CALE MOCK EXAM 1 RATED A+
A 20 y/o M pt came in suffering from diarrhea with watery stools for 10 years. He has
N/V, no thirst, loss of appetite and abdominal pain. T: pale with a white coat. P: deep,
thready. What formula is best to treat this condition? - ANSWER-Li zhong wan
A 23 y/o F pt came to the clinic suffering from chills, coldness in the limbs, edema and
lower back pain. P: deep, firm and slow. What tongue is expected? - ANSWER-Bluish
purple root
A 23 y/o F pt is suffering from dysentery, itchiness of skin due to blisters, jaundice and
retention of urine. What herbs can be used along with long dan cao? - ANSWER-Ku
shen, huang qin, huang bai
A 23 y/o M pt came in with fever and chills, Ha, fullness in the chest, N/V, diarrhea and
loss of taste. T: white greasy coat. P: moderate, soggy. He took Huo xiang zheng qi san
prescribed by his acupuncturist. Now he complains of more severe wind cold sx. How
could this formula be modified? - ANSWER-Increase the dose of Zi su ye
A 23 y/o M pt came in with lower abdominal twisting pain which extends to the back,
abdominal distention, pain with pressure on abdomen, borborygmi and pain in the testis.
T: white coat P: deep, wiry. WHat would be the best dx for this pt? - ANSWER-SI qi pain
A 24 y/o F pt came to the clinic. She complained of upper and lower back pain and
shoulder and neck pain. According to the channel theory what points can be used to
treat this? - ANSWER-UB58, SI9, SI11, SI13
A 25 y/o F pt with a history of asthma accidentally inhaled a small nut from a candy bar
she was eating. The presence of this foreign body in the airway triggered an explosive
series of coughs, which ultimately expelled the food fragment from her lungs. After
several minutes the airway was fully cleared but she experienced progressive tightness
in her chest. Her breathing became difficult and soon she was gasping for breath. She
removed a canister from her pulse and inhaled several puffs of medications. Her
symptoms resolved over the next 20 minutes. What aerosolized medication would
provide relief from the acute bronchoconstriction described for this woman? - ANSWER-
Albuterol
A 29 y/o F pt came to the clinic. She has a tidal fever, constipation, focal distention,
abdominal fullness and abdominal pain which does not increase upon pressure. T:
yellow, dry P: rapid, slippery. What herbs can be added along with Da huang? -
ANSWER-Hou po, Shi zhi
A 31 y/o F who is addicted to drugs, developed glossitis and angular stomatitis recently.
What vitamins could be deficient in her case? - ANSWER-Riboflavin (Vit. B2)
, A 32 y/o M pt came to the clinic c/o cough with yellow sputum, thirst, sore throat, fever
and pain of the neck and shoulders aggravated by tilting his neck and shoulders back.
What point combination is best to treat his sx? - ANSWER-SI3, UB62
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
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
A 33 y/o F pt visited your clinic with focal distention and a stifling sensation in the chest
and abdomen, fixed pain in the hypochondria, belching, coughing with sputum and
indigestion. She has been taking Yue ju wan which you prescribed her. Today she
complains of dampness sx. Which herbs can be added to this formula? - ANSWER-Hou
po, Fu ling
A 35 y/o F came to the clinic. She has severe aversion to cold, mild fever, heaviness of
the limbs and trunk, a stifling sensation in the chest. T: white sticky coat. P: soft, slow.
What would be the best dx from a TCM perspective? - ANSWER-Damp heat in the
upper jiao
A 35 y/o F pt came in with abdominal pain, irregular menstruation, infertility and
asthmatic breathing. What meridian would you use to treat this pt? - ANSWER-The
thoroughfare (chong)
A 35 y/o F pt came in with dizziness aggravated by anger, irritability, flushed face, red
eyes, tinnitus, a bitter taste in the mouth and dream disturbed sleep. T: red with yellow
coat. P: wiry, rapid. What points would be the most appropriate for this pt? - ANSWER-
Gb20, UB18, UB23, KD3, LV2
A 35 y/o F pt came in with irregular menstruation. She had blisters on the backside of
her hand which was very itchy. After the menstruation, her blisters disappeared. What is
the correct dx? - ANSWER-Liver qi stagnation with dampness
A 35 y/o F pt came in with uterine bleeding. She was diagnosed with metrofibroma from
her physician and she had an appointment for the surgery next week. She complains of
tiredness, loss of appetite, and difficulty falling asleep due to the concern about the
surgery. What would be the best point rx? - ANSWER-PC4, PC6, Moxa on SP1
A 35 y/o M pt c/o fixed pain in the hypochondria, indigestion, fullness in the chest and
abdomen with belching. He explains that after arguing with his girl friend, the sx got
worse. WHat formulas can be used in this case? - ANSWER-Yue ju wan
A 20 y/o M pt came in suffering from diarrhea with watery stools for 10 years. He has
N/V, no thirst, loss of appetite and abdominal pain. T: pale with a white coat. P: deep,
thready. What formula is best to treat this condition? - ANSWER-Li zhong wan
A 23 y/o F pt came to the clinic suffering from chills, coldness in the limbs, edema and
lower back pain. P: deep, firm and slow. What tongue is expected? - ANSWER-Bluish
purple root
A 23 y/o F pt is suffering from dysentery, itchiness of skin due to blisters, jaundice and
retention of urine. What herbs can be used along with long dan cao? - ANSWER-Ku
shen, huang qin, huang bai
A 23 y/o M pt came in with fever and chills, Ha, fullness in the chest, N/V, diarrhea and
loss of taste. T: white greasy coat. P: moderate, soggy. He took Huo xiang zheng qi san
prescribed by his acupuncturist. Now he complains of more severe wind cold sx. How
could this formula be modified? - ANSWER-Increase the dose of Zi su ye
A 23 y/o M pt came in with lower abdominal twisting pain which extends to the back,
abdominal distention, pain with pressure on abdomen, borborygmi and pain in the testis.
