Term-End Examination December, 2009

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1 PGDACP - 01 POST GRADUATE DIPLOMA IN ACUPUNCTURE (PGDACP) Term-End Examination December, 2009 PGDACP-01 : BASIC THEORIES OF ACUPUNCTURE/TCM DIAGNOSIS Time : 2 Hours Maximum Marks : 70 Note : There are multiple choice type of questions in this examination which are to be answered in OMR Answer Sheets. All questions are compulsory. Each question has four options and only one of them is correct. Answers have to be marked in figures in the appropriate rectangular boxes corresponding to what is the correct answer and then blacken the circle for the same number in that column by using HB or lead pencil. DO NOT USE INK OR BALL PEN in OMR Answer Sheets. If you mark more than one option it will be taken as the wrong answer and no mark will be awarded for this. Erase completely any error or unintended marks. There are 70 questions in this paper and each question carries one mark. There is no negative marking for wrong answers. No candidate shall leave the examination hall at least for one hour after the commencement of the examination. PGDACP-01 1 P.T.O.

2 1. The five categories of Zang-Fu organs classified according to the Five Elements are : (1) definite (2) relative (3) (4) neither (1) nor (2) 2. Cold syndrome of the Xu (deficiency) type may be caused by : a weakness of yin leading to a preponderance of yang a preponderance of yin consuming yang a weakness of yang leading to a preponderance of yin a preponderance of yang consuming yin 3. The uterus is a Zang organ a Fu organ an extraordinary organ both a Fu organ and an extraordinary organ Each Zang organ opens to a sense organ. This indicates the close structural or physiological relationship between the internal organs and the sense organs. The lung opens to the (1) tongue (2) nose (3) ear (4) mouth The small intestine is externally-internally related with the (1) liver (2) kidney (3) heart (4) lung 6. Nutrient Qi ( Ying Qi) is related to reproductive function circulates in the vessels and supplies the viscera circulates outside the vessels and is mainly distributed in the and nourish the subcutaneous tissues nourishes the heart and lung and promotes their functions vessels and performing respiration muscles and skin to warm of dominating blood and PGDACP-01 2

3 7. The function(s) related to reproduction include(s) : the liver maintaining patency for the flow of Qi the kidney stores the essence neither (1) nor (2) 8. The relationship between the heart and liver exists in : (1) the control of respiration (2) the control of water metabolism (3) (4) neither (1) nor (2) 9. Yin excess is reflected by : (1) pale complexion (3) pale yellow complexion (2) red colour (4) bluish colour A malar flush indicates : (1) deficiency of Qi (2) deficiency of blood (3) deficiency of the spleen (4) deficiency of yin A thin person with dry skin suggests : deficiency of Qi and excess of phlegm-dampness deficiency of the kidney insufficiency of blood invasion of dampness 12. Consumption of the kidney essence is suggested when there is : yellow sclera redness and swelling of the eye flaring the flapping of the ala nasi dry and withered auricles 13. Redness and swelling of the gums are due to : (1) deficiency of blood (2) deficiency of Qi (3) flare-up of stomach fire (4) disturbance of liver wind PGDACP-01 3 P.T.O.

4 14. The pathological changes of the kidney are revealed on : the tip of the tongue the central part of the tongue the border of the tongue the root (posterior) of the tongue 15. The consumption of Qi and yin of the stomach presents : (1) thick coating (2) moist coating (3) sticky coating (4) peeled coating 16. A pale tongue suggests : (1) deficiency of blood (2) (3) stagnation of blood (4) deficiency of yin stagnation of Qi 17. A red tongue with a black dry coating indicates : consumption of Qi and yin of the stomach invasion of damp-heat in the interior consumption of the kidney essence hyperactivity of the fire due to deficiency of yin 18. The syndrome of hyperactivity of the fire due to deficiency of yin is suggested by : a red tongue with a thick, yellow coating a red tongue with a yellow, sticky coating a slightly red tongue with a thin, white coating a deep-red tongue with little coating 19. A pale, cracked tongue suggests : excessive heat and the consuming body fluids deficiency of blood retention of phlegm windstroke PGDACP-01 4

