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NCCAOM Theory Inquir
NCCAOM Fundamentals Exam - Inquiry Dx
| Question | Answer |
|---|---|
| What do simultaneous chills and fever w/ chills > fever indicate? | Exterior Wind-Cold (SHL) |
| What do simultaneous chills and fever w/ fever > chills indicate? | Exterior Wind-Heat (Wen Bing) |
| What does fever of exterior origin w/ objectively emanating heat indicate? | Exterior pathogen has entered into the interior |
| What does alternating chills and fever indicate? | Shao Yang Syndrome (SHL), GB Heat (Wen Bing) |
| How does a patient describe the cold feeling w/ full cold in the ST? | Limbs and epigastrium feel cold |
| How does a patient describe the cold feeling w/ full cold in the intestines? | Legs and lower abdomen are cold |
| How does a patient describe the cold feeling w/ full cold in the uterus? | Lower abdomen feels cold |
| How does a patient describe the cold feeling w/ yang deficiency of HT or LU? | Cold hands, sweaty hands |
| How does a patient describe the cold feeling w/ SP/ST yang deficiency? | Cold limbs and abdomen |
| How does a patient describe the cold feeling w/ KD Yang deficiency? | Cold legs, knees, feet, back |
| How does a patient describe the cold feeling w/ Qi stagnation? | Cold hands and feet especially the fingers |
| How does a patient describe the cold feeling w/ HT blood deficiency? | Cold hands and chest |
| How does a patient describe the cold feeling w/ LV blood deficiency? | Cold feet |
| What does fever w/o aversion to cold indicate? | Interior heat, Yang Ming level (SHL) |
| What does a low grade fever that is worse in the afternoon indicate? | Yin deficiency |
| What does a constant low grade temperature indicate? | Damp-heat |
| What does a fever in the middle of the night indicate? | Yin deficiency (adult); food retention (children) |
| Describe a patient’s explanation of full cold. | Intense feeling of cold and shivers, feels noticeable cold and relatively hard to touch, pain, full pulse, sudden onset |
| Describe a patient’s explanation of empty cold. | Mild, persistent cold feeling or tendency to feeling cold, feels mildly cold to touch, no pain, weak pulse, slow, gradual onset |
| If a patient has a H/A in the nape of the neck what channel is affected and what may be the pattern? | Tai Yang channels; wind-cold or KD deficiency |
| If a patient has a H/A in the forehead, what channel is affected and what may be the pattern? | Yang Ming channels; ST heat or blood deficiency |
| If a patient has a H/A in the temples and side of the head what channel is affected and what may be the pattern? | Shao Yang channels; exterior/interior wind or LV/GB Fire |
| If a patient has a H/A in the Vertex what channel is affected and what may be the pattern? | Jue Yin channel; Usually from LV blood deficiency |
| If a patient has a headache that encompasses the entire head, what is indicated? | Exterior Wind-Cold |
| What does a heavy feeling H/A indicate? | Dampness or phlegm |
| What does a H/A that is described as hurting inside or brain hurting indicate? | KD deficiency |
| What does a distending/throbbing H/A indicate? | LV Yang Rising |
| What does a Boring H/A indicate? | Blood stasis |
| What does a headache w/ muzziness (muddled) and heaviness indicate? | Dampness |
| What does a headache w/ muzziness, heaviness and dizziness indicate? | Phlegm |
| If a patient has a H/A w/ aversion to wind or cold, what is indicated? | Exterior invasion |
| If a patient has a H/A that is worse w/ cold, what is indicated? | Cold Pattern |
| If a patient has a H/A that is worse w/ heat, what is indicated? | Heat Pattern |
| If a patient has a H/A that is worse w/ fatigue and improved w/ rest, what is indicated? | Qi deficiency |
| If a patient has a H/A that is worse w/ emotional tension, what is indicated? | LV Yang Rising (LYR) |
| If a patient has a H/A that is aggravated by sexual activity, what is indicated? | KD deficiency |
