Om Diagnosis Quiz 1

Front 1

Fu Ma-Floating/superficial

Back 1

Felt on superficial level
Ext, or deficiency syndrome

Front 2

Chen Mai-deep

Back 2

Interior syndrome.Barely be touching by light touching of moderate force. Distinct only by pressing down to the boned and tendons.Interior syndrome

Front 3

Chi Mai

Back 3

Regular rhythm, beats less than 3 times per breath
Slow
Cold syndrome, Qi deficiency

Front 4

Shu Mai

Back 4

Rapid. Beats over 5 times per breath. Regular rhythm
Rapid
Heat syndrome

Front 5

Xu Mai

Back 5

Pulse is forceless at all 3 positions
deficient/weak/empty
Deficiency syndrome

Front 6

Hong Mai

Back 6

Also called a big pulse. The vessel is wide
surging/huge
Excess heat/deficiency

Front 7

Xi Mai

Back 7

Width is thin like a fine thread. Distinct and clear without interruption of rhythm
Thready/Fine/Thin
Deficiency:Qi,Blood and or Yin
Excess Dampness

Front 8

Hua Mai

Back 8

The pulse moves quickly, smoothly, and slippery inside the vessel. The vessel is plump. Like a pearl rolling on a plate.
Rolling/Slippery
Food stagnation
Phlegm or dampness
Excess heat

Front 9

Se Mai

Back 9

The pulse is: (1) slow and wave shape not smooth, (2) or
the rhythm is irregular, (3) or irregular in strength and
fullness.
Rough/choppy/hesitant
Excess: stagnation of Qi and Blood, food, phlegm
Deficiency: Blood or essence

Front 10

Xuan Mai

Back 10

The pulse feels taut, long and forceful
whether under pressure of fingers or not, and maintains
a straight line beneath the finger.
string-taut/wiry
Liver/GB diseases
Pain
Phlegm or malaria

Front 11

Jin Mai

Back 11

The pulse rises and falls with strength and vibrates to the left and right. Its strength is like a tightly twisted rope, unevenly stretched, and snapping back and forth.
Tense,tight
Cold syndrome
Pain
Food stagnation

Front 12

Ru Mai

Back 12

The pulse is superficial, thin and hits the fingers without strength.
Soft soggy
Dampness
Deficiency of Qi, Blood and Yin

Front 13

Ruo Mai

Back 13

The pulse is deep and thin, and hits the fingers without
strength.
Weak,frail
Qi and Blood deficiency

Front 14

Cu Mai

Back 14

This pulse also call running pulse or hasty pulse. The pulse beats are rapid with irregular pauses.
Abrupt,short
Excess syndrome
- Excessive heat
- Stagnation (Qi, blood, phlegm or food)
Deficiency of Zang Fu

Front 15

Jie Mai

Back 15

The pulse beats are slow with irregularly missed beats, the pulse continues immediately.
Knotted
Excess Yin
- Stagnation (Qi, phlegm, and blood)
- Cold
- Tumor mass
Vital Qi deficiency

Front 16

Dai Mai

Back 16

The pulse is slow and weak, pauses at
regular intervals. After the pause, the pulse will wait a
moment and then continue beating.
intermittent
Deficiency: Declining Zang Qi
Excess:
- Wind syndrome
- Pain
- Disorders due to emotional fear and fright

Front 17

What would moist and smooth skin indicate?

Back 17

qi and blood sufficient

Front 18

Rough and dry skin is an indication of

Back 18

qi and blood insufficient

Front 19

dry and scaly skin could be a sign of?

Back 19

blood deficiency or blood stagnation

Front 20

Describe the difference between edema and qi swelling.

Back 20

Qi-swelling: The pitting is formed by pressing but returns to flat soon after release the pressure
Pathology: Qi stagnancy in the area.
Edema (water-swelling): the deep finger shape pitting is formed when it is pressed, and does not return to flat soon after finger release.
Pathology: excessive water in the body.

Front 21

How is skin moisture indicative of body fluid levels?

Back 21

moist skin is a sign of body fluid sufficiency. Dry skin is a sign of body fluid insufficiency

Front 22

Yang deficiency

Back 22

icy cold hands which extend above the knees and elbows

Front 23

yang collapse

Back 23

icy cold extremities with oily sweating pale face and feeble pulse

Front 24

true heat false cold

Back 24

cold extremities, but abdominal temperature is warm or hot

Front 25

yang stagnation

Back 25

cold fingers and toes that are easy to warm up

Front 26

Exterior cold

Back 26

skin is not cold, but patient feels cold

Front 27

Kidney yang deficiency

Back 27

cold felt in the loins, lower abdomen and lower back

Front 28

Exterior heat

Back 28

pernicuous heat is intense upon initial pressure but becomes mild after prolonged pressure

Front 29

Internal heat

Back 29

pernicuous heat is mild upon initial pressure but becomes intense after prolonged pressure and spreads outward

Front 30

deficiency heat

Back 30

the skin is not hot, but the patient feels hot or the skin feels hot on heavy pressure when pushing down to the bone

