TCM Prep Flashcards
1
Q
What is the indication of Si Feng?
A
A. Child emaciation/malnutrition *
B. Diarrhea
2
Q
Conditions to avoid as an acupuncturist.
A
A. Staph ulcers (best choice)
B. Active TB
C. HBV
3
Q
Items necessary to release a patient’s medical record.
A
A. Court order
B. Search warrant
C. Subpoena
4
Q
Important info about Patient’s consent.
A
A. Make sure they sign and date.
B. PT must be informed of all risks involved in Tx.
C. PT must be aware of the procedure(s).
D. Legal guardian or PT must sign.
5
Q
Side effects of Epinephrine inhalers.
A
Anxiety and HA
6
Q
What is the average incubation period of HEV?
A
40 days
7
Q
Info about Hepatitis B.
A
A. Incubation period of 50-180 days B. Flu-like symptoms (usually fever) C. Nausea, vomiting, loss of appetite D. Skin rash & joint pain E. Insidious development
8
Q
Info on Supraspinatus Test.
A
A. Push PT upper arm against your resistance. Positive–if PT can’t abduct their shoulder.
B. Drop Arm Test: Positive-if PT, suddenly, drops arm; 60-120 degrees; rotator cuff injury
9
Q
Meniscus Test Description
A
Supine 90 degrees medially, laterally
10
Q
Tx for Yang Collapse
A
Use indirect moxa with salt (periumbilical pain w/ chronic dysentery, vomiting & pain in the abdomen).
11
Q
C.I. for Plum Blossom Needles
A
A. Acute abdominal pain
B. Acute inflammation
C. Trauma & skin ulcers
12
Q
Which condition should cupping be used?
A
A. Pregnant PT with acute sprain *
B. Edema
C. High fever
D. Convulsion
13
Q
Point selections for Yang Edema
A
A. LI4 + LU7 (dispel wind)
B. UB39 + SP9 + LI6 (opens water passage)
14
Q
What should be included in a PT referral to MD?
A
A. TCM diagnosis
B. Tx history
C. Comprehensive intake (family & PT history)
15
Q
PT reports of knee injury. X-rays show no bone fracture. Which points should be selected?
A
GB34 + SP9 + ST34 (Xi Clef)
16
Q
PT has a large bruise after Tx. A major artery or vein might have been punctured. There is significant hematoma. PT refuses to be touched. What should you do?
A
A. Insert four needles around the bruise.
B. Send the PT to a doctor. *
17
Q
Tips on preventing bent needles during electro-acupuncture.
A
Use thick needles
18
Q
When should you throw away a sharps container?
A
At 2/3 or 3/4 full.
19
Q
Female PT has a history of hysterectomy, extreme anxiety and non-stop bleeding. Select the correct Tx.
A
A. Use PC4, PC6 and SP1 (moxa)
B. Use Gui Pi Tang and SP1 (moxa) *
20
Q
What is the correct procedure when you forget to record on PT medical file?
A
A. Make a note you forgot to write it down, sign and date. *
B. Ask the PT what procedure was performed.
C. Do nothing.
D. Just guess.
21
Q
PT complains of tinnitus, dizziness, vertigo and sore back. P: wiry. What is the correct diagnosis?
A
A. KD Def.
B. LV Yang Rising (xs above, def below) *
22
Q
What is the difference between LV Fire & LV Yang Rising?
A
A. Both have upper xs, migrane HA, tinnitus, LV xs signs, burning pain in the rib area
B. LV Fire: constipation, thirst, red (dark), yellow scanty urine*
C. LV Yang Rising: LV and/or KD Def
23
Q
PT came back from Hong Kong & reports of chills, fever, severe sore throat, nasal congestion & cough. Choose the best Tx.
A
A. Ren Shen Bai Du San
B. Yin Qiao San + Xuan Shen + Xing Ren *
C. Chai Ge Jie Ji Tang + Xuan Shen + Xing Ren
24
Q
PT has excessive uterine bleeding. What should you do?
A
A. Use SP8
B. Use SP1 (moxa). For def or xs type of uterine bleeding
C. Both A & B *
25
What channel's Xi Clef point can be used to treat a PT with excessive uterine bleeding?
Foot Tai Yin
26
A 38-yr old PT complains of weakness in the knees, low back pain & knee pain. This is an example of what type of condition?
KD Def.
27
PT has inflammation of UB, cystitis or UTI. What kind of food should be avoided?
High protein diet, meat, dairy, fatty-fried food
28
A PT w/ SP Def signs lost a large amount of blood. What flavor should be given?
Sweet
29
What kind of taste can be detected in a PT with AIDS and SP weakness signs?
A. Metal (if PT has phlegm & damp retention
| B. Sweet (if PT has SP def symptoms) *
30
Acupuncturists are not allowed to use this type of instrument.
Hypodermic needle
31
PT has a history of TB, works at a chemical plant & has blood-tinged sputum. What is PT condition?
TB (LU Yin Def)
32
This king herb of Zhen Wu Tang strongly tonifies KD Yang. What is it?
Fu Zi
33
What formula should be used on a PT who is post menopausal, has anxiety, irritability & insomnia w/ LV Qi Stagnation?
