Foundations
Practice Test C
1. An intermittent-slow pulse indicates a) severe spleen qi deficiency with diarrhea b) exhaustion of original qi c) exhaustion of body fluids d) heart disease
2. A 33 year-old patient has had painful periods for five years. The pain occurs during her period. She generally feels cold during her period. She has a history of miscarriages. Other symptoms include back pain, dizziness, tinnitus, poor memory, dry mouth, night sweating, and dribbling urination. What is the diagnosis? a) Deficiency of Kidney Yin and Yang b) Deficiency of Kidney Yin with False Cold c) Deficiency of Kidney Yang with False Heat d) Deficiency of Kidney Yin with Excess Internal Cold
3. A patient has dribbling after urination and nocturnal emissions without dreams. What is the treatment plan? a) Tonify and Warm the Kidneys, Strengthen Ming Men b) Nourish the Essence c) Tonify and Warm Spleen and Kidney Yang d) Tonify and Stabilize Kidney Qi
4. In Akabane diagnosis you are looking for which patient response? a) the number of times an incense stick is run across the jing well points before the skin becomes red b) the number of times an incense stick is run across the jing well points before the skin sweats c) the number of times an incense stick is run across the jing well points before the patient feels the heat d) the number of times an incense stick is run across the jing well points before the patient feels pain

5. The twelve sinew channels follow the course of the primary channels but a) are wider b) are shorter c) are longer d) are narrower
6. The color of the tip of the nose can be used in diagnosis. Which of the following nose tip colors are paired with the correct condition a) Red/ Damp-Heat b) Green/abdominal pain c) White/ impairment of Water d) Yellow/ Blood deficiency
7. A 54 year-old male has dry cough and throat, burning sensation and pain in the epigastrium, night sweats, thirst with desire for cold drinks, palpitations, insomnia, sour regurgitation, and constipation. The tongue is red with a redder tip and a midline crack. There is some but not much thick-yellow dry coating. The pulse is fast, slippery, and empty. What are the patterns? a) Kidney and Heart not Harmonized; Stomach Fire; Kidney and Lung Yin Deficiency b) Lung Heat; Heart Fire Blazing; Phlegm Fire c) Empty Kidney Fire; Phlegm Fire; Deficient Heart Yin d) Deficient Kidney Yin; Heart Fire Blazing; Stomach Heat
8. A 27 year-old male has a slight cough with low sound, sticky yellow nasal discharge with tenderness over maxillary sinuses, headaches, sweats easily, has restless sleep, nightmares, thirst, weak voice, bitter taste, tiredness, dark urine, feeling of heat. The tongue has red sides.
The moss is yellowish. The pulse is slippery and wiry. What are the patterns? a) Phlegm Heat Harrassing the Mind; Phelgm Obstructing Lungs; Liver Fire Blazing b) Heart Fire Blazing; Liver and Gall-Bladder Heat; Deficient Qi c) Liver Fire Blazing; Lung Phlegm-Heat; Deficient Lung Qi d) Liver attacking Lungs; Hyperactive Liver Yang; Phlegm Obstructing Lungs

9. Which of the following is the most accurate about PHI (protected health information) ? a) Any information that may be used to identify a patient b) Past, present or future physical or mental conditions c) Dates for office visits, birth, admission, discharge, death d) Name, address, social security number, phone, email
10. Scanty menstruation with depletion of body fluids is associated with a) Yellow or dusky complexion b) Yellow-pale facial color c) Dull-white d) Green-blue and white facial color
11. A 60 year-old woman has been diagnosed with rectal prolapse. She has had the problem for two years. The prolapse tends to occur during fatigue. Other symptoms include poor memory, dizziness, weak limbs, sore lower back, cold limbs, and frequent urination. She has a duodenal ulcer with poor appetite, abdominal distention after meals, and loosely formed stools.
The complexion is pale. The tongue is also pale with a thin and white coating. The pulse is deep, thin, and weak. What is the diagnosis? a) Deficiency of Spleen and Kidney Yang, Sinking Spleen Qi b) Deficient Zhong Qi, Deficient Heart Qi, Deficient Kidney Qi c) Sinking of Spleen Qi, Kidney Deficient Yin and Yang d) Stomach Fire with Sinking Spleen Qi, Excess Cold in Lower Burner
12. A 45 year-old woman has profuse menstrual bleeding for the past three months. She bleeds every day and during her period the bleeding increases with the blood becoming dark with tiny clots and abdominal pain. During the days when she is not having a period she spots daily and Symptoms include fatigue, dizziness, tinnitus, feeling very cold, frequent night urine, poor memory, tingling and numbness in the legs, and blurry vision. The tongue is pale with teeth marks. The pulse is choppy (se mai) and weak (xu mai). What is the treatment plan? a) Tonify Kidney Qi, Remove Blood Stasis b) Clear Heat, Cool Blood, Tonify Qi c) Expel Cold, Warm Uterus, Remove Blood Stasis d) Disperse Liver and Move Blood during period, Nourish Liver Blood and Tonify and Warm
Kidney Yang between periods

