Foundations - Practice Test B

Question / Answer
  1. In diagnosing the surface of the skin a darkish hue color can indicate
  2. obstruction
  3. local pain
  4. heat
  5. cold
/ A
  1. The Gall Bladder divergent channel separates from its primary channel at the
  2. Shoulder
  3. Lateral Thigh
  4. Popliteal fossa
  5. Head
/ B
  1. What do the Penetrating Vessel (Chong Mai) and Directing Vessel (Ren Mai) provide for the uterus
  2. Bodily Fluids and Blood
  3. Qi and Essence
  4. Blood and Qi
  5. Essence and Shen
/ C
  1. A patient has abdominal pain, desire for hot drinks, desire for abdominal pressure and massage, diarrhea, and clear and profuse urination. What tongue is expected?
  2. Swollen tongue with greasy yellow coating
  3. Pale tongue or white coating
  4. Greasy yellow coating
  5. Pale tongue with thin yellow coating
/ B
  1. A 35 year-old woman was diagnosed with MS one year ago. Her first symptoms which continue to this day were tingling of the limbs and mouth, dizziness, heavy feelings in the head and legs, and tiredness. The tongue is swollen with sticky coating and a crack in the central area. The pulse is slippery (hua mai) and weak (xu mai). What is the diagnosis?
  2. Phlegm Obstructing the Channels, Deficient Spleen and Stomach Qi with Dampness
  3. Deficient Blood, Accumulation of Damp-Phlegm
  4. Deficient Qi and Blood
  5. Liver Yang Rising, Phlegm-Heat
/ A
  1. Which quality of menses would you expect to find in a patient who has sloppy stools, delayed cycle, slow-thin pulse, and lower abdominal pain that prefers warmth?
  2. thick, sticky
  3. with congealed clots and stasis clots
  4. thin
  5. thick and purulent with congealed clots
/ C
  1. A patient has pain in the hypochondriac area with dull pain, dizziness, fatigue, blurred vision, and irritability. The tongue is red with little coating. The pulse is thin and fast. What is the diagnosis?
  2. Liver Fire
  3. Deficient Spleen Qi not nourishing the Heart
  4. Deficient Essence and Blood with Endogenous Heat
  5. Liver Stagnant Qi
/ C
  1. A 32 year-old male patient has inability to walk (he can't lift his foot properly), dry throat, dry cough, hoarse voice, a constant low-grade fever which does not improve with sweating and gets worse in the afternoon, exhaustion, breathlessness, night sweating, cloudy and scanty-dark urine with fresh blood, mental restlessness, bitter taste, insomnia, feeling of heaviness in body, feeling of heat in the feet, edema of the legs, and tongue ulcers. The tongue is red at the tip with no coating. The rest of the tongue has yellow-sticky coating. There are red spots on the root of the tongue. The pulse is thin, fast and slippery. What are the patterns?
  2. Heart Fire Blazing; Spleen Damp-Heat; Lung Yin Deficiency
  3. Hyperactive Liver Yang; Bladder Damp-Heat; Lung Qi Deficient
  4. Lung Yin Deficiency; Invasion of Damp-Heat; Bladder-Heat
  5. Deficient Lung Qi; Accumulation of Dampness; Liver Yin Deficiency with Empty Fire
/ C
  1. A patient has edema of the face and ankles, which comes and goes, pale face, pale tongue, loose stools, and poor appetite. Which of the following actions would you take?
  2. Tonify Deficient Spleen Qi
  3. Drain Accumulated Dampness
  4. Tonify Deficient Spleen Qi and Drain Accumulated Dampness
  5. Drain Dampness first and then Tonify the Deficient Spleen Qi
/ A
  1. One of your patients makes an explicit seductive move towards you. What should you do?
  2. Tell them it is inappropriate in the clinic but that you will see them outside of clinic
  3. Tactfully confront patient and refuse
  4. Tell them that you feel flattered
  5. Tactfully confront patient and make a note on patient's record
/ D
  1. A child has unrelenting whooping cough, expectorates thick-yellow phlegm, has thirst, feeling of oppression in the chest, insomnia, heavy feeling of the head, red tongue, and slippery-fast pulse. Which of the following actions would you take?
