CCE - 2 - OMP Sample questions (2017)
Terms in this set (85)
a patient had cold w/chills, no thirst and body aches. A few days later she had high fever w/ profuse sweating and w/a thirst for cold drinks. This change is best explained by:
Inter Transformation of yin and yang
This pulse is deep & thready, and hits fingers w/o strength. Which pulse is this?
Which of the following is characteristic of asthma due to lung qi and lung yin deficiency?
asthma, weak voice, sweating, prone to catching cold
A 40 yr old female suffers from weakness, palpitations, poor memory, insomnia, timidity. Her pulse is thin and choppy. The five element pattern is:
Wood not generating fire
A 65 yr. old male has insomnia w/difficulty falling asleep, easily tired, back pain, scanty yellow urine, fatigue, decreased appetite, worse w/exercise when exhaling, tinnitus, cough worse at night and early morning. Tongue is pale, pulse is forceless and choppy. The pulse indicates which of the following?
Deficiency and Blood deficiency
According to the 5th chapter of Plain Questions, "Yin remains inside to act as a guard for yang, and yang stays outside to act as a servant for yin." Which one of basic knowledge of the theories of yin and yang's described here?
The independence of Yin and Yang
Diarrhea with a burning anus represents which of the following conditions?
Damp heat in LI
The manifestations of Shao-yin heat syndrome are similar to those of
Heart & kidney yin deficiency
A 29 year old male college student w/a history of drug (stimulants) and smoking use presents w/dry skin, a patch of hair loss on his scalp at the vertex, depression, restless, fatigue, urine is yellow and scanty, stool dry. Tongue is red, pulse is thready, what diagnosis for this patient?
Liver & Kidney yin deficiency
Which syndrome has the same symptom as Wind-Cold invading the lung?
The four bigs (high fever, profuse sweating, extreme thirst and surging pulse) are key symptoms of?
Yang Ming channel (Jing) syndrome
A Male patient complains of abdominal pain w/tenderness, chest distress, constipation or loose stool w/difficult defecation, spontaneous perspiration, scanty dark urine, greasy yellow tongue coating, slippery and rapid pulse. Which one of the following is the correct diagnosis?
Stagnation of damp heat
Deficiency of liver blood transforming to internal wind is an example of
Deficiency transforming to Excess
A 52 yr. old man has blood in his stools. Blood is pale red and appears at the end of bowel movement. He is tired, short of breath, bruised easily. His complexion is sallow, his tongue is pale & his pulse is thready. the diagnosis is?
Spleen not controlling blood
This food has salty and cold taste, which has functions of clear heat and detoxifies to treat burn, insect bites, and poison from drugs , fishes, vegetable and mushrooms. Which one is this?
Painful obstruction syndrome is
affliction of channels alone and not the internal organs
Which Small Intestine pattern can be associated w/ a hernial disorder?
The patient has diagnosis of insomnia due to Heart & GB deficiency. The Examination reveals?
Pale tongue w/Heart crack and deficiency pulse
A two and a half year old girl had been suffering from juvenile arthritis for 2 months before the consultation. The attack started with a swelling of the knees which became hot and painful, then pain went to neck. Since then, she had bouts of pain and swelling moving from the knee to the neck. She had no other problems and her appetite and bowel movement were normal. Her tongue was slightly red. What is the diagnosis?
Acute heat painfull obstruction syndrome characterized by heat, damp and wind
Fever which is more severe during the night and disappearing at morning, normal appetite with weight loss, red tongue with little coating, and deep thready rapid pulse due to spring warm febrile disease, are the clinical symptoms of:
Pathogenic factor remaining at Yin portion
If the patient has a thin body with red points and peeled coating, which kind of western drug is he/she taking currently?
The time of the day that belongs to Yin within Yin is the:
First half of the night 6 PM to midnight
Mental confusion, lethargic, a rattling sound of phlegm in the throat, swollen tongue with a sick white slippery coat, and a rolling pulse are manifestations of:
Phlegm misting the mind
Which of the following treats poor appetite during pregnancy?
The clinical manifestation of chills, preference for warmth, pale face, cold extremities, and abdominal pain that is worsened by pressure indicates:
Interior access cold syndrome
You have been treating a patient with an interior syndrome irritability, thirst, dark urine, rapid pulse. He suddenly develops strong chills, mild fever, no sweating, severe body aches, occipital headache and a superficial tense pulse. His tongue is still red and his urine has remained dark yellow. The best diagnosis is:
Called on the exterior, in the interior
Which one of the following symptoms is the key point for differential diagnosis between Wei syndrome and bi syndrome?
