CALE (ACTCM) Practice Test 3 Rated A+
A long tongue most likely indicates?
A. Heart Fire
B. Heart Phlegm Fire
C. Both a and b
D. Qi Deficiency - ANSWER-C
A man had a tibial bone fracture with exercise. Which of the followings could be used?
A. Below the spinous process of the 7th cervical vertebra, approximately at the level of
the shoulders
B. Anterior and inferior to the external malleolus, in the depression on the lateral side of
the tendon of m. extensor digitorum longus
C. 0.5 cun lateral to Du-14 (Dazhui), inferior to the spinous process of the seventh
cervical vertebra
D. 1.5 cun lateral to Du13, at the level of the lower border of the spinous process of T1 -
ANSWER-D
A patient has cold limbs with excess bleeding. Which of the following answers best
explains this phenomenon according to the Yin-Yang relationship?
A. Injury of Yin affects Yang and causes Yang to be deficient
B. Excessive consumption of Yin Fluid caused true Heat and false Cold
C. Injury of Yin affects Yang and causes Deficiency of both Yin and Yang
D. Injury of Yang affects Yin and causes Yang Deficiency - ANSWER-C
A patient has symptoms of vertigo, bitter taste in the mouth, fatigue, poor appetite,
irregular menstruation, breast distention and dry mouth and throat. The pulse is Wiry
and the tongue is pale red. What is the best formula for this case?
A. Xiao Chai Hu Tang
B. Long Dan Xie Gan Tang
C. Yue Ju Wan
D. Xiao Yao San - ANSWER-D
A patient slips and falls in your waiting area. She hits her head on the arm of a chair.
Blood is pouring out of a nasty gash on her forehead and spilling onto the tile floor of
your waiting area. What is the next step that you need to take?
A. Pour 70% rubbing alcohol on the area and wipe it up
B. Clean the area with bleach and then soap and water. Throw all waste into the trash
can
C. Block off the area to the general public
D. Call a sanitation service or public sanitation service to come and clean up the spill -
ANSWER-C
A patient took Ping Wei San and the symptoms got worse. Now he has Heat symptoms
as well. Which formula is best for this case?
A. Er Chen Tang
,B. Yue Ju Wan
C. Ban Xia Xie Xin Tang
D. Huo Xiang Zheng Qi Tang - ANSWER-C
A patient with vertigo is best treated with which of the following scalp lines?
A. Horizontal line 1.5 cm above and centered on the apex of the ear, 4cm in length
B. 3 cm lateral to the external occipital protuberance, parallel to the midline of the head,
4 cm in length extending posteriorly
C. Parallel with the midline of the head 1 cm besides midpoint, about 3cm long
D. Lower 2/5 of the line parallel and 1.5 cm posterior to the Motor line - ANSWER-A
A pregnant woman has morning sickness. Which points prescription can be used for
treating?
A. Ren12, Ren13, P6, S36, LI4
B. Ren12, Ren13, P6, S36, SP6
C. Ren17, P6, S36, Liv3
D. Ren17, Ren12, P6, S25 - ANSWER-C
A sweet taste in the mouth after being on a high fat/low carb diet might indicate?
A. Pseudomonas
B. Ketonic Acidosis
C. GERD
D. Diabetes Mellitus - ANSWER-B
A tongue that is deep red in color and occupies the entire space of the mouth indicates
which of the following conditions?
A. Toxicosis
B. Excessive Heat in the Heart and Spleen
C. Excessive Heat in the Yangming
D. Spleen and Kidney Heat Accumulation with Harmful Waters - ANSWER-B
A young girl has severe pain in the right lower abdominal area. She does not want to be
touched by anybody. What is the most likely diagnosis?
A. Acute appendicitis
B. Acute cholecystitis
C. Acute diverticulitis
D. Acute obstruction of the Large Intestine - ANSWER-A
Aaron has a persistent cold. He found an herbal pharmacy and bought herbs to treat
himself. For the past month, he is taking Yin Qiao San (Honeysuckle and Forsythia
Powder). His fever, body aches and sore throat are gone. His main complaint now is
that he still has a dry, hacking cough that keeps him up at night. He is also restless and
constipated. Which tongue and pulse would you most likely see for this case?