13. A patient has fever, dark and scanty urine, fullness in the chest and hypochondriac area, jaundice, poor appetite, and vaginal discharge and itching. What pulse is expected? a) Choppy pulse b) Slippery, wiry and fast pulse c) Wiry pulse d) Full pulse
14. A patient has no appetite, feels oppressed in the chest, epigastric area feels oppressed and cold which improves with warmth, heavy head and limbs, white vaginal discharge, sweet taste in the mouth, no appetite, loose stools, and lassitude. What pulse is expected? a) Slippery and slow pulse b) Slippery and fast pulse c) Fine pulse d) Empty and weak pulse
15. Chronic carriers of Hepatitis B can have the virus up to a) twenty years b) ten years c) five years d) one year
16. The Blood level (xue) is characterized by a) mental changes, fever at night b) no aversion to cold, fever, feeling of heat c) aversion to cold and fever d) fever at night, bleeding, macules, internal wind
17. 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. a) Damp-Heat b) Excess Heat c) Wind-Heat d) Wind-Damp

18. A patient has pancreatitis with fever, vomiting, loose stools, scanty yellow urine, slippery and fast pulse. What is your assessment? a) Wei stage b) Qi stage c) Ying stage d) Xue stage
19. Which of the following is the most difficult type of epigastric pain to treat? a) Phlegm-Fluids in the Stomach b) Retention of Food in the Stomach c) Stagnant Liver Qi Invading the Stomach d) Stomach Heat
20. You have treated a patient in the Shao Yang stage. Two days later the patient has abdominal fullness, poor appetite, diarrhea, no thirst, pale tongue and deep pulse. What is your diagnosis? a) Tai yin b) Yang ming c) Jue yin d) Shao yin
21. A healthy 40 year-old male asks you how often can he have sex. Your answer is a) every two weeks b) every 3 days c) every month d) every 8 days
22. In the eye, the blood wheel refers to a) both canthi b) the iris c) the sclera d) the eyelids

23. A 42 year-old man's main complaint is chronic asthma which is now severe with attacks every day. His medications include a corticosteroid and an inhaler. He has tightness in the chest and the asthma worsens with lying down. He expectorates thick yellow phlegm. Other symptoms include epigastric distention. The tongue is a little red with greasy yellow coating. The pulse is full (shi mai), slippery (hua mai) and fast. What is the treatment plan? a) Release Exterior, Expel Cold, Descend Lung Qi, Stop Asthma b) Tonify and Warm Kidneys, Stimulate Kidney function of Receiving Qi, Descend Lung Qi c) Clear Heat, Resolve Phlegm, Descend Lung Qi d) Release Exterior, Expel Heat, Descend Lung Qi, Stop Asthma
24. A patient has amenorrhea due to deficient Liver and Kidney. Which of the following foods should she avoid? a) Mussels b) Salads c) Black beans d) Walnuts
25. A patient has intense thirst with desire for cold drinks. Which level? a) Defensive-Qi level (wei) b) Qi level (qi) c) Nutritive-Qi level (ying) d) Blood level (xue)
26. The Corporal Soul (po) is closely related to a) Breathing b) Thinking c) Sleeping d) Consciousness

