What brings the Clear Yang to the head? A. Yang Channels B. Luo-Connecting Channels C. Divergent Channels D. Extra-ordinary Vessels

What brings the Clear Yang to the head? A. Yang Channels Source: all of the Yang channels meet and raise the Clear Yang to the head; the Clear Yang permits clear seeing, clear hearing, clear tasting, and clear smelling - The Foundations of Chinese Medicine, Maciocia, 2015, page 349; 2005 Edition, page 329; 1989 Edition, page 155

What ion is most directly involved in muscle contractions? A. Potassium B. Calcium C. Sodium D. Chloride

What ion is most directly involved in muscle contractions? B. Calcium Source: muscle contraction is regulated by calcium ions, which will change thin filament into an activated state by binding to troponin which is a calcium-regulated protein in muscle tissue; magnesium works with calcium in muscle contraction and relaxation (calcium-contraction, magnesium-relaxation)

sang ji sheng (ramulus sanjisheng) has a dosage of A. 9-15g B. 2.4-9g C. 6-15g D. 9-30g

sang ji sheng (ramulus sanjisheng) has a dosage of A. 9-15g Source: Key herb characteristics: tonifies the Liver and Kidneys, nourishes yin and blood, expels wind-damp, calms the fetus. - Materia Medica, Bensky, 3rd Edition, page 335

Lifting, thrusting, and rotating the needle evenly and gently at moderate speed with mild needle sensation and withdrawing needle at moderate speed is A. the reinforcing method B. the reducing method C. the even method D. Setting the Mountain on Fire

Lifting, thrusting, and rotating the needle evenly and gently at moderate speed with mild needle sensation and withdrawing needle at moderate speed is C. the even method Source: Chinese Acupuncture and Moxibustion, 3rd Edition, page 346-349; 2nd Edition, 1999, page 346-349

Normally, when a healthy woman is about to menstruate the pulse image is that A. the cubit and bar pulses on the left are surging and larger than those on the right B. the two bar pulses are floating-rapid and the two inch pulses are string-like C. the two bar pulses and the two inch pulses are string-like D. the two bar pulses and the two inch pulses are floating-rapid

Normally, when a healthy woman is about to menstruate the pulse image is that A. the cubit and bar pulses on the left are surging and larger than those on the right Source: In a healthy woman about to menstruate you will usually either palpate that the cubit and bar pulses on the left are surging and larger than those on the right or that the two bar pulses are string-like and the two inch pulses are floating-rapid. If the women has irregular menstruation, the pulse picture will change. If the pulse is string-like and rapid or the two bar pulses are surging, large, slippery and rapid this can indicate Blood Heat in the Penetrating and Conception Vessels. This pulse image can be palpated with excessive menstruation. If the pulse is fine and rapid, thin can indicate Blood Heat damaging the Body Fluids resulting in Yin Vacuity Effulgent Fire. This pulse image can be palpated with early menstruation with dribbling and spotting. - Practical Diagnosis in Traditional Chinese Medicine, Deng, 1999, page 357

huang qi (radix astragali menbranacei) enters the A. Kidney, Lung B. Lung, Spleen C. Heart, Lung, Stomach D. Spleen, Stomach

huang qi (radix astragali menbranacei) enters the B. Lung, Spleen Source: Key herb characteristics: raises the yang qi, facilitates urination, promotes discharge of pus, generates flesh - Materia Medica, Bensky, 3rd Edition, page 718

jing-well points treat the most distal areas primarily in relation to A. Atrophy B. Clearing fullness and heat C. Painful obstruction D. Traumatic injury

jing-well points treat the most distal areas primarily in relation to B. Clearing fullness and heat Source: for example, LU-11 treats sore throats and mumps; LI-1 treats deafness/tinnitus; ST-45 treats toothache and epistaxis; HT-9 treats the root of the tongue, painful throat; SI-1 treats deafness, tinnitus, and the tongue; BL-67 treats vertex pain and nasal congestion; KI-1 treats vertex pain, voice loss, throat pain, and dizziness; PC-9 treats the tongue (stiffness, inability to speak); TB-1 treats tinnitus, deafness, ear pain, and painful throat; GB-44 treats headaches, eye pain, and stiff tongue; LR-1 treats epistaxis and bitter mouth taste - A Manual of Acupuncture, Deadman, 2001, page 32

A 12 year-old male has Allergic Purpura. What are the symptoms? A. rash, itchiness, difficulty breathing, congestion, abdominal pain, mental confusion, dizziness B. red or purple skin discolorations that do not blanch on applied pressure, fever, joint pain C. dry, red patches that resemble a burn, blisters with draining fluid, pruritis D. ed-hot edematous skin, lymphangitis, regional lymphadenopathy

A 12 year-old male has Allergic Purpura. What are the symptoms? B. red or purple skin discolorations that do not blanch on applied pressure, fever, joint pain Source: allergic purpura, also called Henoch-Schonlein purpura (HSP), is an auto-immune disease mostly affecting children; allergic purpura is a type of vasculitis (inflammation of blood vessels) affecting the small blood vessels; when the skin blood vessels become inflamed the vessels start leaking blood which causes a purplish, bruise-like rash which is painless (purpura); the rash does not change color when pressure is applied; the symptoms of allergic purpura are often preceded by a cold or flu; other symptoms of HSP include abdominal pain and joint pain - The Merck Manual, 18th Edition, page 275

A 19 year-old female has candida. Her tongue coating is thick, greasy, and yellow tongue. Which of the following foods would you prescribe? A. mung beans and daikon B. leeks and ginger C. bananas and pork D. fermented pickles

A 19 year-old female has candida. Her tongue coating is thick, greasy, and yellow tongue. Which of the following foods would you prescribe? A. mung beans and daikon Source: Candida overgrowth corresponds to an excess of Dampness which can generate Phlegm. To treat candida requires foods that dry up Dampness and transform Phlegm. Mung beans dry up damp conditions. Daikon can clear accumulated Phlegm from the digestive tract (drink 1-2 ounces of the juice daily). Daikon is indicated with phlegm-heat (tongue coating is greasy-yellow). For phlegm-cold, one could use fresh ginger, onions, leeks or grapefruit peel to help transform the phlegm and cold. Other foods that dry up Dampness include millet (dispels dampness and transforms phlegm), corn/corn silk tea (balances body fluids and promotes diuresis), carp (dispels dampness and reduces swelling); Avoid foods that increase Dampness and Phlegm (sugar, yeast containing foods, fermented foods, dairy products, banana, pork, fatty foods). Most fruits except berries, pomegranates, lemons, and limes should also be avoided. Drinks to use: cilantro and ginger tea, scallion and basil tea, grapefruit peel tea. - Healing with Whole Foods, Paul Pitchford, 3rd Edition page 74; Chinese Nutrition Therapy, Kastner, 2004, page 47

A 22 year-old male has Sciatica with L5-S1 nerve root compression. Which reflex deficit will you most likely find? A. knee jerk reflex B. ankle jerk reflex C. Homan's sign D. FABER sign

A 22 year-old male has Sciatica with L5-S1 nerve root compression. Which reflex deficit will you most likely find? B. ankle jerk reflex Source: sciatica is pain that affects the back, hip, and the leg; the pain can be burning or stabbing; sciatica can occur with or without lumbar pain; sciatica is caused by a spinal nerve root compression in the lower back which is often due to an intervertebral disk degeneration; reflex testing is used to determine the intervertebral level of the nerve root compression; a weak or non-existent ankle jerk reflex test points to an L5-S1 involvement; straight leg raising can result in radiating pain down the leg when the leg is raised above 60 degrees (sometimes less); an MRI and/or electrodiagnostic studies can be ordered - The Merck Manual, 18th Edition, page 327

A 22 year-old male patient has cough, itchy throat, thin-white sputum, no thirst, headache, nasal obstruction, thin-white tongue coating, and a superficial pulse. His strongest symptoms are fever, wanting to be covered, and avoiding cold drafts. Which two points would you add to your prescription to address these two symptoms? B. DU-14 (da zhui), TB-5 (wai guan) Source: TB-5, the luo-connecting point of the Triple Burner, expels wind and releases the exterior; as the confluent point of the Yang Linking Channel, the Classic of Difficulties says that when the Yang Linking Channel is diseased there can be severe chills and fever; another ancient text (Song of Points) says that TB-5 can be used for all wind, cold, summer-heat, and damp pathogens; DU-14, meeting point of DU and all six yang channels, can expel wind and firm the exterior; DU-14 can be used with cold injury causing high fever, shivering, and chills - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 411; 2nd Edition, 1999, page 412

A 27 year-old female has Chlamydia. Which test best confirms the diagnosis? A. CBC B. CT scan C. ultrasound D. culture

A 27 year-old female has Chlamydia. Which test best confirms the diagnosis? D. culture Source: a swab sample from the urethra in men or from the cervix in women is taken and then sent to a lab for analysis for the presence of the bacteria (C trachomatis) associated with chlamydia; a urine sample may also be taken to test for the presence of bacteria; a sexually active woman aged 25 years or younger, should get a test for chlamydia every year; gay, bisexual, and men who have sex with men should also be tested; pregnant women should also be tested for chlamydia as the bacteria can be passed on to the newborn; chlamydia is suspected in patients with urethritis, salpingitis, cervicitis, proctitis, pharyngitis, or lower UTIs - The Merck Manual, 18th Edition, page 1652

A 32 year-old female patient has loose stools, lassitude, and cold limbs. She complains of poor concentration and is having difficulty studying for her exams. What is the Five Element diagnosis? B. Fire not generating Earth Source: In TCM, this pattern is classified as Spleen Yang Deficiency. The Fire (yang) fails to provide the necessary heat for the Spleen to fulfill its transforming and transporting function. In TCM, the Spleen (Earth) derives its heat from from Kidney yang and not from the Element Fire (Heart/Small Intestine). In TCM, the Kidneys are not only associated with the Water Element but also as the source of Fire in the body. In TCM theory, the relationship between Kidney Yang Fire and Spleen Yang is more important than the Five Element relationship between the Heart (Fire) and Spleen (Earth). The spiritual aspect of the Spleen (Earth) is the yi (Intellect). The Spleen is involved with studying, memorizing, focusing, and concentration. The treatment principle is to Tonify the Mother (Fire) to nourish the Son (Earth). - Foundations of Chinese Medicine, Maciocia, 2015, page 822

A 32 year-old female patient has loose stools, lassitude, and cold limbs. She complains of poor concentration and is having difficulty studying for her exams. What is the Five Element diagnosis? C. Fire not generating Earth Source: In TCM, this pattern is classified as Spleen Yang Deficiency. The Fire (yang) fails to provide the necessary heat for the Spleen to fulfill its transforming and transporting function. In TCM, the Spleen (Earth) derives its heat from from Kidney yang and not from the Element Fire (Heart/Small Intestine). In TCM, the Kidneys are not only associated with the Water Element but also as the source of Fire in the body. In TCM theory, the relationship between Kidney Yang Fire and Spleen Yang is more important than the Five Element relationship between the Heart (Fire) and Spleen (Earth). The spiritual aspect of the Spleen (Earth) is the yi (Intellect). The Spleen is involved with studying, memorizing, focusing, and concentration. The treatment principle is to Tonify the Mother (Fire) to nourish the Son (Earth). - Foundations of Chinese Medicine, Maciocia, 2015, page 822

A 32 year-old female patient has premenstrual breast and abdominal distention for the past three years. Two weeks before her period she is also irritable. Though she was prescribed progesterone, it did not resolve her symptoms. Her period was painful and had a heavy flow with slightly dark blood. She had a regular 28 day cycle with period lasting 4-6 days. When questioned, she reported having blurred vision, dizziness and tingling limbs. The tongue was unremarkable except for the sides having a slight orange tinge. The pulse was fine on the right and fine and little wiry on the left. She had a dull and pale complexion. What are the Eight Principles involved that explains this case? D. Deficiency, Excess Source: This patient has Liver Qi Stasis on a background of Liver Blood Vacuity. Liver Qi Stasis manifests as PMS distention, painful period, and a slight-wiry pulse. Liver Blood Vacuity manifests as blurred vision, tingling limbs, dull-pale complexion, orange tinge on the sides of the tongue, and a fine pulse. These two patterns of Deficiency and Excess are mirrored in the pulse as the fine pulse (Deficiency) and the wiry pulse (Excess). - Obstetrics & Gynecology in Chinese Medicine, Maciocia, 1st Edition, page 365

A 32 year-old male has a Herniated Nucleus Pulposus at L5. What are his symptoms? A. pain along back of leg and buttock, weak medial gastrocnemius, impaired ankle flexion, sensory loss over lateral calf and foot B. leg pain worse when walking, leg swelling, red skin on leg, increased warmth where there is pain C. pain in buttock and posterior lateral thigh, foot drop and weakness, sensory loss over shin and dorsal foot D. excruciating, sudden, unexpected, burning pain, as well as swelling, redness, warmth, and stiffness in the hip

A 32 year-old male has a Herniated Nucleus Pulposus at L5. What are his symptoms? C. pain in buttock and posterior lateral thigh, foot drop and weakness, sensory loss over shin and dorsal foot Source: in the lumbar area 80% of disk ruptures affect L5 or S1 nerve roots; in the cervical area, C6 and C7 are most common; herniated nucleus pulposus (HNP), also called a herniated disc, is a common spinal disorder; HNP occurs when the fluid gel within the disk bulges or extrudes out and impinge on the spinal nerves; resulting in pain, numbness/weakness the leg; however, many patients experience no symptoms from a herniated disk; in an L5 herniated disk the most intense pain in the buttocks, thigh and calf; there can be numbness (sensory loss) in the leg, and weakness (foot drop) - The Merck Manual, 18th Edition, pages 1901-1902

A 36 year-old female has a lower Urinary Tract Infection. Diagnosis is confirmed with a Urine specimen showing a A. bacterial count of 5,000/ul confirms the diagnosis B. bacterial count of 10,000/ul confirms the diagnosis C. bacterial count of 50,000/ul confirms the diagnosis' D. bacterial count of 100,000/ul confirms the diagnosis

A 36 year-old female has a lower Urinary Tract Infection. Diagnosis is confirmed with a Urine specimen showing a D. bacterial count of 100,000/ul confirms the diagnosis Source: many times, in simple cases, diagnosis is made and treatment prescribed based only on symptoms without lab tests; in difficult or uncertain cases, a urinalysis can be done to confirm the diagnosis; the urinalysis checks for the presence of leukocytes (white blood cells), the presence of urinary nitrites, or leukocyte esterase (an enzyme released by white blood cells); another test, urine microscopy, checks for the presence of RBCs (red blood cells), WBCs (white blood cells), and bacteria - Professional Guide to Diseases, 9th Edition, page 412

A 37 year-old male has right knee pain that is sharp, stabbing, and fixed. Hot compresses help reduce the pain. On palpation the knee feels cold to the touch. Which of the following foods would you prescribe? B. lamb and scallions Source: This is a cold bi-syndrome. It requires foods that are energetically warm or hot. This includes garlic (hot-pungent, anti-viral, anti-fungal, moves stagnant qi and blood), scallions (hot-pungent, expels external pathogens, dispels wind and cold, promotes sweating), mustard greens (warm-pungent, promotes urination), lamb (hot-sweet, dispels cold, tonifies weakness, nourishes qi, aids lactation), ginger (warm-pungent, expels pathogens, benefits Lung and Stomach, treats cold arthritis), grapes (warm-sweet-sour, strengthens bones, treats cold arthritis, promotes urination), black pepper (hot-acrid, enriches yang, expels cold). Millet and barley are for damp bi-syndrome. Cabbage, dandelion, and watermelon are for hot bi-syndrome. In cold-bi syndrome avoid cold foods and drinks and raw foods. - Tao of Nutrition, Ni and McNease, 2012, page 119

A patient has paralysis in the legs. Which Chinese scalp acupuncture Area would you treat? A. Upper fifth of motor Area line B. Second and third fifths of motor Area line C. Upper fifth of sensory Area line D. Lower two fifths of sensory Area line

A patient has paralysis in the legs. Which Chinese scalp acupuncture Area would you treat? A. Upper fifth of motor Area line Source: This is the Lower limb and Trunk Area which treats paralysis of the lower limb on the opposite side - Acupuncture: A Comprehensive Text, 1981, Bensky, page 498; Chinese Scalp Acupuncture, Jason Hao, Lingzhi Hao, 2017 page 47

A 41 year-old female patient has had genital herpes for the past six years. The herpetic episodes occurred usually before or after the period. The herpetic eruptions consisted of vesicular lesions which erupted to then form ulcers. The genital lesions were pale in color and painless. The pulse was very deep and very weak on the right side and slippery on the left side. The tongue was bluish-purple with large blue areas on the sides. The ROOT CAUSE of the genital herpes is C. Cold and Yang Xu Source: The genital herpes presented themselves over a background of Cold and Deficient Yang. The deep-weak pulse on the right points to Kidney Yang Xu. The bluish color of the tongue point to the presence of Cold while the purplish color points to the presence of Blood Stasis which is a consequence of the the Cold. There is Kidney Yang Deficiency that generates Cold which then stagnates the Blood. - Obstetrics & Gynecology in Chinese Medicine, Maciocia, 1st Edition, page 855

A 41 year-old male has been diagnosed with HIV. Which lab tests are used to confirm diagnosis? A. culture B. ultrasound C. ELISA and Western Blot D. CBC, ESR, and RPR

A 41 year-old male has been diagnosed with HIV. Which lab tests are used to confirm diagnosis? C. ELISA and Western Blot Source: HIV is most commonly diagnosed by blood testing for antibodies (a blood protein produced in response to and counteracting a specific antigen) to the virus; the ELISA (enzyme-linked immunosorbent assay) blood test can help detect HIV related antibodies; the western blot (also called the protein immunoblot) blood test is used to detect specific proteins associated with an HIV infection; it is often used to help to confirm the diagnosis after other tests are undertaken; it can take time for the body to develop these antibodies/protiens (up to 12 weeks); newer tests can give an earlier diagnosis via finding of the HIV-1 antigen which is a protein produced by the virus immediately after an HIV infection - The Merck Manual, 18th Edition, page 1629

A 44 year-old female has Idiopathic Thrombocytopenic Purpura. What will the lab findings reveal? A. increased MCH B. decreased platelet count C. decreased MCV D. increased white blood cell count

A 44 year-old female has Idiopathic Thrombocytopenic Purpura. What will the lab findings reveal? B. decreased platelet count Source: thrombocytopenia is a deficiency of platelets (disk-shaped cell fragments that help blood clot); this causes bleeding into the tissues, bruising, and slow blood clotting; the spleen is of normal size unless it is enlarged by a concurrent viral infection; blood cells (also platelets) are produced in the bone marrow; bone marrow diseases can interfere with platelet production; if the bone marrow is healthy, then platelets can prematurely be removed from the blood from such factors as exposure to toxic chemicals, an autoimmune disorder, alcoholism, exposure to viruses (eg Epstein-Barr, HIV, hepatitis); symptoms include bleeding on various parts of the skin with small red or purple spots called petechiae, red, purple, brown bruising called purpura, bleeding that does stop by itself, internal bleeding (blood in urine/stool) - The Merck Manual, 18th Edition, page 1068

A 45 year old male has had red and inflamed joints on both wrists and the fingers of both hands. This started three months ago. You suspect rheumatoid arthritis. You would see all of the following EXCEPT A. x-ray showing joint deformity Source: x-rays are often done later in the course of the disease to confirm the breakdown of the joints; they are often normal for the first six months; ESR (erythrocyte sedimentation rate) is increased in 90% of cases; Rheumatoid Factor (RF) is positive in 80% of cases; CCP (cyclic citrullinated peptide) antibody found in 60-70% of people with RA - Biomedicine: A Textbook for Practitioners of Acupuncture & Oriental Medicine page 439

A 45 year old male has had red and inflamed joints on both wrists and the fingers of both hands. This started three months ago. You suspect rheumatoid arthritis. You would see all of the following EXCEPT B. x-ray showing joint deformity Source: x-rays are often done later in the course of the disease; they are often normal for the first six months; ESR (erythrocyte sedimentation rate) is increased in 90% of cases; Rheumatoid Factor (RF) is positive in 80% of cases; CCP (cyclic citrullinated peptide) antibody found in 60-70% of people with RA - Biomedicine: A Textbook for Practitioners of Acupuncture & Oriental Medicine page 439

A 45 year-old female has Acute Glomerulonephritis. What are her symptoms? A. excruciating and intermittent radiating pain from flank to abdomen, nausea, vomiting B. edema, oliguria, hematuria, azotemia, hypertension, fatigue C. urgency, dysuria, feeling of warmth during urination, hematuria, low back pain D. urinary frequency, urgency, nocturia, decreased size and force of urinary stream

A 45 year-old female has Acute Glomerulonephritis. What are her symptoms? B. edema, oliguria, hematuria, azotemia, hypertension, fatigue Source: acute glomerulonephritis is an inflammation of the glomeruli of kidneys; glomeruli (a cluster of capillaries around the end of a kidney tubule) remove excess fluid, waste, and electrolytes in the bloodstream via the urine; this disorder begins 1 - 3 weeks after an untreated streptococcal infection of the respiratory tract; it can also develop from bacterial endocarditis eventually affecting the kidneys or can develop from a viral infection; symptoms include pinkish urine (hematuria), foamy urine (proteinuria), edema, elevation of blood urea nitrogen (azotemia), oliguria (decreased urination) or anuria (absence of urine output), hypertension, and malaise - Professional Guide to Diseases, 9th Edition, page 388

A 45 year-old female patient has shoulder pain near LU-2 (yun men) with an inability to raise the arm. She also has knee pain. Which distal Lung point would you select to treat both the shoulder and the knee pain? B. LU-5 (chi ze) Source: LU-5 is an important point that can treat the whole upper arm. The point relaxes the sinews and alleviates pain. It is indicated in for channel disorders with pain and restricted motion of the shoulder, upper arm, elbow and hand. Using the cross-connection method, LU-3 can be used to treat knee pain. The cross-connection method needles the joint in the upper limb to treat disorders of the lower limb and vice versa. Being located on the flexure of the elbow joint, LU-5 can also treats lumbar pain as the elbow joint is the equivalent of the upper limb for BL-40 which is at the flexion of the knee joint. LU-6 as a xi-cleft point resolves obstruction along the Lung channel to treat an inability to raise the arm above the head, elbow pain, and difficulty flexing and extending the fingers. However, LU-6 does not have an indication for treating knee pain. LU-5 is a he-sea and Water point. The actions of LU-5 are to clear Lung heat and descend Lung qi, regulate the water passages, activate the channel, and relax the sinews and alleviate pain. - A Manual of Acupuncture, Deadman, 2nd Edition, page 81

A 45 year-old male patient has cough, profuse yellow sputum, is thirsty, feels hot, and has a red face. During the interview he laughs inappropriately when talking about a recent death in his family. What is the Five Element diagnosis? A. Metal insulting Fire B. Fire insulting Water C. Metal overacting on Wood D. Fire overacting on Metal

A 45 year-old male patient has cough, profuse yellow sputum, is thirsty, feels hot, and has a red face. During the interview he laughs inappropriately when talking about a recent death in his family. What is the Five Element diagnosis? D. Fire overacting on Metal Source: The corresponding TCM pattern is Lung Full Heat. The corresponding voice for Heart (Fire) is laughter which, when the element is imbalanced, can manifest as over seriousness or inappropriate laughter. When the facial color corresponds to one element (red face, fire, heart) and the clinical manifestations correspond to another element (metal, lungs) in the overacting sequence, this indicates that the root of the problem is in the controlling element (water, kidneys). The treatment principle is to Regulate Fire (Heart) and Regulate Metal (Lungs). - Foundations of Chinese Medicine, Maciocia, 2015, page 822

A 45 year-old man has chronic indigestion with a sensation of fullness of the epigastrium, belching, and nausea. The pulse is full and tight, especially in the middle position. The tongue has a thick white coating. Which vessel would you treat?' C. chong mai (penetrating vessel) Source: The clinical picture points to food stagnation in the middle burner. Because the chong mai surfaces at ST-30, which is the upper point for the Sea of Food, the chong mai is related to the Stomach. Because of this connection, the chong mai can be selected to treat any Stomach disorder, especially excess disorders (Stomach qi stasis, Rebellious Stomach qi, Stomach Heat, Blood Stasis in the Stomach, etc). The chong mai opening (SP-4) and coupled (PC-6) are selected as the main points combined with additional points. The chong mai influences the feet, medial aspect of legs, uterus, lumbar spine, abdomen, chest, heart, throat, face, and head. - Foundations of Chinese Medicine, Maciocia, 2015, page 912, 916; 2005 Edition, page 862

A 45-year old female is taking Valtrex (valacyclovir). What is the problem? A. bacterial infection B. viral infection C. fungal infectio D. toxic infection

A 45-year old female is taking Valtrex (valacyclovir). What is the problem? B. viral infection Source: Valtrex (valacyclovir), an anti-viral, treats the herpes virus

A 48 year-old female patient has had heavy periods for one year. Her menstrual cycle is short. The menstrual blood was bright-red. Her periods suddenly start with a flood and often trickle for several days after the end of her period. She also reports having PMS with symptoms of pronounced irritability, swelling, and distension. She easily felt hot and had pounding headaches and mouth ulcers. She had dizziness. Her face was very red, had restless eyes, and generally looked uptight. The pulse was rapid, wiry, and a little overflowing. The tongue was red with yellow-thick coating. What is the diagnosis? B. Blood Heat, Liver Fire, Liver Qi stasis Source: The Blood heat manifested as feeling hot, red face, rapid-overflowing pulse, heavy period, red tongue with yellow coating, and mouth ulcers. Profuse menstrual bleeding due to Blood Heat has profuse bleeding which is bright-red or dark-red. It can cause either flooding or trickling. Often times the Blood Heat is generated from Liver Fire which in turn can be generated by emotional issues. The Liver stores Blood and is connected to the ren and chong mai. Heat or Fire in the Liver can heat up the Blood and make it spill out of the blood vessels. The Liver Fire manifested as red face, dizziness, feeling hot, pounding headaches, red tongue, and wiry pulse. There was some Liver qi stasis which manifested as premenstrual tension, irritability, and distention. - Obstetrics & Gynecology in Chinese Medicine, Maciocia, 1st Edition, page 313

A 57 year-old female has Bronchiectasis. What diagnostic tests confirmed the diagnosis? A. MRI of chest B. x-ray and CT of chest C. pulmonary auscultation D. sputum culture

A 57 year-old female has Bronchiectasis. What diagnostic tests confirmed the diagnosis? B. x-ray and CT of chest Source: a diagnosis of bronchiectasis is initially based on history, the physical exam; the x-ray will show scattered opacities caused by mucus plugs and will show dilated airways; a chest computed tomography scan, or chest CT scan, is the most common test for confirming the diagnosis bronchiectasis; the CT scan is almost 100% sensitive and specific in detecting the bronchiole varicosities and cysts associated with bronchiectasis; other tests can also be ordered: blood tests to determine if there is an infection, sputum culture, and lung function tests to determine lung volume capacity - The Merck Manual, 18th Edition, page 441

A 57 year-old female has Bronchiectasis. What is the treatment to prevent-limit acute exacerbations? A. aspirin 325 mg B. corticosteroids (Prednisone 10 mg) C. prophylactic oral antibiotics (Cipro) D. theophylline (Theo-24)

A 57 year-old female has Bronchiectasis. What is the treatment to prevent-limit acute exacerbations? C. prophylactic oral antibiotics (Cipro) Source: treatment focuses on preventing worsening of the condition, manage acute attacks, and treating the underlying problem; antibiotics are the main treatment for the repeated lung infections that bronchiectasis causes; they are used to prevent-limit acute exacerbations; an annual flu vaccine is also recommended; expectorants and mucus thinners can also be prescribed to facilitate the coughing up of mucous; depending on the condition (cystic fibrosis) of the patient, bronchodilators, inhaled corticosteroids, and oxygen therapy can be prescribed - The Merck Manual, 18th Edition, page 442

A 73 year-old female has Osteoporosis. All of the following may be used for treatment EXCEPT A. Calcium and vitamin D supplementation B. weight-bearing exercises C. aripiprazole D. isphosphonate

A 73 year-old female has Osteoporosis. All of the following may be used for treatment EXCEPT C. aripiprazole Source: aripiprazole is the generic name for Abilify, a bipolar anti-depressant drug; estrogen in the form of Selective Estrogen Receptor Modulators (SERMs) can also be prescribed; SERMs such as Raloxifene (Evista) has the benefits of estrogen while avoiding the potential adverse side effects; doctors can prescribe medications such as bisphosphonates (Fosamax) to treat osteoporosis; parathyroid hormone, (Forteo or teriparatide), can also be prescribed as well as calcitonin hormone; weight-bearing exercise and calcium and vitamin D supplements can strengthen bones - The Merck Manual, 18th Edition, page 307

A 75 year-old male has steaming bones, tidal fever, night sweating, agitation and heat, poor appetite and weakness. Which extra point is indicated?' A. shi qi zhui xia B. wei guan xia shu C. huan men D. ding chuan

A 75 year-old male has steaming bones, tidal fever, night sweating, agitation and heat, poor appetite and weakness. Which extra point is indicated?' C. huan men Source: huan men is translated as "gate of suffering"; huan men is located 1.5 cun lateral to the spinous process prominence of T5; this point nourishes yin and clear heat, tonifies qi - A Manual of Acupuncture, Deadman, 2nd Edition, page 572

A 79 year-old female has Osteoarthritis. Diagnosis is confirmed with A. CT scan B. x-ray C. ASO tite D. MRI

A 79 year-old female has Osteoarthritis. Diagnosis is confirmed with B. x-ray Source: an x-ray of the affected joints can show a loss of joint cartilage, a narrowing of the joint space, and bone spur formation; observing the location, duration, and character of the joint pain and joint appearance (heberden and bouchard nodes) can assist in making the diagnosis; other tests can be performed to exclude other diseases; for example, arthrocentesis fluid analysis can be ordered to exclude gout or an infection - The Merck Manual, 18th Edition, page 294

A bed-ridden cancer patient has a pulse that can easily be felt with just touching the skin. What treatment principle is most likely applicable? A. release the exterior, expel Cold B. rescue and tonify the qi C. release the exterior, clear Heat D. transform Dampness, resolve Phlegm

A bed-ridden cancer patient has a pulse that can easily be felt with just touching the skin. What treatment principle is most likely applicable? B. rescue and tonify the qi Source: 'in rare cases a floating pulse (fu mai) can be felt in chronic interior conditions like cancer or anemia where the qi is very deficient and floats to the surface of the body; it is a critical sign of the disease - Foundations of Chinese Medicine, Maciocia, 2015, page 383; 2005 Edition, page 361; CAM, 3rd Edition, page 288

