Chinese Medicine Diagnosis Foundations

Choose the correct letter for each question.

 


1. Which symptom is the same in the following two syndromes:

Yin deficiency causing  hyperactive Fire, and, deficient Yang floating up?

a. complexion colour

b. sensation of hot cold in the extremities

c. appearance of the tongue

d. type of pulse

e. the colour of the urine

 

2. What syndrome would you associate with a green complexion and red cheeks?

                a. infantile convulsion

                b. deficient Yang rising up

                c. Shaoyang disease

                d. Liver Fire

 

3. The syndrome that is most likely to cause a white lusterless complexion?

                a. Qi deficiency

                b. Blood deficiency

                c. deficiency Cold of the Lung and Stomach

                d. Kidney Essence deficiency

 

4. If the whole eye is red, painful, and swollen, what is indicated?

                a. exterior invasion of Wind/Heat

                b. Liver Fire rising

                c. excess Heart Fire up-surging

                d. both a. and b.

                e. a. b. and c.

 

5. Weakness of the extremities and limited movement that is not accompanied by pain.

                a. Bi syndrome

                b. Wei syndrome

                c. Apoplexy

                d. convulsive diseases

 

6. Lung Qi deficiency with shortness of breath would be associated with this.

                a. sitting bent forward

                b. feeling like lying down when seated

                c. feeling like looking up when seated

                d. feel impatient when seated

                e. urge to stand when seated

 

7. The pupils belong to which organ?

                a. Lung

                b. Liver

                c. Spleen

                d. Heart

                e. Kidney

 

8. What syndrome causes photophobia, with red itchy, painful eyes, and copious tears?

                a. Damp/Heat

                b. Liver Fire

                c. excess Heart Fire

                d. Wind/Heat

 

9. Auricle atrophy is caused by…

                a. Blood Stasis

                b. excess Evil Qi

                c. Zheng Qi deficiency

                d. Kidney Qi exhaustion

 

10. Tremors and convulsion are associated with…?

                a. internal deficiency Wind

                b. apoplexy

                c. epilepsy

                d. insanity

 

11. What syndrome can cause a child’s head to be overly large or small in proportion to its body?

                a. Spleen Qi deficiency

                b. Liver Blood deficiency

                c. Kidney Qi deficiency

                d. Kidney Essence deficiency

 

12. Cough with foul purulent sputum, and the consistency of porridge.

                a. Lung abcess

                b. pulmonary Wei syndrome

                c. Lung dryness

                d. Lung Cold

 

13. Obesity, fatigue, shortness of breath, pale complexion, sensitive to cold, tendency to lay with knees drawn up.

                a. Yang Qi deficiency

                b. Yin/Blood deficiency

                c. Essence Qi deficiency

                d. Body Fluid deficiency

 

14. Which of the following vomiting conditions signifies excess and Heat syndrome of the Stomach?

                a. clear and dilute vomit without pungent or bad odor

                b. sour and putrid vomit with undigested food

                c. yellow-green, bitter, watery

                d. dirty, turbid, sour and smelly

 

15. Which of the following is a painful local purulent inflammation of the skin and deeper tissues with multiple openings for the discharge of pus?

                a. cellulites

                b. carbuncle

                c. furuncle

                d. nail-like boil

 

16. What would most likely be the cause of a face glowing bright red?

                a. fever caused by Qi deficiency

                b. fever caused by Yin deficiency

                c. fever caused by external pathogenic factor

                d. true-Cold with false-Heat

 

17. Impeded circulation of Qi and Blood, constriction of meridians, and Blood Stasis shows…

                a. malar flush

                b. blue/purple complexion

                c. red complexion

                d. yellow complexion

 

18. Which statement is not true about macules?

                a. red in colour

                b. flattened under the skin in small and big points or    patches

                c. colour remains unchanged when pressed

                d. a bump raised above the skin

 

19. What is indicated if the superficial venules of an infant’s index finger are dark purple?

                a. pain

                b. terror

                c. Heat

                d. obstruction of blood collaterals

 

20. What is indicated if the superficial venules of an infant/s index finger are purpish-red?

                a. superficial syndrome

                b. Heat

                c. pain or terror

                d. obstruction of blood collaterals

 

21. What is indicated if the superficial venules of an infant’s index finger are visible between the Qi Pass and the Life Pass, or even all the way to the tip of the finger?

