Points Test 3 of 4 1 What point is located on the dorsal aspect of the head of the ulna, in a cleft level with and to the radial side of the high point of the styloid process of the ulna? A. TB-4 (yang chi) B. SI-6 (yang lao) C. SI-5 (yang gu) D. LI-5 (yang xi 2 SI 6 is the xi cleft point of the channel What is the location of the earth point of the hand tai-yin meridian? A. 1 cun above the transverse crease of the wrist in the depression on the radial side of the radial artery B. At the transverse crease of the wrist in the depression on the radial side of the radial artery C. At the transverse crease of the wrist in the depression on the ulnar side of the radial artery D. On the cubital crease on the radial side of the tendon of the biceps muscle 3 Which point specifically treats excess alcohol intake with vomiting? A. GB-8 (shuai gu) B. GB-20 (feng chi) C. GB-9 (tian chong) D. LR-3 (tai chong) 4 How is LR-11 (yinlian) needled? A patient has facial paralysis, dribbling saliva, and impaired speech. Which Chinese scalp acupuncture area would you treat? Answer: A Liver 11 is 2 cun inferior to ST 30 (level with the lower border of the pubic symphysis) and on the anterior border of the adductor longus muscle of the thigh. Answer: B Lower 2/5 of the motor line Which of the following sets of points has one point which is not a luo-connecting point? A. LI-6 (pian li), KI-4 (da zhong), HT-5 (tong li) B. ST-40 (feng long), PC-6 (nei guan), GB-37 (guang ming) C. SP-4 (gong sun), TB-5 (wai guan), SI-7 (zhi zheng) D. LU-7 (lie que), BL-58 (fei yang), LR-6 (zhong du) 7 LU 9 is the earth point of the hand taiyin as well as the shu stream and yuan source. Answer: C A. Lower two fifths of sensory area line B. Lower two fifths of motor area line C. Upper fifth of motor area line D. Second and third fifths of sensory area line 6 Answer: B GB 8 treats heat on the liver channel including migraines with vomiting. Since alcohol causes heat on the channel in the same way this is probably why it is indicated. A. perpendicular insertion 0.3-0.5 cun B. oblique insertion 0.1 to 0.5 cun C. perpendicular or oblique insertion 0.5 to 1.5 cun D. transverse insertion 0.5-1.0 cun 5 Answer: B A patient has stabbing pain in the epigastrium, vomiting dark blood. What is the treatment? A. CV-13 (shang wan), ST-21 (liang men), SP-4 (gong sun), PC-6 (nei guan), ST-44 (nei ting) B. ST-36 (zu san li), CV-12 (zhong wan), BL-20 (pi shu), BL-21 (wei shu), CV-6 (qi hai) C. CV-10 (xia wan), ST-21 (liang men), ST-34 (liang qiu), SP-10 (xue hai), BL-17 (ge shu) D. LR-14 (qi men), ST-36 (zu san li), CV-13 (shang wan), BL-21 (wei shu), GB-34 Points Test – 3 of 4 1 Answer: D LR/Lv 6 is the incorrect one. It is the xi cleft point of the Lv channel. Answer: C I think ST 34 (xicleft), Sp 10 and Bl 17 are the giveaways for this answer. 8 Deep insertion at ST-28 (shuidao) may Answer: D A. penetrate the spermatic cord B. injure the femoral artery C. injure the femoral nerve D. penetrate a full bladder 9 Which formula treats Gall Bladder Excess? Answer: C A. Tonify GB-43 (xia xi) tonify BL-66 (tong gu) reduce GB-44 (qiao yin) reduce LI-1 (shang yang) B. Tonify GB-44 (qiao yin) tonify LI-1 (shang yang) reduce GB-38 (yang fu) reduce SI-3 (hou xi) C. Tonify GB-44 (qiao yin) tonify LI-1 (shang yang) reduce GB-38 (yang fu) reduce SI-5 (yang gu) D. Tonify GB-43 (xia xi) tonify BL-66 (tong gu) reduce GB-38 (yang fu) reduce LI-1 (shang yang) 10 A patient has palpitations, tiredness and an empty pulse. What is the treatment? Answer: A A. HT-5 (tong li), PC-6 (nei guan), BL-15 (xin shu), CV-17 (shan zhong), CV-6 (qi hai) B. HT-5 (tong li), PC-6 (nei guan), BL-15 (xin shu), GV-14 (da zhui), CV-6 (qi hai) C. CV-6 (qi hai), CV-4 (guan yuan), GV-20 (bai hui), GV-14 (da zhui), BL-15 (xin shu) D. HT-8 (shao fu), HT-7 (shen men), SP-6 (san yin