Foundations
Practice Test B
1. In diagnosing the surface of the skin a darkish hue color can indicate
a)
b)
c)
d)
obstruction
local pain
heat
cold
2. The Gall Bladder divergent channel separates from its primary channel at the
a)
b)
c)
d)
Shoulder
Lateral Thigh
Popliteal fossa
Head
3. What do the Penetrating Vessel (Chong Mai) and Directing Vessel (Ren Mai) provide for the
uterus
a)
b)
c)
d)
Bodily Fluids and Blood
Qi and Essence
Blood and Qi
Essence and Shen
4. 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?
a)
b)
c)
d)
Swollen tongue with greasy yellow coating
Pale tongue or white coating
Greasy yellow coating
Pale tongue with thin yellow coating
5. 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?
a)
b)
c)
d)
Phlegm Obstructing the Channels, Deficient Spleen and Stomach Qi with Dampness
Deficient Blood, Accumulation of Damp-Phlegm
Deficient Qi and Blood
Liver Yang Rising, Phlegm-Heat
6. 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?
a)
b)
c)
d)
thick, sticky
with congealed clots and stasis clots
thin
thick and purulent with congealed clots
7. 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?
a)
b)
c)
d)
Liver Fire
Deficient Spleen Qi not nourishing the Heart
Deficient Essence and Blood with Endogenous Heat
Liver Stagnant Qi
8. A 32 year-old male patient has inability to walk because 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?
a)
b)
c)
d)
Heart Fire Blazing; Spleen Damp-Heat; Lung Yin Deficiency
Hyperactive Liver Yang; Bladder Damp-Heat; Lung Qi Deficient
Lung Yin Deficiency; Invasion of Damp-Heat; Bladder-Heat
Deficient Lung Qi; Accumulation of Dampness; Liver Yin Deficiency with Empty Fire
9. 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?
a)
b)
c)
d)
Tonify Deficient Spleen Qi
Drain Accumulated Dampness
Tonify Deficient Spleen Qi and Drain Accumulated Dampness
Drain Dampness first and then Tonify the Deficient Spleen Qi
10. One of your patients makes an explicit seductive move towards you. What should you do?
a)
b)
c)
d)
Tell them it is inappropriate in the clinic but that you will see them outside of clinic
Tactfully confront patient and refuse
Tell them that you feel flattered
Tactfully confront patient and make a note on patient's record
11. 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 slipperyfast pulse. Which of the following actions would you take?
a)
b)
c)
d)
Clear Lung Heat and Transform Phlegm and Stop Cough
Clear Lung Heat
Transform Phlegm and Stop Cough
Clear Lung Heat first and then Transform Phlegm and Stop Cough
12. 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
a)
b)
c)
d)
According to the 8 Principles
According to Pathogenic Factors
According to the 6 Stages
According to the 3 Burners
13. 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?
a)
b)
c)
d)
Heat in Lungs Injuring Yin Fluids
Damp-Heat
Wind-Heat Invades Lungs
Stomach Fire
14. You are treating a 3 year-old child. You examine the root of the nose and notice greenish
maculae. This can indicate
a)
b)
c)
d)
cold condition
problems with feeding
chronic diarrhea from food retention
digestive problems due to deficiency
15. In the Lesser-Yang (shao yang) stage the pathogenic factors oscillate between
a)
b)
c)
d)
Greater-Yang (tai yang) and Greater-Yin (tai yin)
Lesser-Yang (shao yang) and Greater-Yang (tai yang)
Greater-Yang (tai yang) and Bright-Yang (yang ming)
Lesser-Yang (shao yang) and Bright-Yang (yang ming)
16. Thirst, irritability, sour regurgitation, bitter taste, mouth ulcers, loose stools, Borborygmi and
profuse-pale urine indicate
a)
b)
c)
d)
True Heat-False Cold
Heat on the Exterior-Cold in the Interior
Cold on the Exterior-Heat in the Interior
Heat above-Cold below
17. 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?
