POINTS TEST 4
1.
What are the indications for the point located at the lateral border of the nail of the 4th toe, approximately 0.1 cun
from the corner of the base of the nail?
A. Headache, pain of the inner canthus, tinnitus
B. Migraine, tinnitus, dream-disturbed sleep
C. Hernia, uterine bleeding, prolapse of the uterus
D. Headache, vertigo, depression
Source: B-44 (zuqiaoyin) - Chinese Acupuncture and Moxibustion, Chief Editor Cheng Xinnong, 2004, page 221
2.
A patient has a dry cough with scanty phlegm, dry nose and throat, and red tongue. She has noticed blood in her
spit. The tongue is red with thin coating. The pulse is thin and fast. What is the prescription?
A. GV-14 (da zhui), LU-7 (lie que), LI-4 (he gu), BL-12 (feng men), BL-13 (fei shu)
B. KI-6 (zhao hai), LU-7 (lie que), BL-13 (fei shu), LU-1 (zhong fu), LU-6 (kong zui)
C. BL-13 (fei shu), LU-5 (chi ze), CV-22 (tian tu), ST-40 (feng long), extra point ding chuan
D. BL-13 (fei shu), LU-9 (tai yuan), ST-36 (zu san li), SP-3 (tai bai)
Source: Deficiency of Yin with Lung Dryness - Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page
410
3.
A patient has chronic diarrhea with undigested food, poor appetite, sallow complexion, and distension after eating.
The tongue is pale with a white coating. The pulse is thin and weak. What is the prescription?
A. ST-36 (zu san li), CV-12 (zhong wan), SP-3 (tai bai), BL-20 (pi shu), LR-13 (zhang men)
B. ST-36 (zu san li), BL-20 (pi shu), CV-4 (guan yuan), KI-3 (tai xi)
C. ST-36 (zu san li), ST-25 (tian shu), CV-12 (zhong wan), CV-6 (qi hai)
D. ST-36 (zu san li), ST-25 (tian shu), ST-44 (nei ting), SP-9 (yin ling quan)
Source: Deficient Spleen Qi - Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 423
4.
A patient has abdominal pain which is worse with pressure and after meals and improves after a bowel movement,
epigastric distention, foul belching, poor appetite, and acid reflux. The tongue has a sticky coating. The pulse is
slippery. What is the prescription?
A. ST-25 (tian shu), ST-36 (zu san li), CV-6 (qi hai), CV-12 (zhong wan)
B. CV-12 (zhong wan), SP-4 (gong sun), moxa with salt on CV-8 (shen que), ST-36 (zu san li)
C. ST-36 (zu san li), CV-12 (zhong wan), CV-6 ( qi hai), LR-13 (zhang men), BL-20 (pi shu)
D. BL-32 (ci liao), ST-25 (tian shu), BL-23 (shen shu), BL-20 (pi shu)
Source: Retention of Food - Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 421
5.
Which point combination best treats night sweating?
A. KI-7 (fu liu), LI-4 (he gu)
B. HT-6 (yin xi), LU-7 (lie que)
C. LU-7 (lie que), KI-7 (fu liu)
D. SI-3 (hou xi), HT-6 (yin xi)
Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 382
6.
Which point Clears damp-heat and benefits the lower jiao?
A. LR-10 (zuwuli)
B. SP-10 (xuehai)
C. LR-9 (yinbao)
D. SP-13 (fushe)
Source: A Manual of Acupuncture, 2000, Deadman, page 487
7.
Which point combination stops lactation?
A. GB-41 (zu lin qi), GB-37 (guang ming)
B. GB-21 (jian jing), SI-1 (shao ze)
C. PC-6 (nei guan), CV-17 (tan zhong)
D. LR-14 (qi men), PC-6 (nei guan)
Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 501
8.
Which point combination treats bone bi?
