Acupuncture & Herbal Medicine Certification — four modules · every answer carries the reasoning, and why each
other option fails.
1,530 questions
101 chapters of notes
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Tap an option to see the answer, the reasoning, and why the other three fail.
Question 1 of 10
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?
AShao Yin
BTai YinTai Yin presents with abdominal fullness, vomiting, inability to eat, and spontaneous diarrhea with abdominal pain, seated in the Spleen. The Heart-Kidney Yang collapse sign of desire only to sleep belongs to Shao Yin.
CJue YinJue Yin is defined by mixed cold and heat: wasting-thirst, Qi surging up against the Heart, burning pain in the chest, hunger without desire to eat. The stem shows pure deficient cold.
DYang MingYang Ming is interior excess Heat, with high fever, profuse sweating, great thirst, or the fullness-dryness-hardness of Organ excess. Aversion to cold with a deep-slow pulse points the opposite way.
Why A is correct
Shao Yin cold-transformation is identified by an entirely interior, deficient-cold picture organized around clouded consciousness. Aversion to cold with cold limbs, listlessness and the desire only to sleep mark collapse of Heart and Kidney Yang failing to warm and nourish the Shen; watery diarrhea, pale copious urination and absence of thirst show Yang unable to warm and transform fluids, while a pale tongue with white coating and a deep-slow pulse confirm interior cold from deficiency. Among the Six Stages, only Shao Yin is summarized as a faint-thready pulse with desire only to sleep, which matches the stem point by point.
Question 2 of 10
Which of the following manifestations are indicated of an exterior pattern?
Aalternating chills and fever and thin, white tongue fur with a string-like pulseChills and fever that alternate rather than occur together, plus a wiry pulse, define a Shao Yang half-exterior half-interior pattern.
Bsimultaneous chills and fever and thin, white tongue fur with a floating pulse
Chigh fever, yellow tongue fur, and a rapid pulseHigh fever, yellow fur and a rapid pulse indicate interior repletion Heat.
Dtidal fever, less tongue fur, and a fine, rapid pulseTidal fever, scanty fur and a fine rapid pulse indicate Yin deficiency with internal Heat, an interior deficiency pattern.
Why B is correct
An exterior pattern is identified by chills and fever appearing at the same time, together with thin white tongue fur and a floating pulse. External pathogens block defensive Yang, producing chills, while the struggle between upright Qi and pathogen produces fever, and their simultaneous presence marks a newly contracted exterior pattern. Because the disease sits at the exterior, the fur stays thin and white and the pulse floats.
Question 3 of 10
Which of the following patterns is marked by fever, red, swollen and painful gums, thirst with desire for cold drinks, a red tongue, and a rapid pulse?
Areplete heat in the liverReplete heat in the Liver gives red eyes, rib-side pain, irritability and a wiry, rapid pulse, and does not govern the gums.
Breplete heat in the lungsReplete heat in the Lungs gives cough and wheezing, thick yellow phlegm and flaring of the nostrils, with no channel connection to the gums.
Creplete heat in the heartReplete heat in the Heart gives vexation with insomnia and sores of the mouth and tongue, the tongue being the sprout of the Heart, so the site is the tongue and not the gums.
Dreplete heat in the stomach
Why D is correct
The foot Yang Ming Stomach channel enters the upper gums, so red, swollen, hot and painful gums are the locating sign of Stomach fire attacking upward along its channel. Fever, thirst with desire for cold drinks, a red tongue and a rapid pulse fix the nature as interior repletion heat. Together these give replete heat in the Stomach, that is Stomach fire.
Question 4 of 10
Distance between following pairs of points is .5 ucn except
ADu 15 - Du 16Yamen at 0.5 cun above the posterior hairline and Fengfu at 1 cun above it are 0.5 cun apart, which matches the stem.
BHt 6 - Ht 7Yinxi at 0.5 cun above the wrist crease and Shenmen on the crease are 0.5 cun apart, which matches the stem.
CLu 8 - Lu 9
DRen 5 - Ren 6Shimen at 2 cun below the umbilicus and Qihai at 1.5 cun below are 0.5 cun apart, which matches the stem.
ERen 6 - Ren 7Qihai at 1.5 cun below the umbilicus and Yinjiao at 1 cun below are 0.5 cun apart, which matches the stem.
Why C is correct
Check each pair against its cun measurement. GV 15 Yamen sits 0.5 cun above the posterior hairline and GV 16 Fengfu 1 cun above it, so they are 0.5 cun apart. HT 6 Yinxi is 0.5 cun above the wrist crease and HT 7 Shenmen lies on the crease, again 0.5 cun. CV 5 Shimen is 2 cun below the umbilicus and CV 6 Qihai 1.5 cun, while CV 7 Yinjiao is 1 cun below the umbilicus, so both abdominal pairs are 0.5 cun apart. LU 8 Jingqu is 1 cun above the wrist crease and LU 9 Taiyuan lies on the crease, making that pair 1 cun and the exception.
Question 5 of 10
DAN PI IS ADDED TO YIN-SUPPLEMENTING FORRMULAS, SUCH AS LIU WEI DI HUANG WAN BECAUSE:
AIT CLEARS HEAT AND COOLS THE BLOOD,Cooling Blood alone is incomplete.
BIT CLEARS VACUITY HEAT,Abating deficiency Heat alone is incomplete.
CIT QUICKENS THE BLOOD AND DISPELS STASIS,Invigorating Blood and dispelling stasis alone is incomplete.
