FINAL TCM EXAMS UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

FINAL TCM EXAMS UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. a period is usually ____ days long and has a total of __ - ___ ml of total voulme
Answer:
7 days 50 - 100mL

Question:
2. Sydne comes in with a cc about menses. She tells you that her period usually pink in color on the first
and last day, but on the 2nd and 3rd day it's usually dark red and clotted. She is wondering if this is normal,
what do you tell her?
Answer:
No this isn't normal because periods shouldn't be clotted.
they also should not have odor or be thick or thin.
*Sydne's color on the specified days IS normal.

Question:
3. Which meridians are commonly associated with menses?
Answer:
LV KD Penetrating Vessel Conception Vessel Spleen Heart Governing vessel Belt vessel

Question:
4. which meridian is responsible for menstruation control and regulation
Answer:
PV

Question:
5. which meridian is responsible for the embryo in the uterus, semen, blood and bodily fluids?
Answer:
CV

Question:
6. All of the gynecological functions including the origin of congenital movement of the body are
controlled by which meridian?
Answer:
GV

Question:
7. Which meridians are involved in the functioning of the female reproductive system?
Answer:
KD- in adolescence and old age Primarily the LV- menarche to menopause SP- at old age

Question:
8. True or false: Emotions can be a major player in the development of gynecological disorders

,Answer:
true

Question:
9. An early menses is considered if menses comes ___ days early or occurs ____ times per month
Answer:
7-8 days early 2x /mo

Question:
10. A late menses is defined as ___ days late or occurs every ____ days
Answer:
8 -9 days late or occurs every 40 - 50 days

Question:
11. Youre taking Jasmine's history for her gynecological complaint. You learn that she is an exhausted
student who struggles with anxiety and is constantly overthinking. When asking about her diet she tells
you that her eating habits are really inconsistent and that she loves hot and spicy food. Because of this, you
diagnose her with _____.
a. early menses
b. late menses
c. irregular menstruation
Answer:
a. Early menses

Question:
12. Jasmine has a CC of early menses, If Jasmine came in with lassitude, palpitations, poor appetite, loose
stools and fatigue, what you expect her pulse and tongue to be?
Answer:
pulse: weak and thready tongue: pale with a thin white coat

Question:
13. Another patient of yours comes in with a chief complaint of menses that occurs 2x per month. During
the intake you learn that the patient has constipation, irritability and insomnia, what do you think the chief
diagnosis is?
Answer:
Early menses caused by Heat in the Blood

Question:
14. Another patient of yours comes in with a chief complaint of menses that occurs 2x per month. During
the intake you learn that the patient has constipation, irritability and insomnia, what would you expect their
pulse and tongue to be?
Answer:
Pulse: rapid, strong, and maybe slippery Tongue: red tongue with a yellow coat

Question:
15. What herbal formula could you give to treat a QI deficiency causing early menses?

,Answer:
Si Jun Zi Tang- tonifies spleen, tonifies qi
Bu Zhong Yi Qi Wan-tonifies spleen qi, warms the middle burner, raises yang, harmonizes the stomach,
raises prolapse

Question:
16. Bu Zhong Yi Qi Wan is an herbal formula used to treat what conditions?
Answer:
*Early Menses due to Qi Def *UTI- Lin Syndrome- QI Lin Liver Qi Stagnation *UTI- Lin Syndrome-
Cloudy Lin
actions= Spleen Yang deficiency, middle burner cold, raises Yang

Question:
17. Si Jun Zi Tang is used to treat which TCM conditions?
Answer:
*Abdominal distension caused by SP QI def. *Early menses due to qi deficiency *late menses due to blood
defiency (since it's combined with Si wu tang to make Ba Zhen Tang)

Question:
18. What are the goals in treating Early Menses due to Qi deficiency
Answer:
1. tonify qi, regulate the middle burner
2. Reinforce the penetrating and conception vessel
3. regulate the functions of the 3 foot yin channels (LV, KD, SP)

Question:
19. What are the goals of treatment for treating heat in the blood causing Early menses?
Answer:
1. Clear Heat
2. regulate the menstrual cycle via the penetrating and conception vessel

Question:
20. If a patient comes in with complaints of large volume of bright red blood, with their menses and
associated sxs of constipation and a thirst especially for cold drinks, what would be your chief differential?
Answer:
Heat in the blood causing early menses

Question:
21. Profuse flow with light red color and thin. in consistency that is associated with early menses is
commonly a cause of what?
a. qi deficiency
b. heat int he blood
c. blood deficiency
d. yang deficiency
e. liver qi stagnation
Answer:
a

, Question:
22. Jia wei xiao yao san is used for what conditions?
Answer:
*Liver qi stanation with slpeen qi and blood deficiency and heat *PMS

Question:
23. What are the actions of Jia Wei Xiao Yao San?
Answer:
Actions:
moves liver qi relieves stagnation strengthens the spleen nourishes blood clears heat** distinguishing
factor from Xiao Yao San regulates menses
Used for:
- LV QI Stag with SP QI and Blood def and heat
- PMS

Question:
24. What are the contraindications associated with Jia Wei Xiao Yao San?
Answer:
Pregnancy Deficiency and cold conditions

Question:
25. Late menses can be caused by what?
Answer:
Chronic Disease- deplete qi and blood Chronic Hemorrhage- deplete qi and blood Pathogenic cold
invasion- attacks and congeals uterus Emotional disturbances- hinders LV in smooth circulation of QI

Question:
26. what are the four TCM diagnoses that can cause late menses?
Answer:
1. blood deficiency
2. blood cold
3. yang def
4. LV qi stag

Question:
27. Sasha comes in with spoon nails, poor vision, poor memory, and insomnia. She also has small amount
of light colored blood. You take her pulse and tongue, what do you find?
Answer:
Pulse: weak and thready Tongue: pale and small

Question:
28. Sasha comes in with spoon nails, poor vision, poor memory, and insomnia. She also has small amount
of light colored blood. You learn that sasha's period comes late. What TCM diagnosis have you given
sasha?
Answer:
Blood deficiency causing late menses