CALE Mock Exam 5 Graded A+
A 12 y/o F with a childhood history of asthma complained of cough, dyspnea and
wheezing after visiting a riding stable. Her sx became so severe that her parents
brought her to the ER. Physical examination revealed diaphoresis, dyspnea,
tachycardia and tachypnea. Her respiratory rate was 42/min, pulse rate was 110 BPM
and blood pressure was 132/65 mmHg. Which is the most appropriate drug to rapidly
reverse bronchoconstriction? - ANSWER-Inhaled abuterol, beta 2 agonist
A 14 y/o M pt has a history of food and environmental allergies with a cough that
produces a white copious sputum. He also has loss of appetite, N/V or clear phlegm,
loose stool, pasty pale complexion and focal distention in the chest and abdomen. He
says he cannot keep up with the other children at school and doesn't play a lot of sports
because his arms and legs get tired very easily. He was placed on a modified version of
si jun zi tang. What herbs were added? - ANSWER-Ban xia and Chen pi
A 23 y/o F pt came to your office who has had a history since childhood of hands and
feet and a tendency to sweat profusely, especially during menstrual periods and when
excited. Sweat would drip from her palms and feet and soak through her socks and
shoes. Western medical dx for this pt is functional disturbance of the autonomic nervous
system. Various vitamins and medicines were rx but with little effect. The pt is lively and
healthy. Examination of the heart and lungs was negative. The liver and spleen were
not palpable. Body temperature, blood pressure and other laboratory findings were all
within normal limits. Her palms and soles were normal in color and temperature, but are
extremely sweaty. She complains of thirst, preferred cold beverages and was irritable.
T: red without coating. P: thin and rapid. What is the best dui xui combination for this pt?
- ANSWER-HT6, HT7
A 28 y/o M pt who suffers from eczema and the affected area is dry and itchy. For the
last few days he had a flare up of his condition. On examination, you noticed his elbows
to be red and dry, with blistering and scaling as well. You rx him a formula with Jing jie,
Fang Feng, Niu bang zi and Chan tui as king herbs. T: slightly yellow coat, what pulse is
expected? - ANSWER-Forceful, floating and rapid
A 35 y/o M pt was dx with HTLA type 3 virus 3 yrs ago. Currently, he suffers from a
continuous low fever, night sweats, fatigue, weakness, HA, nausea, poor appetite. T:
reddish with little coating. P: thready, rapid. What is the syndrome differentiation in this
case? - ANSWER-Deficient Qi and yin
A 38 y/o M pt visited the clinic for abdominal pain with tenesmus which started about 2
weeks ago. The diarrhea contains more blood than pus. What is the best formula for
this pt? - ANSWER-Bai tou weng tang
A 40 y/o F pt has an acute viral infection. A week ago she had a high fever, a very stiff
neck and a severe HA. The sx resembled meningitis, but that has been ruled out.
, Current sx include high fever, extremely weak legs, strong cough, epistaxis, thirst, dry
throat, scanty and dark urine and dry skin. T: red without coat. P: thin and fast. What is
the dx? - ANSWER-Heat in the lungs injuring yin fluids
A 44 y/o F pt has been suffering from difficult and frequent urination for 3 years. There
is some dribbling after micturation and a dragging feeling with a slight pain in the
hypogastrium. She also experiences general exhaustion, a sore back, depression and a
cold feeling. All symptoms are aggravated by overwork. her urinary symptoms started 2
months after a hysterectomy which was performed to treat excessive menstrual flow. In
which position will her pulse be the weakest? - ANSWER-3rd position
A 45 y/o F pt came in with low back pain. Physical tests show that her lumbar curve is
more bent than normal. What is the dx? - ANSWER-Lordosis
A 45 y/o M pt has been taking Ba zhen tang, now he has insomnia and constipation.
What herb can be added? - ANSWER-Bai zi ren
A 53 y/o M pt came to the clinic explaining that he had been soaked in the heavy rain
the day before. The rain caused him to feel sore and cold in his extremities and to
sneeze. After he got home he drank some ginger tea and ate some baked cakes and
cooked pork. In the middle of the night he woke up with sudden pain in his abdomen
and passed diarrhea twice that contained undigested food. This morning he passed
diarrhea an additional three times. He has the following sx: feels cold and likes warmth,
HA, no thirst. T: pale with greasy white fur. P: superficial, even and soft pulse. What
combination of points would you use to treat this condition? - ANSWER-Ren12, ST25,
ST37 and SP9
A 64 y/o M pt has hypertension with hyperlipidemia, but has not received regular
treatments. Yesterday after jogging, he suddenly had chest pain which radiated to the
medial aspect of the arm. He went to the emergency room and an electrocardiogram
showed an abnormal Q wave. He also had purple, blue lips and an irregular pulse. What
is the most likely dx? - ANSWER-Acute myocardial infaction
A F pt is suffering from constipation, she has not had a BM for more than 4 days. This
morning she finally has a BM with small, bitty stools like goat stool. What is the dx? -
ANSWER-Stagnation of liver qi and heat in the intestines
A M pt is a high risk heart disease pt, he underwent an angioplasty 3 months ago. His
Md prescried him with warfarin and beta blockers. What herb is not a caution for him? -
ANSWER-Che qian zi
A M pt went camping last weekend with his family, after he came back he complained
about thirst without fever, abdominal distention that is alleviated after passing gas. What
may be the responsible pathogenic organism? - ANSWER-Giardia
A 12 y/o F with a childhood history of asthma complained of cough, dyspnea and
wheezing after visiting a riding stable. Her sx became so severe that her parents
brought her to the ER. Physical examination revealed diaphoresis, dyspnea,
tachycardia and tachypnea. Her respiratory rate was 42/min, pulse rate was 110 BPM
and blood pressure was 132/65 mmHg. Which is the most appropriate drug to rapidly
reverse bronchoconstriction? - ANSWER-Inhaled abuterol, beta 2 agonist
A 14 y/o M pt has a history of food and environmental allergies with a cough that
produces a white copious sputum. He also has loss of appetite, N/V or clear phlegm,
loose stool, pasty pale complexion and focal distention in the chest and abdomen. He
says he cannot keep up with the other children at school and doesn't play a lot of sports
because his arms and legs get tired very easily. He was placed on a modified version of
si jun zi tang. What herbs were added? - ANSWER-Ban xia and Chen pi
A 23 y/o F pt came to your office who has had a history since childhood of hands and
feet and a tendency to sweat profusely, especially during menstrual periods and when
excited. Sweat would drip from her palms and feet and soak through her socks and
shoes. Western medical dx for this pt is functional disturbance of the autonomic nervous
system. Various vitamins and medicines were rx but with little effect. The pt is lively and
healthy. Examination of the heart and lungs was negative. The liver and spleen were
not palpable. Body temperature, blood pressure and other laboratory findings were all
within normal limits. Her palms and soles were normal in color and temperature, but are
extremely sweaty. She complains of thirst, preferred cold beverages and was irritable.