A. Red cracked tongue; Rapid, Excess pulse
B. Red tongue with geographic coat; Rapid, Thready pulse
C. Light red tongue with a thin, yellow coat; Rapid, Superficial pulse
,D. Light red tongue with a thick, yellow coat; Rapid, Rolling pulse - ANSWER-B
Abilify (aripiprazole) is used for which of the following conditions?
A. Asthma
B. Anxiety Disorder
C. Bipolar disorder
D. Parkinson's - ANSWER-C
According to Clean Needle Technique guidelines, which of the following is not
mandatory?
A. Wear gloves
B. Dispose of used needles in a biohazard container
C. Use a clean field
D. Use only sterilized needles - ANSWER-A
Acidosis and Alkalosis are related to which organs?
A. Lung and kidney
B. Stomach and liver
C. Spleen and lung
D. Kidney and liver - ANSWER-A
After Small Intestine separates Clear from Turbid, where does the clear go?
A. SP
B. LI
C. UB
D. LU - ANSWER-C
Amanda is 6 months pregnant. She is in the clinic today because she is experiencing
sharp lower abdominal pain and cramping. Her pulse is Hesitant and Slow in both Chi
positions. Which formula is best for this case?
A. Xue Fu Zhu Yu Tang
B. Da Cheng Qi Tang
C. Xiao Cheng Qi Tang
D. Gui Zhi Fu Ling Wan - ANSWER-D
Amy has epigastric pain every night after she eats. She says she is thirsty but can only
drink a small amount of water. Her tongue is a normal color but lacks a coat. Which
point prescription would be best for this case?
A. Ren12, S36, SP6, SP3
B. Ren12, S44, S34, S21, Ren11
C. Ren13, Ren1O, S21, S44, SP4
D. Ren13, Ren11, P6, SP4, S21 - ANSWER-A
Anatomically speaking, which point lies above the lowest section of the brain?
A. Du17
B. Du16
, C. G19
D. B12 - ANSWER-B
Ann was prescribed Prozac by her psychiatrist because she was experiencing the
following symptoms: crying for no reason followed by uncontrolled laughter. Eventually
this would turn to anger. She felt suspicious of everything and frightened easily. She
had palpitations, irritability and insomnia. Sometimes she would have hiccups and
sudden tightness in her chest. The tongue body is thin with a white coat. The pulse is
String-taut and Thready. What is the best formula for this case?
A. Wen Dan Tang
B. Gui Pi Tang
C. Suan Zao Ren Tang
D. Gan Mai Da Zao Tang - ANSWER-D
Anu always feels cold and wants to sleep all day curled up in a fetal position. His limbs
feel cold and he has diarrhea with undigested food. He says he is not thristy but likes to
drink hot drinks to help warm him up. His urine is clear and copious in amount. His
tongue has a pale, white coat. The pulse is Deep, Weak and Thready. What channels
do you use to treat this case?
A. Front-Mu and He-Sea points of Hand & Foot Yangming, Foot Taiyin
B. Du, Hand and Foot Yangming
C. Back Shu, Front-Mu and He-Sea of Foot Taiyin and Foot Yangming, Ren
D. Ren, Foot Shaoyin, Foot Taiyin - ANSWER-D
Arno comes in with chills and fever, headache, neck stiffness and slight sweating. He
has clear nasal discharge but his mouth is dry. He says he is not thirsty. The tongue has
a thin, white coat and the pulse is superficial moderate What is the best treatment for
this case?
A. Slow insertion and rapid withdrawal of the needle at L7
B. Slow insertion and rapid withdrawal of the needle at GB20
C. Rapid insertion and slow withdrawal of the needle at L9
D. Rapid insertion and slow withdrawal of the needle at GB20 - ANSWER-D
Based on the classic texts a patent suffering from aphasia or incoherent speech has an
issue with which of the following channels?
A. Heart
B. Du
C. Kidney
D. Spleen - ANSWER-A
Based on your diagnosis, you decide it is nessary to prescribe your patient with a
double dosage of Gui Zhi Tang. In order to prevent edema and hypertension from
developing, which herb should you omit?
