Bio-Medicine – NCCAOM Board Exam – Comprehensive Review of Biomedical Concepts for TCM
Practitioners
A patient says he's going to commit suicide, what should do? - correct answer Have Pt. Sign a
"No Self-Harm" contract and refer to primary care phsician on a semi-urgent basis.
Young man had very high energy, and didn't have to sleep much just a couple days ago, now
feeling exhausted and sad. Diagnosis: - correct answer Bipolar disorder
65 years male is living in nursing house after 6 months of post stroke, he doesn't like talk to
anyone, social withdraw; doesn't like to move and like to lie down in the bed; he rather thinks
him little and forget him. What do you suspect? - correct answer Depression
Which one is example of abuse? - correct answer Retinal hemorrhage in infant (baby shaking)
Child abuse reporting process, what type of law? - correct answer Varies state by state
Mom brought a kid to clinic, kid has ear infection, during intake mom told you the kid don't like
to talk to other people and don't like to play with other people, what is your diagnosis for kid? -
correct answer Child Abuse
Confused elderly suspects someone in his health care steals his money, and patient said don't
tell anybody. Your response? - correct answer Call social worker
Domestic violence - correct answer Encourage patient seeking for legal consultant and consider
keep away form abusive partner.
McBurney sign - correct answer Tender point in right lower abdomen of a patient with
appendicitis.
Patient with lower right quadrant abdominal pain - correct answer Appendicitis
Diverticulitis case study, it asked about what test would you use to diagnose it: - correct answer
CT scan
Patient has abdominal pain is aggravated when defecting? - correct answer Aortic aneurysm
Patient has diarrhea and constipation, stools show mucus and blood, why is the diagnosis: -
correct answer Ulcerative Colitis
Which drug category will you select if you want to reduced gastric acid in the stomach? -
correct answer Antacids
What is the test for Drug and Herb metabolism? (In liver is involved in drug metabolism) -
correct answer Cytochrome
Benzodiazepines are used for what? - correct answer Anti-anxiety, relax muscle, help insomnia,
muscles spasms, seizure. = BZD (-zepam)
Tardive dyskinesia and extrapyramidal syndrome are side effect of what kind of medications? -
correct answer Antipsychotic
,Bio-Medicine – NCCAOM Board Exam – Comprehensive Review of Biomedical Concepts for TCM
Practitioners
What disease is the most common causing renal failure in US? - correct answer Type I diabetes
Group A B-hemolytic streptococcus infection is responsible for? - correct answer
Glomerulonephritis
Erectile dysfunction is due to - correct answer Organic or psychosomatic
Adverse effects from drugs that treat ED? - correct answer Hypotension
Adverse effects of Erectile Dysfunction drugs: - correct answer Stuffy and runny nose
A patient was pricked by a thorn in yard, symptoms occur next day-fever, chills, redness swollen
and tenderness. What to suspect? - correct answer Cellulitis
Woman gets a splinter from wooden branch, the next day started spreading around the wound
area, wound becomes red, swollen and sore grows in size, warm and tender upon touch, what
problem does this patient have? - correct answer Cellulitis
Case: Patient presents with highly contagious bacterial skin infection, red sore near the nose or
mouth which soon breaks, leaking pus or fluid, what do you suspect? - correct answer Impetigo
One kindergarten teacher has red on his trunk and 4 limbs, the blister with fluid filled. What is
your diagnosis? - correct answer Chickenpox
A two year old boy is brought by his parents to the clinic with a 3 day history of fever,
listlessness, and a cough. Physical examination reveals a lethargic child with a congested throat.
