Foundations - Practice Test 8
Question Answer
1. In manic depression due to Phlegm Fire, which factor is responsible for the depressive D
stage?
a. Fire
b. Phlegm and Fire
c. Phlegm alternating with Fire
d. Phlegm
2. Which vessel has anxiety, pensiveness, insomnia, obsessive thoughts, lack of will-power, B
loss of self-control, depression, sadness, melancholy, crying, forgetfulness, and mental
cloudiness?
a. Governing Vessel (du mai)
b. Yin Linking Vessel (yin wei mai)
c. Directing Vessel (ren mai)
d. Yin Stepping Vessel (yin qiao mai)
3. A young married couple are unable to conceive. The 27 year-old husband has frequent C
desire for sex. He has no difficulty with maintaining an erection. He can have sex for up to
one hour but is not able to ejaculate. He usually has a spontaneous emission a few hours
after the sexual act. His other symptoms include restlessness, dark yellow urine, and dry
mouth. He has a red face and blood tinged eyes. The tongue is red. The pulse is fast and
wiry. What is the diagnosis?
a. Heart Fire
b. Liver Yang Rising
c. Liver Fire Blazing
d. Damp-Heat Obstructing
4. Which of the following has an incorrect pulse associated with an extraordinary vessels A
clinical manifestation pattern?
a. The Yin Linking Vessel has a wiry pulse on the medial side of the rear position
b. The Girdle Vessel has wiry pulses on both middle positions
c. The Yin Stepping Vessel has wiry pulses on both rear positions
d. The Yang Stepping Vessel has wiry pulses on both front positions
5. In a patient with a bleeding problem which of the following is not a step in Harmonizing D
Blood?
a. Eliminate Stasis
b. Calm Blood
c. Nourish Blood
d. Warm Blood
Foundations – Test 8 – Pg 1 of 5
6. A 36 year old woman had been suffering from chronic menorrhagia. The bleeding was A
irregular and constant for months. She bled every day and did not know when her periods
occurred. She has a pale-sallow complexion, tiredness, weak voice, loose stools, and a weak
pulse. She often feels thirsty, her cheeks were occasionally flushed and her tongue had a
slight redness on the sides. The pulse was slightly fast. What is the Root pattern for her
bleeding?
a. Blood Heat
b. Yin Deficiency
c. Blood Deficiency
d. Qi Deficiency
7. A 45 year-old man has a dark complexion, stabbing epigastric pain which is worse at night. B
The tongue is normal except for a purplish tinge in the center. What is the treatment plan?
a. Clear Heat, Move Blood, Harmonize Stomach, Stop pain
b. Move Blood, Eliminate Stasis, Harmonize Stomach, Stop pain
c. Soothe the Liver, Move Blood, Harmonize Stomach, Stop pain
d. Regulate Stomach, Tonify Spleen, Move Blood, Stop pain
8. A patient has joint pain which is worse in cold weather. What dietary advice would you give? D
a. Sweets and cheese
b. Grains and vegetables
c. Fruits and salads
d. Lamb with ginger
9. A patient has sudden edema of the eyelids and face gradually involving the rest of the body, D
scanty and clear urination, aversion to wind, and cough. What tongue is expected?
a. Thick and dry-white coating
b. Wet with no coating
c. Thin-yellow coating
d. White and wet-slippery coating
10. The decision to treat the manifestation (biao) or the root (ben) depends on B
a. Duration of disharmony
b. Severity of clinical manifestations
c. Condition of Upright Qi (zhen qi)
d. Age of patient
11. A 40 year-old woman has an acute viral infection. A week ago she had high fever, a very stiff D
neck and a severe headache. The symptoms resembled meningitis but that has been ruled
out. Current symptoms include high fever but less so, extremely weak legs, strong cough,
epistaxis, thirst, dry throat, scanty and dark urine, and dry skin. The tongue is red without
coating. The pulse is thin (shi mai) and fast (shuo mai). What is the treatment plan?