                a. Wind/Cold

                b. Qi and Blood deficiency

                c. dyspepsia

                d. none of the above

 

22. Which of the following causes uncontrollable drooling of spittle (xian)?

                a. Coldness of the Spleen

                b. Heat in Spleen

                c. Spleen deficiency

                d. apoplexy (stroke)

 

23. Which of the following is not a manifestation of excess Fire?

                a. red or crimson tongue

                b. slippery taut rapid pulse

                c. macules or papules of bright red colour

                d. zygomatic flushing

 

24. The middle area of the tongue corresponds to what internal organs?

                a. Heart and Lung

                b. Liver and Gallbladder

                c. Kidney and Bladder

                d. Spleen and Stomach

 

25. What condition is indicated by a tongue coating that is thick, yellow, and dry?

                a. Damp/Cold stagnation

                b. Body Fluid consumption by high fever

                c. pathogen just entered the interior, Body Fluids have not yet been damaged by Heat   

                d. Yin deficiency leading to hyperactive Fire

 

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26. Which of the following is not associated with a pale tongue?

                a. Yang deficiency

                b. Yin deficiency

                c. Qi deficiency

                d. Cold syndromes

 

27. What is indicated by prickles that appear on the top of the tip of the tongue?

                a. Liver and Gallbladder Fire

                b. Stomach Fire

                c. Stomach Yin deficiency

                d. hyperactive Heart Fire

 

28. What is indicated by a tongue that is thinner and smaller than usual?

                a. Yin deficiency

                b. Qi and Blood deficiency

                c. Yang deficiency

                d. Damp/Cold

 

29. What external disease is indicated by a crimson tongue?

                a. invasion of Ying and Xue levels by Heat

                b. invasion of Qi level by Heat

                c. Upper Jiao Heat

                d. Yin deficiency leads to hyperactivity of Yang

 

30. What symptoms indicate disease at the Qi level?

                a. big pulse

                b. big thirst

                c. big fever

                d. big sweat

                e. all of the above

 

31. Which of the following is indicated by a pale tongue with thick, white, and slippery coating?

                a. Damp/Cold

                b. Summer-Damp

                c. Yin deficiency

                d. Qi and Blood deficiency

 

32. Which of the following is not indicated by a greasy tongue?

                a. Damp

                b. Phlegm

                c. retention of undigested food

                d. obstruction of Yang Qi causing failure in the generation of fluids

 

33. Which of the following might you find in a person who is perfectly healthy?

                a. fissured tongue

                b. prickled tongue

                c. swollen tongue

                d. thin and small tongue

 

34. Abrupt, violent diarrhea that is foul smelling, yellow, and causes a hot sensation in the anus indicates…

                a. retention of undigested food

                b. Spleen and Stomach Qi deficiency

                c. Damp/Heat stagnation in the Large intestine

                d. Damp/Heat stagnation in the Spleen and    Stomach

 

35. What is a manifestation of excess Liver Yang rising?

                a. blurred vision

                b. stabbing pain in the eyes

                c. itchy eyes

                d. vertigo

 

36. Which of the following causes a dull headache that is aggravated by activity?

                a. Qi deficiency

                b. Blood deficiency

                c. Yin deficiency

                d. Yang deficiency

 

37. What causes dull pain with dizziness and a pale complexion?

                a. Yin deficiency

                b. Blood deficiency

                c. Kidney deficiency

                d. Yang deficiency

 

38. Which does not cause fever?

                a. Yin deficiency

                b. external pathogenic factors

                c. excess of Yang

                d. floating up of deficient Yang

 

39. In which of the following are you likely to find fever alternating with chills at regular intervals?

                a. Shaoyang disease

                b. Malaria

                c. Damp/Heat

                d. Taiyang disease

 

40. Diarrhea, borborygmus, excrement that smells like rotten eggs, abdominal pain that subsides after bowel movement.

                a. Damp/Heat

                b. improper diet

                c. Spleen deficiency

                d. Damp/Cold

 

41. Copious sputum that is easily expectorated, a feeling of fullness in the chest, thick, white greasy tongue coating.

                a. Phlegm-Heat

                b. Phlegm-Cold

                c. Wind Phlegm

                d. Damp-Phelgm

 

42. Constipation, clear and profuse urine, preference for warmth, intolerant of cold.

                a. Qi and Yin deficiency

                b. Cold accumulation from Yang deficiency

                c. Qi stagnation

                d. Blood deficiency

 

