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163 Cards in this Set

  • Front
  • Back
All of the following show continuity of care except?

A. Follow up phone call to no-show patients to facilitate rescheduling

B. Designate a substitute provider when on vacation

C. Keeping the same acupuncture assistant in your office

D. Follow up phone call to clarify a patient-initiated closure of the relationship
C. Keeping the same acupuncture assistant in your office

Source: Acupuncture Risk Management, CMS Press, Kailin, 1997 page 129
A patient has afternoon fever, profuse sweating, strong thirst, constipation, abdominal pain worse with pressure, restlessness, delirium, red tongue with dry yellow moss, and deep-forceful pulse. What is the treatment?

A. LI-11 (quchi), ST-44 (neiting), DU-14 (dazhui), ST-37 (shangjuixu), ST-25 (tianshu)

B. BL-20 (pishu), ST-36 (zusanli), ST-25 (tianshu), SP-6 (sanyinjiao)

C. TB-5 (waiguan), TB-6 (zhigou), GB-41 (zulinqi), DU-13 (taodao)

D. BL-12 (fengmen), LU-7 (lique), LI-4 (hegu), GB-20 (fengchi)
A. LI-11 (quchi), ST-44 (neiting), DU-14 (dazhui), ST-37 (shangjuixu), ST-25 (tianshu)

Source: Bright-Yang (yang ming) stage of organ type - Foundations of Chinese Medicine, Maciocia, 2005, page 716
Which stage is characterized with chills, cold feelings, listlesness, desire to sleep, diarrhea, pale urination, no thirst, pale tongue with white moss, and deep slow pulse?

A. Shao Yin

B. Tai Yin

C. Jue Yin

D. Yang Ming
A. Shao Yin

Source: This stage is associated with Kidney Yang Xu with Cold - Foundations of Chinese Medicine, Maciocia, 2005, page 717
Which stage is characterized with afternoon fever, profuse sweating, strong thirst, constipation, abdominal pain worse with pressure, restlessness, delirium, red tongue with dry yellow moss, and deep-forceful pulse?

A. Tai Yan

B. Yang Ming Organ Syndrome

C. Shao Yang

D. ang Ming Meridian Syndrome
B. Yang Ming Organ Syndrome

Source: This stage is associated with Stomach Fire - Foundations of Chinese Medicine, Maciocia, 2005, page 715
Jing-river points treat disorders with voice changes. All of the following jing-river points treat sighing except

A. LR-4 (zhongfeng)

B. GB-38 (yangfu)

C. PC-5 (jianshi)

D. SP-5 (shangqiu)
C. PC-5 (jianshi)

Source: A Manual of Acupuncture, Deadman, 2001, page 36
A patient has Lesser-Yin (shao yin) symptoms and signs of the cold type. What is the treatment?

A. BL-23 (shenshu), REN-4 (guanyuan), REN-6 (qihai), KI-7 (shenque), KI-3 (taixi)

B. EN-4 (guanyuan), KI-3 (taixi), KI-6 (zhaohai), SP-6 (sanyinjiao)

C. LR-3 (taichong), LI-4 (hegu), SP-4 (gongsun), PC-6 (neiguan)

D. REN-12 (zhongwan), BL-20 (pishu), ST-36 (zusanli), ST-25 (tianshu), SP-6 (sanyinjiao)
A. BL-23 (shenshu), REN-4 (guanyuan), REN-6 (qihai), KI-7 (shenque), KI-3 (taixi)

Source: Foundations of Chinese Medicine, Maciocia, 2005, page 717
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?

A. Client/receptionist relationship

B. Patient/receptionist relationship

C. Patient/practitioner relationship

D. Prospective patient/receptionist relationship
C. Patient/practitioner relationship

Source: Acupuncture Risk Management, CMS Press, Kailin, 1997 page 99
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

A. 97810

B. 97811

C. 97813

D. 97814
A. 97810

Source: http://acupuncturetoday.com/archives2005/feb/02wells.html
Failure to adequately document patient care may be interpreted as

A. abuse of one's license

B. negligence

C. breaking state law

D. not following federal statutes
B. negligence

Source: Acupuncture Risk Management, CMS Press, Kailin, 1997 page 77
Which sinew channel follows the medial aspect of the leg and connects with the genitals?

A. Spleen

B. Kidney

C. Liver

D. Stomach
C. Liver

Source: A Manual of Acupuncture, Peter Deadman, 2001, page 470
Which shu-stream point is one of the most important distal points for treating ear disorders due to any pathology?

A. SI-3 (houxi)

B. SJ-3 (zhongzhu)

C. GB-41 (zulinqi)'

D. LR-3 (taichong)
B. SJ-3 (zhongzhu)

Source: A Manual of Acupuncture, Deadman, 2001, page 394
Gua Sha does all of the following except

A. release the exterior

B. raise the qi

C. move the qi and blood

D. disseminate the fluids
B. raise the qi

Source: Gua Sha, Nielsen, 2009, page 50
The presence of Sha [note - shan?] is indicated by patient symptoms and verified by

A. the pulse

B. palpation

C. the tongue

D. color
B. palpation

Source: Gua Sha, Nielsen, 2009, page 44
Which xi-cleft point is indicated for chest pain due to blood stasis and upper jiao bleeding (nosebleed, vomiting and coughing blood) due to hot blood?

A. HT-6 (yinxi)



C. LU-6 (kongzui)

D. SI-6 (yanglao)
B. PC-4 (xinmen)

Source: A Manual of Acupuncture, Deadman, 2001, page 38
A patient has no appetite, has heavy feelings in the body and drinks only in small sips in spite of being thirsty. The patient also has low-grade sensations of heat, loose and foul-smelling stools, a burning anus, and scanty, dark urine. The tongue coating is yellow, and the pulse is slippery and fast. What is the Spleen pattern?

A. Damp-Cold Invading Spleen

B. Dampness Obstructing Spleen with Stagnant Liver Qi

C. Damp-Heat Invading Spleen

D. Spleen Qi Deficiency
C. Damp-Heat Invading Spleen

Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 578; 1989 Edition, page 246
The Upper Burner, Middle Burner, and Lower Burner are respectively compared to

A. Fountain, drainage ditch, muddy pool

B. Mist, muddy pool, drainage ditch

C. Steam, Water, Oil

D. Cold, Warm, Hot
B. Mist, muddy pool, drainage ditch
Jin fluids moisten the

A. Joints

B. Orifices

C. Skin and muscles

D. Eyes
C. Skin and muscles
Which is NOT a property of Jin fluids?

A. Clear, light, thin-watery

B. Move quickly

C. Become a part of the blood

D. Circulate with Nutritive Qi (ying qi) on the inside
D. Circulate with Nutritive Qi (ying qi) on the inside
What is derived from and interacts with both Pre-Heaven and Post-Heaven Essence (jing)

A. Kidney-Essence

B. Lung-Essence

C. Heart-Essence

D. Liver-Essence
A. Kidney-Essence
Nutritive Qi (ying qi) helps to transform

A. Blood into Qi

B. Original Qi (yuan qi) to Essence (jing)

C. Purest part of food to Blood

D. Essence (jing) to Original Qi (yuan qi)
C. Purest part of food to Blood
The most Yang manifestation of Qi is

A. Meridian Qi

B. Defensive Qi (wei qi)

C. Organ Qi

D. Nutritive Qi (ying qi)
B. Defensive Qi (wei qi)
Essence (jing) cycles in men and women are respectively

A. 8 years, 7 years

B. 7 years, 8 years

C. 10 years, 20 years

D. 7 years, 7 years
A. 8 years, 7 years
Which of the following statements is false?

A. Qi ascends, descends, enters, and leaves

B. Qi moistens the organs

C. Qi warms the body

D. Qi maintains structure
B. Qi moistens the organs
Urinary incontinence, spontaneous sweating and chronic vaginal discharges are all related to

A. Blood deficiency

B. Heat

C. Qi deficiency

D. Qi excess
C. Qi deficiency
A poor state of Essence (jing) can be seen in what type of pulse?

A. Wiry

B. Scattered

C. Deep

D. Hollow
B. Scattered
True Qi takes the form of

A. Original Qi (yuan qi) and Essence (jing)

B. Nutritive Qi (ying qi) and Defensive Qi (wei qi)

C. Food Qi and Air Qi

D. Qi and Blood
B. Nutritive Qi (ying qi) and Defensive Qi (wei qi)
If you employ acupuncturists, OSHA requires that you keep confidential hepatitis B vaccination records on all employees for the duration of employment plus

A. 10 years

B. 30 years

C. 50 years

D. 25 years
If you employ acupuncturists, OSHA requires that you keep confidential hepatitis B vaccination records on all employees for the duration of employment plus

B. 30 years

Source: Clean Needle Technique, 6th Edition, page 72
Vitamin E should be used cautiously with