A headache that occurs only in the daytime is likely caused by A. Blood or Yin deficiency B. Exterior attack of Wind-Cold C. Liver-Yang D. Qi or Yang deficiency

A headache that occurs only in the daytime is likely caused by D. Qi or Yang deficiency Source: if the headache occurs in the evening it is most likely due to yin or Blood deficiency; if it occurs during the night-time, it can be due to stagnant Blood - The Foundations of Chinese Medicine, Maciocia, 2015, page 349; 2005 Edition, page 330; 1989 Edition, page 155

A healthy pulse has a balance of A. depth, strength, width B. depth, speed, strength, width C. strength, width D. depth, speed, length, width

A healthy pulse has a balance of B. depth, speed, strength, width Source: a moderate pulse (huan mai) is considered a healthy pulse; it is balanced and normal with depth (middle), speed (5 beats per respiration), strength, and width; some authors say that this pulse is slightly slippery; this pulse is not often felt; moreover, a patient does not need to have this pulse in order to be assessed as healthy; patients rarely manifest a moderate pulse (huan mai); this is because every patient has an individualized health pattern depending on balance, age, and constitution; each patient has a tendency toward a Yin or Yang imbalance which can be discerned in the pulse; a moderate pulse (huan mai) can combine with other signs; if a patient has edema then the presence of a moderate pulse can help in making the diagnosis of Dampness - The Web That Has No Weaver, Kaptchuk, 2000, page 203

A history of recurring bouts of cough and wheezing in children is usually due to A. Lung Phlegm Heat B. External Wind-Water C. Kidney Yang Deficiency D. Wood insulting Metal

A history of recurring bouts of cough and wheezing in children is usually due to A. Lung Phlegm Heat Source: chronic bouts of cough or wheezing in children almost always indicates the presence of residual pathogenic factors which originally start as an invasion of wind treated with antibiotics that drive the pathogenic factor and transform to Phlegm-Heat to lodge in the body or the residual pathogens can lodge themselves due to a weak constitution - The Foundations of Chinese Medicine, Maciocia, 2015, page 370; 2005 Edition, page 350

A history of recurring earaches in children usually indicates A. Damp-Heat in Gall-Bladder channel B. Kidney Yin Deficiency C. External Wind-Cold D. Stomach Heat

A history of recurring earaches in children usually indicates A. Damp-Heat in Gall-Bladder channel Source: chronic earaches in children can mean that there are residual pathogenic factors (Damp-Heat) lodged in the body usually as a result of repeated antibiotic drug prescriptions which do not resolve-expel the pathogenic factor; acute earaches are due to an invasion of Wind - The Foundations of Chinese Medicine, Maciocia, 2015, page 371; 2005 Edition, page 351

A patient has a cough for longer than three weeks, green-yellow expectoration, hemoptysis, drenching night sweats, fatigue, weight loss, and fever. What diagnosis do you suspect? D. Pulmonary Tuberculosis Source: tuberculosis (TB) is a highly infectious lung disease; according to WHO, 95 % of all diagnosed TB cases occur in developing countries; however, chronic tobacco smokers, long-term drug or alcohol abusers are more likely to get TB as well as patients with HIV/AIDS diagnosis; patient with diabetes, late-stage kidney disease, and some cancers are also risk factors; even though they carry the bacteria, patients with a strong immune system may not have TB symptoms; this is called latent or inactive TB; latent TB is not contagious; the TB bacteria is transmitted by inhaling air droplets containing the M. Tuberculosis bacteria through coughing, singing, and other forced exhales from those individuals who have active TB; whether the active TB is moderate or severe, the patient may not have any symptoms other than not feeling well; if there are specific symptoms there will be cough, which is most common, expectoration of green-yellow sputum, fever, fatigue; drenching night sweats is a hallmark of TB but not just specific to TB; there can be dyspnea, weight loss, pneumothorax, and hemoptysis - The Merck Manual, 18th Edition, page 1509

A patient has a sore and weak back, clear and frequent urination, weak urinary stream, dribbling after urination, feeling cold, incontinence, urination at night, nocturnal emission without dreams, and premature ejaculation, pale tongue, and deep-weak pulse in the rear position. What is the Kidney zang-fu pattern? B. Kidney Qi Not Firm Source: another name for this pattern is Lower Original (yuan) Qi not Firm; this pattern is a type of sinking Qi involving the two "lower orifices" (urethra and sperm gate in men); as such, there are two main categories of symptoms: urinary and sexual; in the Lower Burner, the Kidney Qi and Yuan Qi are weak which leads to an inability to hold fluids and sperm resulting in various types of leaks (urine, sperm, vaginal discharges); since the Kidneys are weak, the Bladder does not receive enough Qi to transform fluids (incontinence, weak-stream urination, dribbling urination, night urination); since the Kidneys are weak, the Kidney Qi has a difficult time holding in sperm (men) and vaginal secretions (women) leading to premature ejaculation, nocturnal emissions without dreams (with dreams means Empty-Heat), and chronic white vaginal discharges; when the Kidneys are weak, the Qi can sink and cause a bearing down sensation in the lower abdomen or a uterine prolapse; this pattern also has Kidney Yang Deficiency (feeling cold, clear urination, night urine);just having dribbling urination, back pain, and vaginal discharges is enough to make this diagnosis; the treatment principle is Tonify and Stabilize Kidney Qi, Raise Qi, and Tonify Kidney Yang - The Foundations of Chinese Medicine, Maciocia, 2015, page 629; 2005 Edition, page 595; 1989 Edition, page 254

A patient has a sore and weak back, clear and frequent urination, weak urinary stream, dribbling after urination, feeling cold, incontinence, urination at night, nocturnal emission without dreams, and premature ejaculation, pale tongue, and deep-weak pulse in the rear position. What is the Kidney zang-fu pattern? C. Kidney Qi Not Firm Source: another name for this pattern is Lower Original (yuan) Qi not Firm; this pattern is a type of sinking Qi involving the two "lower orifices" (urethra and sperm gate in men); as such, there are two main categories of symptoms: urinary and sexual; in the Lower Burner, the Kidney Qi and Yuan Qi are weak which leads to an inability to hold fluids and sperm resulting in various types of leaks (urine, sperm, vaginal discharges); since the Kidneys are weak, the Bladder does not receive enough Qi to transform fluids (incontinence, weak-stream urination, dribbling urination, night urination); since the Kidneys are weak, the Kidney Qi has a difficult time holding in sperm (men) and vaginal secretions (women) leading to premature ejaculation, nocturnal emissions without dreams (with dreams means Empty-Heat), and chronic white vaginal discharges; when the Kidneys are weak, the Qi can sink and cause a bearing down sensation in the lower abdomen or a uterine prolapse; this pattern also has Kidney Yang Deficiency (feeling cold, clear urination, night urine);just having dribbling urination, back pain, and vaginal discharges is enough to make this diagnosis; the treatment principle is Tonify and Stabilize Kidney Qi, Raise Qi, and Tonify Kidney Yang - The Foundations of Chinese Medicine, Maciocia, 2015, page 629; 2005 Edition, page 595; 1989 Edition, page 254

A patient has abdominal pain, diarrhea with blood and mucus in the stools. What is the treatment plan? A. Clear Heat, Resolve Dampness, Stop Diarrhea Source: Large Intestine Damp-Heat; ETIOLOGY: 1) excess intake of hot-qi foods, greasy foods, or alcohol; 2) chronic emotional stress (anxiety, worry) can generate internal Heat and when combined with a diet high on hot-qi foods can produce Damp-Heat; PRECURSORS TO PATTERN: Spleen qi xu can predispose the patient to develop Dampness; PATTERN DEVELOPMENT: 1) Large Intestine Damp-Heat can cause Small Intestine Damp-Heat; 2) Dampness blocking the Lower Burner can lead to Spleen qi xu - The Foundations of Chinese Maciocia, 2015, page 688; 2005 Edition, page 648; 1989 Edition, page 278

A patient has abdominal pain, diarrhea with blood and mucus in the stools. What is the treatment plan? A. Clear Heat, Resolve Dampness, Stop Diarrhea B. Clear Heat in the Large Intestine and Stomach, Promote Body Fluids C. Clear Heat in Stomach and Large Intestine, Regulate Large Intestine D. Tonify the Spleen to Hold Blood Source: Large Intestine Damp-Heat; ETIOLOGY: 1) excess intake of hot-qi foods, greasy foods, or alcohol; 2) chronic emotional stress (anxiety, worry) can generate internal Heat and when combined with a diet high on hot-qi foods can produce Damp-Heat; PRECURSORS TO PATTERN: Spleen qi xu can predispose the patient to develop Dampness; PATTERN DEVELOPMENT: 1) Large Intestine Damp-Heat can cause Small Intestine Damp-Heat; 2) Dampness blocking the Lower Burner can lead to Spleen qi xu - The Foundations of Chinese Maciocia, 2015, page 688; 2005 Edition, page 648; 1989 Edition, page 278

A patient has alternating constipation and diarrhea, abdominal distention and pain, and a wiry pulse. What is the treatment plan? A. Subdue Rebellious Qi, Tonify the Stomach B. Subdue Rebellious Liver Qi, Tonify the Spleen C. Clear Liver Fire, Subdue Rebellious Qi D. Disperse the Liver, Regulate Qi

A patient has alternating constipation and diarrhea, abdominal distention and pain, and a wiry pulse. What is the treatment plan? B. Subdue Rebellious Liver Qi, Tonify the Spleen Source: Liver Invading Spleen; ETIOLOGY: 1) chronic emotional stress (anger, frustration, resentment, revenge) tying up the Liver qi which then interferes with proper Spleen functioning; 2) irregular eating habits (eating in a hurry, eating when worried or angry, eating while working) can stagnate the Liver qi and simultaneously cause the Liver qi to rebel against the Spleen (Wood attacking Earth); PRECURSORS TO PATTERN: rebellious qi of the Liver can come from Liver qi stasis; PATTERN DEVELOPMENT: 1) chronic rebellious qi of the Liver can eventually weaken Spleen qi; 2) the Wood attacking the Earth can lead to the development of Dampness accumulation; 3) rebellious Liver qi, Spleen qi xu, and accumulation of Dampness is often seen in irritable bowel syndrome - The Foundations of Chinese Medicine, Maciocia, 2015, page 560; 2005 Edition, page 530; 1989 Edition, page 227

A patient has back pain and night sweating. What is the treatment plan? A. Nourish Kidney and Heart Yin, Clear Heart Empty Fire B. Nourish Kidney Yin, Clear Empty Fire, Calm the Mind C. Nourish Liver and Kidney Yin D. Nourish Kidney Yin

A patient has back pain and night sweating. What is the treatment plan? D. Nourish Kidney Yin Source: Kidney Yin Deficiency; ETIOLOGY: 1) chronic overwork of physical activity can deplete Kidney yin; 2) too much sex, particularly during adolescence, can weaken Kidney Essence and yin; 3) Body Fluids depletion caused by Heat after a febrile disorder can cause Kidney yin xu; 4) chronic Blood loss can lead to Liver Blood xu which then can cause Kidney yin xu; 5) a chronic illness in the Liver, Heart, or Lungs can eventually have an effect on Kidney yin; 6) excess intake of Kidney yang tonic herbs can injure the yin; PRECURSORS TO PATTERN: 1) Liver yin xu, Heart yin xu, and Lung yin xu can over time each be causative of Kidney yin xu; 2) chronic Liver Blood xu in women can generate yin xu of the Kidneys; 3) as there is a inter-relationship between yin and yang, Kidney yin xu can be caused by Kidney yang xu; in this pattern the yin xu will be dominant; PATTERN DEVELOPMENT: as the Kidneys are the root of yin and yang, a yin xu in the Kidneys can lead to yin xu of the Liver, Heart, Lungs, or Stomach - The Foundations of Chinese Medicine, Maciocia, 2015, page 627; 2005 Edition, page 593; 1989 Edition, page 252

A patient has bronchial asthma. The Stop Wheezing and Lung ear points are needled for three treatments. There is just a slight improvement. You modify the prescription by adding all of the following points to the first prescription EXCEPT C. Occiput Source: the Lung point treats the respiratory system, skin disorders, rhinitis, and excess sweating; it is also used for acupuncture anesthesia; the Kidney point strengthens the Kidney to grasp the qi; the Sympathetic point treats diseases related to parasympathetic and sympathetic nervous system; the parasympathetic nerves of an asthmatic overstimulate the bronchial tubes; this point has a strong analgesic and relaxing effect on internal organs; the Adrenal point stimulates adrenalin and adrenocortical hormones and treats inflammation, allergies, and regulates excitation-inhibition of respiratory function; the Stop Wheezing point regulates excitation or inhibition of the respiratory center and is used for coughing, panting, or itching - Acupuncture: A Comprehensive Text, Bensky, 1981, page 591, 481, 484, 489; CAM, 3rd Edition, page 527 lists Lung, Trachea, Ear-Shenmen, Adrenal (infratragic Apex), Stop Wheezing (antitragic apex) for asthma

A patient has burning sensations in the epigastrium, oppressive feeling in the chest, thirst with desire for cold drinks, and red tongue with thick, yellow and greasy coating. What is the diagnosis? B. Stomach Phlegm-Fire Source: this pattern combines Fire and Phlegm in the Stomach; in Stomach Fire the tongue coating is thick-yellow-dry; in Stomach Phlegm-Fire the tongue coating is thick-yellow-greasy; another differentiating symptom is that Phlegm is more obstructive so there is an oppressive feeling in the epigastrium and chest - The Foundations of Chinese Medicine, Maciocia, 2015, page 662; 2005 Edition, page 625; 1989 Edition, page 269

A patient has confusion, fever, vomiting, severe headache, a stiff neck, a rash, a dislike of bright lights, and is very sleepy. What is the most likely type of headache? A. migraine headache B. cluster headache C. flu headache D. meningitis headache

A patient has confusion, fever, vomiting, severe headache, a stiff neck, a rash, a dislike of bright lights, and is very sleepy. What is the most likely type of headache? D. meningitis headache Source: the classic symptoms of meningitis are headache, fever, and stiff neck; meningitis can be bacterial or viral infection that causes an inflammation of the meninges which are the membranes that line the skull, vertebral canal, and enclose the brain-spinal cord; viral and bacterial meningitis are contagious; there are often outbreaks in schools or colleges; patients confuse the early signs-symptoms of meningitis with influenza but then, within a few hours or days, the symptoms take a turn for the worse with high fever, stiff neck (person has difficulty flexing the neck), headache, nausea/vomiting, sleepiness with difficulty waking up, seizures, no interest in eating; these symptoms-signs can occur in anyone age two or older; for infants, there can be high fever, constant crying, a bulge on the fontanel, excess sleepiness, body/neck stiffness; patients with viral meningitis may improve without treatment; however, bacterial meningitis is serious and requires prompt antibiotic treatment; a delay in the treatment of bacterial type can result in brain damage or death; the only way to tell which type of meningitis a patient has is through cerebral spinal fluid testing - The Merck Manual, 18th Edition, page 1858

A patient has constipation, burning anus, abdominal pain and distention made worse with massage, high fever, vomiting, thirst, sweating, and delirium. What pulse is expected? C. Deep-Full pulse Source: the diagnosis is Heat Obstructing Large Intestine; this is an acute pattern derived from the Large Intestine Heat pattern; one of the differences between the two is that the heat vaporizes the Body Fluids and produces sweating; this is a yang ming pattern; the expected pulse in this pattern is a Deep-Full pulse; a Deep pulse indicates an internal condition while a Full pulse indicates an excess condition; though Maciocia does not include a Rapid pulse in this pattern, one would expect for it to be there due to this being a Hot and Full condition; a red tongue with a thick-dry-yellow coating is expected in this pattern; the tongue coating can also be brown or black which reflects an extreme Hot condition; a thick coating indicates the presence of a pathogenic factor and thus indicates excess; the thicker the tongue coating the more severe the pathogenic factor; the heat is affecting and depleting the Body Fluids and causing a dry tongue; constipation, abdominal pain, fever, and a thick-yellow-dry coating are sufficient to make the diagnosis of Heat Obstructing Large Intestine; the treatment principle is Clear Heat in Stomach and Large Intestine and Move the Bowels - The Foundations of Chinese Medicine, Maciocia, 2015, page 692; 2005 Edition, page 651; 1989 Edition, page 279

A patient has difficult urination, feeling of heaviness, and pale turbid urine. What is the treatment plan? A. Resolve Dampness, Expel Cold, Remove Obstruction from Lower Burner Water Passages B. Resolve Dampness, Clear Heat, Open Lower Burner Water Passages C. Tonify and Warm Bladder and Kidney Yang D. Resolve Dampness, Open Lower Burner Water Passage

A patient has difficult urination, feeling of heaviness, and pale turbid urine. What is the treatment plan? A. Resolve Dampness, Expel Cold, Remove Obstruction from Lower Burner Water Passages Source: Bladder Damp-Cold; ETIOLOGY: an excess exposure to Damp and Cold from the environment; PRECURSORS TO PATTERN: 1) Spleen qi xu can lead to Damp accumulation; 2) Kidney yang xu can lead to Damp accumulation; PATTERN DEVELOPMENT: the Bladder Damp-Cold can block the Lower Burner leading to the development of Kidney yang xu - The Foundations of Chinese Medicine, Maciocia, 2015, page 716; 2005 Edition, page 674; 1989 Edition, page 289

A patient has discomfort in the epigastrium which improves after eating. She also has fatigue, and cold limbs. What is the diagnosis? A. Stomach Qi Deficienc B. Cold Invading the Stomach C. Retention of Food in Stomach D. Stomach Deficient and Cold

A patient has discomfort in the epigastrium which improves after eating. She also has fatigue, and cold limbs. What is the diagnosis? D. Stomach Deficient and Cold Source: this is a deficient, internal, cold pattern; this pattern is a Stomach qi deficient pattern (tiredness, epigastrium discomfort better with eating, poor appetite, weak limbs) with the addition of Empty-Cold (cold limbs, desire for warm foods and drinks); the Stomach deficiency and cold pattern is often associated with a Spleen yang deficiency pattern (loose stools, cold limbs, no thirst, likes warm food and drinks, weak pulse); because of the relationship of Stomach and Large Intestine, the epigastrium discomfort of Stomach qi deficiency can be aggravated with a bowel movement - The Foundations of Chinese Medicine, Maciocia, 2015, page 657; 2005 Edition, page 620; 1989 Edition, page 268

A patient has discomfort in the epigastrium which improves after eating. She also has fatigue, and cold limbs. What is the diagnosis? A. Cold Invading the Stomach B. Retention of Food in Stomach C. Stomach Qi Deficiency D. Stomach Deficient and Cold

A patient has dizziness, nervousness, timidity, lack of initiative, startles easy, and sighing. What pulse is expected? A. Wiry pulse B. Slow pulse C. Weak pulse D. Tight pulse

A patient has dizziness, nervousness, timidity, lack of initiative, startles easy, and sighing. What pulse is expected? C. Weak pulse Source: the diagnosis is Gall Bladder Deficiency; the Gall Bladder is the yang of the Liver; when the Gall Bladder is deficient then the qi of the Liver is also weak; the expected pulse in this pattern is a Weak pulse; a Weak pulse (ruo mai) is not felt at the superficial level but only at the deep level; it is a soft pulse; a Weak pulse indicates deficient Yang and sometimes deficient Blood; Liver qi xu also includes Liver Blood xu; the expected tongue is either pale or normal; Liver Blood xu can produce a pale tongue; if the tongue is normal, then it can be early in the development of this pattern; timidity, no initiative, and being indecisive are sufficient to make the diagnosis of Gall Bladder Deficiency; the treatment principle is Tonify-Warm the Gall Bladder and Tonify Liver Qi - The Foundations of Chinese Medicine, Maciocia, 2015, page 708; 2005 Edition, page 665; 1989 Edition, page 284

A patient has dry cough, dizziness, tinnitus, night sweats, and a peeled tongue. What is the treatment plan? A. Nourish Kidney Yin, Clear Empty Fire, Calm the Mind B. Nourish Lung and Kidney Yin, Nourish Body Fluids C. Nourish Liver and Kidney Yin D. Nourish Kidney Yin

A patient has dry cough, dizziness, tinnitus, night sweats, and a peeled tongue. What is the treatment plan? B. Nourish Lung and Kidney Yin, Nourish Body Fluids Source: Kidney and Lung Yin Deficiency; ETIOLOGY: the etiologies that cause Kidney yin xu can also lead to this pattern; these are: 1) chronic overwork; 2) excess sex; 3) loss of Body Fluids; 4) chronic bleeding; 5) chronic illness; 6) excess intake of Kidney yang herb tonics; these etiologies can be combined with chronic worrying which harms Lung qi; PRECURSORS TO PATTERN: 1) Kidney yin xu; 2) chronic Lung yin xu developing to include Kidney yin xu; PATTERN DEVELOPMENT: this pattern can develop into Empty-Fire and bleeding from the Empty-Fire lodging in the Blood - The Foundations of Chinese Medicine, Maciocia, 2015, page 644; 2005 Edition, page 609; 1989 Edition, page 261

A patient has dry stools which are difficult to pass, dry mouth and throat, and a thin body type. What pulse is expected? A. Weak pulse B. Fine pulse C. Choppy pulse D. Deep pulse

A patient has dry stools which are difficult to pass, dry mouth and throat, and a thin body type. What pulse is expected? B. Fine pulse Source: the diagnosis is Dry Large Intestine; this is a pattern involving Dryness and a deficiency of Body Fluids; most of the time this pattern occurs with Stomach Yin Xu; the expected pulse in this pattern is a Fine pulse which has a smaller diameter than a normal pulse; the Fine pulse here indicates an insufficient amount of Body Fluids or Blood to expand the pulse; the expected tongue is dry and can be either pale or red without coating; the tongue without coating indicates that the yin has been affected; the dry tongue body can be pale or red depending if the pattern is recent (pale) or red if the pattern has evolved to the dryness impacting the yin; only having dry stools without any other symptoms of not is sufficient to make the diagnosis of a Dry Large Intestine; the treatment principle is Promote Large Intestine Fluids - The Foundations of Chinese Medicine, Maciocia, 2015, page 697; 2005 Edition, page 656; 1989 Edition, page 280

A patient has epigastric pain, dry mouth, and peeled tongue in the central part or rootless coating in the central part. What is the diagnosis? A. Blood Stasis in the Stomach B. Stomach Yin Deficiency C. Stomach Fire D. Stomach Phlegm-Fire

A patient has epigastric pain, dry mouth, and peeled tongue in the central part or rootless coating in the central part. What is the diagnosis? B. Stomach Yin Deficiency Source: Fluids originate in the Stomach; when the yin of the Stomach is deficient there will be dryness (dry stools, dry mouth, thirst); in Stomach yin xu the characteristic of the thirst is that there is the desire to drink small sips; like all other yin deficiency patterns there can be afternoon fever, night sweats, and the tongue can be peeled, without coating (especially in the center of the tongue) - The Foundations of Chinese Medicine, Maciocia, 2015, page 658; 2005 Edition, page 622; 1989 Edition, page 268

A patient has frequent, copious and clear urination, incontinence, enuresis, and low back pain. What pulse is expected? A. Empty pulse B. Weak pulse C. Deep-Weak pulse D. Long pulse

A patient has frequent, copious and clear urination, incontinence, enuresis, and low back pain. What pulse is expected? C. Deep-Weak pulse Source: the diagnosis is Bladder Deficient and Cold; this pattern is similar to Kidney Yang Xu or Kidney Qi Not Firm with an emphasis on the Bladder; the Bladder gets its qi from the Kidneys; when the Kidneys are weak the Bladder fails to control the urine which leaks out; the pulse in this pattern is a Deep-Weak pulse; a Weak pulse (ruo mai) is not felt at the superficial level but only at the deep level; it is a soft pulse; a Weak pulse indicates deficient Yang and sometimes deficient Blood; a Deep pulse is only felt at the deep level near the bone; it is only with heavy finger pressure; a Deep pulse indicates an internal condition; the strength of a Deep pulse determines what type of internal condition it is; Deep-Weak indicates deficiency (qi or yang); Deep-Full indicates excess (qi/blood stasis, interior Cold/Heat); the expected tongue in this pattern is pale and wet; the tongue is pale due to a weak yang failing to bring blood upward to the tongue; the tongue is wet due to a weak yang failing to transform body fluids; frequent pale and copious urination and a deep-weak pulse are sufficient to make the diagnosis of Bladder Deficient and Cold; the treatment principle is Tonify-Warm Bladder and Kidney Yang - The Foundations of Chinese Medicine, Maciocia, 2015, page 718; 2005 Edition, page 674; 1989 Edition, page 289

A patient has hypochondriac fullness, bitter taste, and thick-greasy yellow tongue coating on the right side. What is the diagnosis? A. Gall Bladder Damp-Heat B. Gall Bladder Deficiency C. Gall Bladder Deficient and Cold D. Stagnant Gall Bladder Qi

A patient has hypochondriac fullness, bitter taste, and thick-greasy yellow tongue coating on the right side. What is the diagnosis? A. Gall Bladder Damp-Heat Source: 'this is an internal, full and hot pattern; when Dampness lodges in the Gall Bladder the heavy-full character of Dampness manifests; as a result you get fullness in the hypochondrium; as the accumulation of Dampness can obstruct the free-flow of Liver qi, there can also be hypochondrial pain; the patient may also have a general feeling of heaviness; in this pattern there can be nausea-vomiting due to Dampness blocking the descending function of the Stomach; as Dampness is sticky and dirty, there can be turbid urination, a sticky taste in the mouth, and the head may feel dull and heavy; the one-sided thick-greasy tongue coating is often seen in excess Gall Bladder patterns involving Dampness; in this pattern there is bitter taste which is a symptom caused by Heat; there can be additional Heat symptoms such as thirst, dark urine, and fever - The Foundations of Chinese Medicine, Maciocia, 2015, page 706; 2005 Edition, page 663; 1989 Edition, page 284

A patient has mental confusion, rattling sound in throat, swollen tongue, and a greasy tongue coating. What is the treatment plan? A. Tonify and Nourish Heart Yin, Open the Mind's Orifices B. Open the Heart, Resolve Phlegm, Open the Mind's Orifices C. Clear the Heart, Open the Mind's Orifices D. Clear Heart-Fire, Resolve Phlegm, Open the Mind's Orifices

A patient has mental confusion, rattling sound in throat, swollen tongue, and a greasy tongue coating. What is the treatment plan? B. Open the Heart, Resolve Phlegm, Open the Mind's Orifices Source: this is Phlegm Misting the Mind; ETIOLOGY: 1) for children Phlegm Misting the Mind is constitutional; 2) in adults, excess eating of greasy or cold or raw foods produces Phlegm; in this pattern the Phlegm producing diet is most often associated with severe emotional issues (ie: chronic anxiety) that leads to Phlegm Misting the Mind; PRECURSORS TO PATTERN: in adults, a deficiency in the Spleen, Lungs or Kidneys; PATTERN DEVELOPMENT:1) Phlegm obstruction can produce qi xu; 2) chronic Phlegm can cause Dryness and stagnant Blood (particularly in the elderly) - The Foundations of Chinese Medicine, Maciocia, 2015, page 505; 2005 Edition, page 477; 1989 Edition, page 211

A patient has mental confusion, rattling sound in throat, swollen tongue, and a greasy tongue coating. What is the treatment plan? A. Tonify and Nourish Heart Yin, Open the Mind's Orifices B. Clear the Heart, Open the Mind's Orifices C. Clear Heart-Fire, Resolve Phlegm, Open the Mind's Orifices D. Open the Heart, Resolve Phlegm, Open the Mind's Orifices

A patient has mental confusion, rattling sound in throat, swollen tongue, and a greasy tongue coating. What is the treatment plan? D. Open the Heart, Resolve Phlegm, Open the Mind's Orifices Source: Phlegm Misting the Mind; ETIOLOGY: 1) for children Phlegm Misting the Mind is constitutional; 2) in adults, excess eating of greasy or cold or raw foods produces Phlegm; in this pattern the Phlegm producing diet is most often associated with severe emotional issues (ie: chronic anxiety) that leads to Phlegm Misting the Mind; PRECURSORS TO PATTERN: in adults, a deficiency in the Spleen, Lungs or Kidneys; PATTERN DEVELOPMENT:1) Phlegm obstruction can produce qi xu; 2) chronic Phlegm can cause Dryness and stagnant Blood (particularly in the elderly) - The Foundations of Chinese Medicine, Maciocia, 2015, page 505; 2005 Edition, page 477; 1989 Edition, page 211

A patient has pain in the heart region, cyanosis of lips, and purple tongue. What is the diagnosis? A. Heart Yang Collapse B. Heart Blood Stagnant C. Heart Qi Deficient D. Heart Yang Deficient

A patient has pain in the heart region, cyanosis of lips, and purple tongue. What is the diagnosis? B. Heart Blood Stagnant Source: this is an internal and excess pattern; this pattern does not occur in isolation but is a result of other patterns, mostly deficient Heart yang or deficient Heart Blood; the pattern precursors to Heart Blood stasis will influence the overall symptoms present; however, the symptoms outlined in the question are those purely of Blood stagnation of the Heart; the keynote symptom of this pattern is pain; if the yang of the Heart is weak, it can not move the Blood resulting in Blood stasis with its corresponding pain (fixed, stabbing) and constriction; cyanosis of the lips, nails, and cold hands are caused by a failure of the Heart yang from moving Blood to the extremities; the failure of moving Blood by a weak Heart-yang is compounded by the chest Blood stasis blocking the circulation of the Gathering qi whose function is to also assist the Heart and Lung qi to reach the hands; the purplish tongue and choppy or wiry pulse are a reflection of stagnant Blood - The Foundations of Chinese Medicine, Maciocia, 2015, page 510; 2005 Edition, page 481; 1989 Edition, page 212

A patient has palpitations, dizziness, tinnitus, and a red-peeled tongue with a redder tip. What is the treatment plan? A. Nourish Kidney Yin, Clear Empty Fire, Calm the Mind B. Nourish Kidney and Heart Yin, Clear Heart Empty Fire, Calm the Mind C. Nourish Liver and Kidney Yin, Clear Heart Fire D. Nourish Kidney Yin, Clear Heart Fire, Calm the Mind

