TCMDxMidTerm1

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Anonymous
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114006
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TCMDxMidTerm1
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2011-11-02 14:09:19
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TCM Diagnosis
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TCMDxMidTerm1
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  1. A patient comes in with the following symptoms: poor appetite, loose stools, frequently tired. You not she has a pale complexion, pale tongue, and an empty pulse. What is your diagnosis?
    A. SP Yang deficiency
    B. ST Yin Deficiency
    C. SP Qi Deficiency
    D. ST Qi Deficiency
    C. SP Qi Deficiency
    (this multiple choice question has been scrambled)
  2. A patient comes in complaining of an uncomfortable feeling in the epigastric area, poor appetite, lack of taste sensation, loose stool,tiredness, and weakness in his limbs. His pulse is empty and his tongue is pale. What do you suspect?
    A. SP Yang deficiency
    B. ST Qi Deficiency
    C. ST Yin Deficiency
    D. SP Qi Deficiency
    B. ST Qi Deficiency
    (this multiple choice question has been scrambled)
  3. A patient comes in complaining of poor appetite, abdominal distension after eating, loose stools, and tiredness, also feeling cold and prefers warm foods, at times is sick, with watery vomit. You note edema, a pale, swollen wet tongue, and a deep, weak and slow pulse. What is your diagnosis?
    A. SP Qi deficiency
    B. ST Yin deficiency
    C. SP Yang deficiency
    D. ST Qi deficiency
    C. SP Yang deficiency
    (this multiple choice question has been scrambled)
  4. A patient arrives complaining of no appetite, dry stools, a dull, burning pain in the epigastric region. States he likes to drink in small sips, only. You note that the tongue is normal, and the pulse is empty and floating. What do you suspect?
    A. SP Yang deficiency
    B. ST Qi deficiency
    C. ST Yin deficiency
    D. SP Qi deficiency
    C. ST Yin deficiency
    (this multiple choice question has been scrambled)
  5. A patient presents complaining of poor appetite, abdominal distension after eating, loose stool with a feeling of bearing down in the abdomen, feeling tired, and weak in the limbs. You note the tongue is pale and the pulse is weak. What is your diagnosis?
    A. SP Yin deficiency
    B. Damp heat in the SP
    C. ST deficient cold
    D. SP Qi sinking down
    D. SP Qi sinking down
    (this multiple choice question has been scrambled)
  6. Your patient comes in complaining of a feeling of fullness in the epigastric area, poor appetite, loose, bad smelling stools, a burning sensation in the anus, thirst with no desire to drink, yellowish sweat, a sweet taste in the mouth. You note the tongue is red with a sticky
    yellow coat, and the pulse is slippery and rapid. Your diagnosis is:
    A. ST deficient cold
    B. SP Qi sinking down
    C. Damp heat in the SP
    D. SP Yin deficiency
    C. Damp heat in the SP
    (this multiple choice question has been scrambled)
  7. A patient comes in complaing of poor appetite, poor digestion, dry stools, sweating at night, a hot sensation in the evening, dry mouth, and a gnawing sensation in the stomach. You not the patient has a small, thin body, her tongue is dry and red with no coating, some transverse
    cracks, and the pulse is fine and rapid. What do you suspect?
    A. SP Yin deficiency
    B. Damp heat in the SP
    C. ST deficient cold
    D. SP Qi sinking down
    A. SP Yin deficiency
    (this multiple choice question has been scrambled)
  8. A patient arrives at your clinic complaining of a dull discomfort in the epigastric region which gets better after eating or when applying pressure to the area; she also notes a lack of appetite, an absence of thirst, occasional vomiting of clear fluid, tiredness and a feeling of cold in the extremities. You note the patient's complexion is pale, and that she has a pale, wet tongue and a deep, weak, slow pulse. What do you suspect?
    A. SP Qi sinking down
    B. SP Yin deficiency
    C. Damp heat in the SP
    D. ST deficient cold
    D. SP deficient cold
    (this multiple choice question has been scrambled)
  9. Your patient arrives complaining of poor appetite, abdominal distension after eating, tiredness, scanty periods, and insomnia. You note the tongue is pale, thin and dry, and the pulse is choppy and fine. Your diagnosis is:
    A. Cold dampness in SP
    B. SP not controlling blood
    C. SP blood deficiency
    D. ST heat/fire
    C. SP blood deficiency
    (this multiple choice question has been scrambled)
  10. A patient arrives complaining of poor appetite, loose stools, weak limbs, and heavy periods. You note subcutaneous bruising, and a pale, swollen tongue with a weak pulse. You suspect:
    A. SP not controlling blood
    B. ST heat/fire
    C. Cold dampness in SP
    D. SP blood deficiency
    A. SP not controlling blood
    (this multiple choice question has been scrambled)
  11. A patient arrives complaining of poor appetite, a feeling of cold in the stomach region which is improved with warmth. Also states that there is a heavy feeling in the body, no thirst, and a sticky feeling in the mouth with an absence of taste. You note that the tongue is pale, with a
    sticky white coat, and the pulse is slippery and slow. What is your diagnosis?