T: white coat P: deep, wiry. WHat would be the best dx for this pt? - ANSWER-SI qi pain
A 24 y/o F pt came to the clinic. She complained of upper and lower back pain and
shoulder and neck pain. According to the channel theory what points can be used to
treat this? - ANSWER-UB58, SI9, SI11, SI13
A 25 y/o F pt with a history of asthma accidentally inhaled a small nut from a candy bar
she was eating. The presence of this foreign body in the airway triggered an explosive
series of coughs, which ultimately expelled the food fragment from her lungs. After
several minutes the airway was fully cleared but she experienced progressive tightness
in her chest. Her breathing became difficult and soon she was gasping for breath. She
removed a canister from her pulse and inhaled several puffs of medications. Her
symptoms resolved over the next 20 minutes. What aerosolized medication would
provide relief from the acute bronchoconstriction described for this woman? - ANSWER-
Albuterol
A 29 y/o F pt came to the clinic. She has a tidal fever, constipation, focal distention,
abdominal fullness and abdominal pain which does not increase upon pressure. T:
yellow, dry P: rapid, slippery. What herbs can be added along with Da huang? -
ANSWER-Hou po, Shi zhi
A 31 y/o F who is addicted to drugs, developed glossitis and angular stomatitis recently.
What vitamins could be deficient in her case? - ANSWER-Riboflavin (Vit. B2)
, A 32 y/o M pt came to the clinic c/o cough with yellow sputum, thirst, sore throat, fever
and pain of the neck and shoulders aggravated by tilting his neck and shoulders back.
What point combination is best to treat his sx? - ANSWER-SI3, UB62
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
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
A 33 y/o F pt visited your clinic with focal distention and a stifling sensation in the chest
and abdomen, fixed pain in the hypochondria, belching, coughing with sputum and
indigestion. She has been taking Yue ju wan which you prescribed her. Today she
complains of dampness sx. Which herbs can be added to this formula? - ANSWER-Hou
po, Fu ling
A 35 y/o F came to the clinic. She has severe aversion to cold, mild fever, heaviness of
the limbs and trunk, a stifling sensation in the chest. T: white sticky coat. P: soft, slow.
What would be the best dx from a TCM perspective? - ANSWER-Damp heat in the
upper jiao
A 35 y/o F pt came in with abdominal pain, irregular menstruation, infertility and
asthmatic breathing. What meridian would you use to treat this pt? - ANSWER-The
thoroughfare (chong)
A 35 y/o F pt came in with dizziness aggravated by anger, irritability, flushed face, red
eyes, tinnitus, a bitter taste in the mouth and dream disturbed sleep. T: red with yellow
coat. P: wiry, rapid. What points would be the most appropriate for this pt? - ANSWER-
Gb20, UB18, UB23, KD3, LV2
A 35 y/o F pt came in with irregular menstruation. She had blisters on the backside of
her hand which was very itchy. After the menstruation, her blisters disappeared. What is
the correct dx? - ANSWER-Liver qi stagnation with dampness
A 35 y/o F pt came in with uterine bleeding. She was diagnosed with metrofibroma from
her physician and she had an appointment for the surgery next week. She complains of
tiredness, loss of appetite, and difficulty falling asleep due to the concern about the
surgery. What would be the best point rx? - ANSWER-PC4, PC6, Moxa on SP1
A 35 y/o M pt c/o fixed pain in the hypochondria, indigestion, fullness in the chest and
abdomen with belching. He explains that after arguing with his girl friend, the sx got
worse. WHat formulas can be used in this case? - ANSWER-Yue ju wan
