NCCAOM Herbs Practice Test 4

NCCAOM Herbs Practice Test 4

1. A patient has symptoms of aversion to cold, lack of sweat, fever, headache and muscle ache, low energy, a pale tongue with a white sticky coating, and a soggy pulse. What is the best formula for this patient?

A)  Ge Gen Tang (Kudzu Decoction)

B)  Gui Zhi Tang (Cinnamon Twig Decoction)

C)  Ma Huang Tang (Ephedra Decoction)

D)  Ren Shen Bai Du San (Ginseng Powder to Overcome Pathogenic Influences)

2. The function of Huang Qi (Radix Astragali Membranacei) in Dang Gui Bu Xue Tang (Tangkuei Decoction to Tonify the Blood) is for Qi to:

A)  control Blood

B)  generate Blood

C)  move Blood

D)  quicken Blood

3. Wu Wei Zi (Fructus Schisandrae Chinesis) belongs to which herbal category?

A)  calm the spirit

B)  nourish Yin

C)  stabilize and bind (astringent)

D)  tonify the Blood

4. Xi Yang Shen (Radix Panacis Quinquefolii) is an herb that tonifies:

A)  Qi and Blood

B)  Yang and Qi

C)  Yin and Blood

D)  Yin and Qi

5. To treat Wind-Cold invation accompanied by fever, chills, headache, and sweating, the best formula to use is:

A)  Ma Huang Tang (Ephedra Decoction)

B)  Xiao Qing Long Tang (Minor Bluegreen Dragon Decoction)

C)  Yin Qiao San (Honeysuckle and Forsythia Powder)

D)  Gui Zhi Tang (Cinnamon Twig Decoction)

6. Su Zi Jiang Qi Tang (Perilla Fruit Decoction for Directing Qi Downward) treats:

A)  excess above and deficiency below

B)  excess below and deficiency above

C)  exogenous cold and endogenous heat

D)  exogenous heat and endogenous cold

7. Which of the following herbs clears and transforms Phlegm-Heat and stops vomiting?

A)  Ban Xia (Rhizoma Pinelliae Ternatae)

B)  Zhu Ru (Caulis Bambusae in Taeniis)

C)  Gua Lou Ren (Semen Trichosanthis)

D)  Zhe Bei Mu (Bulbus Fritillariae Thunbergii)

8. A patient complains of cold and pain in the abdomen that is relieved by pressure, diarrhea with watery stool, no thirst, and loss of appetite. The patient presents with a pale tongue with a white coating and a deep thin pulse. Which formula would be most appropriate?

A)  Li Zhong Wan (Regulate the Middle Pill)

B)  Liu Jun Zi Tang (Six-Gentlemen Decoction)

C)  Si Shen Wan (Four-Miracle Pill)

D)  Wen Jing Tang (Warm the Menses Decoction)

9. An 82-year-old man has been ailing for five years with vague and undiagnosed complaints of shortness of breath, spontaneous sweating, fatigue, and poor appetite. Six months ago, he had a stroke. He is paralyzed on his left side, drools, and his speech is slurred. The patient has urinary incontinence. Examination reveals a white tongue coating and a moderate pulse. The most appropriate treatment is:

A)  Bu Yang Huan Wu Tang (Tonify the Yang to Restore Five-Tenths Decoction)

B)  Di Tan Tang (Scour Phlegm Decoction)

C)  Si Shen Wan (Four-Miracle Pill)

D)  Yang He Tang (Yang-Heartening Decoction)

10. A patient who presented with fever, no perspiration, and a floating tense pulse was diagnosed with Taiyang (Greater Yang) disorder and given Gui Zhi Tang (Cinnamon Twig Decoction). Three days later the patient complains of fever and wheezing, congestion in the lungs, and sweating. Which one of the following formulas should be prescribed?