A. Xiao Yao San (tonifies Qi & Blood)
If PT has heat conditions, use Mu Dan Pi + Zhi Zi
34
PT has MJ damp s/s with more damp signs. What formula should be used?
A. Ping Wei San (change Cang Zhu to Bai Zhu)
| B. Huo Xiang Zhen Qi San + Cang Zhu (instead of Bai Zhu) *
35
What are the king herbs in Wen Jing Tang?
Wu Zhu Yu & Gui Zhi
36
C.I. for electro-stimulation
A. Strong stimulation is not recommended for diabetic PT's legs
B. HTN with BP (systolic) over 200
C. PT with a pacemaker
D. Sensitive areas (below the elbow & knee joint, face)
37
What are the 4 Sea of Qi points?
ST9, Ren17, Du14, Du15
38
PT was treated with ST40, LU5, LU11, DU14, LI11 & UB13 during their first visit. PT reported no change in his condition. During the 2nd Tx, the following points were used: DU9, REN17, REN6, REN22. As a result, most of the symptoms cleared up. What was the treatment protocol?
A. Clear heat, expel wind
B. Transform phlegm, clear heat
C. Calm spirit, stop Qi Rebellion *
39
PT was treated in her 2nd trimester during pregnancy. List the C.I. points for pregnant PTs.
BL60, LI4, SP6, BL67, ST12, GB21
40
PT began to bleed after needling Ren17. The bleeding did not stop. What should you do?
Apply pressure for 5 min due to the bony structure of Ren17.
41
PT complains of stress and experiences alternating constipation and loose stools. Name the condition(s).
LV Qi Stagnation and SP Def.
42
PT has a stiff tongue with no change in body color. What does this indicate?
Cerebrovascular Accident (Internal Wind)
43
What is the correct depth for SP4 (distal and inferior to the base of 1st metatarsal)?
0.5 to 0.8 cun
44
PT reports of GI problems and takes amoxicillin. What formula would you prescribe?
A. Ping Wei San
B. Bao He Wan (only for xs, but using drugs cause deficiency)
C. Huo Xiang Zheng Qi San (amoxicillin can cause diarrhea, N/V) *
45
PT is a 80-yr old female with history of Parkinson's. What kind of tongue will the PT have?
Dark red with short tongue, many raised spots with no tongue coat (indicates Yin Def)
46
PT has cold hands and feet with a history of severe bleeding. What does this indicate?
A. Yin damage affecting Yang, Yin-Yang damage *
| B. Yin damage affecting Yang. Yang damage
47
Anterior Drawer Test tests what part of the body?
Anterior cruciate ligament
48
PT reports of temporal HA. What points would you prescribe?
SJ5, GB41 (distal points)
| Tai Yang, GB8 (local points)
49
PT has mental problems, occipital HA and aphasia.
| What points would you use?
A. DU14
B. DU15 (CP of Yang Wei and Du) *
C. DU16
D. DU17
50
What is the correct puncturing method for DU15?
0.5-0.8 cun, perpendicular.
| Caution: deep puncture & do not puncture obliquely.
51
Contraindications of cupping.
```
A. Bleeding PT who takes anti-coagulants. Bruising and bleeding may result.
B. Edema
C. High fever
D. Convulsion
E. Herpes Zoster (no cutaneous needles)
```
52
PT has craving for potato chips (salty taste). PT should not eat this if they have what condition(s)?
KD Def, HTN, Damp Heat
53
PT has yellow leukorrhea and damp heat. What channels are affected?
A. Ren and Dai *
| B. Ren and Chong
54
PT is diagnosed with KD Yang Def and SP Qi Def (Yin Edema). What points would you use?
UB23, KD7, REN4, UB20, ST36, REN9 (promotes urination, reduces swelling)
55
A woman had 5 children (KD Weakness with Qi & Blood Def). What herbal formula would you prescribe?
Bu Zhong Yi Qi Tang, Shi Quan Da Bu Tang + Ren Shen
56
A 22-yr old PT complains of shoulder pain after lifting heavy weights. He says pain is less after drinking 6 packs of beer with friends. Which points would you use?
LI15, LI11, LI4
57
PTs sign & symptoms includes rhinitis and nasal problems. Which channels would you select?
LI & DU (can add ST too)
| Hand Yang Ming and Hand Tai Yin
58
Elderly PT lives in a nursing home. Ulcers in the sacral area are noticeable (bed sore). What should you do?
A. Report it (elderly abuse) *
| B. Apply pressure on the protruded part of the body.
59
What stage is it when there is exposure to deep tissue of the muscle and bone?
A. Stage 1 (sl. red)
B. Stage 2
C. Stage 3
D. Stage 4 *
60
PT is treated with electro-stimulation. They have a history of neurological problems (hemiplegia, stroke with severe pain). Which areas are most sensitive?
Below the elbow & knee and facial region
61
Knee Joint ROM
Hyperextension: 0-15 degrees
Flexion: 130 degrees
62
SI 12 crosses which channels?
SJ, LI, GB, ST
63
GB Mother & Son Points?
Mom: GB43 +
Son: GB38 -
64
SJ Mother & Son Points?
Mom: SJ3 +
Son: SJ10 -
65
ST Mother & Son Points
Mom: ST41 +
Son: ST45 -
66
This organ is responsible for excreting impure/bold pure fluid.
