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Diagnostics of TCM II Board Exam Practice
Terms in this set (76)
What is indicated by this pattern: cough that produces a small amount of thick yellow sputum, dry mouth, sore throat, slight aversion to cold, red tongue tip with thin, yellow fur, floating-rapid pulse?
Wind invasion of the Lungs by Wind-Heat
What is indicated by this pattern: dry cough or cough with bloody sputum, dry throat, dry mouth, fever, aversion to wind-cold, headache, dry tongue with little fur?
Invasion of the lungs by Dryness
board exam question
Which of the following is not a clinical manifestation of Deficient Lung Qi?
A slippery rapid pulse
What is indicated by this pattern: cough with profuse thin white sputum that is easily expectorated (spitted), pale tongue with white and greasy fur, and slippery pulse?
Accumulation of Phlegm-Damp in the Lungs
What is indicated by this pattern: cough that produces thick yellow sputum and/or foul-smelling pus and blood; difficult breathing, dry stools, dark urine, and red tongue with yellow fur?
Retention of pathogenic heat in the Lungs
What is indicated by this pattern: pain in the abdomen, dysentery with mucous and pus or blood in the stools, tenesmus, a hot sensation in the anus, greasy yellow tongue fur?
Damp-Heat in the Large Intestine
What is the main clinical manifestation of deficient body fluid in the large intestine?
dry stools and difficulty in defecation
Which of the following symptoms is rarely found in diseases of the Spleen?
What is indicated by this pattern: poor appetite, loose stools, abdominal distention after meals, emaciation or dropsy, pale tongue?
Deficient Spleen Qi
What is indicated by this pattern: cold pain in the epigastrium that is worsened by a further invasion of Cold and that is alleviated when warmed, no thirst, a rumbling sound as of water in the epigastrium, pale tongue coated with white fur, slow-taut pulse?
Cold syndrome of the Stomach
What is indicated by this pattern: dry mouth and throat, hunger but no willingness to eat, hiccups, retching, dry stool, red tongue coated with little fur, thin-rapid pulse?
Deficiency Stomach Yin
What is indicated by this pattern: a sensation of fullness in the abdomen, anorexia, nausea, readiness to vomit, heavy feeling in the head and body, loose stools, pale tongue coated with white greasy fur?
Splenic disorder due to retention of Cold Damp
Which manifestation is shared in common by these two syndromes: 1) insufficiency of Spleen Qi or Spleen Yang; 2) Sinking Qi of the Middle Jiao?
Loose stools and fatigue
What is the classic clinical symptom of Deficiency Stomach Yin?
Feeling hunger but unwillingness to eat
Which of the following is not a symptom of a Cold syndrome of the stomach?
Pain in the epigastrium that becomes severe after eating
What is indicated by this pattern: frequent feelings of hunger, burning pain in the epigastrium, a foul smell in the mouth, dry stools, red tongue with yellow fur, slippery-rapid pulse?
Heat syndrome in the stomach
What is indicated by this pattern: poor appetite, loose stools, intolerance to cold, cold extremities, no thirst, plump pale tongue, deep-feeble pulse?
Deficient Spleen Yang
What is indicated by this pattern: continuous diarrhea, dysentery, prolapse of the anus after overexertion (or perhaps prolapse of the uterus)?
Collapse of the Middle Jiao
What is indicated by this pattern: dull complexion, weariness, poor appetite, shortness of breath, menorrhagia, metrorrhagia, metrostaxis with pale blood, pale tongue, thin-feeble pulse?
Failure of the spleen to keep blood flowing within the vessels
What is the main cause of splenic disorder due to retention of Cold-Damp?
Overeating cold food, wading in water during rain
What is the main symptom of Stomach Energy being unable to descend?
Sinking Qi in the Middle Jiao is caused by which of the following disorders?
Insufficient Spleen Qi in failing to lift up
What is the special classical/key symptom of Deficient Liver Blood?
Dryness in the eyes and numb limbs
What is indicated by this pattern: dizziness, tinnitus, lassitude in the loins, feeling a sense of heaviness in the head, reddened tongue, thin-taut pulse?
Hyperactivity of the Liver Yang
What are the primary symptoms of accumulation of Cold in the Liver meridian?
Distending, dragging, cold pain in the pudendum and lower abdomen; or pain from contraction of the scrotum
What is indicated by this pattern: dizziness, tinnitus, dryness of the eyes, pain in the hypochondrium, a feverish sensation in the center of the palms and soles, hectic fever, night sweats, a scarcity of saliva, red tongue, thin-taut rapid pulse?
Deficient Liver Yin
Stagnancy of Liver Qi often causes which of the following symptoms?
Pain in the hypochondrium
Which of the following is not a symptom of Deficient Liver Blood?
Which of the following rarely occurs in diseases of the Liver?
Intolerance of cold, cold extremities
What is indicated by this pattern: dizziness, distending pain in the head, flushed face, conjunctival congestion, bitter taste and dry mouth, irritability, dry stools, yellow urine, taut-rapid pulse?
Flaming-up of Liver Fire
Which of the following is not a manifestation of Disturbance of Phlegm due to gallbladder stagnation?
Wiry, thready pulse
Which of the following is not a clinical manifestation of Deficient Heart Blood
Hectic fever and night sweats
What are the most common symptoms of Heart disease?
Palpitations or severe palpitations
What is indicated by this pattern: palpitations, insomnia, dream-disturbed sleep, amnesia, a feverish sensation in the center of the palms and soles, flushing of the zygomatic region, night sweats, dry red tongue, and thready-rapid pulse?
Deficient Heart Yin
What is indicated by this pattern: shortness of breath, palpitations, oppression in the chest that is aggravated by movement, spontaneous sweating, pale tongue with white fur, feeble or knotted pulse?