A. BL-23 (shen shu), CV-4 (guan yuan)
B. BL-11 (da zhu), GB-39 (xuan zhong)
C. GV-14 (da zhui), LI-11 (qu chi)
D. GB-34 (yang ling quan), BL-23 (shen shu)
Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 476
9.
A patient has high temperature, convulsions, and stiff tongue. What is the treatment?
A. LR-8 (qu quan), LR-3 (tai chong), GB-20 (feng chi), BL-17 (ge shu), BL-18 (gan shu)
B. LR-8 (qu quan), LR-3 (tai chong), GB-20 (feng chi), GV-16 (feng fu), KI-3 (tai xi)
C. LR-3 (tai chong), extra point shi xuan, SI-3 (hou xi), GV-20 (bai hui), GB-20 (feng chi)
D. LR-2 (xing jian), extra point shi xuan, SI-3 (hou xi), GV-20 (bai hui), GB-20 (feng chi)
Source: Extreme Heat Generating Wind - The Foundations of Chinese Medicine, Maciocia, 1989, page 221
10. What is the location of the water point of hand yang-ming meridian?
A. On the radial side of the wrist in the depression between the tendons of the m. extensor pollicis longus and brevis
B. On the radial side of the index finger distal to the metacarpo-phalangeal joint at the junction of the white and red skin
C. On the radial side of the thumb distal to the metacarpo-phalangeal joint at the junction of the white and red skin
D. On the ulnar side of the index finger proximal to the metacarpo-phalangeal joint at the junction of the white and red skin
Source: LI-2 - A Manual of Acupuncture, Deadman, 2001, page 101
11. Which points would you use 7-star needle for insomnia?
A.
B.
C.
D.
HT-7 ( shen men) PC-6 (nei guan)
Extra points Baxie and Bafeng
BL-15 (xin shu) BL-23 (shen shu)
Extra points Huatuo Jiaji and Sishencong
Chinese Acupuncture and Moxibuxtion, Foreign Language Press, 2003, page 450
12. A 16 year old female comes to you with the complaint of vomiting. Additional symptoms include yellowish
complexon, poor appetite, loose stools, general tiredness, pale tongue with thick coating, weak puls. What point
selection best fits the symptoms?
A. ST-36 (xu san li) PC-6 (nei guan) CV -2 (zhong wan) BL-23 (shen shu)
B. ST-36 (xu san li) PC-6 (nei guan) CV-12 (zhong wan) LR-3 (tai chong)
C. ST-36 (xu san li) PC-6 (nei guan) CV-12 (zhong wan) ST-25 (tian shu)
D. ST-36 (xu san li) PC-6 (nei guan) CV-12 (zhong wan) BL-20 (pi shu)
Chinese Acupuncture and Moxibuxtion, Foreign Language Press, 2003, page 419
13. Which are the meeting points for the Spleen, Liver and Kidney meridian?
A.
B.
C.
D.
SP-6 (san yin jiao) CV-2 (qu gu) CV-3 (zhong ji)
SP-6 (san yin jiao) CV-2 (qu gu) CV-4 (guan yuan)
SP-6 (san yin jiao) CV-3 (zhong ji) CV-4 (guan yuan)
SP-6 (san yin jiao) CV-1 (hui yin) CV-2 (qu gu)
A Manual of Acupuncture, Deadman, 2001, page 54
14. A 39 year old woman has abdominal distention. She feels tired and weak. Has dryness and blurry vision. She has
poor appetite, cold limbs, generalized edema, scanty urination, and thirst. Her abdomen is ballooned with
distention. She has painful and hard nodules below the costal regions. Her appetite is poor and has general
malaise. She has distention in the hypochondrium. The tongue is swollen with tooth marks. The pulse is deep
and slippery. What is the treatment?