A patient has palpitations, dizziness, tinnitus, and a red-peeled tongue with a redder tip. What is the treatment plan? B. Nourish Kidney and Heart Yin, Clear Heart Empty Fire, Calm the Mind Source: Kidney and Heart Not Harmonized; ETIOLOGY: this pattern has the same etiologies as Kidney yin xu (chronic overwork, excess sex, Blood loss, chronic illness, excess yang tonics) associated with emotional issues such as chronic anxiety, chronic sadness, or chronic depression (relationship break ups often cause Heart yin xu); PRECURSORS TO PATTERN: Kidney and Heart Not Harmonized can evolve from Kidney yin xu or Heart yin xu; PATTERN DEVELOPMENT: the Empty-Fire in this pattern can be transmitted to the Blood causing bleeding - The Foundations of Chinese Medicine, Maciocia, 2015, page 642; 2005 Edition, page 607; 1989 Edition, page 260

A patient has palpitations, insomnia, poor memory and a pale tongue. What is the treatment plan? A. Tonify Heart Qi B. Tonify Blood, Tonify Heart, Pacify the Mind C. Rescue Yang, Stop sweating D. Tonify and warm Heart Yang

A patient has palpitations, insomnia, poor memory and a pale tongue. What is the treatment plan? B. Tonify Blood, Tonify Heart, Pacify the Mind Source: Heart Blood Deficiency; ETIOLOGY: 1) poor diet affecting the Spleen function of assisting in the formation of Blood (food -> gu qi); 2) chronic grief, anxiety, worry can agitate the Mind which can further affect the Heart function of governing Blood; 3) severe blood loss, for example during childbirth, can be the causative factor for this pattern; PRECURSORS TO PATTERN: a deficiency of Liver Blood will eventually have an effect on Heart Blood; in Five Elements, this is Wood not nourishing Fire; PATTERN DEVELOPMENT: 1) Heart Blood xu can develop into Heart Yin xu; 2) in Five Elements, Fire can fail to nourish Earth and on the emotional level generate the pensiveness and brooding from the Spleen - The Foundations of Chinese Medicine, Maciocia, 2015, page 496; 2005 Edition, page 469; 1989 Edition, page 205

A patient has palpitations, insomnia, poor memory and a pale tongue. What is the treatment plan? A. Tonify Heart Qi B. Tonify Blood, Tonify Heart, Pacify the Mind C. Tonify and warm Heart Yang D. Rescue Yang

A patient has rash behavior, uncontrollable emotions, incoherent speech and red tongue with sticky-yellow coating. What is the treatment plan? A. Open the Heart, Resolve Phlegm, Calm the Mind B. Clear the Heart, Pacify the Min C. Tonify and Nourish Heart Yin, Calm the Mind D. Clear Heart, Drain Fire, Resolve Phlegm, Calm the Mind

A patient has rash behavior, uncontrollable emotions, incoherent speech and red tongue with sticky-yellow coating. What is the treatment plan? D. Clear Heart, Drain Fire, Resolve Phlegm, Calm the Mind Source: Phlegm-Fire Harassing the Heart; ETIOLOGY: 1) emotional stress (chronic depression) stagnates the qi; when stagnant qi is chronic it can transform into Fire; 2) excess intake of hot-qi and greasy foods that can generate Heat and Phlegm; PRECURSORS TO PATTERN: 1) Spleen qi xu leading to the formation of Phlegm; 2) Fire can condense the fluids into Phlegm formation; PATTERN DEVELOPMENT: 1) the Fire in the Heart can injure the yin resulting in yin xu; 2) as Phlegm is obstructive it can cause or aggravate Spleen qi xu; 3) since Phlegm is an accumulation-condensation of Body fluids, the Phlegm can cause Dryness; 4) Fire can condense both Blood and Phlegm and cause stagnant Blood which will aggravate the Mind further - The Foundations of Chinese Medicine, Maciocia, 2015, page 502; 2005 Edition, page 474; 1989 Edition, page 209

A patient has rash behavior, uncontrollable emotions, incoherent speech, and red tongue with sticky-yellow coating. What is the diagnosis? A. Heart Fire Blazing B. Phlegm Misting the Mind C. Phlegm-Fire Harassing the Heart D. Heart Yin Deficiency

A patient has rash behavior, uncontrollable emotions, incoherent speech, and red tongue with sticky-yellow coating. What is the diagnosis? C. Phlegm-Fire Harassing the Heart Source: this is an excess, internal, hot pattern; the mental symptoms (incoherent speech, rash behavior, hitting people, scolding people, inappropriate laughter or crying) in this pattern (Phlegm-Fire Harassing the Heart) are due to Phlegm blocking the orifices of the Heart; this pattern also is connected to the Spleen qi unable to transform-transport fluids which will then coalesce into Phlegm; furthermore, the internal Heat of this pattern further condenses the body fluids into Phlegm; in Heart Fire the Mind is agitated (excess dreams, insomnia, anxiety, mental restlessness) but the Mind is clear and unclouded; in Phlegm-Fire in the Heart there is also an agitated Mind but this is also associated with mental disturbances, manic-depression, and lack of impulse control; this pattern can be the causative factor of both mania (laughing, crying, shouting, violent behavior) and depression (mental dullness, no motivation); the yellow (heat) sticky (phlegm) point to the presence of hot phlegm in this pattern - The Foundations of Chinese Medicine, Maciocia, 2015, page 502; 2005 Edition, page 474; 1989 Edition, page 209

A patient has rash behavior, uncontrollable emotions, incoherent speech, and red tongue with sticky-yellow coating. What is the diagnosis? A. Phlegm Misting the Mind B. Heart Fire Blazing C. Phlegm-Fire Harassing the Heart D. Heart Yin Deficiency

A patient has shortness of breath during exertion, low back pain, and clear urine. What is the diagnosis? A. Kidney Yang Deficiency B. Kidney Qi Not Firm C. Kidney Essence Deficiency D. Kidneys Fail To Receive Qi

A patient has shortness of breath during exertion, low back pain, and clear urine. What is the diagnosis? D. Kidneys Fail To Receive Qi Source: this pattern can be categorized as a subset of Kidney yang deficiency; when the Kidney qi is weak and fails to receive and root the qi, the qi then accumulates above causing an excess condition in the chest causing SOB and asthma; since the Kidneys control the inhalation aspect of respiration, the asthma will have the feature of problems taking air in; a deficient Kidney Yang will cause abundant and clear urine which usually occurs during the asthma; the Kidneys failing to grasp the qi occurs in chronic conditions and as such there can be a general lassitude and mental exhaustion; as the Kidneys reside in the lumbar area, when they are deficient it can result in low back pain - Kidneys Fail To Receive Qi - The Foundations of Chinese Medicine, Maciocia, 2015, page 631; 2005 Edition, page 597; 1989 Edition, page 255

A patient has shortness of breath, cough, thin clear sputum, weak voice, daytime sweats, keeps quiet, bright-white face, tends to catch colds easily, tiredness, pale tongue, and empty pulse. What is the treatment? A. LU-9 (tai yuan), REN-17 (shan zhong), BL-43 (gao huang shu), BL-13 (fei shu), REN-4 (guan yuan), KI-6 (zhao hai), LU-10 (yu ji) B. LU-7 (lie que), BL-12 (feng men), DU-16 (feng fu) C. REN-12 (zhong wan), ST-36 (zu san li), SP-3 (tai bai), SP-6 (san yin jiao), BL-20 (pi shu), BL-21 (wei shu) D. LU-9 (tai yuan), LU-7 (lie que), REN-6 (qi hai), BL-13 (fei shu), DU-12 (shen zhu), ST-36 (zu san li)

A patient has shortness of breath, cough, thin clear sputum, weak voice, daytime sweats, keeps quiet, bright-white face, tends to catch colds easily, tiredness, pale tongue, and empty pulse. What is the treatment? D. LU-9 (tai yuan), LU-7 (lie que), REN-6 (qi hai), BL-13 (fei shu), DU-12 (shen zhu), ST-36 (zu san li) Source: Lung Qi Deficiency; the treatment principle is to Tonify Lung Qi and Warm Yang; the yuan-source point LU-9 (tai yuan) tonifies Lung qi; LU-7 (lie que) strengthens and descends Lung qi; REN-6 (qi hai) tonifies the qi of the whole body; BL-13 (fei shu) tonfies Lung qi; DU-12 (shen zhu) strengthens the Lungs and is an important point to use in chronic conditions; ST-36 (zu san li) strengthens the Spleen and Stomach to promote qi; REN-12 (zhong wan) can also be included to tonify the Stomach; reinforcing needle technique is used; moxa is applicable - The Foundations of Chinese Medicine, Maciocia, 2015, page 573; 2005 Edition, page 545

A patient has shortness of breath, weak voice, bright and white complexion, and empty pulse. What is the diagnosis? A. Lung Yin Deficiency B. Lung Drynes C. Lung Qi Deficiency D. Damp-Phlegm Obstructing Lungs

A patient has shortness of breath, weak voice, bright and white complexion, and empty pulse. What is the diagnosis? C. Lung Qi Deficiency Source: this is an internal, deficient pattern; the Lungs control respiration and qi; when the Lungs are weak there will be slight SOB, especially with some type of exertion; the Lungs have a descending function and if the Lung qi is weak there can be cough in this pattern; the strength of the voice is governed by Zong qi (gathering qi) which depends on Lung qi; when Lung qi is weak the voice will be weak also; as the Lungs control wei qi (defensive qi) and the opening-closing of the pores, a patient with this pattern can easily catch colds when their Lung qi is weak and also can sweat easily; as the wei qi warms the muscles, a weakness in the Lung qi can cause an aversion to cold; the empty pulse reflects a deficiency condition; just a little SOB and an empty pulse is sufficient to diagnose Lung qi xu - The Foundations of Chinese Medicine, Maciocia, 2015, page 573; 2005 Edition, page 545; 1989 Edition, page 232

A patient has stuffy epigastrium, hypochondriac distention, and thick greasy yellow coating. What is the treatment plan? A. Resolve Dampness, Clear Heat B. Tonify Spleen Qi, Resolve Dampness, Clear Heat C. Resolve Dampness, Move Liver qi, Clear Heat D. Tonify Spleen Qi

A patient has stuffy epigastrium, hypochondriac distention, and thick greasy yellow coating. What is the treatment plan? C. Resolve Dampness, Move Liver qi, Clear Heat Source: Dampness Obstructing Spleen with Stagnant Liver Qi; ETIOLOGY: excess intake of greasy foods and dairy foods can cause Spleen Dampness; PRECURSORS TO PATTERN: Spleen qi xu can cause Dampness to accumulate and interfere with the smooth flow of Liver qi; PATTERN DEVELOPMENT: Middle Burner Dampness can transform into Phlegm; 2) stagnant Liver qi can lead to stagnant Liver Blood or transform into Fire - The Foundations of Chinese Medicine, Maciocia, 2015, page 617; 2005 Edition, page 584; 1989 Edition, page 247

A patient has sudden abdominal pain, diarrhea with pain, cold feelings, and cold sensation in the abdomen. What tongue is expected? A. Thick-white coating B. Red tongue, greasy-yellow coating C. Pale or red dry tongue with D. Pale tongue without coating

A patient has sudden abdominal pain, diarrhea with pain, cold feelings, and cold sensation in the abdomen. What tongue is expected? A. Thick-white coating Source: 'the diagnosis is Cold Invading Large Intestine; this is an acute Full, Cold pattern; the sudden appearance of a thick coating indicates a sudden pathogenic Cold invasion; this pattern has a deep (interior) and tight (cold) pulse; sudden abdominal pain, diarrhea, and feeling cold are sufficient to make the diagnosis of Cold Invading Large Intestine; the treatment principle is Expel Cold from Large Intestine and Warm the Lower Jiao - The Foundations of Chinese Medicine, Maciocia, 2015, page 694; 2005 Edition, page 653; 1989 Edition, page 280

A patient has sudden abdominal pain, diarrhea, and cold feelings. What is the treatment plan? A. Tonify Stomach and Spleen, Raise Qi B. Tonify and Warm Large Intestine and Spleen C. Tonify Yang D. Expel Cold from Large Intestine, Warm Lower Burner

A patient has sudden abdominal pain, diarrhea, and cold feelings. What is the treatment plan? D. Expel Cold from Large Intestine, Warm Lower Burner Source: Cold Invading Large Intestine; ETIOLOGY: exposure to extreme cold weather with an exposed abdomen, sitting on cold-wet surfaces for a long time can generate this pattern; PRECURSORS TO PATTERN: Stomach and Spleen yang xu can make a patient more susceptible to an external Cold attack; PATTERN DEVELOPMENT: in itself the pattern can progress to deplete the Spleen yang - The Foundations of Chinese Medicine, Maciocia, 2015, page 694; 2005 Edition, page 653; 1989 Edition, page 280

A patient has sudden epigastric pain, vomiting, cold feelings, and deep-tight-slow pulse. What is the diagnosis? A. Stomach Qi Deficiency B. Stomach Deficient and Cold C. Cold Invading the Stomach D. Retention of Food in Stomach

A patient has sudden epigastric pain, vomiting, cold feelings, and deep-tight-slow pulse. What is the diagnosis? C. Cold Invading the Stomach Source: this is an acute internal, full, cold pattern; three organs can be invaded by exterior Cold: the Stomach, the Large Intestine, and the Uterus; the Cold bypasses the exterior of the body and can lodge itself in these internal organs; the external Cold blocks the descending function of the Stomach resulting in vomiting and epigastric pain; the patient has cold feelings and the preference for warm liquids and food; cold drinks aggravate the epigastric pain; the deep-slow-tight pulse reflect that this is an internal and cold pattern; this pattern describes the acute stage which, if untreated, the pattern will eventually develop into an Empty-Cold pattern of the Stomach where the epigastric pain is not as intense - The Foundations of Chinese Medicine, Maciocia, 2015, page 664; 2005 Edition, page 627; 1989 Edition, page 270

A patient has symptoms that could be due to an autoimmune disorder. An ANA test returns positive. Which test would then be ordered to identify specific antibodies? A. CD panel B. ENA panel C. anti-smooth muscle antibody D. anti-scl-70

A patient has symptoms that could be due to an autoimmune disorder. An ANA test returns positive. Which test would then be ordered to identify specific antibodies? B. ENA panel Source: the ANA (Antinuclear Antibody Test) is nonspecific; the ENA (Extractable Nuclear Antigen Antibodies) panel helps to detect antibodies to specific antigens within the nucleus that might be responsible for the elevated ANA - the ENA panel, or one or more of its component tests, may be repeated when initial test results are negative but clinical signs persist; testing may also be ordered when a person has been diagnosed with an autoimmune disorder and at some point develops symptoms that may be due to an additional autoimmune disorder

A pregnant patient is on the third trimester of pregnancy. She has had severe headaches for the past two days. What should she do? A. take a nap more often B. go to her doctor for an immediate examination C. take an ibuprofen and relax D. drink extra water during the day

A pregnant patient is on the third trimester of pregnancy. She has had severe headaches for the past two days. What should she do? B. go to her doctor for an immediate examination Source: pre-eclampsia, sometimes called toxemia of pregnancy, is a condition in which hypertension arises in pregnancy; pre-eclampsia is diagnosed when a pregnant woman develops high blood pressure on two separate readings taken at least six hours apart of 140/90 or more and evidence of proteinuria (300 mg of protein in a 24-hour urine sample); in mild pre-eclampsia there is high blood pressure, water retention, and protein in the urine; in severe pre-eclampsia there are headaches, blurred vision, inability to tolerate bright light, nausea/vomiting, shortness of breath, and tendency to bruise easily; pre-eclampsia, may develop into the more severe eclampsia, which is pre-eclampsia together with seizures

A patient has weak knees, hair loss, and weak sexual drive. What is the diagnosis? A. Kidney Essence Deficiency B. Kidney Yang Deficiency C. Kidney Qi Not Firm D. Kidneys Fail To Receive Qi

A patient has weak knees, hair loss, and weak sexual drive. What is the diagnosis? A. Kidney Essence Deficiency Source: this is an internal and deficient pattern; as Kidney Essence controls growth and development, a deficiency of Kidney Essence will result in a failure to generate sufficient Marrow with the accompanying symptoms of poor bone development, incomplete closure of the fontanelles, bone softness, weak legs and knees, loose teeth; as Marrow fills the brain there can be symptoms in adults (poor memory) and children (mental retardation, mental dullness); as Kidney Essence nourishes hair in the head, a deficiency can show as hair loss or premature greying of the hair; Kidney Essence provides the basic matrix for sexual functioning and a deficiency can show as low libido; Kidney Essence deficiency can concurrently occur with a Kidney yin xu (tinnitus, dizziness, dryness symptoms, red tongue) or it can occur with a background of Kidney yang xu (cold feelings, frequent clear urination, pale tongue, etc.) - The Foundations of Chinese Medicine, Maciocia, 2015, page 633; 2005 Edition, page 599; 1989 Edition, page 256

A patient has weak knees, hair loss, and weak sexual drive. What is the diagnosis? A. Kidney Yang Deficiency B. Kidney Qi Not Firm C. Kidneys Fail To Receive Qi D. Kidney Essence Deficiency

A patient has weak knees, hair loss, and weak sexual drive. What is the diagnosis? A. Kidney Yang Deficiency B. Kidney Qi Not Firm C. Kidneys Fail To Receive Qi D. Kidney Essence Deficiency Source: 'this is an internal and deficient pattern; as Kidney Essence controls growth and development, a deficiency of Kidney Essence will result in a failure to generate sufficient Marrow with the accompanying symptoms of poor bone development, incomplete closure of the fontanelles, bone softness, weak legs and knees, loose teeth; as Marrow fills the brain there can be symptoms in adults (poor memory) and children (mental retardation, mental dullness); as Kidney Essence nourishes hair in the head, a deficiency can show as hair loss or premature greying of the hair; Kidney Essence provides the basic matrix for sexual functioning and a deficiency can show as low libido; Kidney Essence deficiency can concurrently occur with a Kidney yin xu (tinnitus, dizziness, dryness symptoms, red tongue) or it can occur with a background of Kidney yang xu (cold feelings, frequent clear urination, pale tongue, etc.) - The Foundations of Chinese Medicine, Maciocia, 2015, page 633; 2005 Edition, page 599; 1989 Edition, page 256

A patient has weak knees, hair loss, and weak sexual drive. What is the diagnosis? A. Kidney Yang Deficiency B. Kidney Qi Not Firm C. Kidneys Fail To Receive Qi D. Kidney Essence Deficiency

A patient has weak knees, hair loss, and weak sexual drive. What is the diagnosis? D. Kidney Essence Deficiency Source: 'this is an internal and deficient pattern; as Kidney Essence controls growth and development, a deficiency of Kidney Essence will result in a failure to generate sufficient Marrow with the accompanying symptoms of poor bone development, incomplete closure of the fontanelles, bone softness, weak legs and knees, loose teeth; as Marrow fills the brain there can be symptoms in adults (poor memory) and children (mental retardation, mental dullness); as Kidney Essence nourishes hair in the head, a deficiency can show as hair loss or premature greying of the hair; Kidney Essence provides the basic matrix for sexual functioning and a deficiency can show as low libido; Kidney Essence deficiency can concurrently occur with a Kidney yin xu (tinnitus, dizziness, dryness symptoms, red tongue) or it can occur with a background of Kidney yang xu (cold feelings, frequent clear urination, pale tongue, etc.) - The Foundations of Chinese Medicine, Maciocia, 2015, page 633; 2005 Edition, page 599; 1989 Edition, page 256

A patient is pregnant. Do not use tui na on her abdominal area or on her lower back until after the A. fifth month of pregnancy B. fourth month of pregnancy C. second month of pregnancy D. third month of pregnancy

A patient is pregnant. Do not use tui na on her abdominal area or on her lower back until after the A. fifth month of pregnancy Source: after this time you can work gently and moderately on the lower back with the patient lying on her side; sciatica is common in the third trimester and tui na is very helpful for this - Tui na, Sarah Pritchard, 2010, page 136

A patient is receiving chemotherapy for cancer. How soon before and after the chemotherapy sessions can cupping be applied? A. 48 hours before and 24 hours after B. 24 hours before and 48 hours after C. 36 hours before and after D. 24 hours before and after

A patient is receiving chemotherapy for cancer. How soon before and after the chemotherapy sessions can cupping be applied? A. 48 hours before and 24 hours after Source: The therapeutic goal of chemotherapy for cancer is apoptosis (cell death). Cupping and gua sha are anti-apoptotic. Both cupping and gua sha upregulate HO-1 (Heme Oxygenase-1). HO-1 is an enzyme that catalyzes the degradation of heme. Heme Heme is a type of iron found in blood. Waiting 48 hours before and 24 hours after chemotherapy allows the chemotherapy to work without the cupping or gua sha interfering. - CNT Manual, 7th Edition, page 53

A person has allergies. What can indicate anaphylaxis? A. a sore throat B. a headache C. difficulty breathing D. sweating

A person has allergies. What can indicate anaphylaxis? C. difficulty breathing Source: 'anaphylaxis is a serious allergic reaction that has a rapid onset and may cause death; it typically results in a number of symptoms including an itchy rash, throat swelling, and low blood pressure; common causes include insect bites, foods, and drugs; the areas most commonly impacted are the skin (80-90%), respiratory (70%), gastrointestinal (30-45%), heart and vasculature (10-45%), and central nervous system (10-15%); symptoms typically include generalized hives, itchiness, flushing or swelling of the lips; respiratory symptoms can be present, including shortness of breath, wheezing

A person who experiences swelling of the face when they have a cold is exhibiting the impaired distribution of bodily fluids of which organ? A. Kidney B. Heart C. Lung D. Liver

A person who experiences swelling of the face when they have a cold is exhibiting the impaired distribution of bodily fluids of which organ? C. Lung Source: the Lungs have the function of diffusing wei qi (defensive qi) and fluids; the Lungs diffuse the Body Fluids to the skin and to the space between the muscles and the skin as a fine "mist" which moistens the skin and regulate the closing and opening of skin pores (sweating); if a pathogenic factor blocks the diffusing function of the Lungs there can be a wind-cold pattern, for example, with the common symptoms of a cold (chills, body aches, sneezing, etc.); when the diffusion of fluids is impaired, they can accumulate under the skin and cause edema of the face - The Foundations of Chinese Medicine, Maciocia, 2015, page 131; 2005 Edition, page 131; 1989 Edition, page 84-85

A reflex scored as 2+ is considered A. no response B. low normal C. brisker than average D. normal response

A reflex scored as 2+ is considered D. normal response Source: Reflexes are the most objective part of the neurologic examination. Reflexes are graded from 4+ to 0. 4+ is very hyperactive, with clonus (muscular spasm involving repeated, often rhythmic, contractions). 3+ is more hyperactive than average, possibly indicates disease but not necessarily. 2+ is an average reflex. 1+ is a diminished reflex, low normal. 0 is no response, no reflex. While 2+ is considered normal, some healthy patients are hypo-reflexive (register all reflexes at 1+), while others are hyper-reflexive (register all reflexes at 3+). - Bate's Guide to Physical Examination, 10th Edition, page 696; 8th Edition, page 587

ACE inhibitor drugs such as Vasotec (enalapril maleate) and Capoten (captopril) A. block angiotensin II from binding to angiotensin II receptor B. block the conversion of angiotensin I to angiotensin II C. increase excretion of excess salt and fluid from the body D. prevent calcium from entering muscle cells of the heart and blood vessels

ACE inhibitor drugs such as Vasotec (enalapril maleate) and Capoten (captopril) B. block the conversion of angiotensin I to angiotensin II Source: by preventing angiotensin II from being produced in the body, the medication promotes the relaxation of the cardiac blood vessels so that blood can flow more easily throughout the body; the generic name of ACE inhibitor drugs end with -pril

According to CAM, KI-22 (bulang) through KI-27 (shufu) are A. Punctured obliquely 0.5-1.0 cun B. Punctured obliquely 0.3-0.5 cun C. Punctured obliquely 1.0-1.5 cun D. Punctured obliquely 0.2-0.3 cun

According to CAM, KI-22 (bulang) through KI-27 (shufu) are B. Punctured obliquely 0.3-0.5 cun Source: Chinese Acupuncture and Moxibustion, 2010 Edition, page 190-191; 1999 Edition, page 197

According to CAM, the contraindications for acupuncture treatment throughout the pregnancy include all of the following contraindications EXCEPT A. under three months of pregnancy avoid needling the lower abdomen and after three months of pregnancy avoid needling the upper abdomen B. avoid needling the lumbosacral area C. avoid needling points that produce a strong sensation D. under three months of pregnancy avoid needling the upper abdomen and after three months of pregnancy avoid needling the lower abdomen

According to CAM, the contraindications for acupuncture treatment throughout the pregnancy include all of the following contraindications EXCEPT D. under three months of pregnancy avoid needling the upper abdomen and after three months of pregnancy avoid needling the lower abdomen Source: CAM notes that points that can cause strong sensations such as LI-4, SP-6, BL-60, and BL-67 are contraindicated during pregnancy; under three months of pregnancy CAM notes that it is contraindicated to needle points on the lower abdomen and lumbosacral area and that after three months of pregnancy it is contraindicated to needle the upper abdomen and lumbosacral area - Chinese Acupuncture and Moxibustion, 2010 Edition, page 350

According to CAM, what is the correct method for needling LR-13 (zhang men)? A. Obliquely 1.0-1.5 cun B. Perpendicularly 0.5-0.8 cun C. Perpendicularly 1.0-1.5 cun D. Obliquely 0.3-0.5 cun

According to CAM, what is the correct method for needling LR-13 (zhang men)? B. Perpendicularly 0.5-0.8 cun Source: however, Deadman says transverse or oblique 0.5 - 1.0 cun following the line of the rib; deep perpendicular needling may damage the liver or spleen - CAM, 3rd Edition, page 216;; Deadman, 2nd Edition, page 489

According to CAM, which of the following points is needled by pressing beside the acupuncture point with the nail of the index finger or thumb of one hand while keeping the needle tip or tube against the nail? A. PC-6 (nei guan), KI-6 (zhao hai) B. LU-7 (lie que) and yin tang C. GB-30 (huan tiao) and BL-54 (zhi bian) D. REN-12 (zhong wan) and ST-25 (tian shu)

According to CAM, which of the following points is needled by pressing beside the acupuncture point with the nail of the index finger or thumb of one hand while keeping the needle tip or tube against the nail? A. PC-6 (nei guan), KI-6 (zhao hai) Source: This is technique is used with a short needle. This is a traditional technique. CAM does not consider CNT protocol. A sterile gauze/cotton ball/needle-tube can be used for protecting the needle tip from the nail - CAM, 3rd Edition, pages 344-345

According to TCM five-elements theory, if a patient has a strong pulse in the Inch position of the left wrist, which of the following points would you needle? A. Tonification of SI-3 B. Tonification of GB-38 C. Sedation of SI-8 D. Sedation of GB-43

According to TCM five-elements theory, if a patient has a strong pulse in the Inch position of the left wrist, which of the following points would you needle? C. Sedation of SI-8 Source: when there is an excess in an organ, sedate the point on its channel associated with its Child Element; five-elements pulse diagnosis uses the pulse positions from the "Classic of Difficulties"; cun = inch = front = 1st position - The Foundations of Chinese Medicine, Maciocia, 2005, page 38, 355

After encircling the genitals, an internal pathway of the Gall Bladder primary channel connects with which Bladder channel points? A. BL-26 through BL-29 B. BL-31 through BL-34 C. BL-30 through BL-34 D. BL-25 through BL-29

After encircling the genitals, an internal pathway of the Gall Bladder primary channel connects with which Bladder channel points? B. BL-31 through BL-34 Source: after encircling the genitals, the Gall Bladder primary channel enters deeply in the body and emerges at the sacrum to connect with the points BL-31 through BL-34, proceeds to DU-1 (chang qiang) and reemerges at GB-30 (huan tiao) - A Manual of Acupuncture, Deadman, 2nd Edition, page 417

Aldosterone is produced by the ____________ gland and it causes reabsorption of ________. A. thyroid, sodium B. pituitary, water C. thymus, white blood cells D. adrenal, sodium

Aldosterone is produced by the ____________ gland and it causes reabsorption of ________. D. adrenal, sodium Source: aldosterone is a yellow steroid hormone produced by the outer-section of the adrenal cortex in the adrenal gland; it acts mainly on the distal tubules and collecting ducts of the nephron in the kidneys; it causes the conservation of sodium, secretion of potassium, increased water retention, and increased blood pressure; the overall effect of aldosterone is to increase reabsorption of ions and water in the kidney, increasing blood volume and, therefore, increasing blood pressure

An 18 year-old adolescent female has had multiple sexual partners for the past two years. She reports a watery and cloudy vaginal discharge and pelvic pain. A NAAT urethral swab is positive for trachomatis bacteria. What is the most likely diagnosis? B. Chlamydia Source: Many patients with chlamydia infections have no symptoms and some may experience only mild symptoms. Chlamidya symptoms can occur months or years after the original infection while gonorrhea symptoms can occur soon after infection. Signs and symptoms of chlamydia are similar to gonorrhea and can be confused with each other. Both have discharges, both have abdominal pain, both can have burning urination. The discharge in chlamydia tends to be water and cloudy while with gonorrhea the discharge tends to be thick and purulent. Lab tests for these two infections are often done at the same time because patients are often infected with both at the same time. Lab tests differentiate between the two by testing for the presence of the chlamydia trachomatis bacteria for chlamydia and the neisseria gonorrhea bacteria for gonorrhea. The NAAT (nucleic acid amplification test) is used to detect for the presence of the chlamydia and gonorhea bacteria. With NAAT, a urethral swab is used for women and for men the first catch of the urine flow is used. For other STDs (herpes, hepatitis, HIV and syphilis) the screening is done via a blood sample. Trichomanis is caused by a protozoan parasite. - https://www.cdc.gov/std/chlamydia/stdfact-chlamydia-detailed.htm

Angiotensin II causes blood vessels to A. dilate B. become porous C. fibrillate D. constrict

Angiotensin II causes blood vessels to D. constrict Source: angiotensin II is an extremely potent vasoconstrictor; it also increases release of adrenaline, reinforcing vasoconstriction and increases the heart rate and force of contraction; angiotensin II increases re-absorption of sodium by the kidneys and stimulates secretion of aldosterone from the adrenal cortex; aldosterone further increases sodium re-absorption and water retention by the kidneys; drugs that use angiotensin II inhibitors bind to the angiotensin II receptors and decrease the effect of angiotensin II; the result is a reduction in blood pressure

Angiotensin II causes blood vessels to A. fibrillate B. become porous C. dilate D. constrict