43.  What causes frequent urination that is painful and yellow?

                a. Heart Fire

                b. Lower Jiao deficiency

                c. Damp/Heat in the Bladder

                d. Kidney Yin deficiency

 

44. Dysentery is characterized by…

                a. tenesmus (feel as though a bowel movement is needed but do not pass stool)

                b. stool consisting of undigested food

                c. diarrhea with involuntary control of fecal discharge

                d. watery diarrhea, borborygmus, foul smelling excrement

 

45. What causes profuse discharge of clear urine?

                a. Damp/Heat stagnation

                b. Kidney Yang deficiency

                c. Spleen Yang deficiency

                d. Lung Qi deficiency

 

46. Burning stomach, gastric discomfort, acid regurgitation, hunger, do not want to eat, bad breath, thin rapid pulse.

                a. Liver Qi overacting on Stomach

                b. Stomach Yin deficiency

                c. Spleen deficiency

                d. excess Stomach Heat

 

47. What syndrome causes symptoms of polyphagia  (excess eating) and strong hunger?

                a. Spleen Qi deficiency

                b. excess Stomach Heat

                c. Stomach Yin deficiency

                d. Spleen and Stomach deficiency Cold

 

48. Which of the following causes a sweet taste and sense of stickiness in the mouth?

                a. Spleen and Stomach deficiency

                b. Damp/Heat in the Spleen and Stomach

                c. accumulation of Heat in the Liver and Stomach

                d. indigestion due to overeating

 

49. What organ is most closely related to insomnia?

                a. Heart

                b. Liver

                c. Kidney

                d. Spleen

 

 

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50. In which syndrome is insomnia usually not found?

                a. Heart Yin deficiency

                b. Gallbladder deficiency

                c. disharmony between Heart Yang and Kidney Yin

                d. Kidney Qi deficiency

 

51. Menstrual cycle comes early and the flow is dark red or purple and thick in consistency?

                a. Qi deficiency

                b. Liver Qi stagnation

                c. Blood Stasis

                d. Heat in the Blood

 

52. What causes profuse white vaginal discharge that is watery and clear and lacks any foul odor?

                a. Damp/Heat

                b. Spleen Qi deficiency

                c. Liver Qi stagnation turns to Fire

                d. Ren and Chong Mai impairment

 

53. What is indicated by hollow pain in the head with lassitude in the loins and knees?

                a. Kidney Qi deficiency

                b. Kidney Yang deficiency

                c. Kidney Essence deficiency

                d. Qi and Blood deficiency

 

54. What type of fever would you associate with a Qi level disease?

                a. high fever

                b. tidal fever

                c. alternate attacks of fever and chills

                d. aversion to cold and fever

 

55. Deficiency exterior syndrome will always include:

                a. aversion to cold               

                b. fever

                c. perspiration

                d. floating pulse

 

56. Which of the following does not indicate progression of a pathogenic factor from the exterior to the interior?

                a. no aversion to cold, but aversion to heat

                b. thirst

                c. dark urine

                d. slight aversion to cold

 

57. Aversion to cold, cold limbs, headache, body aches, cold pain in the abdomen, loose stools, vomiting clear fluids.

                a. both interior and exterior deficiency

                b. both exterior and interior Cold

                c. exterior excess and interior deficiency

                d. exterior deficiency and interior excess

 

58. Aversion to cold, fever, headache, no sweat, thirst, restlessness, dry white tongue coating.

                a. exterior excess and interior deficiency

                b. exterior deficiency and interior excess

                c. Cold in the exterior and Heat in the interior

                d. both exterior and interior Heat

 

59. The most distinguishing feature of Yin deficiency is:

                a. aversion to Heat

                b. restlessness

                c. thirst for cold drinks

                d. night sweats

 

60. Vertigo and blurred vision is not usually involved with:

                a. Qi deficiency

                b. Blood deficiency

                c. Yang deficiency

                d. Yin deficiency

 

61. What is the tongue and pulse of a patient that is Yin deficient?

                a. red tongue with scanty coat, thin pulse

                b. red tongue with scanty coat, feeble thin pulse

                c. red tongue with scanty coat, rapid pulse

                d. red tongue with scanty coat, thin and rapid pulse

 

