1. What Are the Indications for the Point Located at the Lateral Border of the Nail Of s1

POINTS TEST 4

1. What are the indications for the point located at the lateral border of the nail of the 4th toe, approximately 0.1 cun from the corner of the base of the nail? A. Headache, pain of the inner canthus, tinnitus B. Migraine, tinnitus, dream-disturbed sleep C. Hernia, uterine bleeding, prolapse of the uterus D. Headache, vertigo, depression

Answer: B. Migraine, tinnitus, dream-disturbed sleep.

2. A patient has a dry cough with scanty phlegm, dry nose and throat, and red tongue. She has noticed blood in her spit. The tongue is red with thin coating. The pulse is thin and fast. What is the prescription? A. GV-14 (da zhui), LU-7 (lie que), LI-4 (he gu), BL-12 (feng men), BL-13 (fei shu) B. KI-6 (zhao hai), LU-7 (lie que), BL-13 (fei shu), LU-1 (zhong fu), LU-6 (kong zui) C. BL-13 (fei shu), LU-5 (chi ze), CV-22 (tian tu), ST-40 (feng long), extra point ding chuan D. BL-13 (fei shu), LU-9 (tai yuan), ST-36 (zu san li), SP-3 (tai bai)

Answer: B. KI 6, LU 7, BL 13, LU 1, LU 6 LU 6 is a big clue – blood in the spit, use the xi cleft to work on bleeding. KI 6 benefits the throat, LU 7 (duh), BL 13 back shu of lung, LU 1 is the FM of the lung.

3. A patient has chronic diarrhea with undigested food, poor appetite, sallow complexion, and distension after eating. The tongue is pale with a white coating. The pulse is thin and weak. What is the prescription? A. ST-36 (zu san li), CV-12 (zhong wan), SP-3 (tai bai), BL-20 (pi shu), LR-13 (zhang men) B. ST-36 (zu san li), BL-20 (pi shu), CV-4 (guan yuan), KI-3 (tai xi) C. ST-36 (zu san li), ST-25 (tian shu), CV-12 (zhong wan), CV-6 (qi hai) D. ST-36 (zu san li), ST-25 (tian shu), ST-44 (nei ting), SP-9 (yin ling quan)

Answer: A. ST 36, CV/Ren 12, SP 3, BL 20, LV/LR 13 Treats spleen qi xu which is the cause of the diarrhea. Had it been due to excess something with ST 25 would be appropriate.

4. A patient has abdominal pain which is worse with pressure and after meals and improves after a bowel movement, epigastric distention, foul belching, poor appetite, and acid reflux. The tongue has a sticky coating. The pulse is slippery. What is the prescription? A. ST-25 (tian shu), ST-36 (zu san li), CV-6 (qi hai), CV-12 (zhong wan) B. CV-12 (zhong wan), SP-4 (gong sun), moxa with salt on CV-8 (shen que), ST-36 (zu san li) C. ST-36 (zu san li), CV-12 (zhong wan), CV-6 ( qi hai), LR-13 (zhang men), BL-20 (pi shu) D. BL-32 (ci liao), ST-25 (tian shu), BL-23 (shen shu), BL-20 (pi shu)

Answer: A. ST 25, ST 36, Ren/CV 6, Ren/CV 12 This is food retention…not all that clear. Sticky coating = bean curd coating here? Slippery pulse = food retention.

5. Which point combination best treats night sweating? A. KI-7 (fu liu), LI-4 (he gu) B. HT-6 (yin xi), LU-7 (lie que) C. LU-7 (lie que), KI-7 (fu liu) D. SI-3 (hou xi), HT-6 (yin xi)

Answer: D. SI 3, HT 6

6. Which point Clears damp-heat and benefits the lower jiao? A. LR-10 (zuwuli) B. SP-10 (xuehai) C. LR-9 (yinbao) D. SP-13 (fushe)

Answer: A. LV/Lr 10 Per Deadman. 7. Which point combination stops lactation? A. GB-41 (zu lin qi), GB-37 (guang ming) B. GB-21 (jian jing), SI-1 (shao ze) C. PC-6 (nei guan), CV-17 (tan zhong) D. LR-14 (qi men), PC-6 (nei guan)

Answer: A. GB 41, GB 37 Per CAM

8. Which point combination treats bone bi? A. BL-23 (shen shu), CV-4 (guan yuan) B. BL-11 (da zhu), GB-39 (xuan zhong) C. GV-14 (da zhui), LI-11 (qu chi) D. GB-34 (yang ling quan), BL-23 (shen shu)

Answer: B. BL 11 and GB 39 CAM, pg 476. BL 11 is the hui of bone and GB 39 is the hui of marrow.

