CALE PRACTICE TEST 1-ELAINE
(ACTCM)
Ben8complains8of8alternating8hot8and8cold8feelings8with8a8prevalence8of8heat.8He8also8h
as8a8bitter8taste,8thirst,8dry8throat,8hypochondrial8pain,8nausea,8feeling8of8oppression8of8
the8chest8and8epigastrium,8nausea8and8loose8stools.8What8is8the8differential8diagnosis8f
or8this8case?
A.8ST8and8SP8Damp8Heat
B.8Shaoyang8Stage8Disease
C.8Middle8Burner8Disease
D.8Qi8Level8Heat8-8ans--B
Leon,8age844,8has8gained8a8lot8of8weight8recently.8His8face8is8round8like8the8moon8and8
his8blood8pressure8is8rising.8There8are8red8lines8on8his8belly.8What8is8his8problem?
A.8Myxedema
B.8Diabetes8Mellitus
C.8Cushing8Syndrome
D.8Hashimoto8-8ans--C
Which8Front-Mu8point8does8Spleen8channel8not8intersect?
A.8G24
B.8Ren3
C.8L1
D.8GB258-8ans--D
Passive8ROM8test8checks8for8the8integrity8of8the:
A.8Muscle
B.8Joint
C.8Nerve
D.8Bursa8-8ans--B
Which8of8the8following8methods8should8be8used8to8treat8a8patient8with8excessive8sweati
ng,8cold8limbs,8and8Weak8pulse?
A.8Moxibustion8with8salt
B.8Moxibustion8with8ginger
C.8Moxibustion8with8garlic
D.8Moxibustion8with8warming8needle8-8ans--A
Naomi8has8had8headaches8for8the8past8128years.8They8started8when8she8was8228years
8old.8Headaches8occur8on8the8vertex8(top8of8the8head)8and8behind8her8eyes.8When8ask
ed8how8often8she8has8them,8she8said8at8this8point8the8headaches8occur8every8day.8The
,y8start8with8a8dull8pain8and8increase8in8intensity8and8severity8and8are8accompanied8by8
nausea,8vomiting8and8diarrhea.8When8a8headache8starts,8Naomi8says8she8feels8best8if8
she8lays8down8in8a8dark8room.8Her8tongue8is8Pale8and8Thin8and8her8pulse8is8Weak8on8t
he8right8side8and8slightly8Wiry8on8the8left8side.8What8is8the8diagnosis8for8this8case?
A.8Liver8Qi8Stagnation8with8Liver8overacting8on8Spleen8and8Stomach
B.8Liver8and8Kidney8Yin8Deficiency8with8Liver8Qi8Stagnation
C.8Liver8Yang8Rising8due8to8Liver8Blood8Deficiency;8Liver8overacting8on8Spleen8and8St
omach
D.8Liver8Yang8Rising8due8to8Liver8Yin8Deficiency8-8ans--C
Larry8suffers8from8constipation8with8abdominal8fullness8and8distending8pain8in8the8hypo
chondrium.8He8says8that8he8has8little8appetite8and8he8often8belches.8The8tongue8has8a8
thin,8sticky8coating8and8the8pulse8is8String-
taut.8What8is8the8differential8diagnosis8for8this8case?
A.8Deficiency8Constipation8due8to8Agglomeration8of8Cold
B.8Excess8Constipation8due8to8Accumulation8of8Heat
C.8Deficiency8Constipation8due8to8Deficiency8of8Qi8and8Blood
D.8Excess8Constipation8due8to8Stagnation8of8Qi8-8ans--D
Andrea8comes8to8the8clinic8with8lusterless,8yellow8discoloration8of8the8skin8and8eyes.8S
he8tell8you8her8body8feels8heavy8and8she8feels8very8weak.8Andrea8has8no8appetite8and
8experience8epigastric8fullness8especially8after8eating.8Other8symptoms8include8lassitud
e,8intolerance8of8cold,8pale8tongue,8thick8white8coat,8and8deep8slow8pulse.8What8is8the8
differential8diagnosis8for8this8case?
A.8Yang8Jaundice8syndrome8caused8by8Heat8Toxin
B.8Yang8Jaundice8syndrome8caused8by8Damp-Heat
C.8Yang8Jaundice8syndrome8caused8by8Gallstones
D.8Yin8Jaundice8syndrome8-8ans--D
Xing8Ren8overdoes8presents8with8the8following8symptoms:8dizziness,8nausea,8vomiting,
8headache,8difficult8breathing,8tremors,8pupil8dilation,8irregular8heart8beat8and8coma.8Ho
w8much8Xing8Ren8needs8to8be8digested8to8produce8these8symptoms?