a)
b)
c)
d)
Stagnant Liver Qi
Spleen Qi Deficiency
Liver Blood Deficiency
Liver and Kidney Yin Deficiency
18. Which channel treats back pain and sciatica?
a)
b)
c)
d)
yang qiao mai (yang stepping vessel)
du mai (governing vessel)
yang wei mai (yang linking vessel)
dai mai (girdle vessel)
19. Though tinnitus is difficult to treat, which of the following types of tinnitus can you expect
better results?
a)
b)
c)
d)
Kidney Yin or Yang Deficiency
Phlegm-Fire
Kidney Essence Deficiency
Liver-Fire
20. The most difficult type of Chest Painful Obstruction Syndrome to treat is when the tongue is
a)
b)
c)
d)
Thin and dry
Deep red
Dark purple
Pale, swollen and wet
21. What is the definition of clean field?
a)
b)
c)
d)
Techniques that destroy all microbial life on inanimate objects
The area that has been prepared to protect the sterility of needles
Techniques that destroy bacteria
Techniques that destroy or inhibit the growth of pathogens on the skin
22. 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?
a)
b)
c)
d)
Deficient Spleen and Stomach Qi
Deficient Spleen Qi with Damp Obstruction
Deficient Liver Blood
Deficient Blood
23. Loose stools, edema, and weak limbs is diagnosed as
a)
b)
c)
d)
Water over-acting on Fire
Fire not generating Earth
Water insulting Earth
Earth insulting Wood
24. 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?
a)
b)
c)
d)
Deficient Liver Blood Causing Wind
Extreme Heat Generating Wind
Stomach Phlegm-Heat
Phlegm-Heat, Liver Wind
25. 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?
a)
b)
c)
d)
chong mai (directing vessel)
ren mai (directing vessel)
dai mai (girdle vessel)
yin wei mai (yin linking vessel)
26. 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
a)
b)
c)
d)
Damp-Heat in Stomach and Spleen
Gall Bladder Heat
Stomach Heat
Lung Heat
27. 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?
a)
b)
c)
d)
Spleen Damp-Heat; Deficient Qi; Deficient Stomach Yin
Deficient Kidney Yin; Deficient Spleen and Stomach Qi
Deficient Kidney Yang; Deficient Stomach Yin; Damp-Heat
Spleen Qi Deficiency; Kidney Yin Deficiency; Damp-Heat
28. 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?
a)
b)
c)
d)
Cool Blood, Clear Heat
Regulate Liver, Smooth Qi, Tonify Spleen
Tonify and Warm Kidney Yang
Tonify and Warm Spleen Yang
29. You are treating a patient for Parkinson's disease. Which of the following tongues indicate a
poor prognosis?
a)
b)
c)
d)
Pale and dry tongue
Pale and moist tongue
Red and thick yellow coating
Red, thin, dry and peeled tongue
30. Which of the following pulses does not indicate collapse of yang?
a)
b)
c)
d)
minute pulse
hidden pulse
scattered pulse
slow pulse
31. 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?
a)
b)
c)
d)
Liver Yang Rising; Phlegm Obstructs Lungs; Stomach Fire
Liver Fire Insults Lungs; Stomach Yin Xu; Kidneys Not Grasping Qi
Liver and Kidney Yin Deficiency with Empty Heat; Deficient Stomach Qi
Liver Attacks Stomach; Deficient Lung Yin; Deficient Kidney Yin
32. 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?
a)
b)
c)
d)
Red tongue with yellow coating
Pale tongue, swollen tongue, white coating
No coating
Red tongue
33. 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)?
a)
b)
c)
d)
Empty Heat
Deficiency
Excess Yang
Deficient Yin
34. Feelings of heaviness, tired limbs, jaundice, hypochondriac pain, distention
a)
b)
c)
d)
Fire not generating Earth
Water insulting Earth
Earth insulting Wood
Earth not generating Metal
35. 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?