| How does dizziness present w/ internal wind? | Severe giddiness when everything seems to sway and loses the balance |
| How does dizziness present w/ LV Yang Rising? | Dizziness w/ a throbbing H/A |
| How does dizziness present w/ Phlegm obstructing the head? | Dizziness w/ feeling of heaviness and muzziness in head |
| How does dizziness present w/ blood deficiency? | Slight dizziness that is aggravated when tired |
| How does dizziness present in a full pattern? | Sudden onset |
| How does dizziness present in an empty pattern? | Gradual onset |
| How does a patient describe facial pain in the cheeks and jaws d/t wind-heat? | Acute, severe, feeling of heat, H/A, sore throat, chills and fever |
| How does a patient describe facial pain in the cheeks and forehead d/t damp-heat? | Severe, red cheeks, greasy skin, sticky yellow/greenish nasal discharge |
| How does a patient describe facial pain in the cheeks and forehead d/t LV Fire? | Red cheeks, thirst, bitter taste, wiry and rapid pulse |
| What is indicated when facial pain is trigeminal neuralgia? | LV fire w/ LV/KD Yin deficiency |
| How does joint pain d/t wind (bi) present? | Wandering from joint to joint |
| How does joint pain d/t cold (bi) present? | Fixed and very painful |
| How does joint pain d/t dampness (bi) present? | Fixed, w/ swelling and numbness |
| How does joint pain d/t damp-heat (bi) present? | With swelling and redness of the joints |
| How does joint pain d/t blood stasis present? | Severe stabbing pain w/ rigidity |
| What patterns may be present w/ weakness in the limbs? | Deficiency of ST-Qi/ Qi and blood/ KD Yang |
| A patient describes more tingling than numbness in the limbs (esp women), what pattern? | Blood deficiency |
| A patient describes more numbness in the limbs that is often unilateral (esp in elderly), what pathogen? | Wind |
| A patient describes numbness in the limbs w/ a feeling of heaviness, what pathogen? | Phlegm |
| A patient describes numbness w/ swelling in the limbs (esp legs), what pathogen? | Damp or Damp-Heat |
| A patient describes limb numbness w/ pain, what pattern? | Qi and blood stagnation |
| What pattern is indicated w/ cold hands alleviated by heat? | Yang deficiency |
| What pattern is indicated w/ cold hands w/ palpitations and dizziness? | HT blood deficiency |
| What pattern is indicated w/ cold fingers and toes? | LV Qi stagnation |
| What pattern is indicated w/ stabbing chest pain? | HT blood stasis – usually yang def -> HT blood stasis |
| What pattern is indicated w/ chest pain w/ cough and profuse yellow sputum? | LU Heat |
| What pattern is indicated w/ a feeling of chest oppression? | LU phlegm, LV Qi stagnation |
| What pattern is indicated w/ a feeling of distention in the hypochondrium? | LV Qi stagnation |
| What pattern is indicated w/ stabbing pain in the hypochondrium? | LV blood stasis |
| How does epigastric pain d/t deficiency present? | Dull pain, alleviated by eating |
| How does epigastric pain d/t excess present? | Severe pain, aggravated by eating |
| How does epigastric pain d/t food retention, ST fire, ST phlegm-fire, ST Blood stasis, LV => ST present? | Severe pain (excess) |
| How does epigastric pain d/t ST Qi deficiency, ST deficiency cold present? | Dull pain (def) |
| How does epigastric pain d/t dampness present? | A feeling of fullness |
| How does epigastric pain d/t SP Qi deficiency present? | Very slight feeling of fullness |
| How does epigastric pain d/t LV Qi stagnation present? | Feeling of distension |
| What patterns are indicated w/ lower abdominal pain in the intestines and uterus? | Internal cold, LV Qi/Blood stagnation, Damp-Heat, Blood stasis |
| What are characteristics of lower abdominal pain d/t excess? | Relieved by bowel movements |
| What are characteristics of lower abdominal pain d/t deficiency? | Aggravated by bowel movements |
| What are 2 patterns for hypogastric pain? | Damp-heat in UB; LV fire infusing downwards to UB (LV => UB) |