27. The Yin divergent channels intersect first with a) Yang divergent channels b) Yin primary organs c) Yang primary channels d) Yin primary channels
28. The jin fluids circulate with a) True Qi b) Defensive Qi (wei qi) c) Nutritive Qi (ying qi) d) Original Qi (yuan qi)
29. A 23 year-old female has frequent stools with fresh blood and mucous. The stools are offensive. She has tiredness which is worse in the afternoon, abdominal distention, lower abdominal pain before her period that is alleviated by heat and made worse when she eats ice cream. Her menstrual blood is scanty with dark clots. She is depressed and sighs alot. Her back is sore. She has thirst without wanting to drink. The tongue is red with a purplish tinge. The coating is yellow and sticky on the root with red dots. The pulse is slippery, fast, and choppy.
What are the patterns? a) Damp-Heat; Stagnant Blood; Stagnant Qi; Empty Cold b) Liver Qi Stagnation; Damp-Heat in Intestines; Cold Stagnation in Uterus c) Obstruction of Spleen by Damp-heat; Stagnant Liver Qi; Deficient Kidney Yang with
Empty Cold d) Stagnant Liver Blood; Kidney Yang Deficiency; Heat Obstructing Large Intestine
30. A minute-deep pulse indicates a) deficient essence b) deficient yin c) exhaustion of blood d) deficient qi and blood

31. A patient has distention in chest and hypochondriac area, sighing, unhappiness, feeling of lump in the throat, and moodiness. What tongue is expected? a) Pale tongue b) Red tongue with redder sides and yellow-dry coating c) Normal tongue color d) Purplish color on the side with purplish spots
32. You observe that your patient has wrinkly skin, large head, broad cheeks, narrow shoulders, large abdomen, and a long spine. This is a a) metal type b) wood type c) fire type d) water type
33. 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 pattern? a) Heat Obstructing Large Intestine b) Large Intestine Heat c) Dry Large Intestine d) Large Intestine Damp-Heat
34. The pathways of the cutaneous regions are associated with the a) Sinew and Divergent channels b) Primary and Luo-Connecting channels c) Extraordinary channels d) The great Luo-Connecting channel of the Spleen
35. Which of the following pulses does NOT have a forceful quality? a) Intermittent pulse (dai mai) b) Slippery pulse (hua mai) c) Wiry pulse (xuan mai) d) Tight pulse (jin mai)

36. The Clear Yang can ascend to the upper orifices only when the a) Lungs can send Qi to the Kidneys b) Descending and ascending functions of Qi are coordinated c) Qi and Blood are balanced d) Liver Qi is smooth
37. A patient has palpitations, restlessness, irritability, insomnia, dizziness, sensations of heat in the latter part of the day, and tinnitus. The tongue is red with little coating. The pulse is thin and fast. What is the diagnosis? a) Deficient Yin with Empty Fire b) Heart Fire Blazing c) Deficient Heart Blood d) Upward Disturbance of Liver Fire
38. What is the Surgeon General recommendation regarding Hepatitis C? a) Individuals who received a blood transfusion after 1992 should be tested for Hepatitis C b) Individuals who received a blood transfusion prior to 1997 should be tested for Hepatitis C c) Individuals who received a blood transfusion prior to 2001 should be tested for Hepatitis C d) Individuals who received a blood transfusion prior to 1992 should be tested for Hepatitis C
39. A 30 year-old woman has irritable bowel syndrome with bowel movements alternating between constipation and diarrhea. The stools can be small and round. She has abdominal pain with uncomfortable sensations of distention. She also has acid reflux and belching and feels heavy. The tongue is normal with redness on the sides and sticky coating. The pulse is slippery
(hua mai) and full (shi mai) in the right middle position. What is the treatment plan? a) Tonify Spleen Qi b) Remove Food Retention, Descend Stomach Qi c) Strengthen Kidney, Warm Yang d) Move Liver Qi, Tonify Spleen and Stomach

