CALE Mock Exam I-Elaine (ACTCM) FINAL EXAM
STUDY GUIDE 2025/2026 ACCURATE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<BRAND NEW VERSION>
1. A 43 y/o M pt complains of small red vesicles forming a girdle around the
waist and mainly in the lumbar and hypochondriac regions. He was
diagnosed with herpes zoster from his physician however; he wants to get
acupuncture treatment, not western medicine. What is the most appropriate
rx? - ANSWER ✓ LI11, SP10, UB40, GB34 and LV3
2. A 33 y/o F pt came in with profuse thick, white vaginal discharge without
smell. She has a pale complexion, lassitude, poor appetite, loose stools and
edema in the lower limbs. T: pale with white sticky coat. P: slow, weak.
What rx is best for this pt? - ANSWER ✓ GB26, Ren6, UB30, SP9, ST36
3. What channel's points should be used to treat chronic sinusitis and nasal
congestion? - ANSWER ✓ Hand tai yin, Hand yang ming
4. A 44 y/o M pt came to the clinic with a c/o high fever which is worse in the
afternoon, profuse sweating, constipation, thirst with a desire to drink cold
water, fullness and pain in the abdomen which becomes worse with pressure,
restlessness and irritability. T: red with a dry, yellow coat. P: deep, excess.
What channel's points should be used to treat sx? - ANSWER ✓ Front mu,
Lower he sea of LI and ST, SP channel
5. What is the category of MAOI? - ANSWER ✓ Antidepressants
6. If a pt has abnormal pupillary reflex with an afferent pupillary defect, what
cranial nerves are related to this case? - ANSWER ✓ CN 2, 3
7. If there are no corneal reflexes, what CN are related? - ANSWER ✓ CN 5, 7
,8. What medication has a risk of side effects such as palpitations, tachycardia,
arrhythmia, anxiety and acute pulmonary edema from long term use? -
ANSWER ✓ Primatene mist
9. How is a meniscus tear diagnosed? - ANSWER ✓ X-rays
10.A 32 y/o M pt came to the clinic, after his tx he had fainting sx such as
dizziness, cold sweat and difficult breathing. Also he had skin eruptions
around the area treated by acupuncture. What is the most likely dx? -
ANSWER ✓ Anaphylactic shock
11.A teenage M pt came to the clinic exhibiting signs of drug use. He didn't say
what kind of drug he took. Physical examination showed that his nose is sore
and he has mydriasis. Blood pressure is 180/100. What kind of drug do you
suspect the pt has used? - ANSWER ✓ Narcotics
12.What is the infection route of HepA and Hep E? - ANSWER ✓
Contaminated food and water
13.A 43 y/o F pt has breast cancer and is under chemotherapy suffering from
severe pain. She took a test and found out that her WBC levels have
decreased recently due to chemo. What is the main cause of her pain? -
ANSWER ✓ Bone pain deep inside
14.A 52 y/o F pt came to the clinic with stomach pain and recent swelling in her
legs. She described the pain as sharp and localized and stated that it had
occurred frequently during the previous 2 weeks. One week prior to the visit
she had started taking MAALOX and it seemed to help at first, but the pain
persisted and shortly thereafter the leg swelling appeared. Her past medical
history included a prior dx of congestive heart failure and rheumatoid
arthritis. A physical examination of the pt was insignificant except of SOB
and increased fatigue. Her current medications include digoxin, ibuprofen,
Maalox and LASIX. She also stated that she had heard on the news that
aspirin might be good for the heart. So she had begun to take two tablets a
day for her heart condition. The physician ordered a CBC, electrolyte panel,
digoxin level and a hemoccult test. Based on the information presented
above, what could be precipitati - ANSWER ✓ NSAIDs
,15.What meridians enter the spine? - ANSWER ✓ Chong, Kd
16.What meridian is mainly related with the median nerve? - ANSWER ✓ PC
17.What Bi syndrome can be treated by the following points? UB23, Ren 4? -
ANSWER ✓ Painful Bi
18.What Bi syndrome can be treated by the following points? UB17, SP 10 -
ANSWER ✓ Wind Bi