9. A patient has high temperature, convulsions, and stiff tongue. What is the treatment? A. LR-8 (qu quan), LR-3 (tai chong), GB-20 (feng chi), BL-17 (ge shu), BL-18 (gan shu) B. LR-8 (qu quan), LR-3 (tai chong), GB-20 (feng chi), GV-16 (feng fu), KI-3 (tai xi) C. LR-3 (tai chong), extra point shi xuan, SI-3 (hou xi), GV-20 (bai hui), GB-20 (feng chi) D. LR-2 (xing jian), extra point shi xuan, SI-3 (hou xi), GV-20 (bai hui), GB-20 (feng chi)

Answer: D. LV 2, Shi Xuan (10 spreading points for extreme heat release and wind pacification), SI 3, GV/Du 20, GB 20

10. What is the location of the water point of hand yang-ming meridian? A. On the radial side of the wrist in the depression between the tendons of the m. extensor pollicis longus and brevis B. On the radial side of the index finger distal to the metacarpo-phalangeal joint at the junction of the white and red skin C. On the radial side of the thumb distal to the metacarpo-phalangeal joint at the junction of the white and red skin D. On the ulnar side of the index finger proximal to the metacarpo-phalangeal joint at the junction of the white and red skin

Answer: B. on the radial side of the index finger distal to the MCP joint at the junx of the white and red skin LI-2

11. Which points would you use 7-star needle for insomnia? A. HT-7 ( shen men) PC-6 (nei guan) B. Extra points Baxie and Bafeng C. BL-15 (xin shu) BL-23 (shen shu) D. Extra points Huatuo Jiaji and Sishencong

Answer: D. Extra points of the Huatuo Jiaji and Sischencong See CAM, pg 450

12. A 16 year old female comes to you with the complaint of vomiting. Additional symptoms include yellowish complexion, poor appetite, loose stools, general tiredness, pale tongue with thick coating, weak pulse. What point selection best fits the symptoms? A. ST-36 (xu san li) PC-6 (nei guan) CV-12 (zhong wan) BL-23 (shen shu) B. ST-36 (xu san li) PC-6 (nei guan) CV-12 (zhong wan) LR-3 (tai chong) C. ST-36 (xu san li) PC-6 (nei guan) CV-12 (zhong wan) ST-25 (tian shu) D. ST-36 (xu san li) PC-6 (nei guan) CV-12 (zhong wan) BL-20 (pi shu)

Answer: D. ST 36, PC 6, CV 12, BL 20 CAM, page 419

13. Which are the meeting points for the Spleen, Liver and Kidney meridian? A. SP-6 (san yin jiao) CV-2 (qu gu) CV-3 (zhong ji) B. SP-6 (san yin jiao) CV-2 (qu gu) CV-4 (guan yuan) C. SP-6 (san yin jiao) CV-3 (zhong ji) CV-4 (guan yuan) D. SP-6 (san yin jiao) CV-1 (hui yin) CV-2 (qu gu)

Answer: C. SP 6, CV 3, CV 4 14. A 39 year old woman has abdominal distention. She feels tired and weak. Has dryness and blurry vision. She has poor appetite, cold limbs, generalized edema, scanty urination, and thirst. Her abdomen is ballooned with distention. She has painful and hard nodules below the costal regions. Her appetite is poor and has general malaise. She has distention in the hypochondrium. The tongue is swollen with tooth marks. The pulse is deep and slippery. What is the treatment? A. BL-18 (gan shu), BL-23 (shen shu), CV-9 (shui fen), CV-3 (Zhong ji), ST-36 (zu san li), SP-6 (san yin jiao), LR-4 (zhong feng) B. SP-6 (san yin jiao), SP-9 (yin ling quan), CV-9 (shui fen), CV-12 (xhong wan), CV-6 (qi hai) C. ST-36 (zu san li), CV-4 (guan yuan), CV-12 (xhong wan), ST-25 (tian shu), BL-25 (da chang shu), BL-20 (pi shu) D. BL-18 (gan shu), LR-3 (tai chong), GB-34 (yang ling quan), CV-12 (xhong wan), ST-36 (zu san li), SP-6 (san yin jiao)

Answer: A. BL 18, BL 23, CV/Ren 9, CV/Ren 3, ST 36, S 6, Lv 4

15. In Chinese Scalp Acupunctue which area of the motor line corresponds to the leg? A. Lower 1/5 B. Middle 2/5 C. Upper 1/5 D. Lower 2/5