a)
b)
c)
d)
Qi stage
Wei stage progressing to Ying stage
Qi stage progressing to Xue stage
Qi stage progressing to Ying stage
36. People who have a weak prenatal constitution have all of the following characteristics
except
a)
b)
c)
d)
long wide nose
narrow cheeks
eyes, nose, mouth close together
narrow forehead and glabella
37. 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?
a)
b)
c)
d)
Release Exterior, Expel Cold
Tonify Fire to nourish Earth
Expel Cold in chest, Tonify Yang
Resolve Phlegm, Transform Dampness
38. A patient has External Wind-Cold and later develops a fever. Which of the following is
applicable?
a)
b)
c)
d)
Yin transforms into Yang
Yang consumes Yin
Yang transforms into Yin
Yin and Yang are opposites
39. Which meridian treats abdominal pain; painful red eyes; sleep; and atrophy syndrome?
a)
b)
c)
d)
yin wei mai (yin linking vessel)
yang qiao mai (yang stepping vessel)
yang wei mai (yang linking vessel)
yin qiao mai (yin stepping vessel)
40. 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 is the treatment
plan?
a)
b)
c)
d)
Tonify Spleen Qi, Resolve Dampness
Resolve Exterior, Expel Heat, Moisten Dryness, Descend Lung qi
Resolve Phlegm, Clear Heat, Nourish Lung Yin
Resolve Exterior, Expel Heat, Stop Cough
41. 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?
a)
b)
c)
d)
Resolve Phlegm, Transform Dampness
Tonify Spleen, Resolve Phlegm, Nourish Kidney Yin
Tonify Spleen and Kidney Yang, Resolve Damp-Phlegm
Open the Heart, Resolve Phlegm, Clear Consciousness
42. The areas overlying the ovaries are the hara diagnostic areas for the
a)
b)
c)
d)
Large Intestine
Chong Mai
Small intestine
Liver
43. Children who like lying down and have unsettled palpitations have a pattern of
a)
b)
c)
d)
Vacuity
Repletion
Heat
Cold
44. 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)
b)
c)
d)
Excess Heat
Damp-Heat
Wind-Damp
Wind-Heat
45. The pulse is like a wave that hits with strength but goes away weak. Has sensation of being
full. Which pulse is it?
a)
b)
c)
d)
Big Pulse (Da Mai)
Flooding Pulse (Hong Mai)
Full Pulse (Shi Mai)
Hollow Pulse (Kou Mai)
46. If you visualize the internal organs and their direction of Qi flow, you can make all BUT ONE
of these comparisons to a wheel?
a)
b)
c)
d)
The Heart and Kidney are the root
The Liver and Lungs make up the outer rim of the wheel
The Stomach and Spleen are the axis
The Large Intestine and Small Intestine form the spokes
47. Which stage is treated by expelling the heat through stimulating a bowel movement?
a)
b)
c)
d)
Bright-Yang (yang ming) organ pattern
Bright-Yang (yang ming) channel pattern
Lesser-Yang (shao yang)
Greater-Yang (tai yang)
48. A patient has acute diarrhea with abdominal pain, burning sensation in
the anus, and foul smelling stools. The tongue has a yellow greasy coating. The pulse is
slippery and fast. What is the pattern?
a)
b)
c)
d)
Excess-Heat
External, hot, excess
Deficient Spleen with Heat
Damp-Heat
49. Your patient asks you if he can take the herb St. John's Wort. You tell him he should not
take it if he is on
a)
b)
c)
d)
Antispasmodic analgesics
Beta blockers
MAO inhibitors
Hypercalcemic agents
50. Which of the following is an incorrect statement about the twelve sinew channels?
a)
b)
c)
d)
penetrate to the zang fu
follow the lines of major muscles and muscle groups
take their names from the primary channels
circulate on the periphery of the body
51. Itching with dormant papules that become red or in severe cases there may be liquid
dripping from the papules is generally due to
a)
b)
c)
d)
Heat
Damp
Blood vacuity
Wind
52. A patient complains of constipation. She has pale lips, dizziness, and shortness of breath.
What is the diagnosis?
