<p> Foundations - Practice Test 7</p><p>Question Answer 1. Which muscle channel is involved with the inability to bend forward if the back muscles are C affected – or the inability to bend backward if the front chest muscles are affected? a. Gallbladder b. Liver c. Kidney d. Bladder</p><p>2. A 55 year old woman complains of general exhaustion, shortness of breath, cough with blood C tinged sputum, night sweats, dry throat and hot sensations in the afternoon. She catches colds easily and she expectorates profuse green-yellow mucous. She is overweight. The tongue is a little red, swollen, and with rootless coating. The pulse is slippery. What is the treatment plan? a. Nourish Lung and Kidney yin b. Resolve phlegm, tonify Spleen and Stomach Qi c. Nourish Lung yin, clear empty-heat, tonify Spleen qi, and resolve phlegm d. Tonify Lung qi, nourish Lung yin</p><p>3. A 46 year old man has palpitations with a dull pain in the chest. The dull chest ache extends B to the jaw and down his left arm. Whenever he has the chest pain he feels cold and sweaty. He gets tired easily, has poor appetite, dizziness, blurry vision, and feelings of heaviness. He (What? has a history of expectorating white thick phlegm. The tongue has a greasy yellow coating. Seriously?) The pulse is slippery. What is the treatment plan? a. Regulate blood, remove stasis b. Transform phlegm, tonify Spleen qi c. Move blood, tonify Heart d. Restore Yang</p><p>4. Chronic cough, profuse sputum, and thick greasy white tongue coating are symptoms of: A a. Damp phlegm obstructing Lungs b. Wind-damp invading Lungs c. Phlegm heat obstructing Lungs d. Phlegm fluids obstructing lungs</p><p>5. A 44 year old male patient has chronic headaches on either temple. The pain can be intense B with a stabbing character. Occasionally there is vomiting, numbness of the right arm and thirst. He also has suffered from tinnitus for 3 years with a low-pitched sound. He has poor sleep, waking up and unable to fall asleep again. The pulse is wiry, especially on the left side. The tongue color is normal and the sides are slightly pale. What is the root pattern? a. Stagnant Liver qi b. Deficient Liver blood c. Liver Yang rising d. Liver and Kidney yin deficiency</p><p>6. A 24 year old female has a propensity to catch colds, giddiness, a deep-fine pulse with both B rear positions very weak, and a pale-purple-dry tongue. She just had a temperature of 101 </p><p>Foundations – Test 7 – Page 1 of 5 degrees F, a feeling of heaviness, body aches, headache, and buzzing in the ears. During consultation she now has a temperature of 99 degrees F, a pronounced lack of balance and coordination, tinnitus, nystagmus, extreme tiredness, poor sleep, a heavy feeling in the legs, limb numbness, and occipital headache. Which treatment principle would you use? a. Tonify Kidney Yang and Subdue Liver Wind b. Clear Heat, Resolve Damp, Stop Wind, Pacify the Liver c. Expel Wind-Damp-Heat and Tonify Kidney Yang d. Subdue Liver Wind and Expel Wind-Damp-Heat</p><p>7. Which of the following symptoms belongs to the organ pattern of the Bright Yang stage? D a. Overflowing fast pulse b. Thin tongue coating c. Profuse sweating d. Deep full slippery fast pulse</p><p>8. A 40 year old woman has had heavy menstrual bleeding for the past year. The blood is bright B red with small clots. She has a painful period with feelings of cold. Other symptoms include prolapsed uterus, back pain, and frequent urination. The tongue is pale and swollen. The pulse is deep and weak. What is the diagnosis? a. Spleen not holding blood, cold in the uterus. b. Deficient Spleen and Kidney yang with internal cold in the uterus c. Cold invades uterus d. Deficient Kidney yang, stagnant blood</p><p>9. For prevention an asthma patient should be advised in any of the following ways except: C a. Protection from wind and cold exposure b. Avoid excess eating of dairy, sweet, and greasy foods c. Avoid any use of bronchodilators d. Avoid excess sexual activity</p><p>10. A patient has sinusitis with thick purulent yellow nasal discharge and blood shot eyes. The B pulse is slippery and fast. What is the treatment plan? a. Clear Lung Heat, Restore Dispersing and Descending of Lung Qi b. Clear Liver and Gall Bladder Fire, Restore Descending of Lung Qi c. Clear Heat, Resolve Dampness, Harmonize Stomach, Tonify Spleen d. Release Exterior, Expel Wind-Heat, Transform Phlegm, Restore Dispersing and Descending of Lung Qi</p><p>11. A 45 year-old woman has had epigastric pain for twenty five years. She has been diagnosed B with a duodenal ulcer. The pain is stabbing and radiates to the right rib area. It is worse at night and after emotional stress. She feels tired often with very little exertion. She has </p><p>Foundations – Test 7 – Page 2 of 5 