SJ
67
Which needling method sends Qi to a certain area?
A. Oblique *
| B. Left rotation
68
What is the 3 Foot Yang meeting point & location?
GB35: 7 cun above the tip of the external malleolus, posterior border of the fibula.
69
What is the 3 Hand Yang meeting point & location?
SJ8: 4 cun prox. to SJ4, in the depression between the radius & ulna, on radial side of extensor digitorum communis muscle.
70
What is the 3 Hand Yin meeting point & location?
PC5: 3 cun above the transverse crease of the wrist, between the tendons m. palmaris longus & m. flexor carpi radialis.
71
What is the 3 Foot Yin meeting point & location?
SP6: 3 cun directly above the tip of the medial malleolus, posterior to the medial border of the tibia.
72
What is the 3 Foot Yin meeting point & location?
REN3: On the midline of the lower abdomen, 4 cun below the umbilicus.
73
What is the 3 Foot Yin meeting point & location?
REN4: On the anterior midline, 3 cun below the umbilicus.
74
PT suffers from 2nd degree burn (eczema). What should you do?
A. Leave it alone if small (blister). If large, sterilize the area and apply ointment.
75
What are the Water (Jin/Ye) regulating channels?
LU, SP, KD, SJ
76
A red tongue surrounded by ulcers with white sides indicates what?
HT Fire d/t KD Yin Def (or disease transferred from KD to HT)
77
Ren Shen is antagonized with which herb?
Lai Fu Zi
78
Herbs conta-indicated with Warfarin?
Chi Shao, San Leng, E Zhu (Niu Xi)
79
PT complains of chest pain after eating at a Sushi Buffet and fighting with his girl friend. What formula would you prescribe?
A. Yue Ju Wan * (emotional stress w/ food stagnation)
| B. Bao He Wan (food stagnation)
80
Asthma and weakness of the lower limbs, abdominal pain, menstrual & uterus problems indicates problems with what channel?
Chong Meridian
81
This point is on the same level as the umbilicus, crosses with Dai Mai & GB & is level with the 11th rib. Name this point.
GB26
82
Borborygmus, epigastric pain.
T: Greasy w/ thin coat P: wiry, rapid
What formula would you use?
Ban Xia Xie Xin Tang
| Etiology: Heat & Cold Accum in MJ
83
Info: PT has excess LU condition, insomnia, yellow sputum, red face.
A. Facial color usually indicates the disease is chronic
B. Red color is xs condition
C. Fire insults metal
84
Testicular pain be d/t the following?
LV Cold: slippery T/C, slow pulse, pain is aggravate by cold weather
SI Qi Pain: borborygmus, white, thin T/C, no cold signs
Points: ST27, ST29, ST39, LV13, LV3, SP6, GB34, REN6
85
Frying the following herbs increases their actions.
Huang Qi, Gan Cao, Bai Zhu
86
PT with Tao He Cheng Qi Tang s/s, chest pain, w/out constipation. What herbs should be omitted?
Da Huang & Mang Xiao
87
PT has HTN & HA. Which ear points should be selected?
A. ear apex (best choice)
B. end of antihelix crus (sympathetic)
C. superior angle of triangular fossa
D. groove of antihelix crus
88
What is the location of ST31? List its indications.
On anterior side of thigh on line connecting the anterior superior iliac spine (ASIS) & superior lateral corner of the patella.
Pain in the thigh, muscular atrophy, motor impairment, numbness & pain of lower extremities
89
Pregnant PT has constipation. Besides SJ6 & KD6, which other points can be used?
A. ST37 + LI11 *
B. LI4
C. ST25
D. SP6
90
Location of Allergic point on the ear?
On scapha, medial to Wrist point
91
Which WBC can be seen in an allergic reaction?
Eosinophils (or basophils)
92
Ear points for diabetic PT?
A. endocrine, thirst, LU (thirst)
B. endocrine, ST, SP, hunger (polyphagia)
C. endocrine, KD, UB (polyuria)
93
What direction do needle DU14?
Obliquely upward.
94
What is the Master Point of the DU Meridian?
SI3
95
What is the location of Bai Chong Wu?
A. 3 cun above the medial border of the patella. *
| B. 3 cun above Heding
96
Which point may injure the apex of the heart upon deep insertion?
A. 4th ICS
B. 5th ICS *
C. 6th ICS
97
This formula can treat externally and internally.
Ding Chuan Tang (Ext. Wind Cold & Int. Phlegm Heat)
98
Which nerve affects the middle finger?
C7
99
PT has eye injury. Which nerve(s) are involved?
CN5, CN7
100
PT complains of post shoulder pain. Which points would you use?
SJ14, LI11, LI15, LI4
| also GB21, SI10, SJ5
101
PT reports of uterine bleeding. What taste would you recommend?
Sweet & sour
102
PT complains of severe tinnitus and HA after being passed on a promotion at work. What is the condition?
LV Fire
103
PT faints after needling. What do you do?
Use DU20 and REN4 (moxa). PC6 & ST36 (fingers or needles)
104
PT has severe HA and hemorrhagic subarachnoid.
Spinal tap on L2
105
Male patient...8 liters of blood. Blood def. What is his condition?
Hemoglobin level: 12-16 is normal
| Lower levels: anemia
106
Case study involves the thumb. Which nerve is affected?