A.850-608seeds
B.810-208seeds8in8children,840-608seeds8in8adults
C.820-308seeds8in8children,850-708seeds8in8adults
D.840-1008seeds8-8ans--B
A833-year-
old8woman8had8been8suffering8from8breathlessness8for8the8previous8two8years.8She8fo
und8it8difficult8to8breathe8out8and8her8attacks8were8elicited8by8emotional8stress.8She8als
o8felt8easily8thirsty8and8experienced8a8bitter8taste8in8her8mouth8occasionally.8She8had8fr
equent8headaches8on8the8temples8of8a8throbbing8nature8and8she8felt8generally8wound-
up8and8frustrated.8She8also8felt8easily8hot8and8occasionally8had8palpitations.8Her8pulse8
was8Wiry8and8her8tongue8was8Red8with8redder8sides8and8tip.8There8is8a8shallow8midlin
e8Heart-
crack.8The8sides8also8had8red8points.8What8is8the8cause8of8the8breathlessness?
,A.8Heart8Fire
B.8Liver8Fire
C.8Liver8Qi8Stagnation
D.8Liver8Yang8Rising8-8ans--B
Which8of8the8following8point8prescriptions8is8best8in8cases8of8closed8type8Stroke?
A.8Ren6,8Ren4,8Ren8
B.8Du26,8Liv3,8K1
C.8Du26,8Du20,8Ren6
D.8Du26,8ST40,8Du48-8ans--B
Todd's8wife8died828years8ago.8He8has8had8terrible8insomnia8since8her8death.8He8has8a8
very8difficult8time8falling8asleep8and8wakes8often8throughout8the8night.8Todd8is8wrought8
with8grief8over8the8death8of8his8wife8and8can't8come8to8terms8with8it.8His8vision8is8blurre
d8and8his8memory8is8not8as8good8as8it8was8before8the8death.8His8tongue8is8red,8flabby8
with8a8tongue8coat8that8is8too8thin.8His8pulse8is8Floating-
Empty8and8very8slightly8Wiry8on8the8left8side.8What8is8the8differential8diagnosis8for8this8
case?
A.8Heart8Yin8and8Blood8Deficiency
B.8Liver8and8Heart8Yin8Deficiency
C.8Liver8Blood8and8Yin8Deficiency
D.8Heart8Blood8Deficiency8-8ans--B
How8do8you8cook8Shi8Jue8Ming8(Haliotidis8Concha)?
A.8Dissolve8in8strained8decoction
B.8Cook8first8for8308minutes
C.8Add8near8the8end
D.8Cook8first8for8608minutes8-8ans--B
Which8points8treat8pain8on8the8shoulder?
A.8S38,8LI4,8SJ5,8LI1
B.8S38,8G39,8SJ5,8B60
C.8S38,8SJ5,8LI4,8LI1,8L7,8SJ1,8B58
D.8S38,8S36,8Sp5,8G408-8ans--C
Brian8has8insomnia8for8the8past828years.8He8falls8asleep8easily8but8wakes8up8several8ti
mes8throughout8the8night.8He8keeps8a8glass8of8water8by8his8bed8because8he8often8wak
es8with8a8dry8throat.8Brian8has8been8impotent8for8the8past828years.8Right8around8the8ti
me8the8insomnia8started.8His8tongue8is8red8with8a8peeling8coat8and8a8crack8that8reache
s8the8tip8of8his8tongue.8His8pulse8is8Empty8at8the8deep8level8and8extremely8Weak8and8F
ine8on8the8left8rear8and8middle8positions.8He8was8born8with8one8Kidney.8What8is8the8diff
erential8diagnosis8for8this8case?
A.8Heart8Deficiency
B.8Kidney8and8Heart8not8Harmonized
C.8Heart8Yin8Deficiency
D.8Kidney8Yin8Deficiency8-8ans--B
, Which8of8the8following8points8has8a8needling8depth8deeper8than80.78cun?
A.8SI3
B.8LI16
C.8Ren14
D.8SI148-8ans--C
A8patient8with8pin8point8pupils8would8most8likely8be8on8what8type8of8medication?