irregular periods which are painful and have dark blood with clots. Her urination is normal and her stools are slightly unformed. The tongue is reddish-purple with swollen sides. The pulse is wiry and full. What is the diagnosis? a. Stagnant Liver Qi Invading Stomach b. Stagnant Liver Qi and Blood, Spleen Qi Deficiency c. Stagnant Liver Qi, Deficient Stomach Yin d. Stasis of Blood in Stomach</p><p>12. A 9 year-old boy has a bed wetting problem. He is a nervous and agitated child with an eye A tic. The tongue is red with redder tip and a yellow coating. The pulse is full (shi mai) and wiry (xuan mai). What is the treatment plan? a. Drain Liver Fire, Absorb leakages, Calm the Mind b. Tonify Kidney Qi c. Nourish Kidney and Heart Yin, Clear Heart Empty Fire d. Tonify Liver Blood, Subdue Wind</p><p>13. A 45 year-old man has chronic diarrhea with mucous in the stools. He has a diagnosis of C Crohn's disease. There is abdominal pain, flatulence and irritability. The tongue is red with sticky-yellow coating which is thicker at the root. The pulse is wiry, full, and slippery. What is the diagnosis? a. Liver and Gall Bladder Damp-Heat b. Heat Obstructing Large Intestine c. Damp-Heat in Large Intestine, Liver Fire d. Damp-Heat Invades Spleen</p><p>14. Slight bleeding from the gums, mental restlessness, loose teeth, red tongue without coating, C and a floating-empty pulse indicate a. Kidney and Heart Yin Deficiency b. Stomach Fire c. Stomach Yin Deficiency with Empty-Heat d. Kidney Yin Deficiency</p><p>15. Which of the following types of headaches is the least difficult to treat? A a. Liver-Fire b. Wind-Phlegm c. Stasis of Blood d. Phlegm</p><p>16. A pulse without a wave in both front positions indicates: B a. Anger b. Sadness c. Fear d. Lack of will</p><p>17. A 43 year-old man has had epigastric pain for ten years. The pain shoots from the point CV- A 12 (zhong wan) to the rib area. The pain is worse at night and better after eating. There is frequent belching. He has fatigue. His stools are dry and his throat is dry. He has thirst but just drinks small sips. The tongue is red on the sides, stiff, and has rootless coating. The pulse is thin and weak at the deep level and floating-weak-wiry at the superficial level. What is</p><p>Foundations – Test 7 – Page 3 of 5 the diagnosis? a. Stagnant Liver Qi Invading Stomach and Injuring Stomach Yin b. Stagnant Liver Qi Invading Spleen c. Deficient Stomach Yin d. Deficient Spleen Qi with Rebellious Stomach Qi</p><p>18. Which stage is characterized with Heat above and Cold below? A a. Terminal-Yin b. Lesser-Yin c. Lesser-Yang d. Greater-Yin</p><p>19. Non-substantial phlegm includes all of the following EXCEPT E a. Phlegm in the channels b. Phlegm under the skin c. Phlegm in the gall-bladder or kidneys d. Phlegm misting the heart e. Phlegm in the Lungs</p><p>20. A 25 year-old woman has insomnia. She wakes up during the middle of the night and cannot C fall asleep again. She has anxiety, depression, and poor concentration. At night she has a dry mouth, numb hands, and palpitations. Her eyes are dull and unstable. The tongue is red with little coating. The pulse is fast. What is the diagnosis? a. Heart and Kidney Not Harmonized b. Liver and Heart Yin Deficiency c. Heart Yin Deficiency d. Liver Yang Rising</p><p>21. A 43 year-old woman has pain in the fingers which are swollen and deformed. Pain is worse B with cold. Other symptoms include hair loss, weak knees, scanty menses, and eye floaters. The tongue is pale and is showing signs of being peeled. The pulse is slightly floating (fu mai) and weak (xu mai). a. Expel Cold, Remove Obstruction in Channels, Tonify Kidney, Nourish Essence b. Expel Cold, Resolve Dampness, Remove Obstruction in Channels, Nourish Liver Blood, Tonify Kidney Yin c. Expel Cold, Remove Obstruction in Channels, Tonify Yang, Nourish Yin d. Expel Cold, Remove Obstruction in Channels, Tonify Qi and Blood</p><p>22. The characteristic symptoms for the Nutritive-Qi level are B a. Aversion to cold and fever b. Mental changes, fever at night c. Fever at night, bleeding, macules, internal wind d. No aversion to cold, fever, feeling of heat</p><p>23. A patient has priapism. Which muscle channel is likely involved? A</p><p>Foundations – Test 7 – Page 4 of 5 a. Liver b. Kidney c. Stomach d. Bladder</p><p>24. Chronic anger very often manifests with what type of tongue? A a. Red sides b. Cracked tongue c. Red dots d. Red tip</p><p>25. A 24 year-old woman has a sudden attack of strong and cramping abdominal pain. The stools D are loose. The tongue has a thick-white coating. The pulse is deep and tight. What is your assessment? a. External, Empty, Cold b. External, Full, Cold c. Internal, Empty, Cold d. Internal, Full, Cold</p><p>Foundations – Test 7 – Page 5 of 5</p>