Answer: C. Upper 1/5

16. A patient has dizziness, tinnitus, headache, dry mouth and throat, irritability, insomnia, a shouting voice, weak knees, red tongue and wiry pulse. What is the treatment? A. CV-4 (guan yuan), KI-3 (tai xi), tonify SP-6 (san yin jiao), CV-6 (qi hai), BL-23 (shen shu) B. KI-3 (tai xi), SP-6 (san yin jiao), LR-8 (qu quan), LR-3 (tai chong), GB-43 (xia xi) C. SP-6 (san yin jiao), KI-3 (tai xi), CV-4 (guan yuan), GB-34 (yang ling quan) D. GB-20 (feng chi), GB-43 (xia xi), LR-3 (tai chong), GB-34 (yang ling quan), GB-8 (shuai gu)

Answer: B. KI 3, SP 6, LV 8, LV 3, GB 43.

17. You have been treating a 30 year old male patient for frontal headache which was better with vomiting and accompanied with nausea and epigastric distention. He has improved but is now complaing that his bed wetting has gotten worse, has more frequent urination, and his face looks more pale. His tongue is pale and swollen and his pulse is deep and weak. What is your treatment? A. ST-44 (nei ting), LI-4 (he gu), ST-8 (tou wei, extra point yin tang, GV-23 (shang xing) B. Tonify KI-3 (tai xi), tonify SP-3 (tai bai), reduce KI-1 (yong quan), reduce LR-1 (da dun) C. BL- 23 (shen shu), BL-28 (pang quang shu), CV-3 (zhong ji), SP-6 (san yin jiao), LR-1( da dun) D. BL- 23 (shen shu), CV-3 (zhong ji), ST-44 (nei ting), LI-4 ( he gu), extra point yin tang

Answer: C. BL 23, BL 28, REN 3, SP 6, LV 1

18. At which point do the Yang Qiao Mai and Yang Wei Mai meet? A. GB-41 (zu lin qi) B. GB-20 (feng chi) C. ST-8 (tou wei) D. BL-62 (shen mai)

Answer: B. GB 20

19. A 42 year old man suffers from repeated vertigo. The problem started after an argument with his boss two years ago. The vertigo improves with lying down and worsens with the slightest movement of the head. Additional symptoms include blurred vision, vomiting, tinnitus, dry throat, and bitter taste. The tongue is red with a yellow coating. The pulse is wiry and fast. What is the treatment? A. LR-3 (tai chong), GB-41 (qu in qi), GB-2 (tin hui), GB-20 (feng chi), KI -6 (zhao hai), ST-36 (zu san li) B. LR-3 (tai chong), CV-12 (zhong wan), ST-36 (zu san li), BL-20 (pi shu), GB-20 (feng chi) C. GB-2 (tin jui, SI-19 (ting gong, TB-21(er men), GB-20 (feng chi), TB-5 (wai guan), yin tang D. KI-2 (ran gu), KI-6 (zhao hai), LU-7 (lie que), CV-4 (guan yuan), SP-6 (san yin jiao), GB-20 (feng chi)

Answer: A. LV 3, GB 41, GB 2, GB 20, KI 6, ST 36 20. Where are the entry and exit points for the gall bladder meridian? A. GB-1 (ton zi liao) GB-42 (di wu hui) B. GB-1 (ton zi liao) GB-43 (xia xi) C. GB-1 (ton zi liao) GB-44 (zu qiao yin) D. GB-1 (ton zi liao) GB-41 (zu lin qi)

Answer: D. GB 1, GB 41

21. You have been treating a 49 year old female patient for frequent nose bleeds, dry mouth, feverish sensations in the palms, and night sweats. She is now complaining of constipation and has not had a BM for five days. Additional symptoms include pale complexion, pale nails and lips, dizziness, shortness of breath, palpitations and lassitude. The tongue is pale and the pulse is weak. What is your treatment? A. KI-6 (zhao hai), BL-25 (da chang shu), ST-25 (tian shu), TB-6 (zhi gou), BL-20 (pi shu), ST-36 (zu san li) B. LU-11 (shao shang), LI-4 (he gu), LI-20 (ying xiang), GV-23 (shang xing) C. LI-4 (he gu), LI-20 (ying xiang), GV-23 (shang xing), KI-6 (zhao hai), D. BL-20 (pi shu), ST-36 (zu san li), ST-25 (tian shu), LI-4 (he gu), LI-20 (ying xiang)

Answer: A. KI 6, BL 25, ST 25, TB 6, BL 20, ST 36.