Antibiotics are taken for A. Cough B. Cold C. Sinus infections D. Flu

Antibiotics are taken for C. Sinus infections Source: Antibiotics treat bacterial infections, but not viral infections. Common bacterial infections include strep throat, ear infections, urinary tract infections, and sinus infections. If there is a viral infection, an antibiotic may do more harm than good. Common viruses include influenza, most coughs and bronchitis, and sore throats (EXCEPT strep throat)

Before using the cupping method, it is critical to screen patients for a history of A. Von Willebrand's disease B. endometrial ablation C. apraxia D. Cushing's syndrome

Before using the cupping method, it is critical to screen patients for a history of A. Von Willebrand's disease Source: Von Willebrand\'s disease is an inherited disorder typified by a tendency to bleed, caused by an abnormality of a plasma coagulation factor; when cupping is considered as a treatment modality, bleeding disorders such as Von Willebrand\'s disease and hemophilia should be screened for; dry cupping should be used with caution with bleeding disorders, patients on blood thinning drugs or supplements while wet cupping should be avoided in the aforementioned conditions; extensive risk of bruising is a risk factor in patients with bleeding disorders, especially if the cups are held too long or the vacuum is too strong; endometrial ablation is the surgical destruction of the lining tissues of the uterus; apraxia is a neurological disorder where there is an inability to carry out skilled movements and gestures, despite having the desire and ability to perform them; Cushing\'s syndrome is an endocrine disorder caused by excess levels of cortisol; there are no known contraindications for these disorders - Clean Needle Technique, 7th Edition, page 39

Blood tests that help to diagnose autoimmune diseases look for the presence of particular A. Antibodies B. Blood gases C. Enzyme D. Red blood cells (RBCs)

Blood tests that help to diagnose autoimmune diseases look for the presence of particular A. Antibodies Source: normally when a virus or bacteria attacks the body, the immune system is turned on (antibodies) to protect the body by killing the virus or bacteria; however, there are disease processes where the immune system malfunctions and turns its killing-protective functions on its own healthy tissues; "autoimmune" means an immunity against the self; the cardinal sign of an autoimmune disease is inflammation (redness, heat, pain, and swelling); if the immune system attacks the joints there is rheumatoid arthritis; if the thyroid is attacked then there is hyperthyroidism; if the skin is attacked there is scleroderma; some immune diseases affect more than one body system; for example, diabetes type 1 can affect the glands, eyes, kidneys, muscles, etc.; when the immune system attacks healthy cells, the body produces antinuclear antibodies (ANAs), the presence of which is used to help diagnose autoimmune disorders; there is a test called the ANA (antinuclear antibody) test - A Manual of Laboratory and Diagnostic Tests, 7th Edition, 2004, Fischbach, page 531

Bloodletting is done by expresssing drops of blood until A. the blood quality thickens B. a yellow fluid appears C. the blood color lightens D. the bleeding naturally stops

Bloodletting is done by expresssing drops of blood until C. the blood color lightens Source: Bleeding is done removing only drops of blood until its quality and color lightens. Since many conditions treated with bloodletting involves blood stagnation manifesting in the superficial veins, the blood in such disorders is usually thick and dark. The blood quality and the blood color changing indicates that a therapeutic effect has been achieved. Bloodletting can be used as a stand-alone therapy or paired with acupuncture, cupping, gua sha, moxibustion or in multiple combinations of therapies. It is possible that even minor bleeding or hematomas at an acupuncture needle site might be considered part of the therapy. Blood letting at specific points is used to treat, for example, fevers, pain, or itching. - Clean Needle Technique, 7th Edition, page 48

Coffee like grounds in vomit means A. indigestion B. GERD C. stomach cancer D. blood from stomach

Coffee like grounds in vomit means D. blood from stomach Source: the color of vomited blood depends on the amount of time the blood has been in the GI system; if there is a delay in vomiting, blood will appear dark red, brown or black and blood clots produce the appearance of coffee grounds; GI bleeding is a serious condition requiring immediate medical attention; associated diagnoses include esophageal cancer, cirrhosis, GERD, liver cancer, peptic ulcer, stomach cancer, stomach ulcer

Chemical digestion reduces large complex molecules to simpler compounds by the process of A. mastication B. anabolism C. catabolism D. fermentation

Chemical digestion reduces large complex molecules to simpler compounds by the process of C. catabolism Source: catabolism is the set of metabolic pathways that break down molecules into smaller units and release energy; in catabolism, large molecules such as polysaccharides, lipids, nucleic acids and proteins are broken down into smaller units such as monosaccharides, fatty acids, nucleotides, and amino acids, respectively

Deep knee pain may indicate damage to A. Medial collateral ligament B. Lateral collateral ligament' C. One of the cruciate ligaments D. Patellofemoral tendon

Deep knee pain may indicate damage to C. One of the cruciate ligaments Source: Deep knee pain is always associated with cruciate ligaments, either anterior or posterior, whereas generalized pain to the knee region is characteristic of referred pain, or pain from a contusion or partial tear of a muscle or ligament. - Dutton's Orthopaedic Examination, Evaluation and Intervention, 3rd Edition, 2012, page 857

Diagonal folds in the skin of the ear lobe has been correlated with A. eye pathology B. heart disease C. dental disease D. ear pathology

Diagonal folds in the skin of the ear lobe has been correlated with B. heart disease Source: the "New England Journal of Medicine" reported that having a crease running from the intertragic notch to the bottom of the ear lobe was more predictive of a heart problem than was blood pressure levels or blood cholesterol levels - Auriculotherapy Manual: Chinese and Western Systems of Acupuncture, 3rd Edition, Terry Oleson, page 135-136

Diagonal folds in the skin of the ear lobe has been correlated with A. eye pathology B. heart disease C. dental disease D. ear pathology

Diagonal folds in the skin of the ear lobe has been correlated with B. heart disease Source: the New England Journal of Medicine" reported that having a crease running from the intertragic notch to the bottom of the ear lobe was more predictive of a heart problem than was blood pressure levels or blood cholesterol levels - Auriculotherapy Manual: Chinese and Western Systems of Acupuncture, 3rd Edition, Terry Oleson, page 135-136

During a routine physical examination, a left-sided breast lump was discovered in 55 year-old female. Blood tests were positive for CA 15-3. What is the most likely diagnosis? A. Fibroadenoma B. Fibrocystic breast C. Breast cyst D. Breast cancer

During a routine physical examination, a left-sided breast lump was discovered in 55 year-old female. Blood tests were positive for CA 15-3. What is the most likely diagnosis? D. Breast cancer Source: CA 15-3 is tumor marker in the blood for different types of cancer, most notably breast cancer. CA 15-3 is elevated in the blood of approximately 75% of women with metastasized breast cancer. Other markers are TRU-QUANT and CA 27.29. CA 15-3 levels can also be high due to other conditions or cancers (colorectal cancer, hepatitis, and benign breast disease). However, breast blood marker are not absolutely conclusive. Breast cancer often cannot be diagnosed simply with blood markers or physical examination. A breast cancer mass can have qualities such as irregular shape, poorly defined borders, non-tender, non-mobile, and with possible skin changes and possible nipple discharge that are a cause for concern. However, such a breast mass cannot be fully evaluated for cancer without a biopsy. Breast cancer can have either a gradual or sudden onset. It is most common in post-menopausal women older than 50 but can also occur earlier. The breast lump can be related to hormonal changes but is not caused by them. Mastitis occurs sporadically in nursing mothers with their first baby. Staph aureus is causative agent. Inflammation usually unilateral. Regular mastitis: Frequently begins within 3 months after delivering, may start with a sore or fissured nipple. - Differential Diagnosis, Rhoads, 2015 page 20-24

During an infrared treatment, the patient should feel A. hot but not warm B. warmth but not hot C. cool but not neutral D. neutral but not cool

During an infrared treatment, the patient should feel B. warmth but not hot Source: Acupuncture A Comprehensive Text, Bensky, 1981, page 436

During times of depression or other acute liver imbalances, what would you recommend to harmonize the liver? A. honey mixed with vinegar B. sesame oil mixed with lemon C. oats porridge D. cherries and strawberries

During times of depression or other acute liver imbalances, what would you recommend to harmonize the liver? A. honey mixed with vinegar Source: barley malt, date sugar, molasses, and rice syrup are warming and stimulate qi energy flow and are useful in treating stagnancy except where there is heat or heat-generated wind; sprouted complex carbohydrates (grains, legumes, seeds), beets, carrots, and other sweet starchy vegetables are ideal for long-term liver harmony Healing with Whole Foods, Paul Pitchford, 3rd Edition page 317,327

Eating too many sugary desserts can give rise to A. Cold B. Heat C. Dampness D. Wind

Eating too many sugary desserts can give rise to C. Dampness Source: eating an excess of sweet foods and sugar can impact the Spleen function of transformation and transporation of nutrients and, as a result, give rise to Dampness accumulation with symptoms like respiratory catarrh (excessive discharge or buildup of mucus in the nose or throat), vaginal discharges, stools with mucous, abdominal distention-fullness, etc. - The Foundations of Chinese Medicine, Maciocia, 2015, page 291-291; 2005 Edition, page 279-280; 1989, Edition, 140

Facial paralysis due to an injury of the peripheral nerves is cause by A. Internal wind B. Phlegm C. External wind D. Febrile disease

Facial paralysis due to an injury of the peripheral nerves is cause by C. External wind Source: In Bell's Palsy there is facial paralysis due to an injury of the peripheral nerves. There is a deviation of the mouth, incomplete closing of the eyes, and an inability to the smile, grin, bulge the cheeks or whistle. Unlike a Wind-Stroke (central nerve paralysis), in Bell\'s Palsy there is also an inability to raise the eyebrows or furrow the forehead. - Diagnosis in Chinese Medicine, Maciocia, 2004, page 60

Follicle-stimulating hormone (FSH) induces A. Luteinizing hormone (LH) B. Follicular growth C. menstruation D. menstrual cramps

Follicle-stimulating hormone (FSH) induces B. Follicular growth Source: FSH stimulates growth of follicle which then turns into the corpus luteum which then produces estrogen and progesterone.

From a TCM perspective, immunizations inject a pathogenic factor directly in the A. Qi level B. Blood level C. Defensive Level D. Nutritive qi level

From a TCM perspective, immunizations inject a pathogenic factor directly in the B. Blood level Source: the immunization introduces a live or attenuated germ into the body which goes directly to the Blood level and can lead to development of Latent Heat to develop at that level; the immediate effect of this can be a skin rash and insomnia; long term effects, though controversial, can include asthma, allergies, skin diseases, bronchitis - The Foundations of Chinese Medicine, Maciocia, 2015, page 371; 2005 Edition, page 351

GB-44 (qiao yin) is what type of point? A. Metal point B. Fire point C. Earth point D. Water point

GB-44 (qiao yin) is what type of point? A. Metal point Source: GB-44 is a metal point and a jing-well point. The jing-well points are where the qi emanates. jing-well points clear heat and restore consciousness (GB-44 treats high fever but is not indicated for coma and collapse), treat the uppermost reaches of the channel (GB-44 treats headache, dizziness, sudden deafness, tinnitus, painful eyes or throat), treat fullness below the Heart (GB-44 treats costal region pain), and treat disorders of the spirit (GB-44 treats insomnia, nightmares). Point Action: GB-44 clears heat and benefits the head, benefits the chest and lateral costal region, and calms the spirit. - A Manual of Acupuncture, Deadman, 2001, page 32, 464

Graves' disease is what kind of thyroid disorder? A. hypothyroidism B. thyroid cancer C. hyperthyroidism D. thyroiditis

Graves' disease is what kind of thyroid disorder? C. hyperthyroidism Source: Graves' disease is the most common cause of hyperthyroidism. It is caused by an abnormal immune system response that causes the thyroid gland to produce too much thyroid hormone; Graves' disease has symptoms and signs which have a direct and indirect effects of hyperthyroidism; symptoms which help to differentiate Graves are bulging eyes and a goiter; symptoms due to hyperthyroidism are insomnia, hand tremor, hyperactivity, hair loss, excessive sweating, heat intolerance, weight loss despite increased appetite, diarrhea, frequent defecation, palpitations, muscle weakness and skin being warm as well as moist

He-sea points treat skin disorders. Which two he-sea points specifically treat itching in the genital area? A. SP-9 (yinlingquan) and BL-39 (weiyang) B. LI-11 (quchi) and BL-40 (weizhong) C. TB-10 (tianjing) and GB-34 (yanglingquan) D. LR-8 (ququan) and KI-10 (yingu)

He-sea points treat skin disorders. Which two he-sea points specifically treat itching in the genital area? D. LR-8 (ququan) and KI-10 (yingu) Source: LR-8 treats itching in the genitals while KI-10 treats itching in the scrotum; KI-10 clears lower jiao damp-heat and benefits the Kidneys; KI-10 treats genital pain, itching in the scrotum, and impotence caused by damp-heat; LR-8 clears damp-heat in the lower jiao and benefits the genitals; LR-8 treats swelling and itching of the genitals, genital pain, pain in the penis, impotence and seminal emissions caused by damp-heat - A Manual of Acupuncture, Deadman, 2nd Edition, page 37

How does long-term use of beta blockers such as Inderal (propranolol), Lopressor (metoprolol), or Tenormin (atenolol) affect the pulse? A. The pulse becomes rapid (shu mai B. The pulse becomes slow (chi mai) C. The pulse becomes empty (xu mai) D. The pulse becomes full (shi mai)

How does long-term use of beta blockers such as Inderal (propranolol), Lopressor (metoprolol), or Tenormin (atenolol) affect the pulse? B. The pulse becomes slow (chi mai) Source: beta blockers lower blood pressure and heart rate; this class of drugs also can make the pulse deep (chen mai) and somewhat weak (ruo mai) - Diagnosis in Chinese Medicine, Maciocia, 2004, page 508

How does the drug Procardia XL (nifedipine) work in lowering blood pressure? A. Slow the rate at which calcium passes into the heart muscle thereby relaxing the vessels B. Block the effect of the sympathetic nervous system that responds to stress by increasing blood pressure C. Dilate the arterioles by preventing the formation of Angiotensin II D. Dilate the arterioles by directly blocking the action of Angiotensin II

How does the drug Procardia XL (nifedipine) work in lowering blood pressure? A. Slow the rate at which calcium passes into the heart muscle thereby relaxing the vessels Source: Procardia XL is a calcium channel blocker which slows the rate at which calcium passes into the heart muscle and into the vessel walls; this relaxes the blood vessels allowing the blood to flow more easily through them, thereby lowering blood pressure

How is the effectiveness of the drug AZT (zidovudine) monitored in a patient with AIDS? A. vital signs changes B. CBC (complete blood count) C. viral load tests D. urinalysis

How is the effectiveness of the drug AZT (zidovudine) monitored in a patient with AIDS? C. viral load tests Source: the viral load is a blood test which measures the amount of active HIV (human immunodeficiency virus) in the blood; the higher the value of the viral load test the more active HIV is present; the viral load test is first measured when there is a diagnosis of an HIV infection; this initial measurement will serve as the baseline reading; future viral load measurements will be compared with the baseline; the viral load measurement test performed to monitor changes in the HIV infection, to help guide what treatment to give, and to monitor the effect of treatment

How many Small Intestine points are there on just one side of the face? A. two B. four C. one D. three

How many Small Intestine points are there on just one side of the face? A. two Source: There are 2 points on the right and left side of the face, for a total of 4 points. These points are SI-18 and SI-19 is on the side of the head. SI-18 is directly below the outer canthus in a depression at the lower border of the zygomatic arch. SI-19 is in a depression between the middle of the tragus and the condyloid process of the mandible when the mouth is open. SI-18 is the meeting point of the Small Intestine with the Triple Burner channels. SI-19 is the meeting point of the Small Intestine with the Gallbladder channels. - Manual of Acupuncture, Deadman, 2nd Edition, pages 246, 247

How many parathyroid glands are there? A. three B. four C. two D. one

How many parathyroid glands are there? B. four Source: the parathyroid glands are four (sometimes more) small glands, about the size of a grain of rice; they are located on the posterior surface of the thyroid gland; the main hormone secreted by the parathyroid is parathyroid hormone (PTH); the parathyroid hormone is also known as parathormone; the main function of the parathyroids is to maintain calcium and phosphorus levels within a very narrow range; calcium is important in the functioning of muscles and the nervous system

If a patient complains of knee buckling or giving way after an injury, this can reinforce a suspicion of ligamentous involvement in the knee. What is the kind of force that is most likely to cause an ACL tear? B. Hyperextension force Source: A hyperextension force can result in ACL injuries and associated medial meniscal tears. A history of a varus force with rotation can involve the lateral cruciate ligament, the posterolateral capsule and the posterior cruciate ligament. A history of valgus force to the knee without rotation could indicate damage to the medial meniscus, collateral ligament, epiphyseal plate or patellar dislocation-subluxation. A history of valgus force with rotation could indicate damage to the ACL or the posteromedial capsule. During flexion, as the tibia internally rotates, the posterior horn of the medial meniscus is pulled toward the center of the joint. If excessive, this movement can produce a traction injury of the medial meniscus. - Dutton's Orthopaedic Examination, Evaluation and Intervention, 3rd Edition, 2012, page 857

If a patient has Parkinson's disease, what part of the brain is affected? A. lower brain B. higher brain C. posterior brain D. midbrain

If a patient has Parkinson's disease, what part of the brain is affected? D. midbrain Source: the midbrain contains a portion called the substantia nigra, which is involved in voluntary movements; the result of a dysfunction (death of dopaminergic neurons) in the substantia nigra is the tremors associated with Parkinson's disease

If upon palpation, the lower abdomen feels very soft and flaccid this can indicate A. Spleen and Stomach Deficiency B. Dampness C. Qi stagnation D. Spleen and Kidney Deficiency

If upon palpation, the lower abdomen feels very soft and flaccid this can indicate D. Spleen and Kidney Deficiency Source: the texture of a healthy abdomen feels relatively soft with light pressure and firm with deeper pressure; when the lower abdomen is soft and flaccid it indicates a deficiency in the Spleen and Kidneys; this lower abdomen flaccidity can be seen in women who have had many children; when the epigastrium feels soft and flaccid it indicates a deficiency in the Spleen and Stomach; Dampness, Food Retention, Qi or Blood stagnation, which are excess/full conditions, are associated with a hard abdomen on palpation; in the case of Qi stasis the patient would complain of abdominal distention; in the case of Dampness the patient would complain of abdominal pain; in the case of food retention the patient would complain of abdominal fullness - Diagnosis in Chinese Medicine, Maciocia, 2004, page 511

In 5-Element acupuncture, the entry point for the Large Intestine meridian is A. LI-1 (shang yang) B. LI-20 (ying xiang) C. LI-4 (he gu) D. LU-11 (shao xang)

In 5-Element acupuncture, the entry point for the Large Intestine meridian is C. LI-4 (he gu) Source: the entry and exit points are not necessarily the first and the last points on a meridian; the exceptions are LU-7, LI-4, ST-42, KI-22, PC-8, TB-22 and GB-41; entry/exit points are not often used in 8 principle school of acupuncture; Five Element (Worsley) style of acupuncture uses them extensively; they are used to allow a relative excess or deficiency in one meridian to be offset by its yin-yang paired meridian; if you want to drain an excess from the Lung meridian and have it flow into a deficient Large Intestine meridian, then LU-7 and LI-4 are needled

In Facial Diagnosis, in both the "Simple Questions" and the "Spiritual Axis" the Spleen is associated with the A. Mouth B. Tip of the nose C. Cheeks D. Forehead

In Facial Diagnosis, in both the "Simple Questions" and the "Spiritual Axis" the Spleen is associated with the B. Tip of the nose Source: a green or blue nose tip indicates abdominal pain from a Cold Spleen; a yellow tip indicates Spleen Damp-Heat; a white tip indicates Blood Vacuity; a red tip indicates Lung and Spleen Heat; a grayish tip indicates that Water movement is obstructed - The Foundations of Chinese Medicine, Maciocia, 2015, page 318; 2005 Edition, page 304; 1989 Edition, page 147

In Five Elements pulse diagnosis the pulses are graded from A. -4 to +4 B. -2 to +2 C. -3 to +3 D. -5 to +5

In Five Elements pulse diagnosis the pulses are graded from C. -3 to +3 Source: 5 Element acupuncturists focuses on just two pulse qualifies, deficiency and excess. The deficiency/empty (yin) and the excess/full (yang) of the pulse positions are graded from -3 to +3. A deficiency pulse is graded from -1 slight deficiency, -2 moderate deficiency, -3 extreme deficiency. An excess pulse is graded from +1 slight excess, +2 moderate excess, +3 extreme excess. The pulses are compared to each other and to the patient. A normal or healthy pulse is relative to other unbalanced pulses. The acupuncturist considers the age, sex, body type, and physical activity and decides the on what is normal strength for this patient. What is normal strength for young and strong patient would be different than for an older and weaker patient. Once the normal strength for the patient has been determined, the pulses are then compared to determine the relative deficiency and excess of the pulses in relation. Normal pulse strength for that patient is noted with a check mark. One of the goals of 5E treatment is to have all pulses by the end of treatment be healthy and normal in strength. - Clinical Manual Integrating Five Element Acupuncture with Traditional Chinese Medicine, Silverstein, 2015, page 66

In a chronic heat condition, all of the following foods need to be used cautiously EXCEPT A. kelp and seaweeds B. clam and crab C. cow dairy and yogurt D. eggs

In a chronic heat condition, all of the following foods need to be used cautiously EXCEPT A. kelp and seaweeds Source: the other foods listed may cause an obstruction which can then aggravate the heat condition - Healing with Whole Foods, Paul Pitchford, 3rd Edition page 62

In a cold internal condition, all of the following fruits can be recommended EXCEPT A. cherry B. watermelon C. date D. citrus peel

In a cold internal condition, all of the following fruits can be recommended EXCEPT B. watermelon Source: watermelon is cooling while the other fruits are warming - Healing with Whole Foods, Paul Pitchford, 3rd Edition page 66

In chronic conditions, Blood stasis occurs in which type of luo-connecting channel? A. superficial luo-connecting channels B. deep luo-connecting channels C. minute luo-connecting channels D. regular luo-connecting channels

In chronic conditions, Blood stasis occurs in which type of luo-connecting channel? B. deep luo-connecting channels Source: above the primary channels are the regular luo (the ones you see in charts) and superficial luo channels (superficial and minute); below the primary channels are the deep luo-connecting channels which are also called deep blood luos as they are associated with Blood and blood vessels; in chronic disease the deep luo channels can be affected by Blood stasis; all the luo connecting points, but especially the yin luo connecting points, can invigorate the Blood circulation; LU-7 treats retention of a dead fetus or retention of lochia; SP-4 treats abdominal pain from blood stasis, irregular periods, and placental retention; HT-5 and PC-6 treat chest pain from blood stasis; KI-4 treats irregular periods; BL-58 treats painful-swollen hemorrhoids; SP-4 is the most important luo point to invigorate Blood as it also is the opening point for the Penetrating Vessel (chong mai) which is also called the "Sea of Blood" - Channels of Acupuncture, Maciocia, 2006, page 270

In comparing Wind-Cold of the Six Stages with Wind-Heat of the Four Levels, which of the following is an INACCURATE comparison? A. Wind-cold has no sweating (cold predominant) while wind-heat has slight sweating B. Both wind-cold and wind-heat have an aversion to cold C. Both wind-cold and wind-heat can have thin-white tongue coating D. Wind-cold enters through the nose while wind-heat enters through the skin

In comparing Wind-Cold of the Six Stages with Wind-Heat of the Four Levels, which of the following is an INACCURATE comparison? A. Wind-cold has no sweating (cold predominant) while wind-heat has slight sweating Source: It is wind-cold that enters the body through the skin while wind-heat enters the body through the mouth (sore throat) and nose. A sore-red throat is a differentiating sign between wind-heat and wind-cold. Until the the theory of Warm Disease (four levels) all pathogenic factors were seen as entering through the skin. The Warm Disease school cites that external heat enters through the nose and mouth which fits nicely with Western concept of virus and bacteria entering through the mucous membranes of the nose and mouth. Both wind-cold and wind-heat have aversion to cold since the wind in both patterns obstructs the wei qi which has the function of warming the body surface. When cold is predominant in a wind-cold pattern there is no sweating. But if the wind is predominant in a wind-cold pattern then the sweating is located on the upper part of the body (wind moves up). The tongue coating in both patterns are white as the pathogenic factor is still located on the exterior. But wind-cold has a normal tongue color while wind-heat has redness on the sides or front of the tongue. - Foundations of Chinese Medicine, Maciocia, 2015, page 770, 771

In comparing qiang huo (notoptergii rhizoma) and du huo (angelicae pubescentis), which statement is true? A. qiang huo is better at treating the Yang or superficial aspects of the body' Source: Both qiang huo and du huo expel wind-dampness, eliminate painful obstruction, and alleviate pain. Qiang huo is the warmer, dryer herb, and enters the Qi level, making it best for treating the upper or superficial aspects of the body. Du huo travels more slowly, entering the Blood level and moving downward to the low back and legs. Because of their complimentary actions, these two herbs are often used together to treat pain in both the upper and lower body. Qiang huo enters the Bladder and Kidney channels. Du huo also enters the Bladder and Kidney channels. Qiang huo is bitter, acrid and warm. Du huo is bitter, acrid, aromatic, and warm. Qiang huo is contraindicated with blood xu bi-syndrome. Du huo should be used with caution in yin or blood xu patients and should not be used with internal wind. - Chinese Herbal Medicine Materia Medica, 3rd Edition, Bensky, Clavey, and Stoger, page 21

In comparing rou gui (cinnamomi cortex) and gui zhi (cinnamomi ramulus), which statement is true? A. rou gui enters the lower burner, while gui zhi moves upward B. rou gui warms the nutritive Qi and Blood, whereas gui zhi does not C. gui zhi is stronger at warming the interior, while rou gui disperses exterior cold D. gui zhi disperses congealed cold, whereas rou gui does not

In comparing rou gui (cinnamomi cortex) and gui zhi (cinnamomi ramulus), which statement is true? A. rou gui enters the lower burner, while gui zhi moves upward Source: Rou gui and gui zhi are both part of the cinnamon tree. Both parts disperse congealed cold, and both warm the nutritive Qi and Blood. However, rou gui - the bark of the tree - is best for warming the interior and treating pain in the lower body. Gui zhi - the tree's twig - disperses exterior cold, and moves upward to unblock the channels and collaterals. Rou gui is acrid, sweet, and hot, and enters the Heart, Kidney, Liver, and Spleen channels. It fortifies Kidney and Spleen Yang, warms the Heart Yang, and leads Ministerial fire back to its source. Its dispersing, blood-moving qualities make it cautioned for use during pregnancy. Gui zhi is acrid, sweet, and warm, and enters the Heart, Lung, and Urinary Bladder channels. It releases the exterior, warms Heart Yang, and transforms thin mucus. It should be used with caution in cases of heat, or during pregnancy. - Chinese Herbal Medicine Materia Medica, 3rd Edition, Bensky, Clavey, and Stoger, pages 8, 9, 684, 685, and 686

In comparing the herbs tao ren (persicae semen) and hong hua (carthami flos), which statement is true? A. tao ren can raise blood to the head B. hong hua is best for moistening the Intestines C. tao ren is stronger for treating blood stagnation in the lower body D. hong hua is better for treating coughs

In comparing the herbs tao ren (persicae semen) and hong hua (carthami flos), which statement is true? C. Tao ren is stronger for treating blood stagnation in the lower body Source: Both tao ren and hong hua dispel blood stasis and unblock menstruation, and are often used together for this purpose. However, while hong hua is light and travels to the head, tao ren is heavy in nature, and is therefore stronger at treating blood stagnation in the lower body. It also moistens the Intestines, and treats coughing and wheezing. Tao ren is bitter, sweet, neutral, and slightly toxic, and enters the Heart, Large Intestine, Liver, and Lung channels. Hong hua is acrid and warm, and enters the Heart and Liver channels. Both herbs are contraindicated during pregnancy, or in bleeding disorders. - Chinese Herbal Medicine Materia Medica, 3rd Edition, Bensky, Clavey, and Stoger, pages 625, 626, and 627

In examining cranial nerve I, what is the typical procedure done? A. Tuning fork B. Reflex hammer C. Smell coffee grounds D. Pin prick

In examining cranial nerve I, what is the typical procedure done? C. Smell coffee grounds Source: Cranial nerve I is the olfactory nerve. CN I is not often tested but when it is tested it is via having each nostril smelling a substance (coffee, vanilla, peppermint, etc). A tuning fork would be used to test for CN VIII, the acoustic nerve. A reflex hammer can be used to test the jaw reflex associated with CN V, the trigeminal nerve. A pin prick and a dull object can be used to test facial (forehead, cheek, jaw) sensation associated with CN V (trigeminal nerve). - Bate's Guide to Physical Examination, 10th Edition, page 673; 8th Edition, page 567

In infants who are nursing, what does a tongue with milky white coating indicate? A. Stomach Vacuity B. normal tongue C. Spleen Vacuity with Dampness D. Phlegm

In infants who are nursing, what does a tongue with milky white coating indicate? B. normal tongue Source: When a child is at the stage of only drinking milk, it is normal for the tongue to have a milky white fur. When a child is born the tongue body is red and has no coating. If the child has a coating that is peeled, this is generally due to a vacuity in the Spleen and Stomach that results in poor digestion. If the coating is moldy, this generally indicates food accumulation and incomplete digestion. - Practical Diagnosis in Traditional Chinese Medicine, Deng, 1999, page 366

In scalp acupuncture, the midline of the head is defined as beginning A. at the frontal hairline and ending at the back of the hairline B. at the midpoint at the top of the head near DU-20 and ending at the occipital protuberance C. at the frontal hairline and ending at the top of the head near DU-20 D. between the eyebrows and ending at the occipital protuberance

In scalp acupuncture, the midline of the head is defined as beginning D. between the eyebrows and ending at the occipital protuberance Source: Acupuncture: A Comprehensive Text, Bensky, 1981, page 497; Chinese Scalp Acupuncture, Jason Hao, Lingzhi Hao, 2017 page 45

In the nervous system, the name of a tract that begins with "spino" is what type of tract? A. motor tract B. sensory-motor tract C. spinal tract D. sensory tract

In the nervous system, the name of a tract that begins with "spino" is what type of tract? D. sensory tract Source: if the name of a tract begins with "spino" (eg spinocerebellar), then the tract is a sensory one that transmits impulses from the spinal cord to, in this instance, the cerebellum; if the name of a tract ends with "spinal" (eg vestibulospinal), then the tract is a motor one that transmits impulse from the vestibular area to the spinal cord

In treating a deficient patient one should use which taste? A. full sweet taste B. sour taste C. bitter taste D. empty sweet taste