A. Sheng Jiang
B. Gan Cao
C. Gui Zhi
A long tongue most likely indicates?
A. Heart Fire
B. Heart Phlegm Fire
C. Both a and b
D. Qi Deficiency - ANSWER-C
A man had a tibial bone fracture with exercise. Which of the followings could be used?
A. Below the spinous process of the 7th cervical vertebra, approximately at the level of
the shoulders
B. Anterior and inferior to the external malleolus, in the depression on the lateral side of
the tendon of m. extensor digitorum longus
C. 0.5 cun lateral to Du-14 (Dazhui), inferior to the spinous process of the seventh
cervical vertebra
D. 1.5 cun lateral to Du13, at the level of the lower border of the spinous process of T1 -
ANSWER-D
A patient has cold limbs with excess bleeding. Which of the following answers best
explains this phenomenon according to the Yin-Yang relationship?
A. Injury of Yin affects Yang and causes Yang to be deficient
B. Excessive consumption of Yin Fluid caused true Heat and false Cold
C. Injury of Yin affects Yang and causes Deficiency of both Yin and Yang
D. Injury of Yang affects Yin and causes Yang Deficiency - ANSWER-C
A patient has symptoms of vertigo, bitter taste in the mouth, fatigue, poor appetite,
irregular menstruation, breast distention and dry mouth and throat. The pulse is Wiry
and the tongue is pale red. What is the best formula for this case?
A. Xiao Chai Hu Tang
B. Long Dan Xie Gan Tang
C. Yue Ju Wan
D. Xiao Yao San - ANSWER-D
A patient slips and falls in your waiting area. She hits her head on the arm of a chair.
Blood is pouring out of a nasty gash on her forehead and spilling onto the tile floor of
your waiting area. What is the next step that you need to take?
A. Pour 70% rubbing alcohol on the area and wipe it up
B. Clean the area with bleach and then soap and water. Throw all waste into the trash
can
C. Block off the area to the general public
D. Call a sanitation service or public sanitation service to come and clean up the spill -
ANSWER-C
A patient took Ping Wei San and the symptoms got worse. Now he has Heat symptoms
as well. Which formula is best for this case?
A. Er Chen Tang
,B. Yue Ju Wan
C. Ban Xia Xie Xin Tang
D. Huo Xiang Zheng Qi Tang - ANSWER-C
A patient with vertigo is best treated with which of the following scalp lines?
A. Horizontal line 1.5 cm above and centered on the apex of the ear, 4cm in length
B. 3 cm lateral to the external occipital protuberance, parallel to the midline of the head,
4 cm in length extending posteriorly
C. Parallel with the midline of the head 1 cm besides midpoint, about 3cm long
D. Lower 2/5 of the line parallel and 1.5 cm posterior to the Motor line - ANSWER-A
A pregnant woman has morning sickness. Which points prescription can be used for
treating?
A. Ren12, Ren13, P6, S36, LI4
B. Ren12, Ren13, P6, S36, SP6
C. Ren17, P6, S36, Liv3
D. Ren17, Ren12, P6, S25 - ANSWER-C
A sweet taste in the mouth after being on a high fat/low carb diet might indicate?
A. Pseudomonas
B. Ketonic Acidosis
C. GERD
D. Diabetes Mellitus - ANSWER-B
A tongue that is deep red in color and occupies the entire space of the mouth indicates
which of the following conditions?
A. Toxicosis
B. Excessive Heat in the Heart and Spleen
C. Excessive Heat in the Yangming
D. Spleen and Kidney Heat Accumulation with Harmful Waters - ANSWER-B
A young girl has severe pain in the right lower abdominal area. She does not want to be
touched by anybody. What is the most likely diagnosis?
A. Acute appendicitis
B. Acute cholecystitis
C. Acute diverticulitis
D. Acute obstruction of the Large Intestine - ANSWER-A
Aaron has a persistent cold. He found an herbal pharmacy and bought herbs to treat
himself. For the past month, he is taking Yin Qiao San (Honeysuckle and Forsythia
Powder). His fever, body aches and sore throat are gone. His main complaint now is
that he still has a dry, hacking cough that keeps him up at night. He is also restless and
constipated. Which tongue and pulse would you most likely see for this case?