A. Cardizem (diltiazem)

B. Mevacor (lovastatin)

C. Dilantin (phenytoin)

D. Coumadin (warfarin)
Vitamin E should be used cautiously with

D. Coumadin (warfarin)


Source: warfarin (Coumadin) is used to slow blood clotting; Vitamin E can also slow blood clotting; taking vitamin E along with warfarin (Coumadin) can increase the chances of bruising and bleeding; The dose of warfarin (Coumadin) might need to be changed - http://www.nlm.nih.gov/medlineplus/druginfo/natural/954.html#DrugInteractions
The supplement 5-HTP is contraindicated with

A. antiretroviral drugs

B. antigout drugs

C. antidepressant drugs

D. antiplatelet drugs
The supplement 5-HTP is contraindicated with

C. antidepressant drugs


Source: 5-HTP increases a brain chemical called serotonin; some medications for depression also increase serotonin; taking 5-HTP along with these medications for depression might increase serotonin too much and cause serious side effects including heart problems, shivering, and anxiety; do not take 5-HTP if you are taking medications for depression that include fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft), amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Tofranil), and others - http://www.nlm.nih.gov/medlineplus/druginfo/natural/794.html#DrugInteractions
Red yeast is contraindicated with

A. hepatotoxic drugs

B. antianxiety drugs

C. proton pump inhibitor drugs

D. antiseizure drugs
Red yeast is contraindicated with

A. hepatotoxic drugs

Source: Red yeast contains the statin drug lovastatin; lovastatin might harm the liver in some people; taking red yeast along with other medications that might also harm the liver might increase the risk of liver damage; some medications that can harm the liver include acetaminophen (Tylenol and others), amiodarone (Cordarone), carbamazepine (Tegretol), isoniazid (INH), methotrexate (Rheumatrex), methyldopa (Aldomet), fluconazole (Diflucan), itraconazole (Sporanox), erythromycin (Erythrocin, Ilosone, others), phenytoin (Dilantin), lovastatin (Mevacor), pravastatin (Pravachol), simvastatin (Zocor), and many others - http://www.nlm.nih.gov/medlineplus/druginfo/natural/925.html
The herb Dong Quai is contraindicated with

A. Dilantin (phenytoin)

B. Mevacor (lovastatin)

C. Coumadin (warfarin)

D. Voltaren (diclofenac)
The herb Dong Quai is contraindicated with

C. Coumadin (warfarin)

Source: dong quai might slow blood clotting; taking dong quai along with medications that also slow clotting might increase the chances of bruising and bleeding; Warfarin (Coumadin) is used to slow blood clotting. Dong quai can also slow blood clotting. Taking dong quai along with warfarin (Coumadin) can increase the chances of bruising and bleeding; the dose of warfarin (Coumadin) might need to be changed; some medications that slow blood clotting include aspirin, clopidogrel (Plavix), diclofenac (Voltaren, Cataflam, others), ibuprofen (Advil, Motrin, others), naproxen (Anaprox, Naprosyn, others), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, warfarin (Coumadin), and others - http://www.nlm.nih.gov/medlineplus/druginfo/natural/936.html
Which point combination best treats coughing up blood?

A. BL-17 (ge shu), SP-10 (xue hai)

B. BL-20 (pi shu), BL-21 (wei shu)

C. CV-17 (tan zhong), LU-7 (lie que)

D. LU-6 (kong zui), BL-17 (ge shu)
Which point combination best treats coughing up blood?

D. LU-6 (kong zui), BL-17 (ge shu)

Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 415
Which point combination best treats aphasia and stiff tongue?

A. GB-20 (feng chi), CV-22 (tian tu), ST-9 (ren ying)

B. LI-4 (he gu), LU-6 (kong zui), BL-13 (fei shu)

C. HT-7 (shen men), BL-15 (xin shu), CV-22 (tian tu)

D. GV-15 (ya men), CV-23 (lian quan), HT-5 (tong li)
Which point combination best treats aphasia and stiff tongue?

D. GV-15 (ya men), CV-23 (lian quan), HT-5 (tong li)


Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 401
Which point combination best treats yang jaundice?

A. BL-20 (pi shu) with moxibustion, BL-48 (yang gang)

B. LR-3 (tai chong), GB-34 (yang ling quan)

C. BL-19 (dan shu), BL-20 (pi shu)

D. SP-6 (san yin jiao), ST-36 (zu san li)
Which point combination best treats yang jaundice?

B. LR-3 (tai chong), GB-34 (yang ling quan)

Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 433
Which hormone is responsible for stimulating contraction of the uterus during labor?

A. Oxytocin

B. Luteinizing hormone

C. Thyroxine

D. Somatotrophin
Which hormone is responsible for stimulating contraction of the uterus during labor?

A. Oxytocin

Source: http://en.wikipedia.org/wiki/Oxytocin
Which is a caution for ST-21 (liangmen)?

A. deep insertion may injure the heart

B. moxibustion is contraindicated

C. in thin subjects, deep needling may penetrate the peritoneal cavity

D. the needle should be inserted slowly without lifting, thrusting or rotating
C. in thin subjects, deep needling may penetrate the peritoneal cavity

Source: A Manual of Acupuncture, Deadman (2000), page 145
In needling ST-42 (chongyang) what should be avoided?

A. anterior tibial vessels and nerve
B. dorsalis pedis artery
C. deep peroneal nerve
D. medial dorsal cutaneous nerve
B. dorsalis pedis artery

Source: A Manual of Acupuncture, Deadman (2000), page 168
In needling ST-42 (chongyang) what should be avoided?

A. anterior tibial vessels and nerve

B. dorsalis pedis artery

C. deep peroneal nerve

D. medial dorsal cutaneous nerve
Deep insertion in an inferior direction of ST-30 (qichong) may
A. penetrate the spermatic cord

Source: A Manual of Acupuncture, Deadman (2000), page 152
Deep insertion in a superior direction of ST-30 (qichong) may

A. penetrate the spermatic cord

B. penetrate a full bladder

C. injure femoral artery and nerve

D. injure the pelvic nerve plexus
B. penetrate a full bladder

Source: A Manual of Acupuncture, Deadman (2000), page 152
Which point Warms the lower jiao, Regulates menstruation and benefits the genital region?

A. ST-27 (daju)

B. ST-29 (guilai)

C. REN-2 (qugu)

D. LR-5 (ligou
B. ST-29 (guilai)

Source: A Manual of Acupuncture, 2000, Deadman, page 150
Post-natal depression is usually due to

A. Exhaustion of the Qi and Blood Stasis

B. Blood deficiency leading to Heart-Blood deficiency

C. Exhaustion of the Penetrating Vessel

D. Stasis of Blood
Post-natal depression is usually due to

B. Blood deficiency leading to Heart-Blood deficiency


Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 349; 1989 Edition, page 162
Which of the following are NOT particularly useful points in diagnosis?

A. Back Transporting points

B. Front Collecting points

C. Ah Shi points

D. Luo points
Which of the following are NOT particularly useful points in diagnosis?

D. Luo points


Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 373-374; 1989 Edition, page 174
The upper part of the abdomen just below the xyphoid process should be relatively

A. Soft

B. Hard

C. Cold

D. Moist
The upper part of the abdomen just below the xyphoid process should be relatively

A. Soft

Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 371; 1989 Edition, page 173
What is the location of the lo-connecting point of the hand shao-yang meridian?

A. 5 cun above Triple Burner 4 between, the radius and ulna

B. 4 cun superior to Triple Burner 4, between the radius and ulna

C. 2 cun above Triple Burner 4, between the radius and ulna

D. 3 cun above Triple Burner 4, between the radius and ulna
What is the location of the lo-connecting point of the hand shao-yang meridian?


C. 2 cun above Triple Burner 4, between the radius and ulna

Source: TB-5 - A Manual of Acupuncture, Deadman, 2001, page 396
What is the location of lower he-sea point of the small intestine on the meridian of the foot yang-ming meridian?

A. 8 cun inferior to Stomach 35 2 cun inferior to Stomach 37 midway between Stomach 35 and Stomach 41

B. 9 cun inferior to Stomach 35 3 cun inferior to Stomach 37

C. 9 cun inferior to Stomach 36 3 cun inferior to Stomach 37

D. 3 cun inferior to Stomach 35 one finger-breadth from the anterio crest of the tibia
What is the location of lower he-sea point of the small intestine on the meridian of the foot yang-ming meridian?


B. 9 cun inferior to Stomach 35 3 cun inferior to Stomach 37




Source: ST-39 - A Manual of Acupuncture, Deadman, 2001, page 164
Nutritive Qi (ying qi) helps to transform

A. Blood into Qi

B. Original Qi (yuan qi) to Essence (jing)

C. Essence (jing) to Original Qi (yuan qi)

D. Purest part of food to Blood
Nutritive Qi (ying qi) helps to transform

D. Purest part of food to Blood


Source: The Web That Has No Weaver, Kaptchuk, 2000, page 50
The most Yang manifestation of Qi is

A. Meridian Qi

B. Defensive Qi

C. Organ Qi

D. Nutritive Qi
The most Yang manifestation of Qi is


B. Defensive Qi


Source: The Web That Has No Weaver, Kaptchuk, 2000, page 50
What is the CPT insurance code for moxibustion?