C6
107
What is the action of MAOI?
Antidepressant
108
Function of Prozac?
Inhibits serotonin uptake by brain cells
109
PT takes illegal drugs. His eyes are dilated. What drug is responsible for this?
Cocaine
110
PT takes illegal drugs and has contracted pupils. What drug is responsible for this?
Heroine
111
What point would you use to treat vertex HA (Root/Branch theory)?
KD1 or UB67
112
A 34-yr old woman suffers from osteoporosis. What condition does she have?
Emotional shock depleted KD Essence Qi
113
Stomatitis is a deficiency of which vitamin?
Vit B2 (affects skin & corner of the mouth)
114
What is the dosage of Shen Qu?
6-15g (do not use on pregnant women or nursing moms
115
PT complains of eye pain with hypochondriac pain. Which herbs would you use?
Huang Qin, Chai Hu, Long Dan Cao (theses herbs are good for xs type of pain)
116
PT complains of photophobia with redness & eye pain. What herb would you use?
Bai Ji Li, Jue Ming Zi, Ju Hua
117
PT displays Yang Ming s/s. What channel would you select?
Hand and Foot Yang Ming, He Sea, Mu Points
118
PT sleeps curled up. Which channel is involved?
Shao Yin
119
Elbow problems can be treated with which points?
SJ & SI (good for skin warts) luo points
120
PT has aphasia and chest stiffness. What point would you use?
HT Luo point (HT5)
121
PT takes amoxicillin for two weeks. What formula should be prescribed?
A. Huo Xiang Zhen Qi Wan *
| B. Ping Wei San
122
Points for Herpes Zoster.
- LV3, GB34, SP10, LI11, UB40
| - LV5, SJ6, GB34, (SP10, LI11, UB40 heat in blood), (LV14, REN17, LI4 Qi Stag), UB17
123
PT has difficulty walking up the stairs, has redness, pain, swelling on one side of the leg. What condition does the PT have?
DVT
124
Complete disruption of HT rhythm is an example of?
Ventricular fibrillation
125
PT has been diagnosed with DVT and has leg pain.
| Which of the following is correct?
A. Do not use Tuina
B. Tuina will help the flow of Qi in the meridian
C. Use Tuina on the opposite side of the leg *
126
PT reports of pain of the patella (swollen & painful to the touch). Which points would you use?
SP10, SP9, ST34, Heding
127
PT has a potential meniscus tear. What test would you use?
McMurray's Test. Flex the knee 90 degrees and rotate medially & laterally.
128
Tests confirming appendicitis.
RLQ rebound pain (Blumberg Sign), Psoa's Sign, McBurney Point, Rousing Sign
129
PT is month pregnant. Which points are C.I.?
Sacral and lumbar points, lower ab area, LI4, SP6, UB60, UB67
130
PT is 4-mo pregnant. Which set of points can be used?
A. PC6, SP4, ST36, distal points
B. Do not use abdominal points, REN12, during 2nd trimester
C. REN12 can be used during 1st trimester
131
What effect does cooking with alcohol do to Sang Ji Shen?
Increases Expel Wind & Stop Pain function
132
Dry frying will strengthen the effects to which set of herbs?
Gan Cao, Huang Qi, Bai Zhu
133
What is the location of the endocrine ear point?
Lower portion of the intertragic notch
134
Which points are good for Yang Edema?
LI4, LU7, LI6, UB39, SP9
135
Abducting the arm against the Doctor's force affects what muscle?
Supraspinatus
136
A diabetic PT complains of thirst. Which ear point can be used?
LU, endocrine, thirst
137
Electro-acupuncture be used to treat what type of conditions?
Neurological diseases (such as severe pain or paralysis)
138
What is the most common infection found in the medical clinic?
HBV. It can survive in room temperature for 7 days.
139
An acupuncturist treats a PT with HIV and notices a cut on his own finger. What should he do?
A. Consult with a physician
B. Take medication to prevent transmission *
C. Wait until the blood test comes back
140
What is the Tx for HBV?
HBIg medication
141
PT takes illegal drugs but does not tell what kind? Pupils appear pin-like & nose is inflamed. What drug is the PT taking.
Cocaine
142
PT reports of a rash during menstruation and it disappears after it is over. What can cause this?
A. Blood Heat
B. LV Qi Stag causing Dampness *
C. Cold in the Blood
143
This formula can treat "Plum-Pit Syndrome."
Ban Xia Huo Po Tang
144
Which group of formulas treat wind conditions?
Xia Huo Lou Dan, Xiao Feng San, Tian Ma Gou Teng Yin
145
A PT reports of cough, chills, mild fever, sore throat after coming home from a trip to Mexico.
P: superficial T: thin, yellow coat
What formula would you choose?
Yin Qiao San
146
Pregnant PT has blood stagnation. What formula would you prescribe?
A. Gui Zhi Fu Ling Wan *
B. Wen Jing Tang
C. Tao He Cheng Qi Tang
D. Xue Fu Zhu Yu Tang
147
A 15-yr old comes to see you. He has a history of arthritis, high fever, thirst and a rapid pulse. What formula would you use?
Bai Hu Tang + Gui Zhi (Heat Bi)
148
What is the difference between Wu Ling San vs Zhu Ling San?