a)
b)
c)
d)
Large Intestine dryness
Deficient Qi and Blood
Deficient Stomach Qi
Retention of Food
53. The Nutritive-Qi level (ying) is characterized by
a)
b)
c)
d)
fever at night, bleeding, macules, internal wind
mental changes, fever at night
no aversion to cold, fever, feeling of heat
aversion to cold and fever
54. A patient has distension and dull pain in the lower abdomen and retention of urine after a
surgical operation. The tongue has purplish spots. The pulse is hesitant and fast. What is the
diagnosis?
a)
b)
c)
d)
Damp-Heat
Stagnant Damp-Heat with Deficient Kidney Yin
Bladder Meridian Damaged
Deficient Kidney Qi
55. Monoamine oxidase inhibitors (MAOI) tend to make the pulse
a)
b)
c)
d)
wiry
deep and weak
overflowing
slippery
56. A patient has palpitations, heart vexation, ulceration, swelling, and pain of the mouth and
tongue, frequent, urgent urination. What is the diagnosis?
a)
b)
c)
d)
Depressive heat in the heart channel
Ascendant heart fire hyperactivity
Summerheat entering the heart constructive
Heart and kidneys not interacting
57. A patient has atrophy of the optic nerve with dry eyes, blurry vision, tinnitus, dizziness, and
nocturnal emissions. The tongue is red with little coating. The pulse is thin and weak. What is
the diagnosis?
a)
b)
c)
d)
Heart and Kidney Not Communicating
Deficient Liver and Heart Blood
Deficient Liver and Kidney Yin
Deficient Kidney Essence
58. You observe that your patient has a small head, long face, broad shoulders, straight back,
sinew body, tall, small hands and feet. This is
a)
b)
c)
d)
wood type
water type
fire type
earth type
59. Which poses the greatest risk in an acupuncture clinic?
a)
b)
c)
d)
Hepatitis C
Hepatitis B
Streptococcus
HIV
60. Prior to her period a patient has agitation, is slightly manic, aggresive, 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)
b)
c)
d)
Phlegm-Fire Harassing Upwards
Liver Fire Blazing
Heart Fire Blazing
Damp-Heat
61. Yesterday a patient had tidal fever, dry stools, abdominal pain worse with pressure, yellowdry tongue coating, and strong pulse. Today the symptoms include confusion, irritability,
insomnia, and mental agitation. What is your assessment?
a)
b)
c)
d)
Qi stage progressing to Ying stage
Qi stage
Ying stage progressing to Xue stage
Ying stage
62. What is the most common mode of HBV transmission in a health care setting?
a)
b)
c)
d)
Direct contact with an HBV positive person
Sharing eating utensils
HBV contaminated needle stick
Sharing food and drinks
63. A patient requests that you give him his medical records. What should you do?
a)
b)
c)
d)
Refuse
Make a copy, give it to the patient and charge a copying fee
Tell the patient can borrow them but needs to return them
Hand over the records
64. Touch that has the quality of physically moving the qi along the channel of the meridian,
away from where it has accumulated is also called
a)
b)
c)
d)
Even touch
Sedating touch
Tonifying touch
Preliminary contact
65. Which divergent channel starts at the anterior thigh, ascends to the throat and penetrates
the tongue?