A. 97811

B. 97813

C. there is no code

D. 97814
What is the CPT insurance code for moxibustion?

A. 97811

B. 97813

C. there is no code


Source: www.acupuncturetoday.com/mpacms/at/article.php?id=32178
Which of the following statements is false?

A. Qi ascends, descends, enters, and leaves

B. Qi warms the body

C. Qi moistens the organs

D. Qi maintains structure
Which of the following statements is false?



C. Qi moistens the organs




Source: The Web That Has No Weaver, Kaptchuk, 2000, page 48
Which point Descends rebellious qi and alleviates cough and wheezing and Benefits the throat and voice?

A. LU-1 (zhongfu)

B. REN-22 (tiantu)

C. REN-17 (shanzhong)

D. ST-18 (rugen)
Which point Descends rebellious qi and alleviates cough and wheezing and Benefits the throat and voice?

B. REN-22 (tiantu)

Source: A Manual of Acupuncture, 2000, Deadman, page 522
Which stage has slight sweating?

A. Wei stage

B. Qi stage

C. Ying stage

D. Xue stage
Which stage has slight sweating?

A. Wei stage

Source: The Practice of Chinese Medicine, Maciocia, 1994, page 783
Jing is translated as Essence and the Chinese character depicts

A. Rice in a steam pot

B. Something distilled from a coarser substance

C. Light clouds in heaven

D. Air flowing into the lungs and onto the heart
Jing is translated as Essence and the Chinese character depicts

B. Something distilled from a coarser substance


Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 44; 1989 Edition, page 38
By providing a material basis, Blood prevents Qi from

A. Leaking

B. Sinking and then leaking

C. Giving rise to Empty-Heat

D. Descending
By providing a material basis, Blood prevents Qi from

C. Giving rise to Empty-Heat

Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 64; 1989 Edition, page 52
How many times does Defensive Qi (wei qi) circulate within 24 hours?

A. 100 times

B. 50 times

C. 25 times

D. 360 times
How many times does Defensive Qi (wei qi) circulate within 24 hours?

B. 50 times


Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 53; 1989 Edition, page 46
Upright Qi is usually only defined in relation to

A. True Qi

B. Pathogenic factors

C. Central Qi

D. Gathering Qi
Upright Qi is usually only defined in relation to

B. Pathogenic factors


Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 54; 1989 Edition, page 46
The KUB X-Ray study helps to evaluate the kidneys, bladder and

A. Adrenals

B. Ureters

C. Uterus

D. Fallopian tubes
The KUB X-Ray study helps to evaluate the kidneys, bladder and

B. Ureters

Source: Mosby's Manual of Diagnostic and Laboratory Tests, 4th Edition, 2010, Pagana, page
GV-3 (yaoyangguan), GV-4 (mingmen), and GV-8 (jinsuo) are

A. punctured obliquely upward 0.5-0.8 inch

B. punctured perpendicularly 1-1.5 inches

C. punctured perpendicularly 0.5-1.0 inch

D. punctured obliquely downward 0.8-1.2 inches
GV-3 (yaoyangguan), GV-4 (mingmen), and GV-8 (jinsuo) are

C. punctured perpendicularly 0.5-1.0 inch

Source: Chinese Acupuncture and Moxibustion, Chief Editor Cheng Xinnong, 2004, page 227-228
The needle techniques of "Setting the Mountain on Fire" and "Penetrating Heaven-Coolness" are derived from all of the following techniques EXCEPT

A. slow and rapid insertion of needle

B. the relation of needle tip to qi flow

C. lifting and thrusting of needle

D. keeping the hole open or closed
B. the relation of needle tip to qi flow

Source: Chinese Acupuncture and Moxibustion, 3rd Edition, page 346-349; 2nd Edition, 1999, page 346-349
When concluding the acupuncture needle technique "Setting the Mountain on Fire" you

A. slowly withdraw the needle and rotate to the left

B. withdraw needle when patient exhales

C. quickly withdraw the needle and press the hole

D. rotate needle fast with large amplitude
C. quickly withdraw the needle and press the hole




Source: Chinese Acupuncture and Moxibustion, 3rd Edition, page 346-349; 2nd Edition, 1999, page 346-349
Chronic and stubborn numbness in the fingers and toes with sensations that are distinguishable between the fingers and toes indicates

A. Blood Deficiency

B. Wind-Phlegm blocking channels

C. Damp-Heat blocking channels

D. Damp-Phlegm obstruction
Chronic and stubborn numbness in the fingers and toes with sensations that are distinguishable between the fingers and toes indicates


D. Damp-Phlegm obstruction


Source: Diagnosis Study Guide, Yi and Stone, 2008, page 203
Numbness in the extremities, burning pain in the lower limbs, skin feels hot to touch, and yellow-greasy tongue coating can indicate

A. Phlegm-Damp obstruction

B. Damp-Phlegm stagnation

C. Damp-Heat

D. Wind-Phlegm blocking channels


Source: Diagnosis Study Guide, Yi and Stone, 2008, page 203
C. Damp-Heat



Source: Diagnosis Study Guide, Yi and Stone, 2008, page 203
Frequent night sweating, a dull and heavy headache, and poor appetite is due to

A. shao yang pattern

B. Kidney Yin Deficiency

C. dampness accumulation

D. Heart Blood Deficiency


Source: Diagnosis Study Guide, Yi and Stone, 2008, page 187
C. dampness accumulation


Source: Diagnosis Study Guide, Yi and Stone, 2008, page 187
In selecting points above to treat below, which of the following points treats leg numbness?

A. DU-16 (fengfu)

B. DU-26 (renzhong)

C. ST-9 (renying)

D. GB-10 (fubai)


Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 58
A. DU-16 (fengfu)

Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 58
Which point is often selected for genital disorders?

A. LR-3 (taichong)

B. LR-4 (zhongfeng)

C. LR-5 (ligou)

D. LR-6 (zhongdu)


Source: 'A Manual of Acupuncture, Deadman, 2nd Edition, page 57
C. LR-5 (ligou)



Source: 'A Manual of Acupuncture, Deadman, 2nd Edition, page 57
A patient has sudden unconsciousness, convulsions, deviation of eye and mouth. What is the treatment plan?

A. Clear Heat, Disperse Liver, Subdue Wind

B. Nourish Liver Yin, Subdue Liver Yang and Wind

C. Sedate the Liver, Clear Fire

D. Disperse Liver, Regulate Blood
B. Nourish Liver Yin, Subdue Liver Yang and Wind


Source: Liver Yang Rising Causing Wind - The Foundations of Chinese Medicine, Maciocia, 2005, page 526; 1989 Edition, page 222
A patient has tongue ulcers, thirst, palpitations and a red tongue. What is the treatment plan?

A. Clear Heart-Fire, Resolve Phlegm, Pacify the Mind

B. Clear the Heart, Drain Fire, Pacify the Mind

C. Open the Heart, Resolve Phlegm

D. Tonify and Nourish Heart Yin, Pacify the Mind
B. Clear the Heart, Drain Fire, Pacify the Mind

Source: Heart Fire Blazing - The Foundations of Chinese Medicine, Maciocia, 2005 page 474; 1989 Edition page 208
Which of the following points are on the same general level as the 2nd intercostal space?

A. CV-20 (hua gai) KI-25 (shen cang) ST-14 (ku fang)

B. CV-19 (zi gong) KI-25 (shen cang) ST-15 (wu yi)

C. CV-20 (hua gai) KI-26 (yu zhong) ST-14 (ku fang)

D. CV-19 (zi gong) KI-26 (yu zhong) ST-15 (wu yi)
B. CV-19 (zi gong) KI-25 (shen cang) ST-15 (wu yi)

Source: A Manual of Acupuncture, Deadman, 2nd Edition, pages 141, 361
The Qi from the GV-1 (cheng qiang) Luo-connecting point

A. Ascends bilaterally to the nape of the neck and spreads over the occiput

B. Spreads in the chest and lateral costal regions

C. Disperses and spreads down over the abdomen

D. Spreads from front to back
A. Ascends bilaterally to the nape of the neck and spreads over the occiput

Source: Manual of Acupuncture, Deadman, 2nd Edition, page 41
What is the distance between the jing-river and shu-stream points of the foot-shaoyin meridian?

A. 3 cun

B. 2 cun

C. 1 cun

D. 3.5 cun
B. 2 cun


Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 339, 346
All of the following jing-river points treat cough except

A. PC-5 (jianshi) and LR-4 (zhongfeng)

B. BL-60 (kunlun)

C. TB-6 (zhigou) and SP-5 (shangqiu)

D. LU-8 (jingqu) and LI-5 (yangxi)
All of the following jing-river points treat cough except

A. PC-5 (jianshi) and LR-4 (zhongfeng)

Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 35
Which point Expels wind-damp and alleviates pain and Benefits the shoulder?