HA, chills, superficial pulse
149
What are the dosages for the herbs in Si Ni San?
Shao Yao: 12-24g
Chai Hu: 9-12g
Zhi Shi: 9-12g
Zhi Gan Cao: 6-9g
150
What are the side effects of shells that calm the spirit?
ST indigestion problems
151
Da Ji is incompatible with?
Gan Cao
152
Difference between Tian Ma vs Gou Teng?
Tian Ma: Wind-Cold (Bi Syndrome)
| Gou Teng: cools blood heat
153
What herb cools Blood-Heat and stops uterine bleeding?
Gui Ban (king herb of Gu Jing Wan)
153
How would you cook Gui Ban so it will enter the LV Channel?
Fry with vinegar
154
PT has heat in Upper Jiao. Which herbs would you choose?
Huang Qin, Du Huo & Shi Gao
155
PT has LV Qi Stagnation, SP weakness with Qi & Blood Def. What formula would you prescribe?
Xiao Yao San
156
PT complains about emotional stress, irritability, cold fingers and toes. What formula would you use?
Si Ni San
157
PT suffers from wind heat (sore throat with lip pain, breast pain, irregular menstruation). What formula would you use?
Yin Qiao San + Chao Yao San
158
PT has ST problems, bleeding gums and constipation. What formula would you use?
Tiao Wei Cheng Qi Tang
159
Which herb with Da Huang forms Xiao Cheng Qi Tang?
Huo Po and Zie Xie
160
Swollen mouth with red tongue can be what type of condition?
HT & SP Excess Heat
161
What is etiology of chronic bronchitis?
SP weakness leading to phlegm damp retention in LU, to KD Qi unable to grasp Qi.
162
Etiology of Yang Edema?
Exterior wind with interior water accumulation
163
PT is involved in a car accident. He has chest, shoulder an arm pain. T: purple.
What is the pulse?
A. Knotted pulse
| B. Wiry pulse
164
Chronic LU problem with phlegm & insomnia. This is an example of what?
Metal counteracting Fire
165
Tiao He Cheng Qi Tang case: severe pain in the lower abdomen d/t to blood stasis. Which herbs would you add?
Chi Shao & San Qi
166
Tiao He Cheng Qi Tang case and dysmenorrhea. What other herbs would you add?
Dang Gui & Hong Hua
167
Swollen mouth with pale tongue. Name this condition.
SP & KD Yang Def
168
A student studies and works hard. He gets a dull & empty pain in the vertex region of the head. Name this condition.
KD Essence Def
169
A 79-yr old female has had Parkinson's for over 10 years. She has a thin body & dry skin.
P: thready, superficial, empty
What kind of tongue will the PT have?
Purple, red spots & no coat
170
What is the difference between wind cold & wind heat?
Wind Cold: severe body ache, no thirst
Wind Heat: moderate body ache, thirst
* check urine color or color of nasal d/c
171
PT has exterior conditions which manifests that day. What are some of the symptoms?
HA, aversion to wind, chills & fever, sneezing, sore throat, runny nose
P: superficial
172
A woman who has 5 children has scattered gray cloud-like spots on her eyes (Qi injury). This is due to what condition?
A. Injury of KD Qi *
| B. Qi & Blood Def
173
PT has been heavily drinking since the age of 15. Now, he is 20-yrs old & has leg pain. What kind of pain does he have?
A. Pulling pain (sudden): indicates wind-type or xs type (LV damage) *
B. Dull pain
C. Sharp pain
174
PT complains of loss of appetite (SP), tiredness, edema of the lower extremities (KD), and cold sensation with pain. T: crimson red.
Name this condition.
SP Yang Def
175
A 60-yr old male easily catches a cold after running a marathon. He complains of problems with his whole limb which is getting worse. Which type of Qi is involved?
Organ Qi (Yuan Source Qi)
176
PT experiences dizziness, vertigo, nausea & vomiting. What would you prescribe?
Ban Xia Bai Zhu Tian Ma Tang
177
This point is the opening point of the Du Channel & is the 8 Confluent point? What is it?
SI3
178
PT has HT/ST problems. Which points would you use?
PC6 & SP4
179
C.I. for moxa?
UB2, UB40. Don't moxa on major creases of the skin or breast.
180
Female PT complains of bloating in the abdomen. Diet consists of eating late at night to relieve stress. This is due to what condition?
ST Yin Def
181
PT reports of acute loss of voice after coming home from a weekend trip. What is your diagnosis?
Wind Heat, Acute laryngitis (use ST40)
182
S/S of Gouty Arthritis?
Chalky white secretion, inflammation of the joint regions
183
ROM of knee flexion and hyper-extension?
Knee flexion: 130 degrees
| Hyper-extension: 15 degrees
184
A child likes to eat strange food such as: raw rice, tea leaves and soil. What do you suspect?
Hook worm
185
PT has GB disease, vomiting & nausea. Also, they have difficulty digesting fatty food, Murphy's Sign is positive, pain radiates to right shoulder (Boa's Sign). TCM Diagnosis?
GB Damp Heat
186
PT complains, after being in an auto accident, pain radiating on lateral side of arm to the thumb. Where does it originate?
C6
187
AST & ALT increase in what condition?
