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126 Cards in this Set
- Front
- Back
- 3rd side (hint)
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When clarifying your Px chief complaint, what 7 details are crucial?`
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Location:where?
Onset:when, reoccuring,ever happened before? Palliative/Provacative:what makes condtn worse/better? Quality:pain-sharp,dull, aching,burning,tearing, stabbing, cramping? Radiation/Referring:does it hurt with papation? Severity:1-10 scale or relation to activities and daily life Temperature & Timing:sensation hot/cold & when? |
LOPQRST |
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List the 13 follow up questions
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Fever & Chills
Sweating Head & Face Chest & Abdomen Any other pain Appetite & Thirst Digestion Stools & Urine Sleep Eyes & Ears Female Questions Male Questions Children (#14 Emotions) |
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After asking about your Px hands and feet, you determine that they have damp heat - what must be their complaint be?
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Damp, Sticky, Yellow, Smelly sweat of the hands & feet
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Sweat |
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During follow up, you uncover that your Px has sweaty hands and feet, has dry signs and symptoms, and has a fever- what is the diagnosis?
a)Heat Stasis b)5 center heat c)Heart heat d)a and b |
a) heat stasis in the yin channels
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What kind of a sweat condtions accompanies 5 center heat due to a Yin xu?
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sweaty hands & feet at night
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Your Px tells you that their hands get sweaty randmonly, and for no particular reason, what is their condition
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lung or heart qi xu
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When a Px has ST heat only the ___ will sweat, and if a Px has damp heat their ___ or their ________
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ST heat = forehead sweat
Damp Heat = sticky/yellow sweat of hands and feet or back of neck/hairline will sweat |
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T/F Children Sweating, especially at night is a cause for concern and could be an indication of the serious disharmony
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F: children sweating in small amounts, especially during their first cycle of jing is normal
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In a case of fever without chills it is important to determine:
a)The amount of fever only b)The timing and amount of fever c) The timing of fever only |
b)The timing and amount of fever
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What would a patient experiencing fever without chills indicate?
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Interior heat
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A patient experiencing low grade temperature without chills in the afternoon and evening indicates:
a) Qi Deficiency b) Damp heat c) Yin Deficiency d) Blood Deficiency |
c) Yin Deficiency
& d) Blood Deficiency |
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A patient experiencing constant low grade temperature without chills indicates:
a) Qi Deficiency b) Damp heat c) Yin Deficiency d) Blood Deficiency |
b) Damp heat
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A patient experiencing low grade temperature without chills during daytime indicates:
a) Qi Deficiency b) Damp heat c) Yin Deficiency d) Blood Deficiency |
a) Qi Deficiency
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An adult patient experiencing low grade temperature without chills during sleep indicates:
a) Qi Deficiency b) Blood Stagnation c) Yin Deficiency d) Blood Deficiency |
b) Blood Stagnation
c) Yin Deficiency d) Blood Deficiency |
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A child experiencing low grade temperature without chills during sleep indicates:
a) Qi Deficiency b) Food Stagnation c) Yin Deficiency d) Blood Deficiency |
b) Food Stagnation
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A patient experiencing actual fever without chills indicates:
a) Excess heat b) Severe Yin Deficiency c) Heat in the blood |
a) Excess heat
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Symptoms from a patient experiencing tidal fever without chills usually manifest as:
a) Hot flashes b) Rashes c) Boils |
a) Hot flashes
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A patient experiencing alternative fever & chills (Shao Zang) indicate the followings:
a) Wind Cold in half exterior and Heat in interior b) Wind Heat in Exterior and Wind Cold in Interior c) None of the above |
a) Wind Cold in half exterior and Heat in interior
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Joe Schmo has simultaneous fever and chills, with the FEVER predominant. He most likely has __________?
a. interior heat b. heat at yang ming level c. wind heat d. wind heat with cold attack |
c. wind heat
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chills with no fever is a sign of _________?
a. interior xu cold b. wind cold c. interior shi cold d. both a and c |
d. both a and c
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chills without fever, with acute onset is a sign of __________
a. exterior pathogen b. interior shi cold c. wind cold d. interior xu cold |
b. interior shi cold
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chills without fever, with gradual onset is a sign of __________?
