MID TERM TEST

Question 1

For location, if the pain is on the scapular area of the shoulder, which meridian is affected?

Answer 1

Small intestine meridian

Question 2

Indicate three different pains regarding their quality and their indication for diagnosis

Answer 2

Stabbing pain - blood stasis
Dull pain - deficiency
Distending pain - qi stagnation

Question 3

Onset of pain

Answer 3

Acute = severe pain 
Chronic = dull / soreness

Question 4

What are the aggravating factors of pain

Answer 4

Direct force
Indirect force
Over use from work or lifestyle

Question 5

How to treat this with distal points regarding different principles of point selection

Answer 5

SI 3 is a shu stream point
BL 60 is a jing river point (taiyang channel)
SP 5 is a jing river point (zang-fu inter connection)
GB channel - meeting point of sinew

Question 6

How to differentiate the pain due to musculoskeletal

Answer 6

Other pain or stiffness

Question 7

How to differentiate pain due to neurological

Answer 7

Pins and needles, numbness or weakness

Question 8

How to differentiate pain due to interior organs

Answer 8

Non neurological / musculoskeletal symptoms

Question 9

Grade of muscle strength 0/5

Answer 9

No muscle movement

Question 10

Grade of muscle strength 1/5

Answer 10

visible muscle movement, but no movement at the joint

Question 11

Grade of muscle strength 2/5

Answer 11

movement at the joint, but not against gravity

Question 12

Grade of muscle strength 3/5

Answer 12

movement against gravity, but no against added resistance

Question 13

Grade of muscle strength 4/5

Answer 13

movement against resistance, but less than normal

Question 14

Grade of muscle strength 5/5

Answer 14

normal muscle strength

Question 15

Complications of sinew injury

Answer 15

1. Avulsed fracture
2. Nervous injury
3. Ossifying myositis
4. Intracapsular corpus liberum
5. Bony arthritis

Question 16

Common patterns of BLOOD STASIS and QI STAGNATION

Answer 16

External blood stasis
External blood stasis underlying deficiency 
Qi stagnation
Qi stagnation underlying deficiency 
Qi stagnation and blood stasis 
Cold, wind damp attack 
Kidney, spleen and liver deficiency

Question 17

Pain caused by QI STAGNATION

Answer 17

Moves from place to place
Worse for stress/ emotional changes 
Distending pain 
Not associated with palpable tissue 
Not worse at night

Question 18

Pain cause by BLOOD STASIS

Answer 18

Fixed location 
Not affected by stress/ emotional changes 
Stabbing pain 
Associated with palpable tissue 
Worse at night

Question 19

C1-4 is…

Hua tuo JiaJi point

Answer 19

Head and face

Question 20

C1-7

Hua tuo JiaJi point

Answer 20

Neck

Question 21

T1-7

Hua tuo JiaJi point

Answer 21

Chest

Question 22

C3-T7

Hua tuo JiaJi point

Answer 22

Upper limb

Question 23

T8-T12

Hua tuo JiaJi point

Answer 23

Abdomen

Question 24

T10-L5

Hua tuo JiaJi point

Answer 24

Lumbar

Question 25

L2-L5 | Hua tuo JiaJi point

Answer 25

Lower limb

Question 26

S1-3 | Hua tuo JiaJi point

Answer 26

Pelvic

Question 27

What is passive movement?

Answer 27

Examiner moves a body part w/out muscular effort | Gives info on ROM allowed by muscle and joint

Question 28

When do we use passive movement?

Answer 28

When the patient is unable to move on their own / wants to test their flexibility

Question 29

What is active movement?

Answer 29

patient moves a part of their body where muscle contraction and joint movement are occuring

Question 30

When do we use active movement?

Answer 30

Patients looking to improve or maintain there muscle / joint strength on their own

Question 31

What is restricted movement?

Answer 31

patient attempts to push against examiner with certain movement to test the strength of muscle contraction

Question 32

GRADE 1 ligament sprain

Answer 32

1. From a stretch without tear to 20% ligament tear 2. No joint instability 3. Minimal pain / swelling 4. Little / no loss of function 5. Slight to no bruising 6. Can put weight on the affected area

Question 33

GRADE 2 ligament sprain

Answer 33

1. Tear from 20-75% of ligament 2. Bruising, moderate pain and swelling 3. Some loss of function 4. Has difficulty putting weight on affected joint

Question 34

GRADE 3 ligament sprain

Answer 34

1. 75% to a complete tear/ rupture 2. Moderate to severe pain 3. Swelling and bruising 4. Loss of function 5. Needs X-ray, MRI or CT scan to rule out fracture 6. Cannot put weight on it

Question 35

Treatment principle for ACUTE STAGE (< 3 weeks)

Answer 35

Promote qi and blood circulation; clear heat and remove toxin

Question 36

Treatment principle for MIDDLE STAGE (3-6 weeks)

Answer 36

Nourish the sinews and resolve blood stasis

Question 37

Treatment principle for CHRONIC STAGE (6+ weeks)

Answer 37

Tonify qi and blood; tonify kidney and liver

Question 38

What ashi technique do we use to treat MYOFASCIAL TRIGGER POINT, CHRONIC LIGAMENT PROBLEM / SIMPLE ASHI POINT

Answer 38

Single insertion into the ashi area

Question 39

What ashi technique do we use to treat LARGE MYOFASCIAL TRIGGER POINTS

Answer 39

Two or three needles into an area of stagnation

Question 40

What ashi technique do we use to treat for JOINT CONDITION

Answer 40

Across or along the joint line

Question 41

What ashi technique do we use to treat ACUTE INJURY WITH SWELLING LUMPS

Answer 41

Use several needles surrounding the area

Question 42

What ashi technique do we use to treat SUPERFICIAL AREA OR SENSITIVE TISSUE

Answer 42

Superficial insertion and short duration

Question 43

What kind of tissues from skeleton muscular system are included in this sinew channel

Answer 43

Muscle, fascia, tendon, tendon sheath, ligament, bursa, joint capsule

Question 44

How to treat sinews based on Nei Jing

Answer 44

Fire needle can be used for needling ashi points