    A. SP blood deficiency
    B. Cold dampness in SP
    C. SP not controlling blood
    D. ST heat/fire
    B. Cold dampness in SP
    (this multiple choice question has been scrambled)
  12. A patient comes in complaining of burning pain in the epigastric region, excessive hunger, mouth ulcers, a thirst for cold drinks, mental restlessness. You note the tongue is red with a yellow coat, and a rapid pulse. What do you suspect?
    A. Cold dampness in SP
    B. SP not controlling blood
    C. ST heat/fire
    D. SP blood deficiency
    C. ST heat/fire
    (this multiple choice question has been scrambled)
  13. Your patient comes in complaining of acute pain in the epigastrium which is relieved by warmth, a feeling of cold, vomiting of clear fluid, aversion to touch. You note the tongue is normal color with a thick, white coat. The pulse is deep, tight, and slow. What do you suspect?
    A. Stagnant cold in the LV Channel
    B. ST damp-cold
    C. GB damp-cold
    D. BL damp-cold
    B. ST damp-cold
    (this multiple choice question has been scrambled)
  14. A patient comes in complaining of emotional stress, distension in the hypochondrium, irritability, a feeling of distension in the breasts, and tension. Her pulse is wiry, and the tongue is red on the sides. What is your diagnosis?
    A. LV Yin deficiency
    B. GB deficiency
    C. Damp heat in the LV and GB
    D. LV Qi stagnation
    D. LV Qi stagnation
    (this multiple choice question has been scrambled)
  15. Your patient complains of feeling indecisive, lacks initiative, sighs frequently, and startles easily. You note that the tongue is normal, and the pulse is weak. What do you suspect?
    A. LV Yin deficiency
    B. LV Qi stagnation
    C. GB deficiency
    D. Damp heat in the LV and GB
    C. GB deficiency
    (this multiple choice question has been scrambled)
  16. Your patient complains of dry eyes, dry mouth, a feeling of numbness and tingling, blurred vision, scanty periods, and only likes to drink in small sips. The tongue in somewhat red, with no coat. The pulse is fine and rapid. What is your diagnosis?
    A. LV Yin deficiency
    B. LV Qi stagnation
    C. GB deficiency
    D. Damp heat in the LV and GB
    A. LV Yin deficiency
    (this multiple choice question has been scrambled)
  17. A patient comes in complaining of fullness and pain in the hypochondriac region, a bitter taste in the mouth, an aversion to greasy foods, poor appetite, occasional nausea, and dark urine. You note the tongue is red,
    with redder sides, and a sticy, yellow coat; the pulse is slippery, wiry, and rapid. You suspect:
    A. GB deficiency
    B. LV Yin deficiency
    C. Damp heat in the LV and GB
    D. LV Qi stagnation
    C. Damp heat in the LV and GB
    (this multiple choice question has been scrambled)
  18. A patient comes in complaining of feeling stressed, irritable, and easily angered. You note the face and eyes are red, the patient states that her periods are heavy. The tongue is red, with redder sides, and the pulse is wiry and rapid. Your diagnosis?
    A. Rebellious LV Qi affecting the ST
    B. LV Yang rising
    C. Stagnant LV Qi turning into heat
    D. LV fire blazing upwards
    C. Stagnant LV Qi turning into heat
    (this multiple choice question has been scrambled)
  19. Your patient comes in complaining of being irritable, with a tendency to sudden outbursts of anger, tinnitus, occasional temporal headaches, bitter taste in the mouth, occasional nosebleeding, and thirst. You note a red face and eyes, a red tongue with redder sides and a dry yellow
    coat, and a wiry, rapid pulse. What do you suspect?
    A. Stagnant LV Qi turning into heat
    B. LV Yang rising
    C. LV fire blazing upwards
    D. Rebellious LV Qi affecting the ST
    C. LV fire blazing upwards
    (this multiple choice question has been scrambled)
  20. A patient comes in complaining of emotional distress, a feeling of distension in the hypochondriac region, irritability and depression. Also, the patient complains of hiccup and belching, occasional vomiting. You note the tongue is normal with some redness on the sides, and a
    wiry pulse. What is your diagnosis?