In treating a deficient patient one should use which taste? A. full sweet taste Source: The sweet flavor warms, strengthens, harmonizes, relaxes, and can moisten. The full sweet taste denotes the ability to tonify. With the exception of the red date, used in Chinese herbs, nearly all fruits are labeled as having an empty sweet flavor which is either too cooling or too cleansing for deficient-weak conditions. The empty-sweet flavor is beneficial in treating excess conditions. Tonfiyng grains and legumes include rice (warming-sweet, tonifies qi and middle jiao), millet (warming-sweet-bitter, supplemens qi, cools heat), corn (warming-sweet, supplemetns qi and blood), black beans (neutral-sweet, supplements spleen and kidneys), quinoa (warm-sweet, tonifies qi, warms yang), and green lentils (neutral-sweet, tonifies qi and blood). Tonifying vegetables include parsnips (warm-sweet-bitter-acrid, balances stomach and lungs), yam (warming-sweet, tonifies qi, balances qi and blood), fennel (warming-sweet-acrid, tonifies middle jiao, moistens), carrots (neural-sweet, tonifies middle jiao), and chestnuts (warming-sweet, tonifies spleen and kidneys). Tonifying seeds and nuts include hazelnuts (warming-sweet, tonifies spleen and kidneys), black sesame seeds (neutral-sweet, tonifies spleen and kidneys(, and walnuts (warm-sweet-bitter, tonifies kidney and lungs). Tonifying meats include chicken (warm-sweet, tonifies qi and blood), lamb (hot-sweet, tonfies kidney and spleen yang), beef (neutral-sweet, balances stomach and spleen qi). Tonifying fish include trout (warm-sweet, tonifies middle jiao), lobster (warm-sweet-salty, tonfies kidney qi and yang), salmon (cool-sweet-bitter-acrid, tonfies qi and blood), and sardines (neutral-sweet-salty, tonifies qi and blood). If the patient is deficient and cold, then warming foods and spices should also be included. An over intake of bitter foods, which have a reducing action, can worsen deficiencies. - Healing with Whole Foods, Paul Pitchford, 3rd Edition page 92; Chinese Nutrition Therapy, Kastner, 2004, page 238-250

In treating hypertension, in addition to the Lower Blood Pressure Groove and Heart ear point you would include all of the following ear points in the prescription EXCEPT A. Pituitary Source: the Subcortex point and the Neurogate point regulate excitation and inhibition of cerebral cortex helping to regulate cerebral blood flow which can be impaired during hypertension; the Lower Blood Pressure Groove is pricked to express blood; the Sympathetic point treats diseases related to parasympathetic and sympathetic nervous system; disorder of the sympathetic nervous system overactivity increases blood pressure and contributes to the development and maintenance of hypertension; the Heart point treats heart rate and stroke volume which are important ways for the body to control blood pressure - Acupuncture: A Comprehensive Text, Bensky, 1981, page 596, 481, 483, 484, 485; CAM, 3rd Edition, page 528 for hypertension has Ear-Shenmen (same as neurogate), Groove of Inferior Antihelix Crus (same as Lower Blood Pressure Groove), Helix (the helix is subdivided into five equal parts using most tender point), and Infratragic Apex (same as Adrenal)

Jing-river points treat disorders that have changes in the voice. Which jing-river point treat a propensity to laugh? A. HT-4 (lingdao), TB-6 (zhigou) B. GB-38 (yangfu), PC-5 (jianshi C. KI-7 (fuliu), SP-5 (shangqiu) D. ST-41 (jiexi), LR-4 (zhongfeng)

Jing-river points treat disorders that have changes in the voice. Which jing-river point treat a propensity to laugh? C. KI-7 (fuliu), SP-5 (shangqiu) Source: the three jing-river points that treat a propensity to laugh are KI-7, SP-5, and LI-5; KI-7 treats a propensity to anger with constant talking and a propensity to laugh; SP-5 treats a propensity to laugh and impaired speech; LI-5 treats propensity to laugh and manic ravings; GB-38 and LR-4 treat sighing; TB-6, HT-4 and PC-5 treat a sudden loss of voice; PC-5 also treats halting speech and manic ravings; ST-41 treats Stomach Heat with manic ravings - A Manual of Acupuncture, Deadman, 2nd Edition, page 35-36

Muscular dystrophy is A. A disorder characterized by abnormal patterns of sleep, diffuse muscle pain and fatigue, headaches, and an irritable bowel' B. A group of muscular disorders in which there is considerable muscle degeneration and weakness C. Characterized by spontaneous, involuntary muscle contractions' D. Characterized by destruction of acetylcholine receptors in the neuromuscular junction

Muscular dystrophy is B. A group of muscular disorders in which there is considerable muscle degeneration and weakness Source: muscular dystrophy (MD) is a genetic disorder that weakens the muscles; in MD there is incorrect or missing information in the genes, which prevents the genes from making proteins needed for healthy muscles; some forms of MD appear in infancy or childhood, while others may not appear until middle age or later; the different muscular dystrophies vary in who they affect and the symptoms; all forms of MD grow worse as the person's muscles get weaker; most people with MD eventually lose the ability to walk; there is no cure for muscular dystrophy

Normally, when a healthy woman is about to menstruate the pulse image is that A. the two bar pulses are floating-rapid and the two inch pulses are string-like B. the cubit and bar pulses on the left are surging and larger than those on the right C. the two bar pulses and the two inch pulses are string-like D. the two bar pulses and the two inch pulses are floating-rapid

Normally, when a healthy woman is about to menstruate the pulse image is that B. the cubit and bar pulses on the left are surging and larger than those on the right Source: In a healthy woman about to menstruate you will usually either palpate that the cubit and bar pulses on the left are surging and larger than those on the right or that the two bar pulses are string-like and the two inch pulses are floating-rapid. If the women has irregular menstruation, the pulse picture will change. If the pulse is string-like and rapid or the two bar pulses are surging, large, slippery and rapid this can indicate Blood Heat in the Penetrating and Conception Vessels. This pulse image can be palpated with excessive menstruation. If the pulse is fine and rapid, thin can indicate Blood Heat damaging the Body Fluids resulting in Yin Vacuity Effulgent Fire. This pulse image can be palpated with early menstruation with dribbling and spotting. - Practical Diagnosis in Traditional Chinese Medicine, Deng, 1999, page 357

Normally, when a healthy woman is about to menstruate the pulse image is that A. the two bar pulses are floating-rapid and the two inch pulses are string-like B. the two bar pulses and the two inch pulses are string-like C. the two bar pulses and the two inch pulses are floating-rapid D. the cubit and bar pulses on the left are surging and larger than those on the right

Normally, when a healthy woman is about to menstruate the pulse image is that D. the cubit and bar pulses on the left are surging and larger than those on the right Source: In a healthy woman about to menstruate you will usually either palpate that the cubit and bar pulses on the left are surging and larger than those on the right or that the two bar pulses are string-like and the two inch pulses are floating-rapid. If the women has irregular menstruation, the pulse picture will change. If the pulse is string-like and rapid or the two bar pulses are surging, large, slippery and rapid this can indicate Blood Heat in the Penetrating and Conception Vessels. This pulse image can be palpated with excessive menstruation. If the pulse is fine and rapid, thin can indicate Blood Heat damaging the Body Fluids resulting in Yin Vacuity Effulgent Fire. This pulse image can be palpated with early menstruation with dribbling and spotting. - Practical Diagnosis in Traditional Chinese Medicine, Deng, 1999, page 357

On listening to the heart one hears first a loud sound "lub" followed by a shorter softer sound "dub". What causes the first louder sound? A. the closure of the parietal valve B. the closure of the mitral and tricuspid valves C. the closure of the aortic valve D. the closure of the pulmonary valve

On listening to the heart one hears first a loud sound "lub" followed by a shorter softer sound "dub". What causes the first louder sound? B. the closure of the mitral and tricuspid valves Source: in healthy individuals, there are two normal heart sounds often described as a lub and a dub (or dup), that occur in sequence with each heartbeat; these are the first heart sound (S1) and second heart sound (S2), produced by the closing of the AV valves and semilunar valves respectively; in addition to these normal sounds, a variety of other sounds may be present including heart murmurs, etc.

One way of looking at the sanjiao is that it has "a name but no form". This refers to the sanjiao as A. three divisions of the body B. the hollow body cavities C. an extra-ordinary fu D. a mobilizer of yuan qi

One way of looking at the sanjiao is that it has "a name but no form". This refers to the sanjiao as D. a mobilizer of yuan qi Source: The sanjiao has been historically viewed in four different ways: 1) as a formless mobilizer of yuan qi; 2) as one of the six yang organs having a function; 3) as referring to body cavities; and 4) as three body divisions. From the point of view of the formless, "a name but no form", the sanjiao is seen as a set of unsubstantial functions related to yuan qi. Via the sanjiao, the yuan qi, which originates between the kidneys, spreads to the zang fu, the 12 channels, and emerges at the yuan source points. The sanjiao mobilizes the yuan qi throughout the body by providing the heat necessary for organs to function. The extra-ordinary yang organs (fu) are the Uterus, the Brain, the Marrow, the Bones, the Blood Vessels, and the Gall Bladder. One view of the sanjiao is that it has form like other organs. It is, however, classified not as an extraordinary yang organ but as one of the six Yang organs which are the Stomach, Large Intestine, Small Intestine, Bladder, Gall Bladder (also an extra-ordinary organ), and the sanjiao. - Foundations of Chinese Medicine, Maciocia, 2015, page 224

Pain, swelling and redness of the eye indicate either invasion of the eye by exterior Wind-Heat or A. Exterior Wind-Cold B. Interior Liver-Wind C. Interior Liver-Fire D. Interior Damp-Heat

Pain, swelling and redness of the eye indicate either invasion of the eye by exterior Wind-Heat or C. Interior Liver-Fire Source: not only is the Liver associated with the eyes but other organs can also have an effect; the Kidneys, for example, nourish-moisten the eyes; the Heart also nourishes the eyes - The Foundations of Chinese Medicine, Maciocia, 2015, page 358; 2005 Edition, page 338; 1989 Edition, page 159

Pain in the whole body with a sudden onset of pain with aversion to cold and fever indicates A. Stomach-Heat B. Exterior Wind C. Blood stasis D. Damp-Heat

Pain in the whole body with a sudden onset of pain with aversion to cold and fever indicates B. Exterior Wind Source: in regards to pain in the whole body, a sudden onset of pain in the whole body with aversion to cold and fever is due to external pathogenic Wind; aching all over with a feeling of tiredness is due to qi and Blood vacuity; in women, dull pain after giving birth indicates Blood deficiency but if the pain is severe it indicates Blood stasis; a dull ache in the muscles particularly in the legs and arms with a feeling of heaviness is due to Dampness - The Foundations of Chinese Medicine, Maciocia, 2015, page 3521; 1989, Edition, page 156

Plum blossom therapy is based on the cutaneous areas within the domain of the A. luo-connecting channels B. divergent channels C. sinew channels D. channels and collaterals

Plum blossom therapy is based on the cutaneous areas within the domain of the D. channels and collaterals Source: 7-star or plum blossom needling is based on the theory of channels and collaterals. The cutaneous areas on the skin are within the domain of the the twelve regular channels. The cutaneous areas can adapt to changes in the external environment to prevent an invasion of external pathogenic factors. The cutaneous areas can also reflect the state of health of the internal organs. Any pathological changes in the organs can manifest in the region of the channels associated with the organ. Since the cutaneous areas are associated with the twelve channels and since the twelve channels are associated with the internal organs, then both the external and the internal can affect the cutaneous areas. Also, the Bladder channel is located on both sides of the spinal column. The back shu points on the Bladder channel are related to the zang fu. Both sides of the spinal column or the Bladder channel are important areas in using 7-star needle therapy. - Chinese Plum Blossom Needle Therapy, Zhong Mei-quan, 3rd Edition, page 5-7

Point selection requires a good knowledge of the channels. LR-3 (taichong) is selected to treat vertex headaches because of the A. Liver luo-connecting channel goes to the head B. Liver channel connection to the yin linking vessel C. internal pathway of the Liver channel D. Liver channel connecting to the gall bladder and the Gall Bladder connecting to the Bladder channel

Point selection requires a good knowledge of the channels. LR-3 (taichong) is selected to treat vertex headaches because of the C. Internal pathway of the Liver channel Source: the Liver channel connects with the brain at the point DU-20 which is the uppermost acupuncture point in the body; the Liver channel is the only yin channel to directly ascend to the top of the head; because of this channel connection, LR-3 treats vertex headache, dizziness due to either excess Liver or deficient Liver patterns - A Manual of Acupuncture, Deadman, 2nd Edition, page 57

Point selection requires a good knowledge of the channels. LR-3 (taichong) is selected to treat vertex headaches because of the C. internal pathway of the Liver channel Source: the Liver channel connects with the brain at the point DU-20 which is the uppermost acupuncture point in the body; the Liver channel is the only yin channel to directly ascend to the top of the head; because of this channel connection, LR-3 treats vertex headache, dizziness due to either excess Liver or deficient Liver patterns - A Manual of Acupuncture, Deadman, 2nd Edition, page 57

Select what applies to BL-10 (tian zhu). A. Window of Sky Point B. Window of Sky Point, Yang Wei Mai (Yang Linking Vessel) Point C. Yang Wei Mai (Yang Linking Vessel) Point D. Yang Qiao Mai (Yang Heel Vessel) Point

Select what applies to BL-10 (tian zhu). A. Window of Sky Point Source: BL-10 Regulates qi and pacifies wind, Benefits the head and sensory openings, Calms the shen, Activates the meridian and reduces pain. - A Manual of Acupuncture, Deadman, 2nd Edition, page 263

Shaking the acupuncture needle is a method A. to increase the needle sensation and an auxiliary method for reducing B. to increase the needle sensation and an auxiliary method for reinforcing C. to increase the needle sensation D. an auxiliary method for reinforcing

Shaking the acupuncture needle is a method A. to increase the needle sensation and an auxiliary method for reducing Source: Shaking the needle is a method used to increase a weak de qi or to help bring it about. It is also an auxiliary reducing method if it is used before withdrawing the needle. The needle is shaken before withdrawal to help drive out the pathogenic factors - CAM, 3rd Edition, page 345

TDP lamp therapy uses A. far infrared B. near infrared C. ultraviolet' D. ultrared

TDP lamp therapy uses A. far infrared Source: Other names are "FIM Energizers", "FIR Lamps", "Bio-spectrum Lamps". TDP is an acronym for "Teding Diancibo Pu" which can be translated as "Special Electromagnetic Spectrum" in Chinese. TDP lamp uses a heated mineral plate, consisting of a formula of 33 trace elements, that emit far-infrared radiation in the 2-50 micrometer range to increase micro circulation, loosen muscle and ligaments, and accelerate the natural healing processes of the body. Treatments can last between 30 minutes to an hour. The TDP lamp has also been classified by the FDA in a group of radiant devices used for the temporary relief of chronic pain and arthritis.

The Cutaneous Regions are important in diagnosis. Which of the following displays the sequence of manifesting an inner disharmony of the main organs to the Cutaneous Regions? A. main organs > primary channels > deep luo channels > luo channels > superficial luo channels > cutaneous regions B. main organs > deep luo channels > luo channels > primary channels > superficial luo channels > cutaneous regions C. main organs > deep luo channels > primary channels > luo channels > superficial luo channels > cutaneous regions D. main organs > primary channels > luo channels > deep luo channels > superficial luo channels > cutaneous regions

The Cutaneous Regions are important in diagnosis. Which of the following displays the sequence of manifesting an inner disharmony of the main organs to the Cutaneous Regions? C. main organs > deep luo channels > primary channels > luo channels > superficial luo channels > cutaneous regions Source: the internal organs communicate with the main or primary channels, deep luo channels, main channels, to the luo-connecting channels, to the superficial luo-channels, and to the cutaneous areas; the main channels circulate between the deep luo-connecting channels and the luo-connecting channels; the cutaneous regions can be diagnosed via observation ot the skin and via palpation of the skin - The Channels of Acupuncture, Maciocia, 2006, page 358

The External Genitalia ear point is located on the helix level with the A. lower border of the inferior antihelix crus B. upper border of the inferior antihelix crus C. terminal of inferior the antihelix crus D. lateral border of the inferior antihelix crus

The External Genitalia ear point is located on the helix level with the B. upper border of the inferior antihelix crus Source: this point treats inflammation of the external genitals, eczema of the perineum, impotence - Chinese Acupuncture and Moxibustion, 3rd Edition, page 516-524; 2nd Edition, 1999, page 535-542

The FDA classifies acupuncture needles as a A. Class I device B. Class II device C. Class III device D. Class IV device

The FDA classifies acupuncture needles as a B. Class II device Source: Class I Devices are evaluated at the lowest level of risk of all medical devices and are required to comply with the lowest level of regulatory control. Examples of Class I devices are elastic bandages, dental floss and enemas. Class II devices are simple devices, though they are more complicated than Class I devices. They are considered to be at slightly higher risk than Class I devices and require more stringent controls to provide assurance of their safety and effectiveness. Examples of Class II devices arecondoms, pregnancy testing kits and powered wheelchairs. Class III devices are generally considered to be the most complex devices. They are considered to be at the highest risk and require more stringent controls to provide assurance of their safety and effectiveness. Examples of Class III devices are implantable pacemakers and breast implants. - Acupuncture Risk Management, CMS Press, Kailin, 1997 page 147

The Gall Bladder, Spleen, and Stomach Divergent Channels separate from their primary channel at the A. Foot B. Shoulder C. Head D. Thigh

The Gall Bladder, Spleen, and Stomach Divergent Channels separate from their primary channel at the D. Thigh Source: the Gall Bladder Divergent separates at the lateral thigh; the Spleen Divergent separates at the medial anterior thigh, and the Stomach Divergent separates at the middle front thigh - A Manual of Acupuncture, Deadman, 2nd Edition, page 418

The Girdle or Belt Vessel (dai mai) pathology can result in A. purplish tinged colored feet B. lower abdominal pain that radiates to the navel C. the sensation of sitting in hot water D. slack outer leg muscles

The Girdle or Belt Vessel (dai mai) pathology can result in A. purplish tinged colored feet Source: Because the dai mai encircles the leg channels, it regulates the qi circulation in the legs. When the dai mai is too tight, the qi and blood circulation in the legs is impaired. This can result in purplish tinged feet due to poor circulation of qi (warming function) and Blood (nourishing function). A keynote symptom of the dai mai is the sensation of sitting in COLD water. When tight, the dai mai is associated with tight-tense outer leg muscles due to the Liver-Blood failing moisten the sinews. The dai mai is associated with pain that radiates from the lower abdomen to the lower back or pain that radiates from the lower back to the lower abdomen. The dai mai affects the Stomach channel qi in the legs. The tension in the dai mai can weaken the qi in the Stomach channel resulting in weak legs or leg atrophy. To treat the weak legs or atrophy treat both the opening (GB-41) and coupled (TB-5) points. As the dai mai encircles the waist and influences the hip, it can be used to treat hip pain especially when due to Liver Blood Deficiency with Liver Yang Excess. - The Foundations of Chinese Medicine, Maciocia, 2015, page 918, 919, 920

The Heart divergent channel connects A. with the Heart organ and the Small Intestine primary channel B. with only the Small Intestine primary channel C. with only the Heart organ D. with the Pericardium primary channel

The Heart divergent channel connects A. with the Heart organ and the Small Intestine primary channel Source: all yang divergents connect with both zang and fu or internal/external channel pairs while only the Heart, Lungs and Kidneys of the yin divergent channels connect with both zang and primary yang channel - A Manual of Acupuncture, Deadman, 2nd Edition, page 16, 210

The Heart divergent channel connects A. with the Heart organ and the Small Intestine primary channel' B. with only the Small Intestine primary channel C. with only the Heart organ D. with the Pericardium primary channel

The Heart divergent channel connects A. with the Heart organ and the Small Intestine primary channel' Source: all yang divergents connect with both zang and fu or internal/external channel pairs while only the Heart, Lungs and Kidneys of the yin divergent channels connect with both zang and primary yang channel - A Manual of Acupuncture, Deadman, 2nd Edition, page 16, 210

The Liver channel connects with the Liver and Gall Bladder zangfu as well as the A. Lung and Splee B. Lung and Stomach C. Kidneys and Heart D. Spleen and Kidneys

The Liver channel connects with the Liver and Gall Bladder zangfu as well as the B. Lung and Stomach Source: the Liver channel circles the genitals, enters the lower abdomen to connect with REN-2, REN-3, and REN-4, continues up and curves around the Stomach before entering the Liver and connecting with the Gall Bladder from where it crosses the diaphragm, spreads in the hypochondriac region to ascend to the eye and then to the vertex; another internal branch starts at the Liver, crosses the diaphragm and spreads in the Lung to meet with PC-1 - A Manual of Acupuncture, Deadman, 2nd Edition, page 470

The Liver channel connects with the Liver and Gall Bladder zangfu as well as the A. Lung and Spleen B. Kidneys and Heart C. Lung and Stomach D. Spleen and Kidneys

The Liver channel connects with the Liver and Gall Bladder zangfu as well as the C. Lung and Stomach Source: the Liver channel circles the genitals, enters the lower abdomen to connect with REN-2, REN-3, and REN-4, continues up and curves around the Stomach before entering the Liver and connecting with the Gall Bladder from where it crosses the diaphragm, spreads in the hypochondriac region to ascend to the eye and then to the vertex; another internal branch starts at the Liver, crosses the diaphragm and spreads in the Lung to meet with PC-1 - A Manual of Acupuncture, Deadman, 2nd Edition, page 470

The Lung channel connects with all of the following organs EXCEPT A. Lung B. Spleen C. Large Intestine D. Stomach

The Lung channel connects with all of the following organs EXCEPT B. Spleen Source: the internal pathway of the Lung channel starts at the middle burner, descends to connect to the Large Intestine, returns up to enter the Stomach, then penetrates the Lung, and goes to the throat from which it goes to LU-1 where the Lung channel emerges - A Manual of Acupuncture, Deadman, 2nd Edition, page 73

The Spleen luo-connecting channel connects with the A. Heart channel, Stomach fu, intestines B. Stomach channel, Stomach fu, intestines C. Stomach channel, Heart zang, intestines D. Kidney channel, Stomach fu, intestines

The Spleen luo-connecting channel connects with the B. Stomach channel, Stomach fu, intestines Source: as a luo-connecting point, SP-4 (gong sun) harmonizes the middle jiao (Stomach, Spleen), regulates the intestines, stops bleeding from the digestive system (all yin channel luo-connecting points stop some type of bleeding); also, as the opening point for chong mai (Penetrating Vessel), SP-4 (gong sun) can stop bleeding in any area of the body as the chong mai (Penetrating Vessel) also controls all the Blood connecting channels - A Manual of Acupuncture, Deadman, 2nd Edition, page 178, 181; Foundations of Chinese Medicine, Maciocia, 2015, page 998; 2005 Edition, page 942

The Stomach divergent channel connects with all of the following organs EXCEPT A. Stomach B. Large Intestine C. Spleen D. Heart

The Stomach divergent channel connects with all of the following organs EXCEPT B. Large Intestine Source: the Stomach divergent channel starts at the middle of the thigh, moves up to enter the abdomen, goes to the Stomach, disperses in the Spleen, and ascends to the Heart; from there it goes up the esophagus and emerges at the mouth, and continues along the nose to connect with the eye and then connects with the Stomach primary channel; the Stomach primary channel only connects with the Stomach and Spleen and not the Heart - A Manual of Acupuncture, Deadman, 2nd Edition, page 127

The Vitamin B12 and Folic Acid blood tests are used to evaluate the nutritional status of patients and to identify the cause of A. Gastric malabsorption of vitamins B. Low energy C. Nutrient degradation D. Anemia

The Vitamin B12 and Folic Acid blood tests are used to evaluate the nutritional status of patients and to identify the cause of D. Anemia Source: folic acid, a B vitamin, is essential for the normal functioning of RBCs and WBCs; if blood levels of folic acid are low, it indicates that the recent intake of folate is below normal or that the patient has a vitamin B12 deficiency which blocks the cells from taking in folic acid; if the reason for the low level of blood folate is due to a B12 deficiency then it would require a supplementation of B12 and not folic acid; folic acid blood levels are done during pregnancy, to evaluate blood disorders, and to determine anemia due to folic acid deficiency; the main causes that lead to a folate deficiency are: 1) dietary, usually in alcoholic patients; 2) malabsorption syndrome; 3) pregnancy; 4) due to anti-convulsant drugs - Mosby\'s Manual of Diagnostic and Laboratory Tests, 4th Edition, 2010, Pagana, page 256-257, 541-542; 2nd Edition, page 475-476, 236-237

The __________ secretes peptidases and disaccharidases, whereas the __________ secretes trypsin, chymotrypsin, amylase, and lipase. A. small intestine, pancreas B. stomach, small intestine C. liver, small intestine D. liver, pancreas

The __________ secretes peptidases and disaccharidases, whereas the __________ secretes trypsin, chymotrypsin, amylase, and lipase. A. small intestine, pancreas Source: peptidases are any enzyme that catalyzes the splitting of proteins into smaller peptide fractions and amino acids; disaccharidases are enzymes that break down certain types of sugars called disaccharides into simpler sugars called monosaccharides; trypsin and chymotrypsin are enzymes that break down proteins in the small intestine; amylase converts starch and glycogen into simple sugars; lipase is an enzyme that catalyzes the breakdown of fats to fatty acids and glycerol or other alcohols

The actions for dang gui liu huang tang (tangkuei and six-yellow decoction) are A. Stabilizes the Kidneys and binds up the semen B. Enriches the yin; Drains fire; Stabilizes the exterior; Stops sweating C. Warms the Kidneys and dispels cold; Shuts off urinary frequency and stops leakage D. Augments qi; strengthens the Spleen; Stablizes the penetrating vessel and stops bleeding

The actions for dang gui liu huang tang (tangkuei and six-yellow decoction) are B. Enriches the yin; Drains fire; Stabilizes the exterior; Stops sweating Source: The TCM diagnosis is Liver and Gallbladder fire excess. This formula is extremely cold and draining that redirects fire down to regulate-control the qi. With the appropriate TCM presentation, the formula can be selected to biomedically treat tuberculosis, diabetes, hyperthyroidism, perimenopausal syndrome, and nervous exhaustion. - Formulas and Strategies, Bensky, 2nd Edition, page 218

The acupuncture stimulus arise to the higher brain for the purpose of homeostasis, this passes through all of the following EXCEPT A. Motor Cortex B. Amygdala C. Hippocampus D. Cingulate Gyrus

The acupuncture stimulus arise to the higher brain for the purpose of homeostasis, this passes through all of the following EXCEPT A. Motor Cortex Source: The Amygdala is an almond shaped region of the brain, located in the medial temporal lobe, believed to play a key role in the emotions, such as fear and pleasure, in animals and humans. The hippocampus is a complex neural structure (shaped like a sea horse) consisting of grey matter and located on the floor of each lateral ventricle; intimately involved in motivation and emotion as part of the limbic system; has a central role in the formation of memories. The cingulate gyrus is a long curved structure on the medial surface of the cerebral hemispheres; the cortical part of the limbic system - Neuro-Acupuncture Scientific Evidence of Acupuncture Revealed! Cho, Wong, Fallon, 2001, page 129

The acupuncture stimulus arise to the higher brain for the purpose of homeostasis, this passes through all of the following EXCEPT A. Amygdala B. Motor Cortex C. Hippocampus D. Cingulate Gyrus

The acupuncture stimulus arise to the higher brain for the purpose of homeostasis, this passes through all of the following EXCEPT B. Motor Cortex Source: The Amygdala is an almond shaped region of the brain, located in the medial temporal lobe, believed to play a key role in the emotions, such as fear and pleasure, in animals and humans. The hippocampus is a complex neural structure (shaped like a sea horse) consisting of grey matter and located on the floor of each lateral ventricle; intimately involved in motivation and emotion as part of the limbic system; has a central role in the formation of memories. The cingulate gyrus is a long curved structure on the medial surface of the cerebral hemispheres; the cortical part of the limbic system - Neuro-Acupuncture Scientific Evidence of Acupuncture Revealed! Cho, Wong, Fallon, 2001, page 129

The distance between the angles of the hairline is A. 6 cun B. 8 cun C. 9 cun D. 12 cun

The distance between the angles of the hairline is C. 9 cun Source: The point closest to the angles of the hairline is ST-8 which is at the corner of the forehead, 4.5 cun lateral to DU-24 and 0.5 cun within the hairline. - A Manual of Acupuncture, Deadman, 2001, page 63, 64, 135

The distance between the glabella and the anterior hairline is A. 6 cu B. 3 cun C. 5 cun D. 9 cun

The distance between the glabella and the anterior hairline is B. 3 cun Source: The glabella is the area between the eyebrows and above the nose. If the anterior hairline is unclear, then the distance is measured as 15 cun between the glabella (extra point yintang and the posterior hairline. The extra point yin tang is located between the eyebrows. BL-2 is located on the medial end of the eyebrow. There are no points directly on the anterior hairline. However, BL-4, BL-3, GB-15, and DU-24 are 0.5 cun within the anterior hairline. - A Manual of Acupuncture, Deadman, 2001, page 63, 64, 588

The dosage for sheng di huang (radix rehmaniae glutiinosae) is A. 9-15g B. 6-15g C. 6-12g D. 3-9g

The dosage for sheng di huang (radix rehmaniae glutiinosae) is A. 9-15g Source: Anaphylactic shock has been reported at doses of 100g. Key herb characteristics: enriches yin, cools blood, clears heat. - Materia Medica, Bensky, 3rd Edition, page 120

The dosage for sheng jiang (rhizoma zingiberis officinalis recens) is A. 1 - 3 g B. 3 - 9 g C. 1.5 - 6 g D. 1.5 - 9 g

The dosage for sheng jiang (rhizoma zingiberis officinalis recens) is B. 3 - 9 g Source: High doses can cause dry mouth, sore throat, nose bleed, and nephritis. Can elevate blood pressure. Do not use high doses with hypertension. Key herb characteristics: dispersing nature, benefits Stomach, stops nausea, stops coughing, transforms phlegm. - Materia Medica, Bensky, 3rd Edition, page 30

The ear lobe is related to the A. Upper limbs B. Trunk and lower limbs C. Head and facial region D. Internal organs

The ear lobe is related to the C. Head and facial region Source: the lobe is the lowest part of the ear; it has no cartilage; it is divided into three vertical lines and three horizontal lines, making 9 squares, with points; the eye point is at the center, square 5