40. A 35 year-old woman has had dysmenorrhea since her first period. The pain occurs during the menstrual flow. The blood is dark with clots. The pain improves with a hot water bottle. She has vaginal itching with a yellow and sticky discharge. She has a slight sensation of heat which lasts throughout the day, and offensive smelling stools. The tongue has a purplish tinge with greasy yellow coating. The pulse is choppy (se mai), wiry (xuan mai) and slippery (hua mai).
What is the diagnosis? a) Stagnant Liver Qi Invades Spleen b) Liver Stagnant Blood, Spleen Damp-Heat c) Liver and Gall Bladder Damp-Heat d) Cold Invades Uterus and Stagnates Blood
41. A 65 year-old female has sinusitis with yellow-purulent discharge. She has repeated attacks of cough with profuse expectoration of white-sticky sputum. The cough worsens in the morning and after eating. The eyes are bloodshot. She has headaches in the temple area. She has been experiencing numbness and weakness in the limbs which have a bluish color to them. She has pain on flexing her limbs. She has oppression in the chest, dizziness, whithered lips, bitter taste, breathlessness, and dry stools. The tongue is pale purplish with red sides. The coating is a mixture of thick white and yellow moss. The pulse is slippery, wiry, and choppy. What are the patterns? a) Liver Fire Blazing; Phlegm-Heat in Lungs; Deficient Blood leading to Blood Stasis b) Liver Yang Rising with Wind; Cold-Phlegm transforming into Phlegm-Heat c) Damp-Phlegm in Lungs; Liver Gall Bladder Fire; Blood Stasis in Channel d) Wind in the Channels; Stagnant Blood; Phlegm-Heat; Liver Fire
42. Yesterday a patient had fever, aversion to cold, headache, and cough. Today the symptoms are fever, sweating, fullness in chest, vomiting, loose stools, and yellow-greasy tongue coating. What is your assessment? a) Qi stage progressing to Ying stage b) Wei stage progressing to Ying stage c) Wei stage d) Wei stage progressing to Qi stage

43. A patient has no appetite, feels oppressed in the chest, epigastric area feels oppressed and cold which improves with warmth, heavy head and limbs, white vaginal discharge, sweet taste in the mouth, no thirst, loose stools, and lassitude. What tongue is expected? a) Greasy and yellow coating b) Thick, greasy and white coating c) Pale tongue d) Pale, swollen and wet tongue
44. A symptom of Liver (Mother) affecting the Heart (child) is a) Deficiency of Heart-Blood b) Deficiency of Blood c) Impaired transport of fluids d) Excessive Heart Qi
45. After connecting to the internally-externally paired channel the Luo-Connecting channel a) usually continue to the luo-connecting point of the paired channel b) follow the pathway of the internally connected channel c) usually continue to follow their own pathway d) follow the pathway of the externally connected channel
46. An elderly patient has frequent diarrhea, which makes the patient feel weak, feels cold, poor appetite, and abdominal distension. Which of the following actions would you take? a) Tonify Spleen, Warm Yang, Stop diarrhea b) Tonify Spleen, Warm Yang c) Stop Diarrhea d) Stop diarrhea first and then Tonify Spleen and Warm Yang

47. A 52 year-old patient has been suffering from constant uterine bleeding for one year. She bleeds everyday, with the bleeding heavier around the period at which time the blood becomes dark with clots and she has period pain. Other times during the month the bleeding is like a daily trickle. She is exhausted, has back pain, dizziness, tinnitus, slight night sweats, feels very cold, nocturia, blurred vision, numbness of limbs and poor memory. Which of the following is not part of the diagnosis? a) Kidney Yang Deficiency b) Spleen Qi Deficiency c) Liver Blood Stasis d) Deficient Liver and Kidney
48. A patient has been diagnosed with scleroderma. Which of the following is not a possible
TCM diagnosis? a) Spleen-Kidney Yang Vacuity with Cold Congealing b) Lung-Kidney Vacuity with Blood Stasis c) Wind-Cold Mixed with Qi Vacuity, Liver Depression and Blood Stasis d) Phlegm-Heat congesting the Lungs
49. A 45 year-old woman has persistent and profuse uterine bleeding which starts with the period and lasts for 3 weeks. The blood is dark at first and then becomes clear. There is pain.
She has PMS with irritability and swelling of the breasts. She easily tires, does not sleep well, and sweats at night. She has frequent urination and goes at night. She has loose stools and feels thirsty. She feels both hot and cold. She is overweight. The tongue is slightly red with purple and slighlty pale on the sides. It is peeled in the center with rootless coating on the root.
The tongue has cracks in the center and root. The pulse is very deep and weak. What are the patterns? a) Stagnant Liver Qi & Blood; Kidney Yin Xu; Spleen Yang Deficiency; Kidney Qi Xu b) Hot Blood; Stagnant Liver Qi; Spleen Yang Deficiency; Kidney Yin Deficiency c) Deficient Qi and Blood; Deficient Yin and Yang; Stagnant Qi; Hot Blood d) Kidney Yin & Yang Xu; Stomach Yin Xu; Liver Blood Xu; Stagnant Liver Qi & Blood
50. Which of the following types of low back pain is the most difficult to treat? a) Spinal osteoarthritis b) Disc herniation c) Ligamentous strain d) Spondylosis