A)  Ge Gen Tang (Kudzu Decoction)

B)  Ma Xing Shi Gan Tang (Ephedra, Apricot Kernel, Gypsum and Licorice Decoction)

C)  Bai Hu Tang (White Tiger Decoction)

D)  Yin Qiao San (Honeysuckle and Forsythia Powder)

11. Long Dan Xie Gan Tang (Gentiana Longdancao Decoction to Drain the Liver)

A)  clears Damp-Heat in the Lower Burner and drains Liver Fire

B)  harmonizes and releases Shaoyang (Lesser Yang) stage disorders

C)  drains Heat, breaks up Blood stasis, disperses lumps, and reduces swelling

D)  clears Heat, relieves Fire toxin, and cools the Blood

12. A patient presents with fever, slight chills, little sweating, headache, dry throat, cough, sputum which is difficult to expectorate, thirst, a red tongue, and a rapid, thin, and weak pulse. The most appropriate formula is:

A)  Jia Jian Wei Rui Tang (Modified Polygonatum Odoratum Decoction)

B)  Ma Huang Tang (Ephedra Decoction)

C)  Sang Ju Yin (Mulberry Leaf and Chrysanthemum Decoction)

D)  Yin Qiao San (Honeysuckle and Forsythia Powder)

13. One of the functions of Mai Men Dong Tang (Ophiopogonis Decoction) is to:

A)  benefit the Stomach

B)  stop bleeding

C)  tonify the Heart

D)  unblock the bowels

14. A patient has been having severe attacks of foul-smelling diarrhea for two days. Other symptoms include cramping, lower abdominal pain, tenesmus, a heavy burning sensation in the anus, thirst, and scanty yellow urine. The tongue is red with a sticky, yellow coating and the pulse is rolling and rapid. Which one of the following formulas would be most appropriate?

A)  Long Dan Xie Gan Tang (Gentiana Longdancao Decoction to Drain the Liver)

B)  Ge Gen Huang Lian Huang Qin Tang (Kudzu, Coptis, and Scutellaria Decoction)

C)  Ping Wei San (Calm the Stomach Powder)

D)  Tong Xie Yao Fang (Important Formula for Painful Diarrhea)

15. A patient presents with blurred vision, lusterless complexion and nails, and the primary complaint of a shortened menstrual cycle and copious bleeding with dark-purple clots. The patient’s pulse is thin and choppy and the tongue is pale. The most appropriate treatment formula is:

A)  Si Wu Tang (Four-Substane Decoction)

B)  Dang Gui Shao Yao San (Tangkuei and Peony Powder)

C)  Tao Hong Si Wu Tang (Four-Substance Decoction with Safflower and Peach Pit)

D)  Shao Yao Gan Cao Tang (Peony and Licorice Decoction)

16. Which astringent herb is most appropriate in treating deficient Lung and Kidney patterns with cough and wheezing?

A)  Wu Wei Zi (Fructus Schisandrae Chinensis)

B)  Ma Huang Gen (Radix Ephedrae)

C)  Jin Ying Zi (Fructus Rosae Laevigatae)

D)  Sang Piao Xiao (Ootheca Mantidis)

17. Which formula is most appropriate for treating a postpartum female with signs of Blood stasis, Blood deficiency, and Cold in the Lower Burner?

A)  Sheng Hua Tang (Generation and Transformation Decoction)

B)  Nuan Gan Jian (Warm the Liver Decoction)

C)  Gan Jiang Ren Shen Ban Xia Wan (Ginger, Ginseng, and Pinellia Pill)

D)  Li Zhong Wan (Regulate the Middle Pill)

18. Which pair of herbs is used to nourish both Liver Yin and Liver Blood?

A)  E Jiao (Gelatinum Corii Asini) and Shan Yao (Radix Dioscoreae Oppositae)

B)  Rou Cong Rong (Herba Cistanches Deserticolae) and Xian Mao (Rhizoma Circuliginis Orchioidis)

C)  Shu Di Huang (Radix Rehmanniae Glutinosae Conquitae) and Bai Shao (Radix Paeoniae Lactiflorae)

D)  Wu Wei Zi (Fructus Schisandrae Chinensis) and Dang Gui (Radix Angelicae Sinensis)

19. The most appropriate herb to treat a patient suffering from Wind-Heat attack with a sore and itchy throat is:

A)  Man Jing Zi (Fructus Viticis)

B)  Ge Gen (Radix Puerariae)

C)  Niu Bang Zi (Fructus Arctii Lappae)

D)  Chai Hu (Radix Bupleuri)

20. Which herb is used with Ge Gen to promote the surfacing of rashes?

A)  Chai Hu (Radix Bupleuri)

B)  Huang Qi (Radix Astragali Membranacei)

C)  Ku Shen (Radix Sophorae Flavescentis)

D)  Sheng Ma (Rhizoma Cimicifugae)

21. Which one of the following herbs best generates fluids?

A)  Lu Gen (Rhizoma Phragmitis Communis)

B)  Xia Ku Cao (Spica Prunellae Vulgaris)

C)  Jue Ming Zi (Semen Cassiae)

D)  Zhi Zi (Fructus Gardeniae Jasminoidis)

22. A female patient presents with hypochondriac pain, a headache, red eyes, dizziness, a bitter taste in the mouth, mental weariness, irregular menstruation, distension of the breasts, and the sides of her tongue are red. Which is the most appropriate formula?