If 30 year old male represents with hypochondriac pain and distention, irritability, signing, moody and depressed. The tongue is red and the pulse is wiry, forceful. What is the diagnosis for this patient?
Liver Qi Stagnation
The extraordinary fu organs are:
Gall bladder, brain, marrow, vessel
Abdominal fullness and distention, constipation, fever, dry mouth and throat, fatigue, body shaking, lassitude, dry and yellow tongue coating and deep, thready pulse due to warm febrile disease, are the clinical symptoms of:
Yangming fu syndrome with impaired both Qi and body fluid
Which of the following organs mostly related to edema?
Kidney, Lung and Spleen are mostly related to edema
A male suffers from a sudden onset of vomiting accompanied with chilliness, fever, headache, general aching, feeling of oppression in the chest, feeling of the stress and burning, epigastric pain and diarrhea, gassy tongue coating with a soft and floating pulse. Which one of the following is the correct diagnosis?
Invasion of external evils to stomach
The heart manifest in the:
Which of the following is not one of the three treasures?
Blood is not one of the three treasures
Numbness of the limbs, tics and tremors, and shaking of the head accompanied by a pale deviated tongue and a hesitant pulse indicates?
Wind due to blood deficiency
A 30 year old man man complains about his muscular weakness, feeling of weakness, tiredness, easily fatigued, poor appetite, loose stools, a sallow complexion. His tongue is pale and his pulse is weak. What is your diagnosis?
Wei syndrome, stomach and spleen deficiency
Spleen Qi failing to generate Lung Qi is an example of
Pathological generating - mother affecting son
A patient who eats a lot of red meat and drinks alcohol every day develops constipation with dry stools burning and swelling of the anus, a dry tongue and a parched burning sensation in his mouth. His tongue has a thick dry yellow coating that is turning black in the center and at the root. What is the treatment principal?
Clear heat in the large intestines and stomach promote body fluids
A patient's sudden loss of consciousness accompanied by spasms of the lambs, rolling back of the eyes, foaming at the mouth. Which is the correct diagnosis?
A 23-year-old male presents with anxiety, poor memory, dizziness, pale lips, insomnia, decreased appetite and propensity to be startled. His tongue is pale, thin and slightly dry. His pulse is forceless and fine. What is your treatment principal?
Tonify heart blood
A 48 year old woman had upper respiratory infection for two days before Thanksgiving day. Her symptoms included slight aversion to cold, shivering, fever, slight sweating, runny nose with yellow discharge, headache, body aches, cough, sore throat, swollen tonsils, and slight thirst. Her tongue was red in the front part, with a red points on the side. What is your diagnosis for this patient?
Wind-heat factor affect Wei level
Female 45 years old has aversion to cold, runny nose with slightly yellow mucus, fever, headache, sore throat, swollen glands in the throat. The tongue has thin white coating with red tip, and the pulse is superficial rapid. What is the primary diagnosis involved?
Which pattern is characterized by dizziness, seizures, numbness and paralysis, rattling sound in the throat, aphasia, possible loss of consciousness, and a string-taut pulse?
A 22 year old college student presents with distending abdominal pain, belching sour fluids, pain worse in the afternoons, irritability around exams, forgetfulness, irregular eating habits. Toung is slightly red on the sides, pulse is wiry forcefull. The tongue indicate which of the following?
The environmental factor associated with the lung is
Which one of the following disorders has the symptoms of fever in the afternoon or at night, feverish sensation in the palms and soles, or hectic fever, vexation, night sweating, insomnia and Dreamful sleep, dry mouth and throat, constipation, dark and scant urine, red and dry, crackled tongue with little or without fur, thready and rapid pulse?
Fever due to deficiency of Yin
Distending pain moving place to place represents which of the felt following patterns
Which of the following descriptions is incorrect about nature of the pain?