Front 31

damp heat

Back 31

the skin does not feel hot, but sticky or the skin feels warmer with prolonged pressure

Front 32

interior heat in the middle burner or heart

Back 32

skin over a blood vessel feels hot with medium pressure but not with heavy pressure

Front 33

Kidney Yang deficiency (deficiency cold)

Back 33

hands and feet are cold, sensation of cold can extend above the elbows and knees

Front 34

excess cold or qi stagnation

Back 34

cold only on hands and feet, or to below the elbows and knees

Front 35

excess heat

Back 35

hands and feet are warmer on the dorsum

Front 36

deficiency heat

Back 36

hands and feet are warmer on the palms

Front 37

exterior heat

Back 37

dorsal aspect of hands and feet is hotter than the palmar aspect

Front 38

interior heat

Back 38

palmar aspect of hands and heet is hotter than the dorsal aspect

Front 39

exterior heat

Back 39

forehead is hotter than palm

Front 40

interior heat

Back 40

palm is hotter than the forehead

Front 41

Season and weather can affect the normal pulse. In springtime, the normal pulse tends toward which of the following?

Back 41

wiry

Front 42

WHich of the following emotional changes can temporarily cause a slow pulse?

Back 42

joy

Front 43

The normal pulse condition should include which of the following?

Back 43

stomach qi,spirit and root

Front 44

A pulse that is full of spirit means which of the following?

Back 44

The pulse is gentle but with force and a unified rhythm

Front 45

Which of the following pulses is not considered deep in location?

Back 45

leather

Front 46

Which of the following com[oments are different between a frail pulse and a soft pulse

Back 46

Depth

Front 47

A deep and choppy pulse can be caused by which of the following?

Back 47

Blood stagnation due to pathogenic cold

Front 48

The confined pulse is composed of which of the following groups of qualities

Back 48

deep long taut forceful and wide

Front 49

Which of the following conditions is not associated with a choppy pulse

Back 49

exterior and wind cold

Front 50

WHich of the following characteristics are common to both the soggy and the frail pulses

Back 50

thready and forceless

Front 51

A female patient suffers from profuse bleeding due to miscarriage. Which of the following pulse conditions could be expected from her

Back 51

hollow

Front 52

The slow irregular pulse can be cause by which of the following?

Back 52

blood stagnation, excess cold, Qi and blood deficiency

Front 53

Which of the following statements regarding the thin pulse is correct

Back 53

thin but clear and distinct

Front 54

the soggy pulse indicates which of the following

Back 54

blood deficiency,Qi deficiency,Dampness accumulation

Front 55

WHich fo the following is correct regarding the moderate pulse

Back 55

4 beats per practitioners breath

Front 56

Hidden pulse indicates which of the following

Back 56

pregnancy in women in absence of other pathological signs and symptoms,syncope,obstruction of excessive pathogens

Front 57

according to warm disease differentiation which of the following pulses will be found with nutritive level heat

Back 57

thin and rapid

Front 58

The flooding pulse indicates which of the following

Back 58

excessive heat

Front 59

All of the following pulses are yin in nature EXCEPT which of the following

Back 59

tight pulse

Front 60

According to warm disease differentiation, a superficial rapid pulse indicates which of the following pathologies

Back 60

defensive level heat

Front 61

which of the following characteristics are common to the leather and hollow pulses

Back 61

superficial, wide and empty in the middle

Front 62

All of the following pulse conditions are considered normal except

Back 62

the child's pulse is generally slower than the adults

Front 63

According to Shang Han Lun differentiation (6 channel theory) which of the following pulses is associated with the tai yin stage pattern

Back 63

deep and slow

Front 64

Which of the following pulses is commonly found in a patient with a deep red tongue without coating

Back 64

thin and rapid pulse

Front 65

pitting edema is caused by

Back 65

water retention

Front 66

which of the following conditions would give rise to edema that puts when pressed but immediately returns to level after releasing finger pressure

Back 66

qi stagnation

Front 67

WHich of the following oatterns would be indicated when a patient's dorsal aspect of the hand (back of the hand)is hotter than the palm

Back 67

exterior heat

Front 68

a 6 year old boy has been diagnosisd with lobar pneumonia. His body temperature is 110 degrees. He presents with tacypnea, profuse sweating, red face, dry lips, severe thirst, and irritabiliy. Which of the following pulses will he likely have?

Back 68

surging and rapid

Front 69

A 31 yr. female patient gave birth 2 days ago. She is bleeding a lot because of metratonia (atony of the uterine walls after childbirth). She also suffers from post-partum depression. She may present with any of the following pulses, EXCEPT

Back 69

wiry

Front 70

A 32 year old female has difficulty controlling herself and cries a lot. The TCM diagnosis is restless organ disorder. Which of the following is the most likely pulse for her?