Tiny irregular red spots with central bluish-white specks (Koplik's spots) are found in his buccal
mucosa, Macupapular skin rashes are also visible over the body. What is the most likely medical
diagnosis? - correct answer Measles
A 20 year old college student presents with fever, sore throat, and fatigue. Upon examination
enlarged lymph nodes are found in the poster lateral neck. What is the most likely medical
diagnosis? - correct answer Infectious mononucleosis
Most common pathogen for PID (pelvic inflammatory disease) - correct answer Chlamydia and
Gonorrhea
CNT: Universal Precautions should be taught to: - correct answer All employees with
occupational exposure to blood borne pathogens
Fatigue, night sweats, weight loss: - correct answer Need to rule out cancer
67 old man with cachexia. What does it suggest? - correct answer Probably Cancer
Reasons for EPO increase: - correct answer Anemia
Which Vitamin helps iron deficiency anemia: - correct answer Vitamin C
Which one of these is a risk factor for blood clots? - correct answer Pregnancy
, Bio-Medicine – NCCAOM Board Exam – Comprehensive Review of Biomedical Concepts for TCM
Practitioners
If taking anticoagulant avoid which supplement? - correct answer Vitamin K
What is primary cause of secondary hypertension? - correct answer Renal and endocrine
diseases
What category of drugs has side effect of muscle ache (myalgia)? - correct answer HMG-CoA
redactase inhibitor
Chronic Diabetic patient testing to check blood sugar level: - correct answer HbA1C hemoglobin
What hormone spikes during ovulation ? - correct answer LH = Luteinizing hormone
What hormone is elevated in menopause? - correct answer FSH = Follicle stimulating hormone
Patient has PCOS, infertility, she is overweight, w/irregular periods what other symptoms -
correct answer Insulin Resistance
2 year-old boy with acute wheezing but without other symptoms, sister has asthma history and
acupuncture treatment helps her. Based on the age and information, you suspect: - correct
answer Foreign object in airway
What conditions causes "Prolonged expiration"? - correct answer Asthma
CPK levels indicate: - correct answer Heart damage
Woman calf lesion, enlarge over one day, red swollen, suspect: - correct answer DVT
12 hours flight, presents with calf pain. Check for what? - correct answer DVT
Patient suspected to have a DVT, what is the best way to confirm. - correct answer Doppler
Ultrasound
Older man with lower back pain during bowel movement and pulsating mass near umbilicus,
what is the cause? - correct answer Abdominal aortic aneurysm
Patient has abdominal pain (my said low back pain) and is aggravated when defecating? -
correct answer Herniated lumbar disc
Beta-adrenergic Blockers treat what? - correct answer Thyroid storm
Which drug can relax smooth muscle and vessel resistance "-a-Blocker" - correct answer Cause
vessel dilation
Calcium channel blockers: relax vessels - correct answer CCB for: hypertension, arrhythmia,
angina
CCB side effect: hypotension, AV block, headache, constipation, nausea, heel edema
Public health and safety cares most about? - correct answer Occupation and travel
Practitioners
A patient says he's going to commit suicide, what should do? - correct answer Have Pt. Sign a
"No Self-Harm" contract and refer to primary care phsician on a semi-urgent basis.
Young man had very high energy, and didn't have to sleep much just a couple days ago, now
feeling exhausted and sad. Diagnosis: - correct answer Bipolar disorder
65 years male is living in nursing house after 6 months of post stroke, he doesn't like talk to
anyone, social withdraw; doesn't like to move and like to lie down in the bed; he rather thinks
him little and forget him. What do you suspect? - correct answer Depression
Which one is example of abuse? - correct answer Retinal hemorrhage in infant (baby shaking)
Child abuse reporting process, what type of law? - correct answer Varies state by state
Mom brought a kid to clinic, kid has ear infection, during intake mom told you the kid don't like
to talk to other people and don't like to play with other people, what is your diagnosis for kid? -
correct answer Child Abuse
Confused elderly suspects someone in his health care steals his money, and patient said don't
tell anybody. Your response? - correct answer Call social worker
Domestic violence - correct answer Encourage patient seeking for legal consultant and consider
keep away form abusive partner.
McBurney sign - correct answer Tender point in right lower abdomen of a patient with
appendicitis.