a)
b)
c)
d)
Liver
Spleen
Kidney
Stomach
66. If there is pus which is thin and then transforms into thick pus this generally indicates
a)
b)
c)
d)
debility of qi and blood
that the body's vacuity is recovering
the right qi is becoming debilitated
cold transforming into heat
67. Each element can be out of balance in the following ways except
a)
b)
c)
d)
It is in excess and fails to nourish its Child
It is in excess and over-acts
It is deficient and is insulted
It is deficient and fails to nourish its Child
68. Which treats weakness after childbirth or surgery, chronic illness, and frequent urination?
a)
b)
c)
d)
Mutton
Beef
Pork
Chicken
69. A 65 year-old female has had low back pain ever since she was 20 years old. The pain is
better with rest and worse standing. She feels totally exhausted. Other symptoms include cold
sensations, night urination, and edema in the ankles. Her urine was previously pale but now is
dark once in a while. She is constipated with a dry mouth. She has poor sleep with frequent
wakings during the night. She says she wakes up in the morning with a bitter taste that then
disappears. She has poor memory, dizziness, and tinnitus, palpitations. The tongue is pale,
swollen and dry. The pulse is deep (chen mai), weak (xu mai) and slow (chi mai). The rear
positions are especially weak (xu mai). The front left position is thin (xi mai) and weak (xu mai).
What is the diagnosis?
a)
b)
c)
d)
Deficient Kidney Qi, Deficient Heart Blood
Deficient Kidney Yang Not Transforming Fluids
Heart Fire Blazing
Deficient Kidney Yin and Yang, Empty Heart Fire
70. A patient has impotence. Which of the following foods would you recommend?
a)
b)
c)
d)
Rabbit
Chicken
Beef
Lamb
71. The change from Greater-Yang (tai yang) to Bright-Yang (yang ming) is heralded by
a)
b)
c)
d)
the alternation of aversion to heat and aversion to cold
the disappearance of aversion to cold and the onset of aversion to heat
the disappearance of aversion to heat and the onset of aversion to cold
the simultaneous presence of aversion to heat and aversion to cold
72. A minor can be viewed as having the legal capacity of an adult and dealt with as an adult.
This is called an emancipated minor. All of the following are true to be designated as such
except
a)
b)
c)
d)
the parents assume responsibility if minor fails to pay medical costs
living on their own and are self-supporting
are in the armed forces
are married
73. Slightly red eyes with intermittent and slight pains is indicative of
a)
b)
c)
d)
repletion fire scorching internally
qi stagnation
body fluids depletion or blood vacuity
yin vacuity frenetic fire
74. A patient has an acute facial pain on the maxillary region like an electric shock. The pain is
intolerable but transient. There is a runny nose and tearing. The tongue has a thin white coating.
The pulse is wiry. What is the diagnosis?
a)
b)
c)
d)
Stagnant Qi
Invasion of Wind-Cold
Heat obstructing meridians
Stagnant Blood
75. A mother is giving her child over the counter sleep medication. What do you expect to find
in the child?
a)
b)
c)
d)
Irritability
Increased REM sleep
Initial sleepiness may be followed by overexcitement
Difficult to arouse once asleep
76. A patient has fatigue in the morning, discomfort in the epigastrium, and empty pulse in the
Stomach positions. What is the treatment plan?
a)
b)
c)
d)
Tonify and Warm Stomach and Spleen Qi
Tonify Stomach Qi
Expel Cold, Warm the Stomach, Stimulate Stomach Descending Function
Remove Food Retention, Stimulate Stomach Descending Function
77. At the Defensive-Qi level (wei) which pattern has a thin-white or yellow tongue coating?
a)
b)
c)
d)
wind-heat
summer-heat
dry-heat
damp-heat
78. Which of the following are not examples of the Over-Acting sequence?
a)
b)
c)
d)
The Heart over-acts on the Lungs
The Stomach and Spleen over-act on the Lungs
The Liver over-acts on the Stomach and Spleen
The Kidneys over-act on the Heart
79. A pregnant woman has prolonged labor with malposition of the fetus, sharp pain in the
abdomen, scanty dark and red bleeding, dark complexion. The tongue is dark. The pulse is
deep and forceful. What is the diagnosis?
