Foundations
Practice Test 8
1. In manic-depression due to Phlegm-Fire which factor is responsible for
the depressive stage?
a)
b)
c)
d)
Fire
Phlegm and Fire
Phlegm alternating with Fire
Phlegm
2. Which vessel has anxiety, pensiveness, insomnia, obsessive thoughts,
lack of will-power, loss of self-control, depression, sadness,
meloncholy, crying, forgetfullness, and mental cloudiness?
a)
b)
c)
d)
Governing Vessel (du mai)
Yin Linking Vessel (yin wei mai)
Directing Vessel (ren mai)
Yin Stepping Vessel (yin qiao mai)
3. A young married couple are unable to conceive. The 27 year-old husband
has frequent desire for sex. He has no difficulty with maintaining an
erection. He can have sex for up to one hour but is not able to
ejaculate. He usually has a spontaneous emission a few hours after the
sexual act. His other symptoms include restlessness, dark yellow urine,
and dry mouth. He has a red face and blood tinged eyes. The tongue is
red. The pulse is fast and wiry. What is the diagnosis?
a)
b)
c)
d)
Heart Fire
Liver Yang Rising
Liver Fire Blazing
Damp-Heat Obstructing
4. Which of the following has an incorrect pulse associated with an
extraordinary vessels clinical manifestation pattern?
a)
b)
c)
d)
The Yin Linking Vessel has a wiry pulse on the medial side of the rear position
The Girdle Vessel has wiry pulses on both middle positions
The Yin Stepping Vessel has wiry pulses on both rear positions
The Yang Stepping Vessel has wiry pulses on both front positions
5. In a patient with a bleeding problem which of the following is not a
step in Harmonizing Blood?
a)
b)
c)
d)
Eliminate Stasis
Calm Blood
Nourish Blood
Warm Blood
6. A 36 year old woman had been suffering from chronic menorrhagia. The
bleeding was irregular and constant for months. She bled every day and
did not know when her periods occured. She has a pale-sallow complexion,
tiredness, weak voice, loose stools, and a weak pulse. She often feels
thirsty, her cheeks were occasionally flushed and her tongue had a
slight redness on the sides. The pulse was sligthly fast. What is the
Root pattern for her bleeding?
a)
b)
c)
d)
Blood Heat
Yin Deficiency
Blood Deficiency
Qi Deficiency
7. A 45 year-old man has a dark complexion, stabbing epigastric pain which
is worse at night. The tongue is normal except for a purplish tinge in
the center. What is the treatment plan?
a)
b)
c)
d)
Clear Heat, Move Blood, Harmonize Stomach, Stop pain
Move Blood, Eliminate Stasis, Harmonize Stomach, Stop pain
Soothe the Liver, Move Blood, Harmonize Stomach, Stop pain
Regulate Stomach, Tonify Spleen, Move Blood, Stop pain
8. A patient has joint pain which is worse in cold weather. What dietary
advice would you give?
a)
b)
c)
d)
Sweets and cheese
Grains and vegetables
Fruits and salads
Lamb with ginger
9. A patient has sudden edema of the eyelids and face gradually involving
the rest of the body, scanty and clear urination, aversion to wind, and
cough. What tongue is expected?
a)
b)
c)
d)
Thick and dry-white coating
Wet with no coating
Thin-yellow coating
White and wet-slippery coating
10. The decision to treat the manifestation (biao) or the root (ben) depends on
a)
b)
c)
d)
Duration of disharmony
Severity of clinical manifestations
Condition of Upright Qi (zhen qi)
Age of patient
11. 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 but less so, 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 treatment plan?
a)
b)
c)
d)
Clear Stomach Fire, Descend Lung Qi
Release Exterior, Clear Heat, Stimulate Descending and Dispersing Lung Functions
Clear Heat, Resolve Dampness
Clear Heat, Cool Blood, Nourish Lung Yin
12. A 42 year-old woman has fibroid tumors in the uterus. The lower abdomen
is distended. Her periods are heavy with dark blood which has clots. She
has excess vaginal discharge which is yellow and offensive. The tongue
is purplish. The pulse is deep (chen mai), wiry (xuan mai), and slippery
(hua mai). What is the diagnosis?