  2. Clear Lung Heat and Transform Phlegm and Stop Cough
  3. Clear Lung Heat
  4. Transform Phlegm and Stop Cough
  5. Clear Lung Heat first and then Transform Phlegm and Stop Cough
/ A
  1. This method of identifying patterns is often used in conjunction with the method according to the 4 Levels for the diagnosis and treatment of conditions with invasion of external Wind-Heat
  2. According to the 8 Principles
  3. According to Pathogenic Factors
  4. According to the 6 Stages
  5. According to the 3 Burners
/ D
  1. A 40 year-old woman has an acute viral infection. A week ago she had high fever, a very stiff neck and a severe headache. The symptoms resembled meningitis but that has been ruled out. Current symptoms include high fever, extremely weak legs, strong cough, epistaxis, thirst, dry throat, scanty and dark urine, and dry skin. The tongue is red without coating. The pulse is thin (shi mai) and fast (shuo mai). What is the diagnosis?
  2. Heat in Lungs Injuring Yin Fluids
  3. Damp-Heat
  4. Wind-Heat Invades Lungs
  5. Stomach Fire
/ A
  1. You are treating a 3 year-old child. You examine the root of the nose and notice greenish maculae. This can indicate
  2. cold condition
  3. problems with feeding
  4. chronic diarrhea from food retention
  5. digestive problems due to deficiency
/ C
  1. In the Lesser-Yang (shao yang) stage the pathogenic factors oscillate between
  2. Greater-Yang (tai yang) and Greater-Yin (tai yin)
  3. Lesser-Yang (shao yang) and Greater-Yang (tai yang)
  4. Greater-Yang (tai yang) and Bright-Yang (yang ming)
  5. Lesser-Yang (shao yang) and Bright-Yang (yang ming)
/ C
(AOMA teaches it as taiyang, ym, shaoyang. Others vary)
  1. Thirst, irritability, sour regurgitation, bitter taste, mouth ulcers, loose stools, Borborygmi and profuse-pale urine indicate
  2. True Heat-False Cold
  3. Heat on the Exterior-Cold in the Interior
  4. Cold on the Exterior-Heat in the Interior
  5. Heat above-Cold below
/ A
  1. A patient has slight breast distention and irritability before the period and occasionally after. She has sore back and knees, dizziness, blurred vision, poor memory, insomnia, dry eyes and throat and afternoon sensations of heat. The tongue is red and without coating. The pulse is floating-empty. What is the diagnosis?
  2. Stagnant Liver Qi
  3. Spleen Qi Deficiency
  4. Liver Blood Deficiency
  5. Liver and Kidney Yin Deficiency
/ D
  1. Which channel treats back pain and sciatica?
  2. yang qiao mai (yang stepping vessel)
  3. du mai (governing vessel)
  4. yang wei mai (yang linking vessel)
  5. dai mai (girdle vessel)
/ A
  1. Though tinnitus is difficult to treat, which of the following types of tinnitus can you expect better results?
  2. Kidney Yin or Yang Deficiency
  3. Phlegm-Fire
  4. Kidney Essence Deficiency
  5. Liver-Fire
/ D
  1. The most difficult type of Chest Painful Obstruction Syndrome to treat is when the tongue is
  2. Thin and dry
  3. Deep red
  4. Dark purple
  5. Pale, swollen and wet
/ C
  1. What is the definition of clean field?
  2. Techniques that destroy all microbial life on inanimate objects
  3. The area that has been prepared to protect the sterility of needles
  4. Techniques that destroy bacteria
  5. Techniques that destroy or inhibit the growth of pathogens on the skin
/ A
  1. A patient has amenorrhea with delayed menstrual cycle and gradual decrease of menses, poor appetite, loose stools, dizziness, and sallow complexion. The tongue is pale with little coating . The pulse is weak. What is the diagnosis?
  2. Deficient Spleen and Stomach Qi
  3. Deficient Spleen Qi with Damp Obstruction
  4. Deficient Liver Blood
  5. Deficient Blood
/ D
  1. Loose stools, edema, and weak limbs is diagnosed as
  2. Water over-acting on Fire
  3. Fire not generating Earth
  4. Water insulting Earth
  5. Earth insulting Wood
/ C
  1. A 65 year-old man has had Parkinson's disease for fifteen years. When it started he first experienced poor concentration and memory, insomnia and dizziness. A few months later he developed a tremor in his head with stiffness of neck and difficulty walking. These symptoms continue until this day. Additional symptoms include dry mouth, blurry vision, nausea, and a nasal discharge. The tongue is red with greasy yellow coating. The pulse is slippery (hua mai) and slightly wiry (xuan mai). What is the diagnosis?\
  2. Deficient Liver Blood Causing Wind
  3. Extreme Heat Generating Wind
  4. Stomach Phlegm-Heat
  5. Phlegm-Heat, Liver Wind
/ D
  1. Which meridian activates the Triple Burner; transforms, transports, and excretes fluids; promotes descending Lung qi and receives Kidney qi; moves qi in lower burner and uterus; regulates the uterus; and nourishes yin?