A.8Statins
B.8Proton8Pump8Inhibitors
C.8Anti-Cholinergics
D.8Opioids8-8ans--D
When8a8patient8presents8with8abnormal8sensations8in8the8abdomen8(paralysis,8pain,8bu
rning,8itching),8eye8disorders,8diplopia,8partial8loss8of8vision,8pain8in8one8eye,8blurred8vi
sion,8vision8loss,8difficult8to8reach8orgasm,8loss8of8sensitiveness8in8the8vagina,8impoten
ce,8dizziness,8weak8limbs,8difficult8walking8and8balancing,8tremors,8imbalance8of8eye8b
all8movement,8loss8of8control8of8urine8and8stool,8constipation,8stiff8body,8excessive8fatig
ue,8depression,8loss8of8control8of8emotion8(cry8or8laugh8without8reason)8and8potential8m
ental8disorder,8____________8organ8is8diseased.
A.8Spleen
B.8Liver
C.8Kidney
D.8Heart8-8ans--A
Intradermal8needles8are8indicated8for8which8of8the8following8symptoms?
A.8Cold8Damp8Bi,8Wei8Syndrome,8Wind-Damp-Bi
B.8Nerve8system,8skin8problem
C.8Stomach8disease,8cough
D.8Excess8Heat8-8ans--A
Alan8is8a8competitive8body8builder.8He8is8in8the8clinic8today8with8a8stiff8neck8and8should
er8pain.8He8was8at8the8gym8yesterday8lifting8a8dumbbell8when8he8felt8a8sharp8pain8in8hi
s8trapezius8muscle.8The8pain8doesn't8radiate8to8the8arm8and8he8doesn't8have8a8headac
he.8He8has8an8uncomfortable8feeling8in8his8lower8back8when8he8gets8up8from8a8sitting8
position.8Which8two8points8would8be8best8to8treat8his8shoulder?
A.8LI4,8SP4
B.8L7,8K6
C.8SI3,8B62
D.8SJ5,8GB418-8ans--C
Which8food8is8best8to8avoid8with8patients8who8have8Damp8accumulation?
A.8Cinnamon
B.8Rice8vinegar
C.8Honey
D.8Ginger8-8ans--C
(ACTCM)
Ben8complains8of8alternating8hot8and8cold8feelings8with8a8prevalence8of8heat.8He8also8h
as8a8bitter8taste,8thirst,8dry8throat,8hypochondrial8pain,8nausea,8feeling8of8oppression8of8
the8chest8and8epigastrium,8nausea8and8loose8stools.8What8is8the8differential8diagnosis8f
or8this8case?
A.8ST8and8SP8Damp8Heat
B.8Shaoyang8Stage8Disease
C.8Middle8Burner8Disease
D.8Qi8Level8Heat8-8ans--B
Leon,8age844,8has8gained8a8lot8of8weight8recently.8His8face8is8round8like8the8moon8and8
his8blood8pressure8is8rising.8There8are8red8lines8on8his8belly.8What8is8his8problem?
A.8Myxedema
B.8Diabetes8Mellitus
C.8Cushing8Syndrome
D.8Hashimoto8-8ans--C
Which8Front-Mu8point8does8Spleen8channel8not8intersect?
A.8G24
B.8Ren3
C.8L1
D.8GB258-8ans--D
Passive8ROM8test8checks8for8the8integrity8of8the:
A.8Muscle
B.8Joint
C.8Nerve
D.8Bursa8-8ans--B
Which8of8the8following8methods8should8be8used8to8treat8a8patient8with8excessive8sweati
ng,8cold8limbs,8and8Weak8pulse?
A.8Moxibustion8with8salt
B.8Moxibustion8with8ginger
C.8Moxibustion8with8garlic
D.8Moxibustion8with8warming8needle8-8ans--A
Naomi8has8had8headaches8for8the8past8128years.8They8started8when8she8was8228years
8old.8Headaches8occur8on8the8vertex8(top8of8the8head)8and8behind8her8eyes.8When8ask
ed8how8often8she8has8them,8she8said8at8this8point8the8headaches8occur8every8day.8The
,y8start8with8a8dull8pain8and8increase8in8intensity8and8severity8and8are8accompanied8by8
nausea,8vomiting8and8diarrhea.8When8a8headache8starts,8Naomi8says8she8feels8best8if8
she8lays8down8in8a8dark8room.8Her8tongue8is8Pale8and8Thin8and8her8pulse8is8Weak8on8t
he8right8side8and8slightly8Wiry8on8the8left8side.8What8is8the8diagnosis8for8this8case?