22. Which Window of the Sky point has an effect on the eyes, ears, and nose? A. TB-16 (tian you) B. LU-3 (tian fu) C. CV-22 (tian tu) D. SI-17 (tian rong)

Answer: A. TB 16

23. You have been treating a 27 year old patient with asthma which is worse with emotional stress, with sensations of oppression in the chest and hypochondriac area. He now is reporting that he has suffocating wheezing, breathlessness, has tightness in the chest, feels very cold with strong chills, no thirst, no sweating, and has stiff shoulders and neck. The tongue has a thin white coating and the pulse is floating and tight. What is your treatment? A. Extra point ding chuan, BL-13 (fei shu), CV-22 (tian tu), LU-7 (lie que), GB-20 (feng chi), LU-6 (kongzui) B. LU-5 (chi ze), LU-7 (lie que), LU-11 (shao shang), BL-13 (fei shu), CV-22 (tian tu) C. BL-12 (feng men), BL-13 (fei shu), CV-22 (tian tu), ST-36 (zu san li), SP-6 (san yin jiao) D. BL-18 (gan shu), CV-17 (shan zhong), PC-6 (nei guan), LR-14 (qi men), SP-4 (gong sun)

Answer: A. Ding chuan, BL 13, Ren 22, LU 7, GB 20, LU 6

24. Which of the following needle techniques does not sedate? A. Fast insertion and slow withdrawal B. Point needle against flow C. Thrust gently and raise forcefully D. Insert with exhalation and remove with inhalation

Answer: D. Insert with exhalation and remove with inhalation.

25. A patient has wheezing, short and rapid breathing, weak voice and cough, and sweating on exertion. The tongue is pale. The pulse is weak. What is the prescription? A. BL-13 (fei shu), LU-5 (chi ze), CV-22 (tian tu), ST-40 (feng long), extra point ding chuan B. GV-14 (da zhui), LU-7 (lie que), LI-4 (he gu), BL-12 (feng men), BL-13 (fei shu) C. KI-6 (zhao hai), LU-7 (lie que), BL-13 (fei shu), LU-1 (zhong fu), LU-6 (kong zui) D. BL-13 (fei shu), LU-9 (tai yuan), ST-36 (zu san li), SP-3 (tai bai)

Answer: D. BL 13, LU 9, ST 36, SP 3 This is lung qi xu…gotta have LU 9 and this is the only combination that does have it. 26. You are treating a patient for dysmenorrhea. She now complains of a yellow and smelly vaginal discharge with itching in the vulva. Which of the following points would be included in the point prescription?

A. GB-26 (dai mai), BL-23 (shen shu), BL-30 (bai huan shu) B. GB-26 (dai mai), SP-6 (san yin jiao), ST-36 (zu san li) C. GB-26 (dai mai), CV-3 (zhong ji), LR-5 (li gou) D. GB-26 (dai mai), CV-4 (guan yuan), ST-40 (feng long)

Answer: C. GB 26 (dai meridian), Ren 3, LV 5

27. What is the location of the earth point of the foot tai-yin meridian?

A. On the medial side of the big toe distal and inferior to the 1st metatarsodigital joint at the junction of the red and white skin B. Proximal and inferior to the head of the 1st metatarsal bone at the junction of Startthe red here and white skin C. Distal and superior to the head of the 1st metatarsal bone at the junction of the red and white skin D. In the depression distal and inferior to the base of the 1st metatarsal bone at the junction of the red and white skin

Source: SP-3 - A Manual of Acupuncture, Deadman, 2001, page 184

28. What is the location of the water point of the hand shao-yin meridian?

A. On the radial side of the tendon of m. flexor carpi ulnaris 0.5 cun superior to the transverse crease of the wrist B. When the elbow is flexed the point is at the medial end of the transverse cubital crease in the depression anterior to the medial epicondyle of the humerus C. When the elbow is flexed the point is at the distal end of the transverse cubital crease in the depression posterior to the medial epicondyle of the humerus D. In the center of the axilla on the medial side of the axillary artery

Source: HT-3 - A Manual of Acupuncture, Deadman, 2001, page 214

29. What point is located at the medial end of the popliteal crease, in the depression anterior to the tendons of m.semitendinosus and m. semimembranosus?

A. KI-10 (yin gu) B. LR-8 (qu quan) C. SP-9 (yin ling quan) D. LR-7 (xi guan)

Source: A Manual of Acupuncture, Deadman, 2001, page 485

30. A patient has chronic tinnitus, worse with strain and better with pressing, dizziness, excessive leukorrhea, and weak knees. The pulse is wiry. What is the prescription?