| What can cause a sudden onset of tinnitus? | Excess – usually LV fire, LYR or LV wind |
| What can cause a gradual onset of tinnitus? | Deficiency – usually KD deficiency |
| What are symptoms of pressure w/ tinnitus d/t excess? | Aggravated by pressing w/ one’s hands on the ears |
| What are symptoms of pressure w/ tinnitus d/t deficiency? | Alleviated by pressing w/ one’s hands on the ears |
| What causes a high pitch tinnitus? | LYR, LV Fire or LV wind (like a whistle) |
| What causes a low pitch tinnitus? | KD deficiency (like water rushing) |
| What is indicated w/ a sudden onset of deafness? | Excess condition – usually LV fire, LYR or LV Wind |
| What is indicated w/ a gradual onset of deafness? | Deficiency condition |
| What is indicated w/ chronic cases of deafness? | KD deficiency, HT blood deficiency, UJ Qi deficiency, Yang-Qi deficiency |
| What are Sx of eye pain d/t toxic-heat in the HT channel? | Pain like a needle w/ red eyes, associated w/ H/A |
| What are Sx of eye pain d/t wind-heat or LV fire? | Pain, swelling and redness of the eyes |
| What are Sx of eye pain d/t KD Yin deficiency? | A feeling of pressure in the eyes |
| What patterns are indicated w/ blurred vision d/t floaters? | LV blood deficiency; LV/KD yin deficiency |
| What patterns are indicated w/ blurred vision/photophobia? | LV blood deficiency, LV yang rising |
| What pattern is indicated w/ dry eyes? | KD Yin Deficiency |
| Describe a deficiency condition w/ food. | Relieved by eating |
| Describe an excess condition w/ food. | Aggravated by eating |
| What happens w/ food and SP Qi deficiency? | Lack of appetite |
| What happens w/ food and ST heat? | Always hungry |
| What happens w/ food and food stagnation? | Fullness and distension after eating |
| What happens w/ food and cold patterns? | Preference for hot food (temperature) |
| What happens w/ food and heat patterns? | Preference for cold food |
| What is indicated w/ constant bitter taste? | Excess heat in LV |
| What is indicated w/ bitter taste in the morning and insomnia? | Excess ehat in the HT What is indicated w/ a sweet taste? |
| What is indicated w/ a sour taste? | KD Yin deficiency |
| What is indicated w/ pungent taste? | LU heat |
| What is indicated w/ lack of taste? | SP deficiency |
| What is indicated w/ sour vomiting? | LV invade ST |
| What is indicated w/ bitter vomit? | LV/GB heat |
| What is indicated w/ clear-watery vomit? | Cold in ST w/ retention of fluid |
| What is indicated w/ vomit soon after eating? | Heat pattern |
| What is indicated w/ sudden vomit w/ loud noise? | Excess |
| What is indicated w/ vomit that is slow in coming w/ weak noise? | Deficiency |
| What are thirst Sx w/ excess heat? | Thirst w/ desire to drink large amounts of cold water |
| What are thirst Sx w/ Yin deficiency (ST/KD)? | Thirst w/ desire to sip liquids slowly, or sip warm liquids |
| What are thirst Sx w/ cold patterns (SP/ST)? | Absence of thirst |
| What are thirst Sx w/ damp-heat patterns? | Thirst but w/ no desire to drink |
| What are thirst Sx w/ heat patterns? | Desire to drink cold liquids |
| What are thirst Sx w/ cold patterns? | Desire to drink warm liquids |
| What patterns are indicated w/ menstrual cycles always early? | Blood heat, Qi deficiency |
| What patterns are indicated w/ menstrual cycles always late? | Blood deficiency, blood or cold stagnation |
| What patterns are indicated w/ irregular menstrual periods? | LV Qi or blood stagnation, SP deficiency |
| What patterns are indicated w/ heavy menstrual flow? | Blood heat, Qi deficiency |
| What patterns are indicated w/ scanty menstrual flow? | Blood deficiency, blood or cold stagnation |
| What patterns are indicated w/ a dark-red or bright red menstrual blood color? | Blood heat |
| What patterns are indicated w/ a pale menstrual blood color? | Blood or cold stagnation |
| What patterns are indicated w/ purple or blackish menstrual blood color? | Blood or cold stagnation |