a. exterior pathogen b. interior shi cold c. wind cold d. interior xu cold |
d. interior xu cold
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Joe Schmo has simultaneous fever and chills, with the CHILLS predominant. He most likely has __________?
a. interior cold b. cold at yang ming level c. wind cold d. wind cold with heat attack |
c. wind cold
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A patient with Yin Xu will exhibit which of the following symptoms (can be more than answer)?
a) Sweating duing sleep b) All day low grade fever c) Hot flashes d) spontaneous sweating e) Simulatneous fever and chills |
a) Sweating duing sleep
-and- c) Hot flashes (Tidal fevers) |
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Which type of sweating is indicative of qi and yang xu?
a) Sweating with fever and chills on head face and trunk b) Hot sweat, sore throat with fever and chills c) Spontaneous Sweating d) Night sweats |
c) Spontaneous Sweating (with mild of no exertion)
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A patient with Blood Xu or blood stasis will exhibit which of the following symptoms (can be more than answer)?
a) profuse cold sweat b) fever without chills c) sweats during sleep d) feels hot during the afternoon e)spontaneous sweating |
c) sweats during sleep
-and- d) feels hot during the afternoon |
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If a person has hot sweat, sore throat and fever and chills this person has?
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wind- heat
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True/False: Sweating with simultaneous fever and chills can be most commonly caused by Wind-cold?
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False - Most common is wind-heat, however it can be wind cold WITH Qi Xu
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Profuse cold sweat is indicative of what?
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Yang Xu or Yang Collapse
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How does a xu of Zhong Qi affect the stools?
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Zhong Qi xu causes loose, frequent stools that are difficult to hold.
this is also affected by SP Qi Sinking |
Zhong qi xu is central Qi xu therefore the SP and ST must be weak |
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Your Px has loose stools with undigested food, what is the likey cause
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SP Qi xu (loose stools)
Yang Xu or SP xu (undigested food) |
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T/F Diarrhea is shi condition
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F:
xu- SP &/or KD yang xu (daybreak diarrhea) shi-damp heat, food stag, cold-damp, heat toxins/dysentery |
daybreak diarrhea - no smell smells bad and burns |
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Damp in the intestines can cause ____ with_____. However, if it is Damp heat in intestines the stools will also have ____ in them
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intestinal damp causes diarrhea with mucus
intestinal damp heat is diarrhea with mucus & blood |
dysentery |
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Your Px has stools with turbid blood & pain. This is due to:
a)Sp Qi failure to hold blood b)LI cold c)blood heat d)SP Qi xu |
Blood heat -> turbid blood and pain
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You diagnose your Px with SP Qi failing to hold blood, what are the likely symptoms?
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loose watery stools with watery blood
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hemmroids |
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Stools that involve pain are likely to have a ___ pattern
a)cold b)heat c)liver d)b&c e)nonee of the above |
b)painful stool involves a heat pattern
turbid blood/pain-blood heat painful diarrhea-LVpattern or heat burning anus-heat |
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Your px has painful diarrhea with a burning sentation in the anus. What is the diagnosis
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Likely LV pattern with Heat
or Heat |
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Every morning your Px is awakened by the urge to deficate.Also their tongue is pale wet and swollen at the root what is the diagnosis.