    A. Rebellious LV Qi affecting the ST
    B. LV fire blazing upwards
    C. LV Yang rising
    D. Stagnant LV Qi turning into heat
    A. Rebellious LV Qi affecting the ST
    (this multiple choice question has been scrambled)
  21. A patient comes in complaining of headache, with a feeling of distension in the head, dizziness and tinnitus, a hot feeling in the face, red face and eyes, insomnia, weakness of the lower back. You note a red tongue with little coating and a wiry pulse. You suspect:
    A. Rebellious LV Qi affecting the ST
    B. Stagnant LV Qi turning into heat
    C. LV Yang rising
    D. LV fire blazing upwards
    C. LV Yang rising
    (this multiple choice question has been scrambled)
  22. A patient presents at your clinic with the following symptoms: Stabbing pain in the hypochondrium, purple petechiae, purplish lips, tongue and nail beds, painful, irregular periods. You note the tongue has purple spots, and that the pulse is wiry. What do you suspect?
    A. Stagnant cold in the LV Channel
    B. LV blood deficiency giving rise to wind
    C. LV blood deficiency
    D. LV blood stasis
    D. LV blood stasis
    (this multiple choice question has been scrambled)
  23. A patient comes in complaining of fullness in the hypochondrium, referred pain down to the external genitals which is alleviated with warmth, a general feeling of cold, occasional vomiting of clear, watery fluid. You note the pulse is slow, deep, and wiry, and the tongue is
    pail and wet with a white coating. You suspect:
    A. LV blood deficiency giving rise to wind
    B. LV blood deficiency
    C. Stagnant cold in the LV Channel
    D. LV blood stasis
    C. Stagnant cold in the LV Channel
    (this multiple choice question has been scrambled)
  24. A patient presents with the following symptoms: dizziness, blurred vision, dry skin, hair and nails, numbness and tingling, insomnia, pale complexion and lips. You note the tongue is pale, thin and dry, and the
    pulse is choppy and fine. You suspect:
    A. LV blood deficiency
    B. LV blood stasis
    C. Stagnant cold in the LV Channel
    D. LV blood deficiency giving rise to wind
    A. LV blood deficiency
    (this multiple choice question has been scrambled)
  25. A patient comes in with tremors, severe dizziness, tinnitus, headache, dry eyes, blurred vision, hypertension, tongue stiffness. You note the pulse is wiry, and the tongue is red. You suspect:
    A. LV blood stasis
    B. LV Yang rising generating LV wind
    C. Stagnant cold in the LV Channel
    D. LV blood deficiency
    B. LV Yang rising generating LV wind
    (this multiple choice question has been scrambled)
  26. A patient presents with a high fever, restlessness, stiff neck, and spasms.You note a stiff, red tongue with yellow coating, and a wiry, rapid pulse. What do you suspect?
    A. GB stagnation with phlegm heat
    B. LV blood deficiency giving rise to wind
    C. Extreme heat generating LV wind
    D. LV fire generating wind
    C. Extreme heat generating LV wind
    (this multiple choice question has been scrambled)
  27. A patient comes in complaining of dizziness, blurred vision, dry hair and brittle nails, poor memory and insomnia. You note fine tremors, a pale, thin tongue, and a fine, wiry pulse. You suspect:
    A. LV fire generating wind
    B. LV blood deficiency giving rise to wind
    C. Extreme heat generating LV wind
    D. GB stagnation with phlegm heat
    B. LV blood deficiency giving rise to wind
    (this multiple choice question has been scrambled)
  28. A patient presents with irritability, with a propensity to angry outbursts, tinnitus, frequent temporal headache, red face and eyes, constipation with dry stools, dream disturbed sleep, dark yellow urine, occasional nosebleeds, and thirst. You note a red tongue with redder sides, and a dry yellow coat, and a wiry, rapid pulse. Your diagnosis?
    A. LV blood deficiency giving rise to wind
    B. GB stagnation with phlegm heat
    C. LV fire generating wind
    D. Extreme heat generating LV wind
    C. LV fire generating wind
    (this multiple choice question has been scrambled)
  29. A patient presents complaining of pain in the hypo- chondrium, tinnitus, dizziness, insomnia, blurred vision, bitter taste, excessive dreams, a feeling of oppression in the chest. You note he is easily startled, timid, has a red tongue with a sticky yellow coating, and a wiry, slippery pulse. You suspect:
    A. LV blood deficiency giving rise to wind
    B. Extreme heat generating LV wind
    C. LV fire generating wind
    D. GB stagnation with phlegm heat
    D. GB stagnation with phlegm heat
    (this multiple choice question has been scrambled)
  30. A patient comes in complaining of pain and coldness in the lower back and limbs, low libido, early morning diarrhea, urinary frequency at night, and tiredness. You note the patient has dark eyelids, a pale, wet tongue, and a deep, weak, slow pulse. What is your diagnosis?
