TCM Biomed Set 2

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What are the indications for the point located in the depression distal and inferior to the base of the first metatarsal bone at the junction of the red and white skin?

Gastric pain, vomiting, diarrhea

One of your patients is outwardly seductive towards you. Which of the following should you not do?

Keep ignoring the behavior

All of the following show continuity of care except?

Keeping the same acupuncture assistant in your office

A prospective new patient calls by phone to make an appointment for headaches. Your receptionist says that he has to wait 1 week before seeing you. The prospective patient says he has a headache now and cannot wait. The receptionist says that he can take an aspirin daily until the appointment. What is the relationship between the caller and the receptionist?

Patient/practitioner relationship

The CPT code for acupuncture with one or more needles and without electrical stimulation for the initial 15 minutes of personal one-on-one contact with the patient is

97810

Failure to adequately document patient care may be interpreted as

negligence

You are treating a patient with a history of panic attacks. During the acupuncture treatment he becomes very anxious to the point of panic. He complains that his hands, face, and lips are numb and tingling. What is most likely occurring?

Respiratory alkalosis

In the 2010 CPR guidelines, the C-A-B system stands for

Compression-Airway-Breathing

How does long-term use of beta blockers such as Inderal (proprolol), Lopressor (metoprolol), or Tenormin (atenolol) affect the pulse?

The pulse becomes slow (chi mai)

How does the long-term use of H2-receptor antagonists such as Zantac (ranitidine), Tagamet (cimetidine), Pepcid (famotidine), or Axid (nizatidine) affect the pulse?

The right middle pulse becomes slightly floating (fu mai) and empty (xu mai)

How does long-term use of selective seratonin reuptake inhibitors (SSRI) such as Prozac (fluexetine), Paxil (paroxetine), or Zoloft (setraline) affect the pulse?

The pulse becomes slippery (hua mai) or wiry (xian mai) on the right middle position

How does long-term use of anti-coagulants such as Coumadin or Heparin affect the pulse?

The pulse becomes overflowing (hong mai) and slightly empty (xu mai) at the middle level

A patient has Radiculopathy at C6. Which symptom differentiates a C6 from a C7?

pain radiating to thumb

A 43 year-old female has Addison's Disease. What are her symptoms?

weakness, fatigue, hypotension, hyperpigmentation, black freckles, vitiligo, cold intolerance, anorexia, nausea

Reflexes are usually graded on a scale of

0 - 4+

In examining cranial nerve I, what is the typical procedure done?

Smell coffee grounds

Needle disposal containers should have all of the following:

positive closure, have a biohazard labeling, wall mounted

Needle manipulation must be done with

a sterile gauze pad

Which of the following iron related blood tests is the most accurate indicator of iron deficiency?

Ferritin

What is the best method of avoiding needle stick with an acupuncture needle that has been used in treatment?

Proper handling

Studies show that a significant percentage of staff needle sticks occur while

cleaning up sharps containers

If a guide tube is used with more than one needle

drop the needle handle first into the tube

Needling HE-2 (qingling) may damage the

brachial artery

An 85 year-old male has Secondary Adrenal Insufficiency. What differentiates this diagnosis from Addison's Disease?

absence of hyperpigmentation

A 32 year-old male has Gastroesophgeal Reflux Disease. How is the diagnosis confirmed?

endoscopy

Informed consent must include all of the following except

must outline risks and alternatives to procedures
must outline procedures consented to
must outline risks and alternatives to procedures

Laws requiring health care providers to report known or suspected communicable diseases and child or elder abuse

vary from state to state

If you employ acupuncturists, OSHA requires that you keep confidential hepatitis B vaccination records on all employees for the duration of employment plus

30 years

What is the CPT insurance code for moxibustion?

there is no code

Dermatitis, diarrhea, and dementia (the three Ds) are deficiency symptoms for which nutrient?

niacin (niacinamide)

A patient has osteomalacia, muscle aches and weakness, and bone pain. Which vitamin deficiency might the patient have?

vitamin D

A patient has seizures, anemia, and peripheral neuropathy. Which vitamin deficiency might the patient have?

vitamin B12

pregnant women with a folic acid deficiency might give birth to a baby with

neural tube defects

Which drink is contraindicated in both hypertension and pregnancy?

coffee

Which drink clears the head, relieves thirst and restlessness, resolves phlegm, and reduces cholesterol?

green tea

Deep insertion in a superior direction of ST-30 (qichong) may

penetrate a full bladder

When needling LI-5 (yangxi) one should avoid

the cephalic vein

A patient bruises easily. What vitamin deficiency might the patient have?

vitamin K

Which vitamin deficiency is associated with rickets?

vitamin D

In what motion should alcohol swabs be applied?

One firm swipe

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