A)  Xiao Chai Hu Tang (Minor Bupleurum Decoction)

B)  Si Ni San (Frigid Extremities Powder)

C)  Jia Wei Xiao Yao San (Augmented Rambling Powder)

D)  Huang Lian E Jiao Tang (Coptis and Ass-Hide Gelatin Decoction)

23. The best herbal combination for constipation due to heat in the Stomach and Intestines is Da Huang (Radix et Rhizoma Rhei) and:

A)  Mang Xiao (Mirabilitum)

B)  Fan Xie Ye (Folium Sennae)

C)  Huo Ma Ren (Semen Cannabis Sativae)

D)  Yu Li Ren (Semen Pruni)

24. Which formula includes Si Jun Zi Tang (Four-Gentlemen Decoction)

A)  Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)

B)  Li Zhong Wan (Regulate the Middle Pill)

C)  Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder)

D)  Xiao Yao San (Rambling Powder)

25. A patient complains of chronic constipation and a cold sensation in the lower back. The patient’s urination is clear and copious. The most appropriate treatment formula is:

A)  Run Chang Wan (Moisten the Intestine Pill)

B)  Ma Zi Ren Wan (Hemp Seed Pill)

C)  Da Huang Fu Zi (Rhubarb and Prepared Aconite Decoction)

D)  Ji Chuan Jian (Benefit the River Decoction)

26. Bai He Gu Jin Tang (Lily Bulb Decoction to Preserve the Metal) treats Lung disorder due to the pathological mechanism of:

A)  Kidney not grasping Qi

B)  Lung and Kidney Yin deficiency

C)  Simultaneous Lung Qi and Yin deficiency

D)  Deficient Wei Qi (Defensive Qi)

27. Yu Nu Jian (Jade Woman Decoction) is indicated for:

A)  Dizziness due to Liver Yang

B)  Stomach Fire with Kidney Yin deficiency

C)  Phlegm-Heat blurring the Heart orifice

D)  Damp-Cold obstructing the Middle Burner

28. Which one of the following is a special herb for treating itchy skin?

A)  Cang Zhu (Rhizoma Atractylodis)

B)  Di Fu Zi (Fructus Kochiae Scopariae)

C)  Chan Tui (Penostracum Cicadae)

D)  Shi Wei (Folium Pyrrosiae)

29. Which one of the following formulas is most appropriate to treat insomnia caused by deficiency of Qi and Blood of the Spleen and Heart?

A)  Tian Wan Bu Xin Dan (Emperor of Heaven’s Special Pill to Tonify the Heart)

B)  Gui Pi Tang (Restore the Spleen Decoction)

C)  Suan Zao Ren Tang (Sour Jujube Decoction)

D)  Ci Zhu Wan (Magnetite and Cinnabar Pill)

30. The principle action of Dang Gui Bu Xue Tang (Tangkuei Decoction to Tonify the Blood) is:

A)  Qi as the Commander of Blood

B)  To keep Blood flowing within its vessels

C)  Blood as the Mother of Qi

D)  Qi can generate Blood

31. A patient complains of symptoms of insomnia, forgetfulness, restlessness, fatigue, dry stool, and cold sores in the mouth that began two days ago. The patient’s tongue is red with a thin coating and the pulse is thread and rapid. What is the best treatment formula for this patient?