62. Which of the following does not occur with severe Yang deficiency?

                a. pale complexion

                b. cold body with chills

                c. weariness

                d. dry tongue with little saliva

 

63. What is indicated by this pattern: tiredness, dizziness, blurred vision, prolonged diarrhea and dysentery,

bowels that rarely move and are very full, prolapse of the rectum or uterus accompanied by a pale tongue and feeble pulse?

                a. Qi deficiency

                b. Qi collapse

                c. Qi and Blood deficiency

                d. Blood deficiency

 

64. Which of the following is not associated with Blood Stasis?

                a. stabbing pain fixed at a certain location and aggravated by pressing and that worsens at night

                b. bleeding of caked and dark purple blood

                c. cold and bluish-purple hands and feet

                d. amenorrhea, a thin-uneven pulse

 

65. Which is particularly associated with Blood Stasis?

                a. pale complexion, cold limbs

                b. bluish-purple complexion, cold pain in the abdomen

                c. darkish purple complexion, squamous and dry skin

                d. oppression, distending pain, unlocalized fluctuating pain in the chest, abdomen or hypochondrium

 

66. What is indicated by this pattern: hematemesis, vexation, crimson tongue.

                a. Qi level Heat

                b. Ying level Heat

                c. Xue level Heat

                d. Taiyang stage disease

 

67. What are numb limbs most often associated with?

                a. Blood deficiency

                b. Yang deficiency

                c. Qi deficiency

                d. Phlegm

 

68. What is the main cause of excess Heat in the Small intestine?

                a. Heat in the Stomach

                b. Damp/Heat in the Large intestine

                c. excess Heart Fire transmitting down into the Small intestine

                d. external Evil Heat

 

69. Palpitations, insomnia, dream disturbed sleep, amnesia, a feverish sensation in the palms and soles,

malar flush, night sweats, dry red tongue, thin rapid pulse.

                a. Liver Blood deficiency

                b. Heart Yin deficiency

                c. Lung Yin deficiency

                d. Kidney Yin deficiency

 

70. Which of the following is not a manifestation of Damp/Heat in the Bladder?

                a. frequent urination

                b. dripping and difficult urination

                c. burning pain in the urethra

                d. enuresis                                                     

 

71. In what syndrome does a patient have profuse thin sputum that is easily expectorated?

                a. Phlegm-Heat

                b. Phlegm-Damp

                c. Phlegm-Cold

                d. Wind Phlegm

 

72. Dislike to speak, dizziness, blurred vision, spontaneous sweat, pale tongue, weak pulse, all worse with activity.

                a. Spleen Qi deficiency

                b. Kidney Qi deficiency

                c. Lung Qi deficiency

                d. Qi deficiency

73. Which is not caused by Stomach Qi rebelling?

                a. vomiting

                b. eructation

                c. hiccup

                d. sighing

 

74. Which pulse may normally occur in healthy people?

                a. slippery

                b. full

                c. rapid

                d. uneven

 

75. Which syndrome does not cause dizziness?

                a. Liver Yang rising

                b. Qi and Blood deficiency

                c. Lung Yin deficiency

                d. Phlegm-Damp

 

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76. In what syndrome is there afternoon tidal fever (high fever that peaks between 3 & 5 pm)?

                a. Ying-Xue level

                b. Yangming organ Heat

                c. Jueyin stage disease

                d. Yin deficient Fire

 

77. Which meridian does not connect directly with the tongue?

                a. Hand Shaoyin Heart

                b. Hand Taiyin Lung

                c. Foot Taiyin Spleen

                d. Foot Jueyin Liver

 

78. Which is the special symptoms that indicate Liver Blood deficiency?

                a. pale complexion

                b. numb limbs and tense tendons

                c. dizziness and tinnitus

                d. amenorrhea or menstruation with scanty menses

 

79. Which syndrome does not show a greasy tongue coating?

                a. Cold

                b. Phlegm

                c. retention of undigested food

                d. Damp/Heat

 

80. Dizziness, tinnitus, flushed face, congested eyes.

                a. Liver Fire

                b. Liver Yin deficiency

                c. Liver Yang rising

                d. stagnation of the Gallbladder causing Phlegm disturbance

 

81. What is indicated by a slippery rapid pulse?

                a. excess Heat

                b. Yangming organ Heat

                c. Phlegm-Heat

                d. Damp/Heat in the Spleen and Stomach

 