a. Clear Stomach Fire, Descend Lung Qi
b. Release Exterior, Clear Heat, Stimulate Descending and Dispersing Lung Functions
c. Clear Heat, Resolve Dampness
d. Clear Heat, Cool Blood, Nourish Lung Yin
Foundations – Test 8 – Pg 2 of 5
12. A 42 year-old woman has fibroid tumors in the uterus. The lower abdomen is distended. Her C
periods are heavy with dark blood which has clots. She has excess vaginal discharge which
is yellow and offensive. The tongue is purplish. The pulse is deep (chen mai), wiry (xuan
mai), and slippery (hua mai). What is the diagnosis?
a. Phlegm Nodules in the Uterus
b. Excess Cold Stagnating Blood
c. Stagnant Liver Blood, Damp-Heat in the Lower Burner
d. Stagnant Liver Qi
13. Chronic loose stools, chilliness, cold back sensations, and deep-weak-slow pulse are C
symptoms of:
a. Kidney Yang Deficiency
b. Kidney Qi Not Firm
c. Kidney and Spleen Yang Deficiency
d. Kidney Yang Deficiency with Water Overflowing
14. What is the treatment principle for Wind-Stroke of the tense type? A
a. Rescue Yin
b. First rescue Yin then rescue Yang
c. Rescue Yang
d. Rescue Yin and Yang
15. Which of the following is not a main pathological factor for Wind-Stroke? C
a. Phlegm
b. Wind
c. Cold
d. Stasis of Blood
16. The Stomach divergent channel separates from its primary channel at the C
e. Anterior Thigh
f. Head
g. Popliteal fossa
h. Shoulder
17. A 24 year-old man has recently had an appendectomy. After the operation there is B
abdominal distention with no gas being passed. The complexion is dark. He is restless. The
mouth is dry but has no desire to drink. He has a bitter taste in the mouth. The urine is scanty
and yellow. He is nauseous and occasionally vomits. The tongue is dark red with greasy and
yellow coating. The pulse is deep and forceful (shi mai). What is the diagnosis?
a. Liver Yang Rising
b. Damp-Heat Obstructing Intestine Qi leading to Rebellious Stomach Qi
c. Liver Fire
d. Stagnant Liver Qi Invading Stomach
Foundations – Test 8 – Pg 3 of 5
18. A 37 year-old professional ice skater has been depressed ever since he fell and broke his C
leg. He has been worried about being unable to continue his career. He has insomnia, poor
memory, and inappropriate laughter and crying, irritable, and mentally confused. He looks
gloomy and has a pale complexion. Other sx include heavy feeling in the head, a rattling in
the throat. He has poor appetite. There is a sense of distention in the chest and in the
hypogastrium. He has palpitations. When he is able to sleep he has nightmares. The tongue
is pale with greasy-white coating. The pulse is wiry and thin. What is the diagnosis?
a. Heart Fire
b. Phlegm-Fire Stagnating Liver Qi
c. Liver Stagnant Qi, Phlegm disturbing the Heart
d. Liver Fire
19. A 48 year old female has been suffering from asthma for a long time. She has loose stools, D
back pain, frequent pale urination, tiredness, a feeling of oppression in the chest, cough with
sticky sputum, weak pulse, and a pale tongue. What treatment approach would you use?
a. Expel pathogenic factors
b. Expel pathogenic factors first and later Tonify the body's Qi
c. Tonify the body's Qi
d. Simultaneously Expel pathogenic factors and Tonify the body's Qi
20. A thin and wiry pulse most likely indicates: D
a. Deficient Qi and Blood
b. Stagnant Liver Qi
c. Liver Yang Rising
d. Deficient Liver Blood
21. Malar flush, dry mouth at night, insomnia, dizziness, back pain, and night sweating is: B
a. Water over-acting on Fire
b. Fire insulting Water
c. Fire over-acting on Metal
d. Fire not generating Earth
22. A soggy pulse (ru mai) is a combination of: C
a. Slow, slippery, and flooding pulses
b. Deep, tight, and weak pulses
c. Thin, empty, and floating pulses
d. Hidden, scattered, and hollow pulses
23. A 72 year-old man has Parkinson's disease. He has tremors of his left arm. He can B
voluntarily stop the tremors. He has a stiff neck and back, sweating, dizziness, dry mouth, a
feeling of oppression in the chest. He frequently spits yellow-phlegm. He is overweight and
dislikes any type of exercise. The tongue is red with yellow-greasy moss. The pulse is wiry
and fast. What is the diagnosis?