| What patterns are indicated w/ fresh-red menstrual blood color? | Deficient heat from yin deficiency |
| What patterns are indicated when menstrual blood is congealed w/ clots? | Blood or cold stagnation |
| What patterns are indicated w/ water menstrual blood? | Blood or yin deficiency |
| What patterns are indicated w/ turbid menstrual blood? | Blood heat or cold stagnation |
| What patterns are indicated when there is pain before menses? | Qi or blood stagnation |
| What patterns are indicated when there is pain during menses? | Blood heat or cold stagnation |
| What patterns are indicated when there is pain after menses? | Blood deficiency |
| What is indicated w/ white leukorrhea? | SP/KD yang deficiency, cold damp, LV Qi stagnation |
| What is indicated w/ yellow leukorrhea? | Heat pattern – DH in LJ |
| What is indicated w/ greenish leukorrhea? | DH in the LV channel |
| What is indicated w/ red and white leukorrhea? | DH |
| What is indicated w/ yellow + pus, blood after menopause? | Toxic DH in the uterus |
| What is indicated w/ leukorrhea of a watery consistency? | Cold-damp |
| What is indicated w/ leukorrhea of a thick consistency? | Damp-heat |
| What is indicated when there is a fishy smell to leukorrhea? | Cold-damp |
| What is indicated when there is a leathery smell to leukorrhea? | Damp-heat |
| Describe SP Qi deficiency tiredness. | Chronic tiredness, desire to lie down, poor appetite, loose stools |
| Describe SP Yang deficiency tiredness. | Chronic tiredness, desire to lie down, poor appetite, loose stools and cold Sx |
| Describe LU Qi deficiency tiredness. | Chronic tiredness, weak voice, propensity to catch colds |
| Describe LU yang deficiency tiredness. | Chronic tiredness, weak voice, propensity to catch colds, + cold Sx |
| Describe KD yang deficiency tiredness. | Chronic tiredness, backache, lassitude, a feeling of cold, depression, frequent urination |
| Describe LV blood deficiency tiredness. | Chronic tiredness, slight depression, dizziness, scanty periods |
| Describe KD yin deficiency tiredness. | Chronic tiredness, anxiety, insomnia, dry mouth at night, tongue w/o coating |
| Describe Damp retention tiredness. | Chronic tiredness, feeling of heaviness of the body, muzziness |
| Describe phlegm retention tiredness. | Chronic tiredness, feeling of oppression of the chest, dizziness, muzziness |
| Describe LV Qi stagnation tiredness. | Chronic tiredness, anxiety, tenseness, wiry pulse |
| Describe Shao Yang pattern tiredness. | Short term tiredness, alternating cold and hot, irritability, unilateral tongue coating, wiry pulse |
| Describe other Sx w/ impotence d/t KD yang deficiency. | Feeling ocld, backache, weak knees |
| Describe other Sx w/ impotence d/t HT blood deficiency. | Palpitations, dizziness, choppy pulse |
| Describe other Sx w/ impotence d/t HT fire. | Palpitations, insomnia, dream-disturbed sleep, rapid overflowing pulse |
| Describe other Sx w/ impotence d/t LV Damp-heat. | Heaviness of the scrotum, urethral discharge |
| What are the possible patterns for male lack of libido? | KD Qi or Yang deficiency; Deficiency of SP, HT or LU; LV Qi stagnation |
| What are possible patterns for premature ejaculation? | KD Qi not firm; HT Qi deficiency; HT blood deficiency |
| What pattern is present when ejaculation leads to tiredness/dizziness? | KD deficiency |
| What are possible patterns when a female has lack of libido or an inability to reach an orgasm? | KD Yang or HT deficiency |
| What are possible patterns when a female has excessive sexual desire? | LV/HT fire, KD Yin deficiency w/ empty heat |
| What pattern is present when a female has an inability to reach orgasm? | HT deficiency |
| What patterns may be present when an orgasm leads to a H/A in a female? | Rebellious Qi of Chong vessel, HT fire |
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kabrown
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