Back 70

thin and rapid

Front 71

A patient complains of a feeling that something is stuck in her throat and it won't move up or down. You diagnos plum-pit pattern. Which of the following is her likely pulse

Back 71

wiry and slow or wiry and slippery

Front 72

A patient presents with palpitations, pain in the heart region which may radiate to the medial aspect of the left arm or shoulder, discomfort, feeling of oppresion or constriction of the chest, cyanosis of lips and nails, and cold hands. WHich of the following is the most likely pulse?

Back 72

slow-irregular

Front 73

A 45 yr old male construction worker had been suffering from chronic low back pain accompanied by insomnia and seminal emission for over 10 years. Yesterday his low back was struck by a ladder while at work. Today, he feels severe pain at the site of the injury. The pain is made worse with massage and acupressure. His tongue is red with little coating. What kind of pulse might you expect for him at this time?

Back 73

thin and choppy

Front 74

A 40 year old female has had a low-grade fever for more than 3 months. It usually occurs in the morning or is induced by fatigue. Other symptoms include emaciation, shortness of breath, general weakness with a lack of spirit, dryness in the mouth with no desire to drink, sweating on exertion, poor apetite, and 2 to 3 daily soft bowel movements. Upon examination, you find that her body temperature is 99.7 degrees and she has a pale face and tongue. Which is her most likely pulse

Back 74

frail

Front 75

a 35 year old male has been married for about 2 years. He complains that his erection is now weal and cannot be sustained. He also suffers from dizziness, bluured vision disturbed sleep soreness and weakness in the lower back and knees and occasional involuntary nocturnal emissions. Hea has a pale face and tongue. Which of the following pulses will he most likely have

Back 75

deep and thin

Front 76

A 30 year old male has suffered from lower abdominal pain for 3 days. The pain is located on the left side below the level of the umbilicus. It is a severe contracting pain that radiates to the testicles. He applied an ice pack to the area but it made the pain much worse. His tongue is pale with a white coating. WHich is the most likely pulse that he will have?

Back 76

submerged slow and wiry

Front 77

a 65 yr old male has suffered from hand tremors for about 2 years. He was diagnosied by a neurologist with Parkinson's disease. Other symptoms and signs incude dizziness, tinnitus, and numbness of the linbs. He also complains of dream- disturbed sleep, night sweats, blurred vision, and night blindness. He has a pale face and tongue. WHich of the following pulses will you likely find in thus patient?

Back 77

thin

Front 78

A 48 year old female complains of insomnia. She said that during the past could months she has has a hard time falling asleep. She also feels irritable,and hot at night. Other signs and symptoms includes palpitations, dizziness, tinnitus, memory loss, dry mouth, and thirst, night sweats, and weak and achy low back and knees. SHe has a red tongue. WHich of the following pulses will be likely be found in this patient

Back 78

thready and rapid

Front 79

A 35 year old female comes in for treatment of her chronic loose stools that have lasted over 3 years. She was diagnosed with irritable bowel syndrome. The diarrhea is usually accompanied with abdominal pain which is relieved somewhat after the bowel movement. She has episodes of loose stiils 5 to 6 times per day. It is often induced by emotional depression or anger. She is currently going through a divorce. She also suffers from hypochondriac pain and distention, retching, and lack of appetite. Her tongue is dusky purple with teeth marks and a thin white coating. Which of the following pulses will most likely by found in this patient?

Back 79

wiry and moderate

Front 80

A 30 year old male has suffered from asthma for over 20 years. He has asthma attacks five to eight times per year. These attacks are induced by weather changes or when he catches a cold. He had a flu last week with chills and fever, headache,body aches, and cough. Now he experiences a shortness of breath and cough with watery sputum. He looks very skinny and pale, has a weak voice, and sweats easily. His tongue is pale with a thin coating. What is the most leikely pulse one would find in this patient?

Back 80

superficial and deficient

Front 81

A 32 year d female has been pregnant for over 25 weeks. Last week she began to experience some uterine bleeding. The blood is dark purple in color and accompanied by abdominal pain that is aggravated by pressure. She was diagnosed with iterine fibroids over 8 years ago, and she has had 3 miscarraiges prior to her current pregnancy. WHich of the following pulses will most likely be found in this patient

Back 81

choppy

Front 82

A 58 year old African American male patient has a CVA 2 weeks ago. He now suffers from hemiplagia on his right side. During the physical examination you find that there are big scars on his chest and right inner leg, the result of a bypass surgery 3 years ago. His right hand and ankle are swollen. BLood pressure is 180/90 mm Hg. His tongue is swollen with a purplish color and there is a thick yellow greasy coating. His hypoglossal aveins are purple and extended. Which of the following pulses will most likely be found in this patient?

Back 82

wiry,slippery and choppy

Front 83

Mr. Hong, a 58 yr old male was admitted to the hospital 6 days ago because of a stroke that left his right side paralyzed. He also suffers from dizziness headache insomnia irritability dry mouth and thirst. He worries a lot and is afraid he will not walk again. His blood pressure is 160/95 mmhg. and he has a red cracked tongue with little coating. Which of the following pulses will most likely be found in Mr. HOng?

Back 83

wiry and thin