51. A 42 year-old man has a discharge of pus in the right ear. This has started one year ago.
Standard medical treatment has not been effective. The pus discharge is thin and a mixture of white and yellow. The external auditory canal and the tympanic membrane are congested.
Additional symptoms include tinnitus, dry mouth and sore knees. The tongue is red with little coating. The pulse is thin and fast. What is the diagnosis? a) Gall Bladder Damp-Heat b) Deficient Kidney and Liver Yin c) Deficient Kidney Yin with Empty Fire d) Son Insulting Mother
52. The main factors that are considered in distinguishing syndromes of deficiency from excess type include all of the following EXCEPT a) Response to pressure in painful areas, pulse b) Strength of voice and breath c) Body shape, spirit, and tongue d) Sexual activity, sleep, and diet
53. A patient has edema with puffy face and eyelids, bright and shiny skin, decreased urination, and chills with fever. The tongue has a thin white coating. The pulse is slippery and fast. What is the diagnosis? a) External Wind with Internal Water b) Deficient Spleen and Kidney Yang c) Deficient Kidney Qi d) Bladder Cold-Damp
54. A patient has bloody stools. Which of the following foods would you recommend that he take? a) Vinegar b) Soy paste c) Cinnamon d) Ginger

55. A patient has sores that have not ulcerated. The pulse is of the insufficient type. This usually indicates a) The evil is flourishing and the qi is stagnating and difficult to transform b) The evil is eliminated and the right qi is debilitated c) The right qi is effulgent and the evil is flourishing d) Qi and blood are debilitated and weak
56. A patient has a cold abdomen, loose stools, feels cold, has weak and tired limbs, heavy body sensations, poor appetite, no thirst, no urination, and edema of the whole body. Which of the following actions would you take? a) Tonify Spleen, Warm Yang b) Tonify Spleen, Warm Yang, Transform Dampness c) Transform Dampness first and then Tonify Spleen, Warm Yang d) Transform Dampness
57. Which pulse is described as slow, rough, and uneven like a knife scraping a bamboo? a) Knotted pulse (jie mai) b) Choppy pulse (se mai) c) Intermittent pulse (dai mai) d) Confined pulse (lao mai)
58. Prior to her period a patient has agitation, is slightly manic, aggressive, has a feeling of oppression of the chest, red face, and blood shot-eyes. The tongue is red wth sticky-yellow coating. The pulse is overflowing-slippery-fast. What is the diagnosis? a) Damp-Heat b) Heart Fire Blazing c) Phlegm-Fire Harassing Upwards d) Liver Fire Blazing
59. Gathering Qi (zong qi) and Original Qi (yuan qi) assist each other in that a) They both originate in the Kidneys b) They both originate in the Lungs c) They flow in opposite directions d) They flow in the same direction

60. A knotted pulse can indicate any of the following except a) qi stagnation from cold b) rebellious qi c) blood stasis d) retention of food
61. A patient has twitching of the muscles and eyelids, pale and scanty menstrual blood, hypochondriac pain, and a pale face. What is the secondary pattern or manifestation (biao)? a) Liver Wind b) Blood deficiency c) Liver Blood Deficiency and Liver Wind d) Liver Blood Deficiency
62. Tiredness, sallow complexion, loose stools, abdominal distention and pain which is better with pressure, wiry pulse with weakness on heavier palpation is an indication of a) Transformation of deficiency and excess b) Complication of deficiency and excess c) True deficiency with false excess d) True excess with false deficiency
63. A patient has trickling of blood after her period. She has a late cycle with fresh-red and watery blood. She has dizziness, tinnitus, weak knees, feeling of heat in the evening, night sweating, hot flushes, and restlessness. What is the diagnosis? a) Liver and Kidney Deficiency b) Kidney Yin Deficiency c) Kidney Qi Deficiency d) Kidney Yang Deficiency