a. Extreme Heat Agitating Wind
b. Phlegm-Heat Agitating Wind
c. Liver Yang Rising
d. Internal Wind
Foundations – Test 8 – Pg 4 of 5
24. A 34 year-old woman has PMS. Symptoms include slight abdominal and breast distention, A
tiredness, frequent urination, unformed stools, depression, back pain, and low sex-drive. The
tongue is pale. The pulse is weak. What is the diagnosis?
a. Spleen and Kidney Yang Deficiency
b. Spleen Qi and Liver Blood Deficiency
c. Liver and Kidney Yin Deficiency
d. Stagnant Liver Qi
25. A patient has dry stools which are difficult to pass, dry mouth and throat, and a thin body, dry D
tongue without coating, and a thin pulse. What is the treatment principle?
a. Clear Heat
b. Clear Heat in Stomach and Large Intestine, Promote Bowel Movement
c. Clear Heat in the Large Intestine and Stomach, Promote Body Fluids
d. Promote Fluids in Large Intestine
Foundations – Test 8 – Pg 5 of 5
d. RN8 KD 16 ST25 SP15 GB26
e. RN6 SP14
f. RN5 KD14
g. RN4 KD 13 ST28
h. RN3 KD12 ST29
i. RN2 ST30
3. Points around the ear
4. Points around Jaw
5. Points at the level of the elbow
a. LU5 – on the cubital crease, in the depression at the radial side of the tendon of biceps brachii
b. PC3- on the transverse cubital crease, on the ulnar side of the aponeurosis of the biceps brachii muscle
c. HT 3 – at the medial end of the transverse cubital crease when the elbow is fully flexed
6. Auricular, ie. Endocrine, Shen Men, etc.
7. Motor line and its uses
8. Points around the wrist and the tendons
9. Points on the neck
10. BL & DU points on back (S2)
11. Dingchuan – what vertabrae ? C7
12. 5 cun between RN 8 & RN ?
Energetics:
1. The relationship between xi cleft and yuan source points
2. Channel connected to the DU meridian
a. The three yang meridians of the hand and foot converge at Du 14. Du channel regulate the circulation of qi and blood in the
yang meridians so has the function of governing all the yang meridians! Go Du!
3. KI 6 treats respiratory issues
4. Ding Chuan treats asthma
5. Sp 8 treats dysmenorrhea
6. SJ/SI channels treat ear issues
7. LI 4/GB 20 Expel pathogens from skin
Herbology:
1. Flavors and functions
2. Herbs that treat slight fever, slight thirst
3. Contraindications for Qin Jiao
a. Spleen Xu with Diarrhea
4. Know Sang Zhi, Gua Lou Ren, Shi Chang Pu, Wu Zhu Yu, Huang Qin
5. Functions of Gui Zhi, Gan Cao, E Jiao
a. Gui Zhi – Wind Cold
i. Harmonize ying & wei disperse cold
ii. Warms & unblocks channels
iii. Warms Heart Yang Qi
iv. Assists Qi transformation; reduce edema
b. Gan Cao- Tonify Qi
i. Tonify SP & HT Qi
ii. Dispel phlegm; stop cough
iii. Clears heat; Relive TOX
iv. Moderates spasms; alleviate pain
v. Moderate and harmonize properities of other herbs
c. E Jiao- Tonify Blood
i. Tonify Blood
ii. Nourish blood & stop bleeding
iii. Nourish Yin; moisten dryness
6. Herbs that treat nosebleeds
a. xian he cao, bai ji, xue yu tan, zong lu tan, da ji, xiao ji, qian cao gen, pu huang, di yu, huai hua mi, bai mao gen, san qi
7. Chuan Bei Mu vs. Zhi Bei Mu
a. Chuan Bei Mu- Chronic
i. Bitter, sweet, slightly cold
ii. More nourishing/moistening bc of the sweetness
iii. Used more for chronic cough with yin deficiency
iv. Can also treat nodules
v. More expensive
b. Zhe Bei Mu- Acute
i. Bitter, cold
ii. Stronger for clearing heat
iii. cheaper
8. Undesired combos:
a. Mutual Incompatibility: combo of substances that give rise to side effects or toxicity that wouldn’t ordinarily be present
when used as single substances
b. Mutual Antagonism: Combo of Substances that minimize or neutralize the benefits of one or both of the substances
9. Desired Combos:
a. Mutual Accentuation: combo of subs with similar actions where they accentuate each others’ actions (sexy!)