5 20. Afternoon fever with constipation and fullness and pain in the abdomen suggests : deficiency of yin retention of dampness excess heat in the Yangmig channel exterior syndromes 21. Heat syndrome often manifests : pricking pain pain with a heavy sensation colicky pain burning sensation 22. Watery stool with undigested food implies : deficiency of yang of the spleen and kidney consumption of body fluids damp-heat in the large intestine retention of food 23. Damp-heat in the spleen and stomach results in : a bitter taste in the mouth a sweet and sticky sensation in the mouth tastelessness a salty taste in the mouth 24. A prolonged menstrual cycle with scaty, purplish-dark discharge or blood clots suggests : excessive heat in the blood failure of Qi to control the blood stagnation of blood disharmony of the chong and ren channels due to the obstruction of liver Qi 25. Excessive heat in the interior results in a : superficial and rolling pulse ( fu and hua mai) surging and rapid pulse ( hong and shuo mai) deep and hesitant pulse ( chen and se mai) string-taut and rolling pulse ( xuan and hua mai) PGDACP-01 5 P.T.O.

6 26. A surging pulse ( hong mai) feels : superficial and thready, and is felt by the fingers to be without strength tight and forceful like a stretched rope smooth and flowing like pearls rolling on a dish broad, large and forecul like roaring waves which come on powerfully and fade away. 27. Insomnia accompanied by mental restlessness and dream-disturbed sleep usually indicates : failure of the blood to nourish the heart due to deficiency of both the heart and spleen hyperactivity of heart fire neither (1) nor (2) 28. Dysmenorrhea caused by heat due to deficiency of yin is suggested by : menses of a shortened cycle deep red menses which are excessive in amount neither (1) nor (2) 29. Stagnation of Qi is usually manifested in : distending pain in the costal and hypochondriac regions, and fullness in the chest fixed stabbing pain in the hypochondriac region, or pain intensified when pressure is applied and at night neither (1) nor (2) 30. often indicates excess of heat in the interior due to invasion by exogenous athogenic heat. Sustained high-grade fever A slight fever occurring at a definite time of the day A feverish sensation conveyed to the body surface from the interior A feverish sensation on the palms of the hands and soles of the feet 31. A bitter taste in the mouth suggests : weakness of the spleen and stomach retention of food hyperactivity of fire of the liver and galbladder damp-heat in the spleen PGDACP-01 6

7 32. Frequent urination with clear urine suggests : accumulation of damp-heat in the kidney and urinary bladder deficiency-cold of the kidney and urinary bladder deficiency of the spleen and kidney, accompanied by fluid retention deficiency of kidney Qi 33. Migrating pain is often due to : intestinal parasites stagnation of Qi and blood invasion of channels and collaterals by pathogenic wind obstruction of channels and collaterals by cold-dampness 34. A prolonged menstrual cycle with a scanty light-coloured discharge suggests : heat syndrome of the excess type cold syndrome of the deficiency type stagnation of Qi and blood deficiency of blood 35. Dizziness and distending sensation in the head suggests : flare-up of liver fire deficiency of the blood in the liver stagnation of cold in the liver channel depression of liver Qi 36. Loose stool with undigested food suggests : deficiency of spleen yang deficiency of kidney yang dampness and heat in the intestine cold and dampness in the intestine 37. The causative factor(s) of frequent spontaneous sweating exacerbated by slight exertion is : deficiency of yang Qi weakness of defensive Qi neither (1) nor (2) PGDACP-01 7 P.T.O.