The fertilized egg is called A. a zygote B. a stem cell C. an embry D. a fetus

The fertilized egg is called A. a zygote Source: the zygote is the product of the fusion of an egg and a sperm; it contains two copies of each chromosome, one from each parent. Egg and sperms cells, on the other hand, each contain only one copy of each chromosome; the zygote develops into an embryo

The foot shao yin primary channel connects with Kidney and Bladder organs and which other organs? A. Heart, Spleen, Pericardium B. Liver, Spleen, Heart C. Liver, Lung, Heart D. Lung, Pericardium, Liver

The foot shao yin primary channel connects with Kidney and Bladder organs and which other organs? C. Liver, Lung, Heart Source: The internal pathway of the Kidney channel starts at DU-1 and moves up along the spine to enter the Bladder and Kidney; one internal branch starts at the Kidney, moves up through the diaphragm and Liver, enters the Lung and ends at the root of the tongue; another internal branch goes from the Lung and joins with the Heart and disperses in the chest to link with the Pericardium channel and REN-17 - A Manual of Acupuncture, Deadman, 2nd Edition, page 332

The foot tai yin primary channel connects with all of the following organs EXCEPT A. Stomach B. Lung C. Spleen D. Heart

The foot tai yin primary channel connects with all of the following organs EXCEPT B. Lung Source: after ascending from the along the anterio-medial aspect of the thigh to the lower abdomen, the Spleen channel connects with REN-3, REN-4, and REN-10 before entering the Spleen, connecting with the Stomach, and then links with the Heart - A Manual of Acupuncture, Deadman, 2nd Edition, page 178

The function of Iron is A. promotion of glucose tolerance B. hemoglobin and myoglobin formation C. bone and tooth formation D. T4 and T3 synthesis and fetus development

The function of Iron is B. hemoglobin and myoglobin formation Source: 'iron is a vital part of hemoglobin, the oxygen carrying component in red blood cells; it is also part of myoglobin, a compound that helps muscle cells store oxygen; iron also is a part of enzymes involved in energy production and DNA synthesis - Merck Manual, 18th Edition, page 48-49

The great luo-connecting channel of the Spleen spreads through the chest and costal regions and gathers and controls the ___________ of all the luo-connecting channels of the body. A. blood Source: the spleen great-luo emerges from SP-21 (da bao) and spreads to the lateral parts of the chest; da bao means "controlling"; SP-21 (da bao) controls all of the Blood connecting channels of the body; SP-21 (da bao) is selected for generalized pain arising from stagnant Blood (muscular pain) throughout the body - A Manual of Acupuncture, Deadman, 2nd Edition, page 179; Foundations of Chinese Medicine, Maciocia, 2015, page 1006; 2005 Edition, page 949

The hara diagnostic area for the Heart is located A. Under the rib cage on the left side B. As a small circle just below the meeting of the ribs and sternum C. On the midline halfway between the umbilicus and the xyphoid process D. Just above the meeting of the ribs and sternum

The hara diagnostic area for the Heart is located B. As a small circle just below the meeting of the ribs and sternum Source: Shiatsu Theory and Practice, Bensford-Cook, Carola, 1996, pages 151-152, 238

The herb dan shen (radix salviae miltiorrhizae) enters the A. Heart, Lung, Liver B. Heart, Pericardium, Liver C. Stomach, Small Intestine D. Liver, Spleen

The herb dan shen (radix salviae miltiorrhizae) enters the B. Heart, Pericardium, Liver Source: Key herb characteristics: invigorates blood, tonifies the blood, calms irritability due to blood heat. - Materia Medica, Bensky, 3rd Edition, page 602

The herb gui ban (plastrum testudinis) is A. salty, sweet, cold B. bitter, slightly cold C. salty, slightly cold D. sweet, slightly cold

The herb gui ban (plastrum testudinis) is A. salty, sweet, cold Source: Key herb characteristics: strongly tonifies Liver and Kidney yin, subdues yang, strengthens bones, unblocks the Conception vessel. - Materia Medica, Bensky, 3rd Edition, page 843

The herb yi mu cao (herba leonuri heterophylli) enters the A. Heart, Liver, Bladder B. Gall Bladder, Pericardium C. Triple Energizer, Pericardium D. Heart, Liver

The herb yi mu cao (herba leonuri heterophylli) enters the A. Heart, Liver, Bladder Source: Key herb characteristics: invigorates blood, regulates menstruation, facilitates urination, resolves toxicity. - Materia Medica, Bensky, 3rd Edition, page 614

The main cause of high blood pressure is A. Unknown B. Stress C. Obesity D. Aging

The main cause of high blood pressure is A. Unknown Source: while the specific cause for hypertension is unknown, there are risk factors that can contribute to developing high blood pressure; these include age, family history, obesity, race, and sex of the patient

The majority of over the counter sleep aids contain the antihistamine A. Tripolidine or Brompheniramine B. Diphenhydramine or Doxylamine C. Clemastine D. Chlorpheniramine

The majority of over the counter sleep aids contain the antihistamine B. Diphenhydramine or Doxylamine Source: diphenhydramine and doxylamine have sedative properties and are widely used in nonprescription sleep aids

The name of the pulse position where the Liver is located is called the A. cun position B. chi position C. foot position D. bar position

The name of the pulse position where the Liver is located is called the D. bar position Source: The pulse positions have been given different names: the distal positions: front, inch, cun; the middle positions: gate, bar, guan; the proximal positions: rear, foot, chi. Five Element acupuncture uses the Nan Jing placement of the pulses. The schema: left distal (Small Intestine, Heart), right distal (Large Intestine, Lungs), left middle (Gall Bladder, Liver), right middle (Stomach, Spleen), left proximal (Bladder, Kidneys), right proximal (Triple Burner, Pericardium). - Foundations of Chinese Medicine, Maciocia, 2015, page 376, 377

The pathology of the Girdle Vessel (dai mai) is often associated with A. Blood Stasis B. Deficient Qi C. Deficient Yin D. Dampness

The pathology of the Girdle Vessel (dai mai) is often associated with D. Dampness Source: As the dai mai encircles the waist like a belt, it can regulate the qi circulation to the lower burner and legs. If the dai mai is too loose the channels of the leg are not restrained which can result in the Dampness in the lower burner (excess vaginal discharges, difficult urination, burning urination, feeling of heaviness). - The Foundations of Chinese Medicine, Maciocia, 2015, page 918, 920

The posterior pituitary releases A. calcitonin B. melatonin C. parathormone D. oxytocin

The posterior pituitary releases D. oxytocin Source: oxytocin is best known for its roles in sexual reproduction, in particular during and after childbirth; it is released in large amounts after distension of the cervix and uterus during labor, facilitating birth, and after stimulation of the nipples, facilitating breast feeding; recent studies have begun to investigate oxytocin\'s role in various behaviors, including orgasm, social recognition, pair bonding, anxiety, and maternal behaviors; for this reason, it is sometimes referred to as the "love hormone"; the inability to secrete oxytocin and feel empathy is linked to sociopathy

The pulse can be felt with a light pressure of the fingers and has six beats per respiration cycle. Which of the following treatment principles is applicable? A. release the exterior, expel Cold B. descend Lung qi C. release the exterior, clear Heat D. descend the excess yang

The pulse can be felt with a light pressure of the fingers and has six beats per respiration cycle. Which of the following treatment principles is applicable? C. release the exterior, clear Heat Source: this is a floating pulse (fu mai) combined with rapid pulse; it can be felt in an external Wind-Heat condition; this is an exterior condition; a pulse greater than five beats per respiration cycle is indicative of heat - Foundations of Chinese Medicine, Maciocia, 2015, page 383; 2005 Edition, page 361

The sha Syndrome is caused by A. weak defensive qi (wei qi) B. blockage of channels C. external pathogenic factors and blockage of channels D. exposure to external pathogenic factors

The sha Syndrome is caused by C. external pathogenic factors and blockage of channels Source: The sha syndrome is caused by an exposure to external pathogenic factors (wind, cold, damp, heat) and blockage of channels. When the strength of external pathogens exceed the strength of the wei qi, the pathogens enter the body and and stagnate the qi and blood of the channels. The external invasion manifests as chill, fever and blockage manifests as pain, rigidity, or numbness. The term sha applies to both a syndrome associated with a pathogenic factor retained in the body and its rash-like expression on the surface of the body. The skin reaction is associated with the retained external pathogenic factor which stagnate the qi and blood in the meridians. The sha rash consists of raised bumps that can be red, blue, purple, or black that appear after the application of the gua sha or the skin scraping technique. - Gua Sha, Nielsen, 2009, page 44

The side effects of drugs that treat Parkinson's disease (Levodopa, Requip, Eldepryl) can indicate that they can induce which of the following TCM patterns? A. Cold Stagnating in the Liver Vessels B. Qi and Blood Vacuity with Yin Vacuity Heat C. Heart-Spleen Dual Vacuity D. Lung Dryness, Large Intestine Blockage

The side effects of drugs that treat Parkinson's disease (Levodopa, Requip, Eldepryl) can indicate that they can induce which of the following TCM patterns? B. Qi and Blood Vacuity with Yin Vacuity Heat Source: Parkinson's are mostly used to treat Parkinson's disease and drug agents for tremors (extrapyramidal) caused by other drugs; these drugs are posited to be attacking and draining medicinals that extinguish Wind and stop tremors; the side effects of these drugs include fatigue, dizziness, confusion, orthostatic hypotension, urinary retention, dry mouth, peripheral edema, visual-auditory hallucinations, urinary retention, anorexia, nausea and vomiting, somnolence, anxiety, depression, insomnia; these side effects can indicate that, just like other attacking-draining medicinals, these drugs can damage the Spleen and can induce or aggravate qi and Blood vacuity (dizziness, hypotension, poor appetite, edema, fatigue, nausea-vomiting, depression, insomnia, somnolence, urinary retention); in susceptible individuals, these western drugs can further damage the yin and cause vacuity heat (agitation, dry mouth, hallucinations) - Integrated Pharmacology, Sperber and Flaws, 2007, page 353

The theory of the Five Wheels is used in the diagnosis of eye disorders. It divides the eyes into five areas. Which of the following has an accurate correspondence? A. Wind Wheel refers to the iris Source: The correct pairings are: Flesh Wheel refers to the eyelid; Water Wheel refers to the pupil; Qi Wheel refers to the sclera; Blood Wheel refers both canthi; Wind Wheel refers to the iris. These five wheels are used to determine the physiology and pathology of the eye and help in diagnosing. It is important to combine the the Five Wheels with the other types of diagnosis and patterns of differentiation in order to arrive at a determination of energetic configuration. - Practical Diagnosis in Traditional Chinese Medicine, Deng, 1999, page 390

The two patterns associated with menstruation at irregular intervals are Liver Qi Depression and A. Blood Vacuity B. Vcuity Cold C. Kidney Vacuity D. Vacuity Heat

The two patterns associated with menstruation at irregular intervals are Liver Qi Depression and C. Kidney Vacuity Source: An irregular menstruation pattern occurs when the period arrives early and other times can arrive late. This is most of the time due to Liver Qi Depression where the amount of blood can be scanty or sometimes profuse. The blood color can be normal but with an impeded flow. The quality of the blood can be normal or thick. If Liver Depression affects the Blood there can also be the presence of darker blood with clots. There are corroborating Liver Depression symptoms such as abdominal distention, rib-side pain, and a string-like pulse. The monthly cycle is indeterminate. With Kidney Vacuity the blood is pale-red and clear-thin. The amount of menses can be scanty or indeterminate. There can be additional symptoms such as lower back pain, a dark-dull facial complexion, and a vacuous-weak pulse. Vacuity Heat is associated with an early period with a scanty amount of blood that is red and thin. Blood Vacuity is associated with a late period and with scanty-pale menses. Vacuity Cold has a late period with dull-scanty-thin menses. - Practical Diagnosis in Traditional Chinese Medicine, Deng, 1999, page 360, 362

The two types of intradermal needles are A. round type and oval type B. thumbtack type and grain-like type C. wire type and pin type D. cone head type and springhead type

The two types of intradermal needles are B. thumbtack type and grain-like type Source: Chinese Acupuncture and Moxibustion, 3rd Edition, page 355; 2nd Edition, 1999, page 356-357

The yuan-source point of hand tai-yang is A. SJ-4 (yangchi) B. LI-4 (hegu) C. SI-3 (houxi) D. SI-4 (wangu)

The yuan-source point of hand tai-yang is D. SI-4 (wangu) Source: although SI-4 is a source point, it is not usually selected for internal problems of the small intestine; the points ST-39, REN-4, and BL-27 are more often selected to treat the small intestine; the point energetics for SI-4 is that it activates the channel and alleviates pain, clears heat and reduces swelling, and clears damp-heat and to treat jaundice; SI-4 (wangu) is mainly used to treat pain, contraction, stiffness along the entire Small Intestine channel; SI-4 (wangu) can treat swelling and clear heat at the end of the channel (neck, cheek, submandibular region, ear); SI-4 (wangu) can be used in the treatment of tinnitus due to any etiology; empirically, SI-4 (wangu) treats both yin or yang jaundice - A Manual of Acupuncture, Deadman, 2nd Edition, page 235; Foundations of Chinese Medicine, Maciocia, 2015, page 1019

There is one bone in the axial skeleton that does not connect with other bones but is suspended by ligaments. This bone is called the A. incus bone B. hyoid bone C. stapes bone D. stirrup bone

There is one bone in the axial skeleton that does not connect with other bones but is suspended by ligaments. This bone is called the B. hyoid bone Source: the hyoid bone or the lingual bone is a horseshoe-shaped bone situated in the anterior mid line of the neck between the chin and the thyroid cartilage; at rest, it lies at the level of the base of the mandible in the front and the third cervical vertebra behind; unlike other bones, the hyoid is only distantly articulated to other bones by muscles or ligaments; the hyoid is anchored by muscles from the anterior, posterior, and inferior directions and aids in tongue movement and swallowing; the hyoid bone provides attachment to the muscles of the floor of the mouth and the tongue above

Use of acetaminophen, aspirin, ibuprofen, or Naproxen increases the risk of liver toxicity and gastrointestinal bleeding in individuals who consume A. Six or more alcoholic drinks per day B. One alcoholic drink per day C. Ten or more alcoholic drinks per day D. Three or more alcoholic drinks per day

Use of acetaminophen, aspirin, ibuprofen, or Naproxen increases the risk of liver toxicity and gastrointestinal bleeding in individuals who consume C. Ten or more alcoholic drinks per day Source: acetaminophen (Tylenol and generic), aspirin, ibuprofen (Advil, Motrin, and generic), and naproxen (Aleve and generic) all come with warnings about using these drugs with 3 or more alcoholic drinks per day leading to an increased risk of GI bleeding and liver damage

WWhich of the following abdominal points are on the same general level? A. REN-2 (qu gu), KI-11 (heng gu), ST-29 (gui lai) B. REN-3 (zhong ji), KI-11 (heng gu), ST-30 (qi chong) C. REN-3 (zhong ji), KI-12 (da he), ST-29 (gui lai) D. REN-2 (qu gu), KI-12 (da he), ST-30 (qi chong)

WWhich of the following abdominal points are on the same general level? C. REN-3 (zhong ji), KI-12 (da he), ST-29 (gui lai) Source: REN-3 is the front-mu point of the Bladder, meeting point of the Ren Mai with the Spleen, Liver, and Kidney channels. REN-3 benefits the Bladder, regulates qi transformation and drains damp-heat, drains dampness and treats leucorrhoea, benefits the uterus and regulates menstruation, dispels stagnation and benefits the lower burner, and strengthens the Kidneys. Deep insertion will penetrate a full bladder. KI-12 is the meeting point of the Kidney channel with the Chong Mai. KI-12 tonifies the Kidney and astringes essence. Deep insertion will penetrate a full bladder. ST-29 warms the lower burner and benefits the genital area. Deep insertion in thin patients can penetrate the peritoneal cavity or a full bladder. - A Manual of Acupuncture, Deadman, 2nd Edition, pages 499, 151, 352

Waking up early in the morning and then unable to fall asleep again can indicate A. Liver Blood deficiency B. Empty Heat C. Heart Yin deficiency D. Gall Bladder deficiency

Waking up early in the morning and then unable to fall asleep again can indicate D. Gall Bladder deficiency Source: this can be accompanied with timidity and indecision; difficulty falling asleep is due to a deficiency of Blood associated with the Liver, Heart, or Spleen; waking up frequently during the night with excess dreams, sweating, and palpitations is due to Kidney-Heart Yin deficiency with Empty Heat; dream disturbed sleep is due to Liver or Heart Fire - The Foundations of Chinese Medicine, Maciocia, 2015, page 357; 2005 Edition, page 337; 1989 Edition, page 155

What is the Korean Five Element treatment for Metal Lung Deficiency? A. tonify Earth point on Earth Spleen channel, tonify Earth point on Metal Lung channel, reduce Fire point on Fire Heart channel, reduce Fire point on Metal Lung channel B. tonify Fire point on Fire Heart channel, tonify Fire point on Metal Lung channel, reduce Water point on Water Kidney channel, reduce Water point on Metal Lung channel C. tonify Fire point on Fire Heart channel, tonify Fire point on Metal Lung channel, reduce Water point on Water Kidney channel, reduce Water point on Metal Lung channel D. tonify Fire point on Fire Small Intestine channel, tonify Fire point on Metal Large Intestine channel, reduce Water point on Water Kidney channel, reduce Water point on Metal Large Intestine channel

What is the Korean Five Element treatment for Metal Lung Deficiency? A. tonify Earth point on Earth Spleen channel, tonify Earth point on Metal Lung channel, reduce Fire point on Fire Heart channel, reduce Fire point on Metal Lung channel Source: Korean Four Needle Technique uses the generating and controlling sequence. STEP 1: Diagnose which zangfu is out of balance. STEP 2: Diagnose if the zangfu imbalance is shi (excess) or xu (deficient). STEP 3: In treating Metal Lung deficiency you tonify the generating element (Earth) and reduce the controlling element (Fire). a) TONIFY the horary point on the channel of the mother organ (generating sequence), SP-3 (Earth point on Earth channel); b) TONIFY the mother organ on the affected channel (generating sequence), LU-9 (Earth point on Metal channel); c) REDUCE the horary point on the controlling organ\'s channel (control sequence), HT-8 (Fire point on Fire channel); d) REDUCE the controlling organ\'s element point on the imbalanced organ (control sequence), LU-10 (Fire point on Metal channel).') ,new quizAnswer('tonify Fire point on Fire Heart channel, tonify Fire point on Earth Spleen channel, reduce Wood point on Wood Liver channel, reduce Wood point on Earth Spleen channel

What is the contraindication for huang qin (radix scutellariae baicalensis)? A. Pregnancy B. Deficient Cold in Stomach or Intestine C. Liver Yang Rising D. Irregular menstrual cycles

What is the contraindication for huang qin (radix scutellariae baicalensis)? B. Deficient Cold in Stomach or Intestine Source: Toxic side effects reports include stomach discomfort and diarrhea, flushing of the skin mainly in the face and exposed limbs. Key herb characteristics: cools heat, dries dampness, stops bleeding, calms fetus. - Materia Medica, Bensky, 3rd Edition, page 131, 133

What is the contraindication for huang qin (radix scutellariae baicalensis)? A. Pregnancy B. Deficient Cold in Stomach or Intestine C. Liver Yang Rising D. Irregular menstrual cycles

What is the contraindication for huang qin (radix scutellariae baicalensis)? C. Liver Yang Rising Source: Toxic side effects reports include stomach discomfort and diarrhea, flushing of the skin mainly in the face and exposed limbs. Key herb characteristics: cools heat, dries dampness, stops bleeding, calms fetus. - Materia Medica, Bensky, 3rd Edition, page 131, 133

What is the name for a broad, flat tendon? A. Ligament B. Aponeurosis C. Retinaculum D. Adipose

What is the name for a broad, flat tendon? B. Aponeurosis Source: this is a sheetlike fibrous membrane resembling a flattened tendon that serves as a fascia to bind muscles together or to connect muscle to bone

What is the needling caution for LU-5 (chize)? A. avoid the cephalic vein B. avoid the cubital vein C. avoid the radial artery D. avoid the bicep brachii ligaments

What is the needling caution for LU-5 (chize)? B. avoid the cubital vein Source: the point is needled with a perpendicular insertion; the point is located lateral to the biceps brachii tendon rather than immediately next to it. Deadman lists the cubital vein. Bensky and CAM list the cephalic vein. The contraindication is resolved by understanding that the cubital vein connects the cephalic and basilic veins. - A Manual of Acupuncture, Deadman, 2nd Edition, page 80; CAM, 2010, page 138; Bensky, 1981, page 242

What is the needling caution for the point located on the midline of the abdomen 6 cun above the navel and 2 cun below the sternocostal angle? A. deep insertion can penetrate a full bladder B. deep insertion can injure an enlarged heart or left lobe of the liver C. deep insertion can injure an enlarged kidney D. deep insertion can injure the stomach

What is the needling caution for the point located on the midline of the abdomen 6 cun above the navel and 2 cun below the sternocostal angle? B. deep insertion can injure an enlarged heart or left lobe of the liver Source: This is REN-14 (juque). It also applies to REN-15 (jiuwei). For both points REN-14 and REN-15 an oblique superior insertion towards the heart is contraindicated in all cases; REN-14 is needled with a perpendicular insertion or an oblique insertion directed downward; REN-15 is needled with an oblique insertion directed inferiorly - A Manual of Acupuncture, Deadman, 2nd Edition, page 514-515

What is the pinyin name for a Hollow, Scallion Stalk, or Green Onion pulse? A. kou mai B. ru mai C. huan mai D. shu mai

What is the pinyin name for a Hollow, Scallion Stalk, or Green Onion pulse? A. kou mai Source: the kou mai (hollow pulse) is felt at the superficial level but when one presses to find the middle level the pulse is not there but with more pressure it is felt at the deep level; the kou mai is empty in the middle position; kou mai (hollow pulse) indicates hemorrhage or a forthcoming hemorrhage (hollow-rapid) - Foundations of Chinese Medicine, Maciocia, 2015, page 387

What is the pinyin name for a the Long pulse? A. chang mai B. shu mai C. dai mai D. ru mai

What is the pinyin name for a the Long pulse? A. chang mai Source: the chang mai (long pulse) is longer than the normal pulse, extending just beyond the normal pulse position; this pulse indicates a hot pattern - Foundations of Chinese Medicine, Maciocia, 2015, page 385

What is the sequence from the most superficial channels to the deepest channels? A. minute luo channels, luo channels, deep luo channels, primary channels B. luo channels, deep luo channels, primary channels, minute luo channels C. superficial luo channels, luo channels, primary channels, deep luo channels D. luo channels, minute luo channels, primary channels, deep luo channels

What is the sequence from the most superficial channels to the deepest channels? C. superficial luo channels, luo channels, primary channels, deep luo channels Source: the primary main channels are called jing mai; jing means route or way as a straight line for the vertical qi flow; connecting channels are called luo mai; luo means network, indicating a system of small channels with an implied horizontal flow; the connecting channels refer to two aspects; one, it refers to the connecting channel pathways that depart from the luo-connecting point with a definite pathway; two, it refers to the space between the main primary channels and the surface of the skin; within this space between the primary channels and the skin, there are Superficial luo and Minute luo, all of which are part of the connecting channel network; the superficial and minute luo channels irrigate all of the body as there is no area that is not irrigated by them; below the primary channels are the deep-luo connecting channels which are related to blood vessels and Blood; these deep luo are involved in chronic disorders that often have blood stasis; most textbooks do not mention the deep luo channels; the sequence from most superficial to deep is: superficial luo (superficial and minute), luo channels, primary channels, deep luo; the connecting channel do not penetrate the big joints of the body like the primary channels do; the connecting channels are restricted to the space between the primary and the surface of the body; the luo-connecting channels are associated with the wei qi level; the primary channels are associated with qi and ying (nutritive qi) level; the deep luo-connecting channels are associated with the Blood level; - Channels of Acupuncture, Maciocia, 2006, page 224

What non-invasive test is used to diagnose aortic stenosis? A. echocardiogram B. electrocardiogram C. angiography D. holter monitor

What non-invasive test is used to diagnose aortic stenosis? A. echocardiogram Source: an echocardiogram, often referred to as a cardiac ECHO or simply an ECHO, is a sonogram of the heart; it is also known as a cardiac ultrasound; it uses standard ultrasound techniques to image two-dimensional slices of the heart; the latest ultrasound systems now employ 3D real-time imaging; the echocardiogram is the best non-invasive test to evaluate the aortic valve anatomy and function

What side effect can occur if a child is given an over the counter sleep aid with antihistamine? A. Not effective in children B. Initial sleepiness may be followed by over excitement C. Difficult to arouse once asleep D. Increased REM sleep

What side effect can occur if a child is given an over the counter sleep aid with antihistamine? B. Initial sleepiness may be followed by over excitement Source: adult sleep medication was not designed nor tested for children; some OTC sleep medications that contain antihistamines make adults drowsy but can have the opposite effect on young children

When examining the ear surface what do white flakes, peeling skin, skin shedding, or dandruff-like areas always indicate? A. an acute condition B. an improving condition C. a worsening condition D. a chronic condition

When examining the ear surface what do white flakes, peeling skin, skin shedding, or dandruff-like areas always indicate? D. a chronic condition Source: if the ear is cleaned and these flakes are wiped off, they will show up again in a few days as the underlying health condition has not been resolved; a successful treatment will show as these white flaky regions in the ear disappearing - Auriculotherapy Manual: Chinese and Western Systems of Acupuncture, 3rd Edition, Terry Oleson, page 135

When sound waves enter the ear canal, which ossicle will vibrate first? A. Malleus B. Incus C. Stapes D. Cochlea

When sound waves enter the ear canal, which ossicle will vibrate first? A. Malleus Source: the malleus is a hammer-shaped small bone or ossicle of the middle ear which connects with the incus and is attached to the inner surface of the eardrum; the word is Latin for hammer; it transmits the sound vibrations from the eardrum to the incus

When the Girdle or Belt Vessel (dai mai) is too "tight" there can be A. atrophy syndrome (wei syndrome) B. a sensation of a heavy body C. prolapse D. miscarriage

When the Girdle or Belt Vessel (dai mai) is too "tight" there can be B. a sensation of a heavy body Source: When the dai mai is too tight it is a Full condition. The symptoms include abdominal fullness, back feels like sitting in water (Damp-Cold Invades Spleen), back pain radiating to lower abdomen, heavy feeling in body, the feeling that the lower abdomen is carrying "5,000 coins", all of which are due to damp-cold exposure. The other answers are related to the dai mai being too loose, an Empty condition. The fetus depends on the Kidneys, Directing Vessel, and the Girdle Vessel. When the dai mai is too loose, the Spleen qi cannot rise and fails to nourish the fetus, resulting in miscarriages. The qi not rising due to a dai mai disorder can also result in organs sagging (prolapses) and hernias. A wei syndrome can also result when the dai mai vessel is slack. - The Foundations of Chinese Medicine, Maciocia, 2015, page 920

When the sperm enters the ovum, which are the first Extraordinary Vessels to form? A. yin and yang qiao mai B. yin and yang wei mai C. dai mai and chong mai D. ren mai and du mai

When the sperm enters the ovum, which are the first Extraordinary Vessels to form? D. ren mai and du mai Source: Li Shi Zhen called the Extraordinary Vessels the "Source of Creation" to indicate that they provide the primary energetic force that forms the whole body and channels. The instant that sperm enters the ovum the dorsal (du mai) and ventral (ren mai) surfaces are formed. When the original cell first divides then the left and right (yin and yang qiao mai), above and below (chong mai and dai mai), and interior and exterior (yin and yang wei mai) are formed. The chong mai (Penetrating Vessel) is the center of the energetic vortex created by the joining of the egg and sperm. The chong mai is the Sea of Blood, the Sea of the 12 Channels, and the Sea of Five Yin and Six Yang organs. From the central vortex, the qi from the chong mai is distributed throughout the forming body. When the qi of the chong mai reaches KI-6, KI-9, BL-62, BL-63, and GB-27 then there is the formation of the yin qiao mai, yin wei mai, yang qiao mai, yang wei mai, and dai mai, respectively. In a way, the chong mai can be seen as the father of these vessels. - The Foundations of Chinese Medicine, Maciocia, 2015, page 878

Where does the Spleen sinew channel converge? A. knee B. uterus C. heart D. genitals

Where does the Spleen sinew channel converge? D. genitals Source: the Spleen sinew channel has the symptom of twisting genital pain that can go to the navel; the Spleen sinew channel begins at the big toe (SP-1 yin bai), ascends on the anterior leg (SP-5 shan qiu, SP-9 yin ling quan) goes to the genitals, to the navel and then internally to bind with the ribs, spreads inward to the chest, and then binds to the spine - A Manual of Acupuncture, Deadman, 2nd Edition, page 180, 181

Where is the primary visual cortex located? A. the parietal lobe B. brain stem C. the occipital lobe D. right behind the eyes

Where is the primary visual cortex located? C. the occipital lobe Source: the visual cortex of the brain is the part of the cerebral cortex responsible for processing visual information; it is located in the occipital lobe, in the back of the brain; there is a visual cortex in each hemisphere of the brain; the left hemisphere visual cortex receives signals from the right visual field and the right visual cortex from the left visual field

Which Luo-Connecting channel treats the full symptom of hot palms? A. Lung Luo-Connecting channel B. Heart Luo-Connecting channel C. Pericardium Luo-Connecting channel D. Small Intestine Luo-Connecting channel

Which Luo-Connecting channel treats the full symptom of hot palms? A. Lung Luo-Connecting channel Source: The symptom is due to an excess in the channel. The fullness of connecting channels arise either from an external pathogenic factor or from inner qi or blood stasis, generally acute. Heat in the connecting channel area is generally seen in hot bi-syndrome when the joints can be painful, hot, swollen, and red. The Lung Luo-Connecting channel separates from the Lung primary channel at LU-7, follows the primary channel to the palm and spreads through the thenar eminence of the thumb. The Lung Luo-Connecting channel connects with the Lung channel\'s interior-exterior related Large Intestine channel. The actions of LU-7 are to regulate the water passages, benefit the head and nape, descend Lung qi, release the exterior, regulate the ren mai, pacify wind and phlegm, and alleviate channel pain. LU-7 as a luo point treats weakness or pain of the wrist and hand, pain the thumb, shoulder pain, heat in the palm, difficult urination, shortness of breath. Luo points treat disorders of their interior-exterior related channel or zang fu. LU-7 treats headache, neck and nape pain, wind disorders that affect the head because of its connection to the Large Intestine channel. Luo points treat disorders in areas reached by the luo-connecting channel. The Lung luo channel spreads through the thenar eminence and treats thumb and palm disorders and can treat hot palms. Luo points can treat psychological and emotional disorders. LU-7 treats poor memory and propensity to laughter. - Foundations of Chinese Medicine, Maciocia, 2015, page 804; 2005 Edition, page 760; A Manual of Acupuncture, Deadman, 2nd Edition, page 40, 74, 84; Channels of Acupuncture, Maciocia, 2006, page 250, 258'