DIT DRAINS AND ASCENDING LIVER FIRE,Draining ascending Liver fire alone is incomplete.
EALL OF THE ABOVE
Why E is correct
Dan Pi is bitter, acrid and slightly cold, clearing Heat, cooling Blood, invigorating Blood, dispelling stasis and abating deficiency Heat in steaming bone fever without sweating. Within Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) it does three jobs at once: it cools Blood and drains Liver and Kidney ministerial fire, offsetting the warmth of Shan Zhu Yu; it moves Blood so the rich tonics do not obstruct; and it abates the deficiency Heat of Yin deficiency. Each listed reason covers one part, so all of them apply.
Question 6 of 10
Which herb clears heat, functions as an anti-toxin, and can be used for strep throat, tonsillitis, and bacterial dysentery?
Ajin yin hua
Bqing haoQing Hao clears Empty Heat and interrupts malarial disorder. Resolving toxicity in sore throat and hot dysentery is outside its strengths.
Csheng di huangSheng Di Huang clears Heat, cools the Blood and nourishes Yin, with no toxin-resolving or dysentery-treating action.
Dbo heBo He disperses Wind-Heat and benefits the throat, and it lacks the power to clear Heat toxin or treat bloody dysentery from Heat toxin.
Why A is correct
Jin Yin Hua is sweet and cold and enters the Lung, Heart and Stomach channels, clearing Heat, resolving toxicity and dispersing Wind-Heat, which makes it a principal herb for Heat toxin. A hot swollen throat with strep pharyngitis or tonsillitis is Wind-Heat toxin attacking upward, and bacterial dysentery is Heat toxin producing bloody dysenteric stool; both fall within its indications, which is what ties clearing Heat, resolving toxicity and these three conditions to one herb.
Question 7 of 10
gua lou (radix trichosanthis) is contraindicated with
Acough due to coldCough from Cold Phlegm or Damp-Phlegm falls under cautions, and the explicit contraindication listed in the texts centers on Spleen deficiency with loose stool; Gua Lou governs cough from Phlegm-Heat, so cough due to cold corresponds less directly than B to its liability of slickening the intestines and injuring the Middle.
Bdiarrhea due to deficiency and weakness of Spleen and Stomach
Cthere are no contraindications listed for this herbGua Lou is not free of contraindications, since it is avoided in deficiency Cold with loose stool and is incompatible with the Wu Tou group.
DpregnancyGua Lou is not listed among the substances contraindicated in pregnancy, which are the drastic purgatives, Blood-breaking substances and toxic agents.
Why B is correct
Gua Lou is sweet, cold and moist in texture, clearing Heat, transforming Phlegm, loosening the chest, dissipating nodules and moistening the intestines to free the stool. The criterion is that cold, moist, intestine-slickening quality: in deficiency Cold of the Spleen and Stomach with loose stool, taking it makes the stool looser and the diarrhea worse, so diarrhea from a weak Spleen and Stomach stands as its contraindication. By the eighteen incompatibilities, Gua Lou is also incompatible with the Wu Tou group, meaning Chuan Wu, Cao Wu and Fu Zi, which must be avoided in combination.
Question 8 of 10
Which of the following procedures is required to confirm the diagnosis of endometriosis?
ACAT scanCT is insensitive to small peritoneal implants and shows only larger cysts.
BSonographySonography can suggest an ovarian endometrioma but misses peritoneal lesions and provides no tissue.
CLaparoscopy
DHormonal testingHormonal testing lacks specificity, and levels can be entirely normal.
Why C is correct
Endometriosis is endometrial tissue outside the uterine cavity, on the ovary and pelvic peritoneum, presenting with dysmenorrhea, dyspareunia, chronic pelvic pain, and infertility. Confirmation requires direct visualization and biopsy of the implants at laparoscopy, where powder-burn lesions and chocolate cysts are seen and histology confirms. Imaging and hormone studies can suggest but not confirm, since implants are often miliary.
Question 9 of 10
Clopidogrel bisulfate (Plavix®) is a platelet aggregation inhibitor that has been shown to be effective in the prevention of
AMyocardial infarctionMyocardial infarction alone covers only part of the approved indications.
BPeripheral artery diseasePeripheral artery disease alone covers only part of the approved indications.
CCerebrovascular accidentCerebrovascular accident alone covers only part of the approved indications.
DAll of the above
Why D is correct
Clopidogrel is an ADP (P2Y12) receptor antagonist that blocks platelet aggregation, and it is approved for secondary prevention of atherothrombotic events across all three vascular beds: myocardial infarction, ischemic cerebrovascular accident, and established peripheral artery disease. Platelet aggregation is the shared mechanism of arterial thrombosis, so antiplatelet therapy applies to each territory.
Question 10 of 10
In addition to the uterus, other target organs of oxytocin (Pitocin®) include
AVaginaThe vagina is not a classic oxytocin target organ.
BOvariesThe ovaries respond to FSH and LH rather than to oxytocin.
CFallopian tubesThe fallopian tubes are not a classic oxytocin target organ.
DMammary glands
Why D is correct
Oxytocin has two principal targets. One is uterine smooth muscle, used for induction of labor, augmentation of contractions, and control of postpartum hemorrhage. The other is the mammary gland, where oxytocin contracts the myoepithelial cells surrounding the alveoli to produce the milk ejection or let-down reflex. Infant suckling triggers a neural reflex that releases oxytocin from the posterior pituitary.
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