 

82. Discharge of purulent bloody stools, abdominal pain, tenesmus.

                a. Damp/Heat in the Large intestine

                b. Damp/Heat in the Liver meridian

                c. Lingering diarrhea due to deficient Large intestine

                d. Stomach indigestion

 

83. What is an important symptom of accumulation of Phlegm-Damp in the Lungs?

                a. cough with a small amount of thick yellow sputum

                b. cough with a small amount of thin white sputum easily expectorated

                c. cough with profuse thin sputum

                d. cough with a small amount of glutinous sputum

 

84. What most often characterizes blood loss in patients suffering from Qi deficiency?

                a. dark purple blood

                b. pale thin blood

                c. bright red and thick blood

                d. the bleeding is heavy

 

85. What characteristic does the pulse naturally assume in winter?

                a. deep

                b. floating

                c. floating soft

                d. full

 

86. Which of the following is not a clinical manifestation of internal Wind caused by Blood deficiency?

                a. numb limbs

                b. stiff joints

                c. trembling hands and feet

                d. hair loss

 

87. Fullness and pain in the abdomen that is alleviated by pressure.

                a. internal excess

                b. internal deficient Cold

                c. excess in appearance, deficiency in nature

                d. half interior half exterior syndrome

 

88. Fever, sudden fainting, profuse sweat, thirst, shortness of breath, soft rapid pulse.

                a. sunstroke

                b. summer-Heat with Damp

                c. summer-Heat

 

89. Which of the following is not a clinical manifestation of internal Cold?

                a. intolerance to cold

                b. aversion to cold

                c. cold limbs

                d. deep pulse

 

90. To what is the etiopathology of Blood Cold related?

                a. stagnation of affected pathogenic Cold in the blood vessels

                b. Yang Qi deficiency

                c. Phlegm retention

                d. over-consumption of cold foods

 

91. What syndrome is not indicated by a thick greasy yellow tongue coating?

                a. Damp/Heat

                b. Phlegm-Heat

                c. retention of undigested food

                d. dysentery with bloody stools

 

92. What colour appears on the nasal apex when there is abdominal pain?

                a. light black

                b. blue

                c. rosacea

                d. red

 

93. Which of the following is not associated with diseases of the Stomach meridian?

                a. toothache, deviation of the mouth

                b. lip boils, swollen neck

                c. sore throat

                d. genital swelling

 

94. What colour is the tongue when the disease is at the Ying level?

                a. red

                b. crimson

                c. bluish-purple

                d. red on the sides

 

95. What meridian disease includes alternate chills and fever, dysphoria, nausea, and vomiting?

                a. Taiyang

                b. Shaoyang

                c. Shaoyin

                d. Taiyin

 

96. Which of the following is not a manifestation of deficient Heart Blood?

                a. palpitations

                b. insomnia, amnesia

                c. dull pale or sallow complexion

                d. thn rapid pulse

 

97. Which of the following is not a manifestation of Spleen and Kidney Yang deficiency?

                a. intolerance of cold, cold extremities

                b. loose stools with undigested food

                c. lusterless and sallow complexion

                d. deep thin pulse

 

98. Distension and pain of the epigastrium, belching, vomiting, anorexia, acid regurgitation, thick greasy tongue coat, slippery pulse?

                a. retention of undigested food in the Stomach

                b. Spleen and Stomach Qi deficiency

                c. Damp/Heat in the Spleen and Stomach

                d. Liver and Spleen disharmony

 

99. What type of tongue would you associate with Spleen and Kidney deficiency?

                a. pale tongue, deep pulse

                b. pale tongue, thin pulse

                c. pale swollen tongue with teeth imprints on the edges and a white slippery coat, deep weak pulse 

                d. red tongue with thin white coat, thin rapid pulse

 

100. A 30 year old female patient suffers from massive uterine bleeding, thin and light coloured menstrual blood,

loss of appetite, shortness of breath, and lack of spirit.  Her complexion is pale.  Her tongue is pale with a thin white coating. 

Her pulse is weak.  What would be the outcome of your syndrome differentiation in this case?

                a. irregular menstruation due to Qi deficiency

                b. metrorrhagia due to Spleen and Kidney deficiency

                c. metrorrhagia due to Blood Stasis

                d. Failure of the Spleen to keep blood flowing within the vessels

 

 

 

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