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126 Cards in this Set

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When clarifying your Px chief complaint, what 7 details are crucial?`
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
List the 13 follow up questions
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)
After asking about your Px hands and feet, you determine that they have damp heat - what must be their complaint be?
Damp, Sticky, Yellow, Smelly sweat of the hands & feet
Sweat
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
What kind of a sweat condtions accompanies 5 center heat due to a Yin xu?
sweaty hands & feet at night
Your Px tells you that their hands get sweaty randmonly, and for no particular reason, what is their condition
lung or heart qi xu
When a Px has ST heat only the ___ will sweat, and if a Px has damp heat their ___ or their ________
ST heat = forehead sweat
Damp Heat = sticky/yellow sweat of hands and feet or back of neck/hairline will sweat
T/F Children Sweating, especially at night is a cause for concern and could be an indication of the serious disharmony
F: children sweating in small amounts, especially during their first cycle of jing is normal
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
What would a patient experiencing fever without chills indicate?
Interior heat
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
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
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
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
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
A patient experiencing actual fever without chills indicates:
a) Excess heat
b) Severe Yin Deficiency
c) Heat in the blood
a) Excess heat
Symptoms from a patient experiencing tidal fever without chills usually manifest as:
a) Hot flashes
b) Rashes
c) Boils
a) Hot flashes
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
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
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
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
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
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
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)
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)
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
If a person has hot sweat, sore throat and fever and chills this person has?
wind- heat
True/False: Sweating with simultaneous fever and chills can be most commonly caused by Wind-cold?
False - Most common is wind-heat, however it can be wind cold WITH Qi Xu
Profuse cold sweat is indicative of what?
Yang Xu or Yang Collapse
How does a xu of Zhong Qi affect the stools?
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
Your Px has loose stools with undigested food, what is the likey cause
SP Qi xu (loose stools)
Yang Xu or SP xu (undigested food)
T/F Diarrhea is shi condition
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
Damp in the intestines can cause ____ with_____. However, if it is Damp heat in intestines the stools will also have ____ in them
intestinal damp causes diarrhea with mucus
intestinal damp heat is diarrhea with mucus & blood
dysentery
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
You diagnose your Px with SP Qi failing to hold blood, what are the likely symptoms?
loose watery stools with watery blood
hemmroids
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
Your px has painful diarrhea with a burning sentation in the anus. What is the diagnosis
Likely LV pattern with Heat
or Heat
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.
KD yang xu
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
A px with ribbon like stools, trembling tongue, and a weak pulse likely has________
SP Qi xu
Crohn's disease
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
steatorrhea
T/F Constipation is a shi condition
F:
xu-blood, yin, qi xu (small)
shi-heat, qi stag, cold(larger)
fatigue after BM is a ____ condition, releif after BM is a ___condition
fatigue - xu
relief - shi
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
Constipation caused by blood or yin xu is likely to occur in what group of patietns
elderly,
post-partum
debilited
think weak, fragile
your PX has very dark stools and a hesitant pulse, what is your diagnosis
blood stagnation
px could also have large purple sublingual veins
pebble like dry stools are caused by _____
pebble like wet stools are cuased by _____
dry-blood or yin xu
moist-LV Qi stag
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)
How does KD yang xu vs KD Yin xu affect the volume of urniation
KD Yang xu-increase volume
KD Yin xu-decrese volume
T/F: UB obstruction, Heat, and KD yang xu decrease the volume of urination
F!
UB obstruction, Heat &KD YIN xu decrease volume
yin or yang- thing body fluids
Your px complains that they have pain prior to urination and during urination. what is the diagnosis?
Qi stag in Lower Jiao-pain before, and
Heat in UB-pain during
How will general QI xu affect urination?
pain after
scanty but increased frequency
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
Your Px has increased frequecy of urination in copious amounts. what is the diagnosis
KD qi & yang xu
Your Px complains that they have pain after urinating and have milky/cloudy urine. What is their diagnosis?
Qi xu-pain
Cold Damp-milky
Your px has been diagnosed as having KD Yin xu, how will this affect their urinating pattersn?
deceased frequency of scanty dark yellow urine due to KD Yin xu
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
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
what are the 4 causes of wind that lead to dizziness and/ or vertigo?
blood zu
yin xu with yang rising
extreme heat
phlegm
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
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
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"
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
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
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
What are headaches with aversion to cold represent?
Exterior attack
What are headaches aggravated by stress represent?
Liver Yang rising
What do mouth ulcers represent when they are located in the tongue?
Heart Fire
What do mouth ulcers represent when they are located in the cheeks?
Stomach or Spleen Heat
What do cold sores that appear for the first time represent?
Stomach Heat
Stabbing pain is usually indicatvie of?
a) qi stagnation
b) blood stagnation
c) Dampness
d) Excess pattern
e) deficiency pattern
b) blood stagnation
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
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
True/ False : If pain feels worse with pressure than it is and excess pattern?
True.

If pain feels better with pressure then it is Xu pattern
If pain is better with heat then the diagnosis will be a _________ pattern
Cold
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
Distension in hypochondrium, epigastrium is due to_____________
LV Qi stagnation
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
A feeling of fullness/bloating in the epigastrium is usually caused by _____________
Dampness
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
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
True or False: Slight fullness in the Episgastrium is caused by Dampness
False

If fullness is slight this is SP Qi XU.
Painfule cough with profuse yellow phlegm could be due to _____________
LU Heat
If pain is aggravated by movement it is a ___________ pattern
Deficiency
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
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
Poor appetite always represents what?
Lack of T & T
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
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
How would you qualify the libido of a man with Kidney Yin Xu, Liver or Heart Fire?
Heightened
How would you qualify the libido of a man with Kidney Qi or Yang Xu?
Diminished
What does Spermatorrhea means?
a) Liver Qi Stagnation
b) Kidney Qi Xu
c) Heart Qi Xu
b) Kidney Qi Xu
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
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
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
Yellow Leukorrhea indicates:
a) Heat pattern
b) Dampness
c) Liver Fire
a) Heat pattern
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
Green Leukorrhea indicates:
a) Liver Qi Stagnation
b) Damp Heat in Liver
c) Liver Fire
b) Damp Heat in Liver
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
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
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
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
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
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
Clots in the blood indicate_______
blood stagnation
Pale blood indicates_______, while purple blood indicates ______
qi and blood xu
blood stasis
pain after menstruation is due to________ or ________ xu.
qi or blood xu
pain before menstruation is due to _________ or ___________
stag of qi
stag of blood
dark red menstrual blood indicates __________
heat with stagnation
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
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
How does trauma manifest in the baby' health?
LU
T/F: Food retention, skin conditions, sore throats & runny noses can be a result of weening too late
F:

adverse affects from weening too early
Childhood diseases can weaken _____
They can weaken the LU
T/F Children are inherently week in the LU, especially in the first cycle of jing?
F: SP/ST are inherently weak - food retention,intestinal qi sta, are common disorders
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
____ usually causes sleeping problems in children
Heat
LV Fire, ST Heat, Food Retention
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
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?
True. LV fire, LV Wind, LV Yang Rising
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
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
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
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
pain before period is due to_____
stag of qi and/or bld
pain during period is due to ____
heat or cold
pain after period is due to ____
qi or bld xu