64. A 45 year-old woman has had profuse menstrual bleeding for the past three months. She bleeds every day and during her period the bleeding increases with the blood becoming dark with tiny clots and abdominal pain. During the days when she is not having a period she spots daily. Symptoms include fatigue, dizziness, tinnitus, feeling very cold, frequent night urination, poor memory, tingling and numbness in the legs, and blurry vision. The tongue is pale with teeth marks. The pulse is choppy (se mai) and weak (xu mai). What is the diagnosis? a) Deficient Kidney Qi, Stagnant Blood b) Liver Stagnant Blood, Deficient Liver Blood, Kidney Yang Deficiency c) Excess Cold in Uterus with Stagnant Blood d) Hot Blood, Deficient Qi
65. A patient has a pale face, no thirst, clear urine, pain worse with touch, watery stool, feels cold, pale tongue thick white moss, and deep slow pulse with strength. What are the principles? a) External, full, cold b) Internal, empty, cold c) Internal, full, cold d) External, empty, cold
66. A patient has sudden pain in the epigastric area, feels cold and wantswarmth, vomiting clear fluid, pain worse after having cold drinks or food. What tongue is expected? a) Pale tongue b) Pale tongue, swollen tongue c) Peeled in the center or coating without root d) Thick white coating
67. In Akabane diagnosis which of the following is considered a normal reading? a) 8 times before the patient feels the heat b) between 5 and 10 times before the patient feels the heat c) over 10 times before the patient feels the heat d) under 5 times before the patient feels the heat

68. An insurance company calls you to request one of your patient's medical records in order to determine whether coverage should be extended. What would you do? a) Disclose records if insurance company gives written request from patient b) Send the insurance company the medical records and charge a fee c) Send the insurance company the medical records and charge no fee d) Do not give any information about your patient unless your patient verbally agrees
69. Your patient has chronic diarrhea. He has been taking Imodium AD for years. Which of the following is not a side-effect you would expect to find? a) Dry mouth b) Drowsiness c) Dizziness d) Tinnitus
70. A patient has red rashes, epigastric pain, and constipation. What is the diagnosis? a) Damp-Heat b) Wind-Heat Transferred to Interior c) Accumulation of Heat in Stomach and Intestine d) Hot Blood with Large Intestine Dryness
71. Which channels expel exterior wind? a) yang wei mai (yang linking vessel) b) yang qiao mai (yang stepping vessel) c) yin wei mai (yin linking vessel) d) du mai (governing vessel)
72. A 32 year-old woman has painful periods. She has a short cycle with periods every 21-23 days. She has severe menstrual pain with red blood with small dark clots. She feels cold during her period and has dizziness, and tinnitus. The tongue is pale and swollen. The pulse is slow
(chi mai), choppy (se mai) and especially weak (xu mai) in the left rear position. What is the diagnosis? a) Liver Stagnant Blood b) Deficient Liver Blood c) Deficient Kidney Yang with Empty Cold Obstructing Uterus d) Liver Yang Rising

73. A patient has aversion to cold, fever, retention of urine, slight thirst, vomiting of fluids soon after drinking, and a floating-fast pulse. What is the stage? a) Bright-Yang (yang ming) b) Greater-Yang (tai yang) c) Lesser-Yang (shao yang) d) Greater-Yin (tai yin)
74. What are disinfectants used on? a) Skin of patients b) Both inanimate objects and skin of patients c) Neither inanimate object nor skin of patients d) Inanimate objects
75. A patient has a rigid neck, high temperature, shaking of the limbs, severe spasm of the back arching with the head bending back. What is the pattern? a) Deficient Liver Blood Causing Wind b) Liver Fire Blazing Upwards c) Extreme Heat Generating Wind d) Liver Yang Rising Causing Wind
76. A pregnant patient wants to know if she can take black Cohosh. You tell her no because a) It causes gestational diabetes b) It causes newborn jaundice c) It increases the risk of eclampsia d) It stimulates uterine contractions
77. A patient has discomfort in the epigastric area, poor appetite, lack of taste, loose stools, tiredness in the morning, and weak limbs. What pulse is expected? a) Deep and weak especially on the right middle position b) Full pulse, deep pulse, fast pulse c) Empty pulse especially on the right middle position d) Floating and empty pulse in the right middle position