8 38. Constant diarrhea before daybreak usually relates to : weakness and cold of the spleen and stomach deficiency of spleen kidney yang neither (1) and (2) 39. Deficiency of liver yin is often manifested in : vertigo and tinnitus afternoon fever and night sweating neither (1) nor (2) Thready pulse (xi mai) often suggests : (1) deficiency of liver yin (2) flare-up of liver yang (3) (4) neither (1) nor (2) Which of the following properties belongs to yang? (1) brightness (2) upward direction (3 ) excitement (4) inward direction 42. Which of the following body parts belong to yang? medial aspects of the four limbs the head the abdomen the back 43. According to the theory of the Five Elements, which of the following pertains to wood? (1) sour (2) wind (3) east (4) tongue 44. According to the theory of the Five Elements, which of the following pertains to earth? (1) middle (2) yellow (3) spleen (4) mouth PGDACP-01 8

9 According to the theory of the Five Elements, which of the following pertains to water? (1) salty (2) black (3) cold (4) kidney Which of the following pathological factors belongs to yin? (1) wind (2) heat (3) damp (4) none of the above According to the theory of the Five Elements, the Kidney disease transmitting to the spleen belongs to : (1) "the son affecting the mother" (2) "the mother affecting the son" (3) interacting (4) counteracting From which point does the branch of the Lung channel of the Hand-Taiyin proximal to the forearm emerge? (1) Kongzui ( Lu.6) (2) Lieque ( Lu.7) (3) Jingqu ( Lu.8) (4) None of the above 49. The liver regulates : water metabolism of the whole body the volume of blood circulating in the body yin and yang of the whole body movement of Qi of the whole body 50. The function of the liver for maintaining the free flow of Qi links with : emotional activity ascending and descending function of the stomach and spleen. secretion of the bile keeping the blood circulating in the vessels 51. The pectoral Qi is formed from : the kidney Qi the essential Qi of water and food the defensive Qi the clear Qi inhaled by the lung PGDACP-01 9 P.T.O.

10 52. The function of the spleen in controlling blood means the spleen has the function of : promoting the circulation of blood storing the blood manufacturing blood keeping the blood circulating within the vessels 53. The spleen : (1) dominates the muscles (2) dominates the four limbs (3) opens to the mouth (4) manifests on the lips The kidney essence has the function of : (1) producing marrow (2) nourishing the bone (3) nourishing the hair (4) producing the blood The extraordinary Fu organs include : (1) the uterus (2) the brain (3) the gall bladder (4) the Sanjiao The functions of Qi include : (1) promoting (2) warming (3) defending (4) checking The formation and distribution of body fluid are linked with the normal functions of : (1) the spleen and stomach (2) the lung (3) the kidney (4) the small intestine TCM attributes the formation of a tumour ( or enlargement of the internal organs in the abdomen to : (1) Qi stagnancy (2) Blood deficiency (3) Phlegm-damp (4) Blood stasis The Zang-Fu organs that are related to emotional activities include : (1) the heart (2) the brain (3) the liver (4) the kidney PGDACP-01 10

11 Which of the following is considered both Fu and extraordinary Fu organ? (1) uterus (2) vessels (3) sanjiao (4) galbladder Which of the following organs has a close relationship with the condition of the nail? (1) liver (2) heart (3) kidney (4) lung In TCM the sense of smell depends on the : (1) heart (2) lung (3) liver (4) kidney Which of the following organs is said to be "the house of the water and fire"? (1) heart (2) liver (3) kidney (4) lung The uterus is connected with the following organs and channels except : (1) the kidney channel (2) the chong channel (3) the lung channel (4) the ren channel Which of the following conditions may be present in a normal person? (1) swollen tongue (2) thin tongue (3) thorny tongue (4) cracked tongue A thin patient who is always hungry with a voracious appetite indicates : (1) stagnation of spleen Qi (2) liver fire (3) excessive stomach fire (4) liver Qi overacting on the stomach Which one of the following symptoms could be an indication of points on the large intestine, small intestine, stomach and kidney channels in common? (1) edema (2) toothache (3) sore throat (4) diarrhea PGDACP P.T.O.

12 The clinical significance of a deviated tongue is/are : (1) early signs of windstroke4 (2) invasion of the heart by pathogenic heat (3) windstroke (4) sunstroke The causes of spontaneous sweating include : (1) weakness of yang (2) deficiency of yin (3) deficiency of defensive Qi (4) excessive heat 70. Dribbling urination is due to : impaired function of the kidney for controlling urine Qi dysfunction inhibiting activities of the bladder due to downward infusion of the damp-heat Stagnant blood or stones Deficiency of yin - o 0 o - PGDACP-01 12

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