A. BL-18 (gan shu), BL-23 (shen shu), CV-9 (shui fen), CV-3 (Zhong ji), ST-36 (zu san li), SP-6 (san yin jiao), LR-4 (zhong
feng)
B. SP-6 (san yin jiao), SP-9 (yin ling quan), CV-9 (shui fen), CV-12 (xhong wan), CV-6 (qi hai)
C. ST-36 (zu san li), CV-4 (guan yuan), CV-12 (xhong wan), ST-25 (tian shu), BL-25 (da chang shu), BL-20 (pi shu)
D. BL-18 (gan shu), LR-3 (tai chong), GB-34 (yang ling quan), CV-12 (xhong wan), ST-36 (zu san li), SP-6 (san yin jiao)
Liver Blood Deficiency, Liver Stagnant Qi, Stagnant Blood, Kidney and Spleen Yang Deficiency – Acupuncture Case
Histories, Chen and Wang, 1988, page 24
15. In Chinese Scalp Acupunctue which area of the motor line corresponds to the leg?
A.
B.
C.
D.
Lover 1/5
Middle 2/5
Upper 1/5
Lower 2/5
Acupuncture a Comprehensive Test, Bensky, 1981, page 498
16. A patient has dizziness, tinnitus, headache, dry mouth and throat, irritability, insomnia, a shouting voice, weak
knees, red tongue and wiry pulse. What is the treatment?
A.
B.
C.
D.
CV-4 (guan yuan), KI-3 (tai xi), tonify SP-6 (san yin jiao), CV-6 (qi hai), BL-23 (shen shu)
KI-3 (tai xi), SP-6 (san yin jiao), LR-8 (qu quan), LR-3 (tai chong), GB-43 (xia xi)
SP-6 (san yin jiao), KI-3 (tai xi), CV-4 (guan yuan), GB-34 (yang ling quan)
GB-20 (feng chi), GB-43 (xia xi), LR-3 (tai chong), GB-34 (yang ling quan), GB-8 (shuai gu)
The Foundations of Chinese Medicine, Maciocia, 2004, page 226
17. You have been treating a 30 year old male patient for frontal headache which was better with vomiting and
accompanied with nausea and epigastric distention. He has improved but is now complaing that his bed wetting
has gotten worse, has more frequent urination, and his face looks more pale. His tongue is pale and swollen and
his pulse is deep and weak. What is your treatment?
A.
B.
C.
D.
ST-44 (nei ting), LI-4 (he gu), ST-8 (tou wei, extra point yin tang, GV-23 (shang xing)
Tonify KI-3 (tai xi), tonify SP-3 (tai bai), reduce KI-1 (yong quan), reduce LR-1 (da dun)
BL- 23 (shen shu), BL-28 (pang quang shu), CV-3 (zhong ji), SP-6 (san yin jiao), LR-1( da dun)
BL- 23 (shen shu), CV-3 (zhong ji), ST-44 (nei ting), LI-4 ( he gu), extra point yin tang
Chinese Acupuncture and Moxibuxtion, Foreign Language Press, 2003, page 440
18. At which point do the Yang Qiao Mai and Yang Wei Mai meet?
A.
B.
C.
D.
GB-41 (zu lin qi)
GB-20 (feng chi)
ST-8 (tou wei)
BL-62 (shen mai)
A Manual of Acupuncture, Deadman, 2001, page 54
19. A 42 year old man suffers from repeated vertigo. The problem started after an argument with his boss two years
ago. The vertigo improves with lying down and worsens with the slightest movement of the head. Additional
symptoms include blurred vision, vomiting, tinnitus, dry throat, and bitter taste. The tongue is red with a yellow
coating. The pulse is wiry and fast. What is the treatment?
A.
B.
C.
D.