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KD yang xu
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You diagnose your Px with SP Yang xu aka LI Cold. what is a likely symptom:
a)ribbon like stools b)loose stools c)frothy stools d)b&c e)none of the above |
e)none-
SP yang xu -> stools like duck droppings |
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A px with ribbon like stools, trembling tongue, and a weak pulse likely has________
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SP Qi xu
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Crohn's disease |
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GB disease causes stools to be ________
a)mucusy b)ribbon like c)painful d)gray/frothy e)none of the above |
d)gray & frothy aka steatorrhea
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steatorrhea |
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T/F Constipation is a shi condition
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F:
xu-blood, yin, qi xu (small) shi-heat, qi stag, cold(larger) |
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fatigue after BM is a ____ condition, releif after BM is a ___condition
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fatigue - xu
relief - shi |
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Your px has constipation with hard & dry stools. this is cause by ____
a) heat b) qi stag c) cold d) yin xu |
a) heat in intestines
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Constipation caused by blood or yin xu is likely to occur in what group of patietns
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elderly,
post-partum debilited |
think weak, fragile |
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your PX has very dark stools and a hesitant pulse, what is your diagnosis
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blood stagnation
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px could also have large purple sublingual veins |
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pebble like dry stools are caused by _____
pebble like wet stools are cuased by _____ |
dry-blood or yin xu
moist-LV Qi stag |
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How can LV Qi stag affect a persons stools
a)alternating stools/diarrhea b)acute hard & dry c)pebble like & wet d)all of the above e)a&c |
e) a&C
pebble like and moist alternating - LV Qi stag with SP Qi xu(wood attacks earth) |
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How does KD yang xu vs KD Yin xu affect the volume of urniation
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KD Yang xu-increase volume
KD Yin xu-decrese volume |
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T/F: UB obstruction, Heat, and KD yang xu decrease the volume of urination
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F!
UB obstruction, Heat &KD YIN xu decrease volume |
yin or yang- thing body fluids |
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Your px complains that they have pain prior to urination and during urination. what is the diagnosis?
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Qi stag in Lower Jiao-pain before, and
Heat in UB-pain during |
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How will general QI xu affect urination?
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pain after
scanty but increased frequency |
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How can LU Qi xu affect urination?
a)incontinence b)frequency decreases & is clear c)urinary retention d)all of the above e)none of the above |
d)all of the above
Incontinence- also KD xu , SP qi xu Urinary retention- also damp |
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Your Px has increased frequecy of urination in copious amounts. what is the diagnosis
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KD qi & yang xu
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Your Px complains that they have pain after urinating and have milky/cloudy urine. What is their diagnosis?
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Qi xu-pain
Cold Damp-milky |
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Your px has been diagnosed as having KD Yin xu, how will this affect their urinating pattersn?
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deceased frequency of scanty dark yellow urine due to KD Yin xu
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Red urine indicates:
a)heat b)cold c)damp d)blood heat e)Heart Fire |
d)blood heat
clear/pale- normal or cold yellow-heat turbid-cold damp |
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Your PX has difficulty urinating but feels that they are urinating more often with pain. what is the likely diagnosis?
a)Damp heat in UB b)KD xu + heat in UB c)KD Yin xu + heat in UB d)a&b e)all of the above f)none of the above |
d)a&b
pain-heat in UB difficulty-damp in UB, KD xu |
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what are the 4 causes of wind that lead to dizziness and/ or vertigo?
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blood zu
yin xu with yang rising extreme heat phlegm |
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This type of headache feels like a band or tournaquette is around the head.
a. brain and teeth pain b. temporal headache c. whole head ache d. occipital headache |
c. whole head ache
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when someone has a headache that is related to pain in the brain and teeth they will have which symptoms?
a. pain in the neck and back b. blue-green fingernails c. pale skin d. heat signs and symptoms e. both a and d |
b. blue-green fingernails
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heaviness or muzziness in the head with no dizziness is related to what pathogen?
a. blood xu b. damp and phlegm c. wind cold or wind heat d. damp e. phlegm |
d. damp
"no dizzy, no phlegm" |
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pressure or distention in the head is often caused by
a. blood stasis b. liver yang rising c. KD xu d. dampness |
b. liver yang rising
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what type of headache is often related to muscle tension?
a. occipital HA b. frontal HA c. whole head HA d. HA in the vertex of the head |
a. occipital HA
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Temporal HA are related to
a. UB and SI b. SJ and GB c. HT and KD d. LV and blood |
b. SJ and GB
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What are headaches with aversion to cold represent?
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Exterior attack
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What are headaches aggravated by stress represent?
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Liver Yang rising
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What do mouth ulcers represent when they are located in the tongue?
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Heart Fire
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What do mouth ulcers represent when they are located in the cheeks?
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Stomach or Spleen Heat
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What do cold sores that appear for the first time represent?