jiao), KI-6 (zhao hai), CV-15 (jiu wei) 11 The Stomach divergent channel separates from its primary channel at the Answer: A A. Anterior Thigh B. Head C. Shoulder D. Popliteal fossa 12 How many cun is LR-6 (zhong du) above the medial malleolus? Answer: 7 A. 5 cun B. 6 cun C. 7 cun D. 8 cun 13 What point is located at the lower border of the zygomatic arch, in the depression anterior to the condyloid process of the mandible? Answer: C A. GB-3 (shang guan) B. SI-19 (ting gong) C. ST-7 (xia guan) D. GB-2 (ting hui) 14 What point is located posterior to the ear, in a small depression on the mastoid bone, 2/3 the distance along a curved line connecting TB-17 (yi feng) and TB-20 (jiao sun)? Answer: B A. TB-18 (qi mai) B. TB-19 (lu xi) C. TB-20 (jia sum) D. TB-21 (er men) 15 What point is located in the slight depression 1 cun directly above the apex of the ear? A. GB-9 (tia chong) B. TB-20 (jiao sun) C. GB-8 (shuai gu) D. GB-10 (fu bai) Points Test – 3 of 4 2 Answer: C 16 What point is located on the ulnar border of the hand, in the depression between the base of the 5th metacarpal bone and the triquetral bone? A. yuan source point of the hand tai-yang meridian B. wood point of the hand tai-yang meridian C. yuan source point of the hand shao-yang meridian D. fire point of the hand tai-yang meridian 17 What is the location of the xi-cleft point of the hand yang-ming meridian? A. 5 cun above Large Intestine 5 B. 4 cun above Large Intestine 5 C. 5 cun above Large Intestine 4 D. On the radial side of the index finger in the depression proximal to the head of the 2nd metacarpal bone 18 What is the location of the luo-connecting point of the hand yang-ming meridian? A. On the lateral side of the neck superior to the midpoint of the supraclavicular fossa B. 3 cun above Large Intestine 5 in line with Large Intestine 11 C. 3 cun above Large Intestine 4 in line with Large Intestine 11 D. Between the 1st and 2nd metacarpal bones approximately in the middle of the 2nd metacarpal bone on the radial side 19 Which point combination would you add to ST-36 (zu san li) and ST-25 (tian shu) for damp-heat diarrhea with hot-smelly stools with burning sensation in the anus? A. ST-44 (nei ting), SP-9 (yin ling quan) B. BL-21 (wei shu), BL-25 (da chang shu) C. CV-12 (zhong wan), CV-6 (qi hai) D. LI-4 (he gu), LI-11 (qu chi) 20 Answer: A SI 4 is the yuan source of the hand taiyang Answer: A LI 7 is the xicleft point of the hand yangming and is 5 cun below LU 5. Answer: B LI 6 is 3 cun proximal to LI 5 and inline between LI 5 and LI 11. Answer: A ST 44 clears stomach heat and SP 9 drains damp. Not the best choices, but the best of the lot here. Which Korean four needle formula treats Liver Deficiency? Answer: C A. Tonify LR-4 (zhong feng) tonify LU-8 (jing qu) reduce LR-2 (xing jian) reduce HT-8 (shao fu) B. Tonify LR-8 (qu quan) tonify KI-10 (yin gu) reduce LR-2 (xing jian) reduce LU-8 (jing qu) C. Tonify LR-8 (qu quan) tonify KI-10 (yin gu) reduce LR-4 (zhong feng) reduce LU-8 (jing qu) D. Tonify LR-4 (zhong feng) tonify LU-8 (jing qu) reduce LR-2 (xing jian) reduce HT-7 (shen men) 21 What point is located on the radial side of the wrist, in the center of the hollow formed by the tendons of extensor pollicis longus and brevis? A. yuan source point of the hand tai-yang meridian B. jing-river point of the hand yang-ming meridian C. yuan source point fo the hand shao-yang meridian D. shu-stream point of the hand shao-yang meridian 22 The pathways of the cutaneous regions are associated with the Answer: B LI 5 is between the extensor pollicis longus and brevis and is the jing river point. Answer: B A. Sinew and Divergent channels B. Primary and Luo-Connecting channels C. Extraordinary channels D. The great Luo-Connecting channel of the Spleen 23 The triple energizer is located Answer: A A. superior to