LR-3 (tai chong), GB-41 (qu in qi), GB-2 (tin hui), GB-20 (feng chi), KI -6 (zhao hai), ST-36 (zu san li)
LR-3 (tai chong), CV-12 (zhong wan), ST-36 (zu san li), BL-20 (pi shu), GB-20 (feng chi)
GB-2 (tin jui, SI-19 (ting gong, TB-21(er men), GB-20 (feng chi), TB-5 (wai guan), yin tang
KI-2 (ran gu), KI-6 (zhao hai), LU-7 (lie que), CV-4 (guan yuan), SP-6 (san yin jiao), GB-20 (feng chi)
20. Where are the entry and exit points for the gall bladder meridian?
A.
B.
C.
D.
GB-1 (ton zi liao) GB-42 (di wu hui)
GB-1 (ton zi liao) GB-43 (xia xi)
GB-1 (ton zi liao) GB-44 (zu qiao yin)
GB-1 (ton zi liao) GB-41 (zu lin qi)
A Manual of Acupuncture, Deadman, 2001, page 417
21. You have been treating a 49 year old female patient for frequent nose bleeds, dry mouth, feverish sensations in the
palms, and night sweats. She is now complaining of constipation and has not had a BM for five days. Additional
symptoms include pale complexion, pale nails and lips, dizziness, shortness of breath, palpitations and lassitude.
The tongue is pale and the pulse is weak. What is your treatment?
A.
B.
C.
D.
KI-6 (zhao hai), BL-25 (da chang shu), ST-25 (tian shu), TB-6 (zhi gou), BL-20 (pi shu), ST-36 (zu san li)
LU-11 (shao shang), LI-4 (he gu), LI-20 (ying xiang), GV-23 (shang xing)
LI-4 (he gu), LI-20 (ying xiang), GV-23 (shang xing), KI-6 (zhao hai),
BL-20 (pi shu), ST-36 (zu san li), ST-25 (tian shu), LI-4 (he gu), LI-20 (ying xiang)
Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 435
22. Which Window of the Sky point has an effect on the eyes, ears, and nose?
A.
B.
C.
D.
TB-16 (tian you)
LU-3 (tian fu)
CV-22 (tian tu)
SI-17 (tian rong)
A Manual of Acupuncture, Deadman, 2001, page 50
23. You have been treating a 27 year old patient with asthma which is worse with emotional stress, with sensations of
oppression in the chest and hypochondriac area. He now is reporting that he has suffocating wheezing,
breathlessness, has tightness in the chest, feels very cold with strong chills, no thirst, no sweating, and has stiff
shoulders and neck. The tongue has a thin white coating and the pulse is floating and tight. What is your
treatment?
A.
B.
C.
D.
Extra point ding chuan, BL-13 (fei shu), CV-22 (tian tu), LU-7 (lie que), GB-20 (feng chi), LU-6 (kongzui)
LU-5 (chi ze), LU-7 (lie que), LU-11 (shao shang), BL-13 (fei shu), CV-22 (tian tu)
BL-12 (feng men), BL-13 (fei shu), CV-22 (tian tu), ST-36 (zu san li), SP-6 (san yin jiao)
BL-18 (gan shu), CV-17 (shan zhong), PC-6 (nei guan), LR-14 (qi men), SP-4 (gong sun)
The Practice of Chinese Medicine, Maciocia, 1994, page 116
24. Which of the following needle techniques does not sedate?
A. Fast insertion and slow withdrawal
B. Point needle against flow
C. Thrust gently and raise forcefully
D. Insert with exhalation and remove with inhalation
Source: Acupuncture a Comprehensive Text, Bensky, 1981, page 521
25. A patient has wheezing, short and rapid breathing, weak voice and cough, and sweating on exertion. The tongue is
pale. The pulse is weak. What is the prescription?
A. BL-13 (fei shu), LU-5 (chi ze), CV-22 (tian tu), ST-40 (feng long), extra point ding chuan
B. GV-14 (da zhui), LU-7 (lie que), LI-4 (he gu), BL-12 (feng men), BL-13 (fei shu)
C. KI-6 (zhao hai), LU-7 (lie que), BL-13 (fei shu), LU-1 (zhong fu), LU-6 (kong zui)
D. BL-13 (fei shu), LU-9 (tai yuan), ST-36 (zu san li), SP-3 (tai bai)
Source: Deficient Lung Qi - Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 415
26. You are treating a patient for dysmenorrhea. She now complains of a yellow and smelly vaginal discharge with
itching in the vulva. Which of the following points would be included in the point prescription?