Which Luo-Connecting channel treats yawning, frequent urination, and shortness of breath? A. Kidney Luo-Connecting channel B. Bladder Luo-Connecting channel C. Stomach Luo-Connecting channel D. Lung Luo-Connecting channel

Which Luo-Connecting channel treats yawning, frequent urination, and shortness of breath? D. Lung Luo-Connecting channel Source: This is an empty condition. Empty conditions in the connecting channels occur in chronic disorders long after the initial invasion of pathogenic factors has progressed from the superficial luo channels. Luo-connecting channels become empty only in chronic diseases. Empty conditions in these channels can also be the result of chronic qi deficiency resulting in frequent urination (Lung failing to control water passages), yawning (impulse to take more air), and SOB (classic sign of qi xu). If the clinical picture of the luo channels present organ symptoms it might be best to do an organ pattern differentiation and treat accordingly. The Lung Luo-Connecting channel separates from the Lung primary channel at LU-7, follows the primary channel to the palm and spreads through the thenar eminence of the thumb. The Lung Luo-Connecting channel connects with the Lung channel\'s interior-exterior related Large Intestine channel. The actions of LU-7 are to regulate the water passages, benefit the head and nape, descend Lung qi, release the exterior, regulate the ren mai, pacify wind and phlegm, and alleviate channel pain. Luo points treat disorders of their interior-exterior related channel or zang fu. LU-7 treats headache, neck and nape pain, wind disorders that affect the head because of its connection to the Large Intestine channel. Luo points treat disorders in areas reached by the luo-connecting channel. The Lung luo channel spreads through the thenar eminence and treats thumb and palm disorders and can treat hot palms. Luo points can treat psychological and emotional disorders. LU-7 treats poor memory and propensity to laughter.- Foundations of Chinese Medicine, Maciocia, 2015, page 804; 2005 Edition, page 760; A Manual of Acupuncture, Deadman, page 40, 74, 84

Which artery should be avoided in puncturing SP-12? A. femoral artery B. peroneal artery C. popliteal artery D. posterior tibial artery

Which artery should be avoided in puncturing SP-12? A. femoral artery Source: Chinese Acupuncture and Moxibustion, 2010 Edition, page 158; 1999 Edition, page 156,161

Which connective tissue layer of the digestive tract contains blood vessels, small glands, and a nerve plexus? A. mucosa layer B. submucosa layer C. muscularis layer D. serosa layer

Which connective tissue layer of the digestive tract contains blood vessels, small glands, and a nerve plexus? B. submucosa layer Source: the entire digestive tract can be considered as a hollow tube surrounded by a wall composed of these four main layers: mucosa, submucosa, muscularis, serosa; the mucosa is the innermost layer, and functions in absorption and secretion; it is composed of epithelium cells and a thin connective tissue; the mucosa contains specialized goblet cells that secrete sticky mucus throughout the GI tract. On the mucosa layer, small finger-like projections (villi and microvilli) that increase surface area to absorb nutrients; the submucosa is a dense, irregular layer of connective tissue with large blood vessels, lymphatics, and nerves that supports the mucosa; the muscularis is responsible for the segmental contractions and peristaltic movements in the gastrointestinal (GI) tract; the serosa consists of a secretory epithelial layer and a thin connective tissue layer which helps to reduce the friction from muscle movements'

Which of the following can confirm an exterior Wind pattern? A. Back of neck feels ho B. Dorsum of hand feels hot C. Hands and feet feel cold D. Hands feel cold

Which of the following can confirm an exterior Wind pattern? B. Dorsum of hand feels hot Source: 'though a patient might feel subjectively cold or has shivers, the back of the hand (also the forehead) will be palpated as warmer than the palm whether the pattern is one of wind-cold or wind-heat; a hot dorsum within an exterior pattern indicates invasion of wind while hot palms usually indicate yin xu - The Foundations of Chinese Medicine, Maciocia, 2015, page 391; 2005 Edition, page 370

Which cranial nerve passes along the left and right side of the pituitary gland? A. Cranial nerve II B. Cranial nerve III C. Cranial nerve IV D. Cranial nerve VI

Which cranial nerve passes along the left and right side of the pituitary gland? A. Cranial nerve II Source: CN II (optic nerve) and CN I (olfactory nerve) are two cranial nerves that do not connect to the brainstem. CN I (olfactory nerve), CN II (optic nerve) and CN VIII (hearing) are sensory nerves only. Cranial nerve II (optic nerve) is a paired nerve which transmits visual data (brightness perception, color perception, contrast from the retina to the brain. The optic nerve is associated with two reflexes, the light reflex and the accommodation reflex. The light reflex constricts the pupil in reaction to light. The accommodation reflex changes the lens to accommodate for near vision. The optic nerves from each eye unite to form the optic chasm where they cross with the left optic nerve veering to the right and the right optic nerve veering to the left. The pituitary gland sits beneath the optic chasm where the optic nerves pass to the left and right of the gland. This explains why pituitary tumors can have an effect on vision. CN II is tested via a visual chart eye exam. - Bate\'s Guide to Physical Examination, 10th Edition, page 658; 8th Edition, page 538

Which disease is commonly associated with rheumatoid arthritis, lupus, scleroderma, or Hashimot\'s thyroiditis? A. degenerative joint disease B. adrenal fatigue syndrome C. Sjogren's syndrome D. osteoarthritis

Which disease is commonly associated with rheumatoid arthritis, lupus, scleroderma, or Hashimot\'s thyroiditis? C. Sjogren's syndrome Source: 90% of patients are women; the most distinguishing feature of this autoimmune disorder is dryness of the eyes, mouth, nose, skin, or vagina - Biomedicine: A Textbook for Practitioners of Acupuncture & Oriental Medicine page 440

Which extra point activates qi and blood and benefits the shoulder joint? A. this point is located on the tip of the olecranon process of the ulna B. this point is located 0.5 to 1.0 cun lateral to the depression below the spinous process of C7 C. this point is located 1.5 cun lateral to the lower border of the spinous process of T8 D. this point is located on the anterior aspect of the shoulder joint, between the anterior axillary crease and the depression that lies anterior and inferior to the acromion, at the origin of the deltoid muscle

Which extra point activates qi and blood and benefits the shoulder joint? D. this point is located on the anterior aspect of the shoulder joint, between the anterior axillary crease and the depression that lies anterior and inferior to the acromion, at the origin of the deltoid muscle Source: this point is jian qian; this point is often tender in shoulder joint problems; it is commonly combined with LI-15, LI-16, TB-14, and SI-10 for shoulder pain - A Manual of Acupuncture, Deadman, 2nd Edition, page 582

Which extra point activates qi and blood and benefits the shoulder joint? D. this point is located on the anterior aspect of the shoulder joint, between the anterior axillary crease and the depression that lies anterior and inferior to the acromion, at the origin of the deltoid muscle Source: this point is jian xian; this point is often tender in shoulder joint problems; it is commonly combined with LI-15, LI-16, TB-14, and SI-10 for shoulder pain - A Manual of Acupuncture, Deadman, 2nd Edition, page 582

Which extra point clears heat and dissipates swelling, benefits the eyes and throat? A. this point is located 1 cun lateral to the depression in the center of the mentolabial groove B. this point is located at the apex of the ear when the ear is folded C. his point is located 0.5 to 1.0 cun lateral to the depression below the spinous process of C7 D. this point is located 1.5 cun lateral to the lower border of the spinous process of T8

Which extra point clears heat and dissipates swelling, benefits the eyes and throat? B. this point is located at the apex of the ear when the ear is folded Source: this point is er jian; this point can be treated with moxa for superficial visual obstructions; it can also be bled; it treats red, swollen, and painful eyes, swelling of the throat, migraines, and high fever - A Manual of Acupuncture, Deadman, 2nd Edition, page 568

Which extra point is located on dorsal aspect of the middle finger, at the midpoint of the proximal interphalangeal joint? A. qi duan B. zhong kui C. wai lao gong D. yao tong xue

Which extra point is located on dorsal aspect of the middle finger, at the midpoint of the proximal interphalangeal joint? B. zhong kui Source: zhong kui is translated as "middle eminence"; zhong kui subdues rebellious Stomach qi; the point treats nausea, vomiting, and hiccups - Chinese Acupuncture and Moxibustion, 2010, page 259; Acupuncture: A Comprehensive Text, Benksy, 1981, page 382

Which eye pressure reading can indicate the presence of elevated-pressure glaucoma? A. greater than 11 mmHg B. less than 10 mmHg C. less than 5 mmHg D. greater than 21 mmHg

Which eye pressure reading can indicate the presence of elevated-pressure glaucoma? D. greater than 21 mmHg Source: Eye pressure is measured with a small hand held device. After numbing eye drops, the ophtomologist gently touches the front surface of the eye with the device that glows with a blue light. This exam is called tonometry. Sometimes a different type of device is used that emits puffs of air to measure the eye pressure. These devices allow the ophthalmologist to measure the pressure in each eye. The normal eye pressure for each patient is different. Generally, the range for normal eye pressure is between 10 and 21 mmHg. The reading mmHg means millimeters of mercury which is the scale used to measure eye pressure. Most patients who have glaucoma will have an eye pressure reading higher than 21 mmHg. There are two types of eye pressure readings associated with glaucoma. Two thirds of patients have elevated-pressure glaucoma indicated by a pressure reading of greater than 21 mmHg. The other one third of patients have what is called low-pressure glaucoma where the pressure range is within the normal range 10 to 21 mmHg but there is optic nerve damage and loss of vision. - The Merck Manual, 18th Edition, page 906

Which herb dispels both external and internal wind? A. jing jie (herba schizonepetae) B. qiang huo (rhizoma et radix notopterygii) C. fang feng (radix ledebouriellae divaricatae) D. gao ben (rhizoma ligustici)

Which herb dispels both external and internal wind? C. fang feng (radix ledebouriellae divaricatae) Source: COMMON: All four herbs dispel wind and release the exterior. DIFFERENCES: The herb Jing Jie in its regular form vents rashes and in the charred form stops bleeding. It is acrid and slightly warm. It enters the Lung and Liver channels. The herb Fang Feng dispels both external and internal wind. It is acrid, sweet and slightly warm. It enters the Bladder, Liver, and Spleen channels. The herb Qiang Huo disperses cold, dries dampness, relieves upper body pain, and treats occipital headaches. It is acrid, bitter and warm. It enters the Bladder and Kidneys. The herb Gao Ben treats vertex headaches. It is acrid and warm. It enters the Bladder channel. CAUTIONS/CONTRA: The herb Jing Jie is contraindicated in Liver wind spasms, with fully erupted measles or sores, or sweating from yin or qi xu. The herb Fang Feng is contraindicated in yin xu empty fire, blood xu muscle cramps, disorders without wind/cold/dampness, or Liver yang/wind headaches or dizziness. The herb Qiang Huo is contraindicated in febrile disorder, yin xu, or muscle pain from blood xu, or bi-syndrome with a red tongue with little or no coating. The herb Gao Ben is contraindicated in hot disorder, blood xu headache, or Liver yang rising. Use with caution in yin xu. Avoid long term use. - Chinese Medical Herbology and Pharmacology, Chen and Chen, 2004, page 95, 49, 51, 53, 55

Which herb in its regular form vents rashes and in the charred form stops bleeding? A. gao ben (rhizoma ligustici) B. jing jie (herba schizonepetae) C. qiang huo (rhizoma et radix notopterygii) D. fang feng (radix ledebouriellae divaricatae)

Which herb in its regular form vents rashes and in the charred form stops bleeding? B. jing jie (herba schizonepetae) Source: COMMON: All four herbs dispel wind and release the exterior. DIFFERENCES: The herb Jing Jie in its regular form vents rashes and in the charred form stops bleeding. It is acrid and slightly warm. It enters the Lung and Liver channels. The herb Fang Feng dispels both external and internal wind. It is acrid, sweet and slightly warm. It enters the Bladder, Liver, and Spleen channels. The herb Qiang Huo disperses cold, dries dampness, relieves upper body pain, and treats occipital headaches. It is acrid, bitter and warm. It enters the Bladder and Kidneys. The herb Gao Ben treats vertex headaches. It is acrid and warm. It enters the Bladder channel. CAUTIONS/CONTRA: The herb Jing Jie is contraindicated in Liver wind spasms, with fully erupted measles or sores, or sweating from yin or qi xu. The herb Fang Feng is contraindicated in yin xu empty fire, blood xu muscle cramps, disorders without wind/cold/dampness, or Liver yang/wind headaches or dizziness. The herb Qiang Huo is contraindicated in febrile disorder, yin xu, or muscle pain from blood xu, or bi-syndrome with a red tongue with little or no coating. The herb Gao Ben is contraindicated in hot disorder, blood xu headache, or Liver yang rising. Use with caution in yin xu. Avoid long term use. - Chinese Medical Herbology and Pharmacology, Chen and Chen, 2004, page 95, 49, 51, 53, 55

Which herb may increase thermogenesis and weight loss when combined with methylxanthines such as caffeine and theophylline? A. ren shen (ginseng radix) B. lu cha (green tea) C. gan cao (glycyrrhizae radix) D. chen pi (citri reticulatae pericarpium)

Which herb may increase thermogenesis and weight loss when combined with methylxanthines such as caffeine and theophylline? B. lu cha (green tea) Source: Methylxanthine is group of naturally occurring agents found in caffeine (coffee), theophylline (asthma drug), and theobromine (chocolate). They act on the central nervous system, stimulate the myocardium, relax smooth muscle, and promote diuresis. Thermogenesis is the process of heat production in the body. The herb lu cha Harmonizes the Stomach, descends rebellious Stomach Qi and relieves diarrhea, dispels Dampness, clears the head and vision, expels fidgets and quenches thirst, and removes stagnant Food, promotes diuresis and removes toxins. The combination of lu cha with caffeine, theophylline or ephedrine may lead to increased thermogenesis, weight loss, agitation, tremors and insomnia. The caffeine in lu cha may be potentiated when given in conjunction with oral contraceptives and cimetedine. - Integrated Pharmacology, Sperber and Flaws, 2007, page 54

Which hormone lowers blood calcium? A. calcitonin B. glucagon C. adrenalin D. thyroxine

Which hormone lowers blood calcium? A. calcitonin Source: the thyroid gland produces the hormone calcitonin, and the parathyroid glands secrete parathyroid hormone; parathyroid hormone and calcitonin participate in the control of calcium and phosphorus homeostasis and have significant effects on bone physiology; calcitonin lowers calcium levels in the blood while the parathyroid hormone raises calcium levels in the blood

Which hormone stimulates the development of female mammary glands at puberty? A. Prolactin B. Oxytocin C. Estrogen D. Progesterone

Which hormone stimulates the development of female mammary glands at puberty? C. Estrogen Source: Breast development during puberty begins after the ovaries start to secrete estrogen. This accumulates fat within the connective tissue of the breasts, causing the breasts to enlarge. Prolactin is a hormone secreted by the pituitary gland in the brain that stimulates lactation-secretion of milk from the mammary glands of the breast. Oxytocin plays a role in breast development during pregnancy. Progesterone contributes to the formation of milk glands. Estrogen first induces enlargement of tissues within the breast and progesterone helps with development of milk glands. If pregnancy occurs, progesterone levels remain high and control the development of the milk buds to prepare the mother for breastfeeding.'

Which of the following can confirm an exterior Wind pattern? A. Hands and feet feel cold B. Back of neck feels hot C. Hands feel cold D. Dorsum of hand feels hot

Which of the following can confirm an exterior Wind pattern? D. Dorsum of hand feels hot Source: though a patient might feel subjectively cold or has shivers, the back of the hand (also the forehead) will be palpated as warmer than the palm whether the pattern is one of wind-cold or wind-heat; a hot dorsum within an exterior pattern indicates invasion of wind while hot palms usually indicate yin xu - The Foundations of Chinese Medicine, Maciocia, 2015, page 391; 2005 Edition, page 370

Which neurotransmitter is an amino acid? A. acetylcholine B. glutamate C. serotonin D. dopamine

Which neurotransmitter is an amino acid? B. glutamate Source: neurotransmitters are chemicals which transmit signal-information across a synapse (a small gap between two neurons across which neurotransmitters travel) from one neuron to another targeted neuron; the most abundant neurotransmitter is glutamate; it is used by 80% of the neurons; glutamate is associated with learning, memory, and brain development; it is an excitatory transmitter which means that it ensures that a neuron will fire by enhancing the electrical charge between neurons; a deficiency of glutamate has been linked to OCD (obsessive compulsive disorder), depression, autism, and schizophrenia; acetylcholine was the first neurotransmitter discovered; in the peripheral nervous system, acetylcholine functions at the neuromuscular junction between the motor nerves and skeletal muscles thereby stimulating muscle contraction; in the central nervous system, acetylcholine is found primarily in between the neurons in many brain areas (cortex, basal ganglia, hypothalamus, etc) and is important for memory, cognition and motor control; dopamine is involved with posture and voluntary movement, emotional behavior; it is the neurotransmitter affected in Parkinson\'s disease; insufficient dopamine can lead to stiffness, tremors or shaking, and other symptoms; serotonin influences mood, sleep, and pain suppression; drugs (SSRIs) used to treat depression act by blocking the recycling of serotonin by the sending neuron; dopamine and seratonin are classified as monoamine based neurotransmitters; acetylcholine is classified as choline based neurotransmitters

Which of the following Stomach channel points branch out to connect with the du mai (Governing Vessel)? A. ST-8 (tou wei), ST-12 (que pen) B. ST-12 (que pen) C. ST-8 (tou wei D. 'ST-1 (cheng qi), ST-8 (tou wei)

Which of the following Stomach channel points branch out to connect with the du mai (Governing Vessel)? A. ST-8 (tou wei), ST-12 (que pen) Source: from ST-8 (tou wei) the Stomach channel follows the hairline and connects with DU-24 (shen ting); from ST-12 (que pen) the Stomach channel goes around the neck and connects with DU-14 (da zhui); the Stomach primary channel also veers to the upper lip as it descends from its starting point to connect with DU-26 (ren zhong) - A Manual of Acupuncture, Deadman, 2nd Edition, page 126

Which of the following abdominal points are on the same general level? A. REN-2 (qu gu), KI-11 (heng gu), ST-29 (gui lai) B. REN-3 (zhong ji), KI-11 (heng gu), ST-30 (qi chong) C. REN-3 (zhong ji), KI-12 (da he), ST-29 (gui lai) D. REN-2 (qu gu), KI-12 (da he), ST-30 (qi chong)

Which of the following abdominal points are on the same general level? C. REN-3 (zhong ji), KI-12 (da he), ST-29 (gui lai) Source: REN-3 is the front-mu point of the Bladder, meeting point of the Ren Mai with the Spleen, Liver, and Kidney channels. REN-3 benefits the Bladder, regulates qi transformation and drains damp-heat, drains dampness and treats leucorrhoea, benefits the uterus and regulates menstruation, dispels stagnation and benefits the lower burner, and strengthens the Kidneys. Deep insertion will penetrate a full bladder. KI-12 is the meeting point of the Kidney channel with the Chong Mai. KI-12 tonifies the Kidney and astringes essence. Deep insertion will penetrate a full bladder. ST-29 warms the lower burner and benefits the genital area. Deep insertion in thin patients can penetrate the peritoneal cavity or a full bladder. - A Manual of Acupuncture, Deadman, 2nd Edition, pages 499, 151, 352

Which of the following answer lists at least one STD caused by a parasite? A. Herpes, hepatitis B B. Trichomoniasis, chlamydia C. HIV, gonorrhea D. Syphilis, HPV

Which of the following answer lists at least one STD caused by a parasite? B. Trichomoniasis, chlamydia Source: Chlamydia is not caused by a parasite but Trichomoniasis is. Trichomoniasis (trich) is caused by the protozoan parasite called Trichomonas vaginalis. It is treated with anti protozoal agents. The viral STDs (the four H) are HIV, HPV, herpes, hepatitis. Viral STDs have no cure but their symptoms can be alleviated with treatment. The bacterial STDs are gonorrhea, syphilis, and chlamydia. Bacterial STDs are often cured with antibiotics.

Which of the following are actions of du huo (radix angelicae pubescentis)? A. Dispels wind-damp and relieves pain, Disperses wind-cold-damp and release exterior, For lesser Yin stage headache with tooth pain B. Expels wind-damp and strengthens the sinews and bones, Transforms damp and reduces swelling C. Strong action in unblocking channels and extinguishing wind, Expels wind from skin, Dispels wind from sinews D. Relaxes the sinews and unblocks the channels, Harmonizes the Stomach and transforms damp, Reduces food stagnation

Which of the following are actions of du huo (radix angelicae pubescentis)? A. Dispels wind-damp and relieves pain, Disperses wind-cold-damp and release exterior, For lesser Yin stage headache with tooth pain Source: Dispels wind-damp and relieves pain to treat wind-cold-damp bi-obstuction (acute or chronic), particularly in the lower back and legs. Disperses wind-cold-damp and release exterior in treating the exterior when wind-cold-damp are involved together. For lesser Yin stage headache with tooth pain. - Materia Medica, Bensky, 3rd Edition, page 323

Which of the following are actions of gan jiang (rhizoma zingiberis officinalis)? A. Warms the middle, disperses cold, relieves constraint in the Liver channel, Redirects rebellious qi down and stops vomiting, Warms the Spleen, stops diarrhea, expels cold-damp, Leads Fire down B. Warms the middle and expels cold, Rescues devastated yang and expels interior cold, Warms the Lungs and transforms thin mucous, Warms the channels and stops bleeding C. Restores devastated yang, Warms the fire and assists the yang, Disperses cold, warms the channels, and relieves pain D. Warms the middle burner and directs rebellious qi down, Warms the Kidneys and aids the yang

Which of the following are actions of gan jiang (rhizoma zingiberis officinalis)? B. Warms the middle and expels cold, Rescues devastated yang and expels interior cold, Warms the Lungs and transforms thin mucous, Warms the channels and stops bleeding Source: Warms the middle and expels cold to warm the Spleen-Stomach patterns associated with excess external cold, as well as deficient cold from yang xu. Also expels wind-damp that that has seeped in the lower jiao. Rescues devastated yang and expels interior cold to treat yang devastation with a very weak pulse and cold extremities. Warms the Lungs and transforms thin mucous due to its warming the Spleen and drying dampness while at the same time scattering coldness in the Lungs. Treats cold Lungs with thin-watery or white sputum. Warms the channels and stops bleeding due to deficiency cold associated with various types of bleeding, particularly uterine bleeding. Only treats bleeding if it is chronic, with a pale colored blood, cold limbs, pale face, and a soggy-thin pulse. - Materia Medica, Bensky, 3rd Edition, page 681

Which of the following are actions of gan jiang (rhizoma zingiberis officinalis)? A. Warms the middle burner and directs rebellious qi down, Warms the Kidneys and aids the yang B. Warms the middle, disperses cold, relieves constraint in the Liver channel, Redirects rebellious qi down and stops vomiting, Warms the Spleen, stops diarrhea, expels cold-damp, Leads Fire down C. Restores devastated yang, Warms the fire and assists the yang, Disperses cold, warms the channels, and relieves pain D. Warms the middle and expels cold, Rescues devastated yang and expels interior cold, Warms the Lungs and transforms thin mucous, Warms the channels and stops bleeding

Which of the following are actions of gan jiang (rhizoma zingiberis officinalis)? D. Warms the middle and expels cold, Rescues devastated yang and expels interior cold, Warms the Lungs and transforms thin mucous, Warms the channels and stops bleeding Source: Warms the middle and expels cold to warm the Spleen-Stomach patterns associated with excess external cold, as well as deficient cold from yang xu. Also expels wind-damp that that has seeped in the lower jiao. Rescues devastated yang and expels interior cold to treat yang devastation with a very weak pulse and cold extremities. Warms the Lungs and transforms thin mucous due to its warming the Spleen and drying dampness while at the same time scattering coldness in the Lungs. Treats cold Lungs with thin-watery or white sputum. Warms the channels and stops bleeding due to deficiency cold associated with various types of bleeding, particularly uterine bleeding. Only treats bleeding if it is chronic, with a pale colored blood, cold limbs, pale face, and a soggy-thin pulse. - Materia Medica, Bensky, 3rd Edition, page 681

Which of the following are actions of mai men dong ( tuber ophiopogonis japonici)? A. Nourishes and tonifies Liver and Kidneys, Nourishes blood and extinguishes wind, Moistens and lubricates Intestines B. Moistens the Lungs and nourishes the yin, Augments Stomach yin and generates fluids, Moistens the Intestines, Clears the Heart and eliminates irritability C. Tonifies Liver and Kidneys, strengthens the sinews and bones, Nourishes blood and calms the womb, Nourishes blood and benefits the skin, Treats hypertension D. Benefits qi, generates fluids, and nourishes yin, Nurtures Lung yin and clears fire from Lungs

Which of the following are actions of mai men dong ( tuber ophiopogonis japonici)? B. Moistens the Lungs and nourishes the yin, Augments Stomach yin and generates fluids, Moistens the Intestines, Clears the Heart and eliminates irritability Source: Moistens the Lungs and nourishes the yin to treat any pattern where the Lung yin has been injured with symptoms such as dry-hacking cough or difficult to expectorate thick-sputum cough. This herb is most useful when the pathogenic factor is warm-dry or dryness that have transformed into fire (the herb has a cooling quality). Augments Stomach yin and generates fluids to treat dry tongue and mouth due to Stomach yin xu. Moistens the Intestines to treat constipation in the aftermath of a febrile disorder or due to yin xu. Clears the Heart and eliminates irritability arising from yin xu or warm-heat pathogenic factors at the nutritive level. In both patterns (yin xu, warm-heat pathogens) the irritability worsens at night. - Materia Medica, Bensky, 3rd Edition, page 824

Which of the following are actions of yin chai hu (radix stellariae)? A. Drains fire from Deficient Yin, Clears Lung heat and stops coughing, Clears heat and cools Blood, Drains floating fire in the Kidney channel B. Clears deficiency heat, Clears heat from nutritional impairment C. Clears heat and cools Blood, promotes urination, Relieves toxicity D. Clears fever from deficiency, Clears summerheat, Cools Blood and stops bleeding, Checks malarial disorders and relieves heat

Which of the following are actions of yin chai hu (radix stellariae)? B. Clears deficiency heat, Clears heat from nutritional impairment Source: Clears heat arising from deficiency heat with steaming bone disorder or due to any deficient yin fever. Clears heat associated with childhood nutritional impairment with fever, thirst, irritability arising from heat accumulation. - Materia Medica, Bensky, 3rd Edition, page 227

Which of the following are basic acupuncture needle manipulation techniques? A. lifting, rotating B. lifting, thrusting, rotating C. thrusting, rotating D. lifting, thusting, pressing, rotating

Which of the following are basic acupuncture needle manipulation techniques? B. lifting, thrusting, rotating Source: the fundamental techniques are lifting, thrusting, and rotating; pressing is a technique of pressing along the course of the meridian to encourage the movement of qi through the meridian - CAM, 3rd Edition, pages 345-346

Which of the following are contraindications for e jiao (gelatinum corii asini)? A. Fire from constraint, Phlegm with qi stasis B. Qi stasis with profuse phlegm, Abdominal fullnes C. Spleen and Lung xu, Abdominal fullness D. Spleen-Stomach xu, Focal epigastric distention, Diarrhea

Which of the following are contraindications for e jiao (gelatinum corii asini)? D. Spleen-Stomach xu, Focal epigastric distention, Diarrhea Source: This herb is heavy and cloying and affects digestion. Key herb characteristics: tonifies Liver blood, moistens Lung yin, replenishes Kidney essence, stops bleeding. - Materia Medica, Bensky, 3rd Edition, page 758

Which of the following brand names tends to cause more drowsiness than the others? A. Chlor-Trimetron B. Dimetane C. Benadryl D. Tavist Allergy

Which of the following brand names tends to cause more drowsiness than the others? C. Benadryl Source: Benadryl contains one of several antihistamines; it is used for the temporary relief of seasonal and perennial allergy symptoms; it also helps with normal symptoms of insect stings even if there is no allergic reaction; Benadryl products contain the first-generation antihistamine diphenhydramine; Benadryl is more of a sedative than the others; Benadryl can be even used to help fall asleep; second and third generation antihistamines cause less drowsiness

Which of the following can confirm an exterior Wind pattern? A. Dorsum of hand feels hot B. Hands and feet feel cold C. Back of neck feels hot D. Hands feel cold

Which of the following can confirm an exterior Wind pattern? A. Dorsum of hand feels hot Source: though a patient might feel subjectively cold or has shivers, the back of the hand (also the forehead) will be palpated as warmer than the palm whether the pattern is one of wind-cold or wind-heat; a hot dorsum within an exterior pattern indicates invasion of wind while hot palms usually indicate yin xu - The Foundations of Chinese Medicine, Maciocia, 2015, page 391; 2005 Edition, page 370

Which of the following ear points has sedative, analgesic, and anti-allergy effects, treats neuropsychiatric disorders, hypertension, asthma and pain? A. Occiput B. Shen men C. Endocrine D. Sympathetic nerve

Which of the following ear points has sedative, analgesic, and anti-allergy effects, treats neuropsychiatric disorders, hypertension, asthma and pain? B. Shen men Source: also known as the neurogate point; it is located at the bifurcating point between the superior and inferior antihelix crus, at the lateral 1/3 of the triangular fossa

Which of the following foods have a bitter taste? A. fennel, dill, caraway, anise, coriander, cumin B. seaweed, soy sauce, miso, pickles, gomasio C. hawthorn berry, rose hip, crab apple, lemon D. dandelion, burdock, yarrow, chamomile, hops

Which of the following foods have a bitter taste? D. dandelion, burdock, yarrow, chamomile, hops Source: Bitter foods are also valerian, echinacea, and pau d'arco. Bitter foods are yin and cooling in nature. They contract the qi and move the qi down. The bitter tastes acts as sedation in an excess patient (loud voice, red face, robust body, thick tongue coating, excess pulse, etc). The bitter flavor clears heat, clears mucoid deposits (cholesterol) and can lower blood pressure. The bitter taste also lowers fever and drains dampness. The bitter taste helps with infections, inlfammations, and conditions which has an excess of dampness. Patients who are slow, overweight, and lethargic can benefit from the bitter flavor. Patients who are deficient, weak, cold, thin, and dry should limit the bitter flavor in their diet. - Healing with Whole Foods, Paul Pitchford, 3rd Edition page 314