A. LI-11 (quchi)

B. GB-34 (yanglingquan)

C. ST-38 (tiaokou)

D. SI-3 (houxi)
C. ST-38 (tiaokou)



Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 163
A 39 year-old female has been diagnosed with clinical depression. Symptoms include mental depression, chest distress, hypochondriac distension, belching, poor appetite, and irregular bowel movements. The tongue has a thin-sticky coating. The pulse is string-taut. The acupuncture prescription is BL-18 (gan shu), CV-17 (tan zhong), CV-12 (zhong wan), ST-36 (zu san li), and LR-3 (tai chong). After several treatments the patient returns and now reports depression, headache, chest distress, hypochondriac distention, acid regurgitation, dry mouth, constipation. Her eyes are blood-shot. The tongue has a yellow coating. The pulse is string-taut and slightly fast. What is your prescription now?

A. ST-44 (nei tiing), LI-11 (qu chi), GV-14 (da zhui), ST-25 (tian shu)

B. BL-18 (gan shu), GB-20 (feng chi), CV-12 (zhong wan), ST-36 (zu san li), KI-6 (zhao hai)

C. LR-2 (xing jian), GB-43 (xia xi), CV-13 (shang wan), TB-6 (zhi gou), GB-34 (yang ling quan)

D. CV-17 (tan zhong), PC-6 (nei guan), LR-3 (tai chong), ST-40 (feng long), GB-20 (feng chi)
C. LR-2 (xing jian), GB-43 (xia xi), CV-13 (shang wan), TB-6 (zhi gou), GB-34 (yang ling quan)

Source: the first set of symptoms point to liver qi stagnation which transforms into fire in the second set of symptoms - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 450; 2nd Edition, page 460
Which stage is characterized with fullness in the hypochondrial region, poor appetite, vomiting, bitter taste in mouth, dry throat, alternating chills and fever, blurry vision, and wiry pulse?

A. Yang Ming Meridian Syndrome

B. Shao Yang

C. Yang Ming Organ Syndrome

D. Tai Yang
B. Shao Yang


Source: This stage is associated with the pathogenic factor oscillating between tai yang and yang ming - Foundations of Chinese Medicine, Maciocia, 2005, page 716
Window of Sky points have an effect on sense organs. Which of the following sky points is wrongly associated with ear symptoms?

A. SI-16 (tian chuang): deafness, tinnitus, ear pain

B. TB-16 (tian you): impaired hearing

C. LU-3 (tian fu): ear pain

D. SI-17 (tian rong): tinnitus, deafness
C. LU-3 (tian fu): ear pain


Source: Manual of Acupuncture, Deadman, 2nd Edition, page 50
A 45 year-old male alcoholic has the western diagnosis of Chronic Pancreatitis. What are his symptoms?

A. recurrent attacks of epigastric pain, weight loss, glucose intolerance

B. tenesmus, chronic diarrhea with blood and mucous, lower abdominal cramps

C. lassitude, weakness, anorexia, intermittent diarrhea, steatorrhea, weight loss, rash

D. colicky abdominal pain relieved by BM, clear or white mucous in stool, bloating, flatulence
A. recurrent attacks of epigastric pain, weight loss, glucose intolerance

Source: n the USA, 70-80% of cases result from alcoholism and 15-25% are idiopathic - The Merck Manual, 18th Edition, page 132
A 32 year-old male has Gastroesophgeal Reflux Disease (GERD). Western medical treatment consists of dietary changes and

A. anti-acids (Maalox)

B. proton-pump inhibitors (Nexium)

C. beta-blocker (Lopressor)

D. anti-spasmodics (Bentyl)
B. proton-pump inhibitors (Nexium)


Source: Avoid eating 2-3 hours before bedtime and avoid coffee, alcohol, fats, chocolate, and smoking - The Merck Manual, 18th Edition, page 113
Which two main channels have epistaxis as part of their symptom pattern?

A. Large Intestine and Lung

B. Lung and Stomach

C. Triple Burner and Pericarium

D. Large Intestine and Stomach
D. Large Intestine and Stomach


Source: Foundations of Chinese Medicine, Maciocia, 2005, page 760
Which level has big-rapid, deep-full-rapid or slippery-rapid pulse?

A. Nutritive-Qi level (ying)

B. Blood level (xue)

C. Qi level (qi)

D. Defensive-Qi level (wei)
C. Qi level (qi)

Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 724
How does long-term use of beta blockers such as Inderal (proprolol), Lopressor (metoprolol), or Tenormin (atenolol) affect the pulse?

A. The pulse becomes rapid (shu mai)

B. The pulse becomes slow (chi mai)

C. The pulse becomes empty (xu mai)

D. The pulse becomes full (shi mai)
B. The pulse becomes slow (chi mai)

Source: beta-blockers slow the heart rate; this class of drugs also can make the pulse deep (chen mai) and somewhat weak (ruo mai) - Diagnosis in Chinese Medicine, Maciocia, 2004, page 508
Tears that are relatively sticky with redness of the qi wheel generally indicates

A. liver vacuity

B. wind-heat exuberance

C. vacuity heat'

D. essence and blood not nourishing the eyes
B. wind-heat exuberance

Source: Practical Diagnosis in Traditional Chinese Medicine, Deng, 2003, page 393
The twelve sinew channels terminate at the

A. head and trunk

B. feet and head

C. hands and feet

D. chest and hands
A. head and trunk

Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 12
The twelve sinew channels follow the course of the primary channels but

A. are shorter

B. are wider

C. are longer

D. are narrower
B. are wider
Which point has a caution that deep or perpendicular insertion carries a substantial risk of puncturing the lung?

A. KID-21 (youmen)

B. ST-14 (kufang)

C. DU-7 (zhongshu)

D. LI-18 (futu)
B. ST-14 (kufang)
Deep needling of ST-20 (chengman) may

A. penetrate an enlarged stomach

B. penetrate an enlarged heart

C. penetrate an enlarged liver

D. penetrate the lung
C. penetrate an enlarged liver


Source: A Manual of Acupuncture, Deadman (2000), page 144
Which cranial nerve has three sensory divisions: ophthalmic, maxillary, and mandibular?

A. Cranial nerve V

B. Cranial nerve IV

C. Cranial nerve III

D. Cranial nerve IX
A. Cranial nerve V

Source: Bate's Guide to Physical Examination, 10th Edition, page 659; 8th Edition, page 539
If a patient has back pain off the midline you assess for all of the following EXCEPT

A. Disc herniation

B. Sacroillitis

C. Trochantheric bursitis

D. Sciatica
A. Disc herniation

Source: disc herniation assesses for back pain from the midline - Bate's Guide to Physical Examination, 10th Edition, page 575
Thenar atrophy is due to?

A. Median nerve compression

B. Ulnar nerve compression

C. Radial nerve compression

D. Brachial plexus compression
Thenar atrophy is due to?

A. Median nerve compression

Source: Bate's Guide to Physical Examination, 10th Edition, page 604; 8th Edition, page 497'
In examining the shoulder, you adduct the patient's arm across the chest, which is sometimes called the crossover test, you are palpating for swelling and tenderness in which articulation?

A. Glenohumeral joint

B. Acromioclavicular joint

C. Sternoclavicular joint

D. Scapular thoracic joint
B. Acromioclavicular joint


Source: Bate's Guide to Physical Examination, 10th Edition, page 596; 8th Edition, page 494
At what age should testicular self-exams begin?

A. 40's

B. Teens

C. 20's

D. 30's
B. Teens


Source: testicular cancer is a significant killer of teenage boys and younger men (roughly ages 15-35 or 40); men from puberty onwards should examine their testes with a monthly self-examination; it is recommended that the examination be performed after a hot bath or shower when the scrotum is looser; each testicle should be examined separately, feeling for lumps, and then the testicles should be compared for size difference; testicles should be examined by a doctor in the following: 1) lump in on testicle; 2) pain in the testicles, scrotum, lymph nodes; 3) blood in the semen during ejaculation; 4) a relative change in the size of testicle
A 33 year-old nursing mother has an acute case of mastitis. Treatment given was CV-17 (shan zhong) and ST-18 (ru gen). After the first initial treatments the condition improved but not totally. What point would you add?

A. LR-3 (tai chong)

B. LI-4 (he gu)

C. SI-1 (shao ze)

D. TB-5 (wai guan)
C. SI-1 (shao ze)

Source: Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 499; 2nd Edition, page 637
A new mother complains of insufficient breast milk. She reports that her breasts feel swollen. She has poor appetite. The points prescribed are ST-18 (ru gen), CV-17 (tian zhong), SI-1 (shao ze), ST-36 (zu san li), SP-6 (san yin jiao). After five treatments there is only slight improvement. What would you prescribe now?

A. ST-18 (ru gen), CV-17 (tian zhong), SI-1 (shao ze), ST-36 (zu san li), BL-20 (pi shu)

B. ST-18 (ru gen), CV-17 (tian zhong), SI-1 (shao ze), LR-14 (qi men), LR-3 (tai chong)

C. BL-20 (pi shu), CV-6 (qi hai), ST-36 (zu san li), SI-1 (shao ze), ST-18 (ru gen)

D. CV-17 (tian zhong), PC-6 (nei guan), SI-1 (shao ze), ST-18 (ru gen), LI-4 (he gu)
A new mother complains of insufficient breast milk. She reports that her breasts feel swollen. She has poor appetite. The points prescribed are ST-18 (ru gen), CV-17 (tian zhong), SI-1 (shao ze), ST-36 (zu san li), SP-6 (san yin jiao). After five treatments there is only slight improvement. What would you prescribe now?

