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NCCAOM TCM BOARD EXAM PREP|QUESTIONS AND VERIFIED ANSWERS|PASS ON FIRST ATTEMPT|BRAND NEW 2026/2027 UPDATE

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NCCAOM TCM BOARD EXAM PREP|QUESTIONS AND VERIFIED ANSWERS|PASS ON FIRST ATTEMPT|BRAND NEW 2026/2027 UPDATE

Institution
Acupuncture
Course
Acupuncture

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Which needle direction will puncture the lung when needling HE-1 (jiquan)?



A. lateral insertion



B. medial insertion



C. superior insertion



D. inferior insertion - ANSWER B. medial insertion



In Five Element pulse diagnosis, what is the Yang organ Inch position on the left side?'



A. Stomach



B. Large Intestine



C. Small Intestine



D. Gallbladder' - ANSWER B. Large Intestine



A patient has breast distention prior to menstruation, odorless vaginal discharge, depressed
essence-spirit, and normal or light red menses. What would you expect the menstruation to
be?




1

,A. shortened



B. indeterminate



C. dripping for several days



D. prolonged - ANSWER B. indeterminate




Source: This is Liver Depression, Qi Stagnation - Practical Diagnosis in Traditional Chinese
Medicine, Deng, 1999, page 362



Which of the following has an INCORRECT correspondence between the part of the eye and
associated organ?



A. the pupil / Heart



B. the iris / Liver



C. the sclera / Lungs



D. the eyelids / Spleen - ANSWER A. the pupil / Heart




Source: The pupil is associated with the Kidneys. Both canthi are associated with the Heart.
The theory of the Five Wheels is used in the diagnosis of eye disorders. It divides the eyes
into five areas called Wheels. The BLOOD WHEEL is associated with the Heart and
corresponds to both canthi. The Heart goversn the Blood. In the inner canthi are small


2

,openings (called palace of tears) from which tears flow and disperse essential qi that
moistens and nourish the eyeball. The WIND WHEEL is asociated with the Liver and
corresponds to the iris (black of the eye) and defends the pupil-spirit. The Liver governs
Wind. The QI WHEEL is associated with the Lungs and corresponds to the sclera (whites of
the eye) which protects the inner system of the eyeball. The Lungs govern qi. The WATER
WHEEL is associated with the Kidneys and corresponds to the pupil-spirit which should be
clear and bright, reflecting the importance to vision. The Kidneys govern water. The FLESH
WHEEL is associated with the Spleen and corrresponds to the eyelids (top and bottom). The
upper eyelid and the eye lashes help to protect the eyeball. The Spleen governs the muscles.



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 INCORRECT correspondence?



A. Qi Wheel refers to the sclera



B. Wind Wheel refers both canthi



C. Water Wheel refers to the pupil



D. Flesh Wheel refers to the eyelids - ANSWER B. Wind Wheel refers both canthi




Source: It is the Blood Wheel that refers to both canthi. The 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.



In index finger diagnosis in children, the first joint is the



A. Qi bar



3

, B. Blood bar



C. Wind bar



D. Life bar - ANSWER C. Wind bar



Source: There are only three bars. The first index finger joint (closest to the knuckle) is the
Wind Bar, the middle joint is the Qi Bar, and the last joint is the Life Bar. In children it is
important to look at the veins of the index finger. The veins are a result of the protrusion of
the yin Lung channel. The veins are relatively clear on children three years and under. -
Practical Diagnosis in Traditional Chinese Medicine, Deng, 1999, page 26



A patient has no appetite, hot sensations in the afternoon, dry stools, epigastric pain, desire
to drink small sips, full feeling after eating, tongue without root, and floating-empty pulse on
the right middle position. What is the Stomach zang-fu pattern?



A. Stomach Yin Deficiency



B. Blood Stasis in the Stomach



C. Stomach Fire



D. Stomach Phlegm-Fire - ANSWER A. Stomach Yin Deficiency




Source: this is Stomach Yin Xu (dry mouth/throat/stool, burning epigastric pain, fullness after
eating) with Empty Heat (night sweating, afternoon fever); the floating-empty pulse and
rootless coating can manifest in either (just Stomach Yin Xu or Stomach Yin Xu with Empty
Heat); there are symptoms of dryness because the fluids (yin) originate in the Stomach;
when the Stomach is deficient there can be symptoms of dryness; what is unique and typical
about Stomach Yin Deficiency is the dry mouth with a desire to drink in small amounts; if the


4

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