Deficient Heart Qi
What is indicated by this pattern: irritability, sleeplessness, flushed face, thirst, painful and deep-colored micturition, red tongue with yellow fur, rapid pulse?
Flaring up of Heart Fire
What is (are) the main clinical manifestations of Excess Heart Fire transmitting down into the small intestine?
Scanty and dark urine, burning pain in micturition
What is indicated by this pattern: vertigo, blurred vision, palpitations, insomnia, a prickling pain that worsens when pressed, dark purplish tongue with purple, thin-taut pulse?
Deficient blood and blood stasis
Which of the following symptoms is not associated with heart disease?
What is indicated by this pattern: delirium, capricious laughter/crying, mania, tendency to frighten?
Heart disturbed by phlegm fire
What are the main clinical manifestations of the Heart disturbed by Phlegm Fire?
Insomnia, dreaminess, a propensity to be frightened
Delirium, being capricious in laughing and crying, mania
palpitations, insomnia, amnesia
Which of the following is characteristic of Exterior-Excess syndrome?
No sweating, aversion to cold, and fever
What syndrome would you associate with this pattern: high fever, irritability, red complexion and eyes; fullness, tenderness and pain in the abdomen; oliguria, reddish urine, constipation, red tongue with yellow fur, slippery-rapid-replete pulse?
Excess Heat syndrome of the Interior
Which symptom do Deficiency-Cold syndrome and Excess-Cold syndrome share in common?
Intolerance of cold, cold limbs
What syndrome would you associate with this pattern: fever, headache, cough, swollen and painful throat, loose stools and copious clear urine?
Heat in the Exterior and Cold in the Interior
What is not important in differentiating false manifestations between Deficiency and Excess syndrome?
Whether there is fever or not
Which of the following is considered symptomatic of Deficient Yin?
Describe the tongue and pulse of a patient with Deficient Yin:
Red tongue with little or without fur and thready-rapid pulse
Which of the following does not occur with depletion of Yang?
Dry tongue with little saliva
What is indicated by fidgets, dyspnea, loud voice, dry stools, full or slippery-replete pulse?
What is the main etiology of Exterior syndrome?
Invasion of the body surface by exopathic factors
What is the main distinguishing feature of exterior syndrome?
Aversion to cold and fever
Which of the following is not characteristic of Exterior-Cold Syndrome?
Thin-yellow tongue fur (yellow is more heat)
Which of the following is not characteristic of Exterior-Cold syndrome?
The invasion of the body surface by pathogenic cold obstructs Defensive Yang
Which of the following do you associate with fever due to Exterior syndrome?
Aversion to cold and fever
What is usually indicated by serious aversion to cold and high fever in an exterior syndrome?
The strength of the pathogenic factor and Vital Qi
Which of the following does not indicate progression of a pathogenic factor from Exterior to Interior?
Slight aversion to cold (it goes deeper)
Why is differentiation between Exterior and Interior syndromes used?
To spot the location of a disease
What factors may cause Interior syndrome?
1. The invasion of the ZangFu organs by exopathogens after they are transmitted to the interior
2. The direct invasion of the ZangFu organs by exopathogens
3. Overstimulation by the 7 emotions and irregular diet
What is the main differentiating symptom between Exterior and Interior syndromes?
Aversion to cold and fever
Which symptoms are characteristic of an Exterior syndrome?
2. Itchy throat
3. Thin white tongue fur
4. Stuffed up runny nose
What are Exterior syndromes usually characterized by?
1. A sudden onset
2. Superficial location
3. Mild symptoms
4. Short duration
What is the major cause for an exterior syndrome?
The invasion of the six exogenous factors
What will differentiation between Cold syndrome and Heat syndrome indicate about the disease?
What are the etiological causes for development of a Cold syndrome?
1. Affection of pathogenic Cold
2. Deficient Yang and Excessive Yin
3. Impairment of Yang due to prolonged illness
What are the etiological causes for developing a Heat syndrome?
1. Affection by pathogenic Heat
2. Fire transformation from disorder of the 5 emotions
3. Hyperactivity of Yang due to Deficient Yin
4. Cold Syndrome transforming into a Heat syndrome
What characterizes dyspnea (difficulty of breathing) due to failure of the Kidney to maintain normal "inspiration"?
Breathing out more than breathing in, broken respiration (Kidney cannot grasp the Qi)
What characterizes every case of Deficient Kidney syndrome?
Lassitude in the loins and knees
What kind of bowel movement is associated with Deficient Yang of the Kidney?
Morning diarrhea/dawn (rooster call diarrhea)
What is indicated by this pattern: sterility, lassitude in the loins, dizziness, tinnitus, alopecia, flaccidity of the feet, and a feeble pulse at the Chi location, pale tongue coated thin white fur?
Deficient Kidney Essence
Which of the following is not a clinical manifestation of Deficient Kidney Essence?
Impotence and seminal emission
What is indicated by this pattern: lassitude in the loins and knees, frequency clear micturition that is dripping, enuresis, incontinence of feces, pale tongue, deep-thready pulse?
Unconsolidation of Kidney Qi (Kidney Qi not firm)
Which of the following is not a manifestation of Deficiency Kidney Essence?
Frequent clear micturition
Which of the following is not a manifestation of the unconsolidation of Kidney Qi (Kidney Qi Deficiency)?
Broken respiration that worsens with movements
What is indicated by this pattern: fever, frequent micturition that is dripping difficult, and accompanied by burning pain in the urethra, greasy yellow tongue fur, rapid pulse?
Damp Heat in the Bladder
Which of the following best describes the clinical manifestations of Deficient Kidney Yang?
Impotence or inability to become pregnant caused by a cold womb
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