  2. chong mai (directing vessel)
  3. ren mai (directing vessel)
  4. dai mai (girdle vessel)
  5. yin wei mai (yin linking vessel)
/ B
  1. Continuous fever that decreases after sweating but soon increases, nausea, red tongue with sticky yellow coating, soggy-fast pulse is a Qi level pattern of
  2. Damp-Heat in Stomach and Spleen
  3. Gall Bladder Heat
  4. Stomach Heat
  5. Lung Heat
/ A
  1. A 42 year-old female has had severe abdominal and hypogastric pain for the past three months. During the pain she had a slight fever and the pain was so severe she doubled up from the spasms. After each attack the stools were loose and she felt weak. Now the abdominal pain is sometimes triggered after exertion and worse from pressure. She also has vaginal discharges, poor appetite, weak legs, and general exhaustion. Recently she has had bleeding between periods and edema of the ankles. Her voice is weak and withdrawn. The tongue is peeled except for a thin yellow coat at the center. The tongue body is thin with crack on the root. The pulse is fast, slippery, and floating-empty. What are the patterns?
  2. Spleen Damp-Heat; Deficient Qi; Deficient Stomach Yin
  3. Deficient Kidney Yin; Deficient Spleen and Stomach Qi
  4. Deficient Kidney Yang; Deficient Stomach Yin; Damp-Heat
  5. Spleen Qi Deficiency; Kidney Yin Deficiency; Damp-Heat
/ D
  1. A 50 year-old woman has had blood in her stool for the past five years. The blood is bright red. There is no abdominal pain and no hemorrhoids. The BMs are loose and frequent. She feels cold and tired. She is depressed that she is not getting better. The tongue is pale and swollen with white greasy coating. The pulse is generally weak (xu mai). What is the treatment plan?
  2. Cool Blood, Clear Heat
  3. Regulate Liver, Smooth Qi, Tonify Spleen
  4. Tonify and Warm Kidney Yang
  5. Tonify and Warm Spleen Yang
/ D
  1. You are treating a patient for Parkinson's disease. Which of the following tongues indicate a poor prognosis?
  2. Pale and dry tongue
  3. Pale and moist tongue
  4. Red and thick yellow coating
  5. Red, thin, dry and peeled tongue
/ D
  1. Which of the following pulses does not indicate collapse of yang?
  2. minute pulse
  3. hidden pulse
  4. scattered pulse
  5. slow pulse
/ A
  1. A 57 year-old male has asthma, difficulty inhaling, fast and weak breathing, cough with blood-tinged yellow sputum, migraines, dizziness not improved with rest, whole face is red, epigastric pain, dry mouth and throat especially in the afternoon with increased sensations of heat in the afternoon, fullness after eating, sore back, cold limbs after sweating, constipation. The tongue is red with redder sides. The front part of tongue is swollen. There is yellow coating without root. The pulse is wiry, slippery, and slightly floating-empty with the rear position deep and weak. What are the patterns?
  2. Liver Yang Rising; Phlegm Obstructs Lungs; Stomach Fire
  3. Liver Fire Insults Lungs; Stomach Yin Xu; Kidneys Not Grasping Qi
  4. Liver and Kidney Yin Deficiency with Empty Heat; Deficient Stomach Qi
  5. Liver Attacks Stomach; Deficient Lung Yin; Deficient Kidney Yin
/ B
  1. A patient has weak knees and legs, poor memory, loose teeth, falling hair with premature greying, weak sexual drive, night sweats, and sore back. What tongue is expected?
  2. Red tongue with yellow coating
  3. Pale tongue, swollen tongue, white coating
  4. No coating
  5. Red tongue
/ C
  1. A patient has low-grade afternoon fever, night sweats, hot sensations in the palms, dry mouth at night, and red tongue without coating. What is the root (ben)?
  2. Empty Heat
  3. Deficiency
  4. Excess Yang
  5. Deficient Yin
/ D
  1. Feelings of heaviness, tired limbs, jaundice, hypochondriac pain, distention
  2. Fire not generating Earth
  3. Water insulting Earth
  4. Earth insulting Wood
  5. Earth not generating Metal
/ C
  1. Yesterday a patient had high fever, thirst, and sweating. Today the symptoms are fever worse at night, insomnia, thirst, irritability, and hematuria. What is your assessment?