B. ST-18 (ru gen), CV-17 (tian zhong), SI-1 (shao ze), LR-14 (qi men), LR-3 (tai chong)

Source: the distended breasts point to liver qi stagnation while the original prescription is for deficiency - Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 485; 2nd Edition, page 499, 500
Which xi-cleft point is indicated for blood stasis in the uterus, shan disorder and lower abdominal pain?

A. SP-8 (diji)

B. KI-5 (shuiqian)

C. LR-6 (zhongdu

D. KI-8 (jiaoxin)
C. LR-6 (zhongdu

Source: Manual of Acupuncture, Deadman, 2nd Edition, page 38
A patient's blood pressure is 225/115 mm Hg. In examining his mouth the doctor notices that the tongue is deviated to the left side. Which cranial nerve is affected?

A. X

B. IX

C. XII

D. VII
A patient's blood pressure is 225/115 mm Hg. In examining his mouth the doctor notices that the tongue is deviated to the left side. Which cranial nerve is affected?

C. XII



Source: The hypoglossal nerve is the twelfth cranial nerve (XII), leading to the tongue; swallowing to clear mouth of saliva and other involuntary activities completed by the tongue are controlled by the hypoglossal nerve
Which finger is used to examine the venules of the fingers for a male child less than three years old?

A. right index

B. left index

C. middle finger

D. little finger
Which finger is used to examine the venules of the fingers for a male child less than three years old?

B. left index

Source: Foundations of Chinese Medicine, Maciocia, 2005, page 310
Coffee like grounds in vomit means

A. indigestion

B. gastroesophageal reflux disease (GERD)

C. blood from stomach

D. stomach cancer
Coffee like grounds in vomit means

C. blood from stomach


Source: the color of vomited blood depends on the amount of time the blood has been in the GI system; if there is a delay in vomiting, blood will appear dark red, brown or black and blood clots produce the appearance of coffee ground like; GI bleeding is a serious condition requiring immediate medical attention; associated diagnoses include esophageal cancer, cirrhosis, GERD, liver cancer, peptic ulcer, stomach cancer, stomach ulcer
For which conditions is moxibustion with garlic best used?

A. Scrofula, TB, and early stages of skin ulcer with boils

B. Asthma, chronic diarrhea, and indigestion

C. Impotence, Kidney Yang Deficient, and premature ejaculation

D. Abdominal pain, vomiting, and prolonged dysentery
For which conditions is moxibustion with garlic best used?

A. Scrofula, TB, and early stages of skin ulcer with boils

Source: Chinese Acupuncture and Moxibustion, 3rd Edition, page 364; 2nd Edition, 1999, page 365
Angiotensin II causes blood vessels to

A. dilate

B. become porous

C. constrict

D. fibrillate
Angiotensin II causes blood vessels to

C. constrict

Source: angiotensin II is an extremely potent vasoconstrictor; it also increases release of noradrenaline, reinforcing vasoconstriction and increases the heart rate and force of contraction; angiotensin II increases re-absorption of sodium by the kidneys and stimulates secretion of aldosterone from the adrenal cortex; aldosterone further increases sodium re-absorption and water retention by the kidneys; drugs that use angiotensin II inhibitors bind to the angiotensin II receptors and decreases the effect of angiotensin II; the result is reduced and blood pressure
Deep insertion is not advised for KI-21, as it could lead to

A. injury to the stomach

B. injury to the liver

C. injury to the heart

D. injury to the lung
Deep insertion is not advised for KI-21, as it could lead to

B. injury to the liver

Source: Chinese Acupuncture and Moxibustion, 2010 Edition, page 189; 1999 Edition, page 197
A patient has facial paralysis. Which scalp acupuncture area would you choose?

A. second and third fifths of the motor area line

B. lower two fifths of the motor area line

C. upper fifth of the motor area line

D. lower two fifths of the sensory area line
A patient has facial paralysis. Which scalp acupuncture area would you choose?

B. lower two fifths of the motor area line


Source: the lower two fifths of the motor area is the facial motor are - Acupuncture: A Comprehensive Text, Bensky, 1981, pages 499-501, 610
In scalp acupuncture for disorders affecting only one limb, you would select

A. a scalp area on the same side as the affected limb

B. bilateral scalp areas that have an effect on the limbs

C. a scalp area on the contralateral side of the affected limb

D. alternate treatment from same side to opposite side of affected limb
In scalp acupuncture for disorders affecting only one limb, you would select

C. a scalp area on the contralateral side of the affected limb

Source: Acupuncture: A Comprehensive Text, Bensky, 1981, page 497
hich of the following statements is FALSE about a BMD (Bone Mineral Density)?

A. Helps to identify osteoporosis

B. Helps to identify bone cancer

C. Determines risk for fractures

D. Monitors response to an osteoporosis treatment
hich of the following statements is FALSE about a BMD (Bone Mineral Density)?


B. Helps to identify bone cancer



Source: Mosby\'s Manual of Diagnostic and Laboratory Tests, 4th Edition, 2010, Pagana, page 1055-1060; 2nd Edition page 949-954
Which point combination helps in the treatment of heat bi syndrome?

A. BL-17 (ge shu), SP-10 (xue hai)

B. BL-23 (shen shu), CV-4 (guan yuan)

C. ST-36 (zu san li), SP-5 (shang qiu)

D. GV-14 (da zhui), LI-11 (qu chi)
Which point combination helps in the treatment of heat bi syndrome?

D. GV-14 (da zhui), LI-11 (qu chi)


Source: Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 464; 2nd Edition, 1999, page 476
Which point combination helps in the treatment of fixed bi syndrome?

A. BL-17 (ge shu), SP-10 (xue hai)

B. BL-23 (shen shu), CV-4 (guan yuan)

C. GV-14 (da zhui), LI-11 (qu chi)

D. ST-36 (zu san li), SP-5 (shang qiu)
Which point combination helps in the treatment of fixed bi syndrome?

D. ST-36 (zu san li), SP-5 (shang qiu)


Source: Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 464; 2nd Edition, 1999, page 476
A patient has stabbing pain in the epigastrium, vomiting dark blood. What is the treatment?

A. LR-14 (qi men), ST-36 (zu san li), CV-13 (shang wan), BL-21 (wei shu), GB-34 (yang ling quan)'

B. CV-13 (shang wan), ST-21 (liang men), SP-4 (gong sun), PC-6 (nei guan), ST-44 (nei ting)

C. ST-36 (zu san li), CV-12 (zhong wan), BL-20 (pi shu), BL-21 (wei shu), CV-6 (qi hai)

D. TB-6 (zhi gou), ST-21 (liang men), ST-34 (liang qiu), SP-10 (xue hai), BL-17 (ge shu)
A patient has stabbing pain in the epigastrium, vomiting dark blood. What is the treatment?

D. TB-6 (zhi gou), ST-21 (liang men), ST-34 (liang qiu), SP-10 (xue hai), BL-17 (ge shu)


Source: Blood Stasis in the Stomach - The Foundations of Chinese Medicine, Maciocia, 2005 page 633; 1989 Edition page 272
Which symptoms correspond to the Spleen meridian?

A. epistaxis, watery nasal, discharge, toothache, sore throat

B. belching, vomiting, epigastric pain, abdominal distention, pain at root of tongue

C. borborygmus, abdominal distention, edema, epigastric pain, fever and mania

D. retention of urine, enuresis, mental disturbance, malaria
Which symptoms correspond to the Spleen meridian?


B. belching, vomiting, epigastric pain, abdominal distention, pain at root of tongue

Source: Chinese Acupuncture and Moxibustion, 1999 Edition, pages 327-328
Which hormone stimulates ovulation?

A. follicle-stimulating hormone (FSH

B. progesterone

C. luteinizing hormone (LH)

D. estrone
Which hormone stimulates ovulation?


C. luteinizing hormone (LH)


Source: luteinizing hormone (LH), also known as lutropin is a hormone produced by the anterior pituitary gland; in females, an acute rise of LH called the LH surge triggers ovulation and development of the corpus luteum
Which of the following points can injure the liver if punctured deeply?

A. KI-21 (you men)

B. KI-23 (shen feng)

C. KI-20 (fu tong gu)

D. KI-19 (yin du)
Which of the following points can injure the liver if punctured deeply?

A. KI-21 (you men)



Source: Chinese Acupuncture and Moxibustion, 2010 Edition, page 190; 1999 Edition, page 197
GV-15 (ya men) and GV-16 (feng fu) are located near the

A. Thalamus

B. Medullary bulb

C. Hippocampus

D. Cerebral cortex
GV-15 (ya men) and GV-16 (feng fu) are located near the


B. Medullary bulb


Source: Chinese Acupuncture and Moxibustion, 2010 Edition, page 224-225; 1999 Edition, page 231-232
All of the following are acceptable containers for an acupuncture travel kit except

A. fishing tackle box

B. tool box

C. leather briefcase

D. art box
All of the following are acceptable containers for an acupuncture travel kit except

C. leather briefcase

Source: Clean Needle Technique, 6th Edition, page 41
What type of soap should be used for hand washing in a health care setting?