19.What Bi syndrome can be treated by the following points? Du14, LI11 -
ANSWER ✓ Heat Bi
20.What Bi syndrome can be treated by the following points? UB11, GB39 -
ANSWER ✓ Bone Bi
21.What point is located posterior metatarsophalangeal joint? - ANSWER ✓
Shu stream of UB UB65
22.What set of points is the best to treat cough with yellow sputum, fever HA,
dry mouth, a sore throat and swollen throat, floating and rapid pulse and thin
yellow coating? - ANSWER ✓ UB13, Lu7, LI4, Du14, SJ5
23.What group of points can be used to treat sx that indicate internal LU
phlegm heat and external wind cold causing rebellious lung qi? - ANSWER
✓ UB13, Ding Chuan, Ren 22, LU5, ST40
24.What would be an indication for indirect moxa with ginger? - ANSWER ✓
Yang deficiency
25.A female high school student came to the clinic with her parents for
temporal HA, sore throat and fever after practice of cheerleading. Which
point should be puncture with a three edged needle to treat the sore throat? -
ANSWER ✓ Lu11
26.A 26 y/o F pt went to the beach to tan, but after a few hours began feeling
dizzy and developed a HA. She complains of profuse sweating, hot skin,
coarse breathing, thirst and a dry mouth and tongue. Her pulse is superficial
, and rapid. What would be the best points to treat her? - ANSWER ✓ Du14,
P6, LI11, UB40
27.What is the best pair of points for retention of food in the ST? - ANSWER ✓
SP4, PC
28.A 43 y/o female pt complains of palpitations with lusterless complexion,
dizziness, blurred vision and lassitude. Her tongue is pale with toothmarks
and the pulse is thready and weak. What is the treatment? - ANSWER ✓
BL15, CV14, HT7, P6, BL20, BL21, ST36
29.A 28 y/o F pt has acute chills and fever, HA, soreness and pain of the limbs,
nasal obstruction, itching of the throat and cough. Her tongue is normal with
a thin white tongue coating and her pulse is floating. What would be the best
selection of point? - ANSWER ✓ GV16, UB12, GB20, LU7, LI4
30.Which huatoujia ji points are used to treat the abdomen? - ANSWER ✓ T6-
L5
31.Where is the external genital organ point located in auricular acupuncture? -
ANSWER ✓ Helix
32.Which meridian has pathological manifestations of HA, pain in the outer
canthus and jaw, blurred vision, a bitter taste in the mouth, pain in the lateral
side of the chest and hypchondrium, a yellow tongue coating and a string
taut pulse? - ANSWER ✓ GB
33.What is the key differentiation between tense syndrome and flaccid
syndrome in wind stroke? - ANSWER ✓ Muscle tone
34.Which sx can be treated by a combination of HT6 and SI3? - ANSWER ✓
Night sweating
35.At which point do the pulse and vessels gather? - ANSWER ✓ Lu9
36.What is the location of the luo-connecting point of the hand jueyin? -
ANSWER ✓ 2 cun above the transverse crease of the wrist, between the
tendons of m. palmaris longus and m. flexor carpi radialis
STUDY GUIDE 2025/2026 ACCURATE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<BRAND NEW VERSION>
1. A 43 y/o M pt complains of small red vesicles forming a girdle around the
waist and mainly in the lumbar and hypochondriac regions. He was
diagnosed with herpes zoster from his physician however; he wants to get
acupuncture treatment, not western medicine. What is the most appropriate
rx? - ANSWER ✓ LI11, SP10, UB40, GB34 and LV3
2. A 33 y/o F pt came in with profuse thick, white vaginal discharge without
smell. She has a pale complexion, lassitude, poor appetite, loose stools and
edema in the lower limbs. T: pale with white sticky coat. P: slow, weak.
What rx is best for this pt? - ANSWER ✓ GB26, Ren6, UB30, SP9, ST36
3. What channel's points should be used to treat chronic sinusitis and nasal
congestion? - ANSWER ✓ Hand tai yin, Hand yang ming
4. A 44 y/o M pt came to the clinic with a c/o high fever which is worse in the
afternoon, profuse sweating, constipation, thirst with a desire to drink cold
water, fullness and pain in the abdomen which becomes worse with pressure,
restlessness and irritability. T: red with a dry, yellow coat. P: deep, excess.