A. Red cracked tongue; Rapid, Excess pulse
B. Red tongue with geographic coat; Rapid, Thready pulse
C. Light red tongue with a thin, yellow coat; Rapid, Superficial pulse
,D. Light red tongue with a thick, yellow coat; Rapid, Rolling pulse - ANSWER-B
Abilify (aripiprazole) is used for which of the following conditions?
A. Asthma
B. Anxiety Disorder
C. Bipolar disorder
D. Parkinson's - ANSWER-C
According to Clean Needle Technique guidelines, which of the following is not
mandatory?
A. Wear gloves
B. Dispose of used needles in a biohazard container
C. Use a clean field
D. Use only sterilized needles - ANSWER-A
Acidosis and Alkalosis are related to which organs?
A. Lung and kidney
B. Stomach and liver
C. Spleen and lung
D. Kidney and liver - ANSWER-A
After Small Intestine separates Clear from Turbid, where does the clear go?
A. SP
B. LI
C. UB
D. LU - ANSWER-C
Amanda is 6 months pregnant. She is in the clinic today because she is experiencing
sharp lower abdominal pain and cramping. Her pulse is Hesitant and Slow in both Chi
positions. Which formula is best for this case?
A. Xue Fu Zhu Yu Tang
B. Da Cheng Qi Tang
C. Xiao Cheng Qi Tang
D. Gui Zhi Fu Ling Wan - ANSWER-D
Amy has epigastric pain every night after she eats. She says she is thirsty but can only
drink a small amount of water. Her tongue is a normal color but lacks a coat. Which
point prescription would be best for this case?
A. Ren12, S36, SP6, SP3
B. Ren12, S44, S34, S21, Ren11
C. Ren13, Ren1O, S21, S44, SP4
D. Ren13, Ren11, P6, SP4, S21 - ANSWER-A
Anatomically speaking, which point lies above the lowest section of the brain?
A. Du17
B. Du16
, C. G19
D. B12 - ANSWER-B
Ann was prescribed Prozac by her psychiatrist because she was experiencing the
following symptoms: crying for no reason followed by uncontrolled laughter. Eventually
this would turn to anger. She felt suspicious of everything and frightened easily. She
had palpitations, irritability and insomnia. Sometimes she would have hiccups and
sudden tightness in her chest. The tongue body is thin with a white coat. The pulse is
String-taut and Thready. What is the best formula for this case?
A. Wen Dan Tang
B. Gui Pi Tang
C. Suan Zao Ren Tang
D. Gan Mai Da Zao Tang - ANSWER-D
Anu always feels cold and wants to sleep all day curled up in a fetal position. His limbs
feel cold and he has diarrhea with undigested food. He says he is not thristy but likes to
drink hot drinks to help warm him up. His urine is clear and copious in amount. His
tongue has a pale, white coat. The pulse is Deep, Weak and Thready. What channels
do you use to treat this case?
A. Front-Mu and He-Sea points of Hand & Foot Yangming, Foot Taiyin
B. Du, Hand and Foot Yangming
C. Back Shu, Front-Mu and He-Sea of Foot Taiyin and Foot Yangming, Ren
D. Ren, Foot Shaoyin, Foot Taiyin - ANSWER-D
Arno comes in with chills and fever, headache, neck stiffness and slight sweating. He
has clear nasal discharge but his mouth is dry. He says he is not thirsty. The tongue has
a thin, white coat and the pulse is superficial moderate What is the best treatment for
this case?
A. Slow insertion and rapid withdrawal of the needle at L7
B. Slow insertion and rapid withdrawal of the needle at GB20
C. Rapid insertion and slow withdrawal of the needle at L9
D. Rapid insertion and slow withdrawal of the needle at GB20 - ANSWER-D
Based on the classic texts a patent suffering from aphasia or incoherent speech has an
issue with which of the following channels?
A. Heart
B. Du
C. Kidney
D. Spleen - ANSWER-A
Based on your diagnosis, you decide it is nessary to prescribe your patient with a
double dosage of Gui Zhi Tang. In order to prevent edema and hypertension from
developing, which herb should you omit?
A. Sheng Jiang
B. Gan Cao
C. Gui Zhi
