CALE. TCM review 4
In electro acupuncture, pulses which alternate with quick and slow periods are
preferable for treating
A. Paralysis and numbness
B. Pain
C. Spasm
D. Muscle contractions – answer A
A 64 year-old female has Bell's Palsy. Treatment can consist of any of the following
except
A. corticosteroids (Prednisone
B. anti-virals (Valtrex)
C. anti-biotics (Tetracycline)
D. natural tears - answerC
The right side of the heart pumps blood to
A. the descending aorta
B. the lungs
C. right ventricle
D. the whole body - answerB
A 54 year-old woman has had wheezing for 6 years. She is overweight. She has
difficulty inhaling, a constant nasal discharge, and phlegm in the throat. She
expectorates sticky yellow phlegm. She has a feeling of oppression in the chest and
nausea, bad digestion with acid reflux and loose stools. She has thirst. The tongue is
slight red in color and swollen. The tongue has a crack in the middle with yellow coating.
The pulse is generally slippery (hua mai) and weak (xu mai) on the right side. What is
the diagnosis?
A. Phlegm Obstructing Lungs
,B. Liver Fire Insulting Lungs, Accumulation of Phlegm
C. Deficient Spleen Yang with Accumulation of Dampness
D. Phlegm-Heat in Lungs and Stomach, Spleen Qi Deficiency - answerD
What is the most common cause of airway obstruction?
A. The tongue
B. Food
C. Foreign objects
D. Chewing gum - answerA
A 35 year-old man has had hand tremors. He has been diagnosed with Parkinson\'s
disease. The tremors are worse when reaching for things and disappear while sleeping.
He has a sallow complexion. Other symptoms include a weak voice and dry skin. He
catches colds easily. The tongue is pale. The pulse is weak. What is the diagnosis?
A. Liver Yang Rising Causing Wind
B. External Wind Affecting the Interior
C. Deficient Liver Blood Causing Wind
D. Dryness Stirring Wind - answerC
Which cranial nerve is associated with shoulder and neck movements?
A. Cranial nerve XI
B. Cranial nerve X
C. Cranial nerve XII
D. Cranial nerve V - answerA
A 65 year-old male is taking Tricor (fenofibrate). His lab test results would have show
A. high WBC count
B. high triglyceride levels
, C. low ACTH levels
D. low A/G Ratio - answerB
A 24 year-old man has recently had an appendectomy. After the operation there is
abdominal distention with no gas being passed. The complexion is dark. He is restless.
The mouth is dry but he 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. Stagnant Liver Qi Invading Stomach with Spleen Damp
B. Liver Fire with Damp-Heat
C. Damp-Heat Obstructing Intestine Qi leading to Rebellious Stomach Qi
D. Liver and Gall Bladder Damp-Heat - answerC
A 37 year-old professional ice skater has been depressed ever since he fell and broke
his leg. He has been worried about being unable to continue his career. He has
insomnia, poor memory, and inappropriate laughter and crying, is irritable, and mentally
confused. He looks gloomy and has a pale complexion. Other symptoms include heavy
feeling in the head and a rattling sound 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. You treat the patient with PC-6 (nei guan), HT-7 (shen men), LR-
3 (tai chong), REN-17 (tan zhong), ST-36 (zu san li), SP-6 (san yin jiao). After a course
of treatment the patient was able to sleep and appetite improved but there was still a
problem with uncontrollable laughter and weeping and the nightmares - answerA
A 27 year-old woman has a problem with sweating. She sweats profusely in the hands
and feet with dripping sweat. The condition worsens during her menstrual period and
worsens when she gets excited. Other symptoms include palpitations, thirst for cold
drinks and irritability. She looks healthy and lively and does not complain of tiredness.
The tongue is red. The pulse is fast. You treat the patient with HT-6 (yin xi) and HT-7
(shen men). There is only slight improvement after a few treatments. What would you
add to the point prescription?