    A. KI Yin deficiency
    B. KI Qi not firm
    C. KI failing to receive Qi
    D. KI Yang deficiency
    D. KI Yang deficiency
    (this multiple choice question has been scrambled)
  31. A patient complains of shortness of breath on exertion, difficulty inhaling, chronic cough, lower back pain, dizziness and tinnitus. You note rapid and weak breathing, weak voice, a pale tongue, and a deep, weak pulse. You suspect:
    A. KI Qi not firm
    B. KI failing to receive Qi
    C. KI Yang deficiency
    D. KI Yin deficiency
    B. KI failing to receive Qi
    (this multiple choice question has been scrambled)
  32. A patient complains of lower back pain, night sweats, dry mouth and throat, constipation, tiredness, vertigo, scanty urination, and weak hearing. You note that the patient had a recent miscarriage, has red tongue with little coat, and a floating, empty pulse. Your diagnosis is:
    A. KI failing to receive Qi
    B. KI Yang deficiency
    C. KI Qi not firm
    D. KI Yin deficiency
    D. KI Yin deficiency
    (this multiple choice question has been scrambled)
  33. A patient comes in complaining of aching in the lower back, clear, frequent urination, urinary incontinence at night, has been recently diagnosed with uterine prolapse, and is weak and tired. You not the tongue is pale, and the pulse deep and weak. You suspect:
    A. KI Qi not firm
    B. KI Yang deficiency
    C. KI Yin deficiency
    D. KI failing to receive Qi
    A. KI Qi not firm
    (this multiple choice question has been scrambled)
  34. In a child, late development, mental retardation, poor bone development, late closing of the fontanels, and deafness indicate:
    Prenatal KI essence deficiency
  35. In adults, softness of bones, weakness of knees/legs, lower back pain, loose teeth, falling hair, premature graying of hair, weak sexual activity, infertility, poor memory, dizziness, tinnitus, deafness, blurry vision, decreased mental sharpness indicate:
    Postnatal KI essence deficiency
  36. Lower back soreness, cold feeling in the legs and back, abdominal fullness and distension, palpitations, cold hands, thin, watery frothy sputum, dyspnea on exertion, pale tongue with white coat and a deep, weak, slow pulse indicate:
    A. KI Yang deficiency, water overflowing
    B. KI essence deficiency
    C. KI failing to receive Qi
    D. KI Qi not firm
    A. KI Yang deficiency, water overflowing
    (this multiple choice question has been scrambled)
  37. A patient complains of frequent, urgent burning urination, dark yellow turbid urine, at times with blood, lower abdominal pain caused by fullness, lower back pain, red tongue with yellow sticky thick coat, and a rapid, slippery pulse. You suspect:
    A. BL damp-heat
    B. LV and GB damp-heat
    C. KI Yin deficiency
    D. ST heat/fire
    A. BL damp-heat
    (this multiple choice question has been scrambled)
  38. A patient complains of frequent, urgent, difficult urination, a feeling of heaviness in the lower abdomen, and pale and turbid urine. You note a pale tongue with sticky, white coat, and a slow slippery pulse. You suspect:
    A. KI Yang deficiency
    B. SP Qi deficiency
    C. KI failing to receive Qi
    D. BL damp-cold
    D. BL damp-cold
    (this multiple choice question has been scrambled)
  39. Patient presents with palpitations, insomnia, dream disturbed sleep, lower back pain, nocturnal emissions with dreams, dry stool, scanty dark urination, red tongue with redder tip, and floating, empty pulse. What do you suspect?
    A. KI and LV Yin deficiency
    B. LV and HT blood deficiency
    C. Disharmony between KI and HT
    D. KI and LU Yin deficiency
    C. Disharmony between KI and HT
    (this multiple choice question has been scrambled)
  40. Patient complains of dry cough, worse in the morning, scanty, sometimes bloody sputum, lower back pain, tinnitus, dry mouth and throat with coarse voice, night sweats, malar flush, and dizziness. You note the tongue is red without a coat, and the pulse is floating and empty. What is your diagnosis?