A.8Liver8Qi8Stagnation8with8Liver8overacting8on8Spleen8and8Stomach
B.8Liver8and8Kidney8Yin8Deficiency8with8Liver8Qi8Stagnation
C.8Liver8Yang8Rising8due8to8Liver8Blood8Deficiency;8Liver8overacting8on8Spleen8and8St
omach
D.8Liver8Yang8Rising8due8to8Liver8Yin8Deficiency8-8ans--C
Larry8suffers8from8constipation8with8abdominal8fullness8and8distending8pain8in8the8hypo
chondrium.8He8says8that8he8has8little8appetite8and8he8often8belches.8The8tongue8has8a8
thin,8sticky8coating8and8the8pulse8is8String-
taut.8What8is8the8differential8diagnosis8for8this8case?
A.8Deficiency8Constipation8due8to8Agglomeration8of8Cold
B.8Excess8Constipation8due8to8Accumulation8of8Heat
C.8Deficiency8Constipation8due8to8Deficiency8of8Qi8and8Blood
D.8Excess8Constipation8due8to8Stagnation8of8Qi8-8ans--D
Andrea8comes8to8the8clinic8with8lusterless,8yellow8discoloration8of8the8skin8and8eyes.8S
he8tell8you8her8body8feels8heavy8and8she8feels8very8weak.8Andrea8has8no8appetite8and
8experience8epigastric8fullness8especially8after8eating.8Other8symptoms8include8lassitud
e,8intolerance8of8cold,8pale8tongue,8thick8white8coat,8and8deep8slow8pulse.8What8is8the8
differential8diagnosis8for8this8case?
A.8Yang8Jaundice8syndrome8caused8by8Heat8Toxin
B.8Yang8Jaundice8syndrome8caused8by8Damp-Heat
C.8Yang8Jaundice8syndrome8caused8by8Gallstones
D.8Yin8Jaundice8syndrome8-8ans--D
Xing8Ren8overdoes8presents8with8the8following8symptoms:8dizziness,8nausea,8vomiting,
8headache,8difficult8breathing,8tremors,8pupil8dilation,8irregular8heart8beat8and8coma.8Ho
w8much8Xing8Ren8needs8to8be8digested8to8produce8these8symptoms?
A.850-608seeds
B.810-208seeds8in8children,840-608seeds8in8adults
C.820-308seeds8in8children,850-708seeds8in8adults
D.840-1008seeds8-8ans--B
A833-year-
old8woman8had8been8suffering8from8breathlessness8for8the8previous8two8years.8She8fo
und8it8difficult8to8breathe8out8and8her8attacks8were8elicited8by8emotional8stress.8She8als
o8felt8easily8thirsty8and8experienced8a8bitter8taste8in8her8mouth8occasionally.8She8had8fr
equent8headaches8on8the8temples8of8a8throbbing8nature8and8she8felt8generally8wound-
up8and8frustrated.8She8also8felt8easily8hot8and8occasionally8had8palpitations.8Her8pulse8
was8Wiry8and8her8tongue8was8Red8with8redder8sides8and8tip.8There8is8a8shallow8midlin
e8Heart-
crack.8The8sides8also8had8red8points.8What8is8the8cause8of8the8breathlessness?
,A.8Heart8Fire
B.8Liver8Fire
C.8Liver8Qi8Stagnation
D.8Liver8Yang8Rising8-8ans--B
Which8of8the8following8point8prescriptions8is8best8in8cases8of8closed8type8Stroke?
A.8Ren6,8Ren4,8Ren8
B.8Du26,8Liv3,8K1
C.8Du26,8Du20,8Ren6
D.8Du26,8ST40,8Du48-8ans--B
Todd's8wife8died828years8ago.8He8has8had8terrible8insomnia8since8her8death.8He8has8a8
very8difficult8time8falling8asleep8and8wakes8often8throughout8the8night.8Todd8is8wrought8
with8grief8over8the8death8of8his8wife8and8can't8come8to8terms8with8it.8His8vision8is8blurre
d8and8his8memory8is8not8as8good8as8it8was8before8the8death.8His8tongue8is8red,8flabby8
with8a8tongue8coat8that8is8too8thin.8His8pulse8is8Floating-
Empty8and8very8slightly8Wiry8on8the8left8side.8What8is8the8differential8diagnosis8for8this8
case?