A. germicidal bar soap

B. Liquid soap

C. Bar soap

D. Any type of soap
What type of soap should be used for hand washing in a health care setting?


B. Liquid soap


Source: Clean Needle Technique, 6th Edition, page 28
You need to guide the shaft of a long acupuncture needle. What should you do?

A. clean both hands with an antiseptic before insertion

B. use a thicker needle

C. use sterile cotton or gauze between fingers and needle shaft

D. use forceful insertion
You need to guide the shaft of a long acupuncture needle. What should you do?

C. use sterile cotton or gauze between fingers and needle shaft


Source: Clean Needle Technique, 6th Edition, page 32
According to TCM five-elements theory, if a patient had a strong pulse in the Foot position of the right wrist, which of the following points would you needle?

A. Tonification of TB-3

B. Sedation of TB-10

C. Sedation of GB-38

D. Tonification of GB-43
According to TCM five-elements theory, if a patient had a strong pulse in the Foot position of the right wrist, which of the following points would you needle?

B. Sedation of TB-10


Source: chi = foot = rear = 3rd position; when there is an excess in an organ, sedate the point on its channel associated with its Child Element; five-elements pulse diagnosis uses the pulse positions from the "Classic of Difficulties" - The Foundations of Chinese Medicine, Maciocia, 2005, page 38, 355
What is the main application for the shu-stream points of the yang channels?

A. treat disorders of fu organs

B. treat disorders of their respective channel

C. treat bone and sinew diseases

D. clear heat
What is the main application for the shu-stream points of the yang channels?


B. treat disorders of their respective channel



Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 34
All of the following jing-river points treat cough except

A. BL-60 (kunlun)

B. SP-5 (shangqiu)

C. LR-4 (zhongfeng)

D. LI-5 (yangxi)
All of the following jing-river points treat cough except

C. LR-4 (zhongfeng)



Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 35
Examination of the indications of the jing-well points show that many treat stagnation and fullness throughout the

A. chest region

B. lower abdominal region

C. head

D. upper back region
Examination of the indications of the jing-well points show that many treat stagnation and fullness throughout the

A. chest region


Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 32
What do LU-11 (shaoshang), LI-1 (shangyang), ST-45 (lidui), HT-9 (shaochong), SI-1 (shaoze), KI-1 (yongquan), TB-1 (guanchong), and GB-44 (zuqiaoyin) have in common?

A. they all treat the throat

B. they all treat the ear

C. they all threat the eyes

D. they all treat the nose
What do LU-11 (shaoshang), LI-1 (shangyang), ST-45 (lidui), HT-9 (shaochong), SI-1 (shaoze), KI-1 (yongquan), TB-1 (guanchong), and GB-44 (zuqiaoyin) have in common?

A. they all treat the throat


Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 32
According to the TCM theory of the five elements, if a patient has a week pulse in the Guan position of the left wrist, which of the following points would you needle?

A. Tonification of Kidney 1

B. Tonification of Liver 8

C. Tonification of Liver 2

D. Tonification of Liver 1
According to the TCM theory of the five elements, if a patient has a week pulse in the Guan position of the left wrist, which of the following points would you needle?

B. Tonification of Liver 8



Source: When there is a deficiency in an organ, tonify the point on its channel associated with its Mother Element - Maciocia, The Foundations of Chinese Medicine, Maciocia, 2005, page 38
Which jing-well points treat vertex headache?

A. SI-1 (shaoze) and BL-67 (zhiyin)

B. KI-1 (yongchuan) and BL-67 (zhiyin)

C. KI-1 (yongchuan) and GB-44 (zujiaoyin)

D. LR-1 (dadun) and KI-1 (yongchuan)
Which jing-well points treat vertex headache?

B. KI-1 (yongchuan) and BL-67 (zhiyin)


Source: A Manual of Acupuncture, Deadman, 2nd Edition, page 32
Vesicles (blister like spots filled with clear fluid that can be felt) always indicate

A. Damp-Heat

B. Phlegm

C. Toxic Fire

D. Dampness
Vesicles (blister like spots filled with clear fluid that can be felt) always indicate


D. Dampness


Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 725
The Nutritive-Qi level (ying) is characterized by

A. fever at night, bleeding, macules, internal wind

B. no aversion to cold, fever, feeling of heat

C. mental changes, fever at night

D. aversion to cold and fever
The Nutritive-Qi level (ying) is characterized by

C. mental changes, fever at night



Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 735
A 40 year old mother of three children presents herself to you with a history of shoulder pain. She points to the lateral aspect of her shoulder where the pain is radiating towards the deltoid muscle insertion. The most likely diagnosis is?

A. Bicipital tendonitis

B. Rotator cuff strain

C. Bursitis

D. Myositis
A 40 year old mother of three children presents herself to you with a history of shoulder pain. She points to the lateral aspect of her shoulder where the pain is radiating towards the deltoid muscle insertion. The most likely diagnosis is?


B. Rotator cuff strain


Source: Bate's Guide to Physical Examination, 10th Edition, page 593; 8th Edition, page 493
A patient has edema more pronounced in the legs and ankles, cold feelings, fullness and distention in abdomen, sore lower back, and scanty and clear urination. What pulse is expected?

A. Deep, weak and slow pulse

B. Floating, empty pulse and rapid pulse

C. Floating and empty pulse or choppy pulse

D. Floating and empty pulse or leather pulse
A patient has edema more pronounced in the legs and ankles, cold feelings, fullness and distention in abdomen, sore lower back, and scanty and clear urination. What pulse is expected?

A. Deep, weak and slow pulse


Source: Kidney Yang Deficiency with Water Overflowing - The Foundations of Chinese Medicine, Maciocia, 2005 page 601; 1989 Edition page 257
A patient has urgent and frequent urination, burning urine, difficult urination which stops midstream, dark colored urine, blood and sand in the urine, feverish sensations, and thirst. What tongue is expected?

A. White-greasy coating on root

B. Pale and wet tongue

C. Red tongue without coating

D. Thick, sticky, yellow coating on the root with red spots
A patient has urgent and frequent urination, burning urine, difficult urination which stops midstream, dark colored urine, blood and sand in the urine, feverish sensations, and thirst. What tongue is expected?

D. Thick, sticky, yellow coating on the root with red spots


Source: Bladder Damp-Heat - The Foundations of Chinese Medicine, Maciocia, 2005 page 672; 1989 Edition page 288
A patient has dry cough with just a small amount of sputum, low-grade fever, hot sensations in the evening, night sweats, red cheeks, and dryness. What tongue is expected?

A. Pale or normal colored tongue

B. Red without coating

C. Dry tongue

D. Thin yellow coating
A patient has dry cough with just a small amount of sputum, low-grade fever, hot sensations in the evening, night sweats, red cheeks, and dryness. What tongue is expected?

B. Red without coating

Source: Lung Yin Deficiency - The Foundations of Chinese Medicine, Maciocia, 2005 page 547; 1989 Edition page 233
Which point Regulates the lower jiao and facilitates urination and defecation; Regulates menstruation and stops leukorrhea; and Benefits the lumbar region and legs?

A. BL-35 (huiyang)

B. BL-27 (xiaochangshu)

C. BL-54 (zhibian)

D. BL-32 (ciliao)
Which point Regulates the lower jiao and facilitates urination and defecation; Regulates menstruation and stops leukorrhea; and Benefits the lumbar region and legs?

D. BL-32 (ciliao)


Source: A Manual of Acupuncture, 2000, Deadman, page 293
Which point Benefits the Bladder, regulates qi transformation and drains damp-heat; Drains dampness and treats leukorrhea; Benefits the uterus and regulates menstruation; Dispels stagnation and benefits the lower jiao; and Fortifies the Kidneys?

A. REN-4 (guanyuan)

B. REN-3 (zhongji)

C. REN-6 (qihai)

D. REN-2 (qugu)
Which point Benefits the Bladder, regulates qi transformation and drains damp-heat; Drains dampness and treats leukorrhea; Benefits the uterus and regulates menstruation; Dispels stagnation and benefits the lower jiao; and Fortifies the Kidneys?

B. REN-3 (zhongji)

Source: A Manual of Acupuncture, 2000, Deadman, page 499
Generally, when can cupping be applied to a sports injury?

A. right away

B. after one week

C. after three days

D. after 24 hours
Generally, when can cupping be applied to a sports injury?

D. after 24 hours


Source: Cupping Therapy, 2nd Edition, Chirali, page 211
'A 49 year-old female has been diagnosed with hyperthyroidism. She is being treated with PC-5 (jian shi) and SP-6 (san yin jiao). She returns in two days. She complains of excess sweating. What would you add to the prescription?