Hepatitis
188
What medication should be given when there is an increase in AST & ALT?
Tylenol
189
Shock case, deficient blood. This is due to what condition?
Tachycardia
190
Iron deficiency can lead to what condition?
Anemia
191
What should you add to maximize Pu Huang's effect to stop bleeding?
Add coagulant
192
Side affects of taking too much adrenal cortex hormone?
Cushing's Syndrome (moon face, fat deposits on body trunk, tiny limbs)
193
A PT has a 2nd degree burn measuring 5mm2 in size. What do you do?
A. Apply ointment and sterilize only. *
| B. Leave it alone
194
What does the pineal gland secrete?
Melatonin (biological clock & regulates menstrual cycle)
195
A heavy-set woman complains of fever and deep, leg pain which is red and swollen. What would be the Tx method for PT with Buerger's Disease?
Invigorate the blood & open up the channels
196
What is the best area to locate the apex of the heart with a stethoscope?
4-5th ICS or 5th ICS (5-6 ribs)
197
PT received Tx on head, nape and back regions. After Tx, they complained of abdominal pain, cramps and bleeding. Name the type of injury.
A. Injured LV *
B. Injured HT
C. Injured LU
198
Case involves bacteria entering the blood stream, secreting toxins and destroying RBCs. This is due to what condition?
Septicemia
199
A 50-yr old woman reported having depression, epilepsy, UE numbness and insomnia after taking what drug?
Lithium
200
Secretion of yellow leukorrhea (pus), itchy genitalia are signs of that condition?
Trichonomas
201
What formula and points are good for treating Trichonomas?
Long Dan Xie Gan Tang
| LV3, GB34, UB32, REN3, SP6, LV5
202
A 22-yr old recently had an argument with her boyfriend. She reports of amenorrhea for 2 months and has lower abdominal pain with refusal to touch. What should you do?
Send PT to MD...possible ectopic pregnancy.
203
A nursing home PT complains of food poisoning with watery diarrhea. What condition does the PT have?
Shigella (transmittable from person to person, dysentery, loose stools, increased fever, menses with blood in stools)
204
Salmonella, E.coli, campinella and shigella can be prevented by?
Cooking meats until fully cooked
205
How many CEU hours are needed every 2 years to renew your license?
50 hrs
206
What is the proper way to sanitize an area on a PT prior to needling?
Apply the alcohol swab using the "C-shaped" or "cork screw" method. Wait until the area is dry before needling. Do not wipe more than once with the same swab.
207
What is the proper method when using a long acupuncture needle?
Use a sterilized gauze to hold the needle.
208
An alcoholic PT who suffers from pernicious anemia needs to supplement what in their diet?
Vit B12 and dairy products.
| Vit K should be taken if there is bleeding in the G.I. tract.
209
PT suffers from Grave's Disease (exopthalmos) and has signs of hypothyroidism. These symptoms are caused by?
Too much intake of hyperthyroid medication
210
Side effects of Lasix?
Dizziness and vertigo
211
Manifestations of Parkinson's Disease may include?
Tremors (at rest), "crooked back", masked face, stare
212
This type of hypertension includes HA and no fever. What kind of HTN is this?
Essential HTN (d/t emotions & sudden)
213
This type of hypertension affects the KD or causes problems with the endocrine sys.
Secondary HTN
214
PT reports of problems with the tongue, mouth, diarrhea and mental problems. This can be cause by deficiencies of what vitamin?
Vit B3
215
Practitioner hears a clicking sound upon movement of PT shoulder. What does this indicate?
A. Jin problem
| B. Ye problem (thick fluid) *
216
What is the best formula for Prostatitis?
Ba Zheng San: difficulty with urination, peritoneal discomfort
217
What formula would you prescribe for PT suffering from Wind Bi?
Xiao Hou Lou Dan (if severe, add Qin Jiao & Fang Feng)
218
Case involving KD Yang Def, what would you prescribe?
Jin Gui Shen Qi Wan
| P: deep, forceless, weak
219
PT has SOB, SP problems, indigestion, difficult urination and edema (in L.E.). What formula would you prescribe?
A. Shi Quan Da Bu Tang * (good for the whole body)
B. Jin Gui Shen Qi Wan (doesn't treat SP)
C. Zhen Wu Tang (doesn't treat LU)
220
PT has KD Yin Def. What points and herbs would you use?
KD6 + LU7
| Wu Wei Zi, Tian Men Dong
221
PT takes Ma Huang Tang and symptoms do not improve. PT has sweats slightly. What herbs can be added?
Gui Zhi & Bai Shao
222
PT suffers from Yang Collapse. How should you treat the PT?
Use moxa with salt
223
What is Tongue and Pulse for PT with Sheng Mai San condition?
T: pale red, scanty or no coat
P: thready, rapid, empty
224
What is the Tongue and Pulse for someone with Bei Mu Gua Lou San condition?
T: red, scanty coat
P: thin, rapid, forceful
225
Where can you not use direct moxa?
Major creases on the skin and breast region
226
S/S for PT with Def Heat condition?
No desire to drink, takes small sips of water
227
S/S for PT with ST Yin Def?
Take small sips of warm water
228
Caution of needling KD22?
Injury to the HT with deep insertion
229
What is the location of the Xi Cleft point of the KD?