Patient with lower right quadrant abdominal pain - correct answer Appendicitis
Diverticulitis case study, it asked about what test would you use to diagnose it: - correct answer
CT scan
Patient has abdominal pain is aggravated when defecting? - correct answer Aortic aneurysm
Patient has diarrhea and constipation, stools show mucus and blood, why is the diagnosis: -
correct answer Ulcerative Colitis
Which drug category will you select if you want to reduced gastric acid in the stomach? -
correct answer Antacids
What is the test for Drug and Herb metabolism? (In liver is involved in drug metabolism) -
correct answer Cytochrome
Benzodiazepines are used for what? - correct answer Anti-anxiety, relax muscle, help insomnia,
muscles spasms, seizure. = BZD (-zepam)
Tardive dyskinesia and extrapyramidal syndrome are side effect of what kind of medications? -
correct answer Antipsychotic
,Bio-Medicine – NCCAOM Board Exam – Comprehensive Review of Biomedical Concepts for TCM
Practitioners
What disease is the most common causing renal failure in US? - correct answer Type I diabetes
Group A B-hemolytic streptococcus infection is responsible for? - correct answer
Glomerulonephritis
Erectile dysfunction is due to - correct answer Organic or psychosomatic
Adverse effects from drugs that treat ED? - correct answer Hypotension
Adverse effects of Erectile Dysfunction drugs: - correct answer Stuffy and runny nose
A patient was pricked by a thorn in yard, symptoms occur next day-fever, chills, redness swollen
and tenderness. What to suspect? - correct answer Cellulitis
Woman gets a splinter from wooden branch, the next day started spreading around the wound
area, wound becomes red, swollen and sore grows in size, warm and tender upon touch, what
problem does this patient have? - correct answer Cellulitis
Case: Patient presents with highly contagious bacterial skin infection, red sore near the nose or
mouth which soon breaks, leaking pus or fluid, what do you suspect? - correct answer Impetigo
One kindergarten teacher has red on his trunk and 4 limbs, the blister with fluid filled. What is
your diagnosis? - correct answer Chickenpox
A two year old boy is brought by his parents to the clinic with a 3 day history of fever,
listlessness, and a cough. Physical examination reveals a lethargic child with a congested throat.
Tiny irregular red spots with central bluish-white specks (Koplik's spots) are found in his buccal
mucosa, Macupapular skin rashes are also visible over the body. What is the most likely medical
diagnosis? - correct answer Measles
A 20 year old college student presents with fever, sore throat, and fatigue. Upon examination
enlarged lymph nodes are found in the poster lateral neck. What is the most likely medical
diagnosis? - correct answer Infectious mononucleosis
Most common pathogen for PID (pelvic inflammatory disease) - correct answer Chlamydia and
Gonorrhea
CNT: Universal Precautions should be taught to: - correct answer All employees with
occupational exposure to blood borne pathogens
Fatigue, night sweats, weight loss: - correct answer Need to rule out cancer
67 old man with cachexia. What does it suggest? - correct answer Probably Cancer
Reasons for EPO increase: - correct answer Anemia
Which Vitamin helps iron deficiency anemia: - correct answer Vitamin C
Which one of these is a risk factor for blood clots? - correct answer Pregnancy
, Bio-Medicine – NCCAOM Board Exam – Comprehensive Review of Biomedical Concepts for TCM
Practitioners
If taking anticoagulant avoid which supplement? - correct answer Vitamin K
What is primary cause of secondary hypertension? - correct answer Renal and endocrine
diseases
What category of drugs has side effect of muscle ache (myalgia)? - correct answer HMG-CoA
redactase inhibitor
Chronic Diabetic patient testing to check blood sugar level: - correct answer HbA1C hemoglobin
What hormone spikes during ovulation ? - correct answer LH = Luteinizing hormone
What hormone is elevated in menopause? - correct answer FSH = Follicle stimulating hormone
Patient has PCOS, infertility, she is overweight, w/irregular periods what other symptoms -
correct answer Insulin Resistance
2 year-old boy with acute wheezing but without other symptoms, sister has asthma history and
acupuncture treatment helps her. Based on the age and information, you suspect: - correct
answer Foreign object in airway
What conditions causes "Prolonged expiration"? - correct answer Asthma
CPK levels indicate: - correct answer Heart damage
Woman calf lesion, enlarge over one day, red swollen, suspect: - correct answer DVT
12 hours flight, presents with calf pain. Check for what? - correct answer DVT
Patient suspected to have a DVT, what is the best way to confirm. - correct answer Doppler
Ultrasound
Older man with lower back pain during bowel movement and pulsating mass near umbilicus,
what is the cause? - correct answer Abdominal aortic aneurysm
Patient has abdominal pain (my said low back pain) and is aggravated when defecating? -
correct answer Herniated lumbar disc
Beta-adrenergic Blockers treat what? - correct answer Thyroid storm
Which drug can relax smooth muscle and vessel resistance "-a-Blocker" - correct answer Cause
vessel dilation
Calcium channel blockers: relax vessels - correct answer CCB for: hypertension, arrhythmia,
angina
CCB side effect: hypotension, AV block, headache, constipation, nausea, heel edema
Public health and safety cares most about? - correct answer Occupation and travel