78. A patient has unremitting high fever, thirst, irritability, fast pulse, red tongue with yellow coating and very cold limbs. What is the root (ben)? a) Cold b) Heat transforming to Cold c) Hot and Cold d) Heat
79. The clinical applications for the yang wei mai (yang linking vessel) are a) Intermittent fevers; Sides of body; Ear problems b) Headaches; Mental-emotional problems; Nourishes yin and blood c) Blood stasis in gynecology; Membranes; Female breast; Heart; Stomach; Circulation of qi to feet; Rebellious qi; d) Extinguishes interior wind; Expels exterior wind; Nourishes brain and marrow;
80. 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, irritability and mental confusion. 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) Liver Stagnant Qi, Phlegm disturbing the Heart b) Liver Fire, Deficient Heart Blood c) Heart Fire, Phlegm Misting the Mind d) Phlegm-Fire Stagnating Liver Qi, Deficient Heart Yin
81. A 22 year-old man has had migraines since twelve years old. The main problem he complains about his eyes. He has double vision which is followed by seeing lights and culminating in a severe headache with pain in the eyes. The eye symptoms are triggered by overusing them by doing extended computer work. Symptoms accompanying the headache are nausea, vomiting and loss of appetite. The tongue is red. the pulse is wiry, thin and fast. It is weak in the rear positions. What is the diagnosis? a) Liver Deficient Blood b) Liver Fire Blazing c) Liver Yang Rising d) Liver Stagnant Qi Invading Stomach

82. The circular area on the midline of the torso, halfway between the navel and the meeting of the ribs is the hara diagnostic area for the a) Spleen b) Stomach c) Heart d) Pericardium
83. Your patient asks you what is the minimum amount of time it will take to improve her menstrual problem. What do you tell her? a) One month b) Three months c) Six months d) Twelve months
84. Long term changes in body shape would include all BUT a) Barrel-like chest and epigastrium b) Fat body c) Very large upper thighs out of proportion with the rest of the body d) Weak or flaccid muscles
85. A patient has a sallow complexion, vertex headache, insomnia, sleep disturbed by dreams, malar flush, blurred vision, easy to anger, dizziness, dry eyes, dry throat, night sweats, tinnitus,
5-palm heat, dry stools, scanty menstruation. What tongue is expected? a) Red tongue with thin yellow coating b) Red tongue with thin white coating c) Red tongue with thick-yellow coating d) Red and peeled tongue, cracks

86. A patient has emotional depression, withdrawal, muttering to oneself, staring at walls, sudden loss of consciousness of human affairs, no constancy in joy and anger, excessive white phlegm, chest oppression, no thought for food or drink, the sound of phlegm rattling in the throat. What is the diagnosis? a) Phlegm fire harassing the heart b) Heart yang vacuity c) Heart yang effulgence, yin and blood vacuity d) Phlegm obstructing the orifices of the heart
87. A patient has nose bleeds with fever, foul breath, and constipation. The tongue is red with yellow coating. The pulse is fast and forceful. What is the diagnosis? a) Large Intestine Meridan Heat b) Stomach Heat c) Lung Heat d) Stomach Phlegm-Heat
88. A patient has prolapsed uterus, dry vagina, bearing down sensation in the lower abdomen, frequent urination, and tinnitus. What is the diagnosis? a) Deficient Spleen and Kidney Yang b) Deficient Qi and Blood c) Deficient Spleen and Stomach Qi d) Deficient Kidney Qi
89. You have examined and treated a referred patient. Which of the following actions would you take? a) call the patient after treatment to maintain good rapport b) have your assistant or nurse co-sign your medical records in case there is litigation in the future c) make sure that your medical records follow the SOAP format d) document in your medical records that you have sent a report to the referring physician