A. KI-7 (fu liu), LI-4 (he gu)

B. HT-6 (yin xi), KI-7 (fu liu)

C. HT-6 (yin xi), LI-4 (he gu)'

D. CV-4 (guan yuan), BL-23 (shen shu)


Source: Acupuncture A Comprehensive Text, Bensky, 1981, page 603
'A 49 year-old female has been diagnosed with hyperthyroidism. She is being treated with PC-5 (jian shi) and SP-6 (san yin jiao). She returns in two days. She complains of excess sweating. What would you add to the prescription?

B. HT-6 (yin xi), KI-7 (fu liu)


Source: Acupuncture A Comprehensive Text, Bensky, 1981, page 603
A 42 year-old woman has had epigastric pain for the past seven years. The pain radiates to the hypogastrium. There is distention, belching and nausea. She is constipated and has pebble like stools. She has been depressed since her divorce nine years ago. The tongue is normal. The pulse is slightly wiry (xuan mai). What is the treatment plan?

A. Harmonize Liver, Smooth Liver Qi, Tonify Stomach

B. Tonify Spleen and Stomach Qi'

C. Subdue Liver Yang, Descend Stomach Qi

D. Clear Stomach Heat, Descend Stomach Qi
A 42 year-old woman has had epigastric pain for the past seven years. The pain radiates to the hypogastrium. There is distention, belching and nausea. She is constipated and has pebble like stools. She has been depressed since her divorce nine years ago. The tongue is normal. The pulse is slightly wiry (xuan mai). What is the treatment plan?

A. Harmonize Liver, Smooth Liver Qi, Tonify Stomach



Source: Stagnant Liver Qi Invading Stomach - The Practice of Chinese Medicine, Maciocia, 2008, page 676; 1994 Edition page 396
A 44 year-old man has had dull epigastric pain for five years. The pain improves with pressure and is associated with nausea. His mouth is always dry and he likes to sip drinks. His stools are dry. The tongue is red with little coating. There are cracks in the center of the tongue. The pulse is floating (fu mai) and empty (xu mai). What is the treatment plan?

A. Nourish Kidney Yin, Clear Empty Heat

B. Nourish Stomach and Spleen Yin, Clear Empty Heat

C. Tonify Qi and Blood

D. Clear Stomach Heat, Descend Stomach Qi
A 44 year-old man has had dull epigastric pain for five years. The pain improves with pressure and is associated with nausea. His mouth is always dry and he likes to sip drinks. His stools are dry. The tongue is red with little coating. There are cracks in the center of the tongue. The pulse is floating (fu mai) and empty (xu mai). What is the treatment plan?

B. Nourish Stomach and Spleen Yin, Clear Empty Heat


Source: Stomach and Spleen Yin Deficiency - The Practice of Chinese Medicine, Maciocia, 2008, page 692; 1994 Edition page 414
A 69 year-old man complains of extreme tiredness and poor appetite. The tongue is normal with a reddish tinge on the sides. The pulse is wiry (xuan mai) and full (shi mai). What is the treatment principle?

A. Remove Food Retention, Descend Stomach Qi'

B. Tonify Spleen Qi

C. Soothe the Liver Qi

D. Clear Stomach Heat, Descend Stomach Qi
A 69 year-old man complains of extreme tiredness and poor appetite. The tongue is normal with a reddish tinge on the sides. The pulse is wiry (xuan mai) and full (shi mai). What is the treatment principle?

C. Soothe the Liver Qi


Source: Stagnant Liver Qi Invading Stomach - The Practice of Chinese Medicine, Maciocia, 2008, page 608; 1994 Edition page 345
A 54 year-old man's main complaint is insomnia. He easily falls asleep but wakes up several times during the night. He has a dry throat. He also complains of erectile dysfunction for two years. The tongue is red with very thin coating. The pulse is empty at the deep level and very weak and thin in the left rear position. What is the treatment plan?

A. Strengthen Heart, Nourish Blood, Calm the Mind'

B. Tonify Liver, Nourish Yin, Calm the Mind

C. Nourish Kidney Yin, Nourish Heart Yin, Calm the Mind

D. Tonify Kidney, Nourish Essence
A 54 year-old man's main complaint is insomnia. He easily falls asleep but wakes up several times during the night. He has a dry throat. He also complains of erectile dysfunction for two years. The tongue is red with very thin coating. The pulse is empty at the deep level and very weak and thin in the left rear position. What is the treatment plan?

C. Nourish Kidney Yin, Nourish Heart Yin, Calm the Mind



Source: Kidney and Heart not Harmonized - The Practice of Chinese Medicine, Maciocia, 2008, page 424; 1994 Edition page 295
Which primary channel has a branch which connects with the middle toe and another branch connects with the big toe at SP-1 (yinbai)?

A. Spleen

B. Stomach

C. Liver

D. Gall Bladder
Which primary channel has a branch which connects with the middle toe and another branch connects with the big toe at SP-1 (yinbai)?

B. Stomach


Source: A Manual of Acupuncture, Peter Deadman, 2001, page 125
A 23 year-old woman has had rheumatoid arthritis for one year. When it started she had a fever and the joints in her hands became painful, hot and swollen. Currently her joints are swollen, heavy, painful and worse in humid weather. Other symptoms include regular periods with scanty blood flow, tingling in the legs, eye floaters. Her complexion is pale. The tongue is pale. The pulse is weak (xu mai). What is the diagnosis?

A. Deficient Spleen Qi with Accumulation of Dampness

B. Damp Bi, Deficient Qi and Blood

C. Deficient Liver Yin with Empty Fire

D. Deficient Qi and Blood
A 23 year-old woman has had rheumatoid arthritis for one year. When it started she had a fever and the joints in her hands became painful, hot and swollen. Currently her joints are swollen, heavy, painful and worse in humid weather. Other symptoms include regular periods with scanty blood flow, tingling in the legs, eye floaters. Her complexion is pale. The tongue is pale. The pulse is weak (xu mai). What is the diagnosis?

B. Damp Bi, Deficient Qi and Blood

Source: The Practice of Chinese Medicine, Maciocia, 2008, page 1004; 1994 Edition, page 587
A patient has alternating constipation and diarrhea, abdominal distention and pain. What is the diagnosis?

A. Stagnation of Cold in the Liver Channel

B. Liver Fire Insulting the Lungs

C. Liver Invading the Stomach

D. Liver Invading Spleen
A patient has alternating constipation and diarrhea, abdominal distention and pain. What is the diagnosis?

D. Liver Invading Spleen


Source: he Foundations of Chinese Medicine, Maciocia, 2005, page 530; 1989 Edition, page 227
A patient has shortness of breath during exertion, sweating, and clear urine. What is the diagnosis?

A. Kidney Yang Deficiency

B. Kidney Qi Not Firm

C. Kidneys Fail To Receive Qi

D. Kidney Essence Deficiency
A patient has shortness of breath during exertion, sweating, and clear urine. What is the diagnosis?

C. Kidneys Fail To Receive Qi



Source: he Foundations of Chinese Medicine, Maciocia, 2005, page 597; 1989 Edition, page 255
A 37 year-old female is taking the prescription drug Nolvadex (tamoxifen citrate). What is her diagnosis?

A. breast cancer

B. menopause

C. osteoporosis

D. amenorrhea
A 37 year-old female is taking the prescription drug Nolvadex (tamoxifen citrate). What is her diagnosis?

A. breast cancer

Source: Nolvadex (tamoxifen citrate) is a selective estrogen receptor modulator. Another brand name is Tamoxifen (tamoxifen citrate)
The Liver controls the flow of Qi

A. Upward

B. Downward

C. In all directions

D. Entering and leaving
The Liver controls the flow of Qi

C. In all directions

Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 57; 1989 Edition, page 47
Eyes that glitter with a shine and vitality show

A. a healthy Spleen

B. a healthy Mind

C. strong Lungs

D. strong Large Intestine
Eyes that glitter with a shine and vitality show

B. a healthy Mind

Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 48; 1989 Edition, page 41
Which point Calms the spirit and benefits the voice; and Relaxes the muscles and sinews?

A. HT-6 (yinxi)

B. PC-5 (jianshi)

C. PC-3 (quze)

D. HT-4 (lingdao)
Which point Calms the spirit and benefits the voice; and Relaxes the muscles and sinews?

D. HT-4 (lingdao)


Source: A Manual of Acupuncture, 2000, Deadman, page 215
With bundled sterilized acupuncture needles

A. you can only use one guide tube per point

B. you can use the same guide tube on different patients

C. you may use the same guide tube on the same patient

D. you can use one guide tube per body area
With bundled sterilized acupuncture needles

C. you may use the same guide tube on the same patient
A 27 year-old nursing mother no longer wants to nurse her infant and wants her milk secretion reduced. She is treated with SI-1 (shao ze), CV-17 (tan zhong), and ST-18 (ru gen). After several treatments there is no reduction in breast milk. Which prescription would you now choose?