1 cun directly below KD3; anterior-superior of the tuberosity of the calcaneous
230
Why do you use back points, first, when treating exterior wind conditions?
Wei Qi travels on the back side, first and use yang channels
231
PT reports of skin lesions and itchiness after going to a picnic. PT has a line across the palm of the hand which was noticed after a camping trip. Name this condition.
Scabies (severe itching)
232
Points for early menstruation?
REN6, REN12, SP6, ST36, KD5, REN3, SP10, LI11
233
Treatment for LU Def?
UB13, LU9, LU1, ST36, SP3
234
Points to tonify SP and calm spirit?
SP6 & SP1
235
What is the location of the Front Mu point of UB?
4 cun below the umbilicus
236
PT has icy cold limbs, diarrhea, abdominal pain and drinks lots of cold water. Name this condition.
Jue-Yin Cold
237
S/S for PT with Def Heat condition?
No desire to drink, takes small sips of water
238
S/S for PT with ST Yin Def?
Take small sips of warm water
239
Caution of needling KD22?
Injury to the HT with deep insertion
240
What is the location of the Xi Cleft point of the KD?
1 cun directly below KD3; anterior-superior of the tuberosity of the calcaneous
241
Why do you use back points, first, when treating exterior wind conditions?
Wei Qi travels on the back side, first and use yang channels
242
PT reports of skin lesions and itchiness after going to a picnic. PT has a line across the palm of the hand which was noticed after a camping trip. Name this condition.
Scabies (severe itching)
243
Points for early menstruation?
REN6, REN12, SP6, ST36, KD5, REN3, SP10, LI11
244
Treatment for LU Def?
UB13, LU9, LU1, ST36, SP3
245
Points to tonify SP and calm spirit?
SP6 & SP1
246
What is the location of the Front Mu point of UB?
4 cun below the umbilicus
247
PT has icy cold limbs, diarrhea, abdominal pain and drinks lots of cold water. Name this condition.
Jue-Yin Cold
248
PT has icy cold limbs, diarrhea, abdominal pain and drinks lots of warm water. Name this condition.
Shao-Yin Cold
249
PT has Wei Level symptoms. This is can be due to?
Wind Heat or Wind Cold
250
PT has aphasia, cold limbs, mental restlessness, delirium, insomnia & fever-worse at night.
T: crimson with scanty coat
P: thready, rapid
Name this condition.
PC Heat in the Ying Level
251
PT has dreams of suicide, wakes up early in the morning, has difficulty making decisions and is timid. Name this condition.
GB Deficiency
252
PT has a lot of stress, rib pain, has difficulty falling asleep, dream disturbance and wakes up early in the morning. Which organ is affected?
GB
253
PT complains of chest congestion, head and face problems. Which Luo Connecting Channel(s) treat the chest and diaphragm?
HT & LI
254
Yin Qiao Channel connects with which other channels?
KD & UB
255
Which divergent channel passes both the ST & SP?
ST (also passes HT, so treats mental problems)
256
Cautions when needling ST9?
Injury to carotid artery (no moxa)
257
This point strengthens the back & sinews (good for lumbago).
UB60
258
This point is located between the 4th & 5th web margin. What is it?
Ying Spring Point of Foot Shao Yang (GB43)
259
What is the location of the KD Xi Ceft point?
1 cun directly below KD3. In the depression of the medial side of the tuberosity of the calcaneum.
260
What is the Back Shu of the SP?
UB20
Location: 1.5 cun lateral to T11 (DU6).
Action: epigastric pain, jaundice, vomiting, diarrhea, dysentery, bloody stools
261
What is the location & action of Er Bai?
Location: On forearm, 4 cun above the transverse crease of the wrist, on both sides of the tendon m. flexor carpi radialis.
Action: treats prolapse of the rectum & hemorrhoids
262
What is the location of Hypertension Ear Point?
On the groove of the lower helix crus.
263
What ear points should you use to treat vomiting?
ST & Shen Men + LV
264
Location of the upper limb motor point (scalp AC)?
Middle 2/5
265
KD1 is good for treating what condition?
Upper excess & lower def
266
In treating LU Qi Def, what are the LU tonification & sedation points?
LU9 (+)
| LU5 (-)
267
Give the tongue & pulse for Cold Invades LV Channel condition.
T: moist, white T/C
P: deep, wiry
268
C.I of moxa?
Lower back on pregnant women
269
C.I. of moxa?
Def fever & def heat
270
C.I. of electro-acupuncture?
HT disease PT
271
Describe tongue & pulse of Wind Heat Bi.
T: red, thin, yellow coat
P: superficial, rapid
272
A soldier came back from the Gulf War. He complains of depression d/t Qi Stagnation Transforming into Fire. What points would you use?
LV2, GB43, RN13, SJ6, GB34
273
Points used for Herpes Zoster?
LI11, SP10, UB40, GB34, LV3
274
PT was diagnosed with LV Fire. He complains of alternating chills & fever. What points should you use?
DU14, DU13, SI3, SJ2, GB41, PC5 (malarial D.O.)
| Add LV2 for LV Fire
275
PT was diagnosed with Leukorrhea d/t SP Def. What points would you use? Formula?
GB26, REN6, UB34, SP9, ST36
| Wan Dai Tang
276
What points would you use to treat LU Qi Def?