a)
b)
c)
d)
Hot Blood and Stagnant Qi
Stagnant Qi and Blood
Deficient Qi and Stagnant Blood
Deficient Blood and Stagnant Qi
80. Which of the following is an incorrect statement about the twelve sinew channels?
a)
b)
c)
d)
they have specific points
can be affected by exterior pathogens
can reflect disturbances of primary channels
mainly affected by traumatic injury
81. A 62 year-old man has had head and neck pain for the past year. Additional symptoms
include fullness in the chest and epigastrium, a fuzzy feeling in the head, dizziness and blurry
vision. He has bleeding painful gums and bad breath. He likes to eat greasy-fried foods and
smokes one pack of cigarettes per day. The tongue is red with sticky yellow-coating. The pulse
is slippery. What is the diagnosis?
a)
b)
c)
d)
Retention of Food Transforming to Fire
Stomach Fire
Spleen Damp-Heat
Phlegm-Heat Obstructing the Clear Yang, Stomach Phlegm-Fire
82. A 49 year-old man had his left kidney removed three years ago because of kidney stone
complications. Two months ago he had severe and colicky pain over the right lumbar area. Xray studies showed a small stone in the remaining kidney. He has continuous painful distention
in the lower abdomen. He has dribbling urination. The kidney pain is triggered by vigorous
activity. He has a poor appetite and loose stools. The tongue is light red. The pulse is weak and
frail. What is the diagnosis?
a)
b)
c)
d)
Deficiency of Spleen and Kidney Qi
Deficient Blood and Qi
Kidney Yang Deficiency
Damp-Heat accumulating into stones
83. You disagree with an entry into the medical record made by another member of the health
care team but that person stands by his or her entry. Which of the following actions would you
take?
a) make a note in the medical record that you disagree
b) file an incident report in the medical record
c) discuss and resolve the issue verbally and personally with him/her or in a peer review
setting
d) no longer personally continue to treat the patient and let other members of the team
follow up
84. A patient has an acute occipital headache, slight temperature, stiff neck, aversion to cold, a
runny nose, sneezing, and a floating-tight pulse. What is the root (ben)?
a)
b)
c)
d)
wind-cold
wind
external wind
cold
85. A patient has a lingering headache with pain relieved by warmth and worse with cold and
worse with mental stress, dizziness, blurry vision, and pale face. The tongue has a white
coating. The pulse is thin. What is the diagnosis?
a)
b)
c)
d)
Deficient Qi and Blood
Deficient Liver Blood
Deficient Kidney Qi
Deficient Heart Blood
86. A 45 year-old man has epigastric pain. He is a construction worker and works long hours.
Symptoms include epigastric distention and a sinking feeling in the stomach. Appetite is poor
with loss of weight and he looks emaciated. Barium x-ray shows the stomach below the anterior
superior iliac spines. The tongue is pale with teeth marks and thin white coating. The pulse is
deep and weak. What is the diagnosis?
a)
b)
c)
d)
Spleen and Kidney Yang Deficiency, Deficient Blood
Spleen Qi Deficiency, Deficient Liver Blood, Accumulation of Damp in Stomach
Exhaustion of Qi and Essence, Spleen Qi Sinking
Deficient Spleen and Stomach Qi, Deficient Qi and Blood, Spleen Qi Sinking
87. Pulse is fast and irregular. For example, pulse can beat for 3 and stops and then beats for 4
and then beats for 5. Strength of pulse is also irregular. Which pulse is it?
a)
b)
c)
d)
Choppy Pulse (Se Mai)
Hasty Pulse (Cu Mai)
Prison Pulse (Lao Mai)
Knotted Pulse (Jie Mai)
88. Why is it said that Liver and Kidneys have a common origin?
a)
b)
c)
d)
e)
Kidney essence makes bone marrow and that makes blood
They are near each other
The Kidneys is the mother of the Liver
They both move the blood
They are from the same embryological structure
89. You call a patient to discuss the result of your examination. You get an answering machine.
Which of the following actions would you take?