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Stomach Heat
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Stabbing pain is usually indicatvie of?
a) qi stagnation b) blood stagnation c) Dampness d) Excess pattern e) deficiency pattern |
b) blood stagnation
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If Stabbing pain is in the Hypochondrium it usually means:
a) LU Heat b) LV Blood Stasis c) Lv Qi Stagnation d) HT Blood Stasis d) ST Excess |
b) LV Blood Stasis
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A feeling of fullness and pressure in the chest is indicative of (can be one or more answers?
a) Severe LV Qi Stagnation b) LV Qi Stagnation c) Dampness d) LU Heat e) Phlegm in the Lung |
a) Severe LV Qi Stagnation
and e) Phlegm in the Lung |
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True/ False : If pain feels worse with pressure than it is and excess pattern?
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True.
If pain feels better with pressure then it is Xu pattern |
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If pain is better with heat then the diagnosis will be a _________ pattern
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Cold
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If pain is migratory it is usually caused by (can be one or more answers:
a) Wind b) heat c) cold d) Qi Stagnation e) HT fire transferring to SI |
a) Wind
and d) Qi Stagnation |
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Distension in hypochondrium, epigastrium is due to_____________
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LV Qi stagnation
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If the pain in the epigastrium is alleviated by eating than it is due to:
a) Dampness b) ST Xu c) ST Xs d) SP Qi Xu e) LV Qi Stagnation |
b) ST Xu
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A feeling of fullness/bloating in the epigastrium is usually caused by _____________
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Dampness
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which is not a cause of lower abdominal pain:
a) Internal cold b) LV qi Stag c) SP Qi Xu d)Damp heat e) Blood Stasis |
c) SP Qi Xu
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which is not a cause of pain in the hypogastrium:
a) Damp-heat b) LV-Fire infusind downward c)Heart Fire transferring to the SI d) SP Qi Sinking e) LV blood Stagnation |
e) LV blood Stagnation
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True or False: Slight fullness in the Episgastrium is caused by Dampness
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False
If fullness is slight this is SP Qi XU. |
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Painfule cough with profuse yellow phlegm could be due to _____________
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LU Heat
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If pain is aggravated by movement it is a ___________ pattern
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Deficiency
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A patient presents with having a lingering salty taste in their mouth. This indicates?
A. Food retention B. KD yin xu C. Liver fire D. Lung heat |
B. Kidney yin xu
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A patient with an excessive appitite most likely has
A. Liver heat B. A tapeworm C. ST fire D. A chronic cold condition |
C. ST fire
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Poor appetite always represents what?
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Lack of T & T
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Clear watery vomit, would be indicative of what pattern?
A. Cold in stomach B. Deficency pattern C. Heat pattern D. Heat pattern |
A. Cold in stomach
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A patient with no thirst, that is unable to drink, most likley has:
A. Shen disturbance B. Damp-heat C. Deficency cold D. LV fire |
B. Damp heat
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How would you qualify the libido of a man with Kidney Yin Xu, Liver or Heart Fire?
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Heightened
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How would you qualify the libido of a man with Kidney Qi or Yang Xu?
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Diminished
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What does Spermatorrhea means?