A)  Gui Pi Tang (Restore the Spleen Decoction)

B)  Tian Wan Bu Xin Dan (Emperor of Heaven’s Special Pill to Tonify the Heart)

C)  Xiao Yao San (Rambling Powder)

D)  Chai Hu Jia Long Gu Mu Li Tang (Bupleurum plus Dragon Bone and Oyster Shell Decoction)

32. A 62-year-old patient presents with urinary difficulty, low back pain, cold hands and feet, and a cold sensation in the lower part of the body. The patient also has mild edema and is irritable to the point of having difficulty lying down. The pulse is weak and deep in the Chi position. The most appropriate treatment formula is:

A)  Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia)

B)  Jin Gui Shen Qi Wan (Kidney Qi Pill from the Golden Cabinet)

C)  Si Ni Tang (Frigid Extremities Decoction)

D)  Ba Zheng San (Eight-Herb Powder for Rectification)

33. A patient’s chief complaints are fever and chills without sweating, and a stiff and rigid neck and upper back. The patient has a thin, white tongue coating and a floating, tight pulse. The most appropriate treatment formula is:

A)  Ma Huang Tang (Ephedra Decoction)

B)  Ge Gen Tang (Kudzu Decoction)

C)  Gui Zhi Jia Ge Gen Tang (Cinnamon Twig Decoction plus Kudzu)

D)  Jiu Wei Qiang Huo Tang (Nine-Herb Decoction with Notopterygium)

34. Which preparation of Da Huang (Radix et Rhizoma Rhei) is best to stop bleeding?

A)  bake it

B)  char it, while retaining its properties

C)  soak it in alcohol for 1 to 2 weeks

D)  soak it in vinegar for 1 week

35. Da Huang Mu Dan Tang (Rhubarb and Moutan Decoction) is indicated for acute:

A)  appendicitis

B)  gastritis

C)  cholelithiasis

D)  colitis

36. The treatment principle of Bai Zhi Ren (Semen Biotae) is to:

A)  tonify Qi, benefit Yin, anchor floating Yang, soften hardness

B)  nourish Heart, calm Spirit, regulate Qi, nourish Blood

C)  nourish Heart, calm Spirit, moisten Intestines, unblock bowels

D)  invigorate Blood, promote healing of wounds, promote menstruation, moisten Intestines

37. The most appropriate dosage of Mu Li (Concha Ostreae) is:

A)  1 g – 3 g

B)  5 g – 9 g

C)  10 g – 14 g

D)  15 g – 30 g

38. In Shao Fu Zhu Tang (Drive Out Blood Stasis in the Lower Abdomen Decoction), which one of the following herbs should be placed in a cheese cloth when assembling the formula?

A)  Tao Ren (Semen Persicae)

B)  Mo Yao (Myrrha)

C)  Pu Huang (Pollen Typhae)

D)  Xiao Hui Xiang (Fructus Foeniculi Vulgaris)

39. The use of Jing Jie (Herba seu Flos Schizonepetae Tenuifoliae) in the charred form enhances its effect as a:

A)  diaphoretic

B)  hemostatic

C)  diuretic

D)  laxative

40. When using Zhi Sou San (Stop Coughing Powder) to treat a cough with thick, sticky sputum, which of the following herbs should be added?

A)  Dan Nan Xing (Pulvis Arisaemae Cum Felle Bovis) and Tian Ma (Rhizoma Gastrodiae Elatae)

B)  Gua Lou (Fructus Trichosanthis) and Sang Bai Pi (Cortex Mori Albae Radicis)

C)  Shu Di Huang (Radix Rehmanniae Glutinosae Conquitae) and Shan Yao (Radix Discoreae Oppositae)

D)  Huang Qi (Radix Astragali Membranacei) and Dang Shen (Radix Codonopsitis Pilosulae

41. If Xuan Fu Dai Zhe Tang (Inula and Haematite Decoction) is used to treat morning sickness in a 30-year-old pregnant woman, the herbalist should consider omitting which ingredient because of its “heaviness” and tendency to push the Qi downward?

A)  Mu Li (Conca Ostreae)

B)  Xuan Fu Hua (Flos Inulae)

C)  Dai Zhe Shi (Haematitum)

D)  Shi Jue Ming (Concha Haliotidis)

42. The three ingredients in Sui Quan Wan (Shut the Sluice Pill) are:

A)  Sang Piao Xiao (Ootheca Mantidis), Long Gu (Os Draconis), and Fu Shen (Sclerotium Poriae Cocos Pararadicis)

B)  Yi Zhi Ren (Fructus Alpiniae Oxyphyllae), Wu Yao (Radix Linderae Strychnifoliae), and Shan Yao (Radix Dioscoreae Oppositae)