Colicky pain-sharp in nature and fixed in location
A 65-year-old man complains of severe dizziness and vertigo accompanied by blurred vision and headache. He has low back pain, weak knees, and a red tongue with no coating. The five elements pattern is:
Water not generating wood
A16-year-old female has a cough accompanied by fever, aversion to cold, sore throat and swollen tonsils. She has a headache and is sweating slightly. Her tongue is red on the front and sides with a thin white coating. Her pulse is superficial and rapid. The diagnosis is:
In bleeding due to blood to heat, the blood is:
Deep red and thick
A patient complained of barking cough for 1 week. Accompanied symptoms were fever, chest pain, breathlessness, thirst, sweating, and restlessness. Your examination would reveal:
Red tongue with yellowish coating, and overflowing and a rapid pulse
A 40 year old female has sore throat, cough with yellow, thick sputum, feels distention on the head, swollen glands, aversion to cold, shivering, heaviness in the head, thirst, dry stool, yellow urine. Her tongue is thick and yellow coating, pulse is rapid and slippery. What is your diagnosis for this patient?
Lung phlegm heat
The patient complained of aversion to cold, shivering, slight sweating, runny nose with yellowish discharge and sore throat. The examination revealed slight swollen tonsils, low-grade fever, slight red on the front of tongue, and floating rapid pulse. Your diagnosis would be:
Common cold due to wind-heat invasion
Alternating chills and fever represents which of the following patterns?
Half (1/2) exterior Half (1/2) interior
Dry hacking cough in the winter represents which of the following conditions?
Which organ regulates the water passages dispersing and descending body fluids?
The spleen manifest in the:
The liver manifest in the:
The kidney manifest in:
Which of the following is incorrect about Jin Ye?
Ye moistens the joints, spine, brain and bone marrow
Blue tongue in pregnancy means:
Danger of imminent miscarriage
The time of the day that belongs to Yin within yang is the:
Afternoon - noon to 6 PM
Pain before the periods indicates:
Stagnation of Qi or Blood
Reluctance to talk usually indicates:
A cold pattern
A 40 year old female suffers from insomnia, awaking every couple of hours. She feels irritable and restless and reports frequent palpitations. She also had dull lower back pain, tinnitus, and a thready rapid pulse. The five element pattern is
Water overacting on fire
Systemic pitting edema of the lower body is characteristic of
What is the best treatment principal for a patient with chilliness, cold limbs, no thirst, preference for warm drinks, pale face, lassitude, spontaneous sweating, clear perfuse urine, loose stools, slow week pulse, and a pale tongue with a thin white coating
Warm and tonify yang
A 53-year-old female came to your office complaining of vomiting of blood, epistaxis, painful periods, irregular periods, menstrual blood dark and clotted, abdominal pain, masses in abdomen, purple nails, purple lips, purple complexion, and petechiae. Her tongue is purple especially on the sides, with purpleish spots and her pulse is wiry. Which of the following is the best diagnosis for this patient?
Stasis of liver blood
Insomnia in the sense of waking up many times during the night indicates
Deficiency of kidney-yin
Flaring of the nostrils in a person with high fever indicates
Heat in the Lungs
A flaccid tongue indicates
Deficiency of body fluids
Which pattern is characterized by distending, moving pain?
A broad, large and forceless pulse like a roaring waves which come on powerfully and fade away is called:
Pain like a needle and with redness of the eye associated with headache indicates:
Fire poison in the heart channel
Patient complains of sudden swelling of the eyes and face, gradually spreading to the whole body, right shiny complexion, scanty and pale urination, aversion to wind, fever, cough and breathlessness. He has white slippery coating and floating slippery pulse. According to his clinical manifestations, which of the following is the best diagnosis for this patient?
Invasion of the Lungs by wind-water
Which pattern is characterized by dizziness, seizures, numbness and paralysis, rattling sound in the throat, aphasia, possible loss of consciousness, and a string-taut
A Male 45 years old has vomiting, nausea, epigastric pain, belching, hypochondriac pain and distention. Irritability sighing, moody and depressed. The tongue is red, greasy thick coating and pulse is wiry, slippery. What is the treatment principal?
Move liver Qi and tonify stomach Qi
A constant low-grade temperature indicates:
Constipation with small, bitty stool like goats stool indicates
Stagnation of Liver Qi and heat in the intestines
A sweet taste and stickiness in the mouth may imply:
Damn heat in the spleen and stomach
A quivering tongue indicates
Spleen Qi deficiency
A patient presents with abdominal pain that is worse with pressure indicates which of the following conditions according to TCM?
Which of the following is not true about the function of the spleen?
The Spleen does not control the blood vessels.
Insomnia in the sense of not being able to fall asleep, but sleeping well after falling asleep, indicates:
Deficiency of heart-blood