    A. KI and LV Yin deficiency
    B. Disharmony between KI and HT
    C. LV and HT blood deficiency
    D. KI and LU Yin deficiency
    D. KI and LU Yin deficiency
    (this multiple choice question has been scrambled)
  41. Your patient complains of blurred vision, dry eyes, brittle nails, lower back pain, insomnia, dry throat, stool, hair and skin. You note the tongue is normal without a coating, and the pulse is fine and rapid. What is your diagnosis?
    A. KI and LV Yin deficiency
    B. KI and LU Yin deficiency
    C. Disharmony between KI and HT
    D. LV and HT blood deficiency
    A. KI and LV Yin deficiency
    (this multiple choice question has been scrambled)
  42. A patient presents with palpitations, insomnia, poor memory, dream disturbed sleep, brittle nails, dry eyes, pale complexion and lips. You note the tongue is pale, thin and dry, and the pulse is choppy and fine. What do you suspect?
    A. KI and LU Yin deficiency
    B. KI and LV Yin deficiency
    C. LV and HT blood deficiency
    D. Disharmony between KI and HT
    C. LV and HT blood deficiency
    (this multiple choice question has been scrambled)
  43. A patient presents complaining of poor appetite, loose stool, daybreak diarrhea, coldness of limbs and knees, impotence. You note the abdomen is distended, and the patient has edema with scanty urination. The pulse is deep, weak and slow, and the tongue is pale and wet. What is your diagnosis?
    A. SP and KI Yang deficiency
    B. Rebellious LV Qi invading the SP
    C. SP and LU Qi deficiency
    D. SP and HT blood deficiency
    A. SP and KI Yang deficiency
    (this multiple choice question has been scrambled)
  44. Your patient complains of pain in the hypochondriac and costal regions, mental irritability, gastric pain when angered, vomiting, belching, and nausea. You note the tongue is normal with slightly red sides, and the pulse is wiry on the left, and weak on the right. What do you suspect?
    A. Rebellious LV Qi invading the SP
    B. SP and KI Yang deficiency
    C. SP and LU Qi deficiency
    D. SP and HT blood deficiency
    A. Rebellious LV Qi invading the SP
    (this multiple choice question has been scrambled)
  45. Your patient complains of palpitations, insomnia, dream disturbed sleep, poor appetite, abdominal distension, scanty periods. You note the patient is easily startled, has a pale complexion, has a pale, thin tongue, and a choppy, fine pulse. What is your diagnosis?
    A. SP and LU Qi deficiency
    B. SP and HT blood deficiency
    C. Rebellious LV Qi invading the SP
    D. SP and KI Yang deficiency
    B. SP and HT blood deficiency
    (this multiple choice question has been scrambled)
  46. Your patient complains of poor appetite, loose stools, abdominal distension, shortness of breath, dislike of speaking, tendency to catch cold, and spontaneous sweating. You note that the patient has a weak voice, pale complexion, has a pale tongue, and an empty pulse. What do you suspect?
    A. Rebellious LV Qi invading the SP
    B. SP and KI Yang deficiency
    C. SP and HT blood deficiency
    D. SP and LU Qi deficiency
    D. SP and LU Qi deficiency
    (this multiple choice question has been scrambled)
  47. Your patient presents complaining of palpitations, tiredness, depression, shortness of breath, dislike of speaking, slight cough, and spontaneous sweating. You note their voice is weak, they have a pale tongue, and an empty pulse. What is your diagnosis?
    A. SP and HT blood deficiency
    B. LU and HT Qi deficiency
    C. SP and LU Qi deficiency
    D. KI and LU Yin deficiency
    B. LU and HT Qi deficiency
    (this multiple choice question has been scrambled)
  48. Patient complains of a burning pain, with fullness and distension in the hypochondrium and chest, easily angered, dizziness, headache, cough with little, sometimes bloody sputum. You note the patient has a red
    face and eyes, a red tongue with dry yellow coating, and a wiry, rapid pulse. What do you suspect?
    A. Rebellious LV Qi invading SP
    B. Rebellious LV Qi invading the SP
    C. KI and LV Yin deficiency
    D. LV Fire insulting the LU
    D. LV Fire insulting the LU
    (this multiple choice question has been scrambled)
  49. You have a patient who complains of costal and hypo- chondrial distension and pain, mental depression, abdominal distension, irritability, poor apetite, loose stool, alternating constipation and diarrhea. You note
    the patient has a red face and red eyes, a normal tongue with slightly red sides, and a pulse that is wiry on the left, and weak on the right. What do you suspect?
    A. LV Fire insulting the LU
    B. KI and LV Yin deficiency
    C. Rebellious LV Qi invading the SP
    D. Rebellious LV Qi invading SP
    C. Rebellious LV Qi invading the SP
    (this multiple choice question has been scrambled)

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