A. GB-26 (dai mai), BL-23 (shen shu), BL-30 (bai huan shu)
B. GB-26 (dai mai), SP-6 (san yin jiao), ST-36 (zu san li)
C. GB-26 (dai mai), CV-3 (zhong ji), LR-5 (li gou)
D. GB-26 (dai mai), CV-4 (guan yuan), ST-40 (feng long)
Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 495
27. What is the location of the earth point of the foot tai-yin meridian?
A. On the medial side of the big toe distal and inferior to the 1st metatarsodigital joint at the junction of the red and white
skin
B. Proximal and inferior to the head of the 1st metatarsal bone at the junction of the red and white skin
C. Distal and superior to the head of the 1st metatarsal bone at the junction of the red and white skin
D. In the depression distal and inferior to the base of the 1st metatarsal bone at the junction of the red and white skin
Source: SP-3 - A Manual of Acupuncture, Deadman, 2001, page 184
28. What is the location of the water point of the hand shao-yin meridian?
A. On the radial side of the tendon of m. flexor carpi ulnaris 0.5 cun superior to the transverse crease of the wrist
B. When the elbow is flexed the point is at the medial end of the transverse cubital crease in the depression anterior to the
medial epicondyle of the humerus
C. When the elbow is flexed the point is at the distal end of the transverse cubital crease in the depression posterior to the
medial epicondyle of the humerus
D. In the center of the axilla on the medial side of the axillary artery
Source: HT-3 - A Manual of Acupuncture, Deadman, 2001, page 214
29. What point is located at the medial end of the popliteal crease, in the depression anterior to the tendons of
m.semitendinosus and m. semimembranosus?
A. KI-10 (yin gu)
B. LR-8 (qu quan)
C. SP-9 (yin ling quan)
D. LR-7 (xi guan)
Source: A Manual of Acupuncture, Deadman, 2001, page 485
30. A patient has chronic tinnitus, worse with strain and better with pressing, dizziness, excessive leukorrhea, and
weak knees. The pulse is wiry. What is the prescription?
A. GB-2 (ting hui), SI-19 (ting gong), TB-21 (er men), LI-4 (he gu), TB-5 (wai guan)
B. ST-44 (nei ting), LI-11 (qu chi), GB-2 (ting hui), SI-19 (ting gong), TB-21 (er men)
C. TB-17 (yi feng), GB-2 (ting hui), KI-3 (tai xi), GV-4 (ming men), TB-3 (zhong zhu), BL-23 (shen shu)
D. TB-17 (yi feng), GB-2 (ting hui), TB-3 (zhong zhu), LR-2 (xing jian), GB-41 (zu lin qi)
Source: Deficient Kidney Essence - Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 521
31. A patient has erysipelas with red, hot burning pain. The color changes from bright red to dull red in several days
following 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. What is the prescription?
A. LI-11 (qu chi), LI-4 (he gu), PC-3 (qu ze), BL-40 (wei zhong), GB-20 (feng chi)
B. LI-11 (qu chi), LI-4 (he gu), PC-3 (qu ze), BL-40 (wei zhong), GB-20 (feng chi), ST-36 (zu san li), SP-9 (yin ling quan),
GV-14 (da zhui)
C. LI-11 (qu chi), LI-4 (he gu), PC-3 (qu ze), BL-40 (wei zhong), BL-17 (ge shu)
D. SP-6 (san yin jiao), SP-10 (xue hai), LI-11 (qu chi), BL-17 (ge shu)
Source: Damp-Heat - Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 513
32. What point is located 2 cun superior to the midpoint between the Achilles tendon and the tip of the medial
malleolus and just posterior to the medial border of the tibia?