  2. Qi stage
  3. Wei stage progressing to Ying stage
  4. Qi stage progressing to Xue stage
  5. Qi stage progressing to Ying stage
/ C
  1. People who have a weak prenatal constitution have all of the following characteristics except
  2. long wide nose
  3. narrow cheeks
  4. eyes, nose, mouth close together
  5. narrow forehead and glabella
/ A
  1. A 82 year-old woman has chest pain with a sensation of oppression. The pain is triggered with exercise and air conditioned rooms. She has shortness of breath and pale complexion. The tongue is overall pale and swollen with a purplish tinge on the sides. The pulse is deep (chen mai) and weak (xu mai). What is the treatment plan?
  2. Release Exterior, Expel Cold
  3. Tonify Fire to nourish Earth
  4. Expel Cold in chest, Tonify Yang
  5. Resolve Phlegm, Transform Dampness
/ C
  1. A patient has external Wind-Cold, later develops a fever. Which of the following is applicable?
  2. Yin transforms into Yang
  3. Yang consumes Yin
  4. Yang transforms into Yin
  5. Yin and Yang are opposites
/ A
  1. Which meridian treats abdominal pain; painful red eyes; sleep; and atrophy syndrome?
  2. yin wei mai (yin linking vessel)
  3. yang qiao mai (yang stepping vessel)
  4. yang wei mai (yang linking vessel)
  5. yin qiao mai (yin stepping vessel)
/ D
  1. A 72 year-old woman has had a cough for 10 years. The cough produces scanty but sticky yellow phlegm. She experiences a sense of oppression in the chest area. The tongue is red with the front part redder. It is dry and without coating. The pulse is generally floating (fu mai) and empty (xu mai). It is slightly slippery (hua mai) in the right front position. What’s tx plan?
  2. Tonify Spleen Qi, Resolve Dampness
  3. Resolve Exterior, Expel Heat, Moisten Dryness, Descend Lung qi
  4. Resolve Phlegm, Clear Heat, Nourish Lung Yin
  5. Resolve Exterior, Expel Heat, Stop Cough
/ C
  1. A 42 year-old man complains of tinnitus for the past 10 years. He has a dry mouth, back pain, dizziness, slight hearing loss, impotence, and slight mucous discharge from the penis. He also complains of diarrhea mixed with mucous. He has poor sleep and wakes up frequently with a dry throat. He has soft nodules under the skin and mucous in the lungs. The tongue is a little red and has swollen sides. The coating is without root and some areas are peeled. The pulse is thin (xi mai) on the right, a little slippery (hua mai) and full (shi mai) on the left and weak (xu mai) in the left rear position. What is the treatment plan?
  2. Resolve Phlegm, Transform Dampness
  3. Tonify Spleen, Resolve Phlegm, Nourish Kidney Yin
  4. Tonify Spleen and Kidney Yang, Resolve Damp-Phlegm
  5. Open the Heart, Resolve Phlegm, Clear Consciousness
/ B
  1. The areas overlying the ovaries are the hara diagnostic areas for the
  2. Large Intestine
  3. Chong Mai
  4. Small intestine
  5. Liver
/ C
  1. Children who like lying down and have unsettled palpitations have a pattern of
  2. Vacuity
  3. Repletion
  4. Heat
  5. Cold
/ A
  1. A patient has erysipelas with red, hot burning pain. The color changes from bright red to dull red in several days followed by healing with desquamation. Other symptoms include fever, irritability, thirst, poor appetite, constipation, dark urine. The tongue has a sticky and yellow coating. The pulse is fast.
  2. Excess Heat
  3. Damp-Heat
  4. Wind-Damp
  5. Wind-Heat
/ B
  1. The pulse is like a wave that hits with strength but goes away weak. Has sensation of being full. Which pulse is it?
  2. Big Pulse (Da Mai)
  3. Flooding Pulse (Hong Mai)
  4. Full Pulse (Shi Mai)
  5. Hollow Pulse (Kou Mai)
/ B
  1. If you visualize the internal organs and their direction of Qi flow, you can make all BUT ONE of these comparisons to a wheel?
  2. The Heart and Kidney are the root
  3. The Liver and Lungs make up the outer rim of the wheel
  4. The Stomach and Spleen are the axis
  5. The Large Intestine and Small Intestine form the spokes
/ D