b. Enhancement/ Assistance: combo of subs with different actions where one subs enhances the effect of the other but
addresses different aspects of a clinical situation (huh?)
c. Counteraction/ Restraint: combo in which one subs toxicity or side effects are reduced or eliminated by another subs
d. Suppression/ Detoxification: combo in which one subs effect is to reduce or eliminate the toxicity or side effects of another
subs (what is the difference from above?)
10. Stop Bleeding & Nourish Blood – E Jiao, San Qi
11. Frontal headache single herb – (Bai zhi ?)
12. Zhu Ling – promote urine, leach damp
13. Mutual antagonism/Incomp. Combining herbs
14. Calm fetus & Clear Heat – Huang qin
15. Ban Xia Hou Po Tang – NO nodule function
16. Sang Zhi – unblock upper extremities
Formulas:
Si Ni San Yang Qi obstruction, LIV/SP disharmony Chai Hu, Bai Shao, Zhi Shi, Gan Cao
Huai Hua San Clears the intestines and stops bleeding; Huai Hua Mi, Ce bai ye, jing jie (disperse
dispels wind & redirects Qi wind stop bleeding), sui zhi qiao
Xiao Huo Luo Dan ―Minor Invig Collatorals Dispel Wind damp; Resolve phlegm & dredge Zhi chuan wu, Zhi cao Wu, Tian nan xing, ru
pill‖ channels, activates blood circulation & stops xiang, mo yao, di long
pain
Qin Jiao Bie Jia Tang Nourish yin & blood, clears deficient heat & Qin Jiao, Chai Hu, Bie Jia, Zhi mu, Di gu pi,
reduces steaming bone sensations dang gui
Qing Hao Bie Jia Tang Yin Xu w/ Xu heat Qing Hao, Bie Jia, Sheng Di, Zhi Mu, Mu Dan
(after febrile dz) ex) had surgery now has Pi
night fever
Gui Pi Tang SP Qi and HT Xue Xu Huang Qi, Ren Shen, Bai Zhu, Fu Ling, Gan
Cao, Dang Gui, Mu Xiang, Long yan Rou,
Suan Zao Ren, Yuan Zhi, Sheng Jiang Da Zao
Bu Zhong Yi Qi Tang Sinking SP Qi Huang Qi, Ren Shen, Bai Zhu, Zhi Gan Cao,
Dang Gui, Chen Pi, Sheng Ma, Chai Hu
Xiao Yao San LIV/SP disharm, LIV Qi Yu, SP Qi Xu, Blood Chai Hu, Dang Gui, Bai Shao, Fu Ling, Bai
Xu Zhu, Bo He, Zhi Gan Cao, Sheng jiang
Xiao Chai Hu Tang Shaoyang synd- Alt CF, Opressed Chai Hu, Huang Qin, Ren Shen, Ban Xia,
chest/hypochondriac pain. Sheng Jiang, Da Zao, Zhi Gan Cao
―Heat enters uterus‖
Wu Ling San Yang Xu w/ damp retention Ze Xie, Fu Ling, Zhu Ling, Bai Zhu, Gui Zhi
Sheng Mai San Qi and Yin Xu Ren Shen, Mai Men Dong, Wu Wei Zi
Ping Wei San Abd fullness & belching
Yin Chen Hao damp heat, Li, GB, SP, ST, bitter acrid cool
Biomed:
1. Allergic responses
2. Symptoms of multiple myeloma?
a. Definition: A cancer of your plasma cells, a type of white blood cell present in your bone marrow.
b. Symptoms:
Bone pain, particularly in your back, pelvis, ribs and skull.