a)
b)
c)
d)
leave a message to call back your office
hang up and try later
leave a message detailing every aspect of your findings
leave a message only giving the main points of your findings
90. Which of the following is true for health care workers?
a)
b)
c)
d)
The risk of infection from exposure to contaminated blood is greater for HIV than HBV
The risk of infection from exposure to contaminated blood is greater for HBV than HIV
The risk of infection from exposure to contaminated blood is the same for HBV and HIV
There is equal risk of infection from exposure to contaminated blood for HBV and HIV
91. Which of the following pulses does not indicate blood stasis?
a)
b)
c)
d)
choppy pulse
wiry pulse
firm pulse
scattered pulse
92. A patient has pain in the area under the big toe of the foot. This area corresponds to the
a)
b)
c)
d)
Liver and Spleen
Stomach and Spleen
Large Intestine and Stomach
Kidney and Bladder
93. Malar flush, dry mouth, insomnia, dizziness, low back pain, and night sweats is diagnosed
as
a)
b)
c)
d)
Metal insulting Fire
Fire insulting Water
Fire over-acting on Metal
Fire not generating Earth
94. In comparing Wind-Heat with Latent Heat, which is not part of the former?
a)
b)
c)
d)
Floating-rapid pulse
Cough
Red tongue from the beginning
Aversion to cold
95. A moldy coating reflects the presence of
a)
b)
c)
d)
Stagnant Body Fluids
Stomach Heat
Accumulation of Dampness
Internal Cold-Phlegm
96. If the pus is thin with a green-black pus this indicates
a)
b)
c)
d)
a surplus of qi and fire
the qi and blood are sufficient
good prognosis despite vacuity of qi and blood
prolonged accumulation of toxins
97. A long red tongue is usually associated with Heat in the
a)
b)
c)
d)
Liver
Lungs
Heart
Stomach
98. A patient has leukemia with fever worse at night, dry mouth without strong desire to drink,
insomnia, irritability, restlessness, deep red tongue. What is your assessment?
a)
b)
c)
d)
Wei stage
Qi stage
Ying stage
Xue stage
99. A patient has dry stools which are difficult to pass, dry mouth and throat, and a thin body.
What pulse is expected?
a)
b)
c)
d)
Slippery pulse, fast pulse
Thin pulse
Full pulse, fast pulse
Deep pulse, full pulse, big pulse
100. A patient is depressed and has a sensation of a choking lump in throat which is hard to
spit out or swallow. The tongue has a thin and sticky coating. The pulse is wiry and slippery.
What is the diagnosis?
a)
b)
c)
d)
Stagnant Liver Qi Invading Stomach
Stagnant Liver Qi Invading Spleen
Liver Yang Rising with Rebellious Stomach Qi
Stagnation of Liver Qi with Stagnant Phlegm
Answer Key – Foundations Practice Test B
1. A
2. B
3. C
4. B
5. A
6. C
7. C
8. C
9. A
10. D
11. A
12. D
13. A
14. C
15. C
16. A
17. D
18. A
19. D
20. C
21. A
22. D
23. C
24. D
25. B
26. A
27. D
28. D
29. D
30. A
31. B
32. C
33. D
34. C
35. C
36. A
37. C
38. A
39. D
40. C
41. B
42. C
43. A
44. B
45. B
46. D
47. A
48. D
49. C
50. A
51. A
52. B
53. B
54. C
55. A
56. B
57. C
58. A
59. B
60. A
61. A
62. C
63. B
64. B
65. B
66. B
67. A
68. D
69. D
70. D
71. B
72. A
73. D
74. B
75. C
76. B
77. A
78. B
79. B
80. A
81. D
82. A
83. C
84. A
85. A
86. D
87. B
88. A
89. A
90. B
91. D
92. A
93. B
94. C
95. B
96. D
97. C
98. C
99. B
100. D