Which of the following has an INCORRECT description of a luo-connecting channel? A. 'From LU-7 (lieque), the luo-connecting channel travels to the palm and thenar eminence B. From HT-5 (tongli), the luo-connecting channel follows the Heart primary channel and ends at the hear C. From PC-6 (neiguan), the luo-connecting channel follows the Heart pri D. From LR-5 (ligou), the luo-connecting channel travels to the genitals

Which of the following has an INCORRECT description of a luo-connecting channel? B. From HT-5 (tongli), the luo-connecting channel follows the Heart primary channel and ends at the hear Source: the Heart luo channel goes to the Heart but then ascends to the base of the tongue and ends at the eye; also at HT-5 the luo-connecting channel separates from the primary channel and also connects with the Small Intestine primary channel; at LU-7 the luo-connecting channel separates from the primary channel and at the thenar eminence connects the Large Intestine primary channel; at PC-6 the luo-connecting channel separates from the primary channel and also connects with the Triple Burner primary channel; at LR-5 the luo-connecting channel separates from the primary channel and also connects with the Gall Bladder primary channel - A Manual of Acupuncture, Deadman, 2nd Edition, page 26

Which of the following has an INCORRECT description of a luo-connecting channel? A. From SI-7 (zhizheng), the luo-connecting channel follows the Small Intestine primary channel and travels to the shoulder B. 'From TB-5 (waiguan), the luo-connecting channel travels to the Pericardium channel at the chest C. From BL-58 (feiyang), the luo-connecting channel separates from the primary channel and ascends to the anus D. From GB-37 (guangming), the luo-connecting channel disperses over the dorsum of the foot

Which of the following has an INCORRECT description of a luo-connecting channel? C. From BL-58 (feiyang), the luo-connecting channel separates from the primary channel and ascends to the anus Source: from BL-58, the Bladder luo channel goes posterior to connect to the Kidney primary channel; it does not have a further path; it is the Bladder divergent channel that connects with the anus; from SI-7 the luo connects to the Heart primary channel and then follows the Small Intestine primary to connect at the shoulder at LI-15; from TB-5 the luo channel separates from the Triple Burner channel; from GB-37 the luo channel separates from the Gall Bladder primary and connects with the Liver channel - A Manual of Acupuncture, Deadman, 2nd Edition, page 26

Which of the following has an INCORRECT pairing between an eye part and the corresponding organ? A. Upper eyelid: Stomach B. Eye corners: Heart C. Sclera: Lungs D. Iris: Liver

Which of the following has an INCORRECT pairing between an eye part and the corresponding organ? A. Upper eyelid: Stomach Source: the upper eyelid belongs to the Spleen while the lower eyelid to the Stomach; the pupil corresponds to the Kidneys - The Foundations of Chinese Medicine, Maciocia, 2015, page 317; 2005 Edition, page 303

Which of the following has an INCORRECT pairing between body signs and diagnosis? A. Barrel-like chest and epigastrium: Full pattern in Lungs and/or Stomach B. Fat body: Spleen Deficiency C. 'Disproportionate and overweight upper thighs: Spleen Deficiency D. Thin body: Yang deficiency

Which of the following has an INCORRECT pairing between body signs and diagnosis? D. Thin body: Yang deficiency Source: a thin body usually reflects a yin deficiency; these body changes are not connected to the constitutional body types but are the results of long-term changes in body shapes due to a pattern disharmony - The Foundations of Chinese Medicine, Maciocia, 2015, page 313; 2005 Edition, page 297; 1989 Edition, page 145

Which of the following has warming properties? A. plants that take longer to grow B. foods with blue, green, or purple colors C. chemically fertilized plant foods D. raw foods

Which of the following has warming properties? A. plants that take longer to grow Source: Plants that take longer to grow such as carrot, rutabaga, parsnip, and cabbage are more warming than those that grow quickly such as lettuce, summer squash, radish and cucumber. Foods with blue, green, or purple colors are usually more cooling than foods that are red, orange, or yellow. Chemically fertilized plant foods are stimulated to grow more quickly and as such become more cooling - Healing with Whole Foods, Paul Pitchford, 3rd Edition page 59

Which of the following indicates Spleen Qi deficiency? A. Lethargy and heaviness of the body B. Blurry vision C. Dizziness D. Lethargic stupor with exterior Heat symptoms

Which of the following indicates Spleen Qi deficiency? A. Lethargy and heaviness of the body Source: this is a symptom of lethargy due to a weak Spleen; lethargy can also be caused by Dampness which is heavy and slow; if the Dampness caused lethargy has the symptom of dizziness then Phlegm is involved; chronic and extreme lethargy with feelings of cold can point to Kidney yang xu; if the Pericardium is invaded by Heat, there can be a lethargic stupor; lethargy with a greasy tongue coating, a slippery pulse, rattling in the throat can indicate Phlegm misting the Mind - The Foundations of Chinese Medicine, Maciocia, 2015, page 355; 2005 Edition, page 336; 1989 Edition, page 159

Which organs does the Small Intestine primary channel connect with? A. Stomach, Small Intestine B. Stomach, Heart, Small Intestine C. Heart, Small Intestine D. Gall Bladder, Heart, Small Intestine

Which organs does the Small Intestine primary channel connect with? B. Stomach, Heart, Small Intestine Source: 'from ST-12 (que pen) a branch descends and connects with the Stomach, Heart, and Small Intestine; though the Small Intestine primary channel connects the Stomach and Small Intestine there are no points that are indicated for digestive problems - A Manual of Acupuncture, Deadman, 2nd Edition, page 228, 230

Which of the following iron-related blood tests is the most accurate indicator of iron deficiency? A. Serum Iron B. Total Iron-Binding Capacity (TIBC) C. Ferritin D. Transferrin Saturation

Which of the following iron-related blood tests is the most accurate indicator of iron deficiency? A. Serum Iron B. Total Iron-Binding Capacity (TIBC) C. Ferritin D. Transferrin Saturation Source: the ferritin test is the best indicator of iron storage in the body; ferritin is a protein that stores iron; the serum iron measures the amount of iron in the blood but this level may be normal even if the total amount of iron in your body is low; Total Iron Binding Capacity (TIBC) is a blood test to gauge how much iron is in the body by analysing transferrin, a protein that has iron attached to it; this test determine how effective that protein is in carrying iron; Transferrin Saturation is the ratio of blood iron and total iron-binding capacity; a value of 25% means that 25% of iron-binding sites of transferrin are being occupied by iron - Mosby's Manual of Diagnostic and Laboratory Tests, 4th Edition, 2010, Pagana, page 246-247; 2nd Edition, page 229

Which of the following is a contraindication or caution for mu tong (caulis mutong)? A. Caution during pregnancy B. Caution Weak Spleen qi C. Contra absence of dampness D. None noted

Which of the following is a contraindication or caution for mu tong (caulis mutong)? A. Caution during pregnancy Source: Key herb characteritics: promotes urination, directs fire and damp-heat down and out through urination, promotes lactation, unblocks blood stasis. - Materia Medica, Bensky, 3rd Edition, page 283

Which of the following is an anti-craving agent used in the management of alcohol dependence syndrome? A. acamprosate B. disulfiram C. lorazepam D. metronidazole

Which of the following is an anti-craving agent used in the management of alcohol dependence syndrome? A. acamprosate Source: Campral (acamprosate) is used along with counseling and social support to help people who have stopped drinking large amounts of alcohol to avoid drinking alcohol again; over time alcoholism changes the way the brain works; acamprosate works by helping the brains of alcoholics to work normally again; acamprosate does not prevent the withdrawal symptoms when an alcoholic stops drinking; acamprosate has not been shown to work in people who have not stopped drinking alcohol or in people who drink large amounts of alcohol and also abuse other substances such as street drugs or prescription medications

Which of the following is level with the iliac crests? A. L4 B. L3 C. L5 D. L2

Which of the following is level with the iliac crests? A. L4 Source: the spinous processes of the C6 and 7 and T1 vertebrae are usually visible when the neck is flexed; the apex of the lung extends to C7; the spine of the scapula is commonly in line with the T3; the manubrium of the sternum is generally opposite T3 and 4 vertebrae; the trachea divides at the level of T5 to 7 when a subject is in the erect position; the inferior angle of the scapula is frequently at the level of T7 vertebra; the xiphisternal junction is approximately opposite the T10 vertebra; the spinal cord usually ends at the L1 or 2; the highest points of the iliac crests is typically at L4 vertebral level; Deadman, page 67 has an incorrect graphic as he shows the top of the crest level with L3; top of the iliac line will cross the spine at different levels depending on whether the patient is sitting or in a prone position; sometimes there are male/female differences; be sure to use other landmarks (L5-sacral junction) to help identify L4

Which of the following lab tests is for determining pregnancy? A. AFP, alpha-fetoprotein B. HCG, (human chorionic gonadotropin) C. PTT, partial thromboplastin time D. CRH, corticotropin-releasing hormone

Which of the following lab tests is for determining pregnancy? B. HCG, (human chorionic gonadotropin) Source: in non-pregnant women, hCG levels are normally undetectable; during early pregnancy, the hCG level in the blood doubles every two to three days; pregnancy tests are based on detecting hCG; there are two main types of pregnancy tests: urine tests and blood tests

Which of the following points are on the same general level as the 3rd intercostal space? A. REN-18 (yu tang), KI-24 (ling xu), ST-16 (ying chuang) B. REN-17 (shan zhong), KI-23 (shen feng), ST-17 (ru zhong) C. REN-18 (yu tang), KI-23 (shen feng), ST-16 (ying chuang) D. REN-17 (shan zhong), KI-24 (ling xu), ST-17 (ru zhong)

Which of the following points are on the same general level as the 3rd intercostal space? A. REN-18 (yu tang), KI-24 (ling xu), ST-16 (ying chuang) Source: REN-18 unbinds the chest and regulates a descends qi. KI-24 unbinds the chest, lower rebellious Lung and Stomach qi, and benefits the breasts. Deep perpendicular or oblique insertion can injure the lung. KI-24 unbinds the chest, lowers rebellious Lung and Stomach qi, and benefitst the breasts. Deep perpendicular or oblique needling can puncture the lung. ST-16 alleviates cough and wheezing and benefits the breasts. Deep or perpendicular needling risks puncturing the lung. - A Manual of Acupuncture, Deadman, 2nd Edition, pages 519, 142, 361

Which of the following points if needled too deeply would pierce the transverse cervical artery? A. ST-9 (ren ying) B. ST-12 (que pen) C. LI-18 (fu tu) D. LI-17 (tian ding)

Which of the following points if needled too deeply would pierce the transverse cervical artery? B. ST-12 (que pen) Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2010, page 148

Which of the following points, if needled too deeply, would pierce the transverse cervical artery? A. ST-12 (que pen) B. ST-9 (ren ying) C. LI-18 (fu tu) D. LI-17 (tian ding)

Which of the following points, if needled too deeply, would pierce the transverse cervical artery? A. ST-12 (que pen) Source: a deep or posterior insertion can injure the subclavian veins or puncture the lung; improper needling of ST-9 can injure the carotid artery - Deadman, 2nd edition, page 139

Which of the following regulates the hormonal output from the thyroid? A. posterior pituitary B. anterior pituitary C. adrenal cortex D. parathyroid

Which of the following regulates the hormonal output from the thyroid? B. anterior pituitary Source: hormonal output from the thyroid is regulated by thyroid-stimulating hormone (TSH) produced by the anterior pituitary, which itself is regulated by thyrotropin-releasing hormone (TRH) produced by the hypothalamus.

Which pair of hormones act antagonistically? A. cortisol and insulin B. glucagon and cortisol C. insulin and estrogen D. glucagon and adrenaline

Which pair of hormones act antagonistically? A. cortisol and insulin Source: cortisol raises blood glucose levels while insulin lowers blood glucose levels

Which point Activates the channel and alleviates pain; Clears heat and reduces swelling; and Clears damp-heat and treats jaundice? A. SI-4 (wangu) B. SJ-3 (zhongzhu) C. SI-5 (yanggu) D. SI-3 (houxi)

Which point Activates the channel and alleviates pain; Clears heat and reduces swelling; and Clears damp-heat and treats jaundice? A. SI-4 (wangu) Source: yuan-source point; SI-4 (wangu) is mainly used to treat pain, contraction, stiffness along the entire Small Intestine channel; SI-4 (wangu) can treat swelling and clear heat at the end of the channel (neck, cheek, submandibular region, ear); SI-4 (wangu) can be used in the treatment of tinnitus due to any etiology; empirically, SI-4 (wangu) treats both yin or yang jaundice - A Manual of Acupuncture, Deadman, 2nd Edition, page 235

Which point Benefits the Bladder, regulates qi transformation and drains damp-heat; Drains dampness and treats leucorrhea; Benefits the uterus and regulates menstruation; Dispels stagnation and benefits the lower jiao; and Fortifies the Kidneys? B. REN-3 (zhongji) Source: front-mu point of Bladder and meeting point of the Conception with the Spleen, Liver, and Kidney channels; REN-3 (zhongji) has a direct influence on the functioning of the Bladder; it can treat both excess (damp-heat, stagnant qi) and deficiency (deficiency of qi and yang) Bladder patterns with symptoms of urinary retention, urgent urination, painful urination; in clinical practice, REN-3 (zhongji) is more frequently used for excess urinary patterns while REN-4 (guanyuan) is used for deficient urinary patterns; as REN-3 (zhongji) drains dampness and heat in the lower jiao, it can be used to treat the genital area (itching, swelling, pain, leucorrhea, seminal emission); as a meeting point with the Spleen, Kidneys, Liver, and Conception channels, REN-3 (zhongji) helps to regulate the uterus (masses, irregular menstruation, amenorrhea, infertility, retention of placenta); REN-3 (zhongji) has as strong action on the lower abdomen treating stagnation of cold or heat with symptoms of twisting pain and masses; REN-3 (zhongji) can be used to strengthen deficient yang qi but in clinical practice REN-4 (guanyuan) is used instead - A Manual of Acupuncture, Deadman, 2nd Edition, page 499

Which point Benefits the lumbar region, activates the channel and alleviates pain and Regulates urination and treats hemorrhoids? A. extra point yaoyan B. BL-26 (guanyuanshu) C. BL-54 (zhibian) D. BL-32 (ciliao)

Which point Benefits the lumbar region, activates the channel and alleviates pain and Regulates urination and treats hemorrhoids? C. BL-54 (zhibian) Source: BL-54 (zhibian) is an important point in the treatment of deficient or excess pain in the lumbar area, sacral area, buttocks and leg (sciatica); BL-54 (zhibian) can regulate urination (retention of urine, painful urination, dark urine), defecation (constipation) and can treat hemorrhoids - A Manual of Acupuncture, Deadman, 2nd Edition, page 312

Which point Calms the spirit, transforms phlegm and clears heat; and Activates the channel and benefits the arm? A. PC-7 (daling) B. LU-3 (tianfu) C. HT-3 (shaohai) D. HT-7 (shenmen)

Which point Calms the spirit, transforms phlegm and clears heat; and Activates the channel and benefits the arm? C. HT-3 (shaohai) Source: he-sea and Water point; although HT-3 (shaohai) can be used to calm the shen (mania, epilepsy, tongue thrusting, poor memory) caused by phlegm (other points such as PC-5, ST-40, TB-10 are more commonly used) and to drain heat from the head (red eyes, swollen-red gums, tooth pain), its main clinical application is in the treatment of the Heart channel and upper limb (numbness and trembling arm and hands, elbow disorders, hemiplegia, atrophy, shoulder pain) - A Manual of Acupuncture, Deadman, 2nd Edition, page 214

Which point Calms the spirit; Regulates Heart rhythm; Benefits the tongue; and Activates the channel and alleviates pain? A. PC-6 (neiguan B. HT-3 (shaohai) C. HT-4 (lingdao) D. HT-5 (tongli)

Which point Calms the spirit; Regulates Heart rhythm; Benefits the tongue; and Activates the channel and alleviates pain? D. HT-5 (tongli) Source: luo-connecting point; the two main actions of HT-5 (tongli) are: 1) calm the spirit and 2) regulate Heart qi; the calming spirit action of HT-5 (tongli) focuses more on emotional issues (fright, agitation, fear, anger, sadness, depression) than on disorders involving sleep or memory where HT-7 (shenmen) is more useful; HT-5 (tongli) regulates the Heart qi in treating palpitations, both mild and more severe; as the tongue is the sprout of the Heart, HT-5 (tongli) is a main point for the treatment of voice and tongue disorders (stiff tongue, stuttering, sudden loss of voice) - A Manual of Acupuncture, Deadman, 2nd Edition, page 216

Which point Expels wind-damp and alleviates pain, and is an ipsilateral point in Benefiting the shoulder? A. LI-11 (quchi) B. GB-34 (yanglingquan C. ST-38 (tiaokou) D. SI-3 (houxi)

Which point Expels wind-damp and alleviates pain, and is an ipsilateral point in Benefiting the shoulder? C. ST-38 (tiaokou) Source: 'ST-38 (tiaokou) is mainly used as a local point for leg disorders and as an empirical point for treating shoulder pain (treat affected side while patient moves the shoulder and then treat with local shoulder points) - A Manual of Acupuncture, Deadman, 2nd Edition, page 163

Which point Regulates the intestines and transforms stagnation; Clears damp heat and alleviates diarrhea and dysenteric disorder; Regulates the Spleen and Stomach; and Activates the channel and alleviates pain? C. ST-37 (shangjuxu) Source: lower he-sea point and sea of blood point; ST-37 (shangjuxu) is a main point for treating intestinal problems (especially diarrhea and dysentery) whether due to deficiency or excess conditions; ST-37 (shangjuxu) also clears intestinal obstructions and stagnations (distension, constipation); being so close to ST-36 (zusanli), ST-37 (shangjuxu) has a beneficial effect in tonifying and regulating the Stomach and Spleen; ST-37 (shangjuxu) moves the qi and blood in the lower leg and can be used to treat leg atrophy, hemiplegia, leg pain, etc. whether due to excess or deficiency - A Manual of Acupuncture, Deadman, 2nd Edition, page 162

Which point Reinforces the Kidneys; Anchors the qi and benefits the Lung; and Strengthens the will and dispels fear? A. DU-4 (mingmen) B. KI-4 (dazhong) C. BL-23 (shenshu) D. KI-5 (shuiquan)

Which point Reinforces the Kidneys; Anchors the qi and benefits the Lung; and Strengthens the will and dispels fear? B. KI-4 (dazhong) Source: luo-connecting point; KI-4 (dazhong) has two main areas of action: 1) it regulates the Lung and Kidney relationship when the Kidney fails to grasp the Lung qi (cough, SOB, asthma, wheezing) or when deficient Kidney yin fails to moisten-cool the Lungs, mouth and throat (wheezing, dry throat and mouth, blood in sputum); in comparing KI-3 (taixi) and KI-4 (dazhong), the latter has a stronger effect in treating excess above while the former has a greater effect on nourishing the Kidneys; 2) because of the relationship between the Kidney and fear, KI-4 (dazhong) has a strong effect in calming fear, apprehension, lack of confidence, fear of leaving the safety of home - A Manual of Acupuncture, Deadman, 2nd Edition, page 342

Which primary meridian is connected to the root of the tongue and spreads underneath its surface? A. Kidney B. Spleen C. Heart D. Liver

Which primary meridian is connected to the root of the tongue and spreads underneath its surface? B. Spleen Source: a branch from the primary Spleen meridian ascends through the diaphragm, runs alongside the esophagus and spreads over the lower surface of the tongue; both the Kidney primary channel and Heart Luo have a connection to the tongue but only the Spleen primary spreads across the lower surface of the tongue; a branch of the primary Kidney meridian emerges from the Kidney, ascends through the Liver and diaphragm, enters the Lung and ascends to the throat to terminate at the root of the tongue; the Heart Luo-Connecting meridian connects to the root of the tongue - Deadman, 2nd Edition, page 178, 332 and 210

Which pulse is a strong pulse that feels like it bounces from side to side like a tight rope? A. Tight pulse (jin mai) B. Slow pulse (chi mai) C. Empty pulse (xu mai) D. Knotted pulse (jie mai)

Which pulse is a strong pulse that feels like it bounces from side to side like a tight rope? A. Tight pulse (jin mai) Source: a tight pulse (jin mai) is a strong pulse that feels like it bounces from side to side like a tight rope; a tight pulse (jin mai) is fuller and more elastic than a wiry pulse (xuan mai); a tight pulse (jin mai) feels like it vibrates and seems to be faster than it actually is; a tight pulse (jin mai) indicates Excess, Cold, or Stagnation; a slow pulse (chi mai) has fewer than four beats per respiration; it indicates Cold or Deficient Qi; an empty pulse (xu mai) is big, without strength, weak, and soft like a partially water filled balloon; it is often slower than normal; it indicates Deficient Qi and Blood; a knotted pulse (jie mai) is a slow pulse that irregularly skips beats; it can indicate Cold blocking the Qi and Blood or Deficient Qi, Blood, or Jing - The Web That Has No Weaver, Kaptchuk, 2000, page 200

Which pulse is described as floating, broad and comes with strength and recedes with weakness? A. Flooding pulse (hong mai) B. Slippery pulse (hua mai) C. Soggy pulse (ru mai) D. Moving pulse (dong mai)

Which pulse is described as floating, broad and comes with strength and recedes with weakness? A. Flooding pulse (hong mai) Source: a flooding pulse (hong mai) surges with the strength of a big pulse (da mai) that hits the palpatory fingers on the superficial, middle, and deep levels; however, when the flooding pulse (hong mai) recedes from the fingers, it becomes weak and loses some of its strength; a flooding pulse (hong mai) is like wave that hits strong and recedes with weakness; a flooding pulse (hong mai) can indicate that Heat has injured the Body Fluids and Yin; a soggy pulse (ru mai) is a combination of a thin pulse (xi mai), an empty pulse (xu mai), and a floating pulse (fu mai); a soggy pulse (ru mai) indicates Deficient Blood, Deficient Jing or Dampness; a moving pulse (dong mai) combines the short pulse, the tight pulse, the slippery pulse, and the rapid pulse; it is an incomplete pulse as it is only felt in one position like a bean and not having a head or tail; it indicates an extreme condition (fever, pain, fright, palpitations) and is rarely encountered in practice; a slippery pulse (hua mai) is categorized according to shape; a slippery pulse (hua mai) feels very smooth and wavy like a "slithering snake" or like pears rolling in a dish; it indicates Excess, Dampness, Phlegm, or pregnancy - The Web That Has No Weaver, Kaptchuk, 2000, page 204

Which pulse is described as floating, thready, soft, and without strength like a bubble floating on water? A. Frail pulse (ruo mai) B. Moving pulse (dong mai C. Soggy pulse (ru mai) D. Hurried pulse (cu mai)

Which pulse is described as floating, thready, soft, and without strength like a bubble floating on water? C. Soggy pulse (ru mai) Source: a soggy pulse (ru mai) is a combination of a thin pulse (xi mai), an empty pulse (xu mai), and a floating pulse (fu mai); it is a very soft pulse but less clear than a thin pulse and felt only at the superficial level; slightly increasing the finger pressure makes the pulse disappear; a soggy pulse (ru mai) indicates Deficient Blood, Deficient Jing or Dampness; a moving pulse (dong mai) combines the short pulse, the tight pulse, the slippery pulse, and the rapid pulse; it is an incomplete pulse as it is only felt in one position like a bean and not having a head or tail; it indicates an extreme condition (fever, pain, fright, palpitations) and is rarely encountered in practice; a frail pulse (ruo mai) is soft, weak, a little thin, and felt at the deep level; it is like an inverted upside down empty pulse and indicates an extreme deficiency of Qi that fails to raise the pulse; the hurried pulse (cu mai) is rapid and irregularly skips beats; it can indicate Heat agitating the Blood - The Web That Has No Weaver, Kaptchuk, 2000, page 205

Which pulse is the combination of wiry (xuan mai) and floating (fu mai) pulses? A. Choppy pulse (se mai) B. Frail pulse (ruo mai) C. Knotted pulse (jie mai) D. Leather pulse (ge mai)

Which pulse is the combination of wiry (xuan mai) and floating (fu mai) pulses? D. Leather pulse (ge mai) Source: this is a pulse that involves multiple and mixed qualities; the leather pulse (ge mai) is a combination pulse that has the qualities of being wiry, floating, and empty; it feels like the tightened skin of a drum; it indicates Deficient Blood or Jing; a knotted pulse (jie mai) is categorized according to rhythm and speed (slow, irregular skipping beats); a frail pulse (ruo mai) is soft, weak, a little thin, and felt at the deep level; it is like an inverted upside down empty pulse and indicates an extreme deficiency of Qi that fails to raise the pulse; the choppy pulse (se mai) is categorized according to shape; a choppy pulse (se mai) is the opposite of a slippery pulse (hua mai); a choppy pulse (se mai) is rough, uneven, and sometimes irregular in strength and fullness; it is described as a knife scraping a bamboo or a sick silkworm eating a leaf - The Web That Has No Weaver, Kaptchuk, 2000, page 206

Which scalp area is located on the front of the scalp, midway between and parallel with the Stomach area and midline of the head, bilaterally, and is 2 cm in length? A. reproduction area B. thoracic cavity C. stomach area D. vision area

Which scalp area is located on the front of the scalp, midway between and parallel with the Stomach area and midline of the head, bilaterally, and is 2 cm in length? B. thoracic cavity Source: this area treats asthma, chest pain, and intermittent supraventricular tachycardia; supraventricular tachycardia is a rapid heart rate above 100 beats per minute that is caused by electrical impulses that start above the heart's ventricles - Acupuncture: A Comprehensive Text, Bensky, 1981, page 501; Chinese Scalp Acupuncture, Jason Hao, Lingzhi Hao, 2017 page 57

Which tracts in the nervous system deliver information to the brain? A. descending tracts B. ascending tracts C. transverse tracts D. circular tracts

Which tracts in the nervous system deliver information to the brain? B. ascending tracts Source: ascending tracts are sensory and deliver sense information to the brain; descending tracts are motor and deliver information to the periphery of the body; there is no such thing as transverse or circular tracts

Which two hormones are produced by the hypothalamus but stored in the posterior pituitary? A. ADH and oxytocin B. thymosin and adrenaline C. growth hormone and prolactin D. insulin and glucagon

Which two hormones are produced by the hypothalamus but stored in the posterior pituitary? A. ADH and oxytocin Source: the posterior pituitary stores and releases hormones into the blood; antidiuretic hormone (ADH) and oxytocin are produced in the hypothalamus and transported by axons to the posterior pituitary where they are released into the blood; ADH controls water balance in the body and blood pressure; oxytocin is a hormone that stimulates uterine contractions during childbirth

Which two spiritual aspects have an independent existence from the Mind (Shen)? A. Yi and Zhi B. Hun and Po C. Po and Zhi D. Yi and Hun

Which two spiritual aspects have an independent existence from the Mind (Shen)? B. Hun and Po Source: the Hun (Ethereal Soul) and the Po (Corporal Soul) have their own independent existence; the Hun has an independent existence on a psychic level while the Po has an independent existence on a physical level; the Yi (intellect) and the Zhi (Will Power) are more interconnected with the Mind (Shen) of the Heart; at death, the Mind becomes extinguished; ancient Chinese books say that at death it is the Hun and not the Mind (Shen) that returns to heaven; at death, the Hun survives the body carrying an appearance of the physical form; at death, the Po adheres to the body for some time (especially in the bones) before returning to the earth; the image of a cigarette is used to compare the Mind (Shen), the Ethereal Soul (Hun), the Corporal Soul (Po), and the Essence (Jing); the cigarette itself is the Mind which at death becomes extinguished, the smoke is the Ethereal Soul which goes to "heaven" the ashes are the Corporal Soul which returns to earth, and the tobacco is the Essence which is used up - The Practice of Chinese Medicine, Maciocia, 2008, page 250, 265

Which type of fracture is a broken bone that protrudes through the skin? A. Compound fracture B. Complete fracture C. Stress fracture D. Simple fracture

Which type of fracture is a broken bone that protrudes through the skin? A. Compound fracture Source: this is a fracture in which the bone is sticking through the skin; it is also called an open fracture

Yesterday a patient had high fever, thirst, sweating, and a big pulse. Today the symptoms are high fever, insomnia, thirst, irritability, hematuria, and dark-red tongue. What is your assessment? B. Qi level progressing to Xue level Source: the key symptoms for the qi level are big fever, big sweat, big thirst, and big pulse; the key symptoms pointing to the xue level are high fever and symptoms of bleeding (Heat Victorious Moving Blood) - The Foundations of Chinese Medicine, Maciocia, 2015, page 774; 2005 Edition, page 729, 732

You are examining the Flesh Wheel of the eye. Which of the following has an WRONG pairing? A. toxic-heat: eyelid is red, swollen, hard, hot, painful, with sticky tears and red qi wheel' B. blood-stasis: eyelid is dark-purple, swollen, and likes pressure C. amp-heat: eyelid is red, swollen, itchy, sticky, and ulcerated' D. i vacuity: eyelid is pale white, has no pain, and no itching

You are examining the Flesh Wheel of the eye. Which of the following has an WRONG pairing? B. blood-stasis: eyelid is dark-purple, swollen, and likes pressure Source: In blood-statis the pain is of the repletion type and thus dislikes pressure - Practical Diagnosis in Traditional Chinese Medicine, Deng, 1999, page 392'

___________ usually causes more tingling than numbness in the limbs whereas ________ tends to cause more numbness than tingling. A. Blood Deficiency / Wind or Phlegm B. Liver Stasis / Blood Deficiency C. Spleen Qi Deficiency / Spleen Dampness D. Deficient Kidney qi / Deficiency Kidney Essence

___________ usually causes more tingling than numbness in the limbs whereas ________ tends to cause more numbness than tingling. A. Blood Deficiency / Wind or Phlegm Source: if the numbness is due to Wind, the numbness tends to be unilateral; Wind can cause numbness especially in the elderly while Blood deficiency can cause tingling especially in women; numbness with feelings of heaviness is due to Phlegm; leg numbness with leg edema is due to Dampness or Damp-Heat; limb numbness with pain is due stasis of Blood or qi - The Foundations of Chinese Medicine, Maciocia, 2015, page 352; 2005 Edition, page 332'

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