Presence of abnormal proteins — which can be produced by myeloma cells — in your blood or urine. These
proteins — which are antibodies or parts of antibodies — are called monoclonal, or M, proteins. Often
discovered during a routine exam, monoclonal proteins may indicate multiple myeloma, but also can indicate
other conditions.
Excessive thirst and urination
Constipation
Nausea
Loss of appetite
Mental confusion
3. Being a sole proprietor gives what responsibilities?
a. Where a business is owned and run by one individual and in which there is no legal distinction between the owner and the
business. The owner receives all profits (subject to taxation specific to the business) and has unlimited responsibility for all
losses and debts.
4. Thymosin
a. a hormone secreted by the thymus that stimulates the development of T cells
5. Pain is processed where?
a. by the higher centers in the brain (thalamus, cerebral cortex)
6. Insomnia is processed where?
a. hypothalamus controls sleep patterns although insomnia is not always a direct result of hypothalamus disorder per
se....circadian rhythm disorder, stress factors, etc etc all applicable
7. Lasix, etc. is for what?
a. a loop diuretic (water pill) that prevents your body from absorbing too much salt, allowing the salt to instead be passed in
your urine.
b. treats fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic
syndrome. This medication is also used to treat high blood pressure (hypertension).
8. Symptoms of IBS?
a. Abdominal pain or cramping, A bloated feeling, Gas, Diarrhea or constipation, Mucus in the stool
9. Murphy's sign?
a. a maneuver during a physical examination as part of the abdominal examination and a finding elicited in ultrasonography. It
is useful for differentiatingpain in the right upper quadrant. Typically, it is positive in cholecystitis, but negative
in pyelonephritis, choledocholithiasis, and ascending cholangitis.
b. it is performed by asking the patient to breathe out and then gently placing the hand below the costal margin on the right
side at the mid-clavicular line (the approximate location of the gallbladder).
10. Symptoms of urinary colic aka Renal colic?
a. severe urinary pain; pain that radiates from the back to abdomen, genitals, and thighs; pain in small of the back, lower
abdomen, and/or inner thighs;........Further associated sx: fever, chills, nausea, vomit, swollen abdomen, blood in urine
11. Bile is for what?
a. Produced by the liver, that aids the process of digestion of lipids in the small intestine.
b. Bile acts to some extent as a surfactant, helping to emulsify the fats in the food.
12. Shuffling gait is symptom of what?
a. Parkisonians
13. Wrinkles on the forehead are a symptom of what?
a. its not a symptom but a possible sign of headache; can be a symptom of overexposure to the sun; the action of medial
frontalis contraction
b. The absence of normal transverse furrowing with upward gaze is a sign of hyperthyroidism.
c. Unilateral loss of wrinkling results from facial nerve paralysis, cranial nerve VII.
14. Autoclave:
15. Signs of artherosclerosis - the buildup of fats in and on your artery walls (plaques), which can restrict blood flow.
a. If you have atherosclerosis in your heart arteries, you may have symptoms similar to those of a heart attack, such as chest
pain (angina).
b. If you have atherosclerosis in the arteries leading to your brain, you may have signs and symptoms such as sudden
numbness or weakness in your arms or legs, difficulty speaking or slurred speech, or drooping muscles in your face. These
are signs of a transient ischemic attack (TIA) — which, if left untreated — may progress to a stroke.
c. If you have atherosclerosis in the arteries in your arms and legs, you may have symptoms of peripheral artery disease, such
as leg pain when walking (intermittent claudication)
16. Signs of pneumothorax?
a. chest pain that usually has a sudden onset. The pain is sharp and may lead to feelings of tightness in the chest. Shortness of
breath, rapid heart rate, rapid breathing, cough, andfatigue are other symptoms of pneumothorax. The skin may develop a
bluish color (termed cyanosis) due to decreases in blood oxygen levels.
17. McMurray’s test – meniscus tear
18. Murphy’s test – cholecystitis
19. NO HT ?s
20. NO CRANIAL NERVES
Ethics:
1. Acupuncturists must reapply by November 30, annually
2. Acupuncturist can say they are a Dr. in what cases.. om NM, from China, etc.