A. needle SI-1 (shao ze) and moxa CV-17 (tan zhong)

B. KI-3 (tai xi), ST-18 (ru gen), SP-6 (san yin jiao)

C. reduce SI-1 (shao ze), reduce CV-17 (tan zhong), and reduce ST-18 (ru gen)

D. needle and moxa to GB-41 (zu lin qi) and GB-37 (guang ming)
A 27 year-old nursing mother no longer wants to nurse her infant and wants her milk secretion reduced. She is treated with SI-1 (shao ze), CV-17 (tan zhong), and ST-18 (ru gen). After several treatments there is no reduction in breast milk. Which prescription would you now choose?

D. needle and moxa to GB-41 (zu lin qi) and GB-37 (guang ming)


Source: Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 485; 2nd Edition, page 500
Deep or posterior insertion of ST-12 (quepen) may puncture the lung and

A. the subclavian vessels

B. the carotid artery

C. the internal jugular vein

D. the external jugular vein
Deep or posterior insertion of ST-12 (quepen) may puncture the lung and

A. the subclavian vessels


Source: A Manual of Acupuncture, Deadman (2000), page 139
If you employ acupuncturists, OSHA requires that you keep confidential hepatitis B vaccination records on all employees for the duration of employment plus

A. 50 years

B. 30 years

C. 10 years

D. 25 years
If you employ acupuncturists, OSHA requires that you keep confidential hepatitis B vaccination records on all employees for the duration of employment plus


B. 30 years

Source: Clean Needle Technique, 6th Edition, page 72
The acupuncture stimulus releases a neurochemical in the spinal cord affecting Laminae II. What is the name of the neurochemical?

A. Beta-endorphin

B. Alpha-endorphin

C. Enkephalin

D. Serotonin
The acupuncture stimulus releases a neurochemical in the spinal cord affecting Laminae II. What is the name of the neurochemical?

C. Enkephalin



Source: Enkephalin is a chemical substance produced by the brain which acts as an opiate and produces analgesia to increase the threshold for pain - Neuro-Acupuncture Scientific Evidence of Acupuncture Revealed! Cho, Wong, Fallon, 2001, page 125
Which of the following pulses has a slow quality?

A. scattered pulse (san mai)

B. overflowing pulse (hong mai)

C. knotted pulse (jie mai)

D. leather pulse (ge mai)
Which of the following pulses has a slow quality?

C. knotted pulse (jie mai)



Source: Diagnosis in Chinese Medicine, Maciocia, 2004, page 496
All of the following pulses have a deep quality except

A. hidden pulse (fu mai)

B. firm pulse (lao mai)

C. soggy pulse (ru mai)
All of the following pulses have a deep quality except

C. soggy pulse (ru mai)


Source: Diagnosis in Chinese Medicine, Maciocia, 2004, page 496
Which of the following pulses can signify the presence of Phlegm?

A. wiry pulse (xian mai)

B. soggy pulse (ru mai)

C. firm pulse (lao mai)

D. leather pulse (ge mai)
Which of the following pulses can signify the presence of Phlegm?

A. wiry pulse (xian mai)


Source: Diagnosis in Chinese Medicine, Maciocia, 2004, page 497
All of the following pulses have a rapid quality except

A. moving pulse (dong mai)

B. knotted pulse (jie mai)

C. hasty pulse (cu mai)

D. overflowing pulse (hong mai)
All of the following pulses have a rapid quality except

B. knotted pulse (jie mai)



Source: Diagnosis in Chinese Medicine, Maciocia, 2004, page 496
Which pulse does NOT signify Yin Deficiency?

A. scattered pulse (san mai)

B. fine pulse (xi mai)

C. minute pulse (wei mai)

D. leather pulse (ge mai)


Source: Diagnosis in Chinese Medicine, Maciocia, 2004, page 497
Which pulse does NOT signify Yin Deficiency?

A. scattered pulse (san mai)

Source: Diagnosis in Chinese Medicine, Maciocia, 2004, page 497
How many times does Defensive Qi (wei qi) circulate within 24 hours?

A. 25 times

B. 100 times

C. 50 times

D. 360 times
How many times does Defensive Qi (wei qi) circulate within 24 hours?

C. 50 times



Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 53; 1989 Edition, page 46
A 35 year-old female is taking the prescription drug Yasmin (ethinyl estradiol). What is the reason?

A. birth control

B. blood pressure control

C. insulin control

D. pain control
A 35 year-old female is taking the prescription drug Yasmin (ethinyl estradiol). What is the reason?

A. birth control

Source: Yasmin (ethinyl estradiol) is an oral contraceptive
A 55 year-old female is taking the prescription drug Lamisil (terbinafine). What is the problem being treated?

A. urinary incontinence

B. hypertension

C. fungal infection

D. seasonal allergies
A 55 year-old female is taking the prescription drug Lamisil (terbinafine). What is the problem being treated?

C. fungal infection



Source: amisil (terbinafine) is an antifungal
The Kidneys are important in the production of blood because

A. They manage the fluid aspect of blood

B. They send water up to manage the Heart-Fire

C. They are the Root of the Heart's function

D. They store Essence and are the source of original Qi
The Kidneys are important in the production of blood because

D. They store Essence and are the source of original Qi


Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 60-61; 1989 Edition, page 49
Central Qi is another way of defining

A. Post-Heaven Qi

B. Essence (jing)

C. Original Qi (yuan qi)

D. Pre-Heaven Qi
Central Qi is another way of defining

A. Post-Heaven Qi

Source: The Foundations of Chinese Medicine, Maciocia, 2005, page 54; 1989 Edition, page 46
All of the following pulses have a floating quality EXCEPT

A. hollow pulse (kou mai)

B. knotted pulse (jie mai)

C. leather pulse (ge mai)

D. soggy pulse (ru mai)
All of the following pulses have a floating quality EXCEPT

B. knotted pulse (jie mai)

Source: Diagnosis in Chinese Medicine, Maciocia, 2004, page 496
A patient has pain and numbness in the arm. Which Chinese scalp acupuncture area would you treat?

A. Upper fifth of sensory area line

B. Second and third fifths of sensory area line

C. Lower two fifths of sensory area line

D. Lower two fifths of motor area line
A patient has pain and numbness in the arm. Which Chinese scalp acupuncture area would you treat?


B. Second and third fifths of sensory area line



Source: this is the upper limb area - Acupuncture: A Comprehensive Text, 1981, Benksy, page 500
A patient has a rigid neck, high temperature, shaking of the limbs, severe spasm of the back, arching with the head bending back. What tongue is expected?

A. Pale and deviated

B. Deep red stiff tongue with thick yellow coating

C. Red tongue with yellow greasy coating

D. Red on the sides or pale
A patient has a rigid neck, high temperature, shaking of the limbs, severe spasm of the back, arching with the head bending back. What tongue is expected?


B. Deep red stiff tongue with thick yellow coating


Source: Extreme Heat Generating Wind - The Foundations of Chinese Medicine, Maciocia, 2005 page 526; 1989 Edition page 221
Which point combination best treats persistent asthma?

A. GV-12 (shen zhu), BL-43 (gao huang)

B. BL-12 (feng men), BL-13 (fei shu)

C. ST-36 (zu san li), SP-6 (san yin jiao)

D. CV-6 (qi hai), CV-4 (guan yuan)
Which point combination best treats persistent asthma?

A. GV-12 (shen zhu), BL-43 (gao huang)

Source: Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 414; 2nd Edition, 1999, page 416
Which point combination best treats mumps with swelling and pain in the testes?

A. CV-4 (guan yuan), BL-23 (shen shu)

B. LR-5 (li gou), BL-23 (shen shu)

C. CV-1 (hui yin), GV-20 (bai hui)

D. LR-3 (tai chong), LR-8 (qu quan)
Which point combination best treats mumps with swelling and pain in the testes?

D. LR-3 (tai chong), LR-8 (qu quan)


Source: Chinese Acupuncture and Moxibustion, 3rd Edition, 2010, page 495; 2nd Edition, 1999, page 510
What type of procedure is acupuncture?

A. a clean procedure

B. an aseptic procedure

C. a sterile procedure

D. an antiseptic procedure


Source: Clean Needle Technique, 6th Edition, page 27
What type of procedure is acupuncture?

A. a clean procedure

Source: Clean Needle Technique, 6th Edition, page 27
All of the following are part of CNT (Clean Needle Technique) except

A. wash hands between patients

B. wash hands after any touching of patient

C. wash hands before needling

D. wash hands after needling
All of the following are part of CNT (Clean Needle Technique) except

B. wash hands after any touching of patient


Source: Clean Needle Technique, 6th Edition, page 28
How does long-term use of ACE inhibitors such as Vasotec (enalpril), Capoten (captopril), or Lotensin (benazepril) affect the pulse?

A. The pulse becomes floating (fu mai) in both front positions

B. The pulse becomes big (da mai) and rapid (shu mai)

C. The pulse becomes deep (chen mai) and weak (ruo mai) in both rear positions

D. The pulse becomes empty (xu mai)
How does long-term use of ACE inhibitors such as Vasotec (enalpril), Capoten (captopril), or Lotensin (benazepril) affect the pulse?

C. The pulse becomes deep (chen mai) and weak (ruo mai) in both rear positions




Source: Diagnosis in Chinese Medicine, Maciocia, 2004, page 508