the intertragus B. inferior to the intertragus C. lateral to the intertragus D. medial to the intertragus Superior to the intertragus of the ear. See CAM starting at pg 534 Points Test – 3 of 4 3 24 The tongue point is located in the Answer: A A. 2nd section of the ear lobe B. 3rd section of the ear lobe C. 7th section of the ear lobe D. 1st section of the ear lobe 25 The ear lobe is divided into 9 parts like a tic tac toe. Section 1 is the most anterior and superior. On the ear, the external nose point is located at A. the upper 1/2 of medial aspect of tragus B. the tip of upper protuberance on border of tragus C. the center of lateral aspect of tragus D. the supratragic notch close to helix 26 Which of the following is the best ear acupuncture point for shock? Answer: C This is also called ‘nose’ in some newer publications. Answer: C A. Occiput B. Shen men C. Adrenal D. Parasympathetic 27 The ear lower blood pressure point is located at the Answer: C A. inferior-medial angle of the triangular fossa B. close to the midpoint of helix C. superior-lateral angle of the triangular fossa D. at the medial 1/3 of helix 28 According to Deadman, how is SI-17 (tianrong) needled? Answer: C A. Directed towards the root of the tongue, anterior to the carotid vessels, 0.1 to 0.5 cun B. Directed towards the root of the tongue, posterior to the carotid vessels, 0.1 to 0.5 cun C. Directed towards the root of the tongue, anterior to the carotid vessels, 0.5 to 1 cun D. Directed towards the root of the tongue, posterior to the carotid vessels, 0.5 to 1 cun 29 How many Small Intestine meridian points are on the neck? A. four B. two C. three D. one 30 Answer: B SI 16 and 17 only. A patient has low back pain. Which Chinese scalp acupuncture area would you treat? Answer: C A. Second and third fifths of sensory area line B. Lower two fifths of sensory area line C. Upper fifth of sensory area line D. Second and third fifths of motor area line 31 Which of the following points are on the same general level as the 4th sacral vertebra? Answer: D A. BL-34 (xiao liao) BL-29 (zhong lu shu) BL-54 (zhi bian) B. BL-34 (xiao liao) BL-30 (bai huan shu) BL-53 (bao huang) C. BL-34 (xiao liao) BL-29 (zhong lu shu) BL-53 (bao huang) D. BL-34 (xiao liao) BL-30 (bai huan shu) BL-54 (zhi bian) 32 What point is located 0.5 cun within the anterior hairline and 2.25 cun lateral to the midline? A. GB-16 (mu chuang) B. BL-7 (tong tian) C. GB-15 (tou lin qi) D. BL-6 (cheng guang) Points Test – 3 of 4 4 Answer: C 33 What point is located on the lateral side of the chest, in the 4th intercostal space, 6 cun lateral to the midline? Answer: C A. GB-23 (zhe jin) B. GB-22 (yuan ye) C. SP-18 (tian xi) D. SP-19 (xiong xiang) 34 What point is located in the 5th intercostal space and 1 cun anterior to the midaxillary line? Answer: C A. GB-22 (yuan ye) B. SP-18 (tian xi) C. GB-23 (zhe jin) D. SP-19 (xiong xiang) 35 Which point Clears heat from the Stomach channel and fu; Calms the spirit; and Activates the channel and alleviates pain? Answer: A A. ST-41 (jiexi) B. BL-20 (weishu C. REN-12 (zhongwan) D. LI-10 (shousanli) 36 Which point Reinforces the Kidneys; Anchors the qi and benefits the Lung; and Strengthens the will and dispels fear? Answer: A A. KI-4 (dazhong) B. DU-4 (mingmen) C. BL-23 (shenshu) D. KI-5 (shuiquan) 37 Which of the following points are on the same general level as the 3rd thoracic vertebra? A. BL-13 (fei shu) BL-42 (po hu) B. BL-13 (fei shu) BL-41 (fu fen) C. BL-13 (fei shu) GV-12 (shen zhu) BL-42 (po hu) D. BL-13 (fei shu) GV-12 (shen zhu) BL-41 (fu fen) 38 What point is located at the corner of the forehead, 4.5 cun lateral to the midline of the body and 0.5 cun within the anterior hairline? Answer: C (Yes, A is technically correct too, but not in Boardland! C is the better answer.) Answer: D A. Extra point