a)
b)
c)
d)
Phlegm Nodules in the Uterus
Excess Cold Stagnating Blood
Stagnant Liver Blood, Damp-Heat in the Lower Burner
Stagnant Liver Qi
13. Chronic loose stools, chilliness, cold back sensations, and
deep-weak-slow pulse are symptoms of
a)
b)
c)
d)
Kidney Yang Deficiency
Kidney Qi Not Firm
Kidney and Spleen Yang Deficiency
Kidney Yang Deficiency with Water Overflowing
14. What is the treatment principle for Wind-Stroke of the tense type?
a)
b)
c)
d)
Rescue Yin
First rescue Yin then rescue Yang
Rescue Yang
Rescue Yin and Yang
15. Which of the following is not a main pathological factor for Wind-Stroke?
a)
b)
c)
d)
Phlegm
Wind
Cold
Stasis of Blood
16. The Stomach divergent channel separates from its primary channel at the
a)
b)
c)
d)
Anterior Thigh
Head
Popliteal fossa
Shoulder
17. A 24 year-old man has recently had an appendectomy. After the operation
there is abdominal distention with no gas being passed. The complexion
is dark. He is restless. The mouth is dry but has no desire to drink. He
has a bitter taste in the mouth. The urine is scanty and yellow. He is
nauseous and occasionally vomits. The tongue is dark red with greasy and
yellow coating. The pulse is deep and forceful (shi mai). What is the
diagnosis?
a)
b)
c)
d)
Liver Yang Rising
Damp-Heat Obstructing Intestine Qi leading to Rebellious Stomach Qi
Liver Fire
Stagnant Liver Qi Invading Stomach
18. A 37 year-old professional ice skater has been depressed ever since he
fell and broke his leg. He has been worried about being unable to
continue his career. He has insomnia, poor memory, and inappropriate
laughter and crying, irritable, and mentally confused. He looks gloomy
and has a pale complexion. Other symptoms include a heavy feeling in the
head and a rattling sound in the throat. He has poor appetite. There is
a sense of distention in the chest and in the hypogastrium. He has
palpitations. When he is able to sleep he has nightmares. The tongue is
pale with greasy-white coating. The pulse is wiry and thin. What is the
diagnosis?
a)
b)
c)
d)
Heart Fire
Phlegm-Fire Stagnating Liver Qi
Liver Stagnant Qi, Phlegm disturbing the Heart
Liver Fire
19. A 48 year old female has been suffering from asthma for a long time. She
has loose stools, back pain, frequent pale urination, tiredness, a
feeling of oppression in the chest, cough with sticky sputum, weak
pulse, and a pale tongue. What treatment approach would you use?
a)
b)
c)
d)
Expel pathogenic factors
Expel pathogenic factors first and later Tonify the body's Qi
Tonify the body's Qi
Simultaneously Expel pathogenic factors and Tonify the body's Qi
20. A thin and wiry pulse most likely indicates
a)
b)
c)
d)
Deficient Qi and Blood
Stagnant Liver Qi
Liver Yang Rising
Deficient Liver Blood
21. Malar flush, dry mouth at night, insomnia, dizziness, back pain, and
night sweating is
a)
b)
c)
d)
Water over-acting on Fire
Fire insulting Water
Fire over-acting on Metal
Fire not generating Earth
22. A soggy pulse (ru mai) is a combination of
a)
b)
c)
d)
Slow, slippery, and flooding pulses
Deep, tight, and weak pulses
Thin, empty, and floating pulses
Hidden, scattered, and hollow pulses
23. A 72 year-old man has Parkinson's disease. He has tremors of his left
arm. He can voluntarily stop the tremors. He has a stiff neck and back,
sweating, dizziness, dry mouth, a feeling of oppression in the chest. He
frequently spits yellow-phlegm. He is overweight and dislikes any type
of exercise. The tongue is red with yellow-greasy moss. The pulse is
wiry and fast. What is the diagnosis?
a)
b)
c)
d)
Extreme Heat Agitating Wind
Phlegm-Heat Agitating Wind
Liver Yang Rising
Internal Wind
24. A 34 year-old woman has PMS. Symptoms include slight abdominal and
breast distention, tiredness, frequent urination, unformed stools,
depression, back pain, and low sex-drive. The tongue is pale. The pulse
is weak. What is the diagnosis?
a)
b)
c)
d)
Spleen and Kidney Yang Deficiency
Spleen Qi and Liver Blood Deficiency
Liver and Kidney Yin Deficiency
Stagnant Liver Qi
25. A patient has dry stools which are difficult to pass, dry mouth and
throat, and a thin body, dry tongue without coating, and a thin pulse.
What is the treatment principle?
a)
b)
c)
d)
Clear Heat
Clear Heat in Stomach and Large Intestine, Promote Bowel Movement
Clear Heat in the Large Intestine and Stomach, Promote Body Fluids
Promote Fluids in Large Intestine
Foundations – Test 8 Answer Key
1. d
2. b
3. c
4. a
5. d
6. a
7. b
8. d
9. d
10. b
11. d
12. c
13. c
14. a
15. c
16. a
17. b
18. c
19. d
20. d
21. b
22. c
23. b
24. a
25. d