LU9, UB13, ST36, SP3
277
PT has Wind Heat, Ext Wind condition. What points would you use?
UB13, LU7, LI4, UB12, LI11, DU14, SJ5
278
What channels would you select for chronic rhinitis?
LI + LU + DU
279
PT complains of rib pain & problems of the breasts. What points would you use?
GB34, GB41, SJ6
280
PT complains of ST fullness (Bao He Wan condition). Which herbs would you add?
Huo Po + Zhi Shi
281
Which herb in Xiao Feng San has a diuretic function?
Mu Tong
282
PT injured their knee and loss sensation to the area. Which nerve root has problems?
A. L3
B. L4
C. L5 *
283
What herb should you avoid if nursing or postpartum?
A. Bian Xu
B. Shen Qu *
C. Gu Ya
284
Incubation period/symptoms for Hepatitis B?
A. 50-180 days, chills & fever *
| B. 50-180 days, jaundice
285
Cupping is good for the following.
A. Arthritis *
| B. Cramps & convulsions
286
Cupping is contraindicated for what condition?
A. Edema *
B. Hypertension
C. Pain
D. All of the above.
287
Fluoxetine (Prozac) inhibits which hormone?
A. Serotonin *
| B. Catecholamine
288
Which ear points treats vomiting?
A. LU, ST, Shenmen
B. LU, ST, Endocrine
C. LV, ST, Shenmen *
D. LV, ST Endocrine
289
What herb will lose its purgative effect if cooked longer than 10min?
A. Da Huang *
B. Ren Shen
C. Shen Ren
D. Da Dumb
290
As a practitioner, you find bruises & scrapes on a female PT during treatment. What should you do?
A. Advise the couple to seek counseling.
B. Report it to the police. *
C. Tell the husband.
D. I have no clue!
If you really don't know what to do, close this program and go to sleep!
(hint...report...it...to...the...police!)
291
What happens when wine is added to Da Huang (Sang Ji Sheng)?
```
A. Nothing
B. Decrease its function.
C. Activates blood, expels wind and stops pain *
D. Compliments the other herbs
E. You get drunk :)
```
292
A child has been suffering from asthma for a long time and did not seek treatment. PT has phlegm/damp s/s. How should the tongue look?
A. rigid
B. flaccid
C. swollen *
D. curved
293
PT experiences pain & difficulty when urinating. Tongue does not have sores. What is the Dx?
A. Damp Heat in the UB *
B. Damp Heat in the HT
C. Damp-Cold in the ST
D. Cold-Phlegm in the UB
294
PT is taking Xiao Huo Luo Dan and shows LV/KD Def s/s. What should you do?
Prescribe Du Huo Ji Sheng Tang
295
PT with pernicious anemia are deficient in what?
Vit B12
296
This point is located with a loose fist on the ulnar crease, proximal to the 5th metacarpophalangeal joint. What is it?
A. Du Confluent Point *
| B. Yuan Source Point
297
What is the best way to prevent an autogenous infection?
A. wash hands
B. use disposable needles *
C. swap in circular formation
D. use common sense
298
PT accidentally took a herb and complained of nausea, vomiting, diarrhea and abdominal cramps. What did the PT take?
Cang Er Zi
299
A 28-yr old mother brings in their 2-yr old child who is crying incessantly. The child has scrapes and bruises all over. What should you do?
Report the incident to CPS.
300
PT with Internal Cold symptoms took Li Zhong Wan and got worse. PT shows cold symptoms. Tongue is thin w/ yellow, greasy coat. What formula would you prescribe?
Ban Xia Xie Xin Tang (Cold & Heat Accum in MJ)
301
Which condition is good for electro-acupuncture?
A. Neuralgia *
B. Hypertension
C. Rabies
D. pace-maker issues
302
What is the location for SP4?
A. Depression distal and inferior to the base of 1st MT bone*
B. Depression proximal and inferior to the base of 1st MT bone
303
Which formula would you prescribe for PT with weepy, oozing skin lesions and itchiness?
Xiao Feng San
304
Which of the following is prohibited in PT with HTN?
Salty taste, potatoes, pork
305
C.I. of plum blossom needles?
A. acute abdominal pain *
B. hypertension
C. dysmenorrhea
D. HA
306
Pt is taking antibiotics. Describe their tongue.
Peeled in patches (tend to injure ST Yin)
307
Pt is taking corticosteroids. Describe their tongue.
Red and swollen (after one month of adminstration)
308
Pt is taking bronchodilators. Describe their tongue.
Tongue tip is red (after prolonged & continued use)
309
Pt is taking diuretics. Describe their tongue.
Peeled (reflecting Yin Def)
310
Pt is taking anti-inflammatory drugs. Describe their tongue.
Red points, thin tongue body, peeled (after prolonged use)
311
Pt is taking anti-neoplastics (cytotoxic drugs). Describe their tongue.
Very thick, brown or even black and dry coating
312
Indications of roundworms
Abdominal pain, vomiting of round worms, cold limbs
313
Indications of hookworms
Desire to eat strange objects such as soil, wax, uncooked rice or tea leaves
314
Indications of pinworms
Itchy anus, worse in the evening
315
Indications of tapeworms
Constant hunger