90. A 50 year-old woman's main complaint is exhaustion which she has had for 10 years. She had a hysterectomy 11 years ago. At that time her periods were copious and she had a prolapsed uterus. She has had three miscarriages. She has suffered from post-natal depression with crying bouts. She sweats at night and wakes up with tinnitus. She has back pain and chronic joint pain with numbness in the limbs. She has blurry vision. The tongue is slightly red while the sides are pale. There is no coating. The pulse is overall weak (xu mai), deep (chen mai) especially in the rear positions, and thinner (xi mai) and weaker (xu mai) on the left. What is the treatment plan? a) Tonify Spleen, Raise Qi, Strengthen Heart, Tonify Blood b) Strengthen Kidney, Tonify Qi, Regulate Liver, Tonify Blood c) Nourish Kidney Yin, Nourish Blood d) Tonify Wood to nourish Fire
91. Palpitations, insomnia, and breathlessness is diagnosed as a) Metal insulting Fire b) Water over-acting on Fire c) Fire not generating Earth d) Wood not generating Fire
92. When releasing medical records all of the following needs to be included in the informed consent except? a) identify the information to be released b) the reason for the release c) to whom the information is to be released d) the social security number
93. Which pulse is described as slow with irregular missed beats? a) Knotted pulse (jie mai) b) Intermittent pulse (dai mai) c) Long pulse (chang mai) d) Choppy pulse (se mai)

94. If the thick pus becomes thin this generally indicates a) debility of qi and blood b) an auspicious sign of healing c) that the body's vacuity is recovering d) the right qi is becoming debilitated
95. A 44 year-old male complains of extreme exhaustion which he has had for three years. His appetite is poor and often has nausea. He has a dry mouth and sips drinks. He has constipation and complains of heat sensations. The tongue is red and completely peeled with cracks in the center. The pulse is floating (fu mai) and empty (xu mai). What is the diagnosis? a) Deficient Kidney Yin with Empty Fire b) Deficient Stomach and Spleen Yin c) Stomach Fire d) Damp-Heat Invading Spleen
96. Which of the following western diseases is not related to wei syndrome? a) Myasthenia gravis b) Secondary trigeminal neuralgia c) Poliomyelitis d) Multiple sclerosis
97. Which is an example of the Insulting sequence? a) The Spleen insults the Kidney b) The Heart insults the Spleen c) The Lungs insult the Liver d) The Liver insults the Lungs
98. The symptom which differentiates Wind-Stroke affecting the internal organs from Wind-
Stroke affecting the channels is a) Slurred speech b) Loss of consciousness c) Numbness d) Hemiplegia

99. Which type of edema is more difficult to treat? a) Kidney Yang Deficiency b) Wind-Water Invading Wei Qi c) Spleen Yang Deficiency d) Damp-Heat type
100. You patient complains that he wakes early in the morning and then falls asleep again. This can indicate a) Deficiency of Gall Bladder b) Deficiency of Liver c) Deficiency of Heart-Blood d) Liver-Fire or Heart-Fire

Answer Key – Foundations Practice Test C
1. B
2. A
3. D
4. C
5. A
6. B
7. A
8. C
9. A
10. A
11. A
12. D
13. B
14. A
15. A
16. D
17. A
18. B
19. A
20. A
21. D
22. B
23. C
24. B
25. B
26. A
27. A
28. B
29. B
30. B
31. C
32. D
33. C
34. B
35. A
36. B
37. A
38. A
39. D
40. B
41. C
42. D
43. B
44. A
45. C
46. B
47. B
48. D
49. D
50. A
51. C
52. D
53. A
54. A
55. D
56. A
57. B
58. C
59. C
60. B
61. A
62. C
63. B
64. B
65. C
66. D
67. B
68. A
69. D
70. C
71. D
72. C
73. B
74. D
75. C
76. D
77. C
78. D
79. A
80. A
81. C
82. D
83. B
84. D
85. D
86. D
87. B
88. D
89. D
90. C
91. A
92. D
93. A
94. D
95. B
96. B
97. D
98. B
99. A
100. A