T: red without coating. P: thin and rapid. What is the best dui xui combination for this pt?
- ANSWER-HT6, HT7
A 28 y/o M pt who suffers from eczema and the affected area is dry and itchy. For the
last few days he had a flare up of his condition. On examination, you noticed his elbows
to be red and dry, with blistering and scaling as well. You rx him a formula with Jing jie,
Fang Feng, Niu bang zi and Chan tui as king herbs. T: slightly yellow coat, what pulse is
expected? - ANSWER-Forceful, floating and rapid
A 35 y/o M pt was dx with HTLA type 3 virus 3 yrs ago. Currently, he suffers from a
continuous low fever, night sweats, fatigue, weakness, HA, nausea, poor appetite. T:
reddish with little coating. P: thready, rapid. What is the syndrome differentiation in this
case? - ANSWER-Deficient Qi and yin
A 38 y/o M pt visited the clinic for abdominal pain with tenesmus which started about 2
weeks ago. The diarrhea contains more blood than pus. What is the best formula for
this pt? - ANSWER-Bai tou weng tang
A 40 y/o F pt has an acute viral infection. A week ago she had a high fever, a very stiff
neck and a severe HA. The sx resembled meningitis, but that has been ruled out.
, Current sx include high fever, extremely weak legs, strong cough, epistaxis, thirst, dry
throat, scanty and dark urine and dry skin. T: red without coat. P: thin and fast. What is
the dx? - ANSWER-Heat in the lungs injuring yin fluids
A 44 y/o F pt has been suffering from difficult and frequent urination for 3 years. There
is some dribbling after micturation and a dragging feeling with a slight pain in the
hypogastrium. She also experiences general exhaustion, a sore back, depression and a
cold feeling. All symptoms are aggravated by overwork. her urinary symptoms started 2
months after a hysterectomy which was performed to treat excessive menstrual flow. In
which position will her pulse be the weakest? - ANSWER-3rd position
A 45 y/o F pt came in with low back pain. Physical tests show that her lumbar curve is
more bent than normal. What is the dx? - ANSWER-Lordosis
A 45 y/o M pt has been taking Ba zhen tang, now he has insomnia and constipation.
What herb can be added? - ANSWER-Bai zi ren
A 53 y/o M pt came to the clinic explaining that he had been soaked in the heavy rain
the day before. The rain caused him to feel sore and cold in his extremities and to
sneeze. After he got home he drank some ginger tea and ate some baked cakes and
cooked pork. In the middle of the night he woke up with sudden pain in his abdomen
and passed diarrhea twice that contained undigested food. This morning he passed
diarrhea an additional three times. He has the following sx: feels cold and likes warmth,
HA, no thirst. T: pale with greasy white fur. P: superficial, even and soft pulse. What
combination of points would you use to treat this condition? - ANSWER-Ren12, ST25,
ST37 and SP9
A 64 y/o M pt has hypertension with hyperlipidemia, but has not received regular
treatments. Yesterday after jogging, he suddenly had chest pain which radiated to the
medial aspect of the arm. He went to the emergency room and an electrocardiogram
showed an abnormal Q wave. He also had purple, blue lips and an irregular pulse. What
is the most likely dx? - ANSWER-Acute myocardial infaction
A F pt is suffering from constipation, she has not had a BM for more than 4 days. This
morning she finally has a BM with small, bitty stools like goat stool. What is the dx? -
ANSWER-Stagnation of liver qi and heat in the intestines
A M pt is a high risk heart disease pt, he underwent an angioplasty 3 months ago. His
Md prescried him with warfarin and beta blockers. What herb is not a caution for him? -
ANSWER-Che qian zi
A M pt went camping last weekend with his family, after he came back he complained
about thirst without fever, abdominal distention that is alleviated after passing gas. What
may be the responsible pathogenic organism? - ANSWER-Giardia