a) Liver Qi Stagnation b) Kidney Qi Xu c) Heart Qi Xu |
b) Kidney Qi Xu
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A man experiencing premature ejaculation has a pathology with wich of the following organs:
a) Kidney and Heart b) Liver c) Lung |
a)Kidney and Heart
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Impotence in men is induced by:
a) Kidney Yang Xu b) Heart Blood Xu and Fire c) Damp-Heat in the Liver channel d) All of the above |
d) All of the above
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A women experiencing headache soon after orgasm suffer from:
a) Heart Fire b) Rebellious Qi of the chong mai c) Either one of the above |
c) Either one of the above
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Yellow Leukorrhea indicates:
a) Heat pattern b) Dampness c) Liver Fire |
a) Heat pattern
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White Leukorrhea indicates:
a) Cold-Damp b) SP or KI Yang Xu c) Liver Qi Stagnation d) All of the above |
d) All of the above
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Green Leukorrhea indicates:
a) Liver Qi Stagnation b) Damp Heat in Liver c) Liver Fire |
b) Damp Heat in Liver
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Yellow Leukorrhea with pus & blood indicates:
a) Toxic Damp Heat in Spleen b) Toxic Damp Heat in Uterus c) Liver Fire |
b) Toxic Damp Heat in Uterus
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A short menstrual cycle can be due to both shi xu conditions. The primary ones are
a. liver blood xu and stagnation of cold b. spleen qi xu and blood heat c. kidney yang xu and liver qi stagnation d. spleen qi xu and liver qi stagnation |
b. spleen qi xu and blood heat
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A long menstrual cycle can be due to both shi and xu conditions. The primary ones are:
a. liver blood xu and stagnation of blood or cold b. spleen qi xu and liver blood heat c. liver qi stagnation and spleen qi xu d. blood heat and kidney yang xu |
a. liver blood xu and stagnation of blood or cold
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Mid cycle bleeding can be cuased by:
a. stagnation of liver qi b. kidney yang xu c. spleen qi xu d. both a and b e. both a and c |
e. both a and c
can also be due to stagnation of liver blood |
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Sally has a weak pulse, swollen tongue with teethmarks and a period that lasts more than 7 days. She most likely has:
a. liver blood xu b. kidney yin xu c. spleen qi xu d. blood xu |
c. spleen qi xu
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Amy's period lasts less than 3 days. She may have:
a. spleen qi xu b. liver blood xu c. stagnation of blood/cold d. both b and c e. all of the above |
d. both b and c
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Clots in the blood indicate_______
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blood stagnation
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Pale blood indicates_______, while purple blood indicates ______
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qi and blood xu
blood stasis |
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pain after menstruation is due to________ or ________ xu.
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qi or blood xu
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pain before menstruation is due to _________ or ___________
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stag of qi
stag of blood |
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dark red menstrual blood indicates __________
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heat with stagnation
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Dryer, scanty and brown menstrual blood indicates
a. qi stag b. liver blood xu c. blood stasis d. both b and c |
b. liver blood xu
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Gestation is affected by
a)Father's Health b)Mother's Health c)Trauma/Shock d)all of the above e)a&b d)b&c |
physical shock/trauma can affect the baby
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How does trauma manifest in the baby' health?
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LU
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T/F: Food retention, skin conditions, sore throats & runny noses can be a result of weening too late
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F:
adverse affects from weening too early |
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Childhood diseases can weaken _____
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They can weaken the LU
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T/F Children are inherently week in the LU, especially in the first cycle of jing?
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F: SP/ST are inherently weak - food retention,intestinal qi sta, are common disorders
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Children are especaiily prone to
a) Wind invasion b) Retention c) SP Qi Xu with phlegm d) all of the above e) b&c only |
All of the Above
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____ usually causes sleeping problems in children
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Heat
LV Fire, ST Heat, Food Retention |
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Night whimpering and soft crying in infacnts is likely due to ____
a) food retention b) prenatal shock c) postnatal shock d) all of the above |
b) prenatal shock
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True/False. If a patient has tinnitus that came on suddenly is high pitch and is not alleviated with pressure on the earsit is likely due to a LV condition?
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True. LV fire, LV Wind, LV Yang Rising
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Which type of tinnitus is most likely caused by KI XU?
a) Tinnitus due to Xs b) Tinnutus due to Xu c) Tinnitus due to a combinsation of Xu and Xs e) a and c d) b and c |
d) b and c
Xu -> Ki XU comb -> LV & KI Yin Xu |
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If a person has KI Xu they may experience which of the following symptoms?
a) deafness b) ear swelling c) red swollen eyes d) floaters e) needle-like pain with Headache |
a) deafness
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Which one of these symptoms is not due to a LV conditions?
a) ear swelling b) blurry vision c) dry eyes d) needle like pain with headache e) floaters |
d) needle like pain with headache
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Which of the following symptoms could lead to a diagnosis of LV Yang Rising?
a) red, swollen eyes b) floaters c) pressure in eye d) blurry vision e) a, b and c f) a and c e) b and c |
f) a and c
red, swollen eyes and pressure in eye |
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pain before period is due to_____
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stag of qi and/or bld
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pain during period is due to ____
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heat or cold
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pain after period is due to ____
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qi or bld xu
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