What channel's points should be used to treat sx? - ANSWER ✓ Front mu,
Lower he sea of LI and ST, SP channel
5. What is the category of MAOI? - ANSWER ✓ Antidepressants
6. If a pt has abnormal pupillary reflex with an afferent pupillary defect, what
cranial nerves are related to this case? - ANSWER ✓ CN 2, 3
7. If there are no corneal reflexes, what CN are related? - ANSWER ✓ CN 5, 7
,8. What medication has a risk of side effects such as palpitations, tachycardia,
arrhythmia, anxiety and acute pulmonary edema from long term use? -
ANSWER ✓ Primatene mist
9. How is a meniscus tear diagnosed? - ANSWER ✓ X-rays
10.A 32 y/o M pt came to the clinic, after his tx he had fainting sx such as
dizziness, cold sweat and difficult breathing. Also he had skin eruptions
around the area treated by acupuncture. What is the most likely dx? -
ANSWER ✓ Anaphylactic shock
11.A teenage M pt came to the clinic exhibiting signs of drug use. He didn't say
what kind of drug he took. Physical examination showed that his nose is sore
and he has mydriasis. Blood pressure is 180/100. What kind of drug do you
suspect the pt has used? - ANSWER ✓ Narcotics
12.What is the infection route of HepA and Hep E? - ANSWER ✓
Contaminated food and water
13.A 43 y/o F pt has breast cancer and is under chemotherapy suffering from
severe pain. She took a test and found out that her WBC levels have
decreased recently due to chemo. What is the main cause of her pain? -
ANSWER ✓ Bone pain deep inside
14.A 52 y/o F pt came to the clinic with stomach pain and recent swelling in her
legs. She described the pain as sharp and localized and stated that it had
occurred frequently during the previous 2 weeks. One week prior to the visit
she had started taking MAALOX and it seemed to help at first, but the pain
persisted and shortly thereafter the leg swelling appeared. Her past medical
history included a prior dx of congestive heart failure and rheumatoid
arthritis. A physical examination of the pt was insignificant except of SOB
and increased fatigue. Her current medications include digoxin, ibuprofen,
Maalox and LASIX. She also stated that she had heard on the news that
aspirin might be good for the heart. So she had begun to take two tablets a
day for her heart condition. The physician ordered a CBC, electrolyte panel,
digoxin level and a hemoccult test. Based on the information presented
above, what could be precipitati - ANSWER ✓ NSAIDs
,15.What meridians enter the spine? - ANSWER ✓ Chong, Kd
16.What meridian is mainly related with the median nerve? - ANSWER ✓ PC
17.What Bi syndrome can be treated by the following points? UB23, Ren 4? -
ANSWER ✓ Painful Bi
18.What Bi syndrome can be treated by the following points? UB17, SP 10 -
ANSWER ✓ Wind Bi
19.What Bi syndrome can be treated by the following points? Du14, LI11 -
ANSWER ✓ Heat Bi
20.What Bi syndrome can be treated by the following points? UB11, GB39 -
ANSWER ✓ Bone Bi
21.What point is located posterior metatarsophalangeal joint? - ANSWER ✓
Shu stream of UB UB65
22.What set of points is the best to treat cough with yellow sputum, fever HA,
dry mouth, a sore throat and swollen throat, floating and rapid pulse and thin
yellow coating? - ANSWER ✓ UB13, Lu7, LI4, Du14, SJ5
23.What group of points can be used to treat sx that indicate internal LU
phlegm heat and external wind cold causing rebellious lung qi? - ANSWER
✓ UB13, Ding Chuan, Ren 22, LU5, ST40
24.What would be an indication for indirect moxa with ginger? - ANSWER ✓
Yang deficiency
25.A female high school student came to the clinic with her parents for
temporal HA, sore throat and fever after practice of cheerleading. Which
point should be puncture with a three edged needle to treat the sore throat? -
ANSWER ✓ Lu11
26.A 26 y/o F pt went to the beach to tan, but after a few hours began feeling
dizzy and developed a HA. She complains of profuse sweating, hot skin,
coarse breathing, thirst and a dry mouth and tongue. Her pulse is superficial
, and rapid. What would be the best points to treat her? - ANSWER ✓ Du14,
P6, LI11, UB40
27.What is the best pair of points for retention of food in the ST? - ANSWER ✓
SP4, PC
28.A 43 y/o female pt complains of palpitations with lusterless complexion,
dizziness, blurred vision and lassitude. Her tongue is pale with toothmarks
and the pulse is thready and weak. What is the treatment? - ANSWER ✓
BL15, CV14, HT7, P6, BL20, BL21, ST36
29.A 28 y/o F pt has acute chills and fever, HA, soreness and pain of the limbs,
nasal obstruction, itching of the throat and cough. Her tongue is normal with
a thin white tongue coating and her pulse is floating. What would be the best
selection of point? - ANSWER ✓ GV16, UB12, GB20, LU7, LI4
30.Which huatoujia ji points are used to treat the abdomen? - ANSWER ✓ T6-
L5
31.Where is the external genital organ point located in auricular acupuncture? -
ANSWER ✓ Helix
32.Which meridian has pathological manifestations of HA, pain in the outer
canthus and jaw, blurred vision, a bitter taste in the mouth, pain in the lateral
side of the chest and hypchondrium, a yellow tongue coating and a string
taut pulse? - ANSWER ✓ GB
33.What is the key differentiation between tense syndrome and flaccid
syndrome in wind stroke? - ANSWER ✓ Muscle tone
34.Which sx can be treated by a combination of HT6 and SI3? - ANSWER ✓
Night sweating
35.At which point do the pulse and vessels gather? - ANSWER ✓ Lu9
36.What is the location of the luo-connecting point of the hand jueyin? -
ANSWER ✓ 2 cun above the transverse crease of the wrist, between the
tendons of m. palmaris longus and m. flexor carpi radialis
