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NCBAHM practice questions — 10 free

Acupuncture & Herbal Medicine Certification — four modules · every answer carries the reasoning, and why each other option fails.
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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?

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?

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?

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

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:

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?

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

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?

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

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

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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