A. SI-3 (hou xi)
B. KI-2 (ran gu), LR-2 (ying jian)'
C. LI-4 (he gu), KI-7 (fu liu)
D. PC-7 (da ling), LR-2 (ying jian) - answerC
In electro acupuncture, pulses which alternate with quick and slow periods are
preferable for treating
A. Paralysis and numbness
B. Pain
C. Spasm
D. Muscle contractions – answer A
A 64 year-old female has Bell's Palsy. Treatment can consist of any of the following
except
A. corticosteroids (Prednisone
B. anti-virals (Valtrex)
C. anti-biotics (Tetracycline)
D. natural tears - answerC
The right side of the heart pumps blood to
A. the descending aorta
B. the lungs
C. right ventricle
D. the whole body - answerB
A 54 year-old woman has had wheezing for 6 years. She is overweight. She has
difficulty inhaling, a constant nasal discharge, and phlegm in the throat. She
expectorates sticky yellow phlegm. She has a feeling of oppression in the chest and
nausea, bad digestion with acid reflux and loose stools. She has thirst. The tongue is
slight red in color and swollen. The tongue has a crack in the middle with yellow coating.
The pulse is generally slippery (hua mai) and weak (xu mai) on the right side. What is
the diagnosis?
A. Phlegm Obstructing Lungs
,B. Liver Fire Insulting Lungs, Accumulation of Phlegm
C. Deficient Spleen Yang with Accumulation of Dampness
D. Phlegm-Heat in Lungs and Stomach, Spleen Qi Deficiency - answerD
What is the most common cause of airway obstruction?
A. The tongue
B. Food
C. Foreign objects
D. Chewing gum - answerA
A 35 year-old man has had hand tremors. He has been diagnosed with Parkinson\'s
disease. The tremors are worse when reaching for things and disappear while sleeping.
He has a sallow complexion. Other symptoms include a weak voice and dry skin. He
catches colds easily. The tongue is pale. The pulse is weak. What is the diagnosis?
A. Liver Yang Rising Causing Wind
B. External Wind Affecting the Interior
C. Deficient Liver Blood Causing Wind
D. Dryness Stirring Wind - answerC
Which cranial nerve is associated with shoulder and neck movements?
A. Cranial nerve XI
B. Cranial nerve X
C. Cranial nerve XII
D. Cranial nerve V - answerA
A 65 year-old male is taking Tricor (fenofibrate). His lab test results would have show
A. high WBC count
B. high triglyceride levels
, C. low ACTH levels
D. low A/G Ratio - answerB
A 24 year-old man has recently had an appendectomy. After the operation there is
abdominal distention with no gas being passed. The complexion is dark. He is restless.
The mouth is dry but he 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. Stagnant Liver Qi Invading Stomach with Spleen Damp
B. Liver Fire with Damp-Heat
C. Damp-Heat Obstructing Intestine Qi leading to Rebellious Stomach Qi
D. Liver and Gall Bladder Damp-Heat - answerC
A 37 year-old professional ice skater has been depressed ever since he fell and broke
his leg. He has been worried about being unable to continue his career. He has
insomnia, poor memory, and inappropriate laughter and crying, is irritable, and mentally
confused. He looks gloomy and has a pale complexion. Other symptoms include heavy
feeling in the head and a rattling sound 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. You treat the patient with PC-6 (nei guan), HT-7 (shen men), LR-
3 (tai chong), REN-17 (tan zhong), ST-36 (zu san li), SP-6 (san yin jiao). After a course
of treatment the patient was able to sleep and appetite improved but there was still a
problem with uncontrollable laughter and weeping and the nightmares - answerA
A 27 year-old woman has a problem with sweating. She sweats profusely in the hands
and feet with dripping sweat. The condition worsens during her menstrual period and
worsens when she gets excited. Other symptoms include palpitations, thirst for cold
drinks and irritability. She looks healthy and lively and does not complain of tiredness.
The tongue is red. The pulse is fast. You treat the patient with HT-6 (yin xi) and HT-7
(shen men). There is only slight improvement after a few treatments. What would you
add to the point prescription?
A. SI-3 (hou xi)
B. KI-2 (ran gu), LR-2 (ying jian)'
C. LI-4 (he gu), KI-7 (fu liu)
D. PC-7 (da ling), LR-2 (ying jian) - answerC