A. KI-7 (fu liu)
B. KI-8 (jiao xin)
C. SP-6 (san yin jia)
D. KI-9 (zhu bin)
Source: A Manual of Acupuncture, Deadman, 2001, page 348
33. What point is located in the angle formed by the medial condyle of the tibia and the posterior border of the tibia?
A. GB-34 (yang ling quan)
B. LR-7 (xi guan)
C. SP-9 (yin ling quan)
D. LR-8 (qu quan)
Source: A Manual of Acupuncture, Deadman, 2001, page 194
34. When needling which point should one be careful to avoid the cephalic vein?
A. LU-7 (lieque)
B. LU-9 (taiyuan)
C. LU-5 (chize)
D. LU-8 (jingqu)
Source: A Manual of Acupuncture, Deadman (2000), page 83
35. Deep insertion at ST-28 (shuidao) may
A. penetrate the spermatic cord
B. injure the femoral artery
C. injure the femoral nerve
D. penetrate a full bladder
Source: A Manual of Acupuncture, Deadman (2000), page 150
Which point combination helps in the treatment of heat bi?
A.
BL-17 (ge shu), SP-10 (xue hai)
B.
BL-23 (shen shu), CV-4 (guan yuan)
C.
GV-14 (da zhui), LI-11 (qu chi)
D.
ST-36 (zu san li), SP-5 (shang qiu)
Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 476
Which point combination helps in the treatment of fixed bi?
A.
ST-36 (zu san li), SP-5 (shang qiu)
B.
BL-17 (ge shu), SP-10 (xue hai)
C.
BL-23 (shen shu), CV-4 (guan yuan)
D.
GV-14 (da zhui), LI-11 (qu chi)
Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 476
A patient has no appetite, fatigue, and shortness of breath. What is the treatment?
A.
BL-13 (fei shu), LU-7 (lie que), CV-12 (zhong wan), CV-22 (tian tu), ST-36 (zu san li)
B.
ST-36 (zu san li), SP-3 (tai bai), BL-20 (pi shu), BL-13 (fei shu), LU-9 (tai yuan)
C.
LU-7 (lie que), CV-17 (tian zhong), PC-6 (nei guan), BL-13 (fei shu), LU-9 (tai yuan)
D.
ST-36 (zu san li), SP-3 (tai bai), BL-20 (pi shu), BL-21 (wei shu), CV-12 (zhong wan)
Source: Spleen and Lung Qi Deficiency - The Foundations of Chinese Medicine, Maciocia, 1989, page 247
Which point combination best treats mumps with swelling and pain in the testes?
A.
LR-3 (tai chong), LR-8 (qu quan)
B.
CV-4 (guan yuan), BL-23 (shen shu)
C.
LR-5 (li gou), BL-23 (shen shu)
D.
CV-1 (hui yin), GV-20 (bai hui)
Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 510
Which of the following points are on the same general level as the 2nd lumbar vertebra?
A.
CV-8 (shen que) KI-17 (shang gu) ST-25 (tian shu)
B.
CV-8 (shen que) KI-16 (huang shu) ST-25 (tian shu)
C.
CV-8 (shen que) KI-18 (shi guan) ST-25 (tian shu)
D.
CV-8 (shen que) KI-16 (huang shu) ST-24 (hua rou men)
Source: Review and Pretest for Acupuncture Licensure Examination in USA, 2001, Chen, page 57
Answers:
1. B 2. B 3. A 4. A 5. D 6. A 7. A 8. B 9. D 10. B 11. D 12. D 13. C 14. A 15. C 16. B 17. C 18. B
19. A 20. D 21. A 22. A 23. A 24. D 25. D 26. C 27.B 28. B 29. B 30. C 31. B 32. B 33. C 34. A
35. D