tai yang B. GB-4 (han yan) C. GB-5 (xuan lu) D. ST-8 (tou wei) 39 A patient has chronic diarrhea and prolapsed anus. What is the treatment? Answer: B A. GV-1 (chang giang), GV-20 (bai hui), moxa CV-8 (shen que), CV-12 (zhong wan) B. CV-6 (qi hai), GV-20 (bai hui), ST-25 (tian shu), BL-20 (pi shu), SP-3 (tai bai) C. BL-20 (pi shu), BL-21 (wei shu), CV-12 (zhong wan), ST-25 (tian shu), LI-4 (he gu) D. ST-36 (zu san li), SP-6 (san yin jiao), CV-4 (guan yuan), BL-25 (da chang shu), BL-23 (shen shu) 40 Which point combination best treats yin jaundice? A. LR-3 (tai chong), GB-34 (yang ling quan) B. ST-36 (zu san li), ST-44 (nei ting) C. BL-20 (pi shu) with moxibustion, BL-48 (yang gang) D. SP-6 (san yin jiao), SP-9 (yin ling quan) Points Test – 3 of 4 5 Answer: C Why? Because CAM says so. 41 Which point combination best treats aphasia and stiff tongue? Answer: A A. GV-15 (ya men), CV-23 (lian guan), HT-5 (tong li) B. GB-20 (feng chi), CV-22 (tian tu), ST-9 (ren ying) C. LI-4 (he gu), LU-6 (kong zui), BL-13 (fei shu) D. HT-7 (shen men), BL-15 (xin shu), CV-22 (tian tu) 42 Your 55 year old patient has the complaint of edema. It first started on the feet and spread to the legs. He has a sallow complexion, aversion to cold, cold limbs, soreness of the back, weakness, and loose stools. Your treatment has been BL-20 (pi shu), BL-23 (shen shu), CV-9 (shui fen), and CV-4 (guan yuan). During this treatment he also complains of facial puffyness. Which point would you add to the prescription? Answer: A A. GV-26 (shui gou) B. ST-44 (nei ting) C. LR-2 (xing jian) D. extra point si feng 43 Which of the following points does not have a needling caution for causing a pneumothorax? This is on the abdomen…just barely, but still not in the rib cage. A. KID-21 (youmen) B. LIV-14 (qimen) C. GB-22 (yuanye) D. GB-24 (riyue) 44 Which point treats headache, neck rigidity, blurry vision, epistaxis, and mania? A. water point of foot tai-yang meridian B. wood point of foot jue-yin meridian C. earth point of foot shao-yang meridian D. fire point of hand yang-ming meridian 45 The point located on the anterior midline, 1 cun below the xiphosternal synchondrosis is needled What point is located 7 cun directly superior to BL-60 (kun lun)? Answer: A Bl58 is the luo connecting point of the foot taiyang What is the distance between the jing-river and xi-cleft points of the hand-taiyin meridian? A. 4 cun B. 5 cun C. 6 cun D. 7 cun 48 Answer: C Ren 15 A. luo-connecting point of foot tai-yang meridian B. xi-cleft point of foot shao-yang meridian C. xi-cleft point of Yang Motility vessel D. xi-cleft point of Yang Linking vessel 47 Answer: A BL 66 A. perpendicularly 0.3 - 0.8 cun B. subcutaneously 0.3 - 0.5 cun C. obliquely downward 0.4 - 0.6 cun D. obliquely medial 0.3 - 0.5 cun 46 Answer: A Answer: C JR is Lung 8 (1 cun prox to wrist crease). Xi is Lung 6 (7 cun prox to wrist crease…or 5 below Lung 5) Which lobe of the liver is below the LR-13 (zhang men) point? A. left lobe B. middle lobe C. right lobe D. inferior lobe Points Test – 3 of 4 6 Answer: C 49 In needling SP-12 (chongmen) which direction will injure the femoral nerve? A. deep medial direction B. deep lateral direction C. deep superior direction D. deep inferior direction 50 Answer: B Deep lateral damages the nerve, deep medial punctures the artery. According to CAM, which point treats borborygmus and abdominal pain? A. xi-cleft point of the Large Intestine meridian B. luo-connecting point of the Large Intestine meridian C. shu-stream point of the the Large Intestine meridian D. water point of the Large Intestine meridian Answer: A LI 7 Scoring There are 50 questions in this quiz. To score yourself, count how many you got wrong, and multiply by 2. Subtract this from 100. You should be getting 70% or above before you take the boards. Points Test – 3 of 4 7