A.8Heart8Yin8and8Blood8Deficiency
B.8Liver8and8Heart8Yin8Deficiency
C.8Liver8Blood8and8Yin8Deficiency
D.8Heart8Blood8Deficiency8-8ans--B
How8do8you8cook8Shi8Jue8Ming8(Haliotidis8Concha)?
A.8Dissolve8in8strained8decoction
B.8Cook8first8for8308minutes
C.8Add8near8the8end
D.8Cook8first8for8608minutes8-8ans--B
Which8points8treat8pain8on8the8shoulder?
A.8S38,8LI4,8SJ5,8LI1
B.8S38,8G39,8SJ5,8B60
C.8S38,8SJ5,8LI4,8LI1,8L7,8SJ1,8B58
D.8S38,8S36,8Sp5,8G408-8ans--C
Brian8has8insomnia8for8the8past828years.8He8falls8asleep8easily8but8wakes8up8several8ti
mes8throughout8the8night.8He8keeps8a8glass8of8water8by8his8bed8because8he8often8wak
es8with8a8dry8throat.8Brian8has8been8impotent8for8the8past828years.8Right8around8the8ti
me8the8insomnia8started.8His8tongue8is8red8with8a8peeling8coat8and8a8crack8that8reache
s8the8tip8of8his8tongue.8His8pulse8is8Empty8at8the8deep8level8and8extremely8Weak8and8F
ine8on8the8left8rear8and8middle8positions.8He8was8born8with8one8Kidney.8What8is8the8diff
erential8diagnosis8for8this8case?
A.8Heart8Deficiency
B.8Kidney8and8Heart8not8Harmonized
C.8Heart8Yin8Deficiency
D.8Kidney8Yin8Deficiency8-8ans--B
, Which8of8the8following8points8has8a8needling8depth8deeper8than80.78cun?
A.8SI3
B.8LI16
C.8Ren14
D.8SI148-8ans--C
A8patient8with8pin8point8pupils8would8most8likely8be8on8what8type8of8medication?
A.8Statins
B.8Proton8Pump8Inhibitors
C.8Anti-Cholinergics
D.8Opioids8-8ans--D
When8a8patient8presents8with8abnormal8sensations8in8the8abdomen8(paralysis,8pain,8bu
rning,8itching),8eye8disorders,8diplopia,8partial8loss8of8vision,8pain8in8one8eye,8blurred8vi
sion,8vision8loss,8difficult8to8reach8orgasm,8loss8of8sensitiveness8in8the8vagina,8impoten
ce,8dizziness,8weak8limbs,8difficult8walking8and8balancing,8tremors,8imbalance8of8eye8b
all8movement,8loss8of8control8of8urine8and8stool,8constipation,8stiff8body,8excessive8fatig
ue,8depression,8loss8of8control8of8emotion8(cry8or8laugh8without8reason)8and8potential8m
ental8disorder,8____________8organ8is8diseased.
A.8Spleen
B.8Liver
C.8Kidney
D.8Heart8-8ans--A
Intradermal8needles8are8indicated8for8which8of8the8following8symptoms?
A.8Cold8Damp8Bi,8Wei8Syndrome,8Wind-Damp-Bi
B.8Nerve8system,8skin8problem
C.8Stomach8disease,8cough
D.8Excess8Heat8-8ans--A
Alan8is8a8competitive8body8builder.8He8is8in8the8clinic8today8with8a8stiff8neck8and8should
er8pain.8He8was8at8the8gym8yesterday8lifting8a8dumbbell8when8he8felt8a8sharp8pain8in8hi
s8trapezius8muscle.8The8pain8doesn't8radiate8to8the8arm8and8he8doesn't8have8a8headac
he.8He8has8an8uncomfortable8feeling8in8his8lower8back8when8he8gets8up8from8a8sitting8
position.8Which8two8points8would8be8best8to8treat8his8shoulder?
A.8LI4,8SP4
B.8L7,8K6
C.8SI3,8B62
D.8SJ5,8GB418-8ans--C
Which8food8is8best8to8avoid8with8patients8who8have8Damp8accumulation?
A.8Cinnamon
B.8Rice8vinegar
C.8Honey
D.8Ginger8-8ans--C