A. GB-2 (ting hui), SI-19 (ting gong), TB-21 (er men), LI-4 (he gu), TB-5 (wai guan) B. ST-44 (nei ting), LI-11 (qu chi), GB-2 (ting hui), SI-19 (ting gong), TB-21 (er men) C. TB-17 (yi feng), GB-2 (ting hui), KI-3 (tai xi), GV-4 (ming men), TB-3 (zhong zhu), BL-23 (shen shu) D. TB-17 (yi feng), GB-2 (ting hui), TB-3 (zhong zhu), LR-2 (xing jian), GB-41 (zu lin qi)

Source: Deficient Kidney Essence - Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 521

31. A patient has erysipelas with red, hot burning pain. The color changes from bright red to dull red in several days following by healing with desquamation. Other symptoms include fever, irritability, thirst, poor appetite, constipation, dark urine. The tongue has a sticky and yellow coating. The pulse is fast. What is the prescription?

A. LI-11 (qu chi), LI-4 (he gu), PC-3 (qu ze), BL-40 (wei zhong), GB-20 (feng chi) B. LI-11 (qu chi), LI-4 (he gu), PC-3 (qu ze), BL-40 (wei zhong), GB-20 (feng chi), ST-36 (zu san li), SP-9 (yin ling quan), GV-14 (da zhui) C. LI-11 (qu chi), LI-4 (he gu), PC-3 (qu ze), BL-40 (wei zhong), BL-17 (ge shu) D. SP-6 (san yin jiao), SP-10 (xue hai), LI-11 (qu chi), BL-17 (ge shu)

Source: Damp-Heat - Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 513 32. What point is located 2 cun superior to the midpoint between the Achilles tendon and the tip of the medial malleolus and just posterior to the medial border of the tibia?

A. KI-7 (fu liu) B. KI-8 (jiao xin) C. SP-6 (san yin jia) D. KI-9 (zhu bin)

33. What point is located in the angle formed by the medial condyle of the tibia and the posterior border of the tibia?

A. GB-34 (yang ling quan) B. LR-7 (xi guan) C. SP-9 (yin ling quan) D. LR-8 (qu quan)

34. When needling which point should one be careful to avoid the cephalic vein?

A. LU-7 (lieque) B. LU-9 (taiyuan) C. LU-5 (chize) D. LU-8 (jingqu)

Source: A Manual of Acupuncture, Deadman (2000), page 83

35. Deep insertion at ST-28 (shuidao) may

A. penetrate the spermatic cord B. injure the femoral artery C. injure the femoral nerve D. penetrate a full bladder

Source: A Manual of Acupuncture, Deadman (2000), page 150

Which point combination helps in the treatment of heat bi?

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)

Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 476

Which point combination helps in the treatment of fixed bi?

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

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

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

D. GV-14 (da zhui), LI-11 (qu chi) Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 476

A patient has no appetite, fatigue, and shortness of breath. What is the treatment?

A. BL-13 (fei shu), LU-7 (lie que), CV-12 (zhong wan), CV-22 (tian tu), ST-36 (zu san li)

B. ST-36 (zu san li), SP-3 (tai bai), BL-20 (pi shu), BL-13 (fei shu), LU-9 (tai yuan)

C. LU-7 (lie que), CV-17 (tian zhong), PC-6 (nei guan), BL-13 (fei shu), LU-9 (tai yuan)

D. ST-36 (zu san li), SP-3 (tai bai), BL-20 (pi shu), BL-21 (wei shu), CV-12 (zhong wan)

Source: Spleen and Lung Qi Deficiency - The Foundations of Chinese Medicine, Maciocia, 1989, page 247

Which point combination best treats mumps with swelling and pain in the testes?

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

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

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

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

Source: Chinese Acupuncture and Moxibustion, Foreign Language Press, 2003, page 510

Which of the following points are on the same general level as the 2nd lumbar vertebra?

A. CV-8 (shen que) KI-17 (shang gu) ST-25 (tian shu)

B. CV-8 (shen que) KI-16 (huang shu) ST-25 (tian shu)

C. CV-8 (shen que) KI-18 (shi guan) ST-25 (tian shu)

D. CV-8 (shen que) KI-16 (huang shu) ST-24 (hua rou men)

Source: Review and Pretest for Acupuncture Licensure Examination in USA, 2001, Chen, page 57

Answers: 1. B 2. B 3. A 4. A 5. D 6. A 7. A 8. B 9. D 10. B 11. D 12. D 13. C 14. A 15. C 16. B 17. C 18. B 19. A 20. D 21. A 22. A 23. A 24. D 25. D 26. C 27.B 28. B 